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Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: So here we are in 2023, and the cases that were made in both 2017 and 2019 were rejected by the Department of Public Expenditure, National Development Plan Delivery and Reform. Where are we now, then, with a business case for electronic health records? When Mr. Fran Thompson was last before the health committee on this issue, he said we are not even at the starting line.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I am not interested in the history because the history speaks for itself: it is appalling. Obviously, there was pushback from the Department of Public Expenditure, National Development Plan Delivery and Reform, which in and of itself was unacceptable, and I do not accept the reasons it gave for pushing back. In any event, we are not even at the starting line. The Department is bringing...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: That was a rejection. When Mr. Thompson was here he accepted that it was rejected and he said there were a couple of reasons for that. He said: First, we put forward our business case to the Department of Public Expenditure and Reform, which was not accepted. It is around capacity and around the people and additional bodies on our side of it. He was therefore accepting that it was...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Mr. O'Connor is telling me there is work under way when this goes back to 2017 and 2019. We are now in 2023. Work under way does not mean anything to me because it does not give me any date or timeframe. If Mr. O'Connor does not have the answer, he can just tell me that he does not know when it is likely this work will be done and that the Department does not have a timeframe. If that is...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Is it a reasonable question from me? With respect, Mr. O'Connor is not answering it.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Bear with me. Is there a timeframe? Mr. O'Connor is saying they have to scale up capacity. I accept that, but I am asking a straight question. Cases were made in 2017 and 2019. In 2019, the business case was rejected. We are here in 2023. We want this delivered and whatever roadblocks and barriers in place need to be overcome. Is there a date or timeframe that the Department and the...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Do we have a timeframe?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Is Mr. O'Connor not starting with the first one so it is like a slimmed-down version of an electronic health record?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Yes.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: To be honest, I am not at all comforted by the response in terms of how quickly we will get to a solution on electronic health records. There is not the urgency that needs to be there and whatever happened over the last seven years was unacceptable. Would Mr. O'Connor accept, because he is responsible for analytics, that information sharing in terms of patient information flow is...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I support the legislation, by the way. I merely make the point for people listening that legislation is fine and it provides a basis for us to do something but without the tools, we are nothing.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: There is good stuff in it. I accept that.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Which is very good.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: Is this a slimmed-down version of a electronic health record?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I understand it but it takes some time.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: How do we find out what our IHI is?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: What if we wanted to?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: If I wanted to find out what my IHI number, how could I go about it?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

David Cullinane: I do not envy the witnesses at all. I wish the Department of Health well in the work it is doing. The Health Information Bill 2023 is very good legislation from the get-go and its intent, depth, and breadth are very impressive. I fully support the practical measures proposed in it. We need to see them happen. I do not blame the officials present for the legacy issues but they will...

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