Results 3,421-3,440 of 11,255 for speaker:Colm Burke

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: I accept that, but is it not also good to see how are we comparing with other EU countries? If we looked at three or four jurisdictions in Europe, how are they dealing with the level of claims? Were we to take, say, Denmark, Belgium and the Netherlands, how do we compare with those countries in real terms? It would be useful to know if there is something we can learn from those countries as...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: Is there then a reason for looking at that?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: At any stage, has the State Claims Agency suggested to the Department that it look at these to see what changes can be made to assist families where there is an adverse outcome and therefore avoiding the whole issue in relation to claims? Is there not a reason for looking at that?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: I have come across cases where, even where there is an adverse outcome in a hospital, because there is such a disconnect between the various sections in the HSE, between the hospital system and the community system, that families find it difficult to get the back-up support that was committed to delivered on. Is further engagement with the HSE needed to deal with that?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: Mr. Breen highlighted the issue in relation to maternity claims. There are 19 maternity hospitals. Are the ratios of patients per hospital unit comparable? Does further work need to be done on any one of those 19 units to reduce the level of risk and claims?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: A number of private hospitals are not connected to the HSE. Has there been any engagement with the private hospitals on what they are doing differently in order to reduce claims on their side? Obviously, they have claims as well. The big difference there is that none of them are now doing maternity. Unfortunately, because of the level of insurance, the last two that were ended up having...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: Similarly, has there been any engagement with the NHS in the UK on its system of managing cases or adverse outcomes? This is all a learning exercise. It is about reducing the level of claims and adequately dealing with families and providing supports to them as well.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: Can I ask one final question?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: The opening statement set out that in respect of the amount claimed for legal expenses, what is settled for is 41% less. Sometimes cases go into court because the amount sought is far higher than the value the State Claims Agency put on it. Looking at the amount that is originally sought in a claim and what it ultimately settles for, what kind of percentage reduction occurs overall? I know...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: It would be useful. At times people wonder why cases go into a hearing but there is no explanation of what the State Claims Agency's assessment of what the case is valued at and the amount being looked for. It would be useful from the agency's perspective to keep a record of that so that when it comes back in here it can clearly tell us that the amount of cases where €50 million was...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: But there is a problem, in that there is a lack of understanding out there. People do not understand why the State is fighting a case -----

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Colm Burke: ----- and it would be useful from that point of view to explain. The agency is there protecting the money for the taxpayers. Yes, it is accepted that people are entitled to be compensated. The agency puts a value on a claim after detailed analysis by its experts, forensic accountants etc.

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: As Deputy Catherine Murphy flagged this item for discussion, would it be appropriate-----

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: Okay. As long as she is happy. In fairness, she is usually present at meetings and we should facilitate her.

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: What did the university get-----

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: It may not be possible for this committee to deal with it, but what of the issue of the cost of drugs and medications in the healthcare sector? There is a question about whether we are getting value for money when there are substantial delays around the drug approval process. I will be open. We were out with AstraZeneca yesterday. It is manufacturing five drugs and only two of them are...

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: Deputy Padraig O'Sullivan and I. It is a committee on rare diseases. We went out there yesterday. We are manufacturing drugs for rare diseases in Ireland, but they are not available here. The issue may not be within the remit of this committee although it is about value for money. There are questions around whether we are getting value for money with respect to what we are paying for...

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: That is fair enough.

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: It is huge money.

Public Accounts Committee: Business of Committee (2 Mar 2023)

Colm Burke: My understanding was that the Department confirmed last week that before they settled the issue, they did consult with the State Claims Agency, but they did not clarify what level of consultation took place.