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Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Is the Department working with the HSE on the practical implementation of this?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: I will ask one last question. There is clearly a lot of concern about the sharing of health information and particularly in relation to the information that GPs have. The relationship between a person and a GP is very personal. How does the Department intend to proceed regarding access to that health information, if GPs need to share health information with some central body? Does it have...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: I am not talking about that; I am talking about ensuring confidentiality from a patient perspective. We need to ensure that only those at a senior level would have access to that information. Is there a schedule of that? Will, for example, the public health nurse have access to that? Is it a consultant? Is it a hospital manager? How is it determined as to who will have access to that...

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: However, "health service provider" covers a vast range of people.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: That is what I am asking. Is a schedule set out for that?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: However, it is anybody providing a service to an individual. Is that what they are saying?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Why did we not just start with everybody using the PPSN? Why are there two systems?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: I know there are legacy issues.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: The PPSN is the simplest option, but why not put IHI data on PPSN records, as a back-office exercise? In future, can we all not just operate on the basis of our PPS numbers? Over time, all the health facilities could start to use that instead of a 16-digit number.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: What is the IPI?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: When is the new strategy expected to be published?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Will there be a price tag with that as well?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: To return to the identifier I would ask Mr. O'Connor to clarify something. If we all use our PPSN, say I attend a hospital and I provide my PPSN, what happens then on the other side? Will that be linked to the IHI?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: But the IHI is not necessarily a standardised system that everyone has one. If I had an IHI in the Mater Hospital and in Beaumont Hospital, for example, it would not necessarily be the same one in both, is that right?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Earlier, Mr. O'Connor had referred to the fact that each facility has its own kind of system.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: They are operating on the basis of hospital numbers at this stage. When does Mr. O'Connor expect all health facilities will move to the IHI?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Once all facilities take on the IHI, does that mean that all other identifying systems will be abolished?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: So the full system will have two numbers, the PPSN and the IHI.

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: Who is producing the IHIs at the moment? Who is responsible for that?

Joint Oireachtas Committee on Health: General Scheme of the Health Information Bill 2023: Department of Health (10 May 2023)

Róisín Shortall: I take it the PPSN is not embedded in the IHI, similar to our bank -----

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