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Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (2 Jun 2022)

Colm Burke: There is a report in the Irish Examiner this morning that the Glashaboy flood relief scheme may not proceed, that the current contractor is running into difficulties due to increased costs and that there is no provision under the contracts offered about price variation. What action will be taken to resolve this issue in order that we do not have to go through the entire tender process again...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (2 Jun 2022)

Colm Burke: The contract is not signed.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (2 Jun 2022)

Colm Burke: The concern is about the 12-month delay. It needs to be prioritised.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I welcome the witnesses and thank them for their work over the past two years in very difficult times. I refer to figures for community care and public nursing jobs. I have raised this previously. I note that the exit figures out of the HSE were 3,722 to December 2022. I presume the exits out of community services are part of this 3,722. That figure is 3,305. Has any real analysis been...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Are we doing exit surveys in our hospitals? Someone else raised this. I have come across HSE staff who have raised concerns that no one is asking the questions as to why people are leaving. Is it because they have young families and the appropriate hours they require are not being given to them? I have heard that people who have young families are not being accommodated at all. These are...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I know that, but Ms Hoey is still not dealing with the issue I have raised about the exit surveys. Where have we done exit surveys? What has been the outcome of them? If they are not being done, why are they not being done?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I have raised this with a number of sections of the HSE and I do not know of any place or any hospital where exit surveys are being done.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: If we want to cater for people's circumstances as they change, if we want to try to keep numbers, is it not extremely important we find out why people are leaving and particularly why numbers of people in specific areas are leaving?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Moving on, another area that I want to touch on is the use of operating theatres in hospitals. I know of a number of HSE hospitals where the use of theatres is limited. There is one hospital where patients are not allowed into theatre after 4 p.m. A consultant in the north-west region advised me that she had been told that if a patient is not in theatre by 4 p.m., that is it, and the...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I was asking about theatres.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: If there are staff in who are finishing work at 5 p.m., would it not be appropriate to look at manning theatres with staff available until 8 p.m., so that theatres are not closed down at 4 p.m? Why has that not been put in place in hospitals?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I wish to raise an issue in relation to nursing homes.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I am aware that the HSE's capital plan 2022 has been announced. I welcome that. There are two issues that I wish to raise. One concerns the amount of funding going into public nursing homes. Such funding is most welcome. I am wondering if we are looking at efficiency in public nursing homes and the cost of running them, compared with what it costs to place a patient in a private nursing...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Does Mr. Mulvany accept that we are putting a huge amount of money into public nursing homes, and yet the cost per week is still extremely high? I understand that huge demands are being placed on public nursing homes because the buildings are not up to standard. As we are bringing the buildings up to standard, should there not be savings made at the same time?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Has a report been done that assessed the introduction of the HSE grade of theatre assistant? If the report exists, I ask that it be made available to the committee.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Have targets been set? Is it the case that a decision still has not been made?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I would appreciate that. I would like to move on to the issue of capital spending in the Cork area. I very much welcome the money being spent on Heather House on the north side of Cork city and the new residential facility in Blarney, where a recently-built hotel has been purchased and is now being converted. I will raise the issue of the elective hospital. I note than only...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: With regard to the timeframe, there is no question or doubt but that there are major challenges in Cork. Should private hospital facilities be lease or otherwise acquired to deal with the long waiting lists in the Cork and Kerry region? Should consideration be given to that?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: I am asking whether we should either buy a private hospital or lease one for a number of years until the elective hospital is built because we have great demands, consultants cannot get access to a theatre and there is not a sufficient number of beds. There is a great number of people working but they are feeling frustrated because they cannot get their lists dealt with. Can we look at that...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Colm Burke: Mr. Woods would accept that if we are building a new elective hospital, we are talking about a certain period. Some projects have taken eight years. What are we going to do in the meantime? When are we going to decide to make additional capacity available for the people employed by the HSE who have the expertise but cannot get to do the work they want to do?

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