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Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: I cannot control how long it takes the Deputy to ask his questions. He had the floor for 15 minutes. I am moving to Deputy Durkan. Deputy Jack Chambers can come back in later. The committee can sit until 1.45 p.m.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Can I come back to the pure Estimates again? The overrun in the various regions ranges from €86 million to €118 million. The Minister of State has spoken about the causes of these overruns. It is a demand-led service and there is an unpredictability about various flu epidemics, storms and snowstorms etc. I put it to the Minister of State that there is a predictability to...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Surely the Minister of State can predict the cost of looking after that variability? That is the issue. Each year, the prediction of that variability is off by €600 million or €700 million. We are spending as much money as the average country in the OECD on health but we are getting substantially poorer outcomes. Continuing to do what we are doing, as I said before, is not...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Does Deputy Durkan wish to ask a question?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: I will return to the Estimates. There has been a substantial increase in the cost of the treatment abroad scheme. Many people are going to Belfast and people are also going to England and other places. Could the Minister of State talk us through that? The National Treatment Purchase Fund is providing services outside the public system for public patients and the treatment abroad scheme is...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: From what budget does the money for the treatment abroad scheme come?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: I asked about the individual or combined costs of the treatment abroad scheme and the NTPF because it is an additional cost to the State outside our public hospital system.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Is it possible to get a breakdown of the type of procedures supplied through the treatment abroad scheme and the NTPF?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Is it possible to get the cost of those procedures through the NTPF and the treatment abroad scheme, for example, the cost of a cataract or a hip replacement?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: There is a perception that procedures in Ireland are more expensive than elsewhere. If somebody goes for cataract surgery in Belfast, he or she will be reimbursed for the cost of that procedure by the HSE, provided it is less than it would have been here.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: If the Minister of State can get us that information, it might inform our engagement.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: When the Minister of State was here three or four weeks ago at the quarterly meeting with the HSE, the interim director, Mr. John Connaghan, referred to an innovation section in the HSE which would consider innovative measures that front-line staff might identify which would lead to efficiencies in the service. For instance, in Scotland front-line staff are asked to identify how efficiencies...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: It works well in Scotland that efficiencies identified on the front line are developed within the sector and perhaps expanded through the wider NHS in Scotland. Staff are trying to be constructive, spotting a niche and developing it.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Senator Burke has spoken repeatedly about a scheme to take blood tests for haemochromatosis in the community as opposed to patients going to hospital. It is substantially cheaper to do it in the GP setting but that never happens. Deputy O'Reilly mentioned that the €700 million supplementary budget this year for the HSE was undoubtedly made possible by the windfall in corporation...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: It is not sustainable.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: What was the budget for home help hours for 2018?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: How much of an increase did that represent on the budget from 2017?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Is the Minister of State aware of what the unmet need is?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: Is there an allocation towards that next year?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Supplementary)
(5 Dec 2018)

Michael Harty: There is also a retirement village in Kilmihil.

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