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Health (Amendment) Bill 2023: Second Stage (22 Mar 2023)

David Cullinane: The Minister does not even have to take ten.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (22 Mar 2023)

David Cullinane: Yesterday in this Chamber, the Taoiseach said the existing cath lab in Waterford is "now open from 8 a.m. to 8 p.m. Monday to Friday, excluding bank holidays." He continued: The next step, which we are committed to making happen, is to ensure there is a service from 8 a.m. to 8 p.m. seven days a week and then to build up to a 24-hour service. Previously, we did not have the infrastructure...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (22 Mar 2023)

David Cullinane: I asked about 24-hour services.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (22 Mar 2023)

David Cullinane: I asked whether there has been a policy change.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (22 Mar 2023)

David Cullinane: I asked about 24-7 services.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (22 Mar 2023)

David Cullinane: There has been no policy change.

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: I welcome Mr. Gloster and wish him well. If he is successful in his role, the health service will be successful. Obviously, the committee wishes to work with him as the new head of the HSE. I commend him on his work in Tusla. Mr. Gloster rightly referred to the enormous amount of talent working in the healthcare system. We have to harness that talent in the best possible way but we...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: At the moment, there is threatened strike action. How can Mr. Gloster, as the new head of the HSE, play his part in averting strike action?

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: An issue that was not addressed in Mr. Gloster’s opening statement is that of workforce planning. It should be one of his key priorities. The committee has identified it as central to any changes in healthcare. We need more staff and we need to be able to train more professionals. When Mr. Gloster is setting out priorities, workforce planning and working with his counterpart or...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: Mr. Gloster certainly will have our support in that. Regarding winter plans, our experience over recent years is that they have been window-dressing, giving a sense, when there is an emergency, that things are being pulled together and additional resources made available. There are different views on whether they work. We are now dealing with an all-year-around problem in emergency...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: Mr. Gloster talked in his opening statement about culture and accountability. It seems clear that he understands he is coming into a very difficult job in a context in which people are waiting far too long in emergency departments. The representatives of the management of University Hospital Limerick who came before the committee told us they need more beds. I and other members of this...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: Yes, it is a big part of it. I am saying that we cannot arrive at a situation next winter, and, indeed, right through this year, in which people are asking us what additional bed capacity beyond what was previously funded has been put into the system. If the answer is zero, that is a failure of the system. If we are talking about changing the culture and building public confidence, the way...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: We have been hearing from Ministers, heads of the HSE and Secretaries General for years that they do not have a magic wand. Nobody expects Mr. Gloster to have a magic wand. What people expect is that hospitals are properly equipped and have the bed capacity they need. It is not beyond us to put in the capacity. Magic wands are in nobody's gift but we can plan and we can put in the capacity.

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: Before we get to Waterford, I am tight on time and I want to ask Mr. Gloster about the regional health areas, RHAs, which is a really important issue. What is the first step to put those areas in place? We had a number of meetings as members of the committee with all of the officials, but we are still waiting for the plan and the roll-out. Mr. Gloster is now in charge and I assume he can...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: When will they be in place?

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: I want to be associated with those remarks about Waterford. We want to see managers being held to account. Going back to the RHAs, the committee has been briefed a number of times. Can a briefing session be arranged for members in advance of whatever developments happen on this issue? We have had two very good meetings with the staff working on the delivery of the RHAs. A briefing...

Joint Oireachtas Committee on Health: Health Service Executive: Engagement with Chief Executive Officer (22 Mar 2023)

David Cullinane: I thank Mr. Gloster.

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