Results 12,401-12,420 of 24,567 for speaker:Róisín Shortall

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: That is extraordinary.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Mr Woods, will you clarify that point, please?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Is it a new practice to set targets for private income?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: What happens if the targets are not met?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Why is that? Are you saying there is a contingency fund?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: It strikes me as if there is a perverse incentive. If hospitals are under pressure, then they have little choice but to maximise their income from private patients. That is not what public hospitals should be doing.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: There is an incentive, however, for hospital groups to maximise the number of private patients because that is how they generate income. Is that correct?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Do you accept that there is a perverse incentive in place that works against a public hospital system?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Or something has to be cut.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Yes, certainly. There are two items of information, first, the targets which are set and, second, the actual performance. If the committee could have that across each hospital group, it would be appreciated.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Yes, but that perverse incentive is more likely to operate in respect of elective surgery if hospitals are strapped for cash.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: We will take the next group of members, starting with Deputy O'Connell.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Does the RCSI delegation wish to respond?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I ask Mr. Carter to comment on the non-alignment of CHOs and hospital groups.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: We accept that point. I ask Mr. Carter to comment on how organisational structures are seen to work against the principle of integrating services. What is Mr. Carter's experience of the RCSI group?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Mr. Carter make the point earlier that his group has had 161 delayed discharges and I am conscious of them on the north side of Dublin. How can one get integration unless the two areas are aligned?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: Have beds been closed due to staffing shortages?

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: I want a quick answer to my question.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: There are 15 beds closed.

Select Committee on the Future of Healthcare: Health Service Reform: Hospital Groups (16 Nov 2016)

Róisín Shortall: What about the RCSI?