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Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: I raised an issue about people who are admitted to a nursing home and for whom a weekly fee is agreed and who then need additional support, for example, 12 months later. Are we looking to vary that scheme in any way?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: What is the timescale for when that is likely to be introduced?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: Is Ms O'Connor talking about towards the end of the year or earlier?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: An issue was raised in the statement. It is about internal control, on page 122, and relates to payroll fraud. I presume that matter is being dealt with by the Garda. What amount is involved? When did this occur?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: More than 2,000 organisations are allocated over €5.4 billion. It is a significant task to have checks and balances on every one of them. I presume all of the organisations have the appropriate procedures in place. When the HSE does an audit, is it satisfied that enough safety precautions are in place to deal with something like this?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: Going back to the service level agreements and the SouthDoc issue, where there is an agreement in place and the agency is not delivering on its side of the agreement, is there a provision for penalties being imposed for such a breach? That does not appear to have occurred with SouthDoc.

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: Two centres were closed down.

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: I agree with that.

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: Access to two major centres was no longer available to people.

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: Is it not the case that where a centre is closed down and a hospital is closer than a centre, which may be three or four miles away, people will tend to go into the hospital and, as a result, additional people who should be going to a GP out-of-hours service end up in accident and emergency?

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: I accept that. When people are aware that a centre is closed, they will feel there is no point in ringing SouthDoc and will decide to go to the hospital, such as the emergency department in Mercy University Hospital or Cork University Hospital, rather than going all the way out to the Kinsale Road. That is what tended to happen.

Public Accounts Committee: Financial Statement 2020 and Related Matters: HSE (Resumed) (23 Sep 2021)

Colm Burke: It might be interesting to look at how many people turned up to emergency departments who could have gone to a general practitioner's surgery.

Written Answers — Department of Education and Skills: Disadvantaged Status (23 Sep 2021)

Colm Burke: 144. To ask the Minister for Education and Skills if additional supports will be made available to DEIS schools to assist them in the coming academic year following a prior year in which a significant amount of learning was done either remotely or through home-schooling; and if she will make a statement on the matter. [45573/21]

Written Answers — Department of Education and Skills: School Transport (23 Sep 2021)

Colm Burke: 185. To ask the Minister for Education and Skills if the school bus route for a school (details supplied) will be reviewed in order that it may include Ballyknockane Road; and if she will make a statement on the matter. [45572/21]

Joint Oireachtas Committee on Health: Mental Health Services: Discussion (22 Sep 2021)

Colm Burke: I will ask about the staffing issue and the challenges we currently have in relation to it. In some areas we are having difficulty getting psychiatrists and doctors, but have we a sufficient number of places for the training of people in, say, psychiatric nursing and related areas? Are we producing enough graduates in those areas if we are to plan for the future? In particular, we need to...

Joint Oireachtas Committee on Health: Mental Health Services: Discussion (22 Sep 2021)

Colm Burke: The other issue I will raise is that of people who wanted to do nursing or psychiatric nursing but, for one reason or another, did not get into it and are still working in the health service. Is there adequate provision for them to go back to education without having a huge loss of income? Can we have a level of engagement with them to encourage them to move up along the line in relation to...

Joint Oireachtas Committee on Health: Mental Health Services: Discussion (22 Sep 2021)

Colm Burke: The other issue I want to raise relates to rural areas. We have had a number of very serious incidents in the south and south-west regions, where there have been a number of tragedies. Has anything additional been done regarding public health nurses, or anyone working in mental health services and people working in the community, especially in rural areas, in order to deal with the new...

Joint Oireachtas Committee on Health: Mental Health Services: Discussion (22 Sep 2021)

Colm Burke: I will ask about the different areas within the HSE. I am in the south-south-west area. Is there a major variation between services available depending on the area you are living in? Is there an urgency and a far greater need to upscale the level of support being provided compared to what is being provided at the moment? Are the witnesses concerned about particular areas? I know they are...

Joint Oireachtas Committee on Health: Mental Health Services: Discussion (22 Sep 2021)

Colm Burke: Is there any evidence that co-ordination is occurring? It is fine to say we need more staff, but have we any evidence of direct communication from educators and people producing the graduates, whether it is through Further Education and Training Awards Council, FETAC, 5 or FETAC 6 courses for care assistants, etc., or engagement on what the service needs? One of the areas I am working on...

Public Accounts Committee: Business of Committee (28 Sep 2021)

Colm Burke: There are two issues in regard to that letter. The first is that it does not outline anything regarding the contracts that NBI has agreed with contractors. I understand that one of the contractors is based in England and did not perform at all during Covid-19 and the lockdown period, whereas the other company did. The second issue concerns page 2 of the letter which refers to information...

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