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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)

Jonathan O'Brien: Some 15 of them are currently closed.

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)

Jonathan O'Brien: Is there a target in the A Vision for Change document for inpatient beds?

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)

Jonathan O'Brien: On the same issue, A Vision for Change committed to a 24-7 service. What is the position regarding that commitment?

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)

Jonathan O'Brien: In terms of community mental health, a 24-hour seven-day service will be rolled out by the end of quarter 2-----

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)

Jonathan O'Brien: Will the service run from 9 a.m. to 5 p.m.?

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)

Jonathan O'Brien: I ask Mr. Breslin to explain what the 7/7 cover involves.

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)

Jonathan O'Brien: Based on demand and so on.

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)

Jonathan O'Brien: What level of investment is needed to get to a 24-hour seven-day-a-week service? I know Mr. Breslin does not have that information with him but I ask him to pass it on to the committee if it is available. Do I have time to raise another issue?

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)

Jonathan O'Brien: Is there anything in the contracts of clerical staff working in hospitals that allows them to carry out work on behalf of consultants' private practices? For instance, may a person working for and paid by the HSE take up work during his or her working hours on behalf of a consultant in a private capacity, such as managing the consultant's private diary or sending out appointment letters for...

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)

Jonathan O'Brien: I received certain information on such practices. Mr. Woods is not aware of any complaints regarding people double jobbing and receiving a payment from the HSE and another from a private consultant for carrying out work.

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)

Jonathan O'Brien: If I provide him with that information, will he investigate it?

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)

Jonathan O'Brien: I have a number of questions on the Supplementary Estimates. Between 2008 and 2016, the total savings through efficiencies within the HSE amount to €1.223 billion. Will the witnesses confirm whether that is correct?

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)

Jonathan O'Brien: It is in a briefing document. It is the figure of €1.223 billion saved between 2008 and 2016.

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)

Jonathan O'Brien: Nearly every single year a Supplementary Estimate is required for the health budget. I raised this yesterday with the Minister for Finance and for Public Expenditure and Reform in respect of the reasons for it and Mr. Connaghan has outlined some of them. The answer I received is that he is currently assessing with the Minister for Health and the Department the reasons for such underfunding...

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)

Jonathan O'Brien: I would say that it is the Government that decides, based on what the Government says the health budget is, rather than the Oireachtas but that is a moot point. I want to ask about next year's budget, which we do not know. I presume, Mr. Connaghan, that the HSE is already considering areas for further efficiencies-----

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)

Jonathan O'Brien: -----or savings. That is one area. We have a demand-led service and an aging demographic. Costs will arise in one area and the HSE may find savings in another area. How often does the HSE hold discussions prior to the budget in terms of trying to figure out the budget? Does the HSE approach the Department and tell it what is needed to run the service the following year? Does the HSE say...

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)

Jonathan O'Brien: 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)

Jonathan O'Brien: That is okay.

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)

Jonathan O'Brien: 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)

Jonathan O'Brien: In terms of the process, does the HSE first calculate how much it needs to maintain the level of service that it had the previous year?

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