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Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: -----at the end of that month, not alone did we maintain a safe service, we have improved it as I outlined. As an Irishman I believe that what makes Ireland a great country is not the wonderful landscape, the rivers and the green fields but the people, their resilience, compassion and their capacity for innovation. I similarly believe the health service will be one of the best in the world...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: I move amendment No. 2:To delete all words after “Dáil Éireann” and substitute the following: "commends the Minister for Health, James Reilly T.D., for the progress to date on the reform of our health services and for the effective manner in which he is managing resources in a difficult budgetary and economic environment, placing the concerns of patients at the centre...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: It is the empty noise of a party that ran out of ideas and idealism a long time ago, a party that has damaged each and every family in this country because of the economic collapse over which it presided, a party that sold our nation down the river. It is a bit ironic to be charged with poor governance by a party that left this Government with the biggest budget deficit in our history;...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: -----reassuring people that they were not going to lose service but that reassurance was lost in all the noise from the Opposition-----

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: -----who went on to cause so much worry that people felt it necessary to sit outside Dáil Éireann overnight. I am truly sorry that I was not able to communicate clearly to them the fact that they would not lose their service.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: A number of people have said that I abolished the HSE board and the HSE. First, the board is to be abolished but is not yet abolished and, second, the HSE has not been abolished.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: Deputy Dooley has contended that 33 people have died because reconfiguration did not take place. I would be happy if he could provide me with the details of what happened.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: I am going to leave that now.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: A Leas-Cheann Comhairle-----

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: I am not going to spend the evening-----

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: A Leas-Cheann Comhairle, I presume I will be allowed the extra minute speaking time which the Opposition has taken up.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: I am not going to continue to engage here tonight in the normal political rhetoric that is the style across the way.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: Rather I am going to deal in facts and measurable outcomes.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: I would like to say at this stage - to paraphrase Bill Clinton - what Fianna Fáil is giving out about is the speed with which this Government is clearing up the mess it made.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: Deputy Martin, who is not here tonight, is the prime designer in chief of this mess. Let us look at what happened. The health budget grew in the 14 years of Fianna Fáil coalition Governments by more than 320%, from €3.6 billion to €15 billion. During his time as Minister for Health, Deputy Martin spent €13.8 million on management consultancy.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: With all that advice and increased funding one could have expected balanced budgets. Instead, what we find is that during his tenure as Minister for Health, Deputy Martin still managed to over-shoot his departmental budget and had to be bailed out with supplementary budgets amounting to €664 million. Between 1997 and 2010, Fianna Fáil's period in office, €2.2 billion was...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: The challenges besetting our health system are a direct result of Deputy Martin's fatally flawed budgetary and service planning processes.

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: A recent external independent review highlighted that the governance and control framework in the HSE lacks clarity, is not properly embedded and does not enable effective control to be exercised over voluntary providers. The financing and operating models are tied to antiquated health board structures and there are significant inconsistencies in approaches to analyses and financial...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: -----in terms of financial reporting mechanisms, different ways of counting things, different ways of coding things, information that is nigh on impossible to analyse. All the focus was on inputs instead of looking for outputs and examining outcomes for patients and applying best practise. I have put in place a financial improvement programme and new performance management arrangements are...

Confidence in the Minister for Health: Motion [Private Members] (18 Sep 2012)

James Reilly: Patients and what happens to them is what really matters.

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