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Joint Oireachtas Committee on Health: Spinal Surgery Issues at Children's University Hospital Temple Street: Children's Health Ireland (28 Sep 2023)

David Cullinane: I thank Dr. Goldman.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Gabhaim buíochas leis an Chathaoirleach and I welcome the witnesses. I will not be putting questions to the witnesses on events in Temple Street and Children's Health Ireland, CHI. We have the chief executive officer, CEO, and witnesses coming from CHI tomorrow. I would imagine that we will be looking to talk to the HSE and the Department in due course. These are very serious...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Is it likely by the end of the year?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Does that include a CEO for CHI or is that separate?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: With regard to the new public-only consultant contracts, the strong cross-party support which existed for that has certainly helped. It is very welcome news from my perspective that there is, as Mr. Watt stated, more than 600 posts which are now in place and 160 new entrants. That demonstrates to those who were sceptical that once the contracts were in place, people would take them up. Is...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Mr. Watt is happy it is going in the right direction.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I need to move on to other questions. I am happy with those responses anyway. I refer to the increase of GP visit cards, which is something I also welcomed and called for last year. I was happy to see that progressed eventually, particularly for the six- and seven-year-olds, for which we were waiting for some time. I also agree on not going further in that space this year, so we did not...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: That is great. Is Mr. Gloster in a position to tell us what the projected cost overrun will be by year end? A number of us asked the junior Minister in the Chamber last week but we could not get the figure. The most recent estimate up to the end of July was €700 million. There has to be some projection. Does Mr. Gloster have a figure today?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: We have a note on that. My question is if we have a projected figure for year end, either from the Department, the HSE or both.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Will there be a need for a Revised Estimate?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: That is important and I will tell Mr. Gloster why. I got this under a freedom of information request. It is the minutes of the ministerial briefing from 23 March 2023. This is more for Mr. Watt because it talks about the national service plan, NSP, which we depend on, by the way, to ensure that it is accurate and all the information is provided. We need to understand what is happening in...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: It is unacceptable that pressure would be exerted on the HSE to amend the national service plan to not make reference to the level of financial risk.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: That is what it says - "To remove reference to potential funding shortfall". "To remove" - that is what it is written in these notes.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: No. It also states "or requirement for a supplementary [Estimate]". Mr. Watt is dancing on the head of a pin here.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Heads are rolling in here today.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: Maybe Mr. Gloster will respond to the issues raised by Deputy Durkan.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I will be very brief. I will not be taking ten minutes, only two or three minutes. I want to get clarity on the cost overrun. I listened to what Mr. Gloster said. He said there are three elements to it. One is health inflation running at between 17% and 20%. There is the rising pay, demographics and all of those issues, and there is also the additional demand, which Mr. Gloster has said...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: The existing levels of service, ELS, for next year could also require an additional €1 billion, so we could be talking about the need for €2.4 billion in additional expenditure to be provided to health, even before any new measures are funded. Would that be right?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: But it could be in that space.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (27 Sep 2023)

David Cullinane: I have one final question.

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