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Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: I thank the witnesses for attending today. While this committee tends to focus on figures and finances, we need to remember that behind every number is a child, a patient, a family and a story. We cannot lose sight of that. I welcome Ms Nugent's comments today about wanting to do better, putting children first and putting families at the centre of decisions. Communication is really key to...

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: I do not want a child who has a very complex need to be filtered out of a review because that is the opposite of what we should be doing.

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Every child has the right to safety. Every family has the right to peace of mind as to what has happened here. If complexity is being used as a filter, that is just discrimination.

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: The mother was not contacted at all regarding her second daughter. She and families like her are left in a vacuum. Children who really are more vulnerable are not being included in the review. I find that baffling.

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Will that be looked at?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Have the families who have not been included in the review been written to or communicated with and offered the opportunity to be included in the review?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: I appreciate that, but it does not scream "patient-centred approach" to me. I have an issue with that and with the lack of communication with the families. Some families may not even fully realise. There needs to be much more communication with this family. This is only one family who have come to my attention in recent days. I have serious questions and concerns about this. It is not...

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Have any issues been referred to the Medical Council? Have any assessments been done at this stage?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Some of the children.

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: The NTPF has clearly played a vital role in tackling waiting lists and has removed more than 370,000 public patients from waiting lists. In light of recent revelations, it is important that we take a closer look at how the funding has been applied. No fewer than three hospitals have had funding ceased due to concerns regarding the misuse of those funds. The Minister and Bernard Gloster are...

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Have any other hospitals flagged such issues?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: I found the idea of insourcing and the prolonged use of it baffling. It took me a while to get my head around the fact that we were paying people in the HSE not just overtime rates but going around the system and using HSE facilities to pay them a huge premium to do work at the weekends or through the NTPF. I would like to see the insourcing model phased out over the next couple of years....

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Those were the private hospitals. What about the public hospitals?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: What kind of surgeries are happening in the North? What is the general nature of the surgeries happening there? Do the witnesses know? Why are patients going up to Derry?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Is that arrangement on an annual basis? Is there a contract for a period?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: The NTPF first found out about the alleged misuse of its funding through the media. Why did CHI not raise this issue with the NTPF?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: With regard to the consultant who was deemed medically unfit to do on-call hours but was flying through patients on a Saturday, can Ms Nugent tell us if he is now working on-call hours?

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: Except we were paying for a locum to cover the on-call hours-----

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: -----and then he was obviously getting additional payments for work in the Saturday clinics, which were funded by the NTPF. The taxpayer was being hit on every side, which does not seem very efficient or to be value for money.

Public Accounts Committee: Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund
(3 Jul 2025)

Grace Boland: We were paying more to a locum to cover the on-call hours. Are there any other consultants in that position who are not doing on-call hours? Is there a figure?

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