Oireachtas Joint and Select Committees

Thursday, 5 October 2023

Public Accounts Committee

Health Service Executive: Financial Statements 2023

9:30 am

Mr. Bernard Gloster:

We have some. The chief financial officer can address that in a second but I will just note that the second portion of the headline deficit relates to increased demand. This year, we were funded to take a certain number of people off of our waiting lists. We have taken 68,000 more off than we were funded for. That is just one area of demand. There is obviously a lot in social care and so on.

The third area, which I accepted on the record before the Deputy's colleagues on the Joint Committee on Health last week, makes up approximately a quarter of the deficit. There is a challenge for management to address in the control environment. The control environment issue is not just about people spending money loosely. There are necessary controls. I will give the Deputy an example. This year, we funded 1,400 additional new jobs in management and administration grades to add to the already high number recruited between 2019 and 2022. We exceeded that 1,400 by a long shot. We have no money for that and cannot afford it. I introduced a control on that grade sequentially from the summer and, yesterday, I had to introduce full control on that grade such that there will be no additionality between now and the end of the year. Tomorrow at 9 a.m., the representative organisation for that grade will commence industrial action. That is what the control environment is. Issues in that area comprise in the order of a quarter of the deficit.