Oireachtas Joint and Select Committees

Tuesday, 21 October 2025

Joint Oireachtas Committee on the Implementation of the Good Friday Agreement

Healthcare Provision: Discussion

2:00 am

Professor Anne Matthews:

Yes. I will not repeat those points because they are absolutely spot-on. It is about taking health in its broadest sense. The focus often has to be on healthcare services, specialist services or particular types of services but, as Professor Heenan said, having an ageing population is a good thing and it brings demands. If we are trying to keep people healthy and keep out of hospitals, the public health service is the primary service. The social determinants of health, such as housing and income, and the commercial determinants of health, such as those who market goods that damage health - all of those factors can be part of this. Sometimes we move between health and healthcare. Healthcare is one part of the response to keeping people healthy. As Professor Heenan said, there is nothing more important for everyone than their health and the health of the family and the investment in health. It is important to keep that central.

To go back to the data, it is not just about not having access to data; it is about whole definitional differences. Professor Heenan and colleagues are trying to do that for cancer care. What does that mean? Is it comparable data, rather than just exchanging data and, because they do not measure the same thing, abandoning them? Moving that ahead is a real project in itself.

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