Results 25,741-25,760 of 46,260 for speaker:Simon Harris

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I did review the decision. I want to give the Deputy the correct date. If I do not have it I will revert to her. From my memory, I think it was in October after the publication of the Scally report. I will confirm the timeline for the Deputy because I do not have it before me and I do not want to mislead her. From my recollection it was in October post the publication of the Scally...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I think there is a benefit of hindsight thing going on here. The Deputy must remember we were waiting for Dr. Scally's report to provide reassurance to the women of Ireland as to whether the programme was safe, if they needed to get new smears. There was considerable unease on the matter. Many Members of the Oireachtas, women and GPs recommended that we do this. I think it was the...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I cannot remember the specific date. I was aware of the backlog. I was dealing with this on a constant basis and was having meetings on issues to do with CervicalCheck, if not weekly, fortnightly. As soon as the backlog became apparent, I would have known about it. I was well apprised about it. I can get the Deputy a specific date on that.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: When Dr. Scally's report provided reassurance, that was when I made my decision that on foot of official advice, we should now reconsider the issue.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I left out one piece of information from my previous answer which is important. This issue was also the subject of ongoing monitoring and discussion at the steering group which included doctors, officials and patient representatives who were supportive of the monitoring of this. The patient representatives, who are my concern, were supportive of this measure. I received advice that in...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: Presumably the date in October I am referencing is 21 October, when I received a submission from officials that suggested that in light of the Scally report we should move to end the cycle. My officials then would have conversed. I accepted their recommendation in full. They can attest to that. My officials would have conversed then with the HSE as to when it would be operationally best...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: Can the HSE provide an up-to-date reply to that question in relation to the issuing of the letters?

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: They are of the 4,600 awaiting the repeat smear.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: That is a good point. It was recommended that the repeat smear would be provided free where the GP believed it was important as part of the reassurance. This was where the woman and her doctor, in conversation, believed that a repeat smear would help provide the reassurance. I am sure there were many doctors who had conversations with women and said they could provide them with the free...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: That is a good point but it is a clinical decision because this was an issue where a GP and the woman felt it was appropriate. Therefore, the GP could offer a free repeat smear.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: People say it was a political decision. If decisions are made by me, as Minister, then all decisions I make are political decisions. It was sought by most members of this committee, by women and by GPs telephoning the helpline and asking for guidance to be issued in relation to it. A fee was agreed with the GPs' representative body to pay GPs to do this. It was one that I put in place as...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I cannot agree with the Deputy on that. What I agree with him on is that we are going to look at ways of mitigating the cost further, without compromising the clinical benefits, which neither of us wants to do, of the hospital. I have put in the additional line regarding that in the terms of reference at the Deputy's constructive suggestion. I must respond to a couple of points the...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: It is my view that €1.4 billion, which will be the capital cost, is what is required to deliver this state-of-the-art hospital. My frustration relates to how we got to this point when the Government expected the cost to be €983 million.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: It is a different point. If the Government had thought-----

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I do. I wish it could be cheaper, but I do.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: If I did not, the Government would not have pressed "Go" and proceeded with construction. The Government of which I am a member cannot make a collective decision to go ahead with a hospital if it does not think it is a good decision to make. Of course, the other two decisions-----

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I believe it represents what is required to deliver this hospital.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: I had three options, namely, pause, retender or proceed. Proceed was the only option with which I could go. The cost of doing so is €1.4 billion. If we can mitigate some of those costs, I would like to do so.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: Yes, but decisions on value and cost are relative to the other decisions made. I had three options to choose from and I believe this decision represented the best value for the taxpayer compared with the other decisions I could have made. That is a fair point.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion
Quarterly Update on Health Issues: Discussion (6 Feb 2019)

Simon Harris: Sure.