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Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: We will conclude on that particular topic. Mr. Breslin can send us a note on the three schemes and how they work. I have some questions to put myself. The good news for Deputy Aylward on the cross-border initiative is that it is managed and run in Kilkenny.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Any query I ever had I had to get approval from Kilkenny.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Absolutely, the system is working well. I have a series of questions to put to the Department. Some of these issues relate to process and some relate specifically to the financial statements. I hope Mr. Mulvany is listening. I would like an update on an issue that has crossed our desk recently. I do not want the response now. It relates to the Harold's Cross hospice. There was a HSE...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Mr. Connaghan gets the point. We want a bit of clarity on that. Deputy Cullinane mentioned the consultants' contract and the enforcement issue which led to the private security people's actions. This came up at the committee in February. I subsequently asked the Minister for Health a parliamentary question about whose job it was to ensure the consultants comply with their contract. The...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: How many consultants are covered by these arrangements? What are the ballpark numbers?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Would 50 of those be a cause of concern? I would like to get a feel of the scale of the problem.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: On a hospital by hospital basis or a regional group basis?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Okay. Has any action been taken on any of these yet?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: What does "in practice" mean?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Okay. Will Mr. Woods tell us the list of vacant posts in the HSE at the moment? We are told in some cases there are more vacancies than people applying across the different categories. How many unfilled positions are out there? It is not specifically what is filled by agency. People would like to know, where there is approval for X number of consultants, X number of non-consultant...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Is that available across the board?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: I do not need it. Send us the information.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Nurses were mentioned earlier. Will Mr. Connaghan give us the figure across the different headings?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: On the CervicalCheck issue, I do not understand why everyone is using the word "audit" all day. I would have thought it was very simple. If somebody is diagnosed with cervical cancer, the obvious thing to do would be to look at whatever information is on file in the system about that person. That should include any screening that was done. An audit is not needed. If somebody is...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: I understand that. The files can be in four or five different locations.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Yes. I would not call that an audit, from a layman's point of view. I would simply call it getting the person's full medical information that is in the system. We have put a mystique around this by needing to do an audit.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: In the chart given to the committee which was referred to this morning, the process starts with a national screening programme letter inviting women to participate in free cervical screening. At the bottom, it says a letter advising women of the availability of results and recommendation has also been sent to the GP. Are we saying that in all these cases the GP has something in his or her...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: Why did we have this debate about who should inform the patient - the consultant, CervicalCheck or the GP if I am now being told that at all times the information was in the GPs' surgeries?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: I get the point. Mr. Breslin will be happy about the following. The last day he was here we asked about the introduction of the regulation for the Civil Liability (Amendment) Act, and during the course of the meeting, he gave me a timetable for the end of June-----

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Seán Fleming: He just about got there. I saw in this morning's newspaper that it was signed. When did Mr. Breslin get the Minister to sign it?

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