Results 4,341-4,360 of 26,844 for speaker:David Cullinane

Written Answers — Department of Health: Home Help Service (8 Nov 2022)

David Cullinane: 1135. To ask the Minister for Health the number of persons who are in receipt of home support or a carer but who are not in full receipt of their hours, by CHO; and if he will make a statement on the matter. [55091/22]

Written Answers — Department of Health: Home Help Service (8 Nov 2022)

David Cullinane: 1136. To ask the Minister for Health the extent of the data collected and collated on home support at national level. [55092/22]

Written Answers — Department of Health: Home Help Service (8 Nov 2022)

David Cullinane: 1137. To ask the Minister for Health the extent of the data collected and collated on home support at CHO level. [55093/22]

Written Answers — Department of Health: Home Help Service (8 Nov 2022)

David Cullinane: 1138. To ask the Minister for Health the extent of the data collected and collated on home support at LHO level. [55094/22]

Written Answers — Department of Health: Care Services (8 Nov 2022)

David Cullinane: 1175. To ask the Minister for Health the reason that day-care services in Loughrea are provided at the purpose-built facility on the St. Brendan's campus only one day each week with the service provided at a local hotel on other days; the progress being made towards reinstating the service to the St. Brendan's campus on a full-time basis; and if he will make a statement on the matter. [55222/22]

Written Answers — Department of Housing, Planning, and Local Government: Undefined (26 Oct 2022)

David Cullinane: 81. To ask the Minister for Housing, Planning, and Local Government if he will advise on a matter raised in correspondence (details supplied); and if he will make a statement on the matter. [53637/22]

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I welcome Mr. Kearns. His opening statement is music to our ears. Everything he said has been said by us for some time. At our first session on RHAs, many of the arguments made by Mr. Kearns in his opening statement were made by us to the head of the Department and the head of the HSE at the time. I will discuss some of the points made by Mr. Kearns in his opening statement and...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I think Mr. Kearns is saying it is complex. My question concerned whether, at senior management level, the HSE is really committed to these changes. In his opening statement, Mr. Kearns said that there should be a guarantee of independence and authority for the RHAs commensurate with the responsibility they are being given. I agree with that. He went on to say we need absolute clarity as...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I must put it to Mr. Kearns that if we are talking about devolved authority and responsibility, accountable autonomy and making sure these RHAs have their budgets and the authority on how to spend it, their not being a legal entity and not being the employer constitutes a problem.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: That is welcomed but does it mean a memo would have to be brought to Cabinet by the Minister if there was a change, which I imagine there would be because it would require new legislation and to be signed off by Cabinet?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: Regarding corporate function and the memo signed off on by Cabinet, can Mr. Kearns square this with what is in his opening statement? I agree we need a HSE centre to provide governance, clear guidance and consistency. I think we all accept that. We need a lead HSE centre. However, when it states that the HSE centre provides all corporate functions, including all central procurement,...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I think we are all on the same page. I think Mr. Kearns will find members of the committee agree with everything he is saying. We need people to listen. There needs to be a shift in the mindset in the HSE. I think the Department wants change but there is some resistance from the HSE. I am not saying that some of that is not justified because it wants to provide that central guidance....

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: -----which is the last thing we need. Thousands of organisations are funded by the HSE. We have a complex healthcare system, with voluntary hospitals but also all the section 38 and 39 organisations. The business case here, signed off on by the Cabinet, states the HSE centre will approve all service level agreements, SLAs, with voluntary organisations. I am not sure how this is going to...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: That is not what it says here in the business case.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: It seems to me, therefore, if we look at the business case, that everything it said and all the concerns we raised have been proven right by the expert group looking at this subject and giving advice. As Mr. Kearns is aware, three models were presented to the Cabinet. Model 1 was no change, while model 3 was much more devolved authority. I think it was somewhere in the middle, at 2.5, and...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: This model has now been essentially binned, or needs to be binned. This is the message coming from this session, as far as I can see.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: Everything Mr. Kearns has said has suggested this is what needs to be done.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I fully agree.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I wish to come back in on a couple of issues. It was impossible to get everything in in one round. I thank Mr. Kearns for his responses to the first set of questions. If I may focus on capital planning, there is a review of the public spending code or a review of capital from the perspective of the Department of Public Expenditure and Reform ongoing, I think. There is a need for reform in...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Regional Health Areas Advisory Group (26 Oct 2022)

David Cullinane: I will put it to Mr. Kearns that we fell into that by accident in budget 2021 when, he might recall, there was an announcement of 1,147 additional acute inpatient beds. In the last year's budget and the budget for the year before that, there were big numbers for additional staff, most of which were not realised. It was never going to be done in one year-----