Results 3,541-3,560 of 26,396 for speaker:David Cullinane

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Have the witnesses been told this is going to kick in next April? When is it going to kick in? Is there some indicative timeframe? Have they been given any direction of travel as to what is going to happen?

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Not directly. That is extraordinary. We have a big announcement. I support the roll out of more GP cards. Obviously, we all want to see it. However, we need to get the foundations right. That there was no engagement with the training body that provides the capacity when we are trying to roll out something so ambitious was a big failure on the Department's side and the Minister's side....

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: I acknowledge the good work done by the ICGP, GPs, general practice staff, including practice nurses, and all those who work in primary care. We accept that, if we get primary care and the relationship between it, the enhanced community care system and community care right, we can take substantial pressure off our acute hospitals. What is happening in emergency departments is stark. A HIQA...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: I am sorry. I hate to interrupt, but we had this discussion earlier and it was accepted. I explicitly asked whether we would reach the target. I have been told that we are facing into 500 whole-time equivalent retirees, so I am building that number into the target. We can accept that there are significant challenges in meeting these targets.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: If I could just make-----

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Exactly.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Its parts are a contract that will take some time to negotiate, a doubling in the number of practice nurses, more career pathways for nurses to advanced nurse practitioners working in general practice, an increase in training places, and ensuring that we do not leak more doctors abroad. There are many pressures and challenges, but I do not see a coherent plan. I accept that the ICGP has...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Waiting lists.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: I will make a final point, as I must attend Leaders' Questions. I want to see universal GP care. I want to see more people with free GP cover as well but if we serve people initially where this happens without the resources in place and they then end up waiting longer, possibly weeks in some cases, to see a GP, that could sour them quickly, which would be a mistake. We need to get it right...

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: If 700 of the 2,807 GPs retire in the next three years, that brings us down to 2,100.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: The ICGP wants to be more positive and its job is not to have a bleaker picture painted, but we have to be frank and honest about where we are. This will happen quickly. There is no point in returning to us in six months' time to say that the system has crashed because we have not put the foundations in place.

Joint Oireachtas Committee on Health: Recruitment, Retention and Manpower Planning Issues: Irish College of General Practitioners (14 Dec 2022)

David Cullinane: Dr. Farrell has made that point several times and we can support it, but it strikes me that we are putting the cart before the horse. All of this should have been done first. We should have been considering putting all of these additional capacity elements into the system. We could then have started looking at expanding services. Mr. Foy or Dr. Quinlan stated that we probably needed 120...

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: I thank all of the speakers, including the Minister and Minister of state, for their contributions. The Minister's contribution was much different from the script we were handed. It was less harsh, which may speak to the Minister's style. That is commendable but I want to address some of the issues raised in the written text, which were much more strident. I am afraid the Minister's...

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: I know the Minister did not say it. I am talking about his written speech. In fact, it is quite the reverse. I think the work that University Hospital Waterford management has done is phenomenal and I have said for some time that it is a beacon of hope for other hospitals. We need the same level of management elsewhere. It has not only been the manager, who is really important as the...

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: It is transformative.

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: It is about recruitment. Covid did not stop recruitment.

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: It has a number of great Teachtaí Dála who have facilitated its success.

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: That is down to good management.

Current Issues Affecting the Health Services: Motion [Private Members] (13 Dec 2022)

David Cullinane: He is right.