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Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I know that. The point I am making is that it is clearly set out in their contract that they have to do so many clinics. I am saying that the information coming back to me suggests that certain people are not complying with the terms of their contracts. That is what I am saying.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: There are mechanisms within the hospital system.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: Are they being followed through on?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I will move on to the issue of home care. I recently saw figures around home care providers. Some 42% of home care providers are over 60 years of age. Does that not pose a challenge into the future? How are we planning to deal with that? There are now more than 800,000 people over the age of 66. That population will be more than 1 million within the next six years. There is going to be...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: It is a challenge when we think that 42% of the current home care providers are over 60 years of age.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: We can employ all the consultants we like but at the end of the day, there will be an issue with having facilities available for them to deliver a service. If consultants do not have access to theatres, they cannot do many procedures. Where are we now on the whole issue of elective hospitals? I know we are at the design stage. When will we have designs available for the elective hospitals...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: My understanding was that design teams had already been appointed.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: When will they be appointed? When will designs for the hospitals be available?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I raised the Cork elective hospital issue earlier. My understanding is that the full design team has only been appointed now. I think there was an impression that the design team had been appointed.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: A design team has not been appointed yet.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: What kind of timescale are we talking about from the time we appoint the design team to actually getting plans finalised?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: What kind of date is Mr. Gloster talking about before we can go forward for planning?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I fully accept what Mr. Gloster is saying about staff. I agree that 99.99% of staff are dedicated and committed to the work that they are doing, but they are getting frustrated by not having the infrastructure. That is one of the problems that we now have in the Cork region. We have a significant growth in population but we have not had growth in hospital facilities in the last 23 years....

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: Two projects have planning. The paediatric hospital in Cork has full planning. Where are we with that? The second is Mallow General Hospital. A four-storey building has been built, with 24 rooms on floor two, 24 rooms on floor three, and 40 rooms between the ground floor and first floor. Nothing has been decided about what those 40 rooms would be used for. Where are we with that? We...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: In this regard, is efficiency-----

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I am talking about step-down facilities that should be used.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: I am not necessarily talking about Mallow; I am talking about the number of contracted beds. For instance, I had a difficulty trying to get someone who had Huntington's disease out of Cork University Hospital. It was difficult to find a facility that would take that person because of the particular challenges involved. There is no plan to deal with the various challenges that our hospitals...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: On the whole issue of planning, the increasing population and the challenges faced in hospitals has been discussed. Is there a need to get people who are occupying beds in hospitals out faster, something on which progress has not been made in the past three to four years? That does not appear to have changed in the past four years.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: The point has been made to me that it was not safe because if you have only two senior nurses with 18 junior nurses-----

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

Colm Burke: We have a problem with rehabilitation, for instance. The only rehabilitation facility is in DĂșn Laoghaire. There was talk about a rehabilitation facility for Cork 25 years ago. Is that a possibility? I am not talking about a facility for Cork alone, but for Munster. Is it feasible to examine the Mallow project from the point of view of a rehabilitation facility?

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