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Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: I thank the guests for their presentations here this morning and for dealing with the queries raised. It is important that I would raise something at the very start. There was reference this morning to the health service that does not work. It is important to highlight that the health service is working and that there are more than 3.5 million outpatient appointments per annum between all...

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: The question I am asking is why is it so long. Take social welfare, for example. In 2022, it issued 302,000 PPS numbers to people from 202 different countries but we cannot do this in health. We have our medical cards computerised and all of that done but we have not computerised our medical records or patient records so that you we not have this crazy waste of time that is going on at the...

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: But that ties in with the other issue about the use of pharmacies, for instance. We have a whole lot of people having to attend GPs because you cannot open up the whole distribution of medication. If it is a non-prescriptive drug, you could go into ten different pharmacies and get the same drug on the one day whereas if all of that is computerised you could give a lot more work out to...

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: But there is a huge saving-----

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: If you go back ten years, Denmark worked out it was saving about €1.8 billion per annum. It goes back to the junior doctor. All his colleagues are going to Australia. He is staying in Ireland. He is an intern. The reason he is staying is that he wants to learn more but he also wants to try to improve the system where others-----

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: I will move on to one or two other issues now. One again relates to a nurse who was working here in Ireland and is now working in London and I have raised this before. This is on the lack of co-ordination as to who is on call or available in hospitals. She would go in to work and 20 nurses should be there. One day she would go in there would be eight senior nurses and 12 junior nurses....

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: It is not in all cases.

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: I have raised this previously and I have received a number of comments from nurses who are so frustrated going into work, trying to manage a facility and not being able to do it because from all of the nurses, there is no other senior nurse available to deal with the issues that junior nurses may want to raise.

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: Likewise, it is about having the mechanisms in place and ensuring that we do not have junior doctors who are ending up without having access to people up along the line to make decisions as well. Have we checks and balances in place on that?

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: I will raise one other issue on infrastructure and its role and have raised this in respect of the elective hospitals. Where are we now with the two elective hospitals for Galway and Cork? Have we still not appointed a design team in both cases and what is the expected timeframe when we will be applying for planning? I was told previously that we will apply and will have planning by...

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: We must look at the rate we are going at this stage as we have a very significant growth in population of some 40% in 20 years. We do not have an increase in growth in capacity. For instance, we talk about all of the new consultants we have appointed. The complaints I am hearing constantly from them is the lack of access to theatre space. When are we going to have this project-----

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: Does that mean that the project of the elective hospital has been put on the long finger?

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: This can be put out to the market for design, build and finance, which was done, for instance, when I was in Cork City Council. We wanted an extension to the city hall. I remember getting in the tender documents and there were about 12 boxes of documents, per tender. It worked successfully. We had the project done in two years. As a result, now, the cost of doing it is far less than if...

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: The private sector have done it. The Bon Secours Hospital Cork has done it and has built a huge extension in three years, with design, build and finance.

Public Accounts Committee: Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting
(1 Feb 2024)

Colm Burke: I thank our witnesses.

Written Answers — Department of Transport, Tourism and Sport: Road Projects (1 Feb 2024)

Colm Burke: 36. To ask the Minister for Transport, Tourism and Sport what action his Department is taking to progress the Mallow relief road project; what level of funding will be allocated for 2024, given that €100,000 was allocated in 2023; and if he will make a statement on the matter. [4614/24]

Written Answers — Department of Transport, Tourism and Sport: Road Projects (1 Feb 2024)

Colm Burke: 75. To ask the Minister for Transport, Tourism and Sport what action his Department is taking to progress the North Ring Road in Cork city; what level of funding will be allocated for 2024 in view of the large volume of traffic which is now forced to travel through Mayfield including traffic heading for the port facilities; and if he will make a statement on the matter. [4615/24]

Written Answers — Department of Finance: Tax Yield (1 Feb 2024)

Colm Burke: 92. To ask the Minister for Finance the amount received in income tax receipts in 2023; the total number of people paying income tax; and if he will make a statement on the matter. [4548/24]

Written Answers — Department of Finance: Fiscal Policy (1 Feb 2024)

Colm Burke: 138. To ask the Minister for Finance the work he and his Department are doing to support people in the continued usage of ATMs and cash; and if he will make a statement on the matter. [4549/24]

Written Answers — Department of Transport, Tourism and Sport: Electric Vehicles (1 Feb 2024)

Colm Burke: 185. To ask the Minister for Transport, Tourism and Sport the reason the regulations under the Road Traffic and Roads Act 2023, which governs the use of e-scooters, have not come into effect; when they will come into effect; and if he will make a statement on the matter. [4800/24]

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