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Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: Whenever the recommendation is sent to the HSE leadership team, is that team the final stamp to say "Yes", "No" or somewhere in between?

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: I turn now to the process. Professor Barry made a point, on which I fully agree with him, that the State should pay on an outcomes basis for orphan drugs. If there is a drug, be it Spinraza or something else, which works on, say, one in five people, and if it is not cost effective to provide ongoing treatments for all five, we can identify and pay for the one for whom it works while...

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: I would like to discuss the alleged delay in Ireland in getting some of these drugs onto the market. The witnesses may disagree but it has been put to me by patients, patient advocacy groups, clinicians and the pharmaceutical companies that relative to other EU countries Ireland is very slow in getting the drugs to market. For example, in the case of Translarna, 22 other countries-----

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: That is fine. It has been put to me by a number of people that Ireland is slower than other countries at getting drugs to the market, for whatever reason. What is being put to me, fairly or unfairly, is that the NCPE moves pretty quickly and is transparent in what it does - whether one agrees or not with the full process that is what happens - and that the EMA at a European level is pretty...

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: It is the timing of the process that is in question.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

Stephen Donnelly: On the issue of resources, is Mr. Flanagan speaking about drug budget resources or human resources?

Written Answers — Department of Justice and Equality: Services for People with Disabilities (20 Nov 2018)

Stephen Donnelly: 266. To ask the Tánaiste and Minister for Justice and Equality if €100,000 of funding will be included in his final budget preparations from an equality perspective for the roll-out of the just a minute card which helps persons with disabilities to navigate public transport and shops by signalling that the holder needs to be afforded some patience; and if he will make a statement...

Written Answers — Department of Health: Hospital Beds Data (20 Nov 2018)

Stephen Donnelly: 381. To ask the Minister for Health the average number of acute hospital beds available in public hospitals in each of the years 2015 to 2017 and to date in 2018, by inpatient and day case, in tabular form. [47828/18]

Written Answers — Department of Health: HSE National Service Plan (20 Nov 2018)

Stephen Donnelly: 392. To ask the Minister for Health when the 2019 HSE service plan will be published; and if he will make a statement on the matter. [47872/18]

Written Answers — Department of Health: Patient Data (20 Nov 2018)

Stephen Donnelly: 434. To ask the Minister for Health the estimated scale of disease-related malnutrition here; the clinical setting in which disease-related malnutrition predominantly exists; the estimated cost impact of disease-related malnutrition; and if he will make a statement on the matter. [48040/18]

Written Answers — Department of Health: Patient Data (20 Nov 2018)

Stephen Donnelly: 435. To ask the Minister for Health the measures being undertaken to accurately measure the scale of malnutrition in the community setting here; and if he will make a statement on the matter. [48041/18]

Written Answers — Department of Health: HSE Staff Recruitment (15 Nov 2018)

Stephen Donnelly: 136. To ask the Minister for Health the obstacles that have been encountered in appointing a new chief executive for the HSE; the number of applications received to date for the position; his plans to revise the terms and conditions of the appointment; and if he will make a statement on the matter. [47562/18]

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: I thank the Minister of State and the officials for their time today and for the statements made. I start with performance and accountability. In Ireland, we spend more on healthcare than almost any other country on earth. Budgets over the last number of years have been the highest in our history. Commensurately, the overruns have been the most extensive we have ever had. At the same...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: I am sorry to cut across the Minister of State. My question is not about the solutions. It is whether, given what we both agree is happening, anyone has been fired.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: I thank the Minister of State for his answer. The question referred to the best of the Minister of State's knowledge, in light of the fact that he is standing in for the Cabinet Minister here. To the best of his knowledge, has anyone been fired over the catastrophic failures we have seen right across the system?

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: In the past year, two years, three years, four years or five years.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: Whichever it is. Has anyone been fired due to the catastrophic failures and the pain and suffering felt across the system? It is a straight question.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: I ask that we do that afterwards. It is not to cut Mr. Connaghan off, it is just that we have very little time. I will be very happy to go into that later, but for now the answer to my question is "No". Is that fair? I do not want to put words in Mr. Connaghan's mouth, but the answer is "No". I ask the Minister of State to reflect on that at a political level. Given what is happening in...

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: It is for the failures we are seeing across the system.

Joint Oireachtas Committee on Health: Quarterly Update on Health Issues: Discussion (14 Nov 2018)

Stephen Donnelly: To the best of the Minister of State's knowledge, has anyone been sanctioned in any way?

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