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Written Answers — Department of Health: Primary Care Centres Provision (27 Sep 2012)

James Reilly: As this is a service matter it has been referred to the Health Service Executive for direct reply to the Deputy.

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (Resumed) (26 Sep 2012)

James Reilly: The Senator raised an issue about section 16 and the national directors. I have reservations about that and I would be happy to take amendments on Committee Stage. The rationale is as follows. The jobs for national directors can be advertised and then they become eligible to go on the directorate. As this is a temporary arrangement we made a decision to limit it to the wider health family...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (Resumed) (26 Sep 2012)

James Reilly: I agree that we need to flatten the pyramid of management and devolve more authority to the local level to which I have alluded. I want more power locally the people who do the job locally. Senator Darragh O'Brien talked about the OPD figures. I spoke about this issue in his absence. He is back now. He asked when GP care would be provided. I have covered that issue. It was suggested...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (Resumed) (26 Sep 2012)

James Reilly: However, I agree with the Senator that we need a permanent physiotherapist in situ there. I will need to check the situation regarding ambulance cover.

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (Resumed) (26 Sep 2012)

James Reilly: I am nearly finished. I am very grateful to Senators for their forbearance. Senator Kelly made a number of excellent suggestions. It is eminently sensible to share facilities to give services in areas, particularly where the populations are small. We would need to examine the suggestion regarding community employment schemes. While it is a great suggestion, there are issues that would...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: I have yet to respond to many Members. Must I conclude at 4.30 p.m.?

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (Resumed) (26 Sep 2012)

James Reilly: I appreciate the intervention. Senator Byrne referred to the same staff being in place but I already have made clear the staff has changed considerably. Many have made the point that the board of the HSE was abolished last year. However, it was not abolished - its membership changed - but this governance Bill will abolish the board. As for talking about two terms to implement the reform,...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: I am genuinely pleased to have been here today. The quality of the contributions has been excellent in the main and the debate has been stimulating and thought provoking and I am being genuine when I say that because some of the comments I have heard have re-energised me and made me glad that I have taken this job. When I conclude, I will do so in a forceful fashion. A number of Senators...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: The Senator asked when free GP care will be introduced. It will be introduced in this quarter, in this Dáil session, as promised. I accept it is a bit late, but I have explained before it is an extremely complex area. It is much more complex than I ever understood and the Attorney General is working with this to move from a system that is eligibility-based on means to a system that is...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: I said it would be introduced in this Dáil session.

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: Is this a debate now? I will release the Ogden report in the next couple of weeks and the PA Consulting report and they will address many of the concerns expressed here by others, including Senator Barrett, and on this side by Senator Gilroy, on the lack of financial expertise in the system. It was asked who is in charge and I will make that clear. I am in charge and I will take...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: We did not even have headlights in the HSE, we could not see what was happening. Now we have the headlights, we have a much more sophisticated system. I wish to refer to emergency departments. We were forever hearing the situation would be treated as a national emergency and everything would be done to correct the problems, with ten point plans in place but none of it worked, particularly...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: What resulted from the investment?

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: With the best will in the world, the Senator asked me questions and I will answer them but he has had his time and I ask him to please keep quiet.

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: I thank the Chair and will be grateful for his protection. Now we do not just measure the number of patients on trolleys at 8 a.m. with the INMO, we measure the number again at 2 p.m. and again at 8 p.m. in order that we can now predict a pattern and know at 8 p.m. the night before if we will be in trouble the next morning and can take corrective action. That is why, although many people...

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: It is an excellent system.

Seanad: Health Service Executive (Governance) Bill 2012: Second Stage (26 Sep 2012)

James Reilly: I welcome the opportunity to bring this Bill into the Seanad. It is an important Bill which, as the title, the Health Service Executive (Governance) Bill 2012, suggests, provides for a new governance structure for the HSE. Senators will know that, in line with the programme for Government commitments, a series of legislative changes are planned to bring about radical reform of the health...

Written Answers — Department of Health: Primary Care Centres Provision (26 Sep 2012)

James Reilly: The management and delivery of the health capital programme is a service matter. Therefore your question has been referred to the Health Service Executive for direct reply.

Written Answers — Department of Health: Hospital Services (26 Sep 2012)

James Reilly: The Regional Director of Operations, Dublin North East, established a group to undertake an independent assessment of the need for a medical assessment unit (MAU) in Monaghan Hospital and of the projected cost of running such a unit. The group began its work in October 2011. I have received the report of the group and it has been referred to the Acute Medicine Programme for review. The...

Written Answers — Department of Health: Ministerial Responsibilities (26 Sep 2012)

James Reilly: Delegation Orders for Ministers of State Róisín Shortall and Kathleen Lynch were approved by the Government at its meeting on 27 September 2011 and formalised in Statutory Instruments Numbers 492 and 493 of 2011, both dated 27 September 2011.

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