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Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I note the section where it states a number of key high level metrics are not linked to the subhead or subhead groups under which the Estimates are presented. I found this extremely difficult to go through and wonder if there might be an easier way for this information to be understood. We got a briefing, which was welcome, but it was still a little like swimming through treacle. One...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I stand corrected. In terms of moving towards matching the programme to the money, how close are we to that?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: The Minister mentioned the industrial disputes, two of which have been headed off at the pass and one which I understand is on its way to the Workplace Relations Commission, WRC. We obviously wish everybody well with that. The settlement of those disputes is not without cost, since the Estimates were produced and the disputes were settled. Where did we get the wriggle room from in terms of...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: With regard to palliative care, the Minister referenced the map and the blackspots on it, for want of a better word. It is a much bleaker map if we look at the palliative care available for children. Paediatric end-of-life care and palliative care is sorely lacking. I was in Donegal the week before last and I met Ms Ashling Nibbs and Ms Gina Grant from Our Children's Voice. Ashling very...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: They will be watching this. I thank the Minister.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: The extension of an automatic medical card to children whose parents are in receipt of domiciliary carer's allowance is very welcome. It is regrettable that it did not happen earlier. There is a considerable amount of political will. I said at the time that it was going to cost €17 million. When the budget allocated €10 million it was clear that there was no intention for...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: That figure of €17 million is from the Department of Public Expenditure and Reform. I did not make it up.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: What is the headroom on the PCRS?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: Is that because what is measured is the properly completed applications? The delay is often caused by missing paperwork. They are only measuring when all the legwork has been done. I am sure that the Minister recognises that many of the problems, particularly those referenced by Deputy Murphy O'Mahony with regard to parents filling out the paperwork, are not caused by the paperwork going...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I am looking at the note we were given and trying to match it up to the figures. Under the heading of social inclusion, there is substance misuse, opioid substitution and homelessness. I might be missing it but there is no detailed breakdown of the services. It is all very well to say social exclusion is a problem. We could agree on that eight days a week. The issue is knowing exactly...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I sincerely hope the Minister does. If he lets me in, I will support him. Deputy Durkan makes a very valid point about early intervention. It is regrettable that the funding for Young Ballymun was cut. That is only a statement; I would like an answer specifically to my question.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: The mobile screening unit will have its work cut out for it with all of the groups that have been identified. How many staff will be working in the unit and what services will it be offering? Will they include physical and mental health screening or will it solely be physical screening? Will children be catered for? How many visits does the Minister anticipate will be made to the unit?...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: It is important that both physical and mental health issues be addressed for children, adolescents and adults. We cannot have a one-size-fits-all approach. The unit cannot just rock up to one of the reception centres unless it is offering services to the entire community. There are sections of the community that are already being failed and we will be adding insult to injury if we pretend...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: If we keep going the way we are, we will lose many GPs to the Dáil. I dissociate myself from the remarks made about ageing GPs. The Chairman is young at heart.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: Yes, absolutely.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: As I am trying to match the detailed note with the other documentation, please forgive me if I have missed something. I am interested in the community intervention teams, in particular, and can see that the funding for them has increased. Will the Minister give us a breakdown of the funding allocated across outsourced, direct public and private services?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: That is fine. Regarding primary care services in general, we can see that there has been an increase in the number of GP trainees. I concur with what was said about salaried GPs being directly employed by the HSE. How many additional staff will be provided in this area? I can see that there is an increase in the target for the number of attendances, but specifically, how many additional...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I dispute that.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: I asked for the geographic and the public-private breakdown in respect of it.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Louise O'Reilly: Regarding the increase in the number of home-help hours - while increasing, it will not go up by a great deal - can the Minister give a breakdown between the public-private and voluntary providers? I understand that when the tender process for the provision of those services is concluded, the individual health agencies will have their preferred providers and they will have to select from...

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