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Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Heads are rolling in here today.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Maybe Mr. Gloster will respond to the issues raised by Deputy Durkan.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I will be very brief. I will not be taking ten minutes, only two or three minutes. I want to get clarity on the cost overrun. I listened to what Mr. Gloster said. He said there are three elements to it. One is health inflation running at between 17% and 20%. There is the rising pay, demographics and all of those issues, and there is also the additional demand, which Mr. Gloster has said...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: The existing levels of service, ELS, for next year could also require an additional €1 billion, so we could be talking about the need for €2.4 billion in additional expenditure to be provided to health, even before any new measures are funded. Would that be right?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: But it could be in that space.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I have one final question.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Have we underfunded ELS for the last number of years? Is that part of the problem?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: That answers my questions.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I will come back on a second round. To say I am not happy with the Secretary General's response is an understatement. It is also quite mind-blowing that it is a figure of €1.1 billion. That is a huge amount of money for an overspend that will now have to be found. I assume it will have to go into the base now in health and that will cause problems for everybody. I will come back...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: In the Minister's opening statement he said that in November 2022, his Department was notified that two serious patient safety incidents had occurred in Temple Street hospital and that he was informed around that time, some time in November. In the CHI report, which was prepared for 8 August this year and which is a composite of a number of reports, it states that in July and September two...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: I accept that but the point is that if it was the case that in July, CHI first became aware but it was not until November that the Minister and the Department became aware, that is serious. When the Minister became aware in November of these two incidents and other related issues, did he inform the Taoiseach at that point?

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: When did the Minister inform the Taoiseach?

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: Addressing this question to the Minister, this is a very serious issue. He has accepted in his opening statement that there is much trauma in respect of the families involved and I do not dispute the Minister's sincerity in this. Given the seriousness of these issues, people will want to know whether the Minister did his job right and whether he informed the Taoiseach and others in...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: These are questions we will put to the Taoiseach to discover what exactly his recollection is of when he was informed. In relation to the non-CE spring implants, the Minister stated in his opening statement that this first came to light in August. Is that when the Minister was informed?

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: Did the Minister inform the Taoiseach or anyone in government of that issue?

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: Given the short time and the fact we have Children's Health Ireland appearing before the Oireachtas Committee on Health on Thursday, I believe there are also serious questions for Children's Health Ireland on that particular issue which has been referred to by many colleagues in their statements. The big issue for the Minister at the moment is to ensure that the external investigation has...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: It is important that the Minister acknowledges that because many people looking at this issue, myself included, will be wondering how is it that a Minister for Health, when a scandal like this happens with all of the trauma that it involves for families, crafts the terms of reference which the HSE had input into and which we understand Children's Health Ireland had input into, but that the...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: The reason I say that is that I spoke earlier about all of the reports that have been published. I am asking the Minister now whether he can give a commitment to publish the report into Crumlin. That should be published in the interests of transparency. On the Boston report, the advocacy groups are angry about the fact they had input into that report but there is not a mention of that...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: This is an extremely difficult scandal to come to terms with. My thoughts are with the children affected by this tragedy and their families. I hope the Minister will ensure those children and their families will get every support they need, including health supports, emotional supports and other supports as well. This is one of the most tragic scandals I have come across in my time as...

Children's Health Ireland - Patient safety concerns and reviews in paediatric orthopaedic surgical services: Statements, Questions and Answers (26 Sep 2023)

David Cullinane: The Boston review as well?

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