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Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: I understand that. It was for one region of the country. However, it was a report that was done. The Comptroller and Auditor General has compiled a special report and he notes and observes a number of issues, one of which is that this report was compiled in 2004 but was never published and no implementation followed. It is an obvious question that was going to be asked. We are following...

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: That helps us as members of the committee and is a reasonable response. Why is that not in this report? When the Comptroller and Auditor General completes his report, does it go to the HSE for comment?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: I do not see that response in this.

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: However, the footnote does not explain it. It just states that the Eastern Regional Health Authority was subsumed. There is a clear observation that a report was done but never published and there was no implementation plan. There were going to be obvious questions as to why it was not done.

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: My quarrel is not with Mr. Breslin or even with the Comptroller and Auditor General. I am just saying it would have been more helpful if that had been incorporated into the report. We would have been in a better position to understand that.

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: I have another question. I am nearly finished. The Comptroller and Auditor General makes a number of observations on the national hepatitis C strategy from 2011 to 2014. The first is that there were 34-----

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: There were 36 recommendations and some of them have not been implemented. Mr. McCarthy says that the strategy did not set target outputs in terms of overall treatment numbers. I always look to targets being set to ensure we have a sense of what the output will be and we can measure progress. Is that his observation?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: Was that considered then?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: Did Mr. McCarthy see that as a weakness in the strategy?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: Could that be addressed? First, why was that quantifiable target not made? Second, how many of the 36 recommendations have been implemented? Did Mr. McCarthy deal with that? How many were not implemented?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: Okay.

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: The questions were not answered. One was about why there were no targets and the second was about why the recommendations have not been fully implemented.

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: Can the witness deal with the absence of setting target outputs as well?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: I will hold Professor McCormick there because this is important in terms of the work Mr. McCarthy does for us. That appears to be a reasonable response. I assume it was communicated to the Comptroller and Auditor General but it is still stated in the report that there was a weakness. Was it not accepted?

Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General
Chapter 15: Hepatitis C Treatment in Ireland
Management of Medical Negligence
(22 Nov 2018)

David Cullinane: The point is that it is creating demand.

Brexit: Motion (21 Nov 2018)

David Cullinane: But Deputy Barry is being sectarian there. In terms of-----

Brexit: Motion (21 Nov 2018)

David Cullinane: -----but we are not immune to it. We must realise the need to work for a more democratic and social Europe and ensure that is what we get. It is also important to point out that the vast majority of people who live in Ireland want the island of Ireland to stay in the European Union. In recent several months, indeed since the Brexit referendum, people in the North have been very...

Brexit: Motion (21 Nov 2018)

David Cullinane: The starting point of any debate on Brexit and this withdrawal agreement for Members of this House is to acknowledge that there is no good Brexit. We have to remind ourselves, as Teachta McDonald has done, that a majority of people in the North voted to stay in the European Union. That has to be the catalyst for us to respond to the needs of people in the North. The majority cross-party...

Brexit: Motion (21 Nov 2018)

David Cullinane: Conversations were had between Fine Gael and Fianna Fáil.

Brexit: Motion (21 Nov 2018)

David Cullinane: That was between yourselves.

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