Results 3,541-3,560 of 26,350 for speaker:David Cullinane

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

David Cullinane: When are we likely to see real flesh on the bones of that? The obvious issue is procurement. Mr. Watt and possibly Mr. Mulvany himself spoke earlier about capital projects that can get stalled. I imagine that if the RHAs are more focused on spending and capital projects and prioritising more, that would be of value. When are we going to see that real flesh put on the bones in that area,...

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

David Cullinane: The outputs are important.

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

David Cullinane: We have had two briefing sessions, which were useful. The last one maybe I think we were a bit more concerned. There is a lot of healthy discussion, and some healthy tension relating to how all of this would work out. That is all accepted. However, at some point we want to see a product. If we had a paper early in the new year where more of it was fleshed out and we have a third meeting...

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

David Cullinane: I have said this a few times and I just want to say it again. It is the view of most members of the committee that if we do not get the devolved part of this right and things are essentially kept as they are at the centre, everything else that falls under that is not going to work. I am not saying that is what is being proposed, but that is why it is important for us. I want to ask a...

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

David Cullinane: Can Mr. Watt comment on the voluntary hospitals?

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

David Cullinane: They will not be independent of the RHAs because they are going to be part of them. If we are devolving more responsibility, they will have greater autonomy in some respects.

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

David Cullinane: There has to be accountability.

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

David Cullinane: We are looking at the what and the how and what happens once all of that is sorted. I welcome the fact that we are going to have a document in the new year, but we also have to work out who is legally responsible for what. I am not getting caught up in whether any of it should be underpinned by legislation or whatever. It will probably need to be, or there will need to be an amendment to...

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

David Cullinane: Will Mr. Mulvany share his view on it?

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

David Cullinane: That is just putting them on par with other people in the room. They are going to be really important figures in our delivery of healthcare.

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

David Cullinane: There will be the head of the HSE, and then these CEOs of the RHAs will be as important as the head of the HSE. In many respects they will be even more important in terms of delivery. Something we hope we will see in the document in January is that sense of their importance, and that they are directly accountable back to Oireachtas committees.

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

David Cullinane: I apologise if these questions have been asked already as I had to be in the Dáil Chamber for a number of events. Mr. Watt or maybe Mr. Mulvany mentioned earlier the public-only contracts for consultants. We know that they are going to Cabinet today. I do not want to go into detail about salaries because that is not my objective at this point. Will the witnesses give us a flavour of...

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

David Cullinane: It is 8 a.m. to 10 p.m. from Monday to Friday, and then on weekends-----

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

David Cullinane: It is 8 a.m. to 6 p.m. on Saturday. How many hours per week?

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

David Cullinane: Mr.Watt spoke about off site. Outside of those 37 hours, does it allow for some off site?

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

David Cullinane: Are issues around protected time, such as for research or training, part of it?

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

David Cullinane: We were obviously hoping we could get consensus on this. My support is there because I want public-only contracts. It was always my view that we could be flexible on off site work so I am glad that has happened. However, if we want to get to a point where we have public-only hospitals providing public-only work, it is important these contracts are in place. I welcome that there is a...

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

David Cullinane: What happens in the case they do not support it? We hope there will be a positive response from them. If there is not a positive response, what will the process then be?

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

David Cullinane: That is fair. Once the contracts are in place, it would be the hope that those contracts would enable us to recruit more consultants, because that was one of the arguments that was made for a long time by those representative bodies. Maybe Mr. Mulvany will want to address that point. We have a lot of vacant positions and we know it can be difficult to recruit consultants. We know...

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

David Cullinane: No, I think that is an adequate response. That is okay. I want to make one final point on the elective-only hospitals. Obviously, everything that has been said so far on those are sentiments I would agree with. We have had this tension for a long time between scheduled and unscheduled care. The first casualty of higher demand on unscheduled care is elective procedures. They get...