Results 2,581-2,600 of 11,979 for speaker:Billy Kelleher

Written Answers — Department of Health: National Children's Hospital Expenditure (9 Feb 2017)

Billy Kelleher: 204. To ask the Minister for Health the reason the €560 million estimate to build the new children's hospital provided by his predecessor to Dáil Éireann in 2012 has been at such variance from the final tender; if it is correct that a €1 billion cost has now been agreed for the building of the project; the estimates for the costs of information technology and for other...

Written Answers — Department of Health: National Children's Hospital Expenditure (9 Feb 2017)

Billy Kelleher: 205. To ask the Minister for Health the estimated cost per bed in the new children's hospital; and the reason it varies so much from the normal €1 million capital cost per bed previously provided in HSE estimates. [6564/17]

Joint Oireachtas Committee on Health: Illicit Drug Trafficking: Motion (8 Feb 2017)

Billy Kelleher: If it helps the joint committee, I approve of the motion. We were asked to consider and have considered it. I thank the Minister of State for her explanation.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: I welcome the witnesses. I was here for Dr. Herity's testimony earlier. He stood over his report. I would have expected nothing less from the author of a report but it was important that we heard him. Clearly, there are very divergent views on the report and it is important to hear the views of the witnesses before us as well. In that context, we now have a situation where that report...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: As it stands, they go to University Hospital Waterford.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: I should have said they go to Dublin; I apologise. Is it the case that nobody goes from Wexford to Dublin?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: If it is in hours, however, they automatically go to Waterford.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: If it is out of hours, they go to Dublin because there is no service in Waterford.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: I ask that because 4% of the procedures carried out in Waterford are primary PCIs, in other words, acute heart attacks. As it stands, how many primary PCIs are carried out in a year in Waterford?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: If the figure was, say, 65, the accepted standard now is approximately 150 for a unit to ensure it would have the skills set mix and so on; it was previously 100. Dr. Herity says it has been increased to 150. If the service was provided 24 hours a day, seven days a week, what would be the expected throughput in terms of primary PCIs?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: Is Dr. Owens satisfied from a clinical point of view that if there were 24-7 catheterisation laboratory facilities in Waterford, there would be enough throughput to keep teams skilled as required?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: Yes, but statistics are available for clinical reasons.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: The Herity report says what it says. The witnesses have varying views. The committee does not have the authority to sanction catheterisation laboratories, or public expenditure for that matter, but what we would like to do is determine how we can address this issue. I do not believe there is a big bang solution to it. Dr. Owens said at least six or seven interventions cardiologists would...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: That is a 24-7 service for planned procedures and primary PCIs.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: Yes, but a five days a week-----

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: The key point is to accept Herity's recommendations on the planned non-emergency procedures. To provide a 24-7 service on primary PCIs, in other words, acute heart attacks, how many interventionist cardiologists would be needed?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: To fulfil the recommendations in Herity's report regarding planned non-emergency procedures, in addition to 24-7, seven days a week emergency cover, how many-----

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: In terms of a phased increase, what would be the first steps and the priorities?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: The bottom line is that a second catheterisation laboratory would be needed.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Billy Kelleher: This question is to all four witnesses, and I thank them for their evidence. I have raised this matter with Health Service Executive, HSE, officials, not only in the context of Waterford but nationally, also. At what stage does a clinician feel obligated to express the view that practices are unsafe and the services cannot be delivered because of a lack of supports from management? Have...