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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Mr. Watt proffered a figure, with which Mr. Gloster agreed, and I hope I am right about the sequence. Can Mr. Gloster remind us what the figure was, the anticipated figure and the rate of health inflation? I know health inflation is a global issue but what is the percentage here?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Yes. I want to know the percentage.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Last week, the Secretary General of the Department of Public Expenditure, National Development Plan Delivery and Reform appeared before the finance committee. When he was asked whether health inflation could be as high as 17% he responded by saying, "Absolutely not." He also said, "I am not aware of what that is based on." He basically said that he had no knowledge of the rate of health...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Hold it there. If Mr. Gloster is right, and the Secretary General of the Department of Public Expenditure, NDP Delivery and Reform is right, then the Department of Health failed to inform him as to what heath inflation is. It got worse because Mr. Gloster also said that at least two thirds of the deficit for this year will recur into next year. That is the figure Mr. Gloster gave - two...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: He estimated that the majority of it would recur next year.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand that.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: That is my point. Again, that was put to the Secretary General. About the majority of the deficit for this year recurring next year, the Secretary General stated "That position has never been presented to me" and "It would not have arisen". How did the HSE and the Department of Health fail to inform the Secretary General that the majority of this year's deficit was going to recur next...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I want to make a point to the Chair.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand, but this is an important issue. I will make this point. We are facing into a year in 2024 where the head of the HSE has directly said that the health service is not adequately funded. We know all of that and do not need to go back over all of that ground. However, it strikes me as incredible and unbelievable that the Secretary General in the Department of Public Expenditure,...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It is the Department of Health. I understand that.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: The pause means gone. I will come back to next year. What was the net increase in staff in the HSE or what is the projected net increase for 2023?

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: Every single patient and healthcare worker in this State should watch back the Minister's response to our motion here today. What they will see in the Minister's response is that he spent most of his time attacking Sinn Féin. He points to the North which, obviously, Ministers do every time they are under pressure. What the Minister failed to point out is that in the last two elections...

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: €1.3 billion is a lot-----

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: The Minister for Health was looking for more money.

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: He is obviously taking the soup.

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: The Minister is scraping the bottom of the barrel now.

Health Service Recruitment Freeze: Motion [Private Members] (21 Nov 2023)

David Cullinane: I move: That Dáil Éireann: notes: — that the Government's mismanagement of the health budget has led to a disastrous embargo on recruitment into frontline posts; and — the memorandums sent by the Chief Executive Officer of the Health Service Executive (HSE), which directed a severe escalation in the recruitment embargo across the health service, and which...

Health Insurance (Amendment) Bill 2023: Second Stage (21 Nov 2023)

David Cullinane: I am sharing time. I thank the Minister of State for her opening statement. This is an annual Bill to review the risk equalisation mechanism which supports the community-based health insurance market. It revises the stamp duty levy on policies and the risk equalisation credits payable to insurers for 2024. As a principle, risk equalisation ensures that costs are constant across the...

Written Answers — Department of Health: Health Services Staff (21 Nov 2023)

David Cullinane: 524. To ask the Minister for Health the number of posts removed from profile as a result of the memorandums CEO ref. 09954 and 10166 of 2023, by grade for each care group, further broken down by service location; the number of headcount posts; the WTE to which these relate; the number which were new posts; and the number which were replacement posts or vacant posts and the number which were...

Written Answers — Department of Health: Hospital Staff (21 Nov 2023)

David Cullinane: 525. To ask the Minister for Health the number of posts removed from profile as a result of the memorandums CEO ref. 09954 and 10166 of 2023, by grade for each model 2, model 3 and model 4 acute hospital; the number of headcount posts and the WTE to which these relate; the number which were new posts and the number which were replacement posts or vacant posts; and the number which were...

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