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Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: What about the €74 million? From a cash perspective-----

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: That is from 5 November.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Is Mr. O'Brien telling me he expects the €74 million to come back within 140 days of that, that the likelihood is that it will not be paid before the end of March 2013?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I will make some final comments. The €74 million should be reflected in the accounts of the HSE for 2012 and not 2013. It will provide leverage and may lead to a position where we would not have to affect front-line services.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I do not want to harp on. There is €74 million in fees that have not been invoiced by consultants. The HSE is required to make €58 million in adjustments relating to front-line services. The €74 million, or at least €60 million, should be sitting in the HSE bank account. Perhaps €10 million would be outstanding in the normal way. The witnesses are...

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I had a quick look at the three sections - care groups, hospitals and primary care reimbursement schemes. They seem to make up the bulk of the over-run. What is the composition of the care groups and the primary care reimbursement schemes? I know about the hospitals.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Do those figures factor in medical cards?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: What about unclaimed fees?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I am only interested in the figure.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: That is in respect of unsigned claim forms. The HSE is making €58 million in front line cuts while €74 million is outstanding because consultants have not signed forms to claim money from insurance companies. Given the fact that the HSE is making cuts of €8 million to home help services, how can the HSE stand over this situation or allow it to continue? It makes no sense.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Does the €372 overrun to the end of September exclude the €74 million?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Is the €69 million included in the €74 million?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I assume that insurance companies have not been billed for the €74 million.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Is the €372 million calculated on a cash basis or an accruals basis?

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: The figure is more or less the same at approximately €350 million.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: If the HSE submits a bill, it must wait approximately five months to be paid by an insurance company. In layman's terms, why is €74 million outstanding and how does the HSE propose to address the issue? Given the information provided by the witnesses, the HSE would not be required to make front line cuts if the bills were paid. They stated that front line services would be cut by...

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I am making a simple point. If the €74 million had been billed-----

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I hope that the relationship we have built up over a short period will result in a good working relationship. What happened at the start of the meeting is unfortunate. The witnesses need to realise the role of the Committee of Public Accounts is to consider public expenditure. It is never personal and this should be borne in mind as we work. I wish to refer to one local issue and then a...

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: Without being glib, I contend the HSE is well aware of this matter. It will take only a minute and I expect we will get an affirmative response.

Public Accounts Committee: Vote Management and Budgetary Situation in 2012: Discussion with Department of Health and HSE (9 Oct 2012)

Kieran O'Donnell: I welcome that. The inspection should take place immediately. I understand Limerick regional hospital is now ready for the inspection. It should not take three weeks. I have no doubt that, if that inspection takes place, the 24-hour cardiac service will be made available in Limerick. It is not good enough that patients were not aware of the matter. This problem has featured since 1...

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