Results 5,081-5,100 of 7,412 for speaker:Neasa Hourigan

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: Are the witnesses aware, regarding advice it has given, of a case with two parties where the State does not have a representative in the room and, therefore, is neither of the parties? Is the State involved in any settlements or court cases like that? That is what was described to us last week. Are the witnesses aware of any similar cases in which there are two parties to an agreement and...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: I am thankful. That information is helpful for my question. Regarding trying to follow the path around records in this context, I wonder if it would be possible for the SCA to provide the committee with a briefing note in this regard or perhaps even the correspondence between the SCA and the HSE on this issue, concerning where the risk is highlighted.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: No, I get that and Dr. O'Keeffe said already that this was part of a more general conversation. I am going to say this again, however. There is a specific risk in here-----

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: -----with the failure to implement e-health records or some kind of a system like that.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: It is a very simple question really. Could the SCA provide us at any stage with either minutes or correspondence whereby it cited for the HSE that this was an ongoing risk?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: That communication could be improved.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: If Dr. O'Keeffe does not mind me saying, I think the answer to my question is "No".

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: Okay, but Mr. Breen stated earlier that the agency accepts it is a significant risk.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: That is on a case-by-case basis.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: We are going over old ground now, but I want clarity that at no stage has the agency taken a step back from the case-by-case basis and said to the HSE that there was an ongoing, significant and recurring risk that it had not implemented e-health records. At no stage has that happened. Is that correct?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: Let us contextualise it as record-keeping throughout the system, not hospital by hospital. On a case-by-case basis the agency does that-----

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: -----but at no stage has the State Claims Agency taken a step back from the case-by-case basis and said to the HSE that national record-keeping, as a comprehensive system, was an ongoing risk here.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: When did the agency say that? Could I have a copy of that correspondence?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: Was it at a meeting of the joint governance group?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: That is not record-keeping-----

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: I would very much appreciate seeing a copy of the 2017 report but-----

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: The current system, however, does not meet that test either. Does Mr. Breen consider this a deficit in the agency's operations? There was a thematic analysis report in respect of 2017 and it is now 2023, yet at no stage can the witnesses provide me with any kind of step-back identifying specific issues within the HSE that leave it open to continued claims?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: I hate to cut across Mr. Breen, but part of the agency's remit - he is absolutely correct - is that it learns from claims. If any of us undertook our learning on an individualised or case-by-case basis, our learning would be constrained by that. We would expect a group tasked with identifying risk to have the structural analysis ability to step back from cases and ask, given they are...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: On a case-by-case basis.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021 (2 Mar 2023)

Neasa Hourigan: The answer to my original question, therefore, is "No".