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Written Answers — Department of Education and Skills: Schools Health and Safety (8 Oct 2019)

Stephen Donnelly: 116. To ask the Minister for Education and Skills further to Parliamentary Question No. 191 of 1 October 2019, if it will be ensured that a premises (details supplied) complies with all fire safety standards before being used to accommodate secondary school students. [41044/19]

Written Answers — Department of Health: Cancer Screening Programmes (8 Oct 2019)

Stephen Donnelly: 186. To ask the Minister for Health if a person (details supplied) can retroactively gain access to the CervicalCheck audit by the Royal College of Obstetricians and Gynaecologists despite previously turning down the option to be part of the review; and if he will make a statement on the matter. [40512/19]

Written Answers — Department of Health: Medical Card Data (8 Oct 2019)

Stephen Donnelly: 222. To ask the Minister for Health the number of medical cards as of 30 September 2019; the number of general practitioner cards on the same date; and the number for each type of card issued on a discretionary basis on that date. [40651/19]

Written Answers — Department of Health: Disability Services Provision (8 Oct 2019)

Stephen Donnelly: 299. To ask the Minister for Health if funding will be allocated to carry out research involving the Central Statistics Office in order to establish the unmet need of wheelchair users for personal assistance services; and if he will make a statement on the matter. [41024/19]

Written Answers — Department of Health: Voluntary Sector Remuneration (8 Oct 2019)

Stephen Donnelly: 300. To ask the Minister for Health the estimated amount it would cost for pay restoration for workers employed by section 39 organisations; and if he will make a statement on the matter. [41027/19]

Written Answers — Department of Health: HSE Reports (8 Oct 2019)

Stephen Donnelly: 311. To ask the Minister for Health if the annual national sepsis report will be published as a matter of urgency; if not, the reason for the delay; and if he will make a statement on the matter. [41081/19]

Written Answers — Department of Housing, Planning, and Local Government: Local Authority Housing Waiting Lists (8 Oct 2019)

Stephen Donnelly: 520. To ask the Minister for Housing, Planning, and Local Government the number of persons on each housing waiting list by local authority that are wheelchair users; and if he will make a statement on the matter. [41012/19]

Joint Oireachtas Committee on Health: Business of Joint Committee (Resumed) (9 Oct 2019)

Stephen Donnelly: I agree there is more to be done on this. It is worth noting the HSE's response last week. I put its clarifying statement to it and stated that while it was regretting that there was confusion caused, it clearly instructed hospitals not to treat particular people, there is no confusion about that and it made a mistake, and asked would its representatives admit that they have made a mistake...

Joint Oireachtas Committee on Health: Business of Joint Committee (Resumed) (9 Oct 2019)

Stephen Donnelly: I am not proposing that the committee goes any further with this issue. I am making the point that senior people in the system must give a full and clear acknowledgement, because that sends out the right message to everybody else. The HSE's response felt hedged. However, I am not saying that anything else needs to be done with that response.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: I thank the Medical Council representatives for attending, their opening statement and their great work on the report. For nerds like me there are loads of facts and figures to get stuck into. Am I correct that, in 2016, a total of 948 doctors voluntarily left, in 2017, the figure increased to 1,054 and, in 2018, it increased to 1,453?

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: It increased from approximately 950 to 1,050 to nearly 1,500. There was a substantial increase last year .

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: Dr. Doyle is also a nerd. The obvious question this raises is whether this was a statistical blip. Is it because of some structural issue? Is there a perfectly reasonable explanation for such a vast increase in those leaving or is this a signal of something more serious such as a tipping point in the system with more doctors leaving at an exponential rate?

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: That is not a statistical blip. The figure has gone from 550 steadily and rapidly upwards. In four years, we are at three times that figure. For every doctor who was leaving four years ago, there are now three doctors leaving.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: This is deeply worrying. We have a shortage of doctors in this country.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: We are more than 40% below the European average. We have the lowest level of hospital consultantsper capitain the developed world. For every doctor who was leaving four years ago, there are now three doctors leaving.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: Dr. Doyle is probably very well placed to have a view on the top two or three issues. Obviously there are many issues and I imagine she could cite 100 different ones. From the data she has seen and the interviews the Medical Council of Ireland has conducted, are there two or three outstanding issues that are driving this very worrying increase in our doctors leaving?

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: Could Dr. Doyle say more about that?

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: It sounds horrific and it certainly matches what I and, I imagine, all the members of this committee have heard. It is deeply stupid as well in terms of trying to run a world-class public healthcare system. That toxic culture that Dr. Doyle has just described - who would want to work in that or come up through it? Is that a facet of medicine internationally or is it a facet of medicine in...

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: Given that we are not particularly mean or nasty people relative to our American or Antipodean cousins, what is it about the Irish public healthcare system that is causing this? Is the same toxic culture reflected in private practice in Ireland, in the private hospitals?

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Stephen Donnelly: Why does Dr. Doyle think that is particularly a problem in Ireland as opposed to other countries? Other countries appear to have been able to modernise their HR and other systems. Why have we not been able to do that in Ireland?

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