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Health Service Staff (30 Jun 2011)

James Reilly: I accept everything the Deputy said. I did not reach the end of my reply owing to time restrictions. I will not bother with the script and instead tell the Deputy what is the position. I am pleased that as a result of the terrible dark cloud of the shortage of non-consultant hospital doctors, the Medical Council and colleges have come forward and co-operated in an effort to have the issue...

Health Service Staff (30 Jun 2011)

James Reilly: With due respect, I am trying to give comprehensive answers but I will expedite them. I respect what the Ceann Comhairle said and will speak more quickly if somewhat less distinctly.

Ambulance Service (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 9, 31, 40, 49, 50, 52 and 60 together. It is not my wish to reduce the level of any service, including patient transport. However the country is facing an unprecedented economic and financial crisis. This is an inescapable reality. The HSE must live within its budget and must prioritise its services accordingly. We must examine the way services are being...

Ambulance Service (30 Jun 2011)

James Reilly: To correct Deputy Ó Caoláin, the letter went from somebody down the ranks of the HSE and it did not say the service was stopped. It said, and the Deputy's party leader read it out to the House, that it was expended.

Ambulance Service (30 Jun 2011)

James Reilly: There certainly is.

Ambulance Service (30 Jun 2011)

James Reilly: When money is expended that does not mean the service stops.

Ambulance Service (30 Jun 2011)

James Reilly: It did not.

Ambulance Service (30 Jun 2011)

James Reilly: The proof of the pudding is in the eating.

Ambulance Service (30 Jun 2011)

James Reilly: The transport has not stopped. People who need transport for dialysis and cancer services get it.

Ambulance Service (30 Jun 2011)

James Reilly: I wish to point out, notwithstanding the interruptions, that there has been huge inconsistency in the transport arrangements across this island. I must concur with Deputy Pringle's comments. There is a lack of uniformity, although the HSE was supposed to result in uniformity of approach and of care for 4.4 million people, or 4.2 million as it was at the time. There are totally different...

Ambulance Service (30 Jun 2011)

James Reilly: I am saying that if one has the means-----

Ambulance Service (30 Jun 2011)

James Reilly: The Deputy can put whatever misinterpretation he wishes on it-----

Ambulance Service (30 Jun 2011)

James Reilly: -----but he clearly heard what I said.

Ambulance Service (30 Jun 2011)

James Reilly: Only if one is able.

Health Service Staff (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 10, 32 to 34, inclusive, 37, 39, 43, 59 and 62 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. I have also made it clear...

Health Service Staff (30 Jun 2011)

James Reilly: The answer to both questions is that there are a number of contingency plans contingent on the amount of NCHDs we have. I cannot say what they are until I know what that figure is. I am reliably informed that I will have a better idea at 4 p.m. tomorrow but I will have an even better one towards the end of next week. I realise people like to know what is happening in advance but I do not...

Written Answers — Health Service Staff: Health Service Staff (30 Jun 2011)

James Reilly: A number of Performance Related Award schemes were introduced in the health service following a decision by the then Government on the implementation of recommendations of the Review Body on Higher Remuneration in the Public Sector in a report published in September 2000. These schemes covered a number of senior management grades in the Health Service Executive, the Chief Executives of the...

Written Answers — Hospital Accommodation: Hospital Accommodation (30 Jun 2011)

James Reilly: The HSE National Service Plan 2011 which was approved in December 2010 requires the HSE to operate within the limits of its Voted allocation of €13.456 billion. This represents a net reduction of €683m on the 2010 provision. The HSE National Service Plan also commits the HSE to delivering service levels for 2011 which are broadly in line with 2010 levels. Activity in acute hospitals...

Written Answers — Health Insurance: Health Insurance (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 15, 29 and 41 together. The Government is embarking on a major reform programme for the health system. The aim of this reform is to deliver a single-tier health service that will deliver equal access to care based on need, not income. While universal health insurance is the ultimate destination of this Government's reform programme, there are a number of...

Written Answers — Hospital Services: Hospital Services (30 Jun 2011)

James Reilly: I welcome this Report from the Health Information and Quality Authority which sets out a number of recommendations to improve the quality and safety of the referral system for patients to outpatient and radiology services. The HIQA Report also includes a recommendation for a new national standard for the provision and communication of information between General Practitioners and hospitals....

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