Results 9,141-9,160 of 21,128 for speaker:James Reilly
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: Rather I am going to deal in facts and measurable outcomes.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: I would like to say at this stage - to paraphrase Bill Clinton - what Fianna Fáil is giving out about is the speed with which this Government is clearing up the mess it made.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: Deputy Martin, who is not here tonight, is the prime designer in chief of this mess. Let us look at what happened. The health budget grew in the 14 years of Fianna Fáil coalition Governments by more than 320%, from €3.6 billion to €15 billion. During his time as Minister for Health, Deputy Martin spent €13.8 million on management consultancy.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: With all that advice and increased funding one could have expected balanced budgets. Instead, what we find is that during his tenure as Minister for Health, Deputy Martin still managed to over-shoot his departmental budget and had to be bailed out with supplementary budgets amounting to €664 million. Between 1997 and 2010, Fianna Fáil's period in office, €2.2 billion was...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: The challenges besetting our health system are a direct result of Deputy Martin's fatally flawed budgetary and service planning processes.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: A recent external independent review highlighted that the governance and control framework in the HSE lacks clarity, is not properly embedded and does not enable effective control to be exercised over voluntary providers. The financing and operating models are tied to antiquated health board structures and there are significant inconsistencies in approaches to analyses and financial...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: -----in terms of financial reporting mechanisms, different ways of counting things, different ways of coding things, information that is nigh on impossible to analyse. All the focus was on inputs instead of looking for outputs and examining outcomes for patients and applying best practise. I have put in place a financial improvement programme and new performance management arrangements are...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: Patients and what happens to them is what really matters.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: I have often said that no matter how elegant the design or how eloquently it is delivered, if it does not improve patient outcomes it is for nought. When I became Minister for Health I found systems that do not communicate with each other; no analysis of problems - merely descriptions of them---
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: -----and a history whereby my predecessors where informed of budget overruns. It was all about lamh amach agus airgead isteach---
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: -----not why have we an overrun and what are we going to do about it. Deputy McGrath was offered an opportunity by the Chief Whip to name the people he says do not support us.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: The Deputy used the opportunity and privilege of the House to make allegations against me.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: The Deputy does not have the courage of his convictions.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: I am primarily a doctor, a late-comer to politics but I do know one thing.
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: Can Deputies stop interrupting?
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: There is an old maxim which Deputy Mattie McGrath should remember: "Empty vessels make the most noise."
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: As a doctor, one does not only look at the signs and symptoms, one must treat the cause of the problem. One has to analyse the cause and must have one's diagnosis before one starts treatment. That is what we have done. The special delivery unit headed up by Dr. Martin Connor analysed why we have overcrowding in our emergency departments, in particular every January. Every hospital is...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: We did not allow that to happen this year. We did not have 569 patients on trolleys in January 2011, which is a little more than 18 months ago. The special delivery unit in conjunction with the clinical programmes and front line staff knew what the diagnosis was and prescribed the treatment between them and the consequence of that today is that despite €1.75 billion being taken out of...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: That is something that was not possible before and something which the Members opposite and their Government failed to do in ten years. At this point, I would like to express my appreciation to Dr. Barry White for his considerable efforts in his term as a director of the clinical care programmes. He is now returning to his clinical consultant post but I am pleased to announce that he will...
- Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)
James Reilly: Ongoing progress is being made in introducing new models of care across all service delivery areas to treat patients at the lowest level of complexity and provide quality services at the lowest cost. The restructuring of the hospital sector has commenced and two pilot hospital groups have been established at Limerick and Galway. Specific work has been undertaken to enable the introduction...