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Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: In other words, per patient there is less coming to the private sector. Is that correct?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: Does that mean a 62% additional cost in the public sector per patient?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: In real terms - in money terms - what is 62%? Is it €200, €300 or €400 per week?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: There will be an additional cost because of personal protective equipment and all of the other costs associated with Covid-19. What additional cost does Mr. Daly believe will now be incurred per patient?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: In any event, there will now be an additional cost.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: I want to go back on the issue of deaths in nursing homes. Life expectancy in this country has increased by seven years since 2000. In other words, people are living seven years longer now compared with the year 2000. Nursing homes have made a contribution to that increase in life expectancy. On average, how many deaths are there in all the nursing homes across the country per month? Have...

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: Has there been at any stage, outside of Covid, a sudden increase in deaths in the nursing home sector?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: That was a jump of 400 in one month alone.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: Finally, I wish to ask about the forum, which is an issue I raised in the Seanad. Who should be on the forum that Nursing Homes Ireland believes should be set up? Mr. Taylor might also come in on that.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: Deputy Doherty has already started.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I thank the witnesses for coming here today and for being available to answer the questions we are putting to them. On the 584 centres that HIQA inspect, my understanding is that 80% of those are private and the other 20% are public. Of the 20% that is public, are they community hospitals and mental health facilities? Perhaps we could get a breakdown of how that is made up and the numbers...

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: A list of public and private nursing homes was given to the Department. Can we have the breakdown of public and private?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I want to ask about the HSE and congregated settings. We had a number of incidents and deaths in a number of facilities like Portlaoise, Phoenix Park and the community hospital in west Cork. I have spoken to people who worked in those facilities. For instance, I know that there were no changing facilities for staff in some of those facilities and there were six patients per ward. Surely...

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: Remedial works, in some cases, were not taken until after people had died in the facilities. Does Mr. Walsh agree with that?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: With the ones identified as very high risk, I know that no action was taken with at least two of them, even though they would have been high risk because there were at least six patients per ward. No action was taken until it was identified that patients were positive.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I am talking about in one case, for instance, a simple one of changing facilities for staff.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I am aware of it.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I understand that in more than one place, no remedial action was taken until after people were identified as positive and in some cases until after people had died in the particular facility.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I thank Mr. Walsh.

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: I thank all the witnesses for coming in and all the people working in the direct provision centres and in their administration. Ms Buckley referred to about 8,000 residents currently in direct provision. In how many cases are decisions on applications pending? Of those cases, how many judicial review procedures are in place? Can we have an idea of those figures?

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