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Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Okay. Hospitals cannot do an awful lot about lack of funding or lack of staff for home care. What is the HSE centre as an organisation doing about that?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Does the HSE have an overall plan for reducing that number?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Sure, but it is the solutions I am looking for.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: How many additional community beds will be available this winter?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: How many additional community beds are provided for in the winter plan?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: When are all those beds expected to be delivered? What is the target date?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: I want to come back in about staffing later but I will leave it there for the moment.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: The HSE has put a certain amount of emphasis, in the winter plan, on avoiding attendances at EDs and avoiding admissions. That is only right as it is another logjam. I mean a lot of people end up in EDs who should have an alternative pathway. The difficulty is that in many cases there are no alternative pathways. That seems to be a key issue in respect of the logjams. The advice being...

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Am I correct to say that most of them are not open out-of-hours?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: What options are available out-of-hours and in the evening for the scenario I have outlined?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Is the service available up to 8 o’clock?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: I am talking about emergencies that arise out-of-hours.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: They are the global figures.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: What is a parent with a very sick child supposed to do at 11 o’clock at night?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: No.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: What are such parents' options when it comes to accessing services?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Okay.

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: The reality is that the alternatives to EDs out of hours are wholly inadequate. Does Dr. O'Connor accept that?

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: This just stands to reason. If the HSE does not want people who are sick or concerned about sick children or elderly relatives to go to EDs, it has to provide an alternative. At the moment, out-of-hours services are really only skeleton services. There are several minor injuries clinics and primary care centres around the country, some very well equipped, but I put it to the witnesses that...

Joint Oireachtas Committee on Health: HSE Winter Plan 2022-2023: HSE (16 Nov 2022)

Róisín Shortall: Of course, there is real difficulty getting access to same-day appointments with GPs. I feel like that is-----

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