Results 2,421-2,440 of 27,087 for speaker:David Cullinane

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Why could that answer not have been given five minutes ago, that is, that we do not have the funding for it? That is what Mr. O'Connor just said, that is, that we do not have the funding for it.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Why was that not said earlier when I first asked the question? We do not have the funding for it. We need the funding for it. It cannot be funded within the current capital envelope. Is it the case that we need additional funding?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Okay. I have a final question. Again, it frustrates me that we have all of these promises and we have a lot of capacity constraints in the acute sector and in primary and community care. I have outlined all the issues where we have snail's pace progress and it is very frustrating for members of this committee. It is like Groundhog Day, having the same conversations with the Department and...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: I hope not as well but I would not-----

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Not if there is a change of Government. I will ask about the integrated health areas mentioned in the report, Organisational Reform - HSE Health Regions. This is an interesting one because I have been asking about this for some time. We will have the health regions, CEOs, and a single tier of management at that senior level. That makes sense. At a local level at the moment, we have a...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Is there some sense of it?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: There will be 20 of those and they will be for a population of up to 300,000 people. Will a hospital or hospitals and community be included within that integrated health area?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Leads, managers or chief officers.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: This is part of the problem. I did not ask about the 1,200 beds that were funded, some of which are still not delivered. I am asking about the 1,500 beds that the Minister waltzed into this committee and said, in fairness to him, were a priority. It was repeated on a number of occasions, including by the heads of the HSE and the Department, and we were promised rapid delivery. I am asking...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: Will there be managers for each of these integrated health areas, IHAs?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: There will be a management lead anyway.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

David Cullinane: What I am trying to understand is whether we will end up in a situation where we will not have a chief officer and a hospital manager and what we will have is a lead for IHAs that will cover both community and acute. Is that ultimately where we want to land?

Confidence in the Minister for Justice: Motion (5 Dec 2023)

David Cullinane: It is not a point of order.

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I thank the Minister of State for all that. I also thank her officials for the work that has gone into this Bill. It is debated annually. It seems to be Groundhog Day in that we have the same discussion on it every year. It has to be done; it is going to be on our annual cycle of Bills. Its purpose is to review the risk equalisation mechanism. As the Minister of State said, it deals...

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I move amendment No. 1: In page 3, between lines 14 and 15, to insert the following: “Amendment of section 7F of Principal Act 2.Section 7F of the Principal Act is amended, in section 4A, by the substitution of the following paragraph for paragraph (c): “(c) In respect of each of the following applicable 3 year periods— (i) the 3 year period from 1 January 2020...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I welcome the Minister and the Minister of State and their officials. I will start by echoing the Minister's comments on immigrants who work in the healthcare service and the many people who keep our health services going who have come from so many different countries around the world. In the past 18 months, I have visited 18 hospitals and have met a lot of staff. I am blown away by the...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I understand that.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I know that.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: But it is basically, in very simple language, money owed, invoices that will have to be paid. The head of the HSE was very clear. What we needed is €1.5 billion; what we got is €1 billion. Bills will have to be paid, and whatever that difference is, it is not provided for in budget 2024 for next year so it has to go now as a first charge. I just put it to the Minister that...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I am going to make one final point.