Results 8,321-8,340 of 26,382 for speaker:David Cullinane

Written Answers — Department of Health: Departmental Staff (24 Mar 2021)

David Cullinane: 1905. To ask the Minister for Health the number of whole-time equivalent funded, filled and vacant positions in testing and tracing; the basis on which they are filled as a percentage of full-time; and if he will make a statement on the matter. [15847/21]

Written Answers — Department of Agriculture, Food and the Marine: Departmental Expenditure (24 Mar 2021)

David Cullinane: 2052. To ask the Minister for Agriculture, Food and the Marine the total Covid-19-related spend in 2020 by his Department, agency and budget line item; and if he will make a statement on the matter. [16270/21]

Written Answers — Department of Rural and Community Development: Departmental Expenditure (24 Mar 2021)

David Cullinane: 2098. To ask the Minister for Rural and Community Development the total Covid-19-related spend in 2020 by her Department, agency and budget line item; and if she will make a statement on the matter. [16280/21]

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: I welcome all the witnesses. I want to use my time as productively as I can. I want to start with Mr. Quinn. Obviously, if Mr. Quinn needs to refer to his colleagues that is fine but, in terms of a fluid conversation, if Mr. Quinn has the answers, he himself might reply. I want to focus in on the powers of enforcement and regulation and the area of accountability when it comes to nursing...

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: My time is short and I ask people to be as succinct as they can in responding. Essentially, Mr. Quinn is saying that HIQA would want to have the possibility of improvement notices that HIQA could serve. Would that be similar to what the Health and Safety Authority and the food authority do?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Is Mr. Quinn talking about similar type notices?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: I want to come back to enforcement. HIQA has the powers of investigation in not only private nursing homes, but all nursing homes. In terms of the private sector, one of the criticisms that has been levelled at the HSE was that the HSE, as a purchaser of services, did not have sufficient knowledge of the private sector. I am looking for Mr. Quinn's view on this as the regulator. Would...

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Is Mr. Quinn's view, as the regulator, that there was not sufficient knowledge of the private sector within the HSE?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: In his opening statement, Mr. Quinn talks about, "a framework that makes a clear distinction between the purchaser and provider of services along with clear governance and accountability arrangements". Would that include looking at such matters as a provider-purchaser agreement and maybe service level agreements to strengthen that level of accountability?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Can I ask about powers of enforcement for individual complaints? This is something that has come to the fore during the pandemic but it was an issue pre-pandemic as well. I want brief answers if possible; I merely want to establish the facts. Does HIQA have the power to initiate an investigation into individual complaints of abuse or neglect in private nursing homes?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: If I read Mr. Quinn correctly, HIQA looks at systems, processes and controls but it cannot initiate or investigate an individual complaint.

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: I understand that, but HIQA does not have that power.

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Do adult safeguarding teams or social workers have that power to initiate an investigation in relation to an individual complaint of abuse or neglect in a private nursing home?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: What I am asking, if I can establish the facts, is whether at this point in time adult safeguarding teams have the power to initiate an investigation into individual complaints?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: That is an extraordinary weakness in the system. Mr. Quinn stated at the start that we shone a spotlight on what happened in nursing homes generally. He quite rightly says that we need a new comprehensive framework of social care and adult safeguarding has to be part of that. Can I ask the HSE how we have a system where the regulator cannot investigate an individual complaint of abuse or...

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: I put it to Dr. MacLellan that, in 2013, HIQA called for changes to legislation which included safeguarding vulnerable people, looking to strengthen the statutory remit, and looking for changes in the 2007 Health Act that Mr. Quinn spoke about earlier. It is 2021. Does Dr. MacLellan accept that these were issues for a long number of years pre-pandemic and while Dr. MacLellan is saying we...

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Before Ms O'Neill comes in, I will return to Mr. Quinn for a second. From previous correspondence Mr. Quinn gave to this committee, I understand that, as the regulator, HIQA wrote on several occasions to the Department and the HSE. I mentioned that letter in 2013. Is it correct that, in June 2016, Mr. Quinn wrote to the CMO seeking amendments to the Health Act 2007?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: Is it correct that, in March 2017, HIQA developed a number of documents that were sent to the HSE where it was looking at expanding regulation of health and social care services to deal with many of these issues?

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: In 2017, Mr. Quinn wrote to the director of the national patient safety office providing an update on suggested amendments to the 2007 Act. Mr. Quinn wrote again in 2018 and in 2020. Is it the case that, from 2013 to 2020, Mr. Quinn, as a regulator, was highlighting, identifying and calling for a strengthening of regulations and powers, including in the area of adult safeguarding, and it...

Joint Oireachtas Committee on Health: Regulation of Nursing Homes and Development of a New Model of Care for Older People: Discussion (23 Mar 2021)

David Cullinane: I got a message to say my time might be up, but I have one more question. Obviously, we want to follow up on all these matters. Members of the expert panel are present as well, but I did not have enough time to put a question. I respect the work they have done, but there is a massive amount of work to be done on adult safeguarding, changes to the Health Act 2007 and more powers of...