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Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I ask the witness to answer briefly, as we are out of time.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I thank Dr. O'Reardon. At this point, I will bring in our remote witnesses, Mr. Stephen Mulvany and Mr. Ultan Hynes, to answer questions asked by Deputy Catherine Murphy earlier. I hope we have the audio connection now. I ask the witnesses to try to keep their answers concise and defined.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: Does Deputy Murphy wish to make a further comment?

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: Deputy Munster has joined us. She is very welcome.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: We cannot hear Mr. Hynes due to audio issues.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: The Deputy has gone over time.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: We have gone over time.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I ask that the HSE and the Department reply to Deputy Munster's final two questions in writing.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I understand that.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: With respect to Deputy Munster, I have to be fair to the rest of the members present. I ask that those two questions be replied to in writing, by the HSE and the Department's Secretary General. I call Deputy McAuliffe.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: The quality of the sound from the other room is very poor.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: The connection is not good enough. We would like Mr. Hynes to physically join the meeting in this committee room.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I thank Mr. Hynes for that reply. Deputy McAuliffe had asked questions, so we will move back two or three minutes because there were difficulties hearing the replies.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: We have about six or seven minutes left. I have some questions regarding-----

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: Yes, but very briefly.

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I request that a written reply be sent to the Deputy. Regarding the costs of private-----

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: I have some questions on private nursing homes and the cost differential. Reference was made to geography. There is also the issue of staffing ratios. I ask the witnesses to keep their answers concise. The staff-to-patient ratio in the public nursing homes with which I am familiar is higher than that in private nursing homes. Does Mr. Reid believe the level of care is also a factor? I...

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: Would it be fair to say that, in general, patients in public nursing homes tend to be higher dependency and have more complex needs?

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: The HIQA accommodation standards were extended to 2021. They will have significant implications in terms of nursing home capacity. The stipulation in those guidelines relating to single-room occupancy will affect nursing homes in my area, such as those in Abbeyleix, Mountmellick and Shaen, as well as many private nursing homes. How many beds will be lost from the system as a result? Has...

Public Accounts Committee: Special Report of the Comptroller and Auditor General on the Nursing Homes Support Scheme: Discussion (1 Oct 2020)

Brian Stanley: What percentage reduction is involved across public and private nursing homes?

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