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Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: The Bill covers the most vulnerable people in society, that is, children, people with disabilities and the elderly. One of the big challenges which is going on in accident and emergency departments at present, is that relatives have no access. Many of the hospitals are locked down because of the pandemic. That is a key piece of information. I imagine that the majority of complaints come...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: On finding suitable placements, it has been stated that designated facilities come under the Health Act. There has not really been a focus on this in the discussion. There are big challenges when it comes to finding places for people, in particular for children and those in the disability sector. That is the view of many of the families who have tried finding a place for their children....

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: I am still confused. Let us say a holiday home has been used quite a number of times for children with special needs because there is nowhere else to put them. If the holiday home is used more than once, does that make it a designated facility? I do not ask my question in an effort to catch out officials.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: I asked my question on behalf of families who are in that situation and seek supports, etc. One would like to think these children would be safe in such situations. There must be follow-up in terms of inspections and everything else.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: Deputy Cullinane covered issues concerning head 15 earlier. Ms Casey stated: "Head 15 will introduce a number of offences carrying a proportionate range of targeted penalties to ensure the effective operation of these new tools", which are advance notices, non-compliance notices and urgent orders. What happens if there is no response? Are the penalties proportionate bearing in mind that...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: Reference was made to the staffing and skills mix. Is there a focus on workforce planning in the Bill? It is a stretch but a major infection vector that was identified was the deployment of agency staff across multiple venues during the pandemic, which meant Covid-19 spread through nursing homes.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: The other issue that came up during the debate, which may be impacted by the legislation, is the transfer of elderly patients without proper testing. This was another serious problem. In some cases, they were taken out of nursing home or, vice versa, they were transferred from hospital back to nursing home without proper testing. Many of them were infected. Is that covered under the...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: Another area that, again, came up when we talked about weakness was the new integrated community support teams. The importance is that there would be someone available in nursing homes in each area. Is that a key element of the support around this Bill?

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) Bill 2022: Department of Health (23 Nov 2022)

Seán Crowe: I appreciate that our witnesses came in this morning. It was very helpful and there was good debate. As a committee, we will have to decide how we will progress the Bill. We are still waiting on different sectors. HIQA is outstanding and we will probably have representatives in for a meeting on this. I thank Ms Casey and her colleagues from the Department for assisting the committee in...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: This meeting has been convened to consider the 2022 Supplementary Estimate for Vote 38 - the Department of Health. I thank the Minister, Deputy Stephen Donnelly, the Minister of State, Deputy Mary Butler and their officials from the Department for coming to today's meeting to consider the Supplementary Estimate and the provision of a briefing note related to the Estimate. I presume...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: I will let members speak and then we will return to the subject of the meeting.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: At 6.30 p.m.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: I intend to go ahead with the meeting but I ask the Minister to note the concerns that members have.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: It was agreed at a private meeting of the committee that we would go ahead. It was to facilitate the Minister and the Department to try to get this Estimate through. That is the reason we pushed ahead.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: This committee does not have many days left. We have an update on Sláintecare with the interim CEO of the HSE, Mr. Mulvany and Mr. Watt from the Department in next week. We do not really have any additional time for this.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: No. The request came through the system that the Estimate was coming up. We would have thought that at this late stage that whatever the Supplementary Estimate was had been agreed by the Department and that the Minister was trying to get it through the House. Am I wrong about that?

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: It is on the back on the recommendations of the private meeting of the committee that we had.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: No. It was one of the times on the agenda.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: We will go into private session for a couple of minutes.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

Seán Crowe: Witnesses are reminded of the long-standing parliamentary practice to the effect that they should not comment on, criticise or make charges against any person or entity either by name or in such a way as to make him, her or it identifiable or otherwise engage in speech that might be regarded as damaging to the good name of the person or entity. Therefore, if their statements are potentially...

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