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Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I will come back to the Minister of State. A threshold of €184 week is a very low income threshold bar, which is the point I am making, given it has not been reviewed since 2009. Notwithstanding the over 70s, we are talking about the general population.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I am simply making the point. It is not attacking the Government. I am saying that the political system and all of us have to look at that as the next step to reducing the cost of healthcare.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: I assume the proposal came from the Commission, went through a committee and will end up on the floor of the Parliament. Is that the process?

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2024: Committee Stage (21 Mar 2024)

David Cullinane: If the Parliament rolls back on the buybacks, and it is even worse than we could imagine, there is nothing we could do.

Written Answers — Department of Transport, Tourism and Sport: Airport Policy (21 Mar 2024)

David Cullinane: 116. To ask the Minister for Transport, Tourism and Sport to provide the latest update on the Government’s response to the business plan received from Waterford Airport for the development and re-establishment of commercial passenger flight business into Waterford and the south east; and if he will make a statement on the matter. [13120/24]

General Practice and Local Health Services: Motion (20 Mar 2024)

David Cullinane: I thank all the speakers who supported the motion. I also acknowledge that the Government is not opposing the motion but I ask the Minister of State present and the Cabinet to go much further and deliver on the recommendations. As my colleague an Teachta Conway-Walsh said, in reality, given the news today, we need a general election and we need to give the people the opportunity to vote for...

General Practice and Local Health Services: Motion (20 Mar 2024)

David Cullinane: Hear, hear.

General Practice and Local Health Services: Motion (20 Mar 2024)

David Cullinane: I think I have five minutes. Is that correct?

General Practice and Local Health Services: Motion (20 Mar 2024)

David Cullinane: I move: That Dáil Éireann: acknowledges that: — the survey of the career intentions of graduates of the four-year General Practice training programme, carried out by the Irish College of General Practitioners in mid-2023, showed that over two thirds (78.4 per cent) of recent graduates saw their future career in Ireland; — General Practice is a vital part of...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I welcome the witnesses. I will come to staffing and finances shortly but I want to start with Mr. Gloster's commentary in regard to emergency departments. The HSE figures suggest there has been a decline in the number of people waiting in emergency departments on a trolley or waiting for a bed in the last six months of last year. Obviously, Irish Nurses and Midwives Organisation, INMO,...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I must put it back to Mr. Gloster that before his time as head of the HSE, two emergency departments in neighbouring counties were closed. That was obviously part of the small hospitals framework and there may have been a logic for that at the time. It did, however, put additional pressure on the hospital in Limerick and it strikes me that it is only now or recently that this additional bed...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I will make one further point on UHL, as I want to go on to the staffing complement for this year as well. I have visited the hospital twice and have met the full management team, which in fairness answered any question I put to them. They put it back on the political system, in that they need additional capacity. One problem - and Mr. Gloster identified it generally in healthcare - is an...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: Is that a directly-hired GP or is it an independent practice GP that will operate from the hospital?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I hear that and we all accept that. I want to move on to the national service plan and the whole-time equivalent growth in staff from 2019 to 2023. There has been a significant and welcome increase in staff, albeit one that is much more limited in terms of growth this year because of funding, as we know. What really jumps out at me is that while looking at the percentage increases, which...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I just said that to Mr. Gloster. I am asking how is that justified.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I am tight on time but want to make the point that while I understand that we need administrators and administration staff to make the health service function and we obviously need management to make the health service function, does Mr. Gloster accept that looking at the figures of a 21% increase of clinical staff but a 38% increase in management and a 71% increase in administration, to the...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I will come back in the second round with more questions.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I have a number of quick questions for Mr. Gloster. The HSE gave an express commitment to provide primary care services to nursing home providers. Is there anything of substance in the national service plan to back up that commitment? I have been contacted by representatives of Nursing Homes Ireland. They want an assurance that the express commitment will be delivered. Mr. Gloster might...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: I thank Mr. Gloster for that. I am looking at the forward to the national service plan written by the chairperson of the HSE. He talks about the significant financial challenges over the next 12 months that will impact on the overall budget and what might happen at the year end. He states that there is a likely requirement for a supplementary budget or supplementary funding support. Would...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

David Cullinane: If I were a betting man, I would say that it will be close to €1 billion. I know the HSE will want to keep it under that amount, but we will wait and see what the figure is. I will not rehearse all of the arguments. We have made them privately and the publicly in the past. The level of funding for existing levels of service is unacceptable and has left us in a position where we...

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