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Written Answers — Department of Health: Parliamentary Questions (7 Nov 2012)

James Reilly: My Department receives an average of 6,000 Parliamentary Questions each year. Around 60% of these questions concern operational issues and are referred to the Health Service Executive for direct reply to Deputies. Many of these questions relate to individual patients and local day to day operational matters. Parliamentary Questions relating to operational issues of a national scale or...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: I move:That Dáil Éireann:endorses the decision of Government to proceed with the construction of the new children's hospital on the St James's campus on the recommendation of the Minister for Health; expresses its desire to see this project now proceed as soon as possible, commensurate with the best possible design for optimal quality and safety in the provision of paediatric...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: To address Deputy Kelleher's question, of course funding will remain available for the development of new treatments within pediatrics. However, the further development of the hospitals at those sites would not make any economic sense when we are building a new hospital. None the less, Crumlin has received funds that it is using to develop new surgery facilities etc. on its site. Clearly,...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: In response to Deputy Maloney, the development board remains in place. The terms of office of many of the people on that board will expire on 5 December. I have stated publicly that I wish to engage with them to see what role they see for themselves in the future. I said on radio yesterday that some people have interpreted this in some sort of negative way but I see it as a very positive...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: In response to Deputy Eric Byrne, I have serious concern about the three maternity hospitals in Dublin. All of them are under pressure. Thankfully, there are more births in this country than ever before. Previously, there was an average of 60,000 births per year, but it is now 72,000 or more and the maternity hospitals in Dublin are creaking at the seams. They all require upgrading. It...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: I will be brief. I thank all Members for their contributions. We all want to see this hospital built as quickly as possible and we all want what is best for our children. I do not doubt any Member's bona fides in that regard. It is an important time for the children of Ireland. At a time of immense financial challenges for our country, the Government is determined to follow through on...

National Children's Hospital: Motion (8 Nov 2012)

James Reilly: I accept the Deputy is trying to expedite the process but the proposal may have the effect of delaying it if we must put in place a structure and introduce legislation. I take on board the sentiment expressed by Deputy Wallace. We are anticipating his suggestion in terms of using the existing planning structures to have an interlocutor, a planning authority, to deal with An Bord...

Topical Issue Debate: Hospital Services (8 Nov 2012)

James Reilly: A key stepping stone towards the introduction of universal health insurance will be to develop independent not-for-profit hospital trusts in which all hospitals will function as part of integrated groups. The rationale behind the establishment of hospital groups and trusts is to support increased operational autonomy and accountability for hospital services in a way that will drive service...

Topical Issue Debate: Hospital Services (8 Nov 2012)

James Reilly: I too acknowledge the presence of Deputy Paudie Coffey and Senator Cummins, who is in the Gallery. They are clearly very concerned.

Topical Issue Debate: Hospital Services (8 Nov 2012)

James Reilly: The Deputy had his moment to speak and in which to acknowledge his colleagues, if he so desired. I recognise that Deputies Conway, Ann Phelan and John Paul Phelan are present. There is concern in the south east owing to difficulties associated with the configuration there. There are associations elsewhere in the country that do not seem to create difficulties. In other words, as one...

Ceisteanna - Questions - Priority Questions: Consultancy Contracts (8 Nov 2012)

James Reilly: In my response to Question No. 226 of 4 October 2012, I outlined how, in 2011 following an EU-wide competitive tendering process, I appointed Goodbody Stockbrokers and Matheson Ormsby Prentice Solicitors, MOPS, as financial and legal advisers to make recommendations on options to address the current imbalance in the private health insurance market. The work undertaken under this contract...

Ceisteanna - Questions - Priority Questions: Consultancy Contracts (8 Nov 2012)

James Reilly: The Government is undertaking the most extensive reform of the health service since the foundation of the State, particularly in the context of new hospital groups, the small hospital framework and the methodology with which we remunerate hospitals and give them their budgets, that is, moving from a block budget where everything stops once the money is gone. That system further encourages...

Ceisteanna - Questions - Priority Questions: Consultancy Contracts (8 Nov 2012)

James Reilly: What can I say to the Deputy? He is forever saying that things are outrageous, scandalous and unacceptable and that this and that are a fantasy. I have to put it to him that his own health policies are utterly phantasmagorical because they do not amount to anything other than aspiration-----

Ceisteanna - Questions - Priority Questions: Consultancy Contracts (8 Nov 2012)

James Reilly: I did not interrupt the Deputy and I would appreciate it if he would show me the same courtesy. The bottom line is that money following the patient was implemented last year on a limited and phased basis in our orthopaedic system and it saved us €6 million. That money will be considerably improved on and enhanced as we spread that out across the system. I am absolutely sure the...

Ceisteanna - Questions - Priority Questions: Consultancy Contracts (8 Nov 2012)

James Reilly: -----is the reality. As an elderly lady said to me many years ago, the truth is not fragile, it will not break. Real progress is being made. The Deputy chooses to join with others and talk of nothing but doom and gloom and say nothing will change except in some wonderful aspirational fantasy land Sinn Féin will create in health without regard to where the money will come from or to...

Written Answers — Department of Health: Hospital Acquired Infections (8 Nov 2012)

James Reilly: I would like to thank Deputy Martin for raising this issue. Hospital-acquired patient infections continue to be an issue in hospitals worldwide. Many of these infections are difficult to treat as they involve antimicrobial resistance (AMR), where the infectious agent is resistant to a treatment to which it was previously sensitive. Current evidence shows that while antimicrobial...

Written Answers — Department of Health: Health Services (8 Nov 2012)

James Reilly: A review of the Rowan Ward HIV respite service found that when the Rowan Ward was set up in 1990 its purpose was to provide end stage palliative care to AIDS patients. In more recent times, the ward had come to provide respite and stabilisation for a limited number of HIV patients who were also clients of the HSE addiction services. Given these changes in the Rowan Ward service model the...

Written Answers — Department of Health: Care of the Elderly (8 Nov 2012)

James Reilly: The SDU has worked with the Clinical Care Programme on the Elderly and the HSE on proposals for a joint Acute Hospital/Community Service transitional care initiative. This will speed up access and egress from acute care (reducing ED times, length of stay, and delayed discharges). In 2012, this initiative will see 190 transitional care beds being put in place along with 150 rehabilitation...

Written Answers — Department of Health: Lourdes Hospital Redress Scheme (8 Nov 2012)

James Reilly: This Government has given a commitment in the Programme for Government to seek a mechanism to compensate those women who were excluded on age grounds alone from the Lourdes Hospital Redress Scheme. I understand that approximately 35 women who suffered an unnecessary bilateral oophorectomy were excluded from the Redress Scheme on the basis of age alone. The Scheme of Redress approved by...

Written Answers — Department of Health: Hospital Accommodation (8 Nov 2012)

James Reilly: I believe we must concentrate on getting the best possible services for patients from the budgets available to us. This means we need to focus on how beds are used, on the throughput of patients, on reducing length of stay to international norms and on having as many procedures as possible carried out as day cases rather than inpatient work. The work of the Special Delivery Unit, together...

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