Oireachtas Joint and Select Committees

Thursday, 6 October 2022

Public Accounts Committee

2021 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health
Health Service Executive - Financial Statements 2021 (Resumed)

9:30 am

Mr. Robert Morton:

We are hoping to adopt that. We have a health psychologist now as part of our education team so we are rolling in that direction, as it were, but our head of HR is very much focused on it this year.

The second question was on the out-of-hospital cardiac arrest strategy and alternative care pathways. The two things we are doing, which the CEO mentioned in his opening statement, is hear and treat and see and treat. We are looking at ways to offer services to patients in the community or at the point of contact. We have developed a clinical hub and I might ask Professor O'Donnell to talk about the clinical aspects of in a moment. The hub tries to provide a meaningful clinical solution for patients at the point of contact, as distinct from having to send an ambulance, which is not necessarily always the right thing to do. An obvious example is when somebody dials 999 with a broken toenail. They may be alternate pathway of care we can offer to that patient in those circumstances. The out-of-hospital cardiac arrest strategy is based on the sudden task force report from 2007 that has been Government policy since then. It says every uniformed responder in Ireland should be contributing to a reduction in out-of-hospital cardiac arrest mortality. That involves the fire services, the Garda, community first response schemes and the Irish Coast Guard. That strategy is focusing on embracing all those organisations and we have 12 organisations around that table that are actively involved in progressing that strategy, which is funded this year to the tune of about €650,000, and all that money will be expended on that. Some of that is around placing automated external defibrillators, AEDs, in the communities.

I ask Professor O'Donnell to touch on the clinical hub aspects.