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Joint Oireachtas Committee on Disability Matters: Decongregation of Mental Health Settings: Mental Health Commission (8 Dec 2022)

Neasa Hourigan: I was very supportive of the idea at the pre-legislative scrutiny session of broadening the powers of the Mental Health Commission but not based on this session because I do not see that the commission is currently using its powers very well when it comes to that particular facility.

Written Answers — Department of Finance: Banking Sector (7 Dec 2022)

Neasa Hourigan: 20. To ask the Minister for Finance the definition of "market failure" for the purposes of the retail banking review report; the criteria in his view that would constitute market failure in the retail banking sector; and if he will make a statement on the matter. [61119/22]

Written Answers — Department of Finance: Banking Sector (7 Dec 2022)

Neasa Hourigan: 21. To ask the Minister for Finance where responsibility lies in the Retail Banking Review Report for recommendations referring to ‘the retail banking sector’; the way that these actions will be assessed; if there will be any consequences for failure to achieve these actions; and if he will make a statement on the matter. [61120/22]

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: I thank the witnesses for being here. I will cover two areas, focusing first on the HSE. I want to stay on the issue of devolution and what it will look like. I am heartened to hear that we will have a detailed document to review at the beginning of next year. In preparation for the meeting, I have been through the operational organisation of the HSE. I am trying to understand what that...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Okay. Mr. Mulvany has a job description. What functions of his job description are being devolved? Is it staff management? Can he outline exactly what areas will be devolved from him?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Of course.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: In looking at this, depending on how we count it, there are between eight and ten major operational sectors within the organisational organigram on the HSE website. I am trying to get a sense of what that will look like. Obviously, there was a major restructuring in 2017. I suppose we have the luxury of those jobs being fairly well set out at that time. Let us take the chief operations...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: That sits at a level underneath that role based on the HSE organisational plan.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Can Mr. Mulvany outline how the chief operations officer's job description is going to change?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Well, sorry now, but if we are going to see that at the beginning of next year, which is basically in 30 days' time, surely Mr. Mulvany must have a sense of how those roles are going to change. As Deputy Shortall said, that is major management change.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: What Mr. Mulvany is describing is that central decision-making resides with that role.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: I am sorry. That is what I have heard from Mr. Mulvany just now.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Okay. Let us take another role. The HSCP clinical leadership representation is a central role. That is currently being advertised. Is that correct?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Okay. That is fair enough. That was also put in place in 2017. Could Mr. Mulvany describe to me, since we are looking at this huge organisational restructuring, what would be the difference in that role between when it was advertised in 2017 as opposed to when it is advertised in 2022? Even though it is central role, we would expect to see it change because we are devolving our health service.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: Will Mr. Woods speak to the HSCP role? Somebody has just written that job description and it was also set out in 2017. What is the difference?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: I have the two job descriptions in front of me. There does not seem to be any difference.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: It is the HSCP clinical leadership representation, so yes.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: That is not my question. In a major organisational restructuring, one would expect job descriptions, even for senior roles, to be different now from what they were in 2017. Is there any difference? That is my question.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: What Dr. Henry is again describing to me is that central decision-making has not changed since 2017.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (7 Dec 2022)

Neasa Hourigan: I will move on to a second issue before I run out of time. This is addressed mainly to the Department. At a recent meeting of the Committee on Budgetary Oversight, we discussed the implementation of Sláintecare with IFAC, the Irish Fiscal Advisory Council. The task of the council, according to its website, is to assess and endorse the Government's official economic forecasts, assess...

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