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Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Will the departmental officials provide a note on the funding issues relevant to the IT solutions that are proposed and indicating a timeframe for implementation?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Yes.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: It would be helpful to know if there is a shortfall in the budget or if funding for this has been refused. It would be useful to know where the blockage is.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: It would not. This matter is not the health committee's remit. Our remit is governance as well as-----

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Do not give up your turf.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Before I call Deputy Fleming, how does one apply the code or why is the code not applied to some procedures? Professor Keane said the code has to be applied or each procedure has to have a code in order to get paid. Is that correct?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Not very long.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: These other procedures are not included in those diagnostic groups.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: If they do not get coded, the hospital does not get paid.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Who suffers then because of that? Who is out of pocket because of it? Is it the hospital administration? The consultant? Who is it that suffers?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: The person carrying out the procedure gets paid anyway. Is that right?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Yes. They get paid anyway?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: They are not doing it for free.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: They get paid their salary anyway. Therefore, for these non-coded procedures, it is the hospital that loses out.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Why are the hospitals not complaining about this, from a business perspective, and saying, "We are sorry, we are doing this, and not only are we not getting paid for it, but we are not being incentivised to carry out the procedure"? Is the hospital itself not conscious of the fact that there is a business loss?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Am I right in saying that you said some 30% of those type of procedures are not coded and therefore not funded?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: If one did introduce the coding system, for all of those minor procedures that currently are not in the system, it is going to cost a lot more in terms of the allocation from the Department of Health and the HSE.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: I call Deputy Fleming.

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: I thank Mr. O'Connell for his statement. May we publish this statement?

Public Accounts Committee: Special Report No. 83 of the Comptroller and Auditor General: Managing Elective Day Surgery (6 Nov 2014)

John McGuinness: Thank you Mr. McCarthy. I invite Dr. Tony O’Connell to make his opening statement.

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