Oireachtas Joint and Select Committees

Wednesday, 9 October 2019

Joint Oireachtas Committee on Health

Workforce Planning in the Health Sector: Discussion

Ms Janet O'Farrell:

We do not collect specifics on hospital sites, unfortunately. That is the nature of data collection for the register. It is not necessarily verifiable employment data so we do not look at that. The HSE would have better figures on that and has done some analysis of it, I understand. There is a lot of movement in Dublin, as we can see. I think through the voluntary withdrawals qualitative data we can get a sense of some of that. On the Deputy's previous question about the reasons for moving, the first is family and personal reasons. Dr. Doyle talked about that. Limited progression opportunities are another reason. We have a lot of non-consultant hospital doctors, NCHDs, based in Dublin, those in training and not training. Proportionately the number of those in training has decreased in relation to the number who are not in training. The numbers who are not in training have increased over the past three years by about 800. There are real challenges in that group in progressing on to training and career progression. About four in five or 80% of them are international medical graduates and have a real challenge getting onto a programme that will further their career. In a situation like that, a doctor is going to make a sensible choice to want to progress his or her career and will look elsewhere to do that, so many of them do leave. They are in service provision posts and unfortunately currently, under the legislation, there are real challenges in that. The proposed amendments to the Act that are proposed would provide for more equity of access for those doctors, which could address the matter. That is something we would really like to see progressed.