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Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: We dealt with that issue at some length.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: Will the witnesses address those questions?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: A number of questions were asked about the skill mix.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: In the presentation and just now, Mr. O'Dowd referred to some research. That is Medical Council research on the reasons consultants are leaving.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: Will Mr. O'Dowd take us through the first few reasons? The top one is under-staffing.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: It was the list I was looking for. What is the second reason?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: On the question of career progression, how does Mr. O'Dowd propose that be dealt with? There was talk at one stage of introducing a middle-tier specialist position. It seems to be all or nothing now when it comes to medical consultants.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: A number of members asked about the skill mix in primary care. I was surprised to hear in the presentation that there was scope for limited task transfer because a lot of witnesses coming to us have talked about the need for task transfer. We are talking about the need to concentrate on chronic disease management and a great deal of that work would be nurse-led. As such, I am surprised to...

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: A number of members have asked about that.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: I thank Dr. McGarry for that clarification.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: At our meeting last week with Professor Tom Keane, he spoke about the importance of clinical governance and how he believed it should take place at local hospital level rather than with the Medical Council. What is the IMO's view on that?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: There is clinical governance and then there is performance management. Specifically, in situations where there is an adverse incident, rather than it being dealt with by the Medical Council, Professor Tom Keane expressed a strong view that it should be dealt with in annual reviews of performance at hospital level.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: Does the IMO agree with Professor Tom Keane that this needs to be underpinned by legislation?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: Finally, a question I have already put to most of our witnesses relates to the organisational structures in the HSE. If we are aiming for an integrated health service, does the IMO believe the structures in place, with seven hospital groups and nine CHOs, community healthcare organisations, which are not aligned, militate against the kind of integration we need?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: That is very diplomatic. With that, I thank the IMO for its attendance and comprehensively dealing with the committee's questions.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: I welcome from the Irish Nurses and Midwives Organisation, INMO, Ms Martina Harkin-Kelly, president, Mr. Dave Hughes, deputy general secretary; and Mr. Edward Mathews, director of regulation and social policy. I advise the witnesses that by virtue of section 17(2)(l) of the Defamation Act 2009, witnesses are protected by absolute privilege in respect of their evidence to the committee. If...

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: I thank Ms Harkin-Kelly for her very comprehensive opening statement. It dealt with many different areas. I will now invite members to speak in groups of three. I ask the witnesses to record the questions and then respond.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: That message has come through clearly all right. I ask the witnesses to respond to the questions.

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: What about devolving budgets?

Select Committee on the Future of Healthcare: Health Service Reform: Representatives of Health Sector Workforce (26 Oct 2016)

Róisín Shortall: A couple of members raised the issue.

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