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

Mary Butler: I will come in there, if the Deputy does not mind. That €3.2 billion is a huge spend, as the Deputy said. It is a huge proportion of our budget. We have 1.6 million people with medical cards and 185,000 discretionary cards, so 1.8 million people have medical cards. A huge proportion of those are older people who would depend very much on their medical card for drugs. That also...

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

Mary Butler: Can I clarify that? Is the Chair saying that when a person is going for a colonoscopy - obviously he or she has to have that preparation - that preparation is not covered by the medical card and they must pay €25 for it?

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

Mary Butler: We will certainly look into that.

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

Mary Butler: I thank the Deputy for the question and his interest. He is right that there are a lot of challenges with CAMHS, but a lot of good work is happening too. Out of all people hired by the HSE, there are 10,500 whole time equivalents working in mental health services. Regarding CAMHS specifically, 820 whole-time equivalents are working in CAMHS across 75 teams the length and breadth of the...

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

Mary Butler: We have successfully managed to recruit consultant psychiatrists in other parts of the country. There have been challenges in the Kerry area for quite a while. We have two pieces of good news. For the first time in the history of the State, we have a youth mental health office. Mr. Donan Kelly is the lead and he took up his post on 1 September. I met him last week. In addition, for...

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

Mary Butler: For clarification, the Minister of State, Deputy Rabbitte, is now in the Department of Children, Equality, Disability, Integration and Youth. I-----

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

Mary Butler: They got my name wrong.

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

Mary Butler: I was there.

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

Mary Butler: Some €75 million was allocated for private placements in 2023 under the mental health budget. In 2024 the spending allocation for private placements will be increased by approximately €10 million. There will be €3.75 million invested to support people with an existing need for private placements and another €5.8 million to provide full-year funding. In addition,...

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

Mary Butler: I thank the Deputy for question, which she raises consistently. In 2019. we were providing 17.9 million hours.

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

Mary Butler: Yes, but we have to put into context that we have increased the figure by 3 million hours over the last three years. This year we will deliver 21.5 million hours

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

Mary Butler: No, we will deliver 21.5 million hours this year. Next year the service plan is to deliver 22 million hours. That is all we can do with the staff we have.

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

Mary Butler: The latest advice I have from the Department is that we are ahead of target this year. We have delivered an extra 4% of hours and we will deliver 21.5 million hours.

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

Mary Butler: We were ahead of target for this year.

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

Mary Butler: In order to bring in the tender on €723 million, which was the budget for this year, there was no other money available to-----

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

Mary Butler: I do not think it is a failure that 54,000 people have received home care today. The Deputy referred to-----

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

Mary Butler: The Deputy asked me a question and I will answer it. The Deputy has to be fair about the waiting list. There is no one on the waiting list who is not funded for a package. Some 3,000 of those people have a partial package from Monday to Friday, but there are challenges at the weekend. Approximately 2,900 people are new entrants who come into the system constantly. Let us be fair here....

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

Mary Butler: The budget was not cut this year. The budget is €723 million, which will fund 22 million hours this year. We will not reach 22 million hours. We have funding for next year which will also deliver 22 million hours, which is our protected target

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

Mary Butler: It is not smoke and mirrors. The Deputy cannot say that to the 54,000 people who are receiving home care today while we are sitting here.

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

Mary Butler: I get the figures every week. It is actually 60 people who are waiting on late discharges of care. We are doing everything we can in every CHO to make sure we can implement the programmes for them. There is a dedicated focus on that every week.

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