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Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I agree with the Deputy. We are developing a national genomics strategy and that is a key part of that. I would like to discuss that with the Deputy further and get his input on that. We agree there is a lot more opportunity for efficiency, but also better outcomes, through that strategy.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Indeed.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: First, I absolutely recognise the Deputy's more considerable experience in health than mine as a member and Vice Chair of the committee and a former Minister of State. He knows the background to many of these different issues. I answered Deputy Daly in relation to electronic health records but I might ask Mr. Tierney to come in on some of the greater detail.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: That is of particular concern. I look every day at the hospital trolley figures. I am quite aware that in some hospitals, particularly across the west, delayed discharges of care are a key metric in that. For example, I was in Letterkenny on 1 May and there were 46 delayed discharges of care. More recently, it has come down to 34. There is a community nursing unit being built across the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: What I am saying is we need to build new ones. We need more.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I could not agree with the Deputy more. That is why I am looking for capital funding for that sort of investment in community nursing homes and step-down facilities of a range of kinds. It is a much more efficient way, from a financial perspective, to look after somebody and a much better way to meet their needs when they no longer need to be in an acute hospital.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Not only that, but it is visible in the control room in University Hospital Waterford, where they track the electives coming in, who can be discharged based on this prioritisation of the diagnostics and where specifically they will go. Their integration with the community is one of the major reasons the hospital is being run so well and is able to maintain zero trolleys with the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: It is an area I am concerned about. There is a motion in the Seanad today, tabled by Fine Gael Senators, which raises this important concern. Notwithstanding fees to provide public dental having gone up from, I think, €44 million to €69 million and there having been more appointments, it is not meeting the need. From a whole-of-government perspective, between us and the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I will ask one of my more experienced officials to answer that.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I would very much like it earlier than that. I cannot overstate how important it is that everybody adopts this, including the section 38 hospitals. I say that very deliberately. It is very important that everybody adopts this system because that is the way to track spending across everyone. It is not just for the purpose of reporting, but is to make sure we have collective procurement and...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: It has all been mainstreamed at this point. There was a drop during Covid but much of this has been mainstreamed and is just going to------

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I will have to check that for the Chair.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: What is this in relation to?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Yes.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I will ask one of my officials for the Chair on that but it is very difficult because, for example, with sexual health, one of the key parts relates to the Rotunda where there is a major sexual health piece built into the funding of the hospital. The sexual assault treatment unit there is an excellent treatment facility in the Chair's constituency and does important work. It has been the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I might ask Mr. Tierney to answer that.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I will need one moment to check. As the Deputy has said, the agreement was reached on 10 March to fund the health, social care and homeless sector employees for a 9.25% increase equivalent to the public sector agreement and as the Deputy has said, they are backdated. The HSE is now preparing a process for providing funding to enable the increases. The Deputy knows the background to that. ...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: I am conscious we have that again tomorrow but I do not know the timing of it so I will check.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: Let me check.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Jennifer Carroll MacNeill: The increases are broken down; 2.25% on 1 October. I will provide this to the Deputy. It is easier rather than taking the Deputy's time reading it out but it is budgeted for.

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