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Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: The Deputy is correct. There is a bit of a catch-22, which is that if one has to wait too long for a procedure, one can use the NTPF, but to do so, one has to get an assessment for which one has to wait too long. It is a catch-22 and too many people are left outside the system. They cannot access the service they need through the HSE and they cannot access it through the NTPF because they...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: The answer to the Deputy's first question is that two things are happening. The first is that the HSE is hiring on an operational and clinical basis to the high-priority areas. Second, there is a relatively new team within the Department of Health, namely, the workforce planning unit, which is seeking to determine where the gaps are. Believe it or not, there is not yet a model that tells...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I will need to look into that matter in more detail. Is the Deputy referring to consultants who had been consultants for some time but never elected to transfer across-----

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: -----or is he talking about the new public health doctors?

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: Sure. No problem at all.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: We do not have an answer to that question yet. It is a really good question. As the Deputy will be aware, the €4.039 billion breaks down into €2.121 billion for Covid measures, €1.163 billion for new non-Covid measures and €755 million for the existing level of service, ELS. I anticipate the ELS funding will stay at that level by virtue of what it is and the...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: That is right. Two things could happen. I will be pushing for additional funding for new measures. At the same time, I hope the funding allocated for Covid significantly reduces. Where the two of those land in net terms, we will know later this year.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I want to check we are looking at the same documents. Is it €276 million the Deputy has?

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: In my note, it is €276 million. That includes €40 million in capital funding, which probably gets us to that figure. I think we are talking about the same amounts.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: The latest target for the end of this year is an additional 1,063. That is acute beds and does not include critical care beds.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: Absolutely. Here are the latest exact figures. The Deputy is absolutely right that total figure we have is as of 1 January last year, so it is essentially two years worth.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: It is a fair question. The Department has presented it like this because last year was a very unusual year in that a large amount of Covid funding was used to set up temporary beds. The beds came into existence last year. Those beds were one-off beds. This year, through the budget, we have permanently funded those beds. Some 611 of the beds were brought into existence physically last...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: To be clear, it is permanent provision. The answer is that the 611 from last year and the total from this year add up to 1,063.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: We are writing to the representative bodies now to invite them in for initial discussions. I do not want to pre-empt what the IMO will say. The IHCA will have a view as well, and it has a view on various other issues which we have all discussed.

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: The Deputy will appreciate that I cannot, do not want to and would not presume to speak for the IMO or the IHCA. They will give their own view. I can say we are moving towards the Sláintecare contract. Once the contract is in place, the only contracts that will be given out for new entrants to the HSE are the Sláintecare contracts. Critically, and I think we are all agreed this...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I could not agree more. The whole approach is that we create the new Sláintecare contract but, on the Deputy's point, that is not enough. I would like to see things around the Sláintecare contract like funding for research and clinical trials and some of the things the consultants do not have access to at the moment. That will be part of the talks. At the same time as putting...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I will get the Deputy the latest position. My understanding is there have been more referrals than the three. Much interest has been expressed and questions have been asked by the various legal teams representing the women and families involved. My view is it is a far better option than the High Court. However, we have to respect the rights and decisions of the women to use the tribunal,...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I am not aware of the document the Deputy is looking at. I can say that when-----

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: I will get the Deputy a detailed note on that. On the fixtures and fittings and the buildings costs, there was a significant amount of work done to make the tribunal Covid-friendly. We wanted to make sure any women coming in, some of whom could be immunocompromised, had the appropriate facilities. For example, the women and families involved can now do all the proceedings from their own...

Select Committee on Health: Estimates for Public Services 2021
Vote 38 - Health (Revised)
(27 Apr 2021)

Stephen Donnelly: Yes. That was agreed by Government today. The major trauma centre will be in the Mater hospital.

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