Results 1,701-1,720 of 26,350 for speaker:David Cullinane
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I know that.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: But it is basically, in very simple language, money owed, invoices that will have to be paid. The head of the HSE was very clear. What we needed is €1.5 billion; what we got is €1 billion. Bills will have to be paid, and whatever that difference is, it is not provided for in budget 2024 for next year so it has to go now as a first charge. I just put it to the Minister that...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I am going to make one final point.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I went through this in lengthy detail with the Secretary General of the Department and the head of the HSE. The head of the HSE was clear. There is a difference between the cash deficit, which is money that is paid out up to the end of the year, and what is presented as accruals. That is expenditure that has occurred in 2023 but has not been paid. It might be paid in January, February or...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: That is money that was not there to fund the health service and is now being given to meet the need. The Minister told us that the vast majority of the deficit for 2023 came from recurring expenditure. He said that before this committee. He also said there were a number of different elements to the deficit. He said that in the Dáil. One such element was inflation. Another was...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I will move to the briefing note that was given to the Minister, Deputy Donohoe. It states that it has become clear that the Department of Health and the HSE have done very little to materially address the rapidly growing overruns in current health expenditure. It goes on to state that the Department of Health and the HSE are focused on justifying these growing overruns as embedded in the...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I will quote further from the briefing note because the Minister comes in for criticism, time and again. The note states that a key theme at Cabinet committee was the lack of a culture of financial control in the acute hospitals and the lack of a commitment by the Minister for Health to constructively address the spending problems. That is a real critique of the Minister's performance. I...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: So I am clear, what I read out was that there was a lack of a commitment on the part of the Minister for Health to constructively address the spending problems.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I am very short of time. The point is the Minister does not accept that criticism.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I have a copy of a letter that is in the public domain and which the Minister sent to the Minister for public expenditure and reform after he had received a letter from Mr. Bernard Gloster, the head of the HSE. In it, the Minister states that the substantial majority of the additional spend by the HSE this year, and potentially next year, is and will be a direct consequence of very high...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: Can I come back to the Minister on that, please? I accept what he said but this is my difficulty. The head of the HSE, the head of the Department and the Minister have come into this committee several times over the course of this year in the context of the overspend in health this year. We know that it will be in the region of €1.5 billion and, in cash, just under €1...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: But we usually-----
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: Just so we are clear, is the Cathaoirleach saying that officials cannot answer questions?
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I want to recap on some of the conversations we had during my first contribution. I am sure the Minister will agree that while he has his job to do, we have our job to do, which is to hold him, the Department of Health and the Department of Public Expenditure, National Development Plan Delivery and Reform to account when it comes to the funding for health in 2023 and the consequences of...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: The meeting took place on 4 October and was attended by the Minister, Stephen Donnelly, the Minister of State, Anne Rabbitte, the Minister of State, Hildegarde Naughton, Robert Watt and officials.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: That is all right. The Minister of State, Deputy Butler, was there so.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: Anyway, the note states that the Department of Public Expenditure, National Development Plan Delivery and Reform's position is that the very maximum affordable settlement for health is €808 million into the base. That was its starting point. It was also its finishing point. Therefore, whatever negotiations took place, the Department of Health got not a cent extra - that is a fact -...
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I know about the one-off funding.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I know but I am talking about core funding.
- Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023) David Cullinane: I want to respond to the Minister because it is worse than that. I have the notes here in front of me and I want to repeat some of them back to him. The Secretary General of the Department of Public Expenditure, National Development Plan Delivery and Reform appeared before the finance committee. He illuminated a bit more maybe on what I would call not just tensions but very stark...