Results 9,381-9,400 of 11,979 for speaker:Billy Kelleher
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: If the figure was, say, 65, the accepted standard now is approximately 150 for a unit to ensure it would have the skills set mix and so on; it was previously 100. Dr. Herity says it has been increased to 150. If the service was provided 24 hours a day, seven days a week, what would be the expected throughput in terms of primary PCIs?
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: Is Dr. Owens satisfied from a clinical point of view that if there were 24-7 catheterisation laboratory facilities in Waterford, there would be enough throughput to keep teams skilled as required?
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: Yes, but statistics are available for clinical reasons.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: The Herity report says what it says. The witnesses have varying views. The committee does not have the authority to sanction catheterisation laboratories, or public expenditure for that matter, but what we would like to do is determine how we can address this issue. I do not believe there is a big bang solution to it. Dr. Owens said at least six or seven interventions cardiologists would...
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: That is a 24-7 service for planned procedures and primary PCIs.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: Yes, but a five days a week-----
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: The key point is to accept Herity's recommendations on the planned non-emergency procedures. To provide a 24-7 service on primary PCIs, in other words, acute heart attacks, how many interventionist cardiologists would be needed?
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: To fulfil the recommendations in Herity's report regarding planned non-emergency procedures, in addition to 24-7, seven days a week emergency cover, how many-----
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: In terms of a phased increase, what would be the first steps and the priorities?
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: The bottom line is that a second catheterisation laboratory would be needed.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: This question is to all four witnesses, and I thank them for their evidence. I have raised this matter with Health Service Executive, HSE, officials, not only in the context of Waterford but nationally, also. At what stage does a clinician feel obligated to express the view that practices are unsafe and the services cannot be delivered because of a lack of supports from management? Have...
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: The views on patient safety, from a clinical point of view, still stand as we sit here today.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: From what we can gather, the new international norm is or will be 150 primary PCI procedures per annum. The HSE and others very often withdraw a service by stealth by slowly squeezing it, and when an assessment is made by HIQA or others, they find there is not enough throughput and then the service is withdrawn. In the context of primary PCI, is there a danger that if Waterford does not get...
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: In view of the evidence we have heard from eminent cardiologists and the word of Professor Herity, as we cannot question the integrity or validity of that, could we recommend an independent assessment of the evidence presented by the cardiologists and the Herity report? Everything is peer reviewed regularly and if the report is to be validated, then it should stand up to scrutiny. Perhaps...
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: Deputy Halligan is a Minister of State and if things were different, we might not be here at all. I was only trying to be helpful.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: We have a report which, as things stand, is framing policy.
- Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)
Billy Kelleher: Until such time as that report is removed from policy formulation, it is there, and that is the difficulty.
- Hospital Waiting Lists: Statements (9 Feb 2017)
Billy Kelleher: I am sharing with Deputies Marc MacSharry and Michael Moynihan. I welcome the opportunity to debate this issue because the "Living On The List" programme by RTÉ's "Prime Time Investigates" was a devastating critique of what was is happening daily in people's lives throughout the country. The sad reality is that it is nothing new. In that context, in the area of scoliosis, on 16...
- Hospital Waiting Lists: Statements (9 Feb 2017)
Billy Kelleher: We also proposed that, but let us be under no illusions. The Minister is a bit like a nasty jockey on a very tired horse that is trying to get him up to the line and using the whip too much. The bottom line is that the HSE simply has not got adequate resources in certain areas to deal with these waiting lists and there is consistent spin in the past week that it is all the HSE's fault. The...
- Hospital Waiting Lists: Statements (9 Feb 2017)
Billy Kelleher: What about Michelle O'Neill?