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Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: However, they have a private income from the outpatient appointments.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: What kind of hours, or how much of the week, is covered by the salaries the private hospitals are offering for the inpatient work?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: A 40-hour commitment for inpatient work.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Then they do their outpatient clinics on top of that.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: However, the €150,000 or €160,000 contract only covers one element of their work. They then have private income from consultations.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: There was a related question from Deputy Durkan about the split of Irish and non-Irish consultants that the Beacon Hospital employs.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Do you have a rough calculation?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: That goes without saying.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: You said 90% of your patients are covered by private health insurance, Mr. Fitzgerald. Is that correct? I am unsure what the comparable figure is, but presumably it is low.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Could Mr. Fitzgerald clarify whether the charges agreed with the insurance industry are across-the-board agreements or whether they are agreed per hospital?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: The hospitals negotiate individually. There are four more speakers. I call Deputy Kelly.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: In the context of an universal single tier system, what role would Mr. Nugent see for private hospitals?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: I think it is important to point out that the finding was on the basis of the absence of a measurement system for consultants on public contracts. We had the phenomenon of people who were on a long waiting list for Doctor X so they went through the NTPF and in some cases they were treated by that same Doctor X, but in the private system. Concerns were raised about that -----

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: ----- circular phenomenon and the lack accountability for consultants at public hospital level.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: That whole project is being headed up by the HSE. I understand that the private hospitals will fall in with whatever is proposed for the public system.

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Do the witnesses have a rough, ballpark figure for the percentage of patients who are referred to specialist public centres?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Okay. The private sector is dealing with approximately 1,000 emergency department patients per week. Is that correct?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: What percentage of those patients would be transferred to public hospitals?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: Is it an expanding area or is it contracting?

Select Committee on the Future of Healthcare: Health Service Reform: Private Hospitals Association (18 Jan 2017)

Róisín Shortall: There were a number of questions from Deputy John Brassil on the consultant contract. The witnesses before us are consultants. I ask them to give us a picture of the kinds of contracts that are in place.

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