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Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Catherine Connolly: That is okay.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: The last presentation we had was about dependency. Who would be in a position to answer that question about the levels of dependency?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: It was in respect of the levels of dependency. That was one of the reasons the HSE gave for the higher cost for public beds and nursing homes. One was the higher level of dependency.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Just on different levels of dependancy, what was said previously was that in private nursing homes as in public nursing homes the same level of high dependency exists. Indeed, everyone except for social cases that are assessed under fair deal, are all high dependency. Is that a correct statement?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Absolutely. Then there is a clinical assessment. Am I wrong in understanding that there are different levels of dependency within that clinical assessment?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: So different homes would have a number of residents, some with higher levels of dependency than others.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Is Mr. Fitzgerald in a position to comment on private nursing homes as opposed to public ones in respect of the highest level of dependency?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: On the 80-20 balance, I have asked before who has decided it. Has it happened just by default?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: I saw the bed stock being reduced. I saw St. Francis's home. The Chairman is gone but he has fought a battle for Abbeyleix at the same time. In the week it was close, the HSE made an announcement that there were not enough public beds, which was particularly difficult to accept at the time. What is the proper balance? What is the policy that the HSE has been given by the Government?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: That would have happened in respect of a home in Oughterard in Galway. Is Mr. Fitzgerald familiar with that?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: My final question before I go back to Mr. Horan is to ask why beds remain empty in public nursing homes if there is no distinction and if each patient is assessed under fair deal. If every resident is assessed, that is income for the home whether it is public or private, is that not right?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: We have a situation in Carraroe in the heart of the Gaeltacht where I have lost track of how many beds are empty - I think it is 13 - while the hospital is at crisis point. Why would that happen?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Public or private.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Only limited by geographic accessibility.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: In terms of choice of private nursing homes coming forward for assessment, is that down to the price negotiated as was said previously? Is it open to every single nursing home to come under fair deal?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: I am just going to go back for my last ten or 15 minutes.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Going back to the National Treatment Purchase Fund accounts, the rent is extraordinary. It is on page 17 of the financial statement. The rent and the increase are extraordinary. The rent for 2015 was €442,897 and it has gone up to €603,805. Can Mr. Horan explain that, please?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: While he is doing so, the professional expenses have significantly jumped from €61,624 - have I got the witnesses' attention or am I losing them? We are looking at page 17.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: On page 17 we see huge changes in office rent and professional expenses. Advertising and promotion shows a huge increase. I have mentioned the office. Professional services have gone from €61,624 up to €414,941. Advertising and promotion has gone from around €8,000 to around €78,000. Can we take those three and see what explanation we can have?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Catherine Connolly: Could Mr. Flood say that again?

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