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Topical Issue Debate: Hospital Staff (28 Mar 2018)

Jim Daly: I appreciate there is confusion around the current status of that situation. The HSE has informed me that no formal resignation has been received to date from the cardiologist in question in University Hospital Kerry. To avoid confusion, the purpose of the cardiologists who go there weekly, fortnightly and monthly is to deal with outpatient clinics and to reduce the waiting times, whereas...

Topical Issue Debate: Hospital Staff (28 Mar 2018)

Jim Daly: I thank Deputy Ferris for raising the issue of staffing at University Hospital Kerry. I understand that the Deputy’s concerns relate, in particular, to the provision of cardiology services in the hospital, notwithstanding the wider issues he has raised. He specifically focused on that. The cardiology department in University Hospital Kerry performs a variety of heart tests such...

Questions on Promised Legislation (28 Mar 2018)

Jim Daly: There are some sensitive issues regarding land acquisition that we cannot deal with publicly. Cork County Council is working to secure a site for this Gaelscoil but there are commercial sensitivities. The Department cannot go along and announce that it wants a particular site and drive up the price. There are other issues which also have to be addressed around planning, sustainability and...

Questions on Promised Legislation (28 Mar 2018)

Jim Daly: On the first question on waiting lists in Cork, Deputy Buckley asked specifically what the Government is doing about waiting lists. The Government allocated €85 million for a winter initiative this year: €40 million for winter measures; €11.6 million to deal with waiting lists and another €35 million was allocated to the National Treatment Purchase Fund, NTPF, to...

Questions on Promised Legislation (28 Mar 2018)

Jim Daly: I am an expert on tonsils as well. There is no difference in the waiting list for tonsils or no particular issue arising above and beyond that with any other specialties for which people are waiting. Deputy Michael Healy-Rae is talking about people going to Belfast, which is an available avenue. That is a European-wide initiative. Every country in the EU is able to avail of services in...

Questions on Promised Legislation (28 Mar 2018)

Jim Daly: On home help, as Deputy Michael Collins will be aware, a statutory scheme is being developed. Home help, as we acknowledge and have done so on many occasions, is ad hocand sporadic around the country. It is a demand-led scheme and €408 million is being allocated by the Government this year to meet the needs of home help. There are 50,500 people availing of home help. However, it is...

Questions on Promised Legislation (28 Mar 2018)

Jim Daly: The Deputy is referring to an article that was in a newspaper this morning. The article does not deal with all the facts or put them in the public domain. It clearly focuses in on the increases in administrative staff who make up approximately 16% of the overall staff but one must look at where historically there were reductions in staff. The moratorium put in place in 2009 had a greater...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: Fáiltím roimh an deis labhairt leis an gcoiste. I welcome this opportunity to address the select committee on the Revised Estimates for 2018 for the Department's Vote 38. Unlike many other Votes, the health Vote is not configured along programme lines. While the Department is working towards the development of programme budgeting, this will take some time as the financial systems...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: I thank the Chairman and members for their attention and questioning thus far. I will answer to the best of my ability. I do not have the answers for all of the questions but anything I can answer I will to the best of my ability and anything I fail to answer I will come back to the members directly or to the committee with more detailed information. Deputy Kelleher spoke about...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: The Chairman will appreciate I will not go into this type of discussion here. I will not negotiate the GP contract across the floor with anybody or go into its details. I have made some points on this. I addressed the National Association of General Practitioners, NAGP, over the weekend and I am merely reiterating some of the points I made to the GPs there. It is not in my gift. I will...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: As I understand it, it is operations carried out at home.

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: I will ask the Minister to revert to Deputy O'Reilly directly on that. I will address the rest of her questions as best I can, but a number of them are staffing related. I know this is her background and interest but I cannot go into that level of detail as to how many staff are apportioned to new beds and what percentage will go on staffing. These are operational matters and are done by...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: All I can do is repeat what I said to the Deputy. I do not manage or micro-manage those operations at that level, even within my own area of responsibility. It has nothing to do with whether the Minister, Deputy Simon Harris, or any Minister of State is here. In my area, I do not micro-manage the system as suggested. The HSE is in place to deliver the services. It is an operational...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: There would be a person answering the telephone who would be appropriately qualified to signpost where people should attend. If one says one is Jim Daly from Clonakilty and has an ongoing feeling of anxiety in the stomach that has not gone away in two weeks-----

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: The person answering the telephone would say the most appropriate thing would be to call to Jigsaw in Bandon, for example, rather than figuring it out oneself. We are also examining the delivery of the solutions online and through texting facilities whereby people could text and receive a response. A lot of our research shows that young people are much more comfortable texting than...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: Every four or five weeks, I meet the groups to receive an update on the work. There is a lot of work involved. I hate setting a timeline because I may not be able to live up to it. I am confident, however, that by the end of the year I will have very significant progress made on this, irrespective of whether the telephone number will be available then. There are many challenges because...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: The Deputy asked me about Bantry General Hospital. I met the management there last Monday. I met senior management from the South/South West Hospital Group. There is a proposal, of which the Deputy has been very supportive, to develop the rehabilitation and endoscopy facilities. Both projects have gone to the HSE and have been technically cleared. They have proceeded to the Department...

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: Will the Chairman repeat the last question?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: Deputy O'Connell asked about online therapies. She offered to have a conversation with me afterwards. Shall I do that or does the Chairman want me to go through it on the record?

Select Committee on Health: Estimates for Public Services 2018
Vote 38 - Health (Revised)
(28 Mar 2018)

Jim Daly: I was not 100% clear whether the Deputy was talking about the phone line or the online service. I think she referred to the online service but when she spoke further, it was more about the phone line. She said that it would be assumed that certainly the online delivery of any mental health therapy would done in primary care centres under the guidance of the GP. I think she seemed to be...

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