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Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: At present for 2025 we are on profile after a difficult start. January is always a difficult month. We are on profile at present but we will have to reflect on how we get on for the rest of the year. We did start lower and it is difficult to make these non-pay savings. It is a very focused effort, particularly in section 38 hospitals where there has not been the same delivery or focus on...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: For accuracy, I just want to clarify something I said in my statement. I said that there had been an average increase of 36% in real expenditure and 18% in the workforce in model 3 and model 4 hospitals. I hope members will forgive me because what I should have said was "at least 36% and 18%". The actual averages are 48% in real expenditure growth and 30% in workforce growth. I say that...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: An additional 34 staff were recruited in the HSE and they are dispersed across a range of relevant teams, including the negotiation and pre-clearance teams. There has been a 100% increase in the number of people working on this. What is important now is that they are working as efficiently as possible. It is a two-way stream, however, as the Deputy knows. It is also necessary for the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I will have to reflect on the last question and revert to the Deputy. Ms Rachel Kenna will answer the question on the heel-prick test.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Not only will I consider it but I will visit the unit. I will talk to the staff to understand the space and dynamic that service users view. They should not be there in the first place, for different reasons, but they need to be there. I will ask Mr. Tierney to come in on this point to speak about some of the capital programmes. I am also conscious that the hospital itself, and not just...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: No.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: There are number of different questions. I will ask the Minister of State, Deputy Butler, to come in on mental health and Mr. Tierney to come in on some of the infrastructure matters. In Kerry, there is a new ward block that is at design feasibility stage in accordance with the acute inpatient bed capacity expansion plan. In relation to community beds, there are 160 beds coming this year....

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I want to answer one thing in relation to trolleys because Kerry is particularly interesting. On Wednesday, 5 February, there were figures as high as 28 people on trolleys. Just by way of interest, in May, which was particularly interestedly managed, on 11 days out of 31 days in Kerry there were zero people on trolleys. There were three days with one person on a trolley. There were only...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I am due to meet CORU very shortly. I have been asking about this issue for different reasons. I ask Ms Kenna to comment.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I ask Mr. Tierney to come in on the Cork elective hospital and Ms Kenna on workforce planning. I will then have a perspective on dentistry.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: It is also very important that when dentists are being trained they come out and doing dentistry. I have a number of different ongoing concerns in relation to this issue.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Yes, that is my ambition. This is subject to the agreement of the Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation, but I am hoping that will be the case. One of the reasons I talk about non-pay savings all of the time is to try to stay within budget and make that best case.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I agree. I met various representatives of the Simon Community last week on this and a number of other health and homelessness issues. The Minister of State, Deputy Murnane O'Connor, is well across this as well. I am aware of the issues with Usher's Island, as is the Minister of State. Regarding public procurement, we have been discussing a range of issues with the Department of public...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: We are advocating strongly for that. We are also advocating strongly for the review that the Department of housing is doing on what requires planning permission and what does not and what might be exempted. One thing we can see in the Department of Health, notwithstanding its very small capital budget and, as the Deputy pointed out, the very small increase in the capital budget relative to...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I am very much looking forward to going to University Hospital Kerry. I do not believe that there has been a change in the number of presentations to the emergency department there. The Deputy is quite right to highlight the very great distress that people in Kerry have experienced with overcrowding in the emergency department of the hospital. This went on right through February and March....

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Yes, and very important issues.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: As I said, the Deputy is right to observe that there is nothing in the programme for Government in relation to it, but I personally remain very committed to the implementation of all the services that are necessary for the women of Ireland.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I think I need a little bit of time on it.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: To consider how all of that is working and how the implementation has been to date. I was involved in that before I became a Minister, in much of the work that is the backdrop to that. My own interest and perspective on women's health is very clear, but the Deputy is right to observe that there is nothing about it in the programme for Government.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: There is a contingency piece. Mr. Tierney might like to answer the Deputy's question.

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