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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: That is where some of the confusion will come from. I will deal with the-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: The memo says that the only exemptions are consultant appointments, graduate nurses, midwives and doctors.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Yes, and disability services. I spoke to chief officers who said that home support services are stretched, they cannot take a one-in, one-out approach and they cannot fill vacancies because of this embargo.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Mr. Gloster is now saying that could change.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Okay, so home support services are still formally part of the pause.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What about nurses who are abroad and want to come back to work in the public system? Can they do that?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What if they want to do so this year?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I am asking about now.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: They cannot be recruited because of the pause.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What about staff in mental health services?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It has not changed.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Okay. Let us say it is €1.5 billion and the revised Supplementary Estimate is for €1 billion. What happens to that difference of €500 million? Is that then a first charge on the accounts next year?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: I understand that. I am saying it is coming from spend in 2023.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Mr. Gloster said on RTÉ radio, a number of months ago at this stage, that the service plan, because everything that happens in healthcare revolves around the service plan, would have a built-in deficit. That obviously cannot be written into a service plan-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: They are also subject to the pause.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: How many posts have been removed from profile as a result of the two memos?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: Will Mr. Gloster give some sort of estimate?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: They are gone from profile.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: What is the net increase?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

David Cullinane: It is 6,000 or 7,000.

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