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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: I am not making that criticism. I want to be clear about that: I am not making that criticism. I am saying this is a key area with a growing ageing population. There is a big demand for home care yet the number of hours are being cut not by the HSE but by Government decision.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: But there is a waiting list of 6,000.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: And the in-hospital waiting lists - the delayed discharge.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: Can Mr. Gloster make just one comment on the question of weekend discharges before my time is up? Is the HSE making progress on that?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: Is the HSE yet seeing the benefit of the new contract?

Written Answers — Department of Health: Health Services Staff (22 Nov 2023)

Róisín Shortall: 241. To ask the Minister for Health the HSE workforce targets for 2023 across each discipline; and the progress to date on each target, in tabular form. [51568/23]

Written Answers — Department of Health: Health Services Staff (22 Nov 2023)

Róisín Shortall: 242. To ask the Minister for Health the number of employment offers made by the HSE that have been withdrawn as a result of the recruitment freeze; and if he will make a statement on the matter. [51569/23]

Written Answers — Department of Health: Health Services Staff (22 Nov 2023)

Róisín Shortall: 243. To ask the Minister for Health the disciplines excluded from the HSE recruitment freeze; the number recruited in each of these disciplines to date in 2023; the total number of staff in each of these disciplines; the expected workforce targets for each of these disciplines in 2024; and if he will make a statement on the matter. [51570/23]

Written Answers — Department of Health: Health Services Staff (22 Nov 2023)

Róisín Shortall: 244. To ask the Minister for Health his views on the HSE recruitment freeze across almost all disciplines; the steps he is taking to ensure that patient care is not compromised as a result of this decision; to outline the impact of this decision on workforce planning taking place in his Department; and if he will make a statement on the matter. [51571/23]

Written Answers — Department of Health: Health Services Staff (22 Nov 2023)

Róisín Shortall: 245. To ask the Minister for Health the impact of the HSE recruitment freeze on recommendations one, three, four and 12 of the Strategic Workforce Advisory Group on Home Carers and Nursing Home Healthcare Assistants, respectively, given that each of these recommendations relates to recruitment and training; and if he will make a statement on the matter. [51572/23]

Written Answers — Department of Health: Hospital Staff (22 Nov 2023)

Róisín Shortall: 246. To ask the Minister for Health the impact of the HSE recruitment freeze on the Framework for Safe Nurse Staffing and Skill Mix and the 854 additional nursing posts announced in May 2023 to fully implement the framework in all acute hospitals; and if he will make a statement on the matter. [51576/23]

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: I turn back to the question of the recruitment pause and its impact. The point was made earlier that the application of the pause will be somewhat uneven. I also wish to ask about the impact on the structure of staffing. First, what is the impact on promotions within the service?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: On the structure of staffing in the HSE, the criticism is often made that it is top heavy. Mr. Gloster told us earlier what he is doing to reduce private consultancy use. The figures published by the HSE would indicate there is an element of the organisation being top heavy with regard to clerical grades. As a general rule, I do not subscribe to the trope of there being too many managers....

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: I apologise, but I am talking about the percentage in management grades within disciplines. I am not asking Mr. Gloster to provide those figures today. Will he provide us with a note on the percentage in management grades across the different disciplines?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: Fine. I also raise the question of the recent change in policy on delayed discharges. We are seeing what appears to be a reduction in choice for older people in terms, essentially, of where they will live on coming out of an acute hospital. We know Age Action has taken a strong position on that and has been critical. We also know the Irish Human Rights and Equality Commission, IHREC, is...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: That organisation would say that, would it not, if we are looking at numbers of beds?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: How is Mr. Gloster ensuring that happens? The general experience is that once people move out of an acute hospital bed, nobody is really listening to their wishes.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: It goes back to the question I raised earlier in regard to home care. People's first choice, in the main, is to be able to go home with support. If we are in a situation where home care numbers are capped, I do not see how that need and desire of older people to move back home after discharge or after transition care can be met. That is the big logjam within the health service and it needs...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: On the question of yesterday's Supplementary Estimate, when Mr. Gloster was here last, the Department was also present and the Department said that sometimes the Supplementary Estimate goes into the following year's base and sometimes it does not. Has that been clarified?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Róisín Shortall: Was it described as a once-off allocation?

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