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Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: The purpose of this meeting is for the committee to receive an update from representatives of the Department of Health and the HSE on the implementation of Sláintecare reforms. There will be a particular focus on elective hospitals, individual health identifiers and matters relating to the recruitment of consultants. I am pleased to welcome, from the Department of Health, Mr. Muiris...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I thank Mr. Woods.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I will move on to Deputy Cullinane.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I hope to let members in later on. We will have a comfort break for ten minutes around 11 a.m. Before we move on to the next questioner, there was a hesitancy in the answers given in respect of the sites. The witnesses have said the decision on sites is a matter for the Government at the end of the day. Is the hesitancy for commercial reasons? Am I picking that up wrong? There seemed to...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: Does Mr. O'Connor hope it will be sooner rather than later?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I call Deputy Durkan.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: The witnesses may respond now if they wish or they may provide a written note.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: It is good to hear about some of the positive things that are happening. We tend to focus much of the time on the negatives. Reference was made to the number of consultants who have signed up to the new contract. What is the main pushback in terms of consultants not signing up to the contract? Is there any sense at this stage of what their main concerns are?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: Are the former contracts open-ended or do they run out at any particular time?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: There are some concerns around the surgical hubs idea. I am aware of the reuse model in Tallaght. One of the reasons it is successful relates to an issue we touched on previously. Normally, when there is a challenge with emergency department beds, the first beds to get it, so to speak, are the day care beds. Part of the success story of the Tallaght model was where it remained open in the...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: There is also the fact it is an innovative approach that has come from within the system, similar to Pathfinder, which also has being rolled out, and the very positive elements in that regard are quite obvious. We were speaking earlier about the tendering process and the Minister was talking about it being a major obstacle to delivering capital projects. He said we need these in a timely...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: Will any new cost-effective control processes be introduced or have they come on stream, having learned from previous processes?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: For people listening in, but for people also within the political system, we want a system where we are learning from past mistakes and improving all of the time. We would like to think we will be doing things better and with a different approach to all of the big projects. On the cyber resilience, the question that jumps out, so to speak, is whether there are still machines connected to...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: At the time, radiotherapy and the machines there were one area in particular. Has that issue been resolved regarding the equipment that was being used there?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: The other area mentioned by the witnesses was critical care beds, and that there would be 331 by the end of the year. I know I have raised this before but a report from 2009 that is on the HSE website, Towards Excellence in Critical Care, talked about increasing from 289 beds to 579 beds in the 2010 to the 2020 period. There has been an increase in 42 beds in that ten-year period. In view...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: Do you have a ballpark figure?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I want to go back to the issue of the individual health identifier. In the context of innovation, a new system was devised during Covid. We were able to put an in-house system in place. There have been a number of questions from Members on the health identifier project already but I am interested in the role of the GP. I have come across some challenges recently. One GP surgery had to...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I am conscious that some GP surgeries would be better than others and in that context, there is a gap in the system. Is there any way of resolving that?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: I will go back to Members now. Deputy Burke is first.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Seán Crowe: The Deputy is out of time.

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