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Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: The HSE is getting pushback. Which of the hospitals is pushing back on it?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: How is that possible? The HSE obviously funds them.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Let us take the Mater hospital as an example. It is one of the acute hospitals. What is its total funding for the year?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: The HSE is funding the Mater hospital to the tune of €625 million, yet it is pushing back on a control system that will help it in its business?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Looking again at the Mater hospital, it was in the news recently. There has been a lot of overspending in the hospital. Is this correct?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Yes. I can see that, under the new Minister for Health, there has been a huge push to increase productivity and control spending. Is that correct?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: This has been to the forefront. The chairperson of the Mater hospital resigned recently. Was this because there were differences of opinion, potentially, on productivity and spending levels within the hospital and that these were to be monitored?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Does it speak to the overall issue?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Is that not the key here? If the State and the taxpayers are ultimately funding these hospitals, surely they should be brought under the umbrella for basic spending infrastructure. We are sitting here talking about duplicate payments and write-offs, and these are all fundamentals to all of us in the system. All I mean regarding these voluntary hospitals is that, in a context where the HSE...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: I fully agree. To be honest, this is why I was asking the question. As was said, the system has been rolled out among the HSE’s own hospitals. I was just not sure about the voluntary side. Ultimately, this is significant spending. What would be the full amount of money spent on those voluntary hospitals?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: It is €5 billion a year-----

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: -----and the HSE is getting pushback on putting a proper system in place to ensure we are able to monitor all the payments.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: If there is any feedback from this meeting today and from this committee, it is that we firmly believe the systems need to be in place in those hospitals as well as the others. There should be no sense of people feeling they should be able to push back or have a different opinion than anybody else. If this system is working on SAP, and I know it is a great system that can work really well,...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Dare I say it, but who do these people think they are if they feel they can push back on such significant funding and some basic systems that we need to put in place? My last question is on public-private partnerships and how they work. In my second round of questions, I might ask more about consultants. How do PPPs work in hospitals? How does the cost of, say, ICU units or blood banks...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: Like St. Vincent's.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: I might pick up on that later.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: I must keep an eye on the clock because I have to leave for Questions on Promised Legislation. I want to pick up exactly where I left off. We were using the example of St. Vincent’s hospital and talking about blood banks and ICUs. Is University Hospital Limerick a voluntary hospital?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Joe Neville: They would not?

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