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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Yes. I want to know the percentage.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Last week, the Secretary General of the Department of Public Expenditure, National Development Plan Delivery and Reform appeared before the finance committee. When he was asked whether health inflation could be as high as 17% he responded by saying, "Absolutely not." He also said, "I am not aware of what that is based on." He basically said that he had no knowledge of the rate of health...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Hold it there. If Mr. Gloster is right, and the Secretary General of the Department of Public Expenditure, NDP Delivery and Reform is right, then the Department of Health failed to inform him as to what heath inflation is. It got worse because Mr. Gloster also said that at least two thirds of the deficit for this year will recur into next year. That is the figure Mr. Gloster gave - two...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: He estimated that the majority of it would recur next year.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand that.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: That is my point. Again, that was put to the Secretary General. About the majority of the deficit for this year recurring next year, the Secretary General stated "That position has never been presented to me" and "It would not have arisen". How did the HSE and the Department of Health fail to inform the Secretary General that the majority of this year's deficit was going to recur next...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I want to make a point to the Chair.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand, but this is an important issue. I will make this point. We are facing into a year in 2024 where the head of the HSE has directly said that the health service is not adequately funded. We know all of that and do not need to go back over all of that ground. However, it strikes me as incredible and unbelievable that the Secretary General in the Department of Public Expenditure,...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It is the Department of Health. I understand that.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: The pause means gone. I will come back to next year. What was the net increase in staff in the HSE or what is the projected net increase for 2023?

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: I thank our witnesses and thank them for their evidence today. I have questions for specific witnesses as opposed to getting a response from everyone, so I will put the questions specifically to the witnesses. I will start with the representatives from the ICGP to make the best use of my seven minutes, given that our time is limited. I accept Dr. Collins is saying that the ICGP's research...

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: My question may be a different one then. Would Dr. Collins accept it would be complex?

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: If I just come back to the opening statement, I will ask the question that may point to the reason I asked the first question. Dr. Collins spoke about clear boundaries coming from the RedC Research and Marketing report requested by the ICGP, which set out a number of clear boundaries for those GPs in favour of assisted dying. One of these is a medically verified terminal illness, possibly...

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: That was my point in my opening remark. Dr. Collins accepts that it is complex and difficult, even with the mitigations, boundaries, and safeguards that would have to be put in place. That is not to say it cannot be done, because I am broadly supportive of legislation in this area, but we need to accept it will be difficult and challenging to actually legislate.

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: I thank the Professor. I have a follow-on question. I agree with his analysis of palliative care, its importance and what it does, but in his opening remarks he stated that if assisted dying is introduced, it should be an option only of last resort. I know the Professor somewhat clarified his position when he said he is not neutral, as such, but I ask him to provide examples of what he...

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: I thank Professor Chochinov.

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I move amendment No. 1: In page 3, between lines 14 and 15, to insert the following: “Amendment of section 7F of Principal Act 2.Section 7F of the Principal Act is amended, in section 4A, by the substitution of the following paragraph for paragraph (c): “(c) In respect of each of the following applicable 3 year periods— (i) the 3 year period from 1 January 2020...

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I thank the Minister of State for all that. I also thank her officials for the work that has gone into this Bill. It is debated annually. It seems to be Groundhog Day in that we have the same discussion on it every year. It has to be done; it is going to be on our annual cycle of Bills. Its purpose is to review the risk equalisation mechanism. As the Minister of State said, it deals...

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: Yes.

Joint Oireachtas Committee on Assisted Dying: Safeguarding Medical Professionals: Discussion (28 Nov 2023)

David Cullinane: Fine. Dr. Chochinov may be able to answer this next question. I thank him for his testimony as well. He put forward a proposition that we can remove assisted dying from the medical model. If I am right, and Dr. Chochinov may correct me if I am wrong, he seemed to put forward a proposition that we can have a distinct new professional role. Is that correct? Even if we were to put such a...

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