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Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: All right.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Yes.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: When is the supplementary budget expected? Are we not heading in that direction?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: That is not, realistically, going to happen because we are going to be in deficit of a minimum amount of €400 million by November.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Did Mr. Reid not just say we are looking at a deficit of at least €400 million?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: We might not go that route.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I agree it is not sustainable but there is also the reality that care must be provided to people. I will get onto some of that stuff in a second. While it is not the intention at this stage, if we look at the figures in front of us at the moment, it is likely we are heading towards supplementary budget territory. Is that fair?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Did Mr. Reid say he is planning on it?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Okay.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I have limited time.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I will conclude on the capital expenditure Both Mr. Reid and Mr. Breslin are saying that the intention is that the capital plan will be well published before we go into recess so there will be time for the Committee of Public Accounts, the Oireachtas Joint Committee on Health, or the Oireachtas to take a view on it. Is that what they are saying?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Yes.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: On the capital side, we are more than €100 million in deficit at the moment but we are hoping to improve on that. The position may improve but, going on previous years, we may be heading towards a deficit of €400 million pro rataif the other three quarters follow the first?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: There is €2.8 billion available according to the summer economic statement, €2.2 billion of which is committed to pay agreements and so on. Unless there is a bumper November for corporation tax, it is likely that the HSE will hoover up all the fiscal space.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Okay.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I agree with that, as does everyone here. There was a report in today's edition of The Irish Times, which described a letter from the interim chief executive officer, Ms Anne O'Connor, to the Department describing that the capital situation, along with having to deal with cost overruns in the children's hospital in the years 2020 to 2022, "has made what was a very difficult situation now...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I did not realise Ms O'Brien was here. I obviously was not listening earlier.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: I will direct a question to her. Could she expand on that letter she sent to the Department of Health? She stated this "has made what was a very difficult situation now almost impossible". I suppose she qualify this with the word "almost". Does she envisage substantial cuts to capital projects to facilitate a lack of funding in her own experience, as she hinted in that letter?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: Is Ms O'Connor saying it is about the timing of moneys becoming available?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Marc MacSharry: The Chairman can stop me whenever I am out of time but I will probably come in during the second round of questioning anyway. Home helps in some CHO areas, particularly those in counties Cork and Kerry and in my area of Sligo-Leitrim, are facing an effective moratorium at the moment. The Minister has been saying that X number of hours have been funded but the experience on the ground is...

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