Results 3,141-3,160 of 24,567 for speaker:Róisín Shortall

Ceisteanna ó Cheannairí - Leaders' Questions (1 Mar 2023)

Róisín Shortall: That is an understatement.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: I thank everyone for attending and for their presentations. It is always worthwhile hearing expert voices from outside the political system and to have an assessment of performance. It strikes me the points made about the experience during the Covid-19 pandemic are very important. The approach taken during the pandemic encapsulated the kind of principles underpinning Sláintecare. A...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Yes, okay. There is probably a strong argument for having a unit of the Central Statistics Office, CSO, based in the Department of Health as well. I am not aware of there being any number crunchers in the Department.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: I am referring to number crunchers from the perspective of population projections and these kinds of aspects. I know that on the economic-----

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Yes. I think Dr. Burke's points on governance are well made but we must also be getting the big elements right. Workforce planning is one of these, as is e-health. We have had sessions here recently where we heard that hardly anything is happening in this regard. We are pursuing this aspect with the Department. Moving on to the question of the regional health areas, RHAs, separately,...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Power has to be devolved.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: The third business case that went to Cabinet proposed a lean centre. That is what we need. Unless the centre of the HSE is lean, authority and responsibility will not be devolved to the regions.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: I accept that but the counterpoint is that clear commitment from Government to introduce reform would give people confidence and would help to retain staff or attract staff back to Ireland. People would see that the Government is at last serious about reform.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: All these things are connected, I suppose.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Is that not a political question?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Whose responsibility is that?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: That brings up digital health again. An important question has been asked. What are the blockages? There is no doubt there is institutional resistance, as there is for any major change programme. It has to be recognised that institutional resistance is a thing and a response made to it. That has not been taken on board and there is not a recognition of that and the need to work around...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: As Dr. Burke said, there is no engine there

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Is Gráinne still involved?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: The Committee on the Future of Healthcare came to the conclusion very quickly that we needed support from experts in the field, like the witnesses, to provide that evidence base, put the research at the disposal of the committee and help us design the system. What engagement has the Department or the HSE had with the witnesses in respect of the outworking of those recommendations?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: The Department does not come looking for Dr. Burke.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Dr. Johnston spoke about PBRA. Is that something our guests were working on separate from the regional health authorities, RHAs, or was it regarded as a piece of that work? Was the purpose of the work linked to the RHAs?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: Very good advice is coming from that advisory body about the RHAs but we cannot get access to its advisory letters that are sent to the Minister every couple of months. That seems ridiculous. We talked about various big-ticket items relating to digital health, workforce planning and so on. Another of those is the whole question of a legal entitlement to healthcare, which has come up...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin (1 Mar 2023)

Róisín Shortall: The Sláintecare plan sets out five pieces of legislation that are required to underpin it. We never hear plans for legislation, which concerns me.