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Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: I know. Let us move on. I accept that.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: Did the Cabinet sign off on option 2?

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: We should proceed to our questions now.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: May I make a quick point on the secondment? It is an important issue. Mr. Watt has given clarity that the CMO has permanently stepped down from his position and will take up a position in Trinity College Dublin. All present support that. It will be really good for Trinity College and for the State. If he will still be paid by the Department of Health, however, that can be a problem. A...

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: The HSE will remain the employer and there will be a strong HSE centre. Is that not correct? The business case goes on to state that HSE centre will provide all corporate functions. Is that correct? It states that "RHAs are divisions within HSE Centre". In other words, HSE centre will provide central procurement, central finance control, central HR functions and ICT support. When the...

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: We are very short on time. I am genuinely enthusiastic about the establishment of regional health areas.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: The realignment of healthcare, acute care and primary care is really important but it is not going to work and we are not going to usher in a new level of accountability and change in healthcare by things pretty much staying the way they are. We are going to have a geographical and administrative alignment but the RHAs will not have a board, there is no legal underpinning, the HSE will...

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: I have a final point, if I may. I can fully understand now why Ms Magahy left her post. From my perspective, the pushback has won and we are not getting the leaner HSE and regional health areas we were promised. That is not a good day for healthcare, accountability, transparency or the delivery of better healthcare. It is really disappointing.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: I know Mr. Watt does not, but I am giving my opinion.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: It is my characterisation.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: What Mr. Reid proposed would involve weak RHAs and a strong HSE centre. That is what he proposed. He has always said that. He can give me his opinion and that is fair enough. I am giving my opinion based on what I can see in front of me with my own eyes. There are three options, one of which would set up legal entities, devolve more responsibilities to the regional health areas and...

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: Mr. Reid has done so, however, by recommending the second option, unless he did not do that. Did he recommend that option?

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: Absolutely. Mr. Reid did recommend it. For me, that option is going for a weaker RHA model and a stronger HSE centre, by definition.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: The Minister for Health signed off on this plan, as we now know.

Joint Oireachtas Committee on Health: Oversight of Sláintecare: Discussion (Resumed) (6 Apr 2022)

David Cullinane: I would argue the Minister for Health as well-----

Written Answers — Department of Employment Affairs and Social Protection: School Transport (5 Apr 2022)

David Cullinane: 513. To ask the Minister for Employment Affairs and Social Protection her plans to provide free public transport for persons with epilepsy; and if she will make a statement on the matter. [18288/22]

Written Answers — Department of Education and Skills: Further and Higher Education (5 Apr 2022)

David Cullinane: 572. To ask the Minister for Education and Skills the number of undergraduate places to be available in 2022-2023 across health and social care disciplines, in tabular form; and if he will make a statement on the matter. [17435/22]

Written Answers — Department of Education and Skills: Further and Higher Education (5 Apr 2022)

David Cullinane: 573. To ask the Minister for Education and Skills the manner in which additional clinical training places are arranged and co-ordinated to create capacity for additional clinical placements in health and social care disciplines; and if he will make a statement on the matter. [17436/22]

Written Answers — Department of Education and Skills: Further and Higher Education (5 Apr 2022)

David Cullinane: 574. To ask the Minister for Education and Skills the estimated cost of a 1% increase in medical students; and if he will make a statement on the matter. [17437/22]

Written Answers — Department of Education and Skills: Further and Higher Education (5 Apr 2022)

David Cullinane: 575. To ask the Minister for Education and Skills the estimated cost of a 1% increase in nursing and midwifery students; and if he will make a statement on the matter. [17438/22]

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