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Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: No, it was actually 77. I have it here.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I kicked off questions earlier today. Like my other colleagues, I am disappointed that two of the three questions I asked were not answered. My first question relates to Professor Higgins. We all have the book. Dr. Herity was tasked with carrying out an independent clinical review of the provision of a second catheterisation laboratory at University Hospital Waterford. He stated he was...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: Perhaps none of them had an ambulance outside his or her door like I did.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I wish to ask Dr. Herity about-----

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: May I get an answer to the question on the note from the HSE? I have asked three times.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: Of major concern to many, including me, is the fact that Dr. Herity received a note prepared by the HSE prior to commencing his deliberations. The note read: "However it has been the view of the Department that providing additional facilities and extending PPCI (angioplasty) services, in a geographical area which does not have the population base to justify such a service, would be wasteful...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: Would Dr. Herity not have given extra weight to a note from the Department?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I can understand Dr. Herity obtaining advice on best practice in Europe, but the Department of Health had issued this note. Surely it had to carry extra weight.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I thank all the witnesses for attending the committee today to address this very important issue. Whereas much of this has been said already in Waterford and the south east, this will be on the record of the House now, which is very important. On 17 October last, I wrote to the Oireachtas Joint Committee on Health to request that it examine the Herity report and to invite the relevant...

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I mentioned that the Senator, Dr. Swanick, had asked Dr. Herity, doctor to doctor, whether he believed that lives are in danger as a result of there not being a second catheterisation laboratory and Dr. Herity said he did not and that patients should be treated in high-volume centres. Will the witnesses address that? Do they agree with his opinion?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: Could I have a "Yes" or "No" answer to my final question? Have any of the recommendations in the Herity report been implemented to date?

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: I had to push him three times on that before I got an answer.

Joint Oireachtas Committee on Health: Catheterisation Laboratory Clinical Review: Discussion (8 Feb 2017)

Mary Butler: Absolutely.

Pensions (Amendment) (No. 2) Bill 2017: Second Stage [Private Members] (7 Feb 2017)

Mary Butler: I welcome the Bill. It provides that workers in defined benefit schemes would be protected from their employers attempting to wind up the scheme. Tonight's debate is the first opportunity for the Dáil to discuss this important topic and find a legislative solution to the problem that is clearly evident. In the past few years we have seen many large, financially solvent companies wind...

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: I would also like to speak on the capital investment requirements. We heard at earlier meetings that Irish Water's long-term investment planning strategy has been set out and that the investment required to address all known deficits is estimated to be circa €13 billion. Is the overall €13 billion figure achievable in the absence of a direct charging regime? It would appear...

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: Therefore, with the State as the main customer, the figure of €13 billion is achievable in the absence of a direct charging regime. Is that what Ms Fitzpatrick is saying here today?

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: As of now, the implementation of the capital plans within the timeframe set out by NewERA in previous meetings should stand.

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: That is the €5.5 billion to be spent between 2014 and 2021.

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: To return to the figures provided by the Department, the customers of Irish Water would only contribute 26% to overall costs.

Joint Oireachtas Committee on the Future Funding of Domestic Water Services: NewERA, National Treasury Management Agency (7 Feb 2017)

Mary Butler: On efficiency in operation, does the removal of direct customers and suspension of charges change the potential of Irish Water to meet its efficiency targets? Will the cessation of the water metering programme affect the efficiency drive?

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