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Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: We will resume again with Deputy Durkan.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: To follow on from the last conversation around childcare, although we have not mentioned it this morning, it must be impossible to try to get accommodation, particularly in relation to rotation. The housing issue has not been mentioned this morning. The witness mentioned that she travelled around when she was younger, but it must be increasingly difficult for anyone in that situation.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: We saw that particularly during Covid-19. We asked people to put in those hours and we did not follow through. The system did not follow through on the childcare elements, regardless of everything else. That was one of the huge challenges and failures we had.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: These are all the elements. I am on a committee of the British-Irish Parliamentary Assembly which is looking at the idea of rural housing. One of the things that started to come up at a recent meeting is that if you are serious about building communities in rural areas, on islands or wherever, you need to have a home for the doctor, the police officer and the teacher, and you need to have...

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: The problem is not that the consultant or doctor is not filling in the forms.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: As in he or she is not applying for it.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: We are not going to resolve it today but it is important we highlight it and try to get some sort of sense of it. It just seems a chaotic system.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: My next question is probably left-field again. When we were down in Limerick I was speaking to one of the consultants who said he was going to sign the contract but he just had not had the time to do so. Is it a fairly detailed contract?

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: Is the contract something that could be simplified? Does it have to be as onerous as it is?

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: Perhaps it is something we can follow up on. Is the IMO hopeful the issue regarding visas for families can be resolved?

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: Again, it seems like something that could be resolved.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: The witnesses have made the point there have been deficits in funding over decades and we are playing catch-up with regard to the challenges in our system.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: Other groups have come before the committee. They have told us, for example with regard to cancer services, that we have radiology machines but we do not have radiologists.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: We may go ahead and build the infrastructure but we do not have the doctors. It is about all of these things working together. With regard to the negotiations, and I know I am labouring on this, the witnesses said the IMO had the negotiations and the next day the freeze was announced. Is it the belief of the IMO that the people it was negotiating with realised this announcement was coming?

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: They were also in the dark.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: It was not bad faith on the part of the negotiators with the IMO in this regard.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: There are certain areas where there has been a larger take-up. One of the positives is the higher uptake with regard to anaesthetists and diagnostics. There are positives coming out of some of the changes. The IMO has spoken about the non-take-up of the contract and that the UHL group has the lowest level. This can be explained by all of the challenges they face there. The group with the...

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: That is not the impression we get from it. Points have been made about beds and key staff with regard to the predictions for population levels in 2030, and we are at that stage now.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: You are grand.

Joint Oireachtas Committee on Health: Employment of Consultants and Non-consultant Hospital Doctors in Public Hospitals: Irish Medical Organisation (22 May 2024)

Seán Crowe: I thank Deputy Harkin. I call Deputy Durkan.

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