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Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Has the RCSI considered establishing an administrative board?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: The RCSI is waiting for the HSE-----

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: In regard to the voluntary hospitals, how is the issue of governance dealt with within a group?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Perhaps Mr. Woods would comment now on the board situation.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: It is difficult to understand how we can have proper governance within a group if there is no board. That is a matter of concern.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Has work on that legislation commenced?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Is Mr. Woods aware if work on the legislation has commenced?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Thank you. I call Deputy Kate O'Connell.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: That is a policy matter on which the committee will make a recommendation.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: We take that point. I thank Deputy Louise O'Reilly. I thank all of the delegates for their attendance and responding to our questions. We very much appreciate their time.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I do not believe it was a question but a statement. We will leave it at that because the committee has a lot of other business to conduct. I thank everyone for his or her participation.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: For the committee's second session this morning, we are meeting representatives from the four remaining hospital groups, all of whom are welcome. They include Ms Mary Day, CEO, and Mr. Kevin O'Malley, group clinical director, Ireland East hospital group; Dr. Susan O'Reilly, CEO, and Dr. Martin Feeley, group clinical director, Dublin Midlands hospital group; Mr. Gerald O'Callaghan, chief...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I thank Ms Day. I invite Dr. Susan O'Reilly to make her opening statement on behalf of the Dublin Midlands hospital group.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Where is the group's chief executive officer?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I thank the witnesses. As in the last session, I will ask members to come in in groups of three. We will bank the questions and then ask the delegates to respond.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: We need to keep things a little tighter if we are to come in on time.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I thank the Deputy. There are a number of questions there that are specifically for the south-south west group. I will first put the general questions to the other witnesses and will then come back to the south-south west witnesses for the specifics. The first of the general questions relates to income targets and what happens when a hospital falls short financially. The other general...

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Could Dr. O'Reilly explain how that works? It is hard to understand. The group is given a set budget and must operate within that budget, part of which is a target that the group is required to meet for private income. If the group falls short on that, how does it not have implications?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Explain to the committee the implications of not meeting that target.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Again, it is hard to comprehend how it actually works in practice. In the absence of a supplementary budget, which is what we are facing now for the future, it is hard to understand how falling short on private patient income does not have implications for service provision.

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