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

Róisín Shortall: Has Mr. Watt documentation supporting that?

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

Róisín Shortall: Mr. Watt is saying there were particular contracts that required people to qualify under the repayment scheme.

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

Róisín Shortall: Has he checked that those contracts were particular to those three or four organisations?

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

Róisín Shortall: Okay. Mr. Watt went on to say in the next paragraph of his statement, although the statement he read out is somewhat different to the one he provided to us, that: The Department ... and the HSE originally appealed these decisions to the High Court, but the appeal was subsequently withdrawn ... The decision to withdraw this appeal did not change the position of the Department [and the HSE]...

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

Róisín Shortall: Mr. Watt was categorical in his opening statement that the "decision to withdraw this appeal did not change the position of the Department [and the HSE] that voluntary contributions did not come within the definition".

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

Róisín Shortall: Why then were the appeals withdrawn?

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

Róisín Shortall: Then it may have changed the position of the Department and the HSE.

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

Róisín Shortall: The Department and HSE appeals to the High Court were withdrawn and Mr. Watt is saying that, notwithstanding that, the position of the Department and HSE remained the same.

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

Róisín Shortall: How is this whole issue being dealt with in the Department at the moment? Who is working on it?

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

Róisín Shortall: The entire issue of the disability facilities and the potential of a substantial number of additional people being entitled to claim under the repayments scheme.

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

Róisín Shortall: It is conjecture based on a Government memo.

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

Róisín Shortall: Mr. Watt has not provided us with any ground for stating he does not believe the number is accurate. Why does he not believe it is accurate?

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

Róisín Shortall: Mr. Watt does not see it at the moment. That is the point. It is hard to know how he can make such definitive statements.

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

Róisín Shortall: Mr. Watt did that without providing evidence to the committee on the reasons for making those definitive statements.

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

Róisín Shortall: Clearly we have to come back to this issue at a point when Mr. Watt has more information on it. Creeping privatisation of the health service has been ongoing over the past 20 years or so and it has accelerated in recent times. Is this not at the root of why we find ourselves in this situation? If the State does not provide adequate public facilities, people had no choice but to try to...

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

Róisín Shortall: Has the Department done anything on that aspect of Sláintecare to date?

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

Róisín Shortall: Okay. The Special Committee on Covid-19 Response recommended a review be undertaken into the privatisation of Ireland’s nursing homes and to ascertain its impact. Has any work been done on that?

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

Róisín Shortall: Yes, the fact that 80% of our nursing homes are now private.

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

Róisín Shortall: We can go into that. It is about profiteering in care. A properly functioning public health service provides the full range of public healthcare.

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

Róisín Shortall: I will not go down that rabbit hole at the moment. I am quoting a recommendation from the Special Committee on Covid-19 Response for a review to be undertaken into the impact of the privatisation of Ireland’s nursing homes. Is Mr. Watt saying nothing has been done about that recommendation?

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