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Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: For clarity, was there an option on the table whereby we would buy a hospital in Dublin and build a hospital in Galway?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: So there was a hybrid version.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: Were they looked at individually by region or were they looked at as a package? Were we asking if we could buy three hospitals in three different areas or build three hospitals in three different areas? Was there a hybrid version-----

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: -----whereby we could buy one and build another?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: That is great. I thank Mr. Patterson. I will move to the digital roll-out and digital patient health records. I am looking for an update around where the business case is. I appreciate that information has been put in around the general move and that our guests are taking the issue seriously. Can we have an update on timelines? In January this year, we talked about the way the...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: The 2018 business case has been substantially updated.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: Mr. Thompson is expecting the first draft to be completed by January. When will we get news of it?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: By "the Department", does Mr. Thompson mean the Department of Health or the Department of public expenditure and reform?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: When do we talk to the Department of public expenditure and reform?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: It is for Mr. O'Connor. Could we have more information on the business case’s timeline?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: This is a significant outlay, though. The cost could be up to €1 billion. It is a large project to undertake. Do we have a sense of how long it will take the Department of Public Expenditure, NDP Delivery and Reform to review this? It is a major infrastructural investment for the State over five to seven years. I am trying to understand how real the numbers are.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: I do not want to use the word “piecemeal”, but the investment has been targeted. I believe “strategic” was the word we used when we last discussed this. It is not a global approach that encompasses everything nationwide. Regarding capital investment, are we talking large numbers?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: I am sure that the Department of Health is used to going to the Department of Public Expenditure, NDP Delivery and Reform with business cases involving large numbers, not least of them on the national children’s hospital. When does Mr. O’Connor expect the other Department to review the documents and revert? Will it be six months or two years?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: I appreciate that. In the work the Department and HSE have already done, they will have interacted with companies that provide the technology to do this, but for the sake of clarity where the larger project is concerned, have there been pre-reviews or discussions with companies or large organisations about the provision of such technology? Are we waiting for the business case to be signed off?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: What is possible.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: The HSE and Department are looking at them. I presume that other State agencies, including the Data Protection Commission, are also looking at such providers.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: The HSE does not have a team working on examining the providers and their merits in terms of data protection.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: The issue of data protection is becoming quite contentious globally.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: I will ask my final question, as I only have a minute left-----

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Neasa Hourigan: I am following the situation and am happy to hear that, but I am cynical about the ability of the EU or any national or supernational power to control tech companies that choose to use data in ways I would not particularly like. In his opening statement, Mr. Woods mentioned rolling out the IHI to the National Treatment Purchase Fund, disability networks, etc. Could we have information on...

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