Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)

The Government remains committed to increasing capacity in the public system. The commitment is underpinned by unparalleled levels of investment as we move to universal access to health care. However, until the capacity is in place to meet the increased levels of demand, it is necessary in the interim to make use of all available capacity in the public and private systems to ensure that patients have access to the care they need.

The waiting list action plan 2025 includes targeting the delivery of additional capacity in the public and private systems through a co-ordinated approach by the HSE and the National Treatment Purchase Fund, NTPF. NTPF insourcing initiatives are governed by a memorandum of understanding, MOU, between the NTPF and the relevant public hospital. Under the MOU, the public hospital confirms that any such work is additional work over and above core hospital activity and is specifically carried out to reduce waiting lists.

In early April I requested that the HSE CEO initiate a detailed survey of all insourcing activity within the HSE to include activity funded directly by the hospital concerned and by the NTPF. The review is being co-ordinated through his office, assisted by finance, internal audit, HR and access and integration functions. The outcome of this review is expected shortly and will determine the appropriate next steps. We need to move away from this model by maximising internal underutilised capacity, whilst at the same time not negatively impact on patient waiting times and outcomes.

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