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Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: The estimated money is €189 million, which at €1,000 a person would be 189,000 people.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: The point that I am making is that there are some people who are getting less than €1,000 so, on average, it will be somewhat above 190,000 people.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: That depends, to some extent, on how many of the nursing homes and the section 39s return the self-assessment. The Deputy and many colleagues have made the point - and it is something that I was acutely aware of myself - that the proposed approach, while it worked for HSE employees, was not working for section 39s and nursing homes and there was also a delay in paying firefighters and the...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: As many as possible. When the HSE gets the self-assessments back it turns them around very quickly. We do not know how many of these organisations will have returned their assessments. The advice that I have from the HSE is that for those that are returning them the moneys are being paid out very quickly.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: Does Mr. O'Grady have that information to hand?

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: So the advice is, it is a function obviously of claims coming through but that we do not have line of sight of the individual claims.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: No, not at this point.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: Please answer, Mr. O'Grady.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: Yes, it is. As Deputy Durkan and I discussed earlier, my belief is that we need to take a much more strategic approach to medical negligence claims for two reasons. First and foremost is patient safety because this is one of the ways where we can identify where things are going wrong, and where things are going badly wrong. We should take, to my mind, a root cause analysis approach right...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: We have certainly started the thinking, Deputy, yes. I would agree with the Deputy that, yes, we need a review of the mechanisms for the claims. I would just add that we also need a system to stop the event happening in the first place. Ultimately, what matters is patient safety. Step one is to minimise and drive down as close to zero as possible any adverse incident for any patient....

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: That is one of the top priority areas in the winter plan. As the Deputy quite rightly says, the level of delayed discharge from care is far too high. One of the ways to deal with that is to discharge patients to community nursing homes, in the case of more complex needs, or to private nursing homes. As the Minister of State, Deputy Butler, has said, some hospitals do this very well....

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: I will bring that specific issue back to the HSE in the context of discharge under the winter plan.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: I will look into it but I do not share that characterisation. I was in CUH recently. I met with hospital representatives and with Michael Fitzgerald and the team in the community healthcare organisation, CHO. We went out to one of the new community nursing units, which is about to be opened up for dementia patients. There is a very clear understanding in Cork that there is a problem with...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: -----but within reason, we must maximise the step-down options available for patients in hospitals, including CUH. I agree fully with the Deputy on that.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: The Minister of State, Deputy Butler, might answer specifically on the availability of nursing home beds. I will just give a view on the initial question around the acute beds and the ambulance response times. There are a few different things at play here. First, the National Ambulance Service needs significant additional funding. That is happening now. In the budget for 2021, the budget...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: I thank the Chair. We will get the exact numbers from the officials now but I agree with him that Ireland is a laggard when it comes to e-health, and significantly so. It was quite rightly called out in the Sláintecare report. There is a substantial amount of money being invested. There is an additional €90 million being invested next year in the very points the Chair has...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: It is in the overall numbers but not in the Supplementary Estimate.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Stephen Donnelly: I will get a note from the officials on that. As we know, it is going to cost more than the €1.4 billion. It will cost significantly more. Part of that is being driven by construction inflation and we are contracted to take a portion of the burden of that. There is also a very substantial amount in dispute. The reason the Government has not given an estimated final figure to date...

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