Results 4,881-4,900 of 34,585 for speaker:Seán Fleming

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: I ask the witnesses to send the committee more information on the previous directive so we can better understand this one. It is the law and the health Acts allow this, but the Comptroller and Auditor General would not have highlighted if he did not feel it merited highlighting. Changing the deficit from the year from €283 million down to €86 million is a very substantial...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: The accounts show the charge to the statement of revenue and income and expenditure was €318.7 million in 2018. That is what was booked out, but what was the value of the claims received during the course of the year? I am worried because it is escalating year-on-year, and that is why we are looking at it. Do the witnesses know the value of the claims that came in, that brought the...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: We will have to have that for next week.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: We will need that before next week. In other words, the HSE had a figure at the beginning of the year from the previous year's accounts, €318 million was paid out or settled. I do not know the value datum recorded on that, but it is gone out of the system, and new figures have come in giving a total of €2.79 billion, a figure is missing there.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: It is the State Claims Agency's job to explain that to us next week, but we also need the HSE's input at that meeting so we can knit the information together. It re-emphasises the problem, if the State Claims Agency is here and the HSE is not.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: The Committee of Public Accounts has two interests here. I say as much so that the HSE officials know where we are coming from. One is the cost of what is in front of us, but the real reason we are looking at it is to minimise risk in future. It is about learning about and minimising risk and risk control. We need both.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: There is no point in looking at the figures if we are not going to learn anything.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: Next week we will want to see the number of claims that came in during 2018 as against 2017 and 2016. I hope that will prove the point you are making, Mr. Mulvany. The Committee of Public Accounts cannot make a judgment without seeing the information. I think you are getting a feel for where we are coming at for next week. It could be useful work on the part of the Committee of Public...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: The figure is €340 million.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: The expenditure is within profile. Is that right?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: I am asking the Department and the HSE to liaise with the State Claims Agency. We want both organisations here to talk about this topic next week. That is the type of information we want. Some of the information is in the Department and some is in the State Claims Agency. In advance of the meeting next week we will have the full facts.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: That is good. We will tease it out in more detail next day. Talk to me about the cross-border directive. How many claims were paid out in 2018? What was the value of what we paid out under the cross-border initiative?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: What is the ballpark figure? Have you any idea? I do not see it. It does not hop out from the accounts.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: Will you send that to the committee? The scheme has really taken off in recent years.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: Many people would say that it is a shame and that we should be able to do some of that work in our hospitals in our State. There is not one Deputy who does not recommend this to people. If a person needs a hip operation but is told that the waiting time is 18 months, he can go to Belfast and get it done in a shorter period. Why not? That is provided the person had the wherewithal or, more...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: No, this is where people go up to the North to get teeth done or a hip operation. It is a different scheme.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: Any citizen in the EU is entitled to medical treatment in another EU state. The home state reimburses the other state for doing the job.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: Treatment abroad is a separate scheme. Please send it on as soon as you can. We passed legislation in the Dáil earlier this year in the event of Brexit. How does it work in that case? Is that scheme gone if Brexit occurs? What is the outcome for this scheme on 31 October if Brexit happens? It does not matter whether it is hard or soft or whether there is a deal or a no-deal...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: I am not talking about no-deal. Go on.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals (27 Jun 2019)

Seán Fleming: It is happening between Belfast and Dublin for sick children with cardiac problems? Is that a different scheme?