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Hospitals Building Programme (12 Apr 2011)

James Reilly: The Deputy mentioned Temple Street, where I have been. I visited just before the election and met the doctors. There is no doubt that the hospital leaves much to be desired in terms of its structure. The work going on there is excellent but the conditions are Victorian. The need for a replacement is acute. Deputy Ó Caoláin inquired whether external experts would be involved in the...

Hospitals Building Programme (12 Apr 2011)

James Reilly: I reassure the Deputy that I am equally concerned about the cost of external consultants. That is why I do not envisage the review going to a firm but to named individuals who would provide us with an independent opinion, having had all the facts put in front of them. That is why I am delaying the process until we have all the facts put in front of us through the Department and the Health...

Hospitals Building Programme (12 Apr 2011)

James Reilly: According to my notes, Deputy Naughten is head of the class.

Health Service Reform (12 Apr 2011)

James Reilly: I propose to take Questions Nos. 36, 47, 54, 66, 71, 76 and 376 together. I am committed to ensuring that acute hospital services at national, regional and local level are provided in a clinically appropriate and efficient manner. In particular, I wish to ensure that as many services as possible can be provided safely in smaller, local hospitals. To fully consider the issues involved, I am...

Health Service Reform (12 Apr 2011)

James Reilly: I certainly agree with my colleague Deputy Naughten in regard to transportation or forcing people to travel without providing transport. It is not wise or cost effective to transport patients to have treatments that could and should be available in the local hospitals. This is certainly an area we are examining very closely. As I said to Deputy Ó Caoláin in respect of Monaghan hospital,...

Health Service Reform (12 Apr 2011)

James Reilly: I thank Deputy Healy. The review will be carried out by officials in my Department. I certainly want to be made aware of any withdrawal of service because I want the impact of any such withdrawal to be assessed fully. I do not want a recurrence of circumstances in which services are withdrawn on the promise that they will be replaced by new ones at a regional centre, only to have that...

Health Service Reform (12 Apr 2011)

James Reilly: To confirm for the House and any scribe who might be interested, when I referred to my support for co-location I was referring to the location of a children's hospital next to an adult hospital, not to what might have been construed as a co-location policy of placing private hospitals on the grounds of public hospitals.

Health Service Reform (12 Apr 2011)

James Reilly: I really do appreciate that. With regard to new plans for reconfiguration, we will reconsider the overall picture in terms of re-structuring the health service to deliver for patients in a timely fashion as near to their homes as possible, and also in a far more sensible fashion for us. The idea that somebody would go to a tertiary hospital such as Beaumont or the Mater for treatment for...

Health Service Reform (12 Apr 2011)

James Reilly: The review is ongoing. My understanding is that the transfer of services is not continuing and has ceased. The building may well be in the process of being built but it may be put to many different uses. The fact that building is continuing and a contract has been entered into does not indicate the end use will be as first proposed. I am not saying the proposed use may not be the end use...

Health Service Reform (12 Apr 2011)

James Reilly: To answer the latter question first, the review relates to the provision of the new hospital at the Mater Hospital. I do not think it will include the present situation at Tallaght Hospital. With regard to adult services, I am loth to give an answer to the question without having studied the situation. There may be a bed capacity issue, however there are also managerial issues at Tallaght...

Health Service Reform (12 Apr 2011)

James Reilly: The issue of non-consultant hospital doctor numbers in our hospitals is one that creates a major difficulty for us and is being addressed in a fairly aggressive fashion at present through recruitment from abroad to make up the shortfall. There is every reason to believe this will be successful. Part of the problem with regard to non-consultant hospital doctors is with regard to their...

Written Answers — Health Services: Health Services (12 Apr 2011)

James Reilly: I propose to take Questions Nos. 38, 44, 49, 55, 59, 72 and 370 together. The Government is embarking on a major reform programme for the health system. The aim of this reform process is to deliver a single-tier health service that will deliver equal access to care based on need, not income. There are three key elements in the reform process. The first involves significant strengthening of...

Written Answers — National Treatment Purchase Fund: National Treatment Purchase Fund (12 Apr 2011)

James Reilly: The future of the National Treatment Purchase Fund is among the issues to be considered in the context of the implementation of the Government's commitment to the introduction of a system of Universal Health Insurance. Currently, the NTPF is responsible for arranging care for those patients who have been waiting longest for hospital treatment and for the negotiation, on behalf of the HSE, of...

Written Answers — Health Care Co-operation: Health Care Co-operation (12 Apr 2011)

James Reilly: In 2007 the Department of Health and Children, and the Department for Health, Social Services and Public Safety (Northern Ireland), agreed to undertake a Feasibility Study on the potential for future cross border cooperation. A Project Board comprising representatives of the two Departments, the Health Service Executive, and Cooperation And Working Together (CAWT) was established to oversee...

Written Answers — Hospital Staff: Hospital Staff (12 Apr 2011)

James Reilly: New Contractual arrangements for medical consultants were agreed with their representative organisations, the IHCA and the IMO, in 2008 following more than four years of protracted and detailed negotiations. Currently 2,121 consultants hold the 2008 Contract while approximately 200 consultants continue to work under the 1997 Contract. The 2008 contract provides for consultants to work as...

Written Answers — Smoking Prevalence: Smoking Prevalence (12 Apr 2011)

James Reilly: Since the late 1970s, my Department, and successive Ministers, have pursued a long term agenda with regard to tobacco control which has been successful to a significant degree. The introduction of the ban on smoking in the workplace in 2004 and the prohibitions on display and advertising at point of sale, the restrictions on self-service vending machines and the introduction of a retail...

Written Answers — Health Service Staff: Health Service Staff (12 Apr 2011)

James Reilly: The Government is committed to bringing about a significant reduction in the number of staff across the public service over the period to 2015, to realise efficiencies in the delivery of public services and contribute to the overall correction of the national finances, while protecting front-line services as far as possible. The Minister for Public Expenditure & Reform is currently...

Written Answers — Hospital Services: Hospital Services (12 Apr 2011)

James Reilly: The Health Service Executive continues to work with paediatric hospitals to support service delivery to our sick children. The HSE has established a paediatric hospital network across the three Dublin paediatric hospitals at Crumlin, Temple Street and Tallaght. This network is supported by the appointment of a Clinical Director working across the three hospitals and focuses on maximum...

Written Answers — Ministerial Responsibilities: Ministerial Responsibilities (12 Apr 2011)

James Reilly: The areas that I have identified as requiring priority attention are as follows: establishment of a Special Delivery Unit based on the successful Northern Ireland model to assist in reducing waiting times for admissions from Emergency Departments, elective admissions and out-patient appointments; publication of a detailed plan to ensure that our hospitals can cope with the increased...

Written Answers — Hospital Services: Hospital Services (12 Apr 2011)

James Reilly: Tallaght Hospital is a key part of acute hospital services in the Dublin area. It has a budget of some €176.4m and 2,489 staff (whole time equivalents). At present a phased capital equipment replacement programme is being put in place at the hospital. The hospital is working with the Coombe Maternity Hospital on plans to relocate the Coombe Hospital in line with the recommendations of the...

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