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Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: I wonder whether it would be helpful in our work if Nursing Homes Ireland sent us its vision of what the model should be. Transparency, accountability, openness and fairness are all very general terms.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: What kind of push-back is Nursing Homes Ireland getting from the National Treatment Purchase Fund or higher up in the general HSE on that?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: I appreciate that individual members negotiate their own rates. However, has Nursing Homes Ireland come across a clear discriminatory practice whereby nursing home A is getting X per day and nursing home B is getting X multiplied by two, or plus €50, per day?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: Would Mr. Daly say that the differentials there would underpin discrimination based on no criterion other than that members can be forced to take less in one area while they may have to be paid a little more somewhere else?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: I have a question on membership. Have nursing homes attached to religious organisations, such as Brothers of Charity in Roscommon, evolved and become private? Are such organisations members of Nursing Homes Ireland?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: So the likes of Brothers of Charity-----

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: It would be a member, as with Brothers of Charity. I noted in some of the research some of the issues that have arisen. Mr. Daly mentioned that additional charges for social outings, etc., are agreed with the patient when he or she arrives, and that they are not covered under the various schemes. I came across a case where people in certain institutions were being charged for...

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: How does it do that scientifically? Are people told?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: What happens then?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: If one is in the scheme, one still gets only three per day regardless of individual need.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: Is that money taken from people's pensions?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: It has come up at meetings of this committee that the chairman of HIQA, in a different capacity, attended a meeting of Nursing Homes Ireland to speak or provide advice. Would Mr. Daly like to tell us anything about that? It created some interest here that someone holding such a senior position in an agency responsible for regulating its members, public and private, had done so and why the...

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: What is Mr. Daly's view of the head of healthcare in BDO Ireland being chair of the regulatory body?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: It is but I wonder what is Mr. Daly's view?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: Did Nursing Homes Ireland engage him under the auspices of his role in BDO Ireland?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Marc MacSharry: I understand that about that particular meeting. Generally, would Nursing Homes Ireland use BDO Ireland to say that it was getting the short end of the stick and ask how should it go about getting a fair deal in terms of being paid?

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Marc MacSharry: Of course.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Marc MacSharry: I call Mr. Horan.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Marc MacSharry: Okay, Mr. McCarthy.

Public Accounts Committee: Financial Statements 2016: National Treatment Purchase Fund (14 Jun 2018)

Marc MacSharry: I welcome the witnesses and thank them for their attendance. I apologise to them for the long wait. I shall start where we started with the last speaker. Does the NTPF accept that the current pricing model requires an overhaul?

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