Results 12,361-12,380 of 13,039 for speaker:Louise O'Reilly

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: Does Dr. Nash not think there is a better way to plan that so there would not be such reliance on the private ambulance service? Clearly, it does not represent good value for money. The Minister has commented on the private sector and the value-for-money element. Surely there is a better way to do it. It does not happen in other areas. Saolta is not the only hospital group covering a...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: My specific question related to phasing out. Do the witnesses have plans in the short to medium term to phase out private ambulance services?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: They are going out to tender for more private services in the hope that this will help the public service.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: I do not accept that but-----

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: Mr. Carter specifically mentioned targets in his presentation.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: Clearly, they are targets. I appreciate that Mr. Carter may not anticipate not reaching those targets. Nevertheless, they are targets and therefore a scenario does exist whereby the group may not reach them. In that event, I am keen to know what the group will cut and how that will be determined. Mr. Carter knows much better than do I that health care is not an exact science. Certain...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: Mr. Carter is saying that these targets have been set. Let us suppose they are not met. Mr. Carter appears to be saying that there are no consequences. I believe there are consequences. I believe those consequences amount to a reduction in service for public patients. I will go back to my original question. When those targets are not hit – Mr. Carter referred to them as stretch...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: The targets are new. Is that not the case? There has always been private income from people who have private health insurance who attend a public hospital. However, it is a question of the setting of targets. I am keen for my question to be answered by Mr. Carter in respect of how services to be cut will be selected.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: What are they if they are not patient-impacting? What gets cut?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: One need not be an accountant to figure it out. The HSE has set a target. I maintain the targets are new. There always has been provision for private income within the Estimates. That has always been the case. However, it has been in place as a recognised income stream. The targets are new.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: That is an outrageous statement to make.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: I asked a specific question about bed capacity. I would like to hear the views of witnesses, particularly of the CEOs, about whether the problem of bed capacity is due to a lack of staff. Are the beds physically available and waiting to be opened? We are aware that in Donegal there will be a downgrading of beds in Ramelton, Lifford and Stranorlar. As that is happening Mr. Carter has said...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: They could be quickly re-opened.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: I wish to return to my question on the downgrading of beds. The announcement was made by the then Minister for Health, Deputy Leo Varadkar. Will the beds be replaced?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: Are there only ten beds closed in the entire Saolta group?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: If there are two patients in an accident and emergency department, with one private and one public, but there is only one bed left and a need to generate income, how is that decision made?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: With regard to recruitment and contracts, are the limits on movement applicable under the Lansdowne Road agreement, which if memory serves me correctly is no more than 50 km in terms of a round-trip, being adhered to? For example, is it possible that a person recruited to work in Galway could be transferred to work in Letterkenny?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: I presume that those limits will apply to all of the other groups, nationally, unless renegotiated?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: I presume the board will be an administrative or shadow board until the necessary legislation is introduced.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Louise O'Reilly: How is the chairperson selected?