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Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I do not buy it. I have a small office with three people working with me and none of them would go out and buy something randomly.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: No. Most people who work in a situation like that know that that is not the proper way of doing it. It seems to me that when it is Government money being spent caution is thrown to the wind and it does not matter because it is not real money. I think that is really wrong, and I think it should not have taken so long to start the process, so that we are only getting it right now. Can I go...

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I appreciate that.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I think a memo could have been sent to people to stop doing this.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: Memos are sent to HSE staff all the time about holidays and about overtime and it gets out there directly. It does not take years and it does not take several reviews, so I think it is something that needs to be looked at.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: Yes.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: It seems that an e-mail could be sent to people to tell them what the procedures are. It would be a lot quicker.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: If one was in private industry, one would not order something from a company unless there was a purchase order number. If it was a privately run company it would have been shut down by now because of the amount of money that has been wasted.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: But there are managers in place to manage budgets, and that is their job.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: May I ask about the private health insurance? I know it was touched on earlier. Can I ask which hospital is owed the largest amount of money and what exactly the HSE is doing to recoup that money? I ask because I know Mr. O'Brien said that there was €150 million outstanding. Again, if that was a business it would have closed by now. I work with excellent people in the HSE - I have...

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: What are the books like of the hospital that owes the most to the HSE?

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: Yes, but it is coming back in to the HSE.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: When there is a cashflow issue, it does affect it. If there is not cash coming in that is supposed to be coming in, there is a cashflow issue. Beds have to be closed on occasion because a hospital runs over its budget or whatever, so it does affect it.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I accept that.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: No; I was here for that.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: In financial terms, how much of the overall budget expenditure relates to management and staff salaries and pensions and how much relates to front-line staff?

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I am conscious of the promise made to deliver nurses to the Midland Regional Hospital in Mullingar, which was not honoured.

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: Is the cleaning in hospitals done by private companies or HSE staff?

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: I would like that. Are domestic staff employed by the HSE?

Public Accounts Committee: 2013 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 39 - Health Service Executive
Chapter 14 - Procurement by the Health Service Executive
Health Service Executive Financial Statements 2013
(23 Apr 2015)

Gabrielle McFadden: What is the advantage of paying companies €38 million for cleaning compared with the old days when the HSE employed domestic staff to do it? In the old days there was no MRSA, and there were matrons going around with white gloves checking whether everything was clean. There was not as much MRSA and talk about hospital bugs as now. I accept that things have changed.

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