Oireachtas Joint and Select Committees

Thursday, 27 June 2019

Public Accounts Committee

Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals

9:00 am

Mr. Paul Reid:

There are a number of approaches. Obviously, the challenge for us in the HSE overall is to look at how we can get more predictable in terms of our outturn towards the year end. It is a very real challenge, as I mentioned at the start. There are significant pressures on our acutes and, equally, on our communities. I have been around the country in the past number of weeks in a lot of hospitals and community organisations and have seen at first hand the great and very inspiring work done by our teams and staff at front-line level. It is highly respected by me, to state the obvious. I am very aware of the acute pressures they are under and of the pressures on our community overall. What we are setting out to do is look at the budgets allocated across each area to ensure any available funds we have are focused on patients and patient services. A process is ongoing where the chief financial officer and I are meeting with all the group CEOs of the acutes, all the chief community officers and all the national directors. We have been doing that over the past five weeks or so. It is looking out at the spend to date, where the pressures on each of the services are, the forecasted outturn if we continue in a certain run rate and the level of controls we can put on areas within our control. For example-----