Results 7,101-7,120 of 26,042 for speaker:Kieran O'Donnell

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I know that.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I am looking at the issue in the context of freeing up beds. Has the HSE been able to come up with a measure that calculates the number of bed days freed up by promoting the day patient option?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: As matters stand, if a patient presents for consultation, is there any incentive for the consultant to deal with him or her as a day patient? If the same case was done as a day case rather than on an inpatient basis, would the health insurer pay a different fee to the consultant?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: A procedure, yes.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: The figure for a day case is €590, compared to €4,230 for a procedure which is inpatient and €825 for a bed day. Is that the public cost?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: If a patient stays in overnight, does the figure of €4,230 include the bed or is it just the procedure?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: It includes the bed.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: It is an average.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: In terms of changing behaviour and attitudes of consultants towards patients, it appears that inpatient numbers have remained steady while the number of day cases has increased. The inpatient figure has decreased but not to the level one would like. In the system as it currently operates, what is the incentive for a consultant to treat somebody as a day patient?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I am questioning whether that is the case.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: In the limited time I have, can Dr. O'Connell share with me his observations on St. John's Hospital and the hospitals in Ennis and Nenagh, which are now mainly doing elective work? I have raised the issue of the accident and emergency service in the past. The new emergency department that is under construction in Limerick is very welcome. It appears that it will not be up and running until...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I am aware of that.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: Yes.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: The people who use the medical assessment unit are day patients, in the main.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I will put it in simple terms. As a Deputy who represents the constituency of Limerick City, I regularly get telephone calls very late at night telling me about people, many of whom are elderly, who are on trolleys. I am acting on this purely because that is my role. I am bringing it to Dr. O'Connell's attention that the number of people who are on trolleys on an ongoing basis is a major...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: I will. I thank the Chairman.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: Like the medical assessment unit.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: Okay, as a short-term measure.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: Okay, but-----

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Kieran O'Donnell: The members of staff do a great job. It is a question of the particular circumstances that arose coming out of the reconfiguration. I will put it this way. While Dr. O'Connell would like everything to be explored, he is not averse to the medical assessment unit being made available on a short-term-basis, subject to discussions with local management, if extreme pressures arise. He is...