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Ambulance Service (30 Jun 2011)

James Reilly: There certainly is.

Ambulance Service (30 Jun 2011)

James Reilly: When money is expended that does not mean the service stops.

Ambulance Service (30 Jun 2011)

James Reilly: It did not.

Ambulance Service (30 Jun 2011)

James Reilly: The proof of the pudding is in the eating.

Ambulance Service (30 Jun 2011)

James Reilly: The transport has not stopped. People who need transport for dialysis and cancer services get it.

Ambulance Service (30 Jun 2011)

James Reilly: I wish to point out, notwithstanding the interruptions, that there has been huge inconsistency in the transport arrangements across this island. I must concur with Deputy Pringle's comments. There is a lack of uniformity, although the HSE was supposed to result in uniformity of approach and of care for 4.4 million people, or 4.2 million as it was at the time. There are totally different...

Ambulance Service (30 Jun 2011)

James Reilly: I am saying that if one has the means-----

Ambulance Service (30 Jun 2011)

James Reilly: The Deputy can put whatever misinterpretation he wishes on it-----

Ambulance Service (30 Jun 2011)

James Reilly: -----but he clearly heard what I said.

Ambulance Service (30 Jun 2011)

James Reilly: Only if one is able.

Health Service Staff (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 10, 32 to 34, inclusive, 37, 39, 43, 59 and 62 together. I am committed to ensuring that acute hospital services at national, regional and local level are provided in a clinically appropriate and efficient manner. In particular I wish to ensure that as many services as possible can be provided safely in smaller, local hospitals. I have also made it clear...

Health Service Staff (30 Jun 2011)

James Reilly: The answer to both questions is that there are a number of contingency plans contingent on the amount of NCHDs we have. I cannot say what they are until I know what that figure is. I am reliably informed that I will have a better idea at 4 p.m. tomorrow but I will have an even better one towards the end of next week. I realise people like to know what is happening in advance but I do not...

Hospital Services (30 Jun 2011)

James Reilly: I am fully aware of the recommendations of HIQA with regard to Ennis hospital and its subsequent report on Mallow General Hospital. Both reports deal with the types of service that can safely be provided in smaller hospitals and with the structures required for good governance and accountability within our hospitals. The report on Mallow reiterates the implications of the Ennis report for...

Hospital Services (30 Jun 2011)

James Reilly: I could not agree more with the Deputy. I do not believe HIQA reports should be used to close smaller hospitals. If they highlight problems, these should be addressed as far as possible. The Deputy mentioned Roscommon County Hospital, which will be discussed later in another question. Roscommon hospital is faced with a number of difficulties at the moment. One is a shortage of...

Hospital Services (30 Jun 2011)

James Reilly: The answer to the Deputy's question is that the reports will not be used - I will not stand over them being used - to close hospitals or reduce services where they can be provided safely. I will return to this in the later question on Roscommon hospital, with the Ceann Comhairle's permission.

Hospital Staff (30 Jun 2011)

James Reilly: I am working with the HSE and other stakeholders to ensure the filling of as many as possible of some 475 non-consultant hospital doctor posts which are due to be filled from 11 July. I can confirm that as of 27 June, 221 of these posts have been filled, which leaves 254 vacancies. The HSE conducted an extensive recruitment drive in India and Pakistan in recent months and succeeded in...

Hospital Staff (30 Jun 2011)

James Reilly: The last part of Deputy Ó Caoláin's question is the easiest to answer. Whether we have the full complement by 11 July, we will still continue to recruit over the course of the next six months to ensure we do not face this problem again. It should be borne in mind that legislation will be introduced which will allow for temporary registration for two years. This will mean these doctors...

Hospital Staff (30 Jun 2011)

James Reilly: I know this is a great concern to many people who value highly their local and regional hospitals. Bad and all as the health service became over the past several years, people know that when they can access it, they get excellent service and care. I am doing everything in my power to ensure we have the required number of doctors and that we continue to recruit to ensure we do not face this...

Hospital Staff (30 Jun 2011)

James Reilly: If it is of value, I am happy to revisit the matter when we come to other oral questions.

Private Health Insurance (30 Jun 2011)

James Reilly: The Government is committed to reviewing costs generally across all sectors, including the private health insurance market and scrutinising where savings can be made for the Exchequer and the consumer. I am not satisfied that any consultant should be paid €1 million in a single year. This level of remuneration is grossly out of step with most ordinary people's expectations. The...

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