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Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: There are waiting lists for home-care packages in many areas.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Staying at home is usually the first choice of older people.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Has Age Action done any research on the comparative costs of different models?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: It might be worthwhile for us to commission a separate piece of work on resource allocation. If we take, say, the nine community health organisations in the country and see the population, age and deprivation profiles and then see what staff allocation is in place already we can make an assessment. My understanding is that there is a very wide variation, both in terms of general...

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Yes.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Okay.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Did Deputy Harty want to come in on that?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: We will look at that entire issue in September; it is a separate piece of work.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: With regard to cancer care, the cancer programme seems to be one of the major successes. Tom Keane will hopefully come in to talk to us in September. What is the question there about pre-access to services? I get the impression that the cancer programme is more of a universal service but I may be wrong.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: What about the private patients? Are they treated similarly?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: From the point of view of diagnostics, access to treatment and so on-----

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Apart from diagnostics, that is obviously a critical area. In terms of access to treatment once there is a diagnosis, is there much of a divide?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: The witnesses spoke earlier about 80% of hospital activity relating to chronic illness. There are chronic disease management programmes set out for primary care. Why are they not being implemented? Perhaps, I should ask Deputy Harty about that. If there are best practice programmes in place that will achieve better health outcomes and better value for money, why are we not implementing them?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: The hardest part is to switch the funding from the acute sector to primary and community care. On the phasing in of universal access to care, do the witnesses have any general advice? They were talking about it appearing to be Government policy to extend free GP care across the population. That is only one element of it. Entitlement to other health professionals, home help, physiotherapy...

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Is the way to go to implement the chronic disease management programmes or should it be done on an age cohort basis?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: I thank the witnesses for giving us their time to come in. It has been very worthwhile.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: That is fine. We will then circulate it. The witnesses also mentioned that the ESRI is doing work at the moment. We will request that from the ESRI. This has been a very worthwhile session and we appreciate the witnesses' time. I ask the members to hold on while we conduct some private business before we adjourn.

Ceisteanna - Questions - Priority Questions: Social Workers Recruitment (21 Jul 2016)

Róisín Shortall: 5. To ask the Minister for Children and Youth Affairs the steps she intends to take to meet general staffing shortages in the social work service to ensure all children in care have an allocated social worker, and to address information technology deficiencies in the service; and if she will make a statement on the matter. [23371/16]

Ceisteanna - Questions - Priority Questions: Social Workers Recruitment (21 Jul 2016)

Róisín Shortall: I ask the Minister to outline the action she is taking to address the urgent problem of the recruitment and retention of social workers, particularly with regard to children in care. Will she outline the steps she is taking to address the deficiencies in the information technology system that is supposed to support the work of the social work service?

Ceisteanna - Questions - Priority Questions: Social Workers Recruitment (21 Jul 2016)

Róisín Shortall: I thank the Minister for the information, but it does not address the question I asked about the steps being taken by the Minister to address the problems associated with the recruitment and retention of staff. Budget allocations and recruitment campaigns, etc., are very welcome but there is a fundamental problem within our social work services, as we find it very difficult to recruit and...

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