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Health Services. (5 Jun 2008)

Mary Harney: The HSE produces——

Health Services. (5 Jun 2008)

Mary Harney: No. The organisation has to live within the resources allocated to it.

Health Services. (5 Jun 2008)

Mary Harney: No, it does not take it off front line services. We had no palliative care specialty or facilities a couple of years ago. Ireland was the second worst country in Europe. In addition to the inpatient services we are developing, we also have huge investment in home care services in palliative care.

Health Services. (5 Jun 2008)

Mary Harney: Clearly——

Health Services. (5 Jun 2008)

Mary Harney: The voluntary organisations are supported by the State.

Health Services. (5 Jun 2008)

Mary Harney: Much of the support for the voluntary organisations comes from the HSE. For example, the Blackrock Hospice is a voluntary organisation but the activity is funded by the HSE. Equally, while the HSE is not directly providing the beds itself, it is funding various hospices around the country to provide the service. In Milford, for example, which I visited on a number of occasions——

Hospital Services. (5 Jun 2008)

Mary Harney: The aim of the co-location initiative is to make available approximately 1,000 additional public acute hospital beds for public patients by transferring private activity, with some limited exceptions, from public acute hospitals to co-located private hospitals. The process for the development of the co-located private hospitals is governed in each case by a detailed project agreement between...

Hospital Services. (5 Jun 2008)

Mary Harney: I am surprised at the Deputy's question. St. Vincent's and the Mater in Dublin are two cancer centres with co-located facilities. There will be a single clinical governance on the site. Clearly, the whole purpose of the initiative is to free up approximately 1,000 beds. In the case of these six hospitals, we are talking about 600 beds. Those 600 beds will be provided for €80 million in...

Hospital Services. (5 Jun 2008)

Mary Harney: As the Deputy knows, we have approximately 50% of the consultants we need and we will double that. We have advertised for 128 new consultants so that we will have consultant-delivered services. The arrangements will not be made centrally, but will be made on the ground at each hospital. The private provider will be responsible for the employment of all the staff to run the private...

Hospital Services. (5 Jun 2008)

Mary Harney: There is grave concern among a tiny few clinicians. It is not the case with most clinicians that contact me, including clinicians that have contacted me over former Deputy Joe Higgins's objection regarding Beaumont. They are very upset about it.

Hospital Services. (5 Jun 2008)

Mary Harney: I think I might know to whom the Deputy is talking.

Health Services. (5 Jun 2008)

Mary Harney: The key objective of the primary care strategy is to give people direct access to integrated multi-disciplinary teams of general practitioners, nurses, physiotherapists, occupational therapists, home helps and others. It is clear that the membership of primary care teams and networks are drawn from existing professional and other staff working in primary, continuing and community care...

Health Services. (5 Jun 2008)

Mary Harney: If Deputy Reilly was in my job, the economy would have gone under a long time ago because he thinks we should treble and multiply funding, representing, as he does, every vested interest that arises in health care.

Health Services. (5 Jun 2008)

Mary Harney: There is huge investment in public health services, as Deputy Reilly well knows. It is not all a question of additionality, but of switching activity from the acute to the primary care setting.

Health Services. (5 Jun 2008)

Mary Harney: Some GPs cannot get a GMS practice.

Health Services. (5 Jun 2008)

Mary Harney: I hope Deputy Reilly does not stand over that. It would not make sense training more GPs if they cannot get access to the GMS.

Health Services. (5 Jun 2008)

Mary Harney: I am delighted to hear that and Deputy Reilly might use his influence on others.

Health Services. (5 Jun 2008)

Mary Harney: Deputy Reilly negotiated a restriction on that on behalf of his profession.

Health Services. (5 Jun 2008)

Mary Harney: I am very surprised to hear Fine Gael would close down the National Treatment Purchase Fund that has very successfully treated more than 100,000 patients. A Fine Gael Deputy here for the vote, Deputy Sheehan, asked me about somebody needing a hip replacement in west Cork and when I told him about the treatment purchase fund, he said he would be very delighted to get some information to tell...

Health Services. (5 Jun 2008)

Mary Harney: The treatment purchase fund has been highly successful and I am amazed Fine Gael plans to close it down. Many people would be surprised at that. Some 630 staff have been assigned to primary care teams and I had the opportunity to visit one of them in Castleisland last Friday. It is not just about additionality but about how people work together and how the existing resource of public health...

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