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Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Good morning to all our witnesses. I apologise for not being here for their opening statements. I was speaking in the Chamber. I ask that this committee be afforded a briefing on the RHAs as soon as it is appropriate. We have had two constructive meetings. I was impressed with Mr. Gloster's contribution last week and the direction of travel in which he sees RHAs going. When there is...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Does Mr. Watt think it is acceptable - it is not acceptable but he will give whatever response he will give me-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Can that information, in Mr. Watt's view, be made available?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Is it possible to get it?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Why was that the response I got?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Who signs off on parliamentary questions?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Outsourcing-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: I defined it very clearly but I can define it even more clearly.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Okay. Before I address the issue of RHAs, which are important and will be a milestone in delivering better healthcare, I will put a question to Mr. Gloster on the Economic and Social Research Institute, ESRI, report published this morning. It included a section on hospital beds. He might recall that last week we had a very lengthy discussion on this. I said we need more beds. The report...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: I will ask something about beds. I certainly do not want to call for beds that cannot be delivered. I appreciate that beds are not just beds. It is about staff and maybe having to build to deliver beds. Is there any capacity at all left in public hospitals to open beds without capital funding? Can Mr. Gloster answer that question?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Has any analysis been done? Will Mr. Watt address that question, if he can? In his view, is there any potential left to open beds without having to build new physical infrastructure?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: It would have to be capital. Is that part of the reason it is slow to deliver beds?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Has that been published yet?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Could it be sent to the committee?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: One of the frustrations for committee members is, when some of us engage with management of hospitals in our constituencies, and I have dealt with many because of my national brief, they all say they have submitted proposals for additional beds. We then see, however, that it takes a long time to deliver those beds. Has any analysis been done of how we can speed up that process? It strikes...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: There is no funding for any additional beds beyond the 1,200-----

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: -----so will that require funding in this year's budget.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Mr. Watt might send that along as well. We also like to get the good news out for the Department.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: I will come in on the RHAs. Mr. Gloster said last week that he wants all the CEOs in place by early next year. Am I correct about that timeframe?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (29 Mar 2023)

David Cullinane: Would it not be better to work on the basis-----

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