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Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Stephen Donnelly: I understand why this happens so it is not a criticism, but a lot of the report focuses on the consultants and on what we need to do for them. I would like to bring it back to the patients. Let us put the consultants aside for a minute and ask how things would be affected for patients. The ESRI report is good in the numbers it gives on what is going on in our public hospitals. Those...

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Stephen Donnelly: The argument is that if we have less money to treat patients, waiting lists will increase.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Stephen Donnelly: We have to look at it from the perspective of the person running the hospital.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Stephen Donnelly: I hear Dr. de Buitléir-----

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Stephen Donnelly: I thank the Chairman and the witnesses.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: I thank Ms Magahy and her team for all of their work and for the very comprehensive presentation, including all of the facts and figures. Different people mean different things or hear different things but, essentially, Sláintecare is universal healthcare, which involves three components, namely, access, quality and affordability. One has to be able to get care when one needs it, it...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: I am coming to it. Bear with me. We need to call this out. I am not blaming Ms Magahy or her team for any of this, but there is a lot of talk about plans, governance, oversight, budgets and pilot projects. The reality, however, is sick children, sick adults and sick pensioners who can no longer access healthcare in the State. The only thing that really matters is when are they going to...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: Ms Magahy hopes people will begin to see a meaningful difference by next year.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: On the same issue, Ms Magahy has obviously been looking in depth at our system.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: One of the things on which I cannot really get an answer is that when the amount of money being spent on healthcare is going up so quickly - it has gone from approximately €13 billion to €18 billion under the current Minister for Health alone, an unprecedented increase in healthcare spending - there is at the exact same time an unprecedented collapse in access to healthcare,...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: That is a steady-state issue, though. What we are seeing is access collapsing over a relatively short period, whereas the demographics have been tipping along for some time. What has happened for access to collapse at the same time? The extra €5 billion that has gone into the system in the past four years comfortably covers demographics, so the funding is more than in place to deal...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: May I ask-----

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: May I ask one more question before that? I can come back in later if the Chairman so wishes.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: No. I will wait.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: I have two quick questions. The figure of 2,600 beds comes from the capacity review. The review describes this figure as an extreme requirement, not the likely requirement. It is the minimum conceivable number. If everything in the world worked exactly right, at the right time and infinite resources were available to do everything else, 2,600 beds would be needed. The review states,...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: I get all of that. I am referring specifically to the number of beds needed. The figure of 2,600 applies in a scenario where everything is done correctly, which is not possible, even with the best will in the world. No country in the world can do everything right. Are we not essentially planning to have too few beds? If the minimum conceivable extra number of beds is 2,600 and the...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: On the costs-----

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: We know what we are paying for them. That is different from what they cost. Does the independent review group have any costing data?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: What is the cost per procedure?

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Stephen Donnelly: I will do my best. I can deal with large amounts of data. The other matter was the cost per bed night. That is important.

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