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Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: In terms of the public nursing homes, it states there is 2.5 times the level of nursing currently in the public nursing system. Ms O'Connor said that there are actually constraints around staffing numbers.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Is that something that Ms O'Connor has looked at?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: On the staffing deficits in each CHO, can Ms O'Connor give us an indication of what they currently are?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: In terms of the review, audit, the examination of operations costs, staffing and rostering and the use of agency staff, has the Department of Health or the HSE conducted a review into the public nursing services?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: My question is whether the HSE has done that.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: I apologise for interrupting. The HSE knows there is a problem and there is a value for money report that has been published by the HSE itself and it has accepted the recommendations. It is five months now since the publication of that report. Have we seen progress?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: We certainly have deficiencies in other elements of CHO staffing levels in where we actually need to rebalance within each CHO. On the implementation of the report, will a report be published? When does Mr. Mulvany envisage this work to be completed?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Can this committee get an update or an interim report on work to date? It is important that we actually follow this.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: I want to move on to the second point I want to raise. On the HSE treasury management, the cash balance held by the HSE at the end of December 2020 was in the region of €812 million, which was an increase of €458 million on the 2019 balance of €354 million. The HSE states that this is equivalent to holding 13 days' cash for its normal day-to-day operations. I certainly...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: My next question was on the negative interest rate.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: What is the cash balance that will be transferred over for 2021? Do you have that figure?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: The agreed figure is €608 million. This is €812 million.

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: In my second round of questioning I will focus on the HSE capital and estates division responsible for the delivery of projects included in the HSE capital plan. One of the issues is the delay in the delivery of projects. In 2020 there was €833 million to deliver what is a substantial annual capital programme. On current staffing, if we take for instance the CHO 2, the Galway...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: On the capital design consultancy expenditure for 2020, €34.749 million was spent on non-capital estates expenditure on external consultancy related to €833 million of capital projects. In order to get faster delivery on projects, for instance the emergency department, ED, in University Hospital Galway or in Mayo University Hospital, why are we not using external consultancies...

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Has that project gone to planning yet?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: I am thinking of the delivery of smaller-scale projects. For the Department of Health, anything over €100 million goes to Cabinet for approval. Anything below €20 million seems to fall off the radar altogether. How does the Department of Health get oversight over smaller-scale projects that are equally important in each of the CHOs?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Is there a carry-over of projects from 2021 to 2022, say? Do we have visibility on that?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: What does the Department of Health do if multiple projects are being carried over?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Is that acceptable?

Public Accounts Committee: 2020 Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Health (Resumed)
Health Service Executive: Financial Statements 2020
(26 May 2022)

Alan Dillon: Has the Department ever allocated additional staff to expedite projects?

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