Results 4,981-5,000 of 34,616 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: That comes in here.

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 the private contribution paid to the nursing home?

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: Perhaps Mr. Mulvany could send a note on that also. There are little intricacies there between the HSE, the nursing homes and the NTPF.

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: Then we will wait for that report.

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 clarified.

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 look for the note so. I shall now move on to page 203. Will the witnesses talk us through this, some of which is connected, and on items to be paid at year end. For payments receivable from patient debtors and private facilities in public hospitals there is a figure of €97 million. The figure for public inpatient charges is €6 million. The long-stay charge has...

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 had this issue here before, historically. How up to date are the payments? There were issues around getting consultants to sign off and in getting claims submitted in a timely manner. In the meantime the HSE was out of pocket. How efficient is that procedure now?

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 has had the impression that this situation was improving significantly.

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: As the Committee of Public Accounts we want to know if the HSE had half of that amount would it be a great boost to the HSE's budget? I will link this to the next question. I received a phone call over the lunch break to say the HSE direct home help staff in Laois have been told that from tomorrow there will be no more overtime for any weekend work and they will be replaced by agency staff...

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 collectable.

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: In accounts the accruals are pay as you go, or when it suits.

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. We know that. Will Mr. Mulvany give the committee an update on where the HSE is with the other collections and what are the key delays in collecting that cash? It is important to get the cash in. Perhaps he will also explain the inpatient charges of €6 million. Are these charges from individuals? What is the procedure right from when a person goes into hospital to 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: How does the HSE collect that? The HSE has difficulty collecting some of it? Would it involve debt collectors or something like that?

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 give an age analysis of that outstanding amount? I bet that some of this is hanging out there a good bit. I presume it does because we hear it all the time.

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 HSE to send us an age analysis on that. On the other side, Mr. Mulvany referred to private health insurance companies encouraging people to not give their private insurance company details because any patient is entitled to a public service. On the other hand we are now seeing the opposite where a lot of private patients going to accident and emergency departments run by 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: But they would be up on the other side also.

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: Have the witnesses any ideas on the numbers presenting to the private centres?

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: On page 204 there is a figure for the public private partnership, PPPs, of €201 million. These are mainly primary care centre sites. There are 14 sites mentioned. Will the HSE send a note to the committee on this? The Committee of Public Accounts is looking at PPPs across all Government Departments that operate PPP developments with regard to how long a lease is and so on. We are...

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: Some people think that post implementation means at the end of the 25-year contract.

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, we would think it is when it is up and running. The HSE representatives might see why we have some difficulty when it comes to PPPs. Very few people have done any post-implementation reviews, and given the PPPs used in education, roads and core services there are lots of people in that space. I direct the witnesses to note 24 on page 205. Will they please summarise what happened on...