Oireachtas Joint and Select Committees

Wednesday, 31 January 2018

Joint Oireachtas Committee on Health

Section 39 Organisations: Discussion

9:00 am

Mr. Brian O'Donnell:

I am not aware of others. I am just talking about the voluntary organisations, in particular section 39s. We have talked about the issue of shrinkage of staff. We use the word "attrition". Who takes up the slack? I think Ms Winslow mentioned, in response to Senator Dolan's question along the same lines, that it would largely fall to the HSE, which has the statutory responsibility for the provision of services. As we have often said, it discharges that statutory responsibility by engaging in service arrangements with voluntary organisations primarily, but for-profit organisations are an option also. The HSE increasingly engages the latter, and there is obviously a jeopardy in that. One might expect us to say that as voluntary organisations but we have good reasons to believe there is a jeopardy in hiring for-profit organisations to take up the slack. What the HSE has in mind, I think, is along the lines of what I have just said. I hope I have addressed the questions the Deputy has asked.