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Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: We will continue with an engagement with representatives of Nursing Homes Ireland. We will examine the 2016 financial statements of the National Treatment Purchase Fund and matters related to the fair deal scheme. To assist us in our examination, we have invited representatives of Nursing Homes Ireland to discuss related matters with us in a short session before we deal with the National...

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I thank Mr. Daly very much for that comprehensive statement. Speakers have indicated in the following sequence: Deputy MacSharry, Catherine Murphy, Cassells and Connolly. We will have ten-minute slots.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: How many private and voluntary nursing homes are in the country?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Nursing Homes Ireland represents more than 80%.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I call Deputy Catherine Murphy who has ten minutes.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I have one question before we move on to Deputy Aylward. Did Mr. Daly mention that five nursing homes closed last year?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Out of over 400. Did any open last year?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Over the last four or five years - I know Mr. Daly said a few close each year - that is 1% of families retiring or getting out of the business. I know HIQA made the comment. Are many are coming into the sector?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: HIQA said that.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I take that point. I call Deputy Aylward.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Is Mr. Daly saying that if a resident who has a medical card needs to see his or her GP but is in a remote nursing home, the GP will not make a 40 mile trip to see him or her and the resident is not capable of travelling to see the GP?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Nursing homes probably have an arrangement whereby a GP visits once a week or similar.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: GPs will not travel to see patients who are now in a nursing home 20 miles away from them.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: He or she is taken to an accident and emergency department.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: If there are 100 people in a nursing home and 20 different GPs dealt with those residents before their admission, those GPs will not regularly attend the nursing home. Do nursing homes have an arrangement with a GP to provide a GP service?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: Is that practical?

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I call Deputy Connolly because we must move on as there is a second group of witnesses to come before the committee.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I remind the Deputy that representatives from the National Treatment Purchase Fund are to come yet.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: I call Deputy Cullinane and ask him to be tight.

Public Accounts Committee: Engagement with Nursing Homes Ireland (14 Jun 2018)

Seán Fleming: They were all on ten minutes, bar one.

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