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Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: How does the agency use the data to identify where progress can be made?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: It is the outstanding liability at this point.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: I understand that.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Surely when the SCA looks at its internal data, which are not published, it can be said that there are certain hospitals where there are repeated patterns and a cause for concern. I ask Dr. O'Keeffe to briefly tell me what is done in this context in respect of answering the question.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Of course, I understand that.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: All the SCA has been publishing is a league table of the money claims.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Of course, the other areas are for hospital management, the HSE and the Department of Health.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Okay. I call Deputy Catherine Murphy.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: I thank Deputy Catherine Murphy. I call Deputy Hourigan.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: I might return to the need for the pre-action protocol. It was interesting that Mr. Breen raised it. This would help start a case on the right food, reduce legal costs and speed up settlements, but he identified a technical issue here. Will Mr. Dempsey please explain what the issue is and what is being done by the Department to address it?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: I presume the Department of Health is in communication with the Department of Justice on this.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Will Mr. Dempsey report back that the matter arose at this morning's meeting and has been identified as an issue that needs to be progressed? It is important that it happen, and the Accounting Officer outlined why it is important. We were not aware of it before this meeting. It would be helpful in shortening the period for settling cases but would also help reduce legal costs and might...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Nevertheless, departmental officials can sometimes dictate the speed at which these things move. My next question relates to the overall number of claims. I appreciate that reducing the number of claims is not the agency's job. This was clarified earlier in respect of the medical profession. Are there active engagements, particularly with State bodies in the big four or five areas, with...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: On the overall global figure of assessments since 2012 and the actual total number of claims, a lot of the discussion we have had today referred back to that ten-year period. What kinds of figures are there for the numbers that came in on an annual basis? Is there a figure for 2012 and a figure for 2022 where we could see the actual number of claims, if not the value of them? This could...

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: It has stabilised slightly with a slight reduction across that.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: What was the percentage? What number were settled in 2022 as compared to the amount of claims?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: What is the order of percentages?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: That would be in the order of about 15%.

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: I thank Mr. Breen for that. With regard to Covid and nursing homes how many claims have been made around nursing home deaths?

Public Accounts Committee: 2021 Financial Statements of the State Claims Agency: Discussion
Chapter 20: Management of the Clinical Indemnity Scheme of the Report on the Accounts of Public Services 2021
(2 Mar 2023)

Brian Stanley: Is there an estimate of liability for that?

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