Results 661-680 of 25,324 for speaker:David Cullinane

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

David Cullinane: I hope not as well but I would not-----

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

David Cullinane: Not if there is a change of Government. I will ask about the integrated health areas mentioned in the report, Organisational Reform - HSE Health Regions. This is an interesting one because I have been asking about this for some time. We will have the health regions, CEOs, and a single tier of management at that senior level. That makes sense. At a local level at the moment, we have a...

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

David Cullinane: Is there some sense of it?

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

David Cullinane: There will be 20 of those and they will be for a population of up to 300,000 people. Will a hospital or hospitals and community be included within that integrated health area?

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

David Cullinane: Leads, managers or chief officers.

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

David Cullinane: This is part of the problem. I did not ask about the 1,200 beds that were funded, some of which are still not delivered. I am asking about the 1,500 beds that the Minister waltzed into this committee and said, in fairness to him, were a priority. It was repeated on a number of occasions, including by the heads of the HSE and the Department, and we were promised rapid delivery. I am asking...

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

David Cullinane: Will there be managers for each of these integrated health areas, IHAs?

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

David Cullinane: There will be a management lead anyway.

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

David Cullinane: What I am trying to understand is whether we will end up in a situation where we will not have a chief officer and a hospital manager and what we will have is a lead for IHAs that will cover both community and acute. Is that ultimately where we want to land?

Confidence in the Minister for Justice: Motion (5 Dec 2023)

David Cullinane: It is not a point of order.

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I thank the Minister of State for all that. I also thank her officials for the work that has gone into this Bill. It is debated annually. It seems to be Groundhog Day in that we have the same discussion on it every year. It has to be done; it is going to be on our annual cycle of Bills. Its purpose is to review the risk equalisation mechanism. As the Minister of State said, it deals...

Health Insurance (Amendment) Bill 2023: Committee and Remaining Stages (29 Nov 2023)

David Cullinane: I move amendment No. 1: In page 3, between lines 14 and 15, to insert the following: “Amendment of section 7F of Principal Act 2.Section 7F of the Principal Act is amended, in section 4A, by the substitution of the following paragraph for paragraph (c): “(c) In respect of each of the following applicable 3 year periods— (i) the 3 year period from 1 January 2020...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I welcome the Minister and the Minister of State and their officials. I will start by echoing the Minister's comments on immigrants who work in the healthcare service and the many people who keep our health services going who have come from so many different countries around the world. In the past 18 months, I have visited 18 hospitals and have met a lot of staff. I am blown away by the...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I understand that.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I know that.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: But it is basically, in very simple language, money owed, invoices that will have to be paid. The head of the HSE was very clear. What we needed is €1.5 billion; what we got is €1 billion. Bills will have to be paid, and whatever that difference is, it is not provided for in budget 2024 for next year so it has to go now as a first charge. I just put it to the Minister that...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I am going to make one final point.

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I went through this in lengthy detail with the Secretary General of the Department and the head of the HSE. The head of the HSE was clear. There is a difference between the cash deficit, which is money that is paid out up to the end of the year, and what is presented as accruals. That is expenditure that has occurred in 2023 but has not been paid. It might be paid in January, February or...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: That is money that was not there to fund the health service and is now being given to meet the need. The Minister told us that the vast majority of the deficit for 2023 came from recurring expenditure. He said that before this committee. He also said there were a number of different elements to the deficit. He said that in the Dáil. One such element was inflation. Another was...

Select Committee on Health: Estimates for Public Services 2023
Vote 38 - Health (Supplementary) (29 Nov 2023)

David Cullinane: I will move to the briefing note that was given to the Minister, Deputy Donohoe. It states that it has become clear that the Department of Health and the HSE have done very little to materially address the rapidly growing overruns in current health expenditure. It goes on to state that the Department of Health and the HSE are focused on justifying these growing overruns as embedded in the...