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Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: So they are not additional beds?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: They are not additional to what was committed to.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: That is quite disappointing. It is deceptive for the figures to be set out as they are. This is about catching up on the HSE's commitments over the past three years.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: There is an element of smoke and mirrors here. There were 258 beds due under earlier commitments.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: We have clarified that. I thank Mr. McCallion. I want to go back to the issue of the neurorehabilitation community teams. When the Neurological Alliance of Ireland representatives were before us, I made the point that the battle is usually to get a strategy. We have had a strategy since 2011. We have had an implementation plan since 2018 but still have only two of the teams in place,...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: We are talking about four out of nine teams by the end of this year on the basis of a 2011 strategy. This is actually a no-brainer. Very often, a person who develops neurological difficulties has to give up work, or a partner has to give up work. A person's life is greatly impacted. There is a massive case to be made, on the basis of a cost–benefit analysis, to ensure the teams are...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Why is it not happening?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Why is it not happening?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Twelve years after the strategy was developed, the HSE has not yet put in the third and fourth teams, which were funded last year.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Is Dr. Henry committing to funding the other five next year?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: This goes to the very heart of what Sláintecare is supposed to be about, which is getting people as well as possible through community services. There is incredible foot-dragging in the strategy. It is very hard to understand why there has been such an extraordinary delay. I want to make a point about emergency departments that I made to the Minister here recently. Mr. Gloster was...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: That is a generalisation.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: We do not know the reasons they are presenting; that is my point. For the past 15 years, we have been talking about moving chronic illness management out into the community. Do we have a figure for how many people attend as a result of an asthma attack, for example? Are there alternative ways – we know there are – of providing asthma services?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: I am not talking about acute asthma.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Do we know how many people are turning up with acute asthma attacks?

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: I do not know how the HSE can be strategic about the services it is providing if it does not have that analysis.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: Okay. I am looking for the data.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: I asked about this previously. I am making the point that I do not know how strategic decisions can be taken unless the HSE has the data I have mentioned. The next point I want to check with Mr. Gloster relates to his welcome initiative to seek volunteers to work weekends. Again, why on earth are all healthcare staff not required to do so? Many of them do. Is he asking all grades of...

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: I take from what Mr. Gloster said that the intention is to change people's contracts from now on.

Joint Oireachtas Committee on Health: HSE National Service Plan 2023: Discussion (24 May 2023)

Róisín Shortall: It is important to acknowledge the large number of grades which already do that, such as nurses, ambulance staff and so on.

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