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Written Answers — Department of Health: Nursing and Midwifery Board of Ireland (7 Dec 2023)

David Cullinane: 309. To ask the Minister for Health the number of applications received by the Nursing and Midwifery Board of Ireland from non-EU applicants, by country of training and in tabular for each year from 2016, 2017, 2018, 2019, 2020, 2021, 2022 and 2023 to date; and if he will make a statement on the matter. [54267/23]

Written Answers — Department of Health: Nursing and Midwifery Board of Ireland (7 Dec 2023)

David Cullinane: 310. To ask the Minister for Health the number of decision letters issued by the Nursing and Midwifery Board of Ireland to non-EU applicants, by country of training and in tabular form for each year from 2016, 2017, 2018, 2019, 2020, 2021, 2022 and 2023 to date; and if he will make a statement on the matter. [54268/23]

Written Answers — Department of Health: Nursing and Midwifery Board of Ireland (7 Dec 2023)

David Cullinane: 311. To ask the Minister for Health the number of non-EU applicants who were registered by the Nursing and Midwifery Board of Ireland by country of training and in tabular form, for each year 2016, 2017, 2018, 2019, 2020, 2021, 2022 and 2023 to date; and if he will make a statement on the matter. [54269/23]

Immigration: Motion [Private Members] (6 Dec 2023)

David Cullinane: The Irish people, or at least the vast majority of them, will never be led by extreme voices when it comes to immigration because Irish people are fair and welcoming. We have seen that over the course of many years. Properly managed immigration enriches a society. We see this in our hospitals with nurses, doctors, healthcare assistants and specialists right across the health service coming...

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: Go raibh maith agat. On what basis is a decision made about how existing levels of service, ELS, are calculated for any Department and what is this made up of, generally?

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: The head of the Department of Health, Mr. Robert Watt, appeared before the Joint Committee on Health and said that the existing level of spending, ELS, for 2023 and 2024 was underfunded. We know that for 2023, the health service ran a deficit of approximately €1.5 billion. The cash deficit was approximately €1.1 billion but taking accruals into account, the head of the HSE...

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: The Minister can put a spin on the situation but the reality of what is in the briefing notes prepared for him, which I presume he was asked to articulate to the head of the Department of Health and the Minister for Health, paints an entirely different picture. Perhaps the Minister will let me finish my point. It suggests this was not the normal cut and thrust of division that might take...

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: Well-----

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: What you cannot do is challenge facts. I am entitled to my opinion and the Minister is entitled to his. Earlier, I raised what are legitimate concerns and issues about a perceived mistrust between his Department and the Department of Health and the language in these documents and then he has come back to say that this just the normal cut and thrust of the ELS process every year. That is...

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: Could I just make one point?

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: I will make one final point and then leave the Minister to respond. I do not wish to come back in again.

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: When the Cathaoirleach Gníomhach is finished.

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: Let us look at the facts. I will make one final contribution-----

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: -----and I will let the Minister respond. Quarterly meetings take place between officials in the Department of Health and the Department of public expenditure and reform. Two meetings took place on 3 October and 6 October. The Ministers for Health and public expenditure were present, as were officials. Bids were presented by the Department of Health, which come from the HSE. The HSE is...

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: You are very defensive.

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: Can I respond to that?

Committee on Budgetary Oversight: Supplementary Estimates for 2023: Minister for Public Expenditure, National Development Plan Delivery and Reform (6 Dec 2023)

David Cullinane: I was just going to say that people can see it for themselves in the Minister's briefing documents and make up their own minds. As I said-----

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

David Cullinane: I will pick up on the theme of the elective hospitals. I will go first to Mr. O'Connor. Why is it taking so long to progress these? As Deputy Burke said, we have had numerous conversations with the Minister for Health about the need to pick up the pace in relation to elective hospitals. We know the elective hospitals will reform the health services. I use the word "Reform" with a...

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

David Cullinane: We all know it takes time to deliver, but it should not take as long as it is taking. I refer even to the response that I have just gotten in relation to the constraints of the public spending code. We have to call out the feet-dragging on this issue, as far as I can see. There are no excuses as to why these projects are not further down the line, given the commitments that have been made...

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

David Cullinane: No, answer the question I put about why it has taken so long. Why is it taking so long? What is causing the delays in the delivery of this project? If the Minister is of the view that it should have been done earlier and if he is saying to us that he anticipated that we would have been much further down the line at this point in time, why is it the case that we are not?

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