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Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: On that basis I will withdraw the amendment.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I move amendment No. 16: In page 12, between lines 33 and 34, to insert the following: “(2)(a) A health services provider shall ensure and make every effort to ensure that the patient and relevant person are informed as to the potential for engaging and sourcing a patient advocate. (b) A health services provider shall ensure a relevant patient is aware of the Patient Advocacy...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: It remains to be seen how these amendments will work out in practice, but the substantive amendment in this grouping, which is amendment No. 26, seems limited in subsection (10) to long-stay residential facilities. Again, one of the issues HIQA raised with me was that this does not cover patient safety incidents in centres for people with disabilities, for example, or in other healthcare...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I move amendment No. 15: In page 10, after line 38, to insert the following: “Report on Operation and Scope of the Act by the Patient Safety Council 4.(1) The Patient Safety Council, so established by the Minister for Health, shall furnish to the Minister a report, subject to subsection (2), within the first 3 months of each year. (2) The Report of the Patient Safety Council...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I will support the amendments. I met HIQA representatives regarding these amendments a number of weeks ago. They made some interesting points that surprised me. The first was that they believed most of the powers being made available through these amendments are already available to HIQA. I got the sense that they did not see great value in what is being proposed. I was a member of...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: It is important as well for that information to go out. This will not just be for CervicalCheck; it will be for all cancer screening services. I welcome the Minister's commitment to work with the Oireachtas Joint Committee on Health and to keep us informed on what the audit will look like. I also welcome his commitment that the 221+ group will be consulted on that element of it as well....

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: It will not last.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I welcome the Minister's comments on the lab at the Coombe Hospital. Obviously we want to see a ratcheting up and expansion of services at the Coombe Hospital. If we can repatriate a large part of the screening services for CervicalCheck in that facility, it would be really welcome. I ask that the Minister keep us informed of the ratcheting up of staffing and capacity as it happens. That...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I am okay with it.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: We are more than happy to let the Minister respond.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: It has got very messy when we have four or five amendment lists, amendments to amendments and so on. The manner in which this Bill was crafted and worked its way through the Oireachtas was a bit chaotic. Notwithstanding that, I thank the Minister for his co-operation in recent weeks. We did the right thing in December in pausing this and taking the time to engage with the 221+ group. I...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: I welcome Mr. Watt. I want to speak about the issue of those people with disabilities in section 38 and section 39 organisations. I have discussed this privately with Mr. Watt as well and with the Minister for Health. The issue here is voluntary contributions that were paid in these homes and whether at the time they were recovered with charges under the Act. At the time when the...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: Then, while we do not know exactly how many, we know that several hundred people applied anyway to the scheme. They were refused and then they appealed and the HSE or the Department's appeals officer upheld their assertion that, in fact, the voluntary contributions on their behalf were recoverable. That was the appeals officer's decision.

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: Yes, but the Department at that point was taking three cases to the High Court on a point of law and then got advice from senior counsel that, in fact, we could lose those cases. The 512 cases in which people appealed related to three homes, St. Michael's, Cheeverstown House and the Daughters of Charity. They were paid, so €20 million was made available for those 512 applicants who...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: What Mr. Watt was saying earlier then is that there may well be analogous residents as well who may be covered, that he does not know the full extent of that, and that a trawl is being done by the Department. In the 2011 memo that went to four senior Ministers at the time, it is very clear. There is no ambiguity in the memo that was sent. It states: “In addition, there are other...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: Mr. Watt is Secretary General in the Department of Health and he was in the Department of Public Expenditure and Reform before he came to the Department of Health. I am sure he would agree that when memos are being prepared for Government and figures like €360 million are put into these, those figures do not fall from the sky but are based on something. They are obviously based on...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: Mr. Watt said that the information was not there.

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: But the Department did not-----

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: With respect to Mr. Watt, the Department at the time did not agree with the basis of the claims that were made by St. Michael's, Cheeverstown or the Daughters of Charity but eventually did. The memo here is quite clear, which to read it again, states: "In addition, there are other institutions similar to St. Michael's, Cheeverstown and the Daughters of Charity with residents who would have...

Joint Oireachtas Committee on Health: Nursing Home Charges: Department of Health (15 Feb 2023)

David Cullinane: I am not sure that that is what the memo was referring to here, which is why we need to get the information from-----

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