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Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: If that is okay, Professor O'Dowd can keep track of the questions. We will bring in Deputies Louise O'Reilly and Billy Kelleher.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I thank Deputy Kelleher. Some leeway will be given to Senator Dolan who must attend Commencement Matters in the Seanad. His questions will be brief and we will then revert to the witnesses to respond.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Many questions have been posed. Perhaps Professor O'Dowd will deal with Deputy O'Connell's reference to clinical versus community pharmacists and their involvement in general practice.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I thank Dr. Keegan. I have a few questions for Dr. Wren. How will the demographic changes predicted by the ESRI be reflected in the demand for care? We all see such changes happening at the moment. It is almost an actuarial equation. Given a certain population and a certain age profile within that population, we know that there will be a certain number of strokes, hip replacements, heart...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: It is assumed on the second page of the report that there will be no change in the model of care.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: The Sláintecare report recommends a substantial and almost revolutionary change in the model of care. How do the ESRI's predictions feed into an altering model of care?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I have another question before opening the discussion to other members. Sláintecare proposes a separation of private care in public hospitals. Dr. Wren refers in her opening statement to the mix of private and public care. Sláintecare sees the mix of private care in public hospitals as an inhibitor of change and believes it has a negative effect on the provision of care. Does...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I will bring in some of the other members and we can return to some questions that have not been addressed. I call Senator Colm Burke who will be followed by Deputies Margaret Murphy O'Mahony and Bernard J. Durkan.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Perhaps Dr. Wren might like to lead off in answering those questions.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Thank you Dr. Keegan.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I am sure Professor O'Dowd would like to address a number of questions.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I have two questions on Sláintecare for Dr. Wren and then some for Professor O'Dowd. Sláintecare promoted universal care delivered on the basis of need not the ability to pay. That was its founding principle. One of the principal recommendations of the Sláintecare report, as with many others, is that there must be a fundamental shift from hospital care to primary, community...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Was there much difference between those number based on those two methods?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Will Dr. Wren send that data to the committee?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: In GP manpower, as Professor O'Dowd will probably be aware, there is a difficulty in people accessing their GP because there are not enough GPs to service the population. Deputy Louise O'Reilly referred to it - GP lists are closed. There is the growing entity of walk-in GP clinics. A GP sets up on a street corner and anyone can just walk in. There is no continuity of care. It is a...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: The UL department of general practice is proposing a system where graduates who come out of GP training schemes would work in a practice that has difficulty recruiting a doctor. One would put two GPs in a practice and they would work 60% opposite each other so that each would be there three days a week, they would overlap one day a week and the rest of their commitment would be to the...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Have we not asked Dr. Wren any questions we should have asked her?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Has Senator Dolan any other questions?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: The Senator has expired. On behalf of the committee, I thank Dr. Wren, Dr. Conor Keegan and Professor O'Dowd for coming in and sharing their thoughts this morning. That concludes our business for today.

Topical Issue Debate: Marine Safety (15 Feb 2018)

Michael Harty: The issue I raise is marine safety and marine rescue services at Kilkee, a popular seaside resort in County Clare. This is an important issue for those who use coastal waters and those who operate marine rescue and recovery services. These are essential services and a vital component for those who make a living from fishing off our coast, those who engage in recreational activities and our...

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