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Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: I will ask about internal control and particularly the contract management support units. Very often we rely on people coming to us and telling us about their experiences. People do not come to us if they are satisfied with the service but they will come when there is a failure. Are there service level agreements and is that something the contract management support unit deals with? Is it...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: If a section 38 body takes responsibility to care for a person, is there be a service level agreement relating to the individual or does it relate to the people being contracted in to do work for the HSE?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: What kind of timetable are we looking at for this work to be completed?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Yes.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: How were they selected?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: They are not being mixed. They will be where there is the greatest need.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Must further resource implications be factored in? Will they be more efficient in how funding is used?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: There will be four to start with.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: This will go through all the organisations in time. What is the estimated time to have this entire work completed?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Who is carrying out the external reviews?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Will that vary, or will it be a single piece of work for just one organisation?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: On a separate topic I note that up to now it has not always been possible to provide data for the whole country. There was a deficit in IT systems. Some funding was made available to address that. Where are we in that regard? If I remember correctly, we were told there were seven different ledgers. It is very easy to see how difficult it is to have control or oversight of something...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: The year 2024 is half a lifetime away.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Mr. Mulvany referred to the first quarter of 2024. What is being spent in each of the years up to 2024? Has all of the funding required for this been committed? Could the witnesses provide us with a note on the plan of action?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: The HSE will build the programme, test it and put information into it. Is information currently being generated in a form that can be easily integrated into the aspects of this system that have not yet been developed?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Will that assist with procurement?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: As such, there should be some savings on foot of this investment because the HSE will have a bigger capacity and will be able to see what is required.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: Lastly, I wish to discuss the ongoing work on the national children's hospital. I am very concerned by some things that have been brought to my attention by people working on the site. I refer to the management of the site and the degree of waste. Could the witnesses tell me anything about the oversight that is in place and who is carrying it out? I am quite concerned by reports of really...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: To simplify, do the representatives on the site act like a clerk of works? Is it that kind of arrangement? They should see any problems themselves.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Murphy: People are sometimes afraid to raise issues because they may feel it would work to their disadvantage. It cannot be that kind of culture and they have to be assured it will not be that kind of culture if they come forward. People will not come forward if they feel they may not get any more work on the site, and so on. Goodwill can be ruined by not having that kind of culture, so it is very...

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