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Select Committee on Health: Message to Dáil (21 Jun 2023)

David Cullinane: They were always meant to be.

Select Committee on Health: Message to Dáil (21 Jun 2023)

David Cullinane: I am not aware of it having happened.

Ceisteanna ó Cheannairí - Leaders' Questions (20 Jun 2023)

David Cullinane: I do not think the Taoiseach has been briefed. This is will come back to haunt the Government.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: Onto County Waterford so. I welcome Mr. Watt, Mr. Gloster and all of the witnesses. Before I get into my questions on medical cards, I commend the enhanced community programme and huge work going on in that area. It was from a standing start, built from scratch and what has been delivered is very impressive; I will get to that later. I commend all involved. It is a vital piece in taking...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: I must stop Mr. Watt there. The reason it was done this way is because getting medical cards for six and seven-year-olds - which was promised God knows how long ago - involved legislation being passed; it was announced and reannounced. It was all held up because of negotiations. This was meant to be a different approach in which we simply extended the criteria for the GP visit card. If it...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: I said that to Mr. Watt at the time and I said it to the Minister when he announced this. He was before this committee and I asked him and the same bodies that were here subsequently, the Irish College of General Practitioners, ICGP, and Irish Medical Organisation, if there was any engagement with those bodies prior to that announcement in the budget and they said no. It strikes me that the...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: That is the point I am making. With respect, I am not the one who said that these cards will be in place on 1 June. The Minister stood up on the floor of the Dáil on budget day to take all of the glory and said it would be done by 1 June. There was no sense that there would have to be negotiations or there would be the process Mr. Watt spoke about, which he said takes time. That is...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: I need to respond to the Chair because once the Minister makes a decision, it is up to the officials to deliver it. Mr. Watt is involved in those talks, is he not?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: The Department is. I am asking questions of the Department, which is engaged in talks with representative bodies that are dragging on and there does not seem to be any conclusion to them or at least no sense of when that will happen. I will finish on this and say that-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: To finish-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: My point is that a date was set; it was not set by me-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: -----here we are now, with the day come and gone.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: More than four weeks. Deputy Lahart is a brave man to say it will be in place in the next few weeks.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: We will see if it happens in four weeks. I wish to move on to elective-only hospitals. There does not seem to be a clear timeframe. Mr. Watt spoke about finalised design changes and expediting the process. We were told there would be a step-change in how we can deliver on big infrastructural projects in healthcare. It is frustrating for us again that we do not seem to have clear...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: I have a final question. I gave the heads-up that I would ask this. I am talking about the elective-only hospitals. Another hospital for which we are still waiting for timelines is the national children's hospital. Is Mr. Watt aware of any serious design flaws anywhere in that hospital that could delay the project very significantly? Has he personally been made aware of any potential...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: Mr. Watt has not been made aware of them personally. I thank him very much.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: One of the big promises of Sláintecare is that we would, as best we can, decouple private care and activity from the public space and public care. That encompasses an awful lot, and part of the problem that we have in the public system is the huge amount of outsourcing that happens. We can look at agency staff, management consultancy and all of that area. In primary care especially,...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: How many salaried GPs have we hired in the last five years?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed) (14 Jun 2023)

David Cullinane: No, how many have we hired in the last five years? Or ten years even?

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