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Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: There is accountability to be considered also.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: My only comment on that is to do with the accountability aspect of the committee. This is why we are here and that is more important. If there is not accountability then the whole system would break down. That is why the committee was set up. Many of my points have already been covered so I just have two or three questions. On agency staff, why is there a need for agency staff at all...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: If the HSE was to recruit directly, there would be no need for agencies. There is a profit to be made by the agencies. They are not there for nothing.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: I asked another question. How come the agencies are able to get the personnel and yet the HSE cannot do so? We have a deficit of 4:1. Do the agencies pay more than the HSE? Is it that people who have retired return as agency staff because the hours or whatever suit them better? I am puzzled by the fact that agencies can hire personnel yet the HSE cannot do so where there is a 4:1 deficit.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: In general, do the agency staff comprise more of people who have retired from the HSE? Do older people who have retired from the HSE on a pension resume work as agency staff? Do young people work for the agencies, for example, newly graduated nurses?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: I am not going to-----

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Has research been done on how much money could be saved if agency staff were dispensed with? Does the HSE know how much money could be saved in that instance?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: I want to discuss the capital surplus of €8 million in 2016 that was carried into 2017. Why? Every country is crying out for capital spend and new projects. Why was there a capital surplus of €8 million? We could have spent that sum. Earlier the Comptroller of Auditor General asked why the HSE had not complied with its statutory responsibility to obtain the required...

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Is there a danger, when the sum of €14 million is not spent, that the Department or the Minister says that the money was not spent this year so the sum of €14 million is cut for next year?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Why did the HSE not get the Minister's approval or seek same? I refer to what was said by the Comptroller and Auditor General.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Has sanction been granted since?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Is it still not sanctioned?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Is there a question mark over it?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: I ask the Comptroller and Auditor General for his opinion.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: It does not affect the money overall.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: I want to ask about clinical expenditure on primary and medical care schemes and rebates in terms of pharmaceuticals and manufacturers. The figure has increased by nearly 45% from €76 million to €110 million. Why was there a significant increase in just one year? The sum increased by €34 million in one year, which is major money.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: It is pages 167 and 168. Note 8 refers to the receipts under clinical expenditure in primary care. It shows that there has been a 45% increase in one year, from a figure of €76 million in 2016 to €110 million in 2017.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: There is not €34 million of extra medical card assistance in the system. That is what I am asking.

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: Is it a drugs rebate?

Public Accounts Committee: 2017 Financial Statements of the HSE
2016 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
(5 Jul 2018)

Bobby Aylward: The item is recorded as medical card schemes. Is it a drugs rebate? There is reference to primary and medical care.

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