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Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: I read some of Mr. Figueras's work in that regard.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: I thank Dr. Figueras. He said in the course of his presentation that our terms of reference were very wide. That is true, but there are two key ones. The first is a request for us to make recommendations on a universal single tier health service. The second is to reorientate the health service away from acute hospitals to primary care. We are very keen to learn from best practice and...

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: There is a view emerging from the committee that, in terms of phasing in reforms, we should start with primary care. If we were to look at bringing Ireland into line with the rest of Europe and having universal primary care, what is the package of care that should be covered by any kind of guarantee?

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Yes.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: In addition to the areas Dr. Figueras has mentioned, the area of screening is a public health measure-----

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: -----that has to be delivered through primary care.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: In the best performing systems where there is universal primary care, does that provide an entitlement to therapeutic care as well such as access to speech and language therapy, physiotherapy and so on?

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: I thank Dr. Figueras. We might return to the universal coverage cube later. I will call other members in groups of three, following which Dr. Figueras might respond to the questions.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: If the witness could do his best to respond to that wide range of questions I would appreciate it.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: We have another hour.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: There are, however, a number of other members who are keen to contribute. Perhaps Dr. Figueras could respond to specific questions first.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Then we might look at some of the overarching issues.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Yes, but there was another question on how the doctor and the nurse related to outcomes.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Prioritising.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: There was an important question asked about legislation and working with a framework.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: On the legislation question, our legislation is not strong in terms of eligibility and there is a big gap there. It is a matter of custom and practice, local arrangements or whatever. It is not set down in legislation what public patients should be entitled to and that certainly is a problem. Recently, we had Professor Allyson Pollock speaking to us. She was strongly in favour of a...

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: There are many questions.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Spain has more sunshine than we have.

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Does Dr. Figueras wish to respond to the questions on performance and extra taxes?

Select Committee on the Future of Healthcare: International Health Care Systems: Dr. Josep Figueras (12 Oct 2016)

Róisín Shortall: Is Dr. Figueras saying Dutch doctors prescribed more antibiotics than the Italians?

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