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Joint Oireachtas Committee on Health: Scrutiny of EU Legislative Proposals (14 Feb 2018)

Michael Harty: We will now deal with scrutiny of EU legislative proposals COM (2017) 756, COM (2017) 757, COM (2017) 758, COM (2017) 759, COM (2017) 764, COM (2017) 765, COM (2017) 766, and COM (2018) 031. It is proposed that these proposals do not warrant further scrutiny. Is that agreed? Agreed.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: This morning the committee will engage with the researchers from the Economic and Social Research Institute, ESRI, on its Projections of Demand for Healthcare in Ireland, 2015-2030 report and with Professor Tom O'Dowd, emeritus professor of general practice, public health and primary care at Trinity College centre for health services, and a GP in Tallaght, on his report A Future Together -...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I thank Professor O'Dowd and Dr. Wren for their opening statements.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Somebody's phone is causing interference.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I will take questions from members in groups of three.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: If that is okay, Professor O'Dowd can keep track of the questions. We will bring in Deputies Louise O'Reilly and Billy Kelleher.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I thank Deputy Kelleher. Some leeway will be given to Senator Dolan who must attend Commencement Matters in the Seanad. His questions will be brief and we will then revert to the witnesses to respond.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Many questions have been posed. Perhaps Professor O'Dowd will deal with Deputy O'Connell's reference to clinical versus community pharmacists and their involvement in general practice.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I thank Dr. Keegan. I have a few questions for Dr. Wren. How will the demographic changes predicted by the ESRI be reflected in the demand for care? We all see such changes happening at the moment. It is almost an actuarial equation. Given a certain population and a certain age profile within that population, we know that there will be a certain number of strokes, hip replacements, heart...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: It is assumed on the second page of the report that there will be no change in the model of care.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: The Sláintecare report recommends a substantial and almost revolutionary change in the model of care. How do the ESRI's predictions feed into an altering model of care?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I have another question before opening the discussion to other members. Sláintecare proposes a separation of private care in public hospitals. Dr. Wren refers in her opening statement to the mix of private and public care. Sláintecare sees the mix of private care in public hospitals as an inhibitor of change and believes it has a negative effect on the provision of care. Does...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I will bring in some of the other members and we can return to some questions that have not been addressed. I call Senator Colm Burke who will be followed by Deputies Margaret Murphy O'Mahony and Bernard J. Durkan.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Perhaps Dr. Wren might like to lead off in answering those questions.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Thank you Dr. Keegan.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I am sure Professor O'Dowd would like to address a number of questions.

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: I have two questions on Sláintecare for Dr. Wren and then some for Professor O'Dowd. Sláintecare promoted universal care delivered on the basis of need not the ability to pay. That was its founding principle. One of the principal recommendations of the Sláintecare report, as with many others, is that there must be a fundamental shift from hospital care to primary, community...

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Was there much difference between those number based on those two methods?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: Will Dr. Wren send that data to the committee?

Joint Oireachtas Committee on Health: Review of the Sláintecare Report (Resumed) (14 Feb 2018)

Michael Harty: In GP manpower, as Professor O'Dowd will probably be aware, there is a difficulty in people accessing their GP because there are not enough GPs to service the population. Deputy Louise O'Reilly referred to it - GP lists are closed. There is the growing entity of walk-in GP clinics. A GP sets up on a street corner and anyone can just walk in. There is no continuity of care. It is a...

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