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

David Cullinane: Will that be linked to the summary care record?

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

David Cullinane: Okay. I thank the witnesses.

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

David Cullinane: This session just reaffirms for many of us that it takes far too long to get things done in healthcare. We have heard about the statutory home care scheme time and again. It was in the programme for Government. It still is not in place. The elective hospitals should be in place by now, or certainly much further down the road, and yet it is going to be 2028 at the earliest. Even then I do...

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

David Cullinane: I am not asking Mr. O'Connor to account for the Minister. The Department sets policy and the HSE implements it. It seems to me the policy was that we were going to build these 1,500 beds. We were told there would be urgency, pace and a rapid build and that 700 of them would be in place in 2024. Can the witnesses tell me if any of those beds will be in place in 2024? Can either Mr....

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

David Cullinane: I do not see the planning. I do not see the evidence of the planning.

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

David Cullinane: What does a firm proposal mean in the real world? I am sorry but a lot of questions are being answered at great length but there are no real answers to them. Firm proposals do not really cut it when I cannot be told if any of these beds will be delivered in 2024. We were promised that would happen and I am asking a straight question. Following on from what the Minister promised, will any...

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

David Cullinane: Why can the second part of my question not be answered?

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

David Cullinane: I will ask the Department then because it is here to answer.

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

David Cullinane: Why could that answer not have been given five minutes ago, that is, that we do not have the funding for it? That is what Mr. O'Connor just said, that is, that we do not have the funding for it.

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

David Cullinane: Why was that not said earlier when I first asked the question? We do not have the funding for it. We need the funding for it. It cannot be funded within the current capital envelope. Is it the case that we need additional funding?

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

David Cullinane: Okay. I have a final question. Again, it frustrates me that we have all of these promises and we have a lot of capacity constraints in the acute sector and in primary and community care. I have outlined all the issues where we have snail's pace progress and it is very frustrating for members of this committee. It is like Groundhog Day, having the same conversations with the Department and...

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

David Cullinane: I hope not as well but I would not-----

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

David Cullinane: Not if there is a change of Government. I will ask about the integrated health areas mentioned in the report, Organisational Reform - HSE Health Regions. This is an interesting one because I have been asking about this for some time. We will have the health regions, CEOs, and a single tier of management at that senior level. That makes sense. At a local level at the moment, we have a...

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

David Cullinane: Is there some sense of it?

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

David Cullinane: There will be 20 of those and they will be for a population of up to 300,000 people. Will a hospital or hospitals and community be included within that integrated health area?

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

David Cullinane: Leads, managers or chief officers.

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

David Cullinane: This is part of the problem. I did not ask about the 1,200 beds that were funded, some of which are still not delivered. I am asking about the 1,500 beds that the Minister waltzed into this committee and said, in fairness to him, were a priority. It was repeated on a number of occasions, including by the heads of the HSE and the Department, and we were promised rapid delivery. I am asking...

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

David Cullinane: Will there be managers for each of these integrated health areas, IHAs?

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

David Cullinane: There will be a management lead anyway.

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