Oireachtas Joint and Select Committees

Thursday, 26 May 2022

Public Accounts Committee

2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020

9:30 am

Mr. Paul Reid:

The analogy or simile of the tipper truck and the black hole was used. I just want to go beyond what Mr. Watt said. We are not waiting for the IMF test. We can draw a linear line right now on the breakdown of our operational spending. Some 32% of it is on acutes we can follow through. Some 17% of it is on PCRS and reimbursements. We can follow through with really good metrics. About 5% of it is nursing, NHS, schemes and home supports - about 8% to 10% in total on screening. For about 92% of our activity, we can follow through and demonstrate a linear follow through. Yes, there are some that are more complex.

Regarding whether we are seeing any extra services for all this money, I made a comment to a Deputy earlier that we can certainly demonstrate all of the Covid benefits because Lancethas recognised it. Equally, we can show we are having more AD presentations. There is more help going into the system. There are more supports for GPs. There is more access to GP diagnostics in the system. There are more public health nurses. There is more recruitment. There are more older persons schemes. There is more community intervention.