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Hospital Services (18 May 2010)

Mary Harney: I believe hospitals can meet the 2010 service plan to which the HSE is committed. I referred specifically to Beaumont, which is a national tertiary referral centre. The financial pressures are enormous and although we have provided some new money for the fair deal scheme, comparing like with like, we have taken an additional €1 billion from the HSE over last year. Approximately €630...

Health Insurance Providers (18 May 2010)

Mary Harney: Arising from a derogation under the non-life insurance directives, VHI continues to be exempt from prudential solvency requirements. The Voluntary Health Insurance (Amendment) Act 2008 provided for the VHI to acquire sufficient funding in terms of its capital reserves to enable it to make an application to the Financial Regulator for authorisation. The date originally fixed by that Act was...

Health Insurance Providers (18 May 2010)

Mary Harney: I introduced the legislation on the deadline but that was prior to the Supreme Court's decision to strike down risk equalisation. I want to point out some facts. We are discussing the reserves ratio. The VHI has 82% of the over 60s market and 92% of the over 90s market. I strongly favour community rated health insurance because it allows older and sicker people to afford insurance on the...

Health Insurance Providers (18 May 2010)

Mary Harney: I said "five" in my reply.

Health Insurance Providers (18 May 2010)

Mary Harney: We will not have a fair market if some participants have to carry the burden of older and sicker people. That is a fact. There are other unfair aspects to the market. I want to see a market that is fair to all the players. Deputy Reilly's party favours providing private health insurance to everybody but that is also based on a risk equalisation model.

Health Insurance Providers (18 May 2010)

Mary Harney: No. First-----

Health Insurance Providers (18 May 2010)

Mary Harney: Deputy Reilly seems to think we will have a market where no one will pay more than they pay at the moment and everyone will get unlimited hospitalisation, treatment and diagnostics.

Health Insurance Providers (18 May 2010)

Mary Harney: I would like to see Deputy Reilly's plan worked out. I have not seen it yet.

Health Insurance Providers (18 May 2010)

Mary Harney: That is a thoroughly non-objective judgment.

Hospitals Building Programme (18 May 2010)

Mary Harney: The renewed programme for government re-affirms the Government's commitment to the current co-location programme. Preferred bidders have been selected for six co-location projects at Beaumont Hospital, Cork University Hospital, Limerick Regional Hospital, St. James's Hospital, Sligo Hospital and Waterford Regional Hospital. Project agreements have been signed for the projects in Beaumont,...

Hospitals Building Programme (18 May 2010)

Mary Harney: A number of issues arise. I am aware Deputy Reilly is opposed to co-location but that view is not shared by all his party colleagues, as some of them have spoken to me about it.

Hospitals Building Programme (18 May 2010)

Mary Harney: We have had a credit crunch and it is difficult to get access to private finance for many projects. People are working extremely hard to advance the projects. There is great enthusiasm for them in various parts of the country to provide not just extra capacity by way of acute hospital beds but to allow acute hospitals to be able to reconfigure within themselves to have more private rooms...

Hospitals Building Programme (18 May 2010)

Mary Harney: Deputy Reilly represents every second vested interest that opposes any change in the health system proposed in this House. I already replied to a question on Beaumont Hospital. An extra 1,000 day-case patients were treated there in the first quarter of this year compared with last year. Reductions will be achieved by hospitals doing things differently, such as bringing in people on the...

Proposed Legislation (18 May 2010)

Mary Harney: The current legislation governing eligibility for health and personal social services has been in place since 1970. The 1970 Health Act contains the now outdated concept of undue hardship as the basis for providing full eligibility for people who cannot arrange health care for themselves. It is time to move to more modern concepts for the basis of public health care such as'financial,...

Proposed Legislation (18 May 2010)

Mary Harney: I join the Deputy in welcoming the guests who have just departed. I hope they will learn from us just as we learn from them. The legislation will be as comprehensive as possible. Although we have had some recent legislation on medical cards and long-term residential care, and legislation is imminent on prescription charges, there is clearly a need for comprehensive legislation on...

Proposed Legislation (18 May 2010)

Mary Harney: I asked the society whether that figure was based on negotiated costs.

Proposed Legislation (18 May 2010)

Mary Harney: I did not say the society had not done its figures. I simply said that nobody had negotiated with doctors as to what it would require to provide free access to primary care. I have checked that out with a number of practitioners and have been shown salary levels that would frighten us all if I were to mention them here, salaries far in excess of what we earn.

Proposed Legislation (18 May 2010)

Mary Harney: We should bear in mind the cost of introducing medical cards for all those aged over 70 years. I am simply saying that if we are going to move to salaried GPs, we must know what it will cost. The Deputy asked whether the Bill will include dental and other services. The intention is that it will be as comprehensive as possible. I personally favour the concept of tiered benefits, with those...

Written Answers — Health Services: Health Services (13 May 2010)

Mary Harney: Under the General Medical Services (GMS) Scheme, general practitioners (GPs) are obliged to provide services for their medical card and GP visit card patients, for 40 hours each week. They must also make arrangements to enable contact to be made with them, or a locum/deputy, for emergencies outside of these hours. GP out-of-hours co-operatives allow general practitioners to put in place...

Written Answers — Hospital Services: Hospital Services (13 May 2010)

Mary Harney: I wish to advise the Deputy that due to industrial action affecting the Health Service Executive it is not possible for the Executive to supply the information requested. If this matter remains of continuing concern to you, however, I would invite you to raise it with me again in due course.

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