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Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I will certainly give a copy to the Clerk. I made available copies of prepared notes last night which I expressively said I would not depend on, but they were quoted back to me. I need to reflect on how I provide information. This is a technical Bill. That is one thing. I can certainly do that. At the same time, however, this is a matter arising from what happened last night. We can...

Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)

Jennifer Carroll MacNeill: As long as that is done accurately.

Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)

Jennifer Carroll MacNeill: That is a different matter, and it is the matter at hand.

Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)

Jennifer Carroll MacNeill: There is no need. I am not required to do so.

Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I move: "That the Bill be now read a Second Time." I am pleased to introduce the Health (Amendment) Bill 2025, by means of which it is intended to enhance the oversight and accountability of the Health Service Executive to both the Minister for Health and the Minister for Children, Disability and Equality. The Bill addresses a number of goals arising from the Sláintecare...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (16 Jul 2025)

Jennifer Carroll MacNeill: We are very keen for them to work here. There are three aspects to that. The Nursing and Midwifery Board of Ireland, NMBI, has done good work on improving its registration times and I am confident about that side of things. CORU, for the health and social care professionals more generally, has made very significant progress, although the Taoiseach and I are discussing how we can bring that...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (16 Jul 2025)

Jennifer Carroll MacNeill: It makes no sense.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I move amendment No. 1: In page 6, line 16, to delete “Digital Health Record” and substitute “Electronic Health Record”. There are quite a number of amendments in this group. They are: amendments Nos. 1, 6 to 10, inclusive, 12, 14 to 17, inclusive, 19, 21 to 26, inclusive, 28, 29, 32 to 39, inclusive, 43, 45 to 49, inclusive, 52 to 54, inclusive, 68, 69 and...

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: It is to simply align the terminology in the Bill with the language used in the EHDS regulation. We are trying to establish a European-wide ability to share data in a consistent way. This simple terminological change will enable us to do that and to avoid purposely create legislation that is linguistically at odds with the rest of Europe.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I will ask Mr. Tierney, who has been working throughout the period in question, to address that.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: That is the ultimate goal and what we are trying to get to. This is going to be a staged process over time. As we said, we started with the maternity hospitals, the children's hospital and the national rehabilitation hospital have this measure. This is about making this the complete system for all healthcare interactions. The whole purpose is to get to the point where a person’s...

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I will start and ask Mr. Tierney to come in. It is very important, not only as we go through this procurement process but the many procurement processes I hope we will be in together over the next number of years, that we manage those processes from the perspective of maximising the advantage of the State, which is all of our shared interest. We will need to be careful on that. I ask Mr....

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: The intention is that it will be for all patients and GPs and not just GMS. The information we have is that it will be richer for GMS patients in the first instance. I ask Mr. O'Connor to comment on the legal piece and Mr. Tierney on the technical.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: That is not the intention. Given the scale of what is necessary from a data management perspective, cyber security perspective or integration perspective, we are looking at data providers. It would not be appropriate for the Department of Health or HSE, which are not IT companies but health service and policy delivery vehicles. That is not their function. I ask Mr. Tierney to elaborate on it.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: I will ask Mr. Tierney to begin and I might come in after that.

Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)

Jennifer Carroll MacNeill: It would. That is what we are ultimately getting to, but this has to be a transition. There is no other practical way of doing it. I very much hope we will be having this conversation in a number of years from now and that we are talking about a single system as other countries in Europe have. While not all have managed to do it, those that have managed to do it have begun this journey a...

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