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Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: There is delivering within budget and making savings with reference to people who are vulnerable and deserve a service as of right and then there is any amount of money available for consultants, reports or rented buildings. I am not asking the officials to spend in a way that is open-ended. I shall ask my original question again. What role, if any, have the witnesses played in saying the...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Just in relation to this issue.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: No, just in relation to this issue. What is Mr. Reid's reaction?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Is this the best service for the public? I gave one example, but there are many others. I could pick many, but my time is limited. I want to make some general points. Is it a good service? Is it effective use of public money where people want to stay in their own home, which would be much cheaper, but cannot do so because they cannot get help?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Is having a cheaper system to fund the home help service or home care packages an effective use of public funds? We recently debated a Sinn Féin motion in the Dáil on home care costs. Does Mr. Reid accept that it is cheaper on the public purse to fund home care packages?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I did not use the word "cut".

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I asked if leaving on a waiting list people who cannot access a system that is cheaper on the public purse was an effective use of public money.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Some day I would like some to hear slightly different language. It is clear that we need an effective public health service. I will come back later to the consultants who are using public facilities, but we need a public health system that is efficient and effective. Within it, home care is the easiest example to pick. It is cheaper and more efficient to fund that service than to keep...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Good.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: To use simpler language, funds should be directed towards the more effective services, home care being one. I would like to bring another matter home to Mr. Reid in Galway city. The committee has received correspondence from a consultant. It is unusual for consultants to go out on a limb, but this consultant has done so repeatedly. I will outline some figures which show that in the end...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Planning is not an issue in this instance. What is an issue is oversight of a decision-making process that is faulty. There is something seriously wrong, given that between 2017 and 2019 two theatres have remained out of action and consultants have had to engage with Deputies on the matter. I ask Mr. Breslin to reflect on it in terms of achieving value for money. What I take from this is...

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: The Department of Health appropriation account.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I beg Mr. Breslin's pardon, it is page 198 of the financial-----

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I ask Mr. Breslin to clarify the position for me.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Perhaps the Comptroller and Auditor General might help with the reference.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I am told that it is Note 8.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: Is it not?

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: It does state, "This relates to CervicalCheck payments", but it is not the ex gratiapayment.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: The package of supports they received.

Public Accounts Committee: Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals
(27 Jun 2019)

Catherine Connolly: I thank Mr. Breslin for clarifying the matter. With reference to consultants, I presume the witnesses have read chapter 16 produced by the Comptroller and Auditor General.

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