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Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Sometimes it is raised. I am not in a position to say yes or no. It is raised from time to time. Is it being manipulated a bit?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: I think it is an area that needs to be watched because obviously there is a big spend on this.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: On homecare or home help as it used to be referred to, I understand that the HSE sometimes has to use agencies to fill gaps, but there is a problem with recruitment.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: The agencies are having a huge difficulty. Homecare positions are not being filled. Middle management in CHO 8 told us last year that they were trying to increase the number of advertised posts. Again, it is costing more to employ them through the agencies because I know the figures we received last year. Is work being done to try to bring in a larger cohort of directly employed homecare...

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: What is the target? I think it is a 40:60 ratio, with about 40% being HSE.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: That is with the not-for-profit ones?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Some of them do good work.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: That is not what happened. It has not always translated into higher pay.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: It is about 40% HSE provided and 20% voluntary. Is that correct?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: What is the breakdown of for-profit and voluntary?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Would it be about two thirds to one third?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Can that work with the ETBs be accelerated? If we are going to help more elderly people stay within their own home, which is more cost effective and is generally what people want, there is no other way of doing this. We simply have to increase the number of people who have a level of training as home care workers to cater for people and provide that service. It is absolutely vital. The...

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: What was the budget for ambulance services in 2022?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: What is the expected spend on private ambulances in 2023, or what was it last year if that will point us in that direction?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: What percentage of the service is provided by private providers?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: I know that.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Are we talking about 2% or 20%?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: Will Mr. Mulvany come back with a figure for last year on the costs of private ambulances, and the expected cost for this year?

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: That is for half a year. We are looking at approximately €11 million for one year.

Public Accounts Committee: Health Service Executive: Financial Statements 2023 (5 Oct 2023)

Brian Stanley: I understand.

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