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Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: However, the likelihood is that it will not start until the last quarter of 2019, at the earliest.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: With regard to Sláintecare and the transitional funding, do you expect to create a transitional fund in the budget for 2020 for Sláintecare-----

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: -----over and above the integration fund?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: In the reprofiling of the capital plan some €100 million extra was required for the national children's hospital this year and €220 million will be required in 2020, 2021 and 2022. Where do you see that funding coming from? Will it come from the health capital plan or will it be spread across other Departments?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I have a final question on the Sláintecare integration fund. The briefing document outlines four different streams. Perhaps you could expand on those.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Can I take it that the HSE is the only nominating body for the first three streams and the fourth stream is open to other organisations?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Thank you. I call Deputy Lisa Chambers who is substituting for Deputy Murphy O'Mahony.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Deputy Chambers, this question was asked earlier.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Allow the Minister to continue.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: We will bring in Deputy Donnelly to start the second round of questioning presently. The issue that arose last April with CervicalCheck surrounded non-disclosure of the audit. The audit was the icing on the cake for screening programmes. The programme looked back on people who had been identified as having cancer to see if their previous smear had been accurate. It was the non-disclosure...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Unfortunately, the Minister's expression of no confidence in CervicalCheck management led to women having a lack of confidence in the programme in general and in the process of the programme. That is what led to the demand for an out-of-cycle smear. The issue was non-disclosure of the audit as opposed to the working of the programme. It has been, is and will be a successful programme. As...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: We will start our second round of questions now, which might be somewhat shorter than the first round.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: The Deputy's time is nearly up.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: The conversations GPs had with concerned women were quite complex. The advice was given on the basis of the woman's history and her risk profile. Some women are at higher risk than others and some will have had several smears in the past that assured one of the accuracy of their latest smears. They were difficult consultations and if a woman was very uncertain or worried, she would have...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Before I bring in Deputy Durkan I wish to ask a question. What percentage of the reduction in the waiting lists for outpatient and inpatient procedures is related to validation, as opposed to the provision of treatments?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Have 30,000 people been removed from the outpatient waiting list?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Will approximately 30,000 people be removed from the outpatient waiting list by the end of the year through the validation process?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I thank the Deputy.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: The bed capacity review of last year indicated that if substantial health reforms were implemented during the next ten years, there would be a need for 2,600 beds, but if substantial health reforms were not introduced in the next ten years, there could be a need for up to 8,000 beds. The actual figure will probably be somewhere in between. Obviously, there is unmet need in the system, as...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I wish to ask about the sequencing of Sláintecare. One of the foundation recommendations in the report is to expand universal primary care to the entire population. The report outlines that the expansion of services cannot take place until we have adequate GP manpower on the ground to deliver it. While it recommended a roll-out of 500,000 a year, this was only to happen once capacity...

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