Results 23,141-23,160 of 28,162 for speaker:Catherine Murphy

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I will move on to the way in which it is handled. Six hospitals account for 59% of the outstanding liability and 56% of the damages in regard to cerebral palsy. Essentially, what we all want to achieve is that we reduce the liability by reducing the incidents. How are hospitals held to account? Of those six hospitals, for example, it could be that one has a very high or much higher...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Do they do this in other countries? Do they do it at an individual hospital level in other countries? How can we get better clinical outcomes if we do not position accountability? I completely accept that the large teaching hospitals will get the more complex cases. I understand all of that. How do we do it and where do we compare there?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I am really looking for the comparators whereby better outcomes are attained. Value for money is not just about what we spend; it is the services that are provided, in this case, the safe services that are provided. How do we do that if we do not look at it at an individual hospital level and have a comparator there in order that there is accountability?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I have very little time.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I return to an issue about which I asked Mr. Breen previously and on which we had a good engagement the last time he was before the committee, which is that there was a change in how cases were dealt with during Covid-19 and the unavailability of the courts meant the legal process was pursued differently in regard to mediated processes at a much earlier stage. Has that changed since the...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: How does that compare to other countries?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Is there a difference in the time involved under the pre-action protocol? Perhaps Mr. Breen would explain how it works.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I am not talking about cases with catastrophic ends, but what sometimes influences somebody to take a case is the attitude of the offender, or the perceived offender. Very often, hands-up apologies can be proffered and some sort of mitigation offered. What is awful is when people come out to the steps of a courtroom and say nobody ever apologised. In what scenario does that become almost a...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I want to come back the point I made earlier about the €5 billion in known claims. Outside of the known claims, there is potential liability with regard to incidents that occurred but were not claimed for. I understand that the International Banking Research Network, IBRN, has done work on this and that there is potential for an actuarial report. Can Mr. Breen tell us what the most...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: It is €13 billion.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: That is substantial. Obviously, that is a potential. When we compare it with the United Kingdom, as Mr. Breen did in his opening remarks, is there a higher level of known claims? Are they higher? Is it an actual like-for-like comparison?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Ours is approximately 25% of the known claims. Is the UK figure 25% or 30% of the known claims?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Mr. Breen might come back to us with that. In terms of transparency, the Comptroller and Auditor General spoke about how things are reflected. Mr. McCarthy might, therefore, come in on how things are presented in the accounts in terms of liability and how it crystallises.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: We have sat here for long enough to know that the Comptroller and Auditor General takes a view that it should be very transparent, although I do not want to put words in his mouth. There will be issues with regard to the codes Departments are "required" to use as opposed to those they would "like" to use.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Okay. I have two other areas to discuss and I will perhaps come back on another occasion if we get another opportunity. I will use the recent controversy around medical cards in nursing homes as an example. We could see there was a strategy in terms of how the State pursued that particular policy. When it comes to a strategy where there are multiple liabilities, where do the Attorney...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: I have one area I wish to pursue. I do not know if this falls into potential liabilities. I have raised this before with the SCA regarding Casement Aerodrome. I have a list of premature deaths of people of pre-retirement age. Since 2019, we have seen deaths of people aged 56, 51, 63, 55, 27, 55, 55, 62, 63, 55, 51 and 38. I can go back to 1981 in terms of the age profile. Given this is...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Yes.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Regarding preventative actions, I presume the SCA continues to carry out audits. Has it carried out more audits than the audit carried out in 2010?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Mr. Breen might come back to us with it.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Catherine Murphy: Along with those cases where I listed the ages of death regarding particular individuals since 2019, and I appreciate this is across the spectrum but equally this is not a gigantic employer, there are also others living with conditions. There is again a profile here in this regard and a similarity regarding the conditions. I presume this is part of the active cases.