Results 14,121-14,140 of 26,610 for speaker:David Cullinane

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: Dr. McKenna has stated the HSE is not in a position at this point to put a monetary value on it. However, in at least one of the court cases a monetary value was put on the individual not being informed of her smear test results. Logic dictates that, for all of the women among the 220 plus who were not informed, a monetary value will attach at some point. Forty cases have been or are...

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: I am sorry, but will Dr. McKenna say that again?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: I find it extraordinary that no one in the Department or the HSE-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: Mr. Breslin might be of assistance.

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: I understand it was an overall settlement. I do not want to go into the details of the figures for an individual-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: Will a monetary value be put on the admission of liability for not informing the individual?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: If the answer is "Yes," why would it not apply to the cases of all 220 women?

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: I am sorry, but if-----

Public Accounts Committee: Implications of CervicalCheck Revelations (Resumed) (5 Jul 2018)

David Cullinane: I accept that. I have a further question on this matter and I will then finish. I have no difficulty in stepping back, evaluating and learning from the court judgment in this case, but the committee has to consider the potential cost of an accepted failure by the HSE. Can a note be given to the committee to help us understand it? My question is valid and obvious. If a monetary value is...

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)

David Cullinane: I welcome all of the witnesses. Members will need the two slots as there are a lot of issues to be raised. I have, at least, six that I want to raise and will certainly not get to raise all of them in the first round of questions. Most of my queries relate to national, but there are two regional issues. Mr. Connaghan is aware that all politics is local. While there are two issues that...

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)

David Cullinane: Does the Comptroller and Auditor General agree with that? It is €165.9 million when we include the deficit for section 38 agencies.

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)

David Cullinane: Okay. Whereas in the past we would have had supplementary budgets if there was an overspend in health, we are led to believe they are gone, or at least in practice they should be gone. I am trying to understand why there is a deficit, if Mr. Connaghan could help me with that first of all. Is it because the HSE has increased capacity or is it because the costs of doing healthcare - the...

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)

David Cullinane: I thank Mr. Woods and Mr. Connaghan. That gives me answers as to why there was a deficit. Essentially, Mr. Woods is saying the two main drivers in terms of acute hospital spend were that the volume of care has increased as has the complexity, which I imagine is things like unexpected flu outbreaks and so on, resulting in greater isolation and containment needs. Mr. Connaghan 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)

David Cullinane: I want to come now to agency staff, which Mr. Woods mentioned as being one of the issues. According to figures I have from parliamentary questions submitted by one of my colleagues, agency spend by all of our acute hospitals has doubled since 2011, going from €158 million to €293 million. We seem to have a greater dependency on agency staff. Mr. Woods may be in a position 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)

David Cullinane: Does it cost more? Do the witnesses have the figures in overall terms or per whole-time equivalent post? How much more in percentage terms does it cost either in acute settings or outside of them to hire an agency worker over the course of a 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)

David Cullinane: What is that figure on a yearly basis, on average?

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)

David Cullinane: In that case, if the HSE was hiring more staff directly it could save 20%.

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)

David Cullinane: Mr. Woods said he would be aware of the potential savings if we were to use staff who were directly employed rather than agency staff, an average of 20%. Where does that figure come from?

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)

David Cullinane: Yes.

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)

David Cullinane: Who does that? That is my point. Can that be supplied to the committee? Have reports for either the director general or Mr. Woods been done on this-----