Oireachtas Joint and Select Committees

Wednesday, 27 November 2013

Public Accounts Committee

2012 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive

4:25 pm

Mr. Tony O'Brien:

We want to get to a position where we have a full picture, particularly regarding those who have either not declared compliance or have declared compliance in circumstances where we have evidence or information to the contrary. We want open disclosure from them. That is the first point. We want a clear plan from each of them as to the steps they will take to achieve compliance. We will need a new basis upon verification of compliance into the future. Clearly, we see in some of the responses referred to by Dr. Smith evidence of what was perhaps in the past a nod and a wink culture of "I had a word with somebody. They said it would be alright. I haven't got documentation but sure we'll do it anyway". That clearly must be consigned to history. We have gone through a process seeking open disclosure. I am sure we have had that from some but not from others. We now need to get to a position where we are probably seeing P60s and where we are clear that there cannot be a case for parallel payrolls. Dr. Smith referenced the fact that using the statutory powers available to it, which are slightly more extensive than our powers, HIQA was able in the course of a separate review into something completely different to establish that there was a separate payroll using public funds but operated by a separate entity acting as an agent for the hospital. We need to establish how in the future we can continuously assure ourselves that those things are not part of the way this game, if I can use that term, is being played.