Results 4,901-4,920 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: We will have a mutual agreement with them.

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 important because some people might have been concerned that it could have happened. It has been covered in the stand-by legislation that we passed earlier in March. Is that correct?

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 important to know. It is no harm to get the figures on how many are involved in any event.

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 up and down. We are familiar with it. Talk to me briefly about one thing that is totally confusing for every member of the public. I am referring to the different regions the HSE operates. There are community healthcare organisation regions, hospital regions and hospital group regions. It is utterly confusing. It makes no sense. Who is going to do something about that? Does it...

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: Are there any immediate plans to change it?

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 the witnesses confirm that the opening deficit carried forward from the previous year is spread over the next year? There tends to be as assumption that the charge hits on 1 January but, as I understand it, it is spread out over the 12 months. It is absorbed over a period. There was reference to a first quarter opening deficit figure of €140 million or €150 million. Am...

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: Is Mr. Mulvany saying it will all be absorbed by June?

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 an obvious question all Oireachtas Members will ask the witnesses, which concerns the Supplementary Estimate of €655 million for 2018. What would have happened to the delivery of health services if that additional funding had not been given? Is it the case that the provision of those services had been predicated heretofore on the assumption of receipt of a large...

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 thank Ms Mulvihill for the clarifications. As I said, we only heard about it last week. This committee submitted a recommendation previously that the Department of Public Expenditure and Reform should engage with the Departments that consistently have a pattern of requiring substantial Supplementary Estimates. The response we had from the Minister last week mentioned the oversight...

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: My next question might not be a fair one, but I ask that one of the witnesses answer it as well as he or she can. Ms Mulvihill said that the new oversight group will function as an early warning system to prevent shocks, which brings to mind what happened with the national children's hospital last autumn. I presume part of the group's remit relates to capital expenditure. When 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: What percentage of the overall health Estimate is accounted for by capital spending? Is it 10% or thereabouts?

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: Given what has happened with some of the capital projects, it is important that they be incorporated, somewhere along the line, into the new review mechanism that is overseen by the Department of Public Expenditure and Reform. I am making that suggestion, to which we will return later. Will the witnesses send us a note setting out what they have said and elaborating on it? It is the first...

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: Can Mr. Mulvany give any indication of how many section 39 staff are supported by funding through the HSE? That is the big question. I am interested in the numbers on the public sector payroll or public sector payroll equivalent, either directly or through section 39 organisations.

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 understand that very important distinction. Is Mr. Mulvany saying there are some 130,000 people working in the delivery of the health services when the staff in section 39 organisations are included?

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 HSE is funding these organisations because of the benefits in the delivery of health services. Other Departments might fund the same organisation differently-----

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: Yes, they might be dealing with homelessness or something else as well. In terms of what the executive funds, do the HSE witnesses have an idea of what staff complement it is supporting for the delivery of services?

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: Mr. Mulvany may pick the threshold he considers appropriate. I am thinking of organisations receiving €100,000 or more. We do not want to be overburdened with details of every small organisation.

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 just want an overall picture, not all the details. In the appropriation account for the Department of Health, the primary care reimbursement service comes to €2.7 billion. Is that the drug refund 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: How much of that is for drugs and how much for the pharmacists?

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 Mr. Mulvany explain this with the proper figures so that the public watching these proceedings will understand what is being said?