Results 441-460 of 1,776 for speaker:Derek Nolan

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: By paying for it when it is brought in as a day case, we are incentivising that activity at the moment.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: It seems that much of Professor Keane's and Dr. O'Connell's job involves cajoling, persuading, coaxing and almost dangling things in front of people. Why did the HSE stop monitoring the 24 target procedures in 2013 and 2014?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: However, it is the case that if a consultant really does not feel comfortable with a surgery, it is their clinical decision as to whether something is done as a day case or an inpatient case.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: I beg Professor Keane’s pardon. I use the case of tonsillectomy as an example.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Looking at some of the figures from the 2012 report, which is akin to being a million years ago in terms of where the health service is currently, we have an issue with Cork University Hospital, which was one of the lowest scoring of the major teaching hospitals. Its percentages were dragged down dramatically by, for example, the extraction of cataracts. Is it a case of there being a...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Is the situation being remedied?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Could I ask Professor Keane about figure 2.10 in the report of the Comptroller and Auditor General where there is a large increase in the number of non-targeted procedures? It is estimated that just two out of five of the cases examined were true surgical day cases. Paragraph 2.8 says that based on a review of day cases admitted under surgeons in 2011, the Accounting Officer estimated that...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Is that even when the cases are day cases?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: I would be happy for Professor Keane to respond as he can deal with an additional point. He mentioned in the surgical programme about analysing and sharing the data and having the data as key, but in one particular example we have seen that 40% of the data are inaccurate. How does that play into his need for true data in the programme?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Does it give rise to questions of honesty on the part of hospitals?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Could Dr. O'Connell repeat that line?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: If I may interrupt Dr. O'Connell, I only have limited time and want to focus on the tonsillectomy which he raised as an example. We were at 8% in 2012, are we at 10% now?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: That compares with 40% in the UK, according to the Comptroller and Auditor General's report. This has been listed as one of the day-case surgery target routines since 2006. We are eight years into it; it seems a long time to be trying to win over and sympathise with consultants and to assure, coax and cajole them into believing it can be done as a day-case procedure.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: Does it not contradict Dr. O'Connell's argument that it is to do with health and safety issues, when he tells me that we could influence behaviours by changing the funding structure?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: That is the point. Is there another contradiction in that the HSE has labelled this as a day-case surgery, as something that should be targeted and promoted and resources put into treating as a day-case surgery, when only 10% of surgical activity actually agrees with this? In 90% of the procedures, the consultant does not agree with the HSE's analysis that it is a day-case surgery. Is it...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: We are talking about if there is a specific surgeon in that hospital who specialises in, for instance, complicated cases. Is that what Dr. O'Connell means?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: I thank Dr. O'Connell for being very honest with me. His answer puts a lot of stock in the national clinical programme for surgery and how this is changing. While acknowledging the bona fide nature of the witnesses' contribution, it does not give me much confidence in the programme if eight years after introducing tonsillectomy as day case surgery, we have gone from approximately 8% to 10%...

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

Derek Nolan: I welcome Dr. O'Connell and Dr. Carroll and their officials. In going through the report I wish to compliment them on the Comptroller and Auditor General's observation that from 2009 to 2012, the HSE set a 75% target day surgery rate for all acute hospitals for the 24 procedures and reached a rate of 74%. It is rare that we see targets actually being reached, so I compliment the witnesses...

Written Answers — Department of Health: Medical Card Eligibility (4 Nov 2014)

Derek Nolan: 675. To ask the Minister for Health the reason a person (details supplied) whose income is below the qualifying threshold was refused the full medical card. [41438/14]

Written Answers — Department of Arts, Heritage and the Gaeltacht: Ferry Services Provision (4 Nov 2014)

Derek Nolan: 1147. To ask the Minister for Arts, Heritage and the Gaeltacht her plans for the Aran Islands ferry service; if the service is due to cease at the end of the month; and if so, the measures that will be put in place to assist islanders; and if she will make a statement on the matter. [41378/14]