Results 1-20 of 27,078 for speaker:David Cullinane
- Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)
David Cullinane: On a point of order, will copies of the speech be circulated?
- Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)
David Cullinane: The official notes given by the Minister can be read back to the Minister because those are the notes that are circulated.
- Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)
David Cullinane: That is a different matter.
- Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)
David Cullinane: It is a bit petty that the Minister does not share the-----
- Health (Amendment) Bill 2025: Second Stage (16 Jul 2025)
David Cullinane: I do not need to be corrected. I know how the Dáil works. Accountability and good governance have always been at the fore of any debate about the health service. There is much great work is done by our front-line workers who strive every day to do their best. The efficiency with which many in the health service work, particularly in overcrowded emergency departments and...
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: Amendment No. 1 is grouped with 14 or 15 other amendments. I can see what the amendments do. What is the purpose of replacing the term “Digital Health Record” with “Electronic Health Record”?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: The last time we had a debate on this issue, it was in respect of the heads of Bill. Some of the same officials are involved again today. We had very lengthy discussions on the lack of progress in this area. Two years have passed. The question is, what progress has been made since? There was a lengthy discussion at that time on the different types of records involved. I refer to summary...
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: Have we moved beyond summary care records to shared care records for everybody?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: I want to tease out a few issues, and other members will want to come in as well. Obviously, that is good if we want to get to that space, but we are still a couple of years away from getting to the shared care record space. What is the key difference between that and a full electronic health record?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: We are told that the children's hospital will have full electronic health records.
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: What is the difference between what will go live in the children's hospital and the summary care records that will be used across the remainder of the health service? Will that involve integration with GPs and community care facilities or will it just be an EQ system?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: I have a final question. In the North, two of the health trusts - the western and southern trusts - went live with electronic health systems in May. Has Mr. Tierney engaged with colleagues in the North? Has he had a look at their systems? I think it is the Epic system that is in use there.
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: We have loads of time. I have three quick questions. When we look at the scale of what needs to be done even to get to the shared care records, we have multiple service providers across acute, primary and community. I do not underestimate the challenge. We have multiple systems. Am I right in saying that initially at least we are looking at interoperability of multiple systems?...
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: The reason I asked the question is that when we look at other European countries and indeed the North - we just talked about that - they have single system of electronic records with full bells and whistles. That is a single system, but we are not talking about that. If our objective is to move to full electronic health records, would that require a single system?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: I appreciate that and the scale of it. I fully understand that. Mr. Tierney and I have talked previously in private discussions about the cost of all of this. I know the system in the North cost over €1 billion and other European countries have spent a lot of money. What is the budget over the coming years even to get us to a point of having a shared care record? What would be...
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: Am I right in saying it is very expensive and would require very significant capital expenditure?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: Is that for the shared care record?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: However, current procurement is not for a single system, is it? It is for the-----
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: I have one final question and then perhaps Mr. Tierney can come back on both. Was there any resistance from any of the voluntary hospitals? That was something that came up previously. Obviously, they have their own boards and have their own systems. Are we getting buy-in from across the entire health service?
- Select Committee on Health: Health Information Bill 2024: Committee Stage (16 Jul 2025)
David Cullinane: The question is: are they doing it?