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Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Okay, sorry. That is how that is being operated. Are any primary care centres being operated under a service level agreement with private companies?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: In one case the HSE is running the whole show-----

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: ----- and in another case it is a PPP to build and they are doing the hoovering and cleaning, but the HSE staff are in there working. Is that right?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: With the PPP ones, who runs it?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Does "maintained" mean run?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: I would have thought "maintained" was fixing.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: So HSE staff meet the patients.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Grand. How many are being leased from private consortia?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Is it of the order of five or 50?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: When giving us those figures, can the HSE let me know the range of private companies involved in the 100? I would like the names of the companies.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: When did this practice start? It may have been going on forever but I was unaware of it. On the leasing ones, when were those arrangements made and what are the contract arrangements? Is it a 25-year lease? Is it a ten-year lease? Perhaps we could have detail on that. It is of interest to the public. When one looks at a building and sees "HSE" over the door, either as a client or as a...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: It seems like we are back to somebody's point about the saving the home help system provides to acute services. If the system that has been created by whoever we want to blame for it has led to staff perhaps having the ideal qualifications and ticking the boxes in terms of employment but not being on the ground keeping an eye on things, and if that is having a negative impact on outcomes for...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Is that €202 million every year or over five years?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: There is great data from the PCRS. If one gives somebody something, it is difficult to take it off them. My question is, if new data emerges that shows that the efficacy is less than what it was at the start, is there any process to pull back on a drug that may have been approved for whatever other reasons it was approved? Once the horse is out, it is gone.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: Obviously.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: I get that. Mr. Breslin knows I get that.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: If decisions are made in knee-jerk situations or based on small volumes of trial information, and then significant trial data show that all is not what it appeared on day one, nothing can be done about it. The cheque is written.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Kate O'Connell: I thank Mr. Breslin.

Joint Oireachtas Committee on Health: Health Service Executive: Chairman (3 Jul 2019)

Kate O'Connell: I will be as quick as possible.

Joint Oireachtas Committee on Health: Health Service Executive: Chairman (3 Jul 2019)

Kate O'Connell: Yes. The same as previous contributors. I welcome the chairman. It is nice to have a Sir at the committee; it will be the first and last time. I am happy, I think, about the re-establishment of the board. My only concerns are that there may be another layer in place. A narrative exists among the public, where true or not, that the HSE is layer upon layer of administration. I refer to...

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