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Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: It is being suggested it is €1.5 billion. Would I be wide off the mark in suggesting that number?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: It is not at that level. The HSE has said that the figure will be €1.5 billion. Does Mr. Moloney accept that?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Is it the Department’s view at this time to fully fund the deficit within the HSE this year?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Is the position within the Department of Public Expenditure, National Development Plan Delivery and Reform to fully fund provide for the deficit in the HSE this year?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: At this stage, even though the Estimates will come in next week, Mr. Moloney cannot tell the committee which oversees his Department what that number will look like and the range it will be in. Can he provide us with a figure closest to €200 million? Will it be in excess of €1 billion?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: The HSE has said that number is €1.5 billion. There are questions as to whether the Department will underfund the deficit. Does Mr. Moloney accept the HSE has made it clear that two thirds of that is recurring and that the drivers of this are demand and inflation. Does Mr. Moloney accept that?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: That is just crazy stuff. We have just dealt with the budget for next year and Mr. Moloney is saying that he has not discussed with the Minister in Health how much of the deficit this year will be recurring for next year. That is the whole problem. The whole problem is that there is about €1.5 billion of a deficit and the HSE is telling us the drivers behind this is inflation and...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: I understand that the Department has its point of view but from my point of view the health services are seriously underfunded. The Secretary General of the Department of Public Expenditure, National Development Plan Delivery and Reform, Robert Watt, has made it clear that two-thirds of the drivers of the deficit this year are inflation and demand and that they are not going away. The CEO...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Would it be fair to say that health inflation is running at 17%?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Parts of health inflation are not at that level?

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: If we take out the non-pay element of it.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Bernard Gloster and Robert Watt both told the Joint Committee on Health that 17% was the figure for health inflation.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: There is a deficit of €1.5 billion, or maybe it will be €1 billion. We will see when the figures are announced next week because the Department will not tell the committee that oversees it. I understand that the Cabinet may have to agree and all of that. Is the Department expecting that to just disappear? Let us say it is €1 billion; it might be less and it might be a...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Non-core means one-off. Does it not? It means it will disappear at some stage.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: The question I put to Mr. Moloney is how much of the overspend this year is recurring or is the view within the Department and the Minister's thought process that none of this is recurring? That is the only logic to what was presented on budget day because not a penny of the deficit has been provided for in the base. Inflation is running at the levels it is, demand is going up and there is...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: Yes.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: -----of pay in ELS.

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: I find this baffling. We are putting one-off expenditure of €432 million in there so that we have a bit of extra time. That does not even come close. By the way, that plus ELS is still half of what the Department and the HSE were looking for to stand still. Let us make that point first. The second argument is that we need this because the Minister, Deputy Donohoe, needs more time...

Joint Oireachtas Committee on Finance, Public Expenditure and Reform, and Taoiseach: Budget 2024 Expenditure Ceiling and Resource Allocation for the Department of Health and HSE: Discussion (14 Nov 2023)

Pearse Doherty: It is in the ESRI report.

Written Answers — Department of Education and Skills: Road Safety (14 Nov 2023)

Pearse Doherty: 178. To ask the Minister for Education and Skills to clarify that in the event of an accident on a road outside a school (details supplied), who will take responsibility; and if she will make a statement on the matter. [49264/23]

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