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Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: My time is running out. While Mr. Quinn is addressing this, it seems that, notwithstanding the work of his excellent staff and the inspection regime, there is a reliance on whistleblowers. When I looked at the documentation and as is the case with every subject that comes before the committee, it became obvious that, notwithstanding all this regulation, we are dependent on whistleblowers.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: I will return to this in a supplementary question but I would ask Ms Dunnion to comment.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: I have a number of quick questions on the audit. There was something I meant to ask related to page 14. HIQA has an outsourced internal audit function. The witnesses referred to companies that deal with that, including Deloitte.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: What was the cost of the audits carried out? What was learned, and in what areas? Were there significant issues arising from that audit? Let us take the year 2016.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: I understand that but my question was on how many were carried out and the significant issues.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: First, were there any significant issues? Second, in the context of the areas chosen, will Mr. Quinn explain what he means by risk?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: Mr. Quinn mentioned that HIQA's financial management-----

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: I accept that an audit has to be done on that, but what of the other areas at which HIQA might look?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: Will Mr. Quinn give an example?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: The one point that jumps out of Mr. Quinn's opening statement is that not having enough staff is impacting on HIQA's operational activity on the ground. It is significant. Does that come under risk assessment?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: What are those four issues?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: If Mr. Quinn does not have them there, he can get them.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: Perhaps Mr. Quinn could come back to me on it because I am conscious that my time is running out. I would just like to know what are the risks that were identified and for Mr. Quinn to come back to me. Even a quick note would suffice.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: There are a few other little matters I would like to ask about which are directly tied in with staff and how HIQA decides where to go. I have the greatest of respect for HIQA. As I stated at the outset, it has an enormous task and I believe the range is too much for one body. Then there is the bigger issue of how we have set about privatising everything. There is a belief that the model...

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: Take the regional hospital in Galway then, how does HIQA pick?

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: There are themes that HIQA picks.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: What if HIQA had more resources? If we take Merlin Park, I mentioned already the fact that the roof is leaking. HIQA has also looked at a nursing home unit there, unit 5, and has found some deficiencies. Let me tell Ms Dunnion that the people of Galway want to get into Merlin Park and they cannot do so. In fact, that is something I want to deal with. I am glad HIQA is highlighting some...

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: Yes. The unit in Merlin Park. There are so many issues going around in my head. There is: paediatrics, the leak, and the nursing home. Ms Dunnion stated HIQA picks a theme.

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: I see. Ms Dunnion has clarified that for me and that is good. HIQA uses a themed approach and examines the position in a hospital in respect of, for example, infection. It is quite clear that it is impossible to control infection if that hospital is bursting at the seams. It is difficult for me to take that - not HIQA but the theme of looking at infection - seriously when there are...

Public Accounts Committee: Health Information and Quality Authority: Financial Statement 2016 (28 Sep 2017)

Catherine Connolly: What would they state?

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