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

David Cullinane: I would be amazed if these hospitals were completed, or if the first patients were to be seen in 2027. Given our experience of building hospitals, I would be amazed if the doors were opened by then. We see this with the children's hospital. We have to look at the bandwidth in the system as well, because the national maternity hospital will come very quickly. That will take a lot of...

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

David Cullinane: I have a follow-up question. From Mr. O'Connor's best estimation, when would he estimate that summary care records will be in place? That is the first step. We want to get to a point where we have electronic patient records. What is Mr. O'Connor's best estimation as to what year we can get to that across the health service?

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

David Cullinane: In broad terms, are we talking five, seven or ten years?

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

David Cullinane: That is for what? For summary care?

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

David Cullinane: For full electronic patient records?

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

David Cullinane: Is that within a three-year timespan as well, or will that be longer?

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

David Cullinane: Will it be five years?

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

David Cullinane: Regarding this patient app that Mr. O'Connor mentioned in his opening statement, will that include pathways for patients, signposting where people should go? I have travelled around the country a lot over the past year and met a lot of hospital managers, consultants and front-line healthcare staff, and I am conscious they have told me there is a lot more to be done to clearly signpost...

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

David Cullinane: Will that be linked to the summary care record?

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

David Cullinane: Okay. I thank the witnesses.

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

David Cullinane: This session just reaffirms for many of us that it takes far too long to get things done in healthcare. We have heard about the statutory home care scheme time and again. It was in the programme for Government. It still is not in place. The elective hospitals should be in place by now, or certainly much further down the road, and yet it is going to be 2028 at the earliest. Even then I do...

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

David Cullinane: I am not asking Mr. O'Connor to account for the Minister. The Department sets policy and the HSE implements it. It seems to me the policy was that we were going to build these 1,500 beds. We were told there would be urgency, pace and a rapid build and that 700 of them would be in place in 2024. Can the witnesses tell me if any of those beds will be in place in 2024? Can either Mr....

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

David Cullinane: I do not see the planning. I do not see the evidence of the planning.

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

David Cullinane: What does a firm proposal mean in the real world? I am sorry but a lot of questions are being answered at great length but there are no real answers to them. Firm proposals do not really cut it when I cannot be told if any of these beds will be delivered in 2024. We were promised that would happen and I am asking a straight question. Following on from what the Minister promised, will any...

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

David Cullinane: Why can the second part of my question not be answered?

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

David Cullinane: I will ask the Department then because it is here to answer.

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

David Cullinane: Why could that answer not have been given five minutes ago, that is, that we do not have the funding for it? That is what Mr. O'Connor just said, that is, that we do not have the funding for it.

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

David Cullinane: Why was that not said earlier when I first asked the question? We do not have the funding for it. We need the funding for it. It cannot be funded within the current capital envelope. Is it the case that we need additional funding?

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

David Cullinane: Okay. I have a final question. Again, it frustrates me that we have all of these promises and we have a lot of capacity constraints in the acute sector and in primary and community care. I have outlined all the issues where we have snail's pace progress and it is very frustrating for members of this committee. It is like Groundhog Day, having the same conversations with the Department and...

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