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Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I think that-----

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: -----is exactly the point. The experience of our clinicians in the Irish healthcare system is that the ongoing investment is not made. For example, fancy equipment is bought and not maintained. The way of dealing with this and, therefore, securing a higher quality healthcare service, was to move to the managed equipment service whereby that investment is locked into the contract.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: Before I return to Ms Hardiman, one of the areas that I questioned Mr. Barry on previously is cost savings. This significant overrun has serious implications for the healthcare system and other sectors. Moving away from a better way of ensuring that the diagnostics equipment is up to speed is one of these. Medical care in the building is being sacrificed because of the overrun. On the...

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I do not blame the architects, who work to a brief but given Mr Barry's considerable experience in major construction projects, is it the case that this design using curves and so on is essentially a very expensive design for the State to be engaged in?

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: It is for taxpayers today. I thank Mr. Barry. I would like to go back to Ms Hardiman but I am happy to stop and come back in the next round.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: Can Ms Hardiman go through the figures, please?

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: It is not a reduction, it is a transition. My fear was that Ms Hardiman might say something like what she has just said. When three hospitals are combined into one, there are significant opportunities to rationalise.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I am sorry.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: What is the number?

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: If Ms Hardiman would not mind.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: It worries me because CHI is able to give very useful and exact information on doctors, nurses and healthcare professionals when they are being hired and there is good news, but when we ask harder questions like where services will be rationalised, we suddenly hear two things. First, CHI has no numbers. Second, where technology is making entire areas redundant, CHI will find other jobs for...

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: It does.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I thank Ms Hardiman.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I thank our guests for their ongoing energy. Being here can be gruelling and I imagine it is a lot more difficult on their side of the room than it is over here. Before I proceed to put further questions to our guests, I want to thank Deputy Durkan in his absence. He made some quite extraordinary statements earlier which, from what I can see, fit very neatly with Orwellian doublespeak. He...

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: I was here for that. I intend to delve further into the issue. The Minister indicated that there would not be a private entrance, but what Ms Hardiman confirmed to Deputy O'Reilly was that there will be a private entrance within the concourse. If I understand the matter correctly, there will be a segregated entrance that will lead to dedicated consulting rooms for private patients. Is...

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: So it is not the case that a consultant working in the hospital would only be engaged in public practice. He or she can rent one of the public rooms and do private work there.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: There will be a separate entrance to physically discrete suites for private patients.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: The answer is either "Yes" or "No." Will there be a separate entrance to the private suites?

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: To be clear, Ms Hardiman is confirming that there will be a separate entrance to private suites for private patients.

Joint Oireachtas Committee on Health: National Children's Hospital: Discussion (12 Jun 2019)

Stephen Donnelly: We are all aware that there are huge waiting lists for children in the context of getting access to diagnostics and treatment. However, those lists do not apply if a child's parents can afford to pay for the treatment. Are we potentially looking at a situation where there may be two children with the same condition who need to see the same consultant and where one child whose parents...

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