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Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: It does not take into account April and May then. What has been the total cost saving?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: With due respect, the HSE must have that figure. It is an organisation with a budget of €13 billion. It must know. It is in the process of trying to save money.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: Can I just make a point?

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: I am concurring on that.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: My final question pertains to the chief executive officer of the hospital network, who I understand is leaving. What contract was in place, for how long was it and when was Mr. O'Brien aware the chief executive officer was leaving? I ask because obviously it is a period of great change.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: It is in the public domain.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: In that case, I will conclude by asking whether the mid-west, that is, University Hospital Limerick and the networks, retains the priority for the HSE at a corporate level that it always has had in respect of funding. Is there an issue with funding for the accident and emergency unit that is to be built? Is this the reason for the delay in the building and fit-out of the accident and...

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: I am making a point on the future of the hospital network and whether it retains the focus and the priority of the HSE at corporate level-----

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: -----because the fit-out of the accident and emergency unit is of paramount importance. There is gross overcrowding at present and this morning, there were 18 people on trolleys at Limerick Regional accident and emergency unit. It is a matter of the utmost priority for me as a Deputy in the constituency, as well as for both patients and staff alike. My concern is this overcrowding issue...

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: Mr. O'Brien is awaiting Government decision on the restoration of the discretionary medical cards in terms of policy.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: We find the biggest issue with the over 70s is that they are a much older age group and the medical card is very important to them, and that is not to negate its importance to others. As a cohort they are getting letters about reviews and in terms of this month, if they do not have the information in by 16 June, their card will be withdrawn by the end of June. There is a human story to this...

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: The discretionary medical card for those over 70 is based on gross income.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: If the medical card of a person under 70 comes up for review and the Health Service Executive decides that the person is no longer entitled to it based on their means, if they appeal that on discretionary grounds they hold their card for the duration of the appeal process.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: Correct, if they have one currently. I am someone who has a medical card. The HSE writes to me informing me it is reviewing my medical card. If I find that I can no longer hold it on means grounds, I can then apply on discretionary grounds and hold my medical card for the duration of the appeal period on discretionary grounds.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: No-----

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: No. I am saying that if the HSE writes to someone under 70 stating it is reviewing their medical card, they return the information and the decision is that they are no longer able to hold the card on, say, means grounds, they can then appeal on discretionary medical basis but they will hold their medical card for the duration of that process.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: Whereas someone over 70 cannot apply for a discretionary medical card.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: They can only apply for it once their over 70s medical card has been withdrawn.

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: It is-----

Public Accounts Committee: 2012 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 38 - Health
Vote 39 - Health Service Executive
Chapter 21 - Budget Management in Health Service Executive
Chapter 22 - Eligibility for Medical Cards
(12 Jun 2014)

Kieran O'Donnell: If someone has an over 70s medical card on means grounds-----

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