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Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: You made a point about facilities being under-used in hospital groups while there are long waiting lists in other hospitals. What is the reason for that? Is it an organisational issue? Is it local politics?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: It is a very interesting question though and potentially a major blockage in moving to a universal system. We might consider who might be in a position to talk to us about it because it is an important point.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Does Deputy Harty have a point to make?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: There is a commitment in the programme for Government to introduce the practice of salaried GPs, which is new. It is a welcome commitment, because it has traditionally been resisted by GPs themselves. That is a good development.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Will Ms Loughnane explain NICE?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Another factor is that there is a legal entitlement to the fair deal scheme but not to a home-care package.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Dr. O'Brien made a point about the wide variation in the services and entitlements available. Has any research been done on the allocation of primary care staff, or health and social care staff generally, throughout the country?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: There are waiting lists for home-care packages in many areas.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Staying at home is usually the first choice of older people.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Has Age Action done any research on the comparative costs of different models?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: It might be worthwhile for us to commission a separate piece of work on resource allocation. If we take, say, the nine community health organisations in the country and see the population, age and deprivation profiles and then see what staff allocation is in place already we can make an assessment. My understanding is that there is a very wide variation, both in terms of general...

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Yes.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Okay.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Did Deputy Harty want to come in on that?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: We will look at that entire issue in September; it is a separate piece of work.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: With regard to cancer care, the cancer programme seems to be one of the major successes. Tom Keane will hopefully come in to talk to us in September. What is the question there about pre-access to services? I get the impression that the cancer programme is more of a universal service but I may be wrong.

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: What about the private patients? Are they treated similarly?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: From the point of view of diagnostics, access to treatment and so on-----

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: Apart from diagnostics, that is obviously a critical area. In terms of access to treatment once there is a diagnosis, is there much of a divide?

Select Committee on the Future of Healthcare: Future of Health Care: Health Reform Alliance (20 Jul 2016)

Róisín Shortall: The witnesses spoke earlier about 80% of hospital activity relating to chronic illness. There are chronic disease management programmes set out for primary care. Why are they not being implemented? Perhaps, I should ask Deputy Harty about that. If there are best practice programmes in place that will achieve better health outcomes and better value for money, why are we not implementing them?

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