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

David Cullinane: I know there is no current policy, but at the same time there may be policy. It is possible that at some point in the next 12 months there could be policy. What I am saying is that the HSE has looked at this. I will go through all of the different issues the HSE has identified as potential safeguards. They are: citizens who may be vulnerable; potential impact on healthcare workers; patient...

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

David Cullinane: The Department has not been asked to do it and because the Department has not been asked to do it, then it was not done.

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

David Cullinane: The opening statement of the HSE reads: "The CEO of the HSE has asked us to confirm that should draft legislation be forthcoming, the HSE will respond in more detail at the Committee Consultative stages", and I assume at pre-legislative scrutiny stage, etc. In a second, I will inquire from the HSE about its structure to do this work. It seems obvious to me that the HSE's CEO is looking...

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

David Cullinane: Not the HSE. The HSE has at least been asked to look at this in order to be in a position to respond. If there was movement on this issue, at this point in time there is zero work done by the Department. I imagine the Department would have to respond very quickly but without having, at this point in time, any work done, despite the fact this committee has been in place for some time.

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

David Cullinane: Of course. If a decision is made, as we know, whoever is the Minister at the time will be told, "We have to go away and we have to look at all of this". That could take a year or two years. At the very least, the HSE seems to be in parallel with the work of this committee, examining issues, but the Department is not. The HSE said it has examined these issues. Has a working group...

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

David Cullinane: I accept that. I assume that some of the work the HSE has done will be useful. We do not know what the recommendations will be. This committee will deliberate and publish a report. I think it is reasonable to point out that there is a level of work that was done, at the very least, in the HSE. The CEO of the HSE has, at the very least, asked the HSE to examine the matters and be prepared...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (15 Feb 2024)

David Cullinane: I too want to raise the issue of the funding application from Waterford Airport towards the runway extension. I have been fair-minded when it comes to Government funding for projects in the south-east and in Waterford but I have to put it to the Tánaiste that there is an urgency in relation to this funding application. There is huge pressure on Dublin Airport. We need a counterbalance...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (15 Feb 2024)

David Cullinane: It is going on for years.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (15 Feb 2024)

David Cullinane: I understand that.

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: Following on from the issue Deputy Shortall raised, the next speaker who will appear before the committee is an academic who has done a great deal of work on the issue of the commercial detriments of health, which is an important issue because it concerns relationships with commercial actors and how their actions impact on people's health, health outcomes, equity and so on. It is an...

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: With respect, it is much bigger and deeper than all that. It probably would have been better if we had invited in the academic before the Minister of State, but she will get a copy of her opening statement and can read that. What the academic is talking about is much deeper than any of the responses we have so far got from the Minister of State. We can all measure any action plan or...

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: I am talking about evidence for-----

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: I might put the question differently. What is the evidence of the success in decreasing the levels of obesity and the impact that is having on people?

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: What metrics does the Department use to measure success or a lack of it?

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: The experts are telling us, however, that it is not as difficult as the Minister of State is suggesting. How are we ever meant to have a sense of whether a strategy is working if we cannot measure its success or failure?

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: I am not convinced of that at all. It is understandable, however. When I look at preventative healthcare, issues such as obesity and what Healthy Ireland does, I am not at all critical. Much good work is done on health promotion. There are a lot of leaflets, information on websites and encouragement of what individuals should do, but my point is that alone will not address the problem....

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: I welcome all our witnesses. We have very limited time, so I just want to put a number of questions first to Dr. Campbell and then Dr. Gilheany. I am not looking for everybody to answer them and I will not get through some of the questions I have. My first observation on the opening statements is that we obviously need to simplify this message as best we can for people. We need a...

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: I must cut in because of time. I apologise. I have a related question. One of the issues raised by Dr. Campbell today is the need for us to look at fiscal levers, taxation, and other fiscal measures and tools we can use to shift that power imbalance. What additional practical measures would Dr. Gilheany advocate that would make a difference in this space?

Joint Oireachtas Committee on Health: Public Health and the Commercial Determinants of Health: Discussion (14 Feb 2024)

David Cullinane: My question is, in what areas? Obviously, there has been some progress in measures around nicotine, alcohol and sugar. Will Dr. Gilheany give us examples of areas where we need to do more?

Written Answers — Department of Health: Departmental Data (15 Feb 2024)

David Cullinane: 355. To ask the Minister for Health the number of patients on primary care and community healthcare waiting lists, for each care service, at the end of January in each of the years 2019-2024; the breakdown by length of wait and by age; the number waiting for initial assessment, initial therapy/intervention and follow up therapy/intervention for each speciality, in tabular form; and if he will...

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