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Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I thank the Minister and Deputy Donnelly for that. I call Deputy Jonathan O'Brien who is substituting for Deputy Louise O'Reilly.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I want to establish the issue we are discussing today. I know the Minister is happy to respond but as Chair I need to state we are here to discuss the Estimates. There is of course a reference in the Estimates to the revision of the capital allocation to health. It is fine if the Minister is willing to answer those questions. I just wanted to establish that.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: On the Deputy's last question, the Minister is the only person who can speak this morning.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Perhaps Deputy Harris would like to comment.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I come back to the Estimates, the topic for today. The briefing document states that funding has been provided for CervicalCheck and the introduction of HPV testing as a primary screening test. Perhaps the Minister will elaborate on that and how close are we to moving towards HPV testing, which will revolutionise the screening programme and reduce the burden on cytology which is the reason...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I asked about the funding for CervicalCheck and the roll-out of HPV testing.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: You are saying that the money has been allocated to fund it should a provider be identified.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: HPV testing was to start in October 2018.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: However, the likelihood is that it will not start until the last quarter of 2019, at the earliest.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: With regard to Sláintecare and the transitional funding, do you expect to create a transitional fund in the budget for 2020 for Sláintecare-----

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: -----over and above the integration fund?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: In the reprofiling of the capital plan some €100 million extra was required for the national children's hospital this year and €220 million will be required in 2020, 2021 and 2022. Where do you see that funding coming from? Will it come from the health capital plan or will it be spread across other Departments?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: I have a final question on the Sláintecare integration fund. The briefing document outlines four different streams. Perhaps you could expand on those.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Can I take it that the HSE is the only nominating body for the first three streams and the fourth stream is open to other organisations?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Thank you. I call Deputy Lisa Chambers who is substituting for Deputy Murphy O'Mahony.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Deputy Chambers, this question was asked earlier.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Allow the Minister to continue.

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: We will bring in Deputy Donnelly to start the second round of questioning presently. The issue that arose last April with CervicalCheck surrounded non-disclosure of the audit. The audit was the icing on the cake for screening programmes. The programme looked back on people who had been identified as having cancer to see if their previous smear had been accurate. It was the non-disclosure...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: Unfortunately, the Minister's expression of no confidence in CervicalCheck management led to women having a lack of confidence in the programme in general and in the process of the programme. That is what led to the demand for an out-of-cycle smear. The issue was non-disclosure of the audit as opposed to the working of the programme. It has been, is and will be a successful programme. As...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Further Revised)
(10 Apr 2019)

Michael Harty: We will start our second round of questions now, which might be somewhat shorter than the first round.

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