Results 9,801-9,820 of 12,428 for speaker:Louise O'Reilly

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: The submission refers to the available resource data from 2016 and the activity data, which I assume is the hospital in-patient enquiry, HIPE, data, from 2016. We ask the HSE many questions and while I would dearly love to say we get many answers, sometimes we do not. We have had trouble getting information on activities, for example, the number of operations performed in theatres, or basic...

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: This is the same company which did the review in 2007. At any stage did it make its views known to the Department? It would make sense as the Department presumably commissioned the company. Did the company advise that it would make sense to do a workforce plan alongside a capacity review? The Department would have sought the company's advice and seems to have discounted some of it.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: Which ratio of nurses to beds does the company use?

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: That is like asking how long a piece of string is. A pilot has just been completed, which will mean we have to substantially increase the number of nurses in the workforce. The pilot achieved really good results but the difficulty is that we are on a merry-go-round and we keep coming back to the issues of recruitment and retention.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: Members of the committee are very frustrated that the issue was not part of the company's work. What stage are the other workforce planning reviews at? I do not believe the pilot started before the bed capacity review was completed. Perhaps the details were not given.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: That is very interesting, and a bit disappointing.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: The Deputy will have another opportunity.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: The Deputy should be very brief.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: Can the Deputy ask a question?

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I asked the Deputy to be brief. I am conscious that there are a number of other people who are indicating.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I asked some specific questions on beds.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: That is one way of putting it.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: Does PA Consulting Group have any comment on disappearing beds?

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I asked for your view on where they might be in terms of hospitals distribution. In 2007, PA Consulting Group recommended a form of integration. Clearly, that did not happen. In the intervening time there appears to have been a drop-off in the number of beds counted. Is that explained by a change in the methodology of counting? Are the beds still where they were and covered in dust with...

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: That is not the point.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: The point I am making is that in 2007, an assessment of the number of beds was carried out and a projection was made on how many would be needed if the health service was to be integrated. I recall "integration" was the buzzword. There was no integration but there was a consequential reduction in the number of beds. I am not going back to the time before that-----

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: Let us go back to the report in 2007. It is fairly clear that the beds recorded are no longer available for the people who need them.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I disagree with you on that point, Mr. MacGinnis. If we do not go back to see where they went, then we could lose some in future, and that would be most unfortunate. I am conscious that several people are waiting to come in. My questions have been answered. Senator Burke, Deputy O'Connell and Senator Conway-Walsh have indicated.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I thank Deputy O'Connell. I call Senator Conway-Walsh. I think all members may wish to contribute on the issue raised by Deputy O'Connell at some stage.

Joint Oireachtas Committee on Health: Health Service Capacity Review: PA Consulting (18 Apr 2018)

Louise O'Reilly: I thank Senator Conway-Walsh. On the point made by Deputy O'Connell on whether a staff member in the health service is aware that if he or she does not discharge a patient, this may cause another individual in the accident and emergency department to stay an additional night on a trolley, I used to represent staff in the health service and they are acutely aware of that, but they are dealing...