Results 421-440 of 27,299 for speaker:David Cullinane
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I just need the number.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: There were 950 companies.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: How many of them are very large?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Taking those top 50 companies - because we want to get to conflicts of interest and, potentially, perverse incentives, which have been talked about recently too - are there current and former members of the HSE who are now directors of those companies?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Okay. I want to get to risks because these are also discussed concerning insourcing. Obviously, in relation to managing waiting lists, we have core HSE activity, which Mr. Gloster referred to, and obviously overtime, and then this third wheel of insourcing. We want to get to a seven-days-a-week health service and get more productivity. This is linked to productivity across the health...
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: It is not just a risk. I am talking about a perverse incentive here, which is more problematic. I refer to the existence of these companies. We know current and former HSE employees are directors of these companies. We are a small country, and it is the same consultants, by and large, doing the work. In my view, given the existence of this insourcing, there is a perverse incentive in...
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Exactly. It is an impediment to getting to that five over seven days, which is what we want.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Is Mr. Gloster adamant this can be ended by June 2026?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I accept that, and I saw what Mr. Gloster referred to. I submitted a parliamentary question seeking a breakdown of the information on all these companies, including how many exist and what funding has been given to them over the last number of years. I shared that information with the HSE, but I did not get any response other than being sent somewhere else, which made no sense whatsoever....
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I accept that. I am talking about the amount of money the companies received from the HSE.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Okay, that is the information I am looking for. There is a related issue here that troubles me. I am looking at spending on agencies. For me, we have the same level of dependency in this regard and these issues are very much linked. In 2019, the spending on agencies was €349 million. What was the spending in this regard in 2024?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: It was €734 million. Do we have any idea how many companies operate in that space?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: How many companies are we talking about?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Yes.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Okay. I am looking at the agency spending. First of all, does Mr. Gloster accept we have a problem here where we have gone from €349 million in 2019 to €734 million in 2024?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: Mr. Gloster has been very clear, but the problem is it has still gone in the wrong direction. In 2023, it was €647 million and then it increased to €734 million in 2024.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I suggest we have a lot more to do. The figures are alarming.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: It is, and it is the shame in relation to accountability. I want to come back to the productivity and savings task force that was established. I read all the reports the body has published and nowhere do I see insourcing. How is it that the productivity and savings task force completely missed this issue of insourcing?
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I know, but Mr. Gloster said in his opening statement that there were links between productivity and dependency.
- Joint Oireachtas Committee on Health: Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion (2 Jul 2025)
David Cullinane: I am not sure if it is the NTPF or Mr. Gloster that would have the answer to this question. It has to do with outpatient clinics in CHI Crumlin over the past number of years. In 2015, a total of 51 were conducted on a Saturday. In 2024, the figure was 1,426. How in God's name could it have gone from 51 to 1,426?