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Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: A 40-hour commitment for inpatient work.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Then they do their outpatient clinics on top of that.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: However, the €150,000 or €160,000 contract only covers one element of their work. They then have private income from consultations.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: There was a related question from Deputy Durkan about the split of Irish and non-Irish consultants that the Beacon Hospital employs.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Do you have a rough calculation?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: That goes without saying.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: You said 90% of your patients are covered by private health insurance, Mr. Fitzgerald. Is that correct? I am unsure what the comparable figure is, but presumably it is low.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Could Mr. Fitzgerald clarify whether the charges agreed with the insurance industry are across-the-board agreements or whether they are agreed per hospital?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: The hospitals negotiate individually. There are four more speakers. I call Deputy Kelly.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: In the context of an universal single tier system, what role would Mr. Nugent see for private hospitals?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: I think it is important to point out that the finding was on the basis of the absence of a measurement system for consultants on public contracts. We had the phenomenon of people who were on a long waiting list for Doctor X so they went through the NTPF and in some cases they were treated by that same Doctor X, but in the private system. Concerns were raised about that -----

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: ----- circular phenomenon and the lack accountability for consultants at public hospital level.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: That whole project is being headed up by the HSE. I understand that the private hospitals will fall in with whatever is proposed for the public system.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Do the witnesses have a rough, ballpark figure for the percentage of patients who are referred to specialist public centres?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Okay. The private sector is dealing with approximately 1,000 emergency department patients per week. Is that correct?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: What percentage of those patients would be transferred to public hospitals?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Is it an expanding area or is it contracting?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: There were a number of questions from Deputy John Brassil on the consultant contract. The witnesses before us are consultants. I ask them to give us a picture of the kinds of contracts that are in place.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: The second figure of 800-----

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: What percentage of consultants have contracts to work in the public sector?

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