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Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: If someone cannot get protected time to attend a training course, there may as well be 50 courses running per week because if someone cannot attend, that person cannot benefit. It is all down to capacity and recruitment.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: We are still in breach of the European working time directive on a daily and weekly basis for non-consultant hospital doctors, NCHDs.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: The course is offered but-----

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: It is not that they do not want to take it. The course is being offered but they are not being facilitated to take time off. We are on a merry-go-round if we keep landing back at the same place, namely, recruitment.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: Dr. Doyle referred to the issue of graduates going abroad. Graduates, particularly doctors and nurses who have a qualification that makes them highly mobile, like to go abroad for a year or two and see the world before returning. My information, which probably tallies with that of Dr. Doyle, is that doctors and nurses are leaving and getting a glimpse of what it is like to work abroad....

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: I fully appreciate that it is a guess. I just wanted to get a sense of the numbers involved. Dr. Doyle referred to the culture in which medicine is practised and the fact that no limit is applied to the hours worked by consultants, GPs or NCHDs. This applies across the board.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: The level of burnout will cause an acceleration in the increase in the average age of doctors. It will push up the figure of 44.5 years even further because younger people are not entering the profession to bring that average down.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: The change in culture must be led from the top. Those who know something about the world of work will tell us that when staffing levels are low, it becomes extremely difficult for every person working in the health service, not just doctors.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: I believe that is a major contributory factor to the toxic culture Dr. Doyle has described. I would not want my daughter to work in those circumstances or in that environment.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: There are 1 million people on waiting lists and some of them probably believe it is better to get into hospital. Dr. Doyle is right, however, that it is not an environment for patients or workers. The issue here is the failure to recruit. We will be talking to doctors' representatives after this session and again next week. I contend there is an issue around money. In the short term,...

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: I thank Dr. Doyle.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: I thank all of our guests for coming and the work they do. I am not just referring to their day jobs which would probably be enough for most people, as they do additional advocacy work. As a former shop steward, or whatever term one may use, I know that work is done in one's own time and at the expense of time spent with families, etc, but it is appreciated. I have a few questions, but I...

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: The figures that cited by Dr. Dennedy are shocking. My views and those of my party on the NTPF are well known. It is not going to be news to the delegates that we do not think investment in the private sector will improve the public sector. Such investment has never helped the public sector and will never do so. I would like to ask about what is being done. Representatives of the...

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: They are very mobile.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: I am trying to put my final question delicately because I do not want anyone to panic. Is the IHCA aware of an elevated level of mental ill health among consultants due to the shortages? I am not aware of any specific effort being made by the Government to provide for pay parity. Without putting words in anyone's mouth, I do not think the delegates are aware of any such initiative either....

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: There is collective disappointment with what emerged from the budget negotiations. At the very least, I believed there might be some mention of pay parity, even if nothing concrete was announced. There was nothing in it.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: And burnout.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: As have our guests.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: They are a hardy bunch.

Joint Oireachtas Committee on Health: Workforce Planning in the Health Sector: Discussion (9 Oct 2019)

Louise O'Reilly: My question relates to consultants who are not on the specialist register. Dr. Colleran described a scenario in some hospitals where we have gone over the 50% threshold of non-specialists plus locums. Will Dr. Colleran detail for us the potential impact of this? I am referring to the context of non-specialists who, because they have a lawful entitlement to a contract of indefinite...

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