Results 22,561-22,580 of 24,567 for speaker:Róisín Shortall
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Is there much negotiation between the Department of Health and Department of Public Expenditure, National Development Plan Delivery and Reform on the handling of that or its categorisation, for example?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: There is.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: I take it the Department of Health would argue for that figure to go into the base.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Such as?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: On the acutes, where there are difficulties in recruiting staff? What options are there?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Why then are so many agency staff being used?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Does Mr. Gloster wish to comment on that?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: I want to ask Mr. Gloster about the RHAs and the programme under way that we expect will bring huge reform. Are there any implications for the move to RHAs due to the underfunding in the budget?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: That is good to hear. In his opening statement, Mr. Watt said he recognised the importance of reform and moving to a new model of care and a lower cost model of care. Did he make that case to the Department of Public Expenditure, National Development Plan Delivery and Reform when he was looking for the funding? If the Department is moving to a lower cost model of care, that will not...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: However, the Department did not fund it then.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: No, I am talking about the additional cost of reform and moving to a different system and a lower cost model.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: That is okay, but Mr. Gloster has spoken about the two main concerns he has in regard to the underfunding for next year, one of those being the slower pace of developing new strategies and the slowing down of reform. Should we not all be on the same page in terms of accelerating reform rather than slowing it down?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Mr. Watt may not be in favour of it but surely that is the implication of the underfunding for next year?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: I am sorry, Chair, but this is coming to a very fundamental point.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: There is a different view being given.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: I want to pick up on the points made by Mr. Watt in regard to terminal overspends in the acutes and the need to - these are my words - rein in that expenditure. We know that a large proportion of the acutes are voluntary hospitals and, certainly, all of the big hospitals in the Dublin region are voluntary hospitals. What controls are there, either on the part of the HSE or the Department,...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Okay, but it is not exactly clear what the controls are. Mr. Watt spoke about overruns across all of the hospitals. Is that data available in regard to the voluntaries? The other thing Mr. Watt referred to is the clinical directors. The clinical directors used to report to the HSE. As I understand it, they report to the hospital groups and the reports are few and far between. Would Mr....
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Whose responsibility is it to drive that performance?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: Who is responsible for the oversight of that?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
Róisín Shortall: We rarely see those data. Does the Department have any role in that oversight at all?