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Joint Oireachtas Committee on Health: Awareness, Prevention and Services for the Treatment of Sepsis: Discussion (15 Nov 2023)

Rose Conway-Walsh: I particularly wanted to be here because of Ms and Mr. Staunton. I think it was in 2011 that I met Rory in Westport, County Mayo. I can relate to everything Mr. Staunton says. I thank everybody for sharing their stories today. I think this is a game-changer in terms of how we approach this. Mr. and Ms Staunton said they had never heard of sepsis. We cannot now say that as legislators. ...

Joint Oireachtas Committee on Health: Awareness, Prevention and Services for the Treatment of Sepsis: Discussion (15 Nov 2023)

Rose Conway-Walsh: I am thinking of something that need not completely come under the shared island initiative. There could be contributions from both sides for an all-island institute. We can look at this, so everybody across the island, not just every child, would have the same treatment and there would be a consistency of messaging.

Joint Oireachtas Committee on Health: Awareness, Prevention and Services for the Treatment of Sepsis: Discussion (15 Nov 2023)

Rose Conway-Walsh: On a scale of one to ten, where are we in terms of sepsis awareness?

Escalation of Violence in Israel and the Occupied Palestinian Territory: Motion [Private Members] (14 Nov 2023)

Rose Conway-Walsh: I commend all the people who gathered in Ballina on Sunday. It was not lost on those in attendance that it is the ancestral home of Joe Biden. The response of European leaders to the onslaught on Gaza and to the indiscriminate killing of Palestinians is a failure they will have to explain to future generations. It makes a mockery of the much-claimed European values. When I look at the...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: I remind Deputy Durkan that it is not only the Opposition but all the Government parties' county councillors and backbench Deputies throughout the country who are critical of this funding and were critical of this budget. It was a shock to so many people, be they staff, patients or the wider public. Not since 2017 have we seen a lower level of additional funding being allocated to health....

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: This is what I am trying to get at. Last year, that figure was €254 million, the year before that it was €311 million and the year before that it was €149.1 million but we had the Covid pandemic at that time. Before that again, it was €643 million and it was €554 million in 2019, €269 million in 2018 and €266 million in 2017. Why was the...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: Are the figures for new measures I just mentioned, comparing year on year, even though things have changed in the budget? There are new advances in medicines all the time. Is the figure €100 million this year as opposed to €254 million last year? If anything, given advances in new technologies and so on, we would expect it to increase.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: That is why the figure stands out as being an anomaly. In 2017, the budget was not nearly the size it will be 2024, yet we only have €100 million for new measures. Are red flags built in for the Department of Public Expenditure, National Development Plan Delivery and Reform to indicate this does not look right because it is so small compared with other years? Who does the checks and...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: The Department obviously based that €400 million figure on something. It looked at innovation and new medicines that were available. This has nothing to do with savings that could be made. The Department projected that it would need €400 million to be able to keep up with innovation, the supply new medicines and so on but it got a quarter of what it asked for and thought was...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: How can we have an innovative, forward-thinking health service if just a quarter of what is requested is given? The Department would obviously be asked for a justification. I am just trying to get at how this all adds up or works. It does not add up to me. We are constantly talking about how we have Sláintecare and new innovations in health and then funding for new measures in the...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: I have concerns about innovating as otherwise the Minister is not a very good negotiator. That is what this is pointing to. Mr. Moloney, in his opening statement, noted, and the Minister often says this too, that "Ireland ranked first in the EU for expenditure on healthcare as a proportion of our national income and as a proportion of total government spending despite our relatively young...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: We can see the problem with the figures that are given out. Does the figure for Ireland include private healthcare?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: It is fairly significant. Does the figure on expenditure on healthcare given to the committee include private healthcare?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: It does, and I know that.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: Yes, it is in the ESRI report that it does. It does not seem relevant to me, in a discussion about funding for public healthcare, to put out figures for private healthcare. Does Mr. Moloney see what I am trying to say? We really need to get away from this approach of "What are you complaining about when we spend more as a Government?" We need to look at a number of things in terms of the...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: The issue is that we do not know. If we do not have all these variables and everything else to be able to do the measurements properly, do we really know where we are in respect of health spending? We bandy about a line - I am trying to be helpful – that the overall spend is whatever in proportion to whatever. However, the devil is in the detail regarding how the money is spent and...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: Apparently, the problem is that international evidence tells us that such a system with private, for-profit healthcare provides actually drives up the healthcare costs. We are driving up the costs of healthcare and then we are measuring but we are leaving out whatever does not fit a narrative. Are we trying to make things fit into a narrative here? Mr. Moloney does not create the policy...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: Where does Ireland rank compared with other OECD countries on public expenditure on healthcare?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: We do not know what our actual expenditure is on public healthcare delivery here and the outcomes we get for it. We talk about life expectancy, and that is fair enough and I agree. However, I would like to see the what the life expectancy is for those at the bottom decile compared with life expectancy as a whole. We are moving further and further away from a delivery of healthcare –...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Rose Conway-Walsh: Which areas have been identified? The Department has identified use of agency staff in terms of consultancy; I do not mean medical consultants but other consultancy. What is calculated there with respect to the deficit?

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