James Reilly (Dublin North, Fine Gael) | Oireachtas source

A recent external independent review highlighted that the governance and control framework in the HSE lacks clarity, is not properly embedded and does not enable effective control to be exercised over voluntary providers. The financing and operating models are tied to antiquated health board structures and there are significant inconsistencies in approaches to analyses and financial performance management and data collection.

Let us not forget that Deputy Martin was the designer in chief of a new health service where he created unaffordable, unsustainable and grossly inefficient bureaucracy. Instead of getting the normal efficiencies that one gets from merging 11 different companies and reducing overheads, we got all the idiosyncratic inefficiencies of 11 different health boards. That still haunts us to this day-----

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