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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...

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

Louise O'Reilly: I fully appreciate that-----

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

Louise O'Reilly: Deputy O'Connell, please.

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

Louise O'Reilly: Will Deputy O'Connell please stick to the topic? We are here to consider the bed capacity review. The questions were asked in respect of the bed capacity review report. I ask for a response to those.

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

Louise O'Reilly: I want to add something. Perhaps a comment might be forthcoming. I was leafing through some stuff here and some notes I had. According to the Irish Medical Times, the average length of stay in this State had fallen from 7.8 days to 5.5 days. How would there be a difference? Much of what was said in the last session was predicated on us being an outlier in respect of the average length of...

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