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Inshore Fishing: Motion [Private Members] (25 Jan 2023)

David Cullinane: The situation facing the Irish fishing sector has been well and truly set out by all of the previous speakers. I thank the Rural Independent Group for bringing forward this motion. I thank an Teachta Michael Collins and his colleagues for the work they have done. I also commend my colleague, an Teachta Mac Lochlainn, the Sinn Féin spokesperson in this area, for his efforts in engaging...

Written Answers — Department of Health: Health Service Executive (25 Jan 2023)

David Cullinane: 193. To ask the Minister for Health further to Parliamentary Question No. 808 of 5 April 2022, the reason a buy-and-leaseback arrangement is preferred rather than the HSE retaining full ownership of the site; and if he will make a statement on the matter. [3683/23]

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: Okay, so it is substantially recovered.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: The figures given are quite stark. There were 48,000 alerts. As Mr. Thompson said, a lot of those are benign. There were 1,200 investigations and 200 of those are significant. Is there any relationship between any of those hacks, even the most recent substantial one, and the fake texts people were getting purporting to be from the HSE about antigen tests and other areas? Is there any...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: There is no relationship then between hacks and that information?.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: On the issue of the substantial issue of investment in e-health, Mr. Thompson's opening statement was quite frank regarding where we are at because he rightly said that implementing technology and e-health solutions is a key enabler to the delivery of integrated care. He goes on to say: Our technology and e-health solutions need to be radically overhauled in order to provide the type of...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: All of that is in Mr. Thompson's opening statement. I am only quoting what he said. It is not my language, even though I agree with what he has said. He said that our technology and e-health solutions need to be radically overhauled and that our system is being held back because we do not have those integrated IT solutions, electronic patient record systems and all of those systems that...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: The former head of digitisation, who as Mr. Thompson knows resigned from the HSE, is on record today - it is timely because it was covered substantially in The Irish Timestoday - stating that the HSE has "no vision" for e-health and efforts to change this are being impeded by "bad actors". Is that something with which Mr. Thompson agrees or has experienced?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: Mr. Thompson can give his opinion. I am asking for his opinion.

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: I accept that. It is actually one of the areas where we have gotten it right. E-prescription is a big success. I certainly agree with that but we are way behind in all the other areas. On funding, Mr. Thompson spoke earlier about the capital and revenue funding stating that we hit 99% of the spend on what is allocated. Money also comes or is available as well through the recovery and...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: How much of it is spent so far? Is there not is a time limit on that?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: The figure I received in a parliamentary question response was quite lo#; it was only a fraction of the money that was allocated. While it may be the case that in terms of voted expenditure for both current and capital, the HSE hitting 99%, it does not seem to be the case under this resilience fund money that the same target is being reached. I could be wrong. I imagine if Mr. Thompson is...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: Why?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: We need to be assured that money will be spent. With all the investments that are needed, it would be intolerable if that money was not spent. My understanding is that there are rules around how and when that money can and should be spent. My last question relates to the next session we are going to have with Health Research Charities Ireland, HRCI. Its representatives talk about a...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: I just want to pick up on that theme first before I go into more substantial questions. Cybersecurity is important as we roll out more investment in e-health and digitisation. Has the system totally recovered from the most recent hack or cyberattack, which was quite substantial across our health services?

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: I welcome Dr. Kennan and her colleagues. There is real frustration that we have been discussing these issues for the best part of ten years, and possibly longer. As was outlined, there have been numerous reports advocating changes in this area, such as in respect of the use of unique patient identifiers, electronic patient records and better integrating IT systems across healthcare for all...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: In the previous session, we heard directly from the HSE. The missing link in all of this is the Department of Health, which has questions to answer as well. It certainly has questions to answer in respect of the business case we discussed earlier. I have engaged with senior representatives in the Department on this issue of integrating IT systems and rolling out unique patient identifiers...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: I suspect that the time horizon of a Minister for Health might be a little different from how many of these projects are delivered. We have to be brave when we look at this, however. Some of these measures require medium- to long-term investment and will take time to bed in before there is an outcome, but they are really important. I know Ms McCormack wishes to come in but my time is...

Joint Oireachtas Committee on Health: Electronic Health Records: Discussion (25 Jan 2023)

David Cullinane: I thank the witnesses for their work and give them my best wishes.

Ceisteanna Eile - Other Questions: Disability Services (24 Jan 2023)

David Cullinane: 129. To ask the Minister for Finance the current status of the review of the disabled drivers and disabled passengers scheme; when the Disabled Drivers Medical Board of Appeal will be in operation; the number of outstanding appeals before the board; and if he will make a statement on the matter. [3094/23]

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