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Committee on Public Petitions: Closure of Vital Health Services: Discussion (Resumed) (5 Oct 2023)

Neasa Hourigan: Okay, so then the tender process begins.

Committee on Public Petitions: Closure of Vital Health Services: Discussion (Resumed) (5 Oct 2023)

Neasa Hourigan: By my calculations, the target of 2024 for tender and planning is ambitious. It will be mid-2025 to get all that out of the way followed by the commencement works. Are we looking at 2027 as a very ambitious date for a new facility?

Committee on Public Petitions: Closure of Vital Health Services: Discussion (Resumed) (5 Oct 2023)

Neasa Hourigan: We would love to see that. Finally, I want to go back to St. Stephen's Hospital. I visited the hospital which was interesting because it really is a campus. It takes a while to get to. I am not used to the wilds of Cork. Will the witnesses expand on the proposed 50-bed continuing care rehabilitation facility? It will be bungalow-style residences. Having been there, it seems a very...

Committee on Public Petitions: Closure of Vital Health Services: Discussion (Resumed) (5 Oct 2023)

Neasa Hourigan: I thank Ms O'Donovan. I would appreciate a tabulated response on that because, with the best will in the world, we can have all these policies but when money comes into play matters are prioritised. If a 50-bed unit is prioritised over a decongregated setting of maybe four or five people, which we all know is a costly model, then we would be doing people a disservice. I thank the...

Committee on Public Petitions: Closure of Vital Health Services: Discussion (Resumed) (5 Oct 2023)

Neasa Hourigan: I met the residents of the Owenacurra centre. A number of them told me they do not want to lose their home. They have lived there for seven, eight, ten and 15 years, in some cases. I do not think it is a secret that people did not want to leave. I am not using the word "coercion" but I am simply saying that this suggestion that people did not mind leaving their home is false. They knew...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: I am. I am contributing from my office. I have a sick child on a couch, unfortunately. I thank the witnesses for their time today. I have several questions, some of which are quite short. We were expecting a workforce planning document from the Department this month. Unfortunately that seems to have been delayed. In response to parliamentary questions the Minister had indicated that...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Does HIQA not set the national standards for safer better healthcare?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: So HIQA has no role in the workforce planning document they are creating for the next ten years.

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Into the future - not in the current ten-year plan the Department is trying to create - I will take it from what the witnesses have said that HIQA has not met with them. No. Okay, thank you. Would it be possible to get a quick update on the expansion of cancer screening programmes? HIQA is tasked with looking at the age range eligibility for bowel screening and BreastCheck.

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Could we get a timeline for that?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Does it come to BreastCheck after that?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Is that also a 15-month process?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: That puts us into at least 2026 before any changes in that age eligibility standard.

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: I thank Dr. Ryan. I now want to move into a different area. I am trying to get an understanding of the nature of some of the inspections. I am trying to understand. I have been trawling through HIQA reports, and I have also done so in the past for different issues, but now I am trying to understand the quality assurance aspect as it relates to procurement within HIQA inspections,...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: As Mr. Egan has said, HIQA is tasked with governance and management arrangements in terms of its inspections. Could Mr. Egan outline for me, or characterise for me somehow, what he means by specific issues? That would imply that where issues are highlighted or raised already, HIQA undertakes a review of procurement or quality assurance. I have been through this in a previous life with...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: How is HIQA evaluating risk in relation to procurement?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: Could Mr. Egan outline what that looks like for me? I am sorry to be a bit naive about it. Could Mr. Egan explain to me what that looks like on the ground when the inspector walks into a hospital and wants to look at procurement? I am presuming that even on things that are low risk - Mr. Egan has said that procurement is not low risk - just to understand or evaluate the risk level one...

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: I am sorry that I am almost at the end of my time. Will Mr. Egan outline for me in the context of what we have just discussed, the relationship between what HIQA inspects and what the Health Products Regulatory Authority, HPRA, does because it is my understanding it is tasked with market surveillance in this regard, not in general?

Joint Oireachtas Committee on Health: HIQA Report 2022: Discussion (4 Oct 2023)

Neasa Hourigan: The HPRA is tasked with market surveillance and also seems to have a requirement to talk to patients and doctors to fill that requirement of market surveillance. HIQA has a requirement to oversee patient safety. What is the communication between HIQA and the HPRA and what are the interactions there? There seems to be an overlap in function and I am trying to understand where the lines are...

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