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Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: And neither of us has enough anyway. We do not have anything to share.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: When we had the HSE representatives here before, the hospital groups described what they called "stretch targets". Based on what patients got from private medicine last year, they would now have a stretch target on top of that from private income. I asked the HSE to explain, if there were two patients on trolleys - one with private health insurance and one without - which one of them would...

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: It is certainly not in operation, even if it exists on paper.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I apologise for missing the first bit of the meeting. I had a matter to attend to but I read the submission. Representatives from ICTU were before us earlier and they referred to a report commissioned and published in August 2016 which recommended that 107 nurses be employed to nurse patients already admitted and on trolleys. They advised us that, as of last Friday, there was no provision...

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I ask Ms Fitzgerald to return to the numbers. To be fair to the representatives from the ICTU, they were very clear that last Friday they were told with regard to nurses specifically designated under the report issued in August for bedside nursing-----

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: -----that there are no resources for them.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: The need has been recognised. As a result, the HSE, the clinicians, their representatives and all of the people in charge of recognising where there is a need have identified the need for 107 nurses to deal with what we all do not want, but which we now must accept as a fact - I would say because of Government policy but others would probably have other ideas - but it is what it is. Ms...

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I presume the blockage, such as it is, relates to the Department of Health. Am I barking up the wrong tree? Is there somewhere else from where the money should be coming? All of these issues are interlinked, which is exactly what I was driving at when I said I get confused about the figures. If all of the people in charge of this have agreed that 107 nurses are needed for the boarded...

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Are they additional to the 55 or are they part of the 55?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I do, and I thank Ms Fitzgerald.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Are the community intervention teams made up of a combination of directly employed and outsourced staff?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Does Mr. McCallion have an idea of the breakdown?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I suspect there are many more outsourced staff than there are in-house staff, but I could be wrong. Mr. McCallion might provide the information to the committee.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Mr. McCallion states that there is a need for significant investment, but is there a plan? I appreciate I am being a little parochial but Mr. McCallion stated that the centre in Balbriggan would be developed around existing resources. Mr. McCallion knows already that the existing resources are not adequate to meet demand, so to say it is being developed around existing resources effectively...

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: What does strengthened the resources mean?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: How many?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Is this the team that will be developing it or the team dealing with it when the critical incident happens?

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: How many and at what grade? If the information is not to hand, that is fine. We are happy for it to be sent to the committee following the meeting.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: I asked two questions that were not answered.

Joint Oireachtas Committee on Health: Emergency Department Overcrowding: Discussion (25 Jan 2017)

Louise O'Reilly: Does Mr. Woods accept that the number of patients to nurses is far above that ratio across much of the acute sector?

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