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Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: In his own words, in his own statement, he gave financial advice. He is dancing on the head of a pin. He was clearly acting in an advisory capacity to Nursing Homes Ireland.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Was Mr. McEnery given a fee for attending the meeting in October 2015?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Mr. McEnery went as a-----

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Okay. In Mr. McEnery's opening statement he makes no bones about the fact that he currently negotiates with the National Treatment Purchase Fund, NTPF, on behalf of nursing homes. I went to his professional profile on BDO Ireland's website, and he does not actually say that at all. He refers to the fact that he did, in the past, carry out those types of negotiations but it is not made...

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Let me help Mr. McEnery because I have his profile from the BDO Ireland website here. It says that he undertakes a variety of assignments and "In 2009 and 2010 he worked with over 70 nursing homes preparing a cost model for each nursing home and negotiated rates with the National Treatment Purchase Fund". That is "negotiated" in the past tense. It makes no reference to the fact that he...

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Will Mr. McEnery provide the committee with those minutes?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Does it explicitly say that Mr. McEnery interfaces with the NTPF to negotiate prices for homes participating in the fair deal scheme?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: No, it does not.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: I thank Mr. McEnery.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: I think it was rather unclear, but we have now established that it is Mr. McEnery's function to carry out these negotiations. In his opening statement he referred to the fact that he speaks at many conferences. I do not doubt that he does. The October meeting, however, was not a conference.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: We have established that, but it was not a conference.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Mr. Daly invited Mr. McEnery to the meeting and Mr. McEnery came along. Who was at the meeting in addition to operators?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Who might they have been?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: What was the nature of the conversation? Mr. McEnery knows better than anyone that negotiations between individual nursing homes and the NTPF must happen on an individual basis. Is that not right?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: There is a very good reason for that, is there not?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: What is that reason?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: It is in order to respect and obey competition law. Of course, that would absolutely rule out any collective actions which would influence price. Is that not right?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Price fixing.

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Exactly. Mr. McEnery has given us an account of what he said at this meeting and so on, which I will come to. Is it not the case that the meeting included discussions on the kind of influence which could be leveraged on the NTPF and the Minister in respect of the quantum of funding for the fair deal scheme and so on? Doe Mr. McEnery recall that?

Public Accounts Committee: HIQA: Governance and Management of Conflict of Interest Issues (19 Oct 2017)

Mary Lou McDonald: Does Mr. McEnery recall discussions around increases in individual contributions to nursing homes from residents or their families?

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