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Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: What arrangements are in place to oversee that? What are the governance arrangements to ensure that we get that additional capacity? When we had a previous new contract - the Harney contract - all these supervisory posts were created where they were supposed to report to the HSE and then report to the hospital groups but then we did not get any reporting any more. What is the oversight of...

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Yes.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: With whom do they agree the work plan?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Who does the clinical director report to?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: A lot of the hospitals are voluntary hospitals, essentially private or outside the public hospital system. Where does that data come back into the public arena to ensure that we are getting value for money?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Are those reports published?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: As our guests know, the oversight did not work on previous occasions.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: How do we ensure we are getting value for money?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: How is it established in the public arena, that is, that we are getting value for money?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: What is the reporting?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: There is too much that is vague here for my liking because the oversight of the last contract was exceptionally vague.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: How do you know that they are actually doing that?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: But that does not come down to the level of the individual consultant.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Who has oversight of that?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Again, who has oversight of the chief executive of the hospitals? I ask because a lot of chief executives would say it is not possible to get that kind of agreement-----

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: -----or accountability, in reporting.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: I recall Professor Tom Keane saying the most important thing that we should do, in terms of reform of the health service, is to ensure that kind of accountability at local hospital level.

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: In other countries, including Canada, there is an annual performance review. Is there any proposal to do that given the very generous contract that has now been taken up?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: I know that. How does one establish the performance of those 35 hours?

Joint Oireachtas Committee on Health: Update on Sláintecare Reforms (Resumed) (6 Dec 2023)

Róisín Shortall: Do any of those reports come to you?

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