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Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: Will the meeting be finishing at 12.30 p.m.?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: I was going to pose a number of questions on the elective hospitals or centres, but the Chair already raised the matter. I am not looking for a reply, but the committee had a lengthy discussion on the issue with officials late last year. I believe we will have another session on it this year. We need to identify the site in Dublin and progress the other hospitals. This is important for...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: What we were told was that there had been a specific request from the board. What the Minister gave them was a small amount of that to cover expenditure for that period. Will the Minister say what the requested amount was?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: The board told us something different.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: This is where it gets frustrating. The board told us that the request was not related to that, what it needed was money to pay for rising costs, and there would be a separate requirement to deal with outstanding claims and so on. Every time we ask a question about costs, we are told they are commercially sensitive, so answers cannot be given. It strikes me that the hospital will be well...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: If the Minister had said, "Here is the money we have been asked to provide, take out the amount that relates to claims and here is the balance", I could live with that. When he gives us no information, it worries me. I imagine some of the additional money needed to finish this project will be to deal with claims. That is one element. Then, there are other costs. It is not commercially...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: Has the Minister formally met the paediatric development board this year so far?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: I know that.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: I knew that. Has the Minister formally met the paediatric development board this year so far?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: I suggest that would be really useful. I had some sharp disagreements with the Minister last year on the role of the Minister versus the role of the board. The board has a clear role in making sure this hospital is built on time. There is a programme of works that the contractor has now submitted. The programme of works determines how quickly the project can be completed. The contractor...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: That is why there needs to be accountability. We cannot forever and a day accept that whatever date we are given, we have no hope it will be delivered on time. Every date given and every target is missed. At some point, the State has to say, "Enough is enough. You have given us September, you have a programme of works. Deploy the resources and deliver this". There needs to be really...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: It will be well into the summer of next year before any patients are seen in that hospital.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Revised)
(31 Jan 2024)

David Cullinane: You can never guarantee what inflation or costs will be. They may go down or they may go up in certain areas. Nobody has a crystal ball to predict with 100% accuracy where it will be, but we can estimate and have a fair sense of what it will be. That fair sense was set out in all the asks made by the Department in the bids that were made for budget 2024 and it was made clear by the...

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: Go raibh maith agat. I will start with Dr. Ní Bhriain. For the purposes of clarity, she said the HSE does not have a policy position. I think we can all accept this because it would be a matter for government anyway. There is no government policy now. Dr. Ní Bhriain also said that there is no commissioned research, but that through the Health Research Board, if I understand her...

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: I refer to outside of the response for today.

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: The HSE has looked at other countries and jurisdictions in terms of assisted dying only for the purposes of today's session.

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: That is it. What was that process? Was it undertaken over the course of a day or two days? Were there discussions among those who are witnesses? Was there a wider team involved in that discussion?

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: In the course of those discussions, was any consideration given to what sort of safeguards and issues would have to be examined in a context where legislation of this type was to come about?

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: I understand that, but I am looking at the HSE's opening statement and it very clearly sets out safeguards and a range of issues that would need to be considered. I do not see this in the Department's opening statement. I am saying the opening statement has not identified what the safeguards would be.

Joint Oireachtas Committee on Assisted Dying: System for Assisted Dying and Alternative Policies: Discussion (Resumed) (13 Feb 2024)

David Cullinane: At this point in time, however, the Department has not looked at those safeguards. Why not?

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