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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.

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

Seán Fleming: Just to clarify, we were told that the document we got was legally privileged. Every discussion that has arisen at this committee was based on the reports published in the national media, which might have been quite similar to the document that was circulated. We anchored none of our discussions on the document that we were told was legally privileged. I must be quite clear on that. We...

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

Seán Fleming: He is here in a voluntary capacity.

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

Seán Fleming: I am in no position to force an answer from anybody. However, if the witness believes he has answered and everybody on one side of the table does not believe that, we have a different opinion on it. I cannot force words out of anybody's mouth.

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

Seán Fleming: Deputy Cullinane can reject his answer.

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

Seán Fleming: We are going to have to move on.

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

Seán Fleming: I want to conclude because of the late hour. I apologise for the late start, and for delay faced by the next witnesses. I am bringing this section of today's proceedings to a conclusion. I want to thank the witnesses for coming in voluntarily as a private organisation not within the remit of the Committee of Public Accounts. I thank them for all the information that they provided. It...

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