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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Okay. I accept that. I will move on to the recruitment embargo because that will have an impact on services towards the end of the year and as we go into next year in what I am sure will be a very busy period not just in emergency departments and hospitals but across all settings. I am looking at the second memo issued to HSE staff. It is interesting that the more we learn about the memo,...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Will all posts that were offered and not accepted be withdrawn?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I will stop Mr. Gloster there. The memo says "any offers made and not formally accepted, or where a contract has not issued should now be withdrawn".

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: That is not what we are being told by Ministers.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It is clear from the memo that the only exemptions are consultant appointments, graduate nurses, midwives and doctors in formal approved training programmes. Is every other post subject to this pause?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: That is where some of the confusion will come from. I will deal with the-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: The memo says that the only exemptions are consultant appointments, graduate nurses, midwives and doctors.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Yes, and disability services. I spoke to chief officers who said that home support services are stretched, they cannot take a one-in, one-out approach and they cannot fill vacancies because of this embargo.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Mr. Gloster is now saying that could change.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Okay, so home support services are still formally part of the pause.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What about nurses who are abroad and want to come back to work in the public system? Can they do that?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What if they want to do so this year?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I am asking about now.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: They cannot be recruited because of the pause.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What about staff in mental health services?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It has not changed.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Okay. Let us say it is €1.5 billion and the revised Supplementary Estimate is for €1 billion. What happens to that difference of €500 million? Is that then a first charge on the accounts next year?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand that. I am saying it is coming from spend in 2023.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Mr. Gloster said on RTÉ radio, a number of months ago at this stage, that the service plan, because everything that happens in healthcare revolves around the service plan, would have a built-in deficit. That obviously cannot be written into a service plan-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: They are also subject to the pause.

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