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Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: It is completely unacceptable and treats this committee with contempt that we get a 24-page briefing document a couple of hours before the session. The Minister is coming in looking for an additional €1.3 billion, much of which is Covid expenditure. Then there are figures of €600 million and €500 million, and on cash reserves, etc. We are trying to figure that out....

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: We have had a discussion on what happened this morning. The Dáil granted leave for the Revised Estimate to come before this committee two weeks ago and, in fairness to the staff of the committee, they were chasing his Department to get the information this committee needed during that time. The Minister has to appreciate that. To unpack some of the figures that have been presented to...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: I will read what is in the Minister's opening statement because he is giving us this information and so if there is more than that, it is not in the opening statement. The opening statement states "This ask is primarily driven by COVID-19 expenditure which makes up €1.181 billion or 85 per cent"of it and then that €200 million was set aside in the contingency fund. The...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Which we have only got sight of. According to the opening statement provided, the €200 million was set aside in the contingency fund but it does not give any more detail, and that document is all we had to prepare for this session. However, it is actually more than that because the opening statement goes on to state there was "A further ask of €600 million for non-COVID-19...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Can I just go by the Minister's figures? I can only go by what he has provided in his opening statement. We can agree on the €1.39 billion figure, that is the substance of this Supplementary Estimate and that is what is being sought, which is fine. Separate from that, it makes reference to a further ask of €600 million for non-Covid-19 expenditure and €90 million for...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Can the Minister tell me where it comes from?

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Please.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: The Minister should at least know, in the general ballpark, where that money came from.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: I am not talking about the €1.392 billion; it is separate from that. The Minister has to read his own opening statement. The €1.392 billion is that figure and if the Minister's official might just confirm if I am right, the opening statement goes on to say a further ask of €600 million for non-Covid-19 expenditure. Can I ask if the €600 million is separate from...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: I have to stop Mr. O'Grady there. This is just getting bizarre because the Minister says in his opening statement that the €1.39 billion is primarily made up of 85% or €1.181 billion for Covid-19 expenditure. It goes on to state, in the Minister's own words, there was "A further ask of €600 million for non-COVID-19 expenditure [in current] and €90 million for...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Yes, I understand that.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: What I am putting to the Minister is that the actual figure, the actual additional overspend if he wants to use that expression, is €1.8 billion. It is very hard to make sense then of the figures, particularly when we have only had an hour to go through the document, which we actually could not do. The Minister is putting this to me and is telling me to read it. I have tried to read...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: I do understand the difference between that.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: Going back to the €600 million, is any of that money that was earmarked for the additional staff we were not able to hire? In 2022, it was anticipated that 10,000 staff would be hired and we might have reached approximately 5,500. We are still approximately 300 beds shy of the 1,200 beds that are funded. All of that money was allocated and of course it was not spent, so does that...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: So we used money that was provided for beds and staff for this year for other purposes-----

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: -----which I cannot see really in any of this.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: I appreciate that.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: That is additional.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: That is the additional Estimate. That is-----

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Supplementary)
(30 Nov 2022)

David Cullinane: That is my point, I am not confusing anything. That is the figure I came to a second ago, the €1.8 billion and not the €1.3 billion. The Minister's official has just said that the €600 million is in the €1.3 billion, which does not make sense to me.

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