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Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Louise O'Reilly: But it had not been monitored in the run-up to it.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Louise O'Reilly: If one talks to the consultants, they have a view on the matter also.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Louise O'Reilly: That is exactly to what I was referring in talking about the stretch income targets: "This is how much private practice income you are getting and we now want you to accelerate it." It is extremely difficult for a hospital manager to operate within those constraints.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Louise O'Reilly: What I take away from the report is that it is possible. Without an increase in capacity and staff, waiting lists will not improve, but the changes would lead to an improvement for public patients to an extent because the system would not include people who were being fast-tracked on the same road beside them. Ultimately, as Dr. de Buitléir said, it comes down to whether there is the...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: I missed some of Ms Magahy's presentation but, in my defence, I was getting the flu shot. I had read it anyway. Ms Magahy referred to the 1,600 suboptimised beds. I find it a bit hard to reconcile that with the fact that we have bed occupancy rates approaching 100%. When Ms Magahy says "suboptimised", is she talking about delayed discharges?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: I ask Ms Magahy to elaborate for us if she can.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: For what proportion do delayed discharges account?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: That is very interesting. The budget provided for approximately two fifths of the home help hours needed. That will help, obviously - any additional home help hours will help - but it will not clear that list.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: I do not want to get in a row with Mr. Sullivan. He can say good progress has been made, and that was a great PowerPoint presentation, but in real life it does not appear that way to people. Ms Magahy said we might begin to see an appreciable difference next year, but the Sláintecare report is already two or three years old and there has not been any difference. In fact, the trolley...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: I am 100% with Mr. Sullivan. When they were closing hospital beds, I opposed it. I know there is a need for additional beds and additional capacity.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Does Mr.Sullivan have a view on the de Buitléir report? We discussed it this morning. I refer specifically to the fact that the national children's hospital will have a private facility, and that the new maternity hospital has planned on having a private facility. Is there a little bit of a contradiction there in terms of Government policy?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Does Ms Magahy not think there is an inherent contradiction in the fact that we are sitting here talking about public medicine and the need to remove private healthcare from the public system while at the same time the Government-sponsored hospital is going to have a private facility in it? Ms Magahy is the head of the Sláintecare implementation office and I would have thought she would...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: I think it is critical as well. If Ms Magahy's view is to implement Government policy that is fine but I think there is an inherent contradiction in what the Government is saying. There is no purpose in us going down that road any further. Ms Magahy referred to a multi-annual commitment to recruiting staff into the community. I know it is the 1,000 therapy posts. Kids in my constituency...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: That is the exact question I am asking. What grade, group or category of workers are they going to be?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: The HSE is hoping these 1,000 people are going to be in posts by the end of next year.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Do the witnesses know how many people were recruited from the beginning of this year until now?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Currently, the staff are on their panels and they are just waiting on the position.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Does Mr. Sullivan have sight, obviously not of the names, but of the numbers on the panels?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: Could he get them for us?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Louise O'Reilly: These are therapy grades as well as public health nurses, presumably.

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