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Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Thank you very much, Dr. de Buitléir. We will open the meeting to our members, and our first contributor is Deputy Stephen Donnelly.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I thank Deputy Donnelly. On the answer of this question, we will move on.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I thank Dr. de Buitléir and Deputy Donnelly and call Deputy O'Reilly.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Deputy Kelly has just one more minute.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I will allow only one more question. I am sure the Deputy does not want me to give him preferential treatment.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: The recommendation was that consultants should deliver services rather than having a consultant-led service.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I thank Dr. Keegan and Dr. de Buitléir. I would like to make some comments. Most members of the joint committee sat on the Committee on the Future of Healthcare, which produced the Sláintecare report. The fundamental principle we were trying to introduce as part of the efforts to move private practice out of public hospitals was that preferential treatment would not be given to...

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I come from a discipline in which there is no discrimination between public and private patients. People come in the same door, sit in the same waiting room and are seen by appointment. It is a different system. We have created a system which is a little like Brexit. Once someone becomes entangled in a system, it is difficult to disentangle him or her from it, even though that is the...

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: According to the report, there are eight types of consultant contract dating back to 1991. What Dr. de Buitléir is proposing is that in the public system, there be one contract type, namely, a public-only contract, and that if someone wished to practise private medicine, he or she would do it outside his or her public hours or as a private-only consultant.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I thank Dr. Buitléir. I call Deputy O'Connell. We will then go around again.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: We have a second session starting at 11.45 a.m., so I ask Deputy Donnelly to put a quick-fire question.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Sorry, we will have to move on. I know the Deputy has many questions as do we all.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Is there an answer?

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Perhaps on a related commentary based on my experience, people want personal care and they feel they will get personal care if they go privately because they will see the same consultant. They may not necessarily get the same personal contact with the same doctor. With regard to maternity care, the public system is excellent and superb. Irish maternity care provides one of the top services...

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Only one, with no commentary or soliloquy With regard to what Dr. Keegan and Dr. de Buitléir have said, the issue is that we have a system in which private health insurance is inadvertently subsidising the public health service. This is the fundamental issue examined by the committee on the future of healthcare. That subsidy is perverse. We have to finish at 11.30 a.m. so the two...

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: We did go through that extensively earlier and Dr. de Buitléir explained how it can and should be done in a stepped way over ten years.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: Yes.

Joint Oireachtas Committee on Health: Private Activity in Public Hospitals: Discussion (23 Oct 2019)

Michael Harty: I thank Dr. Shortall for those comments. On behalf of the committee, I thank the witnesses for coming before the committee and for their evidence. Their report has been well received and will stand up in future as we reform our service.

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Michael Harty: In our second session of the morning we will get an update from the Sláintecare implementation office on progress with the Sláintecare programme. I welcome Ms Laura Magahy, executive director of the Sláintecare programme implementation office, Mr. Colm Ó Conaill of the Department of Health, Mr. Dean Sullivan, chief strategic and planning officer with the HSE, Ms Ciara...

Joint Oireachtas Committee on Health: Sláintecare Implementation Strategy: Discussion (23 Oct 2019)

Michael Harty: I thank Ms Magahy for that comprehensive overview of progress. I shall now open the floor to the members, the first of whom is Deputy Donnelly.

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