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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)

John Brady: Okay. On budget 2024 and what Mr. Gloster has called a major underfunding of the HSE, does he have concerns about the level of funding to the HSE for 2024?

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)

John Brady: With regard to maintaining the existing level of services, what did Mr. Gloster and the HSE request from the Department in budget 2024 to maintain existing service levels?

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)

John Brady: There is obviously a great disparity between what was anticipated to be the minimum required to maintain services and what was actually given in the budget, which was an additional €708 million. There is a great disparity there. What is the rough figure?

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)

John Brady: Mr. Gloster has been very open and vocal on the shortfall as regards the money that is needed. It was reported that he wrote to the Minister for Health to express concerns about the underfunding.

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)

John Brady: Did he get a reply from the Minister?

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)

John Brady: Supporting verbally is completely different from actually supporting by providing the funding needed to maintain the minimum services required for 2024.

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)

John Brady: Does Mr. Gloster believe the HSE came out poorly from the budget? Does he believe it was done wrong as regards its requirements to provide the needed level of care?

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)

John Brady: I have limited time. I will ask about the recruitment embargo and the impact it is having and will have. More than 7,000 critical and essential posts have essentially been scrapped as a result of the embargo. Has the HSE ascertained how many essential posts this will have a direct impact on?

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)

John Brady: A final question-----

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)

John Brady: Just a final question on-----

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)

John Brady: On the Government's underfunding of the HSE and the impact that is having by way of the recruitment embargo, does Mr. Gloster agree that the message going out to young graduates who have gone through four years or more of college is that they are not wanted here and that they should go to Dubai, Canada or Australia?

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)

John Brady: I will start with the national children's hospital. In October of last year the chief officer of the National Paediatric Hospital Development Board, David Gunning, was before the committee. He stated fairly categorically that the hospital would finally be completed after so many missed dates by 29 October 2024. He said there would be a six-month fit-out, and he would expect the first...

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)

John Brady: The Minister said yesterday that it is really hard to say whether those dates will be adhered to and whether they are feasible. Is it really hard?

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)

John Brady: Would Mr. Tierney be confident? There have been serious concerns in terms of the contractor being at full capacity, or anywhere near half-capacity. Are we confident at this point that the commitments that have been given by the contractor are being met?

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)

John Brady: Are they at 100% operational capacity?

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)

John Brady: It is hard to say. That is the same language as the Minister used yesterday. It is not very reassuring.

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)

John Brady: How optimistic is Mr. Tierney that we will have full completion by 29 October?

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)

John Brady: It is really hard to say. I will move on to another area, which is mental health services. There is a serious crisis in mental health going back a number of years. We have seen that play out quite graphically in Linn Dara in Cherry Orchard, where a number of beds are still closed. The goes back over a number of years. As we know, the appointment of a national director for mental health...

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)

John Brady: Would Mr. Gloster not agree that there are governance and accountability issues going back many years? The most striking example was probably the scandal in the services in Kerry. Does he not think that comes down to governance and accountability being the primary concern?

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)

John Brady: On the appointment of a national director, I know Mr. Gloster is dancing around on the issue-----

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