Results 2,001-2,020 of 26,350 for speaker:David Cullinane
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Would it be unusual for the HSE to be writing a service plan that builds in and guarantees a deficit?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: It would be unusual. I would say that it is highly unusual and unprecedented. I want to deal with the consequences of this. We are hearing that this will not impact patients on the front line but I disagree with that because no additional funding has been provided for new services or for all of the clinical programmes and national strategies. Mr. Gloster mentioned in his opening statement...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Mr. Gloster said there is no new funding so-----
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: With respect, pre-existing does not cut it. I am talking about core additional expenditure in budget 2024 for any of these programmes. How much core additional expenditure has been provided in budget 2024 for the national stroke strategy, as an example? What is the round figure?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Is it zero?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: I understand that. I am asking for a figure. Is it less than €1?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: It is zero, essentially.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: The HSE does not have a figure because the money was not given.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Exactly, so if the question can be answered, how much additional funding has been given for the national stroke strategy? The likely answer is zero for 2024, with respect to additional core expenditure. Is that correct?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: I would imagine that is the same across a lot of programmes, so budget 2024 will have an impact on the delivery of services and improving all those clinical programmes and national strategies. I wish to ask Mr. Watt about these 1,500 rapid-build beds we had a lengthy discussion on with the Minister. I raised it with Mr. Gloster and Mr. Watt a number of times. Additional capital might...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Does Mr. Watt see any of those beds being delivered?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Of the 1,500?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: Hope will not cut it, because the Minister was emphatic when he was here. To finish in the few seconds I have left, even the embargo and the fact there is a recruitment embargo on some front-line positions, though not all, sends out a very poor message at a time when we are trying to recruit into the health service. When those who work on the front-line, but especially those who are in...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: I am not putting the blame on Mr. Gloster. I have put the blame firmly on the decision to underfund the health service for budget 2024.
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: The Dáil taught me well, that is all I will say. I have learned a lot. I want to come back to the issue of additional beds for next year. When I was putting questions to Mr. Watt earlier, it was in the context of these 1,500 rapid-build beds that the Minister had more or less announced a number of times. We had a very lengthy discussion here in this committee room and he said that...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: In the real world, and we all live in the real world, how likely is it that 700 of those beds will be delivered and opened in 2024?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: People can read into that answer what they wish. The Minister made a big announcement in regard to these beds and it is quite obvious, certainly in the budget allocation, that they are not funded. There may well be more funding coming, as Mr. Gloster said, but at the moment, there is no funding for those beds. I would be amazed if any of those beds were delivered in 2024, which would be a...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: I accept that. This is where I want to be 100% factual. I have no problem with the carryover of investment from last year and with that being put in place this year. I acknowledged investment was made in previous years in primary and community care but in budget 2024, in terms of new measures and new funding for community care, the answer again is zero. Is that correct?
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: How then is the change being talked about meant to be delivered if there is no new funding in budgets, given time is lost very quickly? We have agreed as an Oireachtas that the basis of Sláintecare is to reorient care into primary and community care. I hope the regional health areas will be established quickly. That is one of their logics as well. If additional core funding is not...
- Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)
David Cullinane: When Mr. Watt says shift to the left, does he mean politically?