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Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Either those circulars will remain, post the publication-----

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: They will not remain. They will go.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: They will go.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: They will be replaced by a new strategy.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Can I just ask a parochial question? I understand from the previous speaker that as part of an agreement, a business case was submitted by University Hospital Waterford for services for the cath lab. I think 12 additional staff were needed. Are they part of the ring-fenced staff Mr. Gloster spoke about?

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: It is not certain at this point.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: It is either certain or it is not.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Hang on a second here now. A press statement was issued by the local Minister of State on the back of meetings with the HSE to say this was guaranteed. Either it is guaranteed or it is not.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Okay. Can I get around to the neurorehabilitation teams? The last time Mr. Gloster was before the committee, a commitment was given that they would be funded and in place as soon as possible. I will read a paragraph from Mr. Gloster's opening statement because I do not really understand what is being said. I have some sense of it but it is not clear. Maybe Mr. Gloster can provide some...

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: I heard that. I am asking Mr. Gloster because he made the commitment.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: We have been here before. We have been here several times in this committee, as Mr. Gloster knows. The reason we asked him to come before the committee earlier this year or maybe late last year was to provide clarity on the issue of when these teams will be up and running. I hear what Mr. Gloster is saying - that money has been made available and recruitment is happening. We need to know...

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Is there any areas where funding has yet to be provided?

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Will Mr. Gloster state how many areas have not been funded yet?

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: No, I am asking how many areas have not been funded. I just want clarity on what is funded and what is not funded. We were promised six teams. How many of those six teams have yet to receive the funding they need?

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Why have they not received the funding, Mr. Gloster? We were told the funding would be provided and these six teams would be up and running.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Hang on a second here now. This is part of the problem. The funding needs to be provided to allow the work to be done. I accept it takes time to recruit staff. Unless the funding is provided, staff cannot be recruited into the teams. The clock only starts once the funding is provided.

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: If the funding is not provided, we cannot recruit. This is exactly why we are in the situation we are in. There is no clarity yet on when two of the teams that were funded will be up and running. Maybe a straight answer can be given to that question. The clock will only start to tick when the funding is made available for the other two teams. I am not the person who made the commitment....

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: I will leave it at this but it seems these teams are, again, victims of a recruitment pause. Whatever about the strategy on how staff are recruited into the health service, this is a casualty of it. It is casualty of mismanagement that a promise and a commitment were given that six teams would be in place but here we are still not clear as to when the six teams will be up and running. This...

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: There is "being looked at" and there is actually being ring-fenced. Is it certain that those staff will be recruited and part of those numbers?

Joint Oireachtas Committee on Health: Update on Neurorehabilitation Healthcare, Primary Care Centre Programme and CAMHS: HSE (3 Jul 2024)

David Cullinane: Mr. Gloster can only defend what he puts out there. Mr. Gloster had the meeting with the Minister of State, and then the Minister of State went out and said these were guaranteed. I am asking a question around posts I have been told are guaranteed.

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