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Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: I ask the Cathaoirleach for his guidance. I am happy to answer questions but being shouted at while trying to answer them is not helpful. Can I just get the Cathaoirleach's guidance on this point?

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: I thank the Cathaoirleach very much. In response to the Senator, we have invested in growing capacity not just in UHL but in the region at a level that has never been seen. We have an additional 1,200 staff and 108 beds, and nearly 200 more beds are being built on-site. We have invested-----

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: -----in the hospitals in Ennis and Nenagh and in St. John's and in community care. What is happening in UHL is not happening in other hospitals. In just this year, other hospitals that have seen and are dealing with similar increases in presentations are driving down the trolley numbers. This time last year, the trolley count was lower than the previous year. This year, it has gone up...

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: Just for the record, that is a false statement.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: I am more than happy to provide the reality of the figures to the Senator if he wants.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: I thank the Senator. Just to be clear, his characterisation of how both INMO and the HSE count the trolley figures is incorrect. In terms of the staff in UHL, the numbers of nurses, doctors, consultants and health and social care professionals there have gone up in the last year.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: The total number of staff in UHL now has increased by 42% compared to 2020.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: There are 1,200 more healthcare professionals working in that one hospital than there were four years ago. To suggest, therefore, that the embargo, which I know is having an impact on specialist teams because I have spoken to the nurses and doctors, is somehow responsible for what is going on in respect of the increase in trolley figures this year simply does not stack up in a hospital that...

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: Regarding the number of people on trolleys, there is a very important point for the people of the mid-west who are watching this. I, too, saw the report and the information provided. I might ask our emergency department consultant to give the committee a brief account because it is a very stark figure. I know people in the mid-west will have seen that figure and will have believed that...

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: Specifically in UHL?

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: It was in my opening statement.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: I will check but my understanding is that it is whole-time equivalents. I might ask the officials to check.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: No, I would not. There are healthcare assistants, who I believe are healthcare professionals, and hospital porters, who I believe are healthcare professionals. There are other patient-supporting roles that I would say are healthcare workers. We will get the Deputy a full breakdown of the full 1,200.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: It is whole-time equivalents.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: To the best of my knowledge, the figures we use generally are whole-time equivalents but I will-----

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: We have that here. I will ask the officials to pull it out for me. It is in the briefing note.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: Yes it is. I could not agree more with the Deputy's assessment. I agree entirely that it is one of the big enablers. It was called for in the Sláintecare report. Only this week, I brought the new e-health strategy to Government and it has been agreed. This year, we are starting with a patient app, which is being rolled out for testing to several hundred maternity patients in the...

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: Yes, nationwide. The third part, which is the electronic health record, will take much longer and we are doing it on a regional basis. This is where the record is integrated into the hospital and the GP so when someone comes into an emergency department, they pull up who the patient is and schedule him or her to go and see Dr. Murphy, who then schedules the patient for his or her scans, all...

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: That will take time. The first place it will be delivered is the national children's hospital. That will be our first electronic health record fully digitised hospital. Then we will do it on a regional basis.

Committee on Public Petitions: Reopening of Ennis, Nenagh and St. John's Emergency Departments: Discussion (23 May 2024)

Stephen Donnelly: We are going to finalise the terms of reference once we have-----

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