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Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: Why is that the case? Surely this is what the Department should be jumping on. I refer to a recognition, even if less than full, that there is a need for a supplementary €1 billion. Surely, then, given the pre-budget campaign was not successful, the campaign now should be to get this funding into the base allocation for next so that it would become recurring. What is being done to...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: We are not going to find that out by January.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: That is a general point, but I am asking a different question. What kinds of discussion has the Minister had with his Cabinet colleagues, in particular the Minister, Deputy Donohoe, on looking for this supplementary funding to go into the base next year?

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: I will contribute again on the second round. I thank the Minister and Ms McGirr.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: On a point of-----

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: Why is that the case?

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: On that point, it is an extraordinary scenario that is being painted and we are getting drip fed about what actually happened. When you consider what is involved here, the head of the HSE on hearing what the draft budget was going to be for health, pointed out that that budget would pose "significant and punitive risks to the public". That is an extremely serious claim that is being made,...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: Who opened that and what was done with it?

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: Wait, now, this goes to the heart-----

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: -----of the dysfunction that exists with regard to funding the health service.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: We need to find out because we cannot have a repeat of this. If what was said in that letter was not seen and understood by the Department of public expenditure, then we need to revisit this whole issue.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: I have heard that. Sorry, I am nearly out of time.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: The Minister said that already. There is a direct conflict of evidence between the two Departments and we need to get to the bottom of it. That is in the public interest. Otherwise, we will continue with the kind of dysfunctional system of funding the health service. We need to revisit it if it is the case that the email was not seen. If it was seen, it raises even more serious issues.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: The solution is that we get accountability.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: That is all very well but we need to deal with this current budget and to find out who is accountable for ensuring the health service is adequately funded. That is an important principle that is established, so that there is not a batting away of public healthcare need in this country. I want to move on to other aspects of budgeting in the health service. Three main areas need reform,...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: I will come back to that if Ms McGirr wants to look at the figures. I want to pick up again on the point about the dental service. The Minister will be aware that, over the last 15 years, almost a quarter of all dentists have left the service. There is a reduction of almost a quarter in dentists at a time when numbers in all other disciplines in healthcare are increasing significantly. We...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: What is happening?

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: Is it not the case that there is no additional funding in the budget next year for dental services?

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: There has been a reduction of 23% in the number of public dentists employed by the HSE over the last 15 years and nothing has been done to arrest that loss.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary)
(29 Nov 2023)

Róisín Shortall: I am talking about the public dental service.

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