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Health Service Funding: Motion [Private Members] (24 Oct 2023)

David Cullinane: Those are Fine Gael policies.

Health Service Funding: Motion [Private Members] (24 Oct 2023)

David Cullinane: I could not agree more.

Health Service Funding: Motion [Private Members] (24 Oct 2023)

David Cullinane: Not all core.

Health Service Funding: Motion [Private Members] (24 Oct 2023)

David Cullinane: Hear, hear.

Health Service Funding: Motion [Private Members] (24 Oct 2023)

David Cullinane: I move: That Dáil Éireann: notes that: — it is widely accepted that the Government has chosen to underfund the Health Service in Budget 2024; — comments made by the Minister for Health, Stephen Donnelly TD, recorded in the Irish Times on Thursday, 12th October, 2023, stating "it is entirely likely that a supplementary budget will be required next year";...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: The answer then is that the health service is not adequately funded for 2024.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: Let us unpack that a little. We have to go back to last year to understand better what might happen next year and the funding implications for the health service under budget 2024. When Mr. Gloster was most recently before this committee, he said that the cash deficit for 2023 was likely to be approximately €1.1 billion but what he called the income and expenditure line deficit would...

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: -----that there would be a deficit in the region of €1.5 billion. Is the estimated deficit for 2023 still approximately €1.5 billion?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: Okay, but it will be in the territory of €1.4 billion to €1.5 billion.

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: Mr. Gloster and the Secretary General have been consistent in saying that the two main drivers are the fact that health inflation is running high at the moment and increased demand. There was a third element in relation to cost controls and so on but over two thirds of the deficit is the result of inflation and demand. Is that correct?

Joint Oireachtas Committee on Health: Consideration and Implications of 2024 Health Services Funding: Discussion (24 Oct 2023)

David Cullinane: For 2023, we could end up with a deficit of between €1.4 billion and €1.5 billion, as Mr. Gloster has said. If we were to achieve all of the savings and efficiencies about which the Secretary General spoke and which may be put in place for next year, and also taking into account what has been put in place for this year, even if we were to achieve the top end of that, it would...

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