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Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: Would that apply in third countries if our graduates emigrate? Do they have to have individual registration in each country or is it general-----

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: Are other EU countries having difficulty filling posts, as we are here? I am conscious of the cost of the services and the fact that we are not the lowest spenders on health generally, but we may be the lowest spenders on consultant posts. That is a query.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: People who emigrate to Dubai or Abu Dhabi, that is, graduates who want experience and presumably want to do the best they can for themselves have a choice. They can go to Australia, the United States and do the registration and whatever else. The choices are to go to the Middle East or to Australia. What is the difference there? How can we compete with that?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: English-speaking countries.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: There are no applicants for some posts? Are those posts particularly unattractive and, if so, for what reason?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: That was my original question.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: I need an answer now. The question I raised related to the number of legal actions-----

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: The Chairman bypassed me and said he would come back.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: That is overlapping and I object to that. I certainly do not intend to stay here if that is the way the Chairman intends to operate. The question was distinct and clear-----

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: My unanswered question relates to whether there is a noticeable correlation between the number of legal actions taken against fully qualified consultants and those who are deemed not to be fully qualified. It is a simple question so would anybody like to answer it?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: There must be a difference in the risk between the non-qualified consultant, or whatever we would like to call it, and those who are qualified. There must be a difference in the number of cases of actions taken by patients against one or the other. It must be noticeable. If there is no difference, why is that so? There is another question that was not answered relating to the number of...

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: The supply of practitioners is obviously a core issue at all levels, and particularly at the consultant level. However, we cannot get graduates on to training schemes and we do not know why. There is a greater urgency now than there was before. Have we taken action that would accelerate the access and availability of schemes? Why have we not done it? Are there plans to do it?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: It was stated at the beginning that quite a number of graduates cannot get on training schemes. Is that true?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: What is the percentage of the total requirement?

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: It should be.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: I have a related question. We are one of the top four or five spenders on general health services. Will our guests give us an idea of where we are spending more since we have fewer consultants per thousand of the population than most of our competitors across Europe and the OECD countries. Can some light be shed on where we are spending our money to bring us up to that level? There must...

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: The proportion of our population, however, in the younger age profile is significantly higher than many other comparable OECD countries. That is because of in-migration and the fact that in the last recession many young people who left the country came back quickly, or were stuck and could not go at all.

Joint Oireachtas Committee on Health: Medical Council Specialist Register: Discussion (2 May 2018)

Bernard Durkan: I will not delay the meeting any further on this matter but there is another issue to consider. For instance, if we compare the age profile of the population in Germany they are at a distinct disadvantage compared to this country. We have a huge advantage in terms of our young population, which most other European or OECD countries do not have. I cannot get to the bottom of this. I have...

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: Are all the professionals encompassed within the regulations satisfied with the changes before us here?

Joint Oireachtas Committee on Health: Health and Social Care Professionals Act 2005: Draft Regulations (2 May 2018)

Bernard Durkan: Are there any disappointed people who might have wished to be associated and encompassed within the new regulations who are not covered?

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