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

David Cullinane: I accept that. This is where I want to be 100% factual. I have no problem with the carryover of investment from last year and with that being put in place this year. I acknowledged investment was made in previous years in primary and community care but in budget 2024, in terms of new measures and new funding for community care, the answer again is zero. Is that correct?

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

David Cullinane: How then is the change being talked about meant to be delivered if there is no new funding in budgets, given time is lost very quickly? We have agreed as an Oireachtas that the basis of Sláintecare is to reorient care into primary and community care. I hope the regional health areas will be established quickly. That is one of their logics as well. If additional core funding is not...

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

David Cullinane: When Mr. Watt says shift to the left, does he mean politically?

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

David Cullinane: We do not need the message to go out to citizens, patients and those who work in the healthcare system to be that it is now about consolidation when there is a lot of work still to be done to get to a point where we can deliver on the key Sláintecare proposals. One of the consequences of, one, deliberately underfunding the health service and, two, having no additional money for new...

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

David Cullinane: Yet for next year at least there is no new funding and I am not blaming Mr. Gloster for that but consolidation will be working with what the HSE has-----

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

David Cullinane: That says it all really. We can sum up budget 2024 in a nutshell in terms of that response. Can I put one question about Letterkenny University Hospital?

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

David Cullinane: It has been in the news quite a lot over the past while and concerns have been expressed by GPs and consultants. I am travelling to meet some of those on Thursday evening in Letterkenny. I will also be at the University Hospital Limerick on Friday to meet management there. Regarding Letterkenny University Hospital, there seems to be major problems and capacity issues, and very worrying...

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

David Cullinane: I welcome the witnesses. I will start with Mr. Gloster, if I may. Is the health service adequately funded for 2024?

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

David Cullinane: Yes, but that is separate again.

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

David Cullinane: -----because it has not been given any new funding to expand further in the space of primary and community care.

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: It is good that the Minister raised the issue of the review and the changes being proposed, with which I agree. In terms of the report the Minister received following the independent review, I understand a working group was established. We have not had any contact with that working group and nor, it seems, has the author of the report had any contact with the Department or any officials...

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: I move amendment No. 1: In page 7, line 4, after “writing” to insert the following: “, or by any other manner and in any such system as may be prescribed by the Minister in accordance with subsection (6),”. I am not sure if the Minister read the pre-legislative report the committee forwarded to him following its deliberations. One of the recommendations from...

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: I agree with some of what the Minister said. The difficulty we have, as committee members, is that we can only do our job from our perspective. We made it very clear in the early stages of our work on this Bill that there were issues for the Joint Committee on Justice and other committees but we can only do our work. That is why, when I crafted the amendment, its purpose was that whatever...

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: All of us, including the Minister, are in agreement that a centralised recording system would be better. His point is that he does not want to get into a situation where he is involving himself in the operational matters of the Garda. However, it is a little more straightforward and not as complicated as he makes out. It is central to the effectiveness of the Bill we are bringing forward....

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: In responding to some questions, the Minister accepted the complexity of this issue. It was quite obvious from our deliberations that An Garda Síochána had some concerns about this Bill even as a concept fairly early on. There was engagement with the Office of the Attorney General and legal advice. I imagine there was engagement with the Minister for Justice and certainly with An...

Select Committee on Health: Health (Termination of Pregnancy Services) (Safe Access Zones) Bill 2023: Committee Stage (25 Oct 2023)

David Cullinane: I move amendment No. 3: In page 7, between lines 15 and 16, to insert the following: “(6) The Minister may, following consultation with the Minister for Justice, prescribe by way of regulation the systems which shall be used to record warnings issued under subsection (2).”.

Ceisteanna ó Cheannairí - Leaders' Questions (7 Nov 2023)

David Cullinane: No heckling.

Home Care Workers and Home Support Scheme: Motion [Private Members] (8 Nov 2023)

David Cullinane: I thank the Labour Party for tabling the motion. The backdrop to any discussion we have on healthcare and healthcare delivery is obviously tainted by the fact that in the recent budget there was very little, if any, new funding for new measures across the healthcare system. The Government took a deliberate decision in the budget not to provide additional funding for new measures or even to...

Home Care Workers and Home Support Scheme: Motion [Private Members] (8 Nov 2023)

David Cullinane: Even if a statutory home-care scheme is brought in, the first questions we need to ask are whether we have the capacity to deliver it and what will actually change for people. I do not believe we have the capacity to deliver a scheme in the way it was originally envisaged. Maybe that is the reason it has not happened. I have a real fear that we will, in very cosmetic ways, bring in a...

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