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Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: If there are over 190 confirmed outbreaks, I would imagine that we are talking about thousands of positive cases. Would that be fair to say?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: Four thousand three hundred positive cases. Is that the number for staff? What is the breakdown between staff and residents?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: Those are very high numbers. We obviously have had very high levels of community transition but the number of outbreaks in nursing homes at the moment, amounting to over 190, is very high. I wish to ask Ms O'Neill about crisis management. I have engaged with many groups that are raising concerns, from the Irish Association of Social Workers to Sage Advocacy and Care Champions. I want to...

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: Who is responsible for the implementation of the plan?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: Am I correct that the HSE has responsibility for oversight?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: I am talking about private nursing homes.

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: One of the things we have learned, from the expert panel report and the Covid committee when it was in place, is that the clinical governance arrangements between private nursing homes and the HSE need to be improved. We need consider that relationship very carefully. On outbreak management and crisis management, I have been contacted by staff in many nursing homes who have expressed...

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: I have a few more questions because I am not satisfied with the answer to the effect that it is more complicated than suggested. Most reasonable people would say there has to be a basic, minimum staff-resident ratio in any setting to ensure the optimum and highest levels of care. If the threshold falls below what I, Ms O'Neill and most reasonable would consider to be a minimum, then we have...

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: The families tell me they cannot even get through on the telephone and get basic information. The loving and watchful eyes of loved ones and family members are not there. This is important when we talk about residents in care. That is not to say people do not get care when they are in nursing homes. Of course they do. We also know there have been instances of neglect and abuse. When one...

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: Can I ask Ms O'Neill a straight question?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: I appreciate that.

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: My time is very short-----

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: I must come back in because our time is very short. We have ten minutes to ask questions and we really need more distinct answers from the witnesses. We are raising important issues. I want to put a question to Ms O'Neill. I appreciate the responses I have been given. I must ask these questions on behalf of all the families and groups I have interacted with over the last number of weeks...

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: When was the last time the HSE met any of those groups?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: I wish to refer to the Irish Association of Social Workers and Care Champions so the organisations that are representative of residents and their families. When was the last time that the HSE sat down and engaged with them, and heard their stories and experiences?

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: That is not the question I asked.

Joint Oireachtas Committee on Health: Update on Covid-19 in Nursing Homes (2 Feb 2021)

David Cullinane: When was the last time the HSE formally met representatives of the Irish Association of Social Workers and Care Champions?

Joint Oireachtas Committee on Health: Covid-19 Vaccination Programme: Update (29 Jan 2021)

David Cullinane: I thank the Chairman and welcome all our witnesses. I wish everybody well in the roll-out of the vaccine programme, including Mr. Walsh and his team, Mr. McCraith and Dr. Colm Henry, who is not on the call. Obviously, it is a difficult and challenging job. It is demand-led and supply-led in terms of the number of vaccines that come in. I want to make one observation, first, if I can,...

Joint Oireachtas Committee on Health: Covid-19 Vaccination Programme: Update (29 Jan 2021)

David Cullinane: Therefore, it is 1.1 million doses we anticipate we will have received. Is that by the end of March or April?

Joint Oireachtas Committee on Health: Covid-19 Vaccination Programme: Update (29 Jan 2021)

David Cullinane: I want to put a number of question, if I can, to Mr. Walsh. I thank Professor MacCraith for that. I will focus, first of all, on the information technology, IT, system. I note in the opening statement there is still some work to be done for this to be a fully operational and fully live system. I refer to the first and obvious question that is being asked of us. When we get to the third...

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