Oireachtas Joint and Select Committees

Wednesday, 29 May 2024

Joint Oireachtas Committee on Health

Health Service Executive: Chairperson Designate

Mr. Ciar?n Devane:

There is always a tension between the numbers as we see them, in a context where demand will be at a certain level, inflation is not funded and there is an efficiency challenge as well that we believe we must ensure we address, the Department's view on the same data and then the Department of Public Expenditure, National Development Plan Delivery and Reform's view on these figures as well. We are in this negotiation, let us call it that, every year. I think I called this out in the foreword of the national service plan. There is a financial risk in the plan. At one point, I think I was saying that if we do everything in the plan, we will not hit the number, while if we hit the number, we will not do everything in the plan. We will, therefore, end up somewhere in that environment. I would not be betting against the number produced by the HSE being the accurate one by the time we get to the end of the year.