Results 3,461-3,480 of 24,567 for speaker:Róisín Shortall
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Because the HSE did not have the capacity and did not have the funding. Is that what Mr. Thompson is saying?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Yes, okay. Is there an intention to have a new strategy?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: It strikes me from what Mr. Thompson has said that, yet again, the health service is to be shook up with a new plan and a new strategy without implementing the existing one. Can Mr. Thompson tell us in simple terms why we need a new strategy? Is there a problem with the 2015 strategy? Was it not comprehensive enough? Why is a new strategy now being devised?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: This is more moving of the deckchairs. How is it that we cannot have a strategy, implement it, fund it, give the approvals to it and make it happen? Here we are now going back to a new strategy. Is it not possible for the HSE to work with the 2015 strategy and update it as it goes along?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Who is ultimately responsible for implementing the e-health strategy?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: I am sorry. Please, is Mr. Thompson saying we have to get to the starting line?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: What does that mean?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Wait. Mr. Thompson has spoken about getting through a programme and getting to the starting line. Is he saying that we are not midstream in a programme or strategy at the moment? How is it that after eight years, we are talking about needing to get to the starting line?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: What are the main reasons we do not have an EHR after eight years?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Our job today is to try to find out why on earth we seem to be incapable of delivering a proper modern e-health programme within the health service. It is so fundamental to everything about the health service. If we are serious about reform and serious about introducing the Sláintecare programme, we just have to get this right. We have to find out why has it not been got right for so...
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: I am sorry. The Department of Public Expenditure and Reform was questioning the system's ability to actually implement the strategy. Is that right?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: What was done in relation to that?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Is it the case therefore that the expertise was not within the HSE?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: No, I do not want to hear about individual examples.
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: That is fine, but we are talking today about the e-health strategy. I want to know why it is that we are so off-course and so behind in implementing an eight-year strategy.
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Okay, but there is this kind of passing of the parcel between the HSE, the Department of Health and the Department of Public Expenditure and Reform. The Minister of State, Deputy Ossian Smyth, comes into it as well. Where does responsibility lie? Who is driving this, if anyone?
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: The HSE is waiting for the approval of-----
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: The importance of this is such that we need to arrange a special or urgent session on this. The senior people in the Department of Public Expenditure and Reform responsible for this and for the decision in 2018 should be brought before us. What I am not clear about is the exact role of the Minister, Deputy Smyth, with regard to e-government generally. Is there yet another layer potentially...
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: In fairness to the witnesses, it has to be said that they are operating within a context in which they are seriously constrained in what they can do. I know we are giving them a grilling today but the whole thing is just so frustrating. It is important we get to the root of the problem because we will not make progress on integrated healthcare otherwise.
- Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)
Róisín Shortall: Regarding delays in funding approvals, is that mainly on the capital side as opposed to the current side or staffing, etc.? Is it capital approval that is required?