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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...

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

David Cullinane: My question is more that when a cheque is signed for €19 million and the money is handed over for purpose A, how is the spending of that money monitored?

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

David Cullinane: Perhaps Dr. Henry will be able to answer my next question on the Nayagam review. We are expecting an interim report, which I understand has to do with risk assessment. When is it expected that the interim report will be furnished?

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

David Cullinane: It will not be before the end of April.

Written Answers — Department of Education and Skills: Education Schemes (20 Mar 2024)

David Cullinane: 1553. To ask the Minister for Education and Skills if he will provide an update on efforts to establish a fees scheme for students resident in the State studying medicine in universities in the North; if this will include graduate entry programmes; and if he will make a statement on the matter. [12474/24]

Written Answers — Department of Communications, Climate Action and Environment: Renewable Energy Generation (7 Mar 2024)

David Cullinane: 90. To ask the Minister for Communications, Climate Action and Environment when he will publish the draft designated maritime area plans, strategic environmental assessment, and draft appropriate assessment for ORESS 2 off the south coast of Ireland; if he will outline the latest timeline for this plan; and if he will make a statement on the matter. [9449/24]

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