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Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: The next slot is for Fine Gael. I call Deputy Colm Burke.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: I have a number of questions to put to the Minister. Looking at the big picture and the structure of how information is presented to us, it is an atypical structure which is not programme based. That makes it harder to analyse it and go through this. There have been recommendations for reform, going back to 2008 and the Considine report, of how the Department presents the Revised...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Is Mr. McGlynn saying 2029?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: That will need to be done better. I want to address a few other points. I am concerned to see a drop of 30% in ring-fenced funding for Sláintecare. While I accept some of the activities previously funded under the subheading have been mainstreamed under the HSE and core funding allocation, this is still a dramatic drop, particularly given we now have the Sláintecare...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Do we have updated costings for the 2017 Sláintecare report and the implementation of that? Do we have a budget allocation for that or the costings around it?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: I am referring to the Sláintecare report in 2017. Do we have updated costings on how much that will cost to implement?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Regarding several other matters, such as sexual health, I am glad to see the strategy was published this morning.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Sexual health.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: I believe the strategy was published this morning. I have not had a chance to look at it in detail but I welcome this. It is something we have been looking for. Again, this links back to my earlier question on the programme voting or the programme nature of the Estimates. It is very hard to see how much is being allocated to things like sexual health. I am interested to know the total...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: With regard to the new strategy then, do we have a costing on that and would the Department cost-implement it? There are now ten counties across the country that do not have in-person sexual health clinics. There are 900 people waiting for access to PrEP and 400 of those have been waiting more than 13 months for that access. There are huge deficiencies in the services and what we need is...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: When the Minister of State comes back to us, she might give the committee a breakdown of the healthy Ireland initiative, the €16 million allocated there and how much of that is for sexual health. We would appreciate that as well. I have one final issue, if I have time. On ICT projects and procurement, I have a specific example. For the medical laboratory information system used...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Was that contract extension compliant with procurement rules?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Last year, the Comptroller and Auditor General identified significant levels of non-compliance with the procurement rules within the HSE. The C and AG said the HSE control systems were failing to highlight the level of non-compliance in the procurement occurring. I am interested to know what measures have been taken to ensure the HSE does not continue to regularly contravene procurement rules.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Finally, on digital health, the 38% increase in spending on information systems is welcome but we are starting from a very low base. In 2023, we were lowest among the OECD in terms of digital health provision. Based on the Estimates I have looked at here in subheading M3, I have calculated they are now at 2%.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: Is that a percentage of the overall spending?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: My calculation was approximately 2% and the HSE's own digital health implementation report said it should be approximately 4% to 5%.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: I thank Mr. Tierney for that. Our next speaker is Deputy Sherlock from the Labour Party.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: The Deputy's time is up. We will get a brief answer to that question.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: We are now slightly ahead of our planned break so we will take it now and then resume our session.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Pádraig Rice: I invite the Minister to speak.

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