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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Maternity services are not a five-day-per-week service. Babies do not only arrive between 9 a.m. and 5 p.m. from Monday to Friday. Maternity services have the same ratio regardless of what day of the week it is.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: What are we doing about it? Set numbers are already in place in the maternity services. In the 19 maternity hospitals across the country, there is a set number of staff every day of the week because maternity services are seven-day-per-week services. Why can we not introduce set numbers in-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Regarding the health service generally, does Mr. Gloster not believe to some extent that some of the processes have become box-ticking exercises and are not necessarily hands on in trying to get more efficiency?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: I wish to raise two further issues. I believe St. Vincent’s University Hospital in Dublin rolled out a team that would visit nursing homes-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: -----to ensure people could be looked after there. Has that been rolled out across the country yet? At what stage is it?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: It makes the HSE a large saving-----

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: -----by having a team that can assess someone in a nursing home, with that person staying in the nursing home instead of being brought to an accident and emergency unit.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Regarding transfers from nursing homes, there was a sad inquest in Cork recently into someone in a nursing home who had swallowed false teeth, was admitted to hospital, was there for three days and was not examined until the third or fourth day, by which point the person had developed an infection. That person was transferred back to the nursing home to die. If the person had not been...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Where are we with new health centres? How many have we delivered over the past ten years and how many are at planning or building stage?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Can we get the figures?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: I thank Mr. Gloster.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: I raised a matter here recently regarding representations I got from the Irish Lung Fibrosis Association, ILFA, and I got a briefing from Mr. Mitchell on it. I have received a response from the ILFA stating the information contained in the briefing is incorrect. The ILFA is saying lung fibrosis patients are actively excluded from the vital pulmonary rehabilitation exercise programmes in the...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: Another issue is that I understand more than 5,000 people are affected by lung fibrosis and there is difficulty with accessing oxygen and supports. Mr. Gloster may not be able to give me the answers in this meeting, but all I am saying to him is that the briefing he asked for, was given and then sent to this committee is inaccurate. This is the information I have and it has come from the...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: I appreciate that.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: The next issue I want to raise is one I have raised previously and it is the ratio of people employed in public nursing homes and the number of beds available. My understanding is that in quite a number of public nursing homes, the number of beds was reduced but the staffing levels were not reduced. There was one nursing home in particular in the Laois-Offaly area that I raised. What...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: It would be helpful, and Mr. Gloster may not be able to give it to me this morning, if we got a comparison of the number of public beds being used throughout the country in 2019 and the number of public beds available now in public nursing homes, and the staff ratio. This is relevant when we are speaking about an embargo. Crucial services that may need additional staff are prevented from...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: I want to ask about the number of beds in public nursing homes now and whether they are respite beds or long-term beds. Can we get a breakdown of this per health area? I would also like a comparison with 2019.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Colm Burke: There is growth in the population age group and people are surviving longer. Despite all of the criticism of our health service, we now have 800,000 people over the age of 66. Within six years it will be 1 million people. In fairness, this is due to a large degree to the health service we have. Life expectancy has changed quite a bit and has improved. We will need a long-term plan to...

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