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Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Without prejudice to the individuals, this should be the process that we go through. When an issue like this arises, everybody should go through this. No physician is going to be struck off by the regulatory body on the back of a settlement, without admission of liability. We cannot take refuge in regulatory organisations or whatever. The HSE needs to do this.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Will Mr. Woods look at and come back to us about the introduction of a mandatory system of retraining or supervision to give peace of mind and to ensure that the mistakes of the past have been learned from? The State Claims Agency said it is not aware of any.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: I did before and will again next week. As we are here with the health service-----

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Moving on to another point, I ask the Chairman to give me time between his interventions. An article was published some time ago that got some coverage about how 650 of our 4,500 consultants were not qualified as consultants. Is this true?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: To refine the question, are we hiring people who do not have the specialist training and calling them consultants? Something I found really frightening was that the term "consultant" is not defined in the Medical Practitioners Act.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: What does not being on the specialist register mean? Have they studied?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Does registering mean more study or more exams?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Are they paid the same?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: There is the same salary regardless of whether one is on the specialist register.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Consequently, some have been around for a very long time and have not been qualified.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: I am very much a layman when it comes to medicine. Are these guys just out of college who, having decided they are interested in ear, nose and throat, ENT, applied for an ENT post as a consultant and who then got it?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: What would they been before, if, for example, an ENT post is given?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: The President of the High Court, Mr. Justice Peter Kelly, has asked whether this is safe. Is it?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Who answers that?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: A clinical director in a hospital group probably plays golf with one of the 134 on Saturday because they are both consultants in the same hospital. Is that not correct?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: They are reviewing and justifying their own position as opposed to somebody else.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Is it the clinical director of the hospital group or of the hospital itself?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: Apart from support and encouragement, like before, would we not issue a direction as the governing body of health in the country and say this must be done by a certain date? Since it is medicine, I do not think grandfathering such as with auctioneers is the right way to take people along.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: What was the timeline? Ten years?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Marc MacSharry: I will come in again later.

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