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

Michael Harty: The Deputy's time is nearly up.

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

Michael Harty: The conversations GPs had with concerned women were quite complex. The advice was given on the basis of the woman's history and her risk profile. Some women are at higher risk than others and some will have had several smears in the past that assured one of the accuracy of their latest smears. They were difficult consultations and if a woman was very uncertain or worried, she would have...

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

Michael Harty: Before I bring in Deputy Durkan I wish to ask a question. What percentage of the reduction in the waiting lists for outpatient and inpatient procedures is related to validation, as opposed to the provision of treatments?

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

Michael Harty: Have 30,000 people been removed from the outpatient waiting list?

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

Michael Harty: Will approximately 30,000 people be removed from the outpatient waiting list by the end of the year through the validation process?

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

Michael Harty: I thank the Deputy.

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

Michael Harty: The bed capacity review of last year indicated that if substantial health reforms were implemented during the next ten years, there would be a need for 2,600 beds, but if substantial health reforms were not introduced in the next ten years, there could be a need for up to 8,000 beds. The actual figure will probably be somewhere in between. Obviously, there is unmet need in the system, as...

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

Michael Harty: I wish to ask about the sequencing of Sláintecare. One of the foundation recommendations in the report is to expand universal primary care to the entire population. The report outlines that the expansion of services cannot take place until we have adequate GP manpower on the ground to deliver it. While it recommended a roll-out of 500,000 a year, this was only to happen once capacity...

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

Michael Harty: I think that concludes-----

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

Michael Harty: I am sure the Minister will communicate with the Deputy directly. I thank the Minister for appearing before the committee to discuss the Estimates. I also thank the Secretary General, Mr. Breslin, and the assistant secretary, Mr. Desmond.

Select Committee on Health: Message to Dáil (10 Apr 2019)

Michael Harty: In accordance with Standing Order 90, the following message, which, under Standing Order 89(2), is deemed to be the report of the committee, will be sent to the Dáil: The Select Committee on Health has completed its consideration of the following Further Revised Estimate for public services for the year ending 31 December 2019: Vote 38 - Department of Health.

Fibromyalgia: Statements (4 Apr 2019)

Michael Harty: Deputy Kenny and I have many conversations about this. He is absolutely correct that the Minister is dragging his heels when it comes to providing an access programme for the three conditions. The Health Products Regulatory Authority has not found evidence that cannabis-based products are a treatment for pain. This is a debatable issue, however. The Minister of State, Deputy Catherine...

Fibromyalgia: Statements (4 Apr 2019)

Michael Harty: Fibromyalgia is a very difficult condition to diagnose and treat. I know that from my own profession. The difficulty in diagnosis, as others have said, is there is no clinical or biochemical marker that will give an exact diagnosis. Most commonly, it is a diagnosis of exclusion. Having gone through all the various conditions that could be leading to chronic pain and stiffness in muscles,...

Health Service Executive (Governance) Bill 2018 [Seanad]: Report Stage (3 Apr 2019)

Michael Harty: I will make a few general points on this amendment. The Sláintecare report was published in May 2017, almost two years ago. One of the main recommendations of the report was to reinstate a HSE board. In November 2017, the Taoiseach, in response to a question I put to him in the House, stated that the Government was reversing its policy on abolishing the HSE board and would reinstate...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: This morning, the committee is meeting with representatives of the HSE and CervicalCheck to receive an update on the CervicalCheck programme. The committee has expressed a particular interest in hearing about the proposed introduction of HPV testing for cervical screening and in discussing delayed smear reporting. On behalf of the committee, I welcome Mr. Damien McCallion, national director...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: I propose that committee members have ten minutes each for questions and answers and non-committee members have five minutes each. Everyone will get an opportunity to speak.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: The witnesses might deal with one further question and then I will move on.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: Before I bring in our non-members, the first of who will be Deputy Bríd Smith, I want to say that the issues that arose last April were caused by non-disclosure, in particular the non-disclosure of a look-back audit on women who had already been diagnosed with cancer and whose smears were being reviewed. That was the issue at the time, and it still is an issue. At the moment the issue...

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: There is no timeline for moving to HPV testing because CervicalCheck cannot do that until it has stabilised the existing system. It could be a number of years, therefore, before we move to HPV testing.

Joint Oireachtas Committee on Health: CervicalCheck Screening Programme Update: Discussion (Resumed) (3 Apr 2019)

Michael Harty: Front-line staff, not only GPs but also staff manning the phone lines, are under extreme pressure regarding the phone calls they receive from women due to complete frustration with not getting their test. The pressure on front-line staff on the phones is almost unbearable. There is a difficulty relating to the stress they are under and maintaining those staff. There is an urgency even with...

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