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Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: So how can Mr. O'Brien-----

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: I am sorry. If Mr. O'Brien does not know the number today, how can he say that this provider was not treated unfairly or disproportionately compared with other similarly funded organisations? He has acknowledged that the HSE had to pay €600,000 retrospectively and he cannot give us one example of another organisation that received a similar back payment, yet he says that this...

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: My final question is to the Chairman because I do no expect to receive a satisfactory response on this matter from Mr. O'Brien. The Deloitte report indicates there was a 6% cut rather than a 2% increase in the organisation's funding in 2010. When Mr. O'Brien and his colleagues were before this committee on previous occasions, they referred to a 2% cut. Misinformation was, therefore, given...

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: However, Mr. O'Brien has done so. My point is that he is categorical in saying, based on the information he has, that the service provider was not treated unfairly. Yet he is not able to give even one example of another organisation of a similar scale that received a retrospective back payment of a comparable amount. That is a problem.

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: I understand that.

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: It is reasonable for the witness to confer on a point of information.

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: On a point of information, the service provider, in correspondence to this committee, has already confirmed that the €600,000 went directly to it, with an estimated €70,000 a year on top of that. Is that correct?

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: Could I get clarification on one point? I do not wish to delay the committee. Notwithstanding whether the service provider was treated fairly - we have gone over all of that - the bone of contention is that in a previous hearing of the PAC reference was made to funding of the service provider and whether there was a net cut or an increase. I think it was said there was a 2% increase in...

Public Accounts Committee: Deloitte Report on Cost of Care in Grace Case (26 Oct 2017)

David Cullinane: Is that a long way of saying the 2% increase was in fact a 6% cut?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: I have lost my pen and a mountain of paperwork but that is okay. I welcome back the witnesses who have been here previously and I also welcome the new witnesses. I will start with Mr. Flynn. Does he work for internal audit?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: First of all, I wish to say well done on what is a good job and on the information that has been provided to us. As the director general has said, it is quite limited as the HSE cannot audit every organisation, but Mr. Flynn has provided the Comptroller and Auditor General's office and, as a consequence of that, us with valuable information. Specifically, what does internal audit check for...

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Would it be fair to say in broad terms that internal audit looks at compliance issues?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: That would be issues relating to systems, practices and procedures. Policy is a matter for the executive and others and not necessarily a matter for internal audit. There are set procedures for internal audit to follow.

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Absolutely. This question is for Mr. O'Brien then. Would there be a separation of roles in relation to internal audit, the compliance unit and the HSE executive? As has been said, internal audit would examine compliance but it would not enforce it as that is not its job, which is to report. Whose job is it to enforce compliance?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Okay, so it would be the compliance unit.

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Where would the buck stop in terms of enforcement?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Would that be the organisation that receives the funding?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Is Mr. O'Brien talking about the difference between CHOs and structures in the HSE?

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: However, it would be elements or units of the HSE that would be responsible for enforcement.

Public Accounts Committee: Report of Comptroller and Auditor General 2016
Chapter 19 - Management and Oversight of Grants to Health Agencies
(26 Oct 2017)

David Cullinane: Ultimately, the buck would stop with Mr. O'Brien as the Accounting Officer accounting back to the Committee of Public Accounts.

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