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Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: When did the transition take place?

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Therefore, Mr. O'Brien does not attend meetings of the Committee of Public Accounts. Who does?

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: If there are questions on expenditure, a lack of expenditure or a failure to spend in the HSE, who is ultimately responsible?

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Who is responsible? I really need to know the answer. If I cannot be told, I cannot be told.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: I am not disputing the ruling.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Who is ultimately responsible? Who would be required to go before Committee of Public Accounts in the event of an overspend or money being spent incompetently?

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: The funding provision for the National Treatment Purchase Fund remains unchanged, having been reduced significantly in recent years as a result of the transfer of funds from the NTPF to the special delivery unit. The task of the special delivery unit was to address the issue of emergency department overcrowding, seamless movement of patients through hospitals, step-down facilities, home care...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: I have published a very fine Private Members' Bill on it also. It is there for the Minister to take from the shelf.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: No; it is on calorie counting.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: It is like the lotto. It is delayed.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Subhead J4 includes the ring-fenced service development funding of €35 million for mental health and funding to deal with delayed discharges. Is that €15 million with regard to delayed discharges part of the amount announced in the budget to deal with the problems associated with the number of people on trolleys in our emergency units in January? Is that figure the €15...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: J5 covers payments to the State Claims Agency in respect of costs relating to clinical negligence. There is a substantial increase, 20%, estimated for this year. Is that because of large cases coming to finality, or is it a projection of cases in process? Are there cases that the Department expects will come to settlement this year? Is it a projection based on an overall increase? The...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: The Estimates could almost be accused of being obscurantist because of their sheer size. Deputy Caoimhghín Ó Caoláin is right. I got the wrong figure, but the same principle applies to projections for the State Claims Agency. How is this done? Is it based on court cases? How does the Department profile the spending in the year ahead? I may have quoted the wrong figure,...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: I am not quite sure what subhead we are discussing

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Primary care is under subhead K.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: The Minister referred to it, but I thought we were speaking only to subhead J, however, we are speaking to subhead K as well. The demographics are alarming when one looks at the age profile of the nation over the next 25 to 30 years. Most politicians live and die by the sword in terms of the next election but there is an onus on us to deal with the very serious and stark issue facing us, the...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: I referred to it already and I am happy with it.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Which heading are we under?

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: Subhead M4 relates to the recoupment of certain dental treatment services scheme costs from the Social Insurance Fund. Like Deputy Ó Caoláin, I believe this area must be examined quickly. I realise there is a campaign on the fluoridation of water and so on. However, the key issue of oral hygiene is one we are beginning to neglect dramatically. I accept that I cannot blame the...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2015
Vote 38 - Health (Revised)
(5 Feb 2015)

Billy Kelleher: I know. We cannot pretend it does not happen. It happens and I do not agree with the idea that we will look after them when they are 17 or 18 years of age when the damage is done dentally and orally and sometimes in terms of their social, personal and developmental skills. I am not blaming anyone but I am urging the Minister to see whether there is any way he can resurrect an efficient...

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