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Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: What should be done? For instance, in one of the places where we need an new elective hospital, it took nearly five years to identify a site. We have now identified a site and I am still being told by the Department that it will take a further 17 steps before we go to planning. There must be some way of expediting that. If we want to deliver a public health service, why does it take so...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: It is a political question, but it is also within the remit of the Department. It took nine months for the Department of Health to send a proposal from the South-Southwest Hospital Group to the then Department of Public Expenditure and Reform. There must be a way to expedite these projects when the private sector can build a hospital in 23 months. When talking about healthcare, there is a...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: What I am saying is that we cannot look for the delivery of a range of areas of Sláintecare without having infrastructure in place. That is one of the problems we have.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: We need the infrastructure.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: On the issue of moving care out of the hospital system. Several GPs have told me that there is a problem in hospitals in that there is a huge shortage of physiotherapists because they have left to provide community care. Yet, in the context of providing community care, I spoke to a GP who was trying to arrange a physiotherapist. He rang the HSE service and found out that the earliest he...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: It is a problem.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: Care in the community is provided five days a week.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: The reality, however, is that it is.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: The question is how we deal with that. If I want a particular service, it is provided either Monday to Friday or it is not available on Saturday or at any stage over the weekend.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: What I am saying is that I have not seen that being referred to-----

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: If we are talking about rolling out community care, there needs to be an emphasis on this and I do not think there is. We are very much focused on a five-day week. This is the same issue with GP care. It is very much a five-day service. We give out about the focus on hospital care, but the reason there is such a focus on hospital care is that it is available seven days a week. That is an...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: I refer to the issue of GP care being provided five days a week. An awful lot of people who require a GP to provide care for them over the weekend are being pushed towards attending accident and emergency departments. How do we deal with that to make sure community care can be provided seven rather than five days a week?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: Then there is an issue with GP care in that we need more support staff within the GP structure as well.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: That is one of the challenges we now need to face. We have GPs doing a lot of work where nurses would be well qualified to do much of it.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: That is what I am saying. The issue is how we expand community care so that it is not just available five days a week, because that way one still needs to have the numbers in the hospitals. On the numbers in hospitals, one of the things that has to change is in regard to the number of doctors and nurses, which has grown over the past six years. In 2014, 103,000 people were working in the...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: Is there enough debate or focus on changing roles? Nurses are highly qualified, and, yet, we are still getting them to do an awful lot of the work that people would not need a college degree to do.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: How does one open up that debate in order to move matters on?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Colm Burke: Looking to the NHS in the UK, where mistakes have been made - the same as mistakes were made in the Irish system - was anything done there that we should seek to avoid in the context of developing our system? I visited GP surgeries in the UK. I came across one practice where all GPs resigned on the same day. There were 20,000 patients left without a doctor. All of the doctors involved...

Written Answers — Department of Agriculture, Food and the Marine: Agriculture Schemes (1 Mar 2023)

Colm Burke: 209. To ask the Minister for Agriculture, Food and the Marine when a payment (details supplied), approved under the basic payment scheme will be issued; the reason for the delay; and if he will make a statement on the matter. [10403/23]

Written Answers — Department of Communications, Climate Action and Environment: Environmental Schemes (28 Feb 2023)

Colm Burke: 87. To ask the Minister for Communications, Climate Action and Environment the action his Department is taking to assist SMEs to reduce carbon emissions in 2023; if further financial supports to assist SMEs is needed; and if he will make a statement on the matter. [9776/23]

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