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Select Committee on Finance, Public Expenditure, Public Service Reform and Digitalisation, and Taoiseach: Estimates for Public Services 2025
Vote 11 - Public Expenditure, Infrastructure, Public Service Reform and Digitalisation (Revised)
Vote 12 - Superannuation and Retired Allowances (Revised)
Vote 14 - State Laboratory (Revised)
Vote 15 - Secret Service (Revised)
Vote 17 - Public Appointments Service (Revised)
Vote 18 - National Shared Services Office (Revised)
Vote 19 - Office of the Ombudsman (Revised)
Vote 39 - Office of Government Procurement (Revised)
Vote 43 - Office of the Government Chief Information Officer (Revised)
(25 Jun 2025)

Colm Burke: It also concerns other projects to make sure that reports that are produced are not allowed to fall and be out of date by the time decisions are made because there is a huge cost factor to the OPW and the Department of public expenditure.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: My apologies for being out of the meeting for a period of time. I was at a meeting in the audiovisual room on advanced genomics, where one of the issues was that we are sending 20,000 samples abroad for analysis in relation to genomics when Irish companies are available to do it. We are also not sending them to any one place. We are sending them to over 100 different places and, therefore,...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I have been a member of this health committee since 2011.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I think I am the longest serving member on the committee. I am raising the same questions today as I did ten or 12 years ago, relating to the computerisation of the health service. We are now behind every other country in Europe. In what I am seeing in the figures for 2025, I am not impressed that we are making any real progress. For instance, I just received a complaint stating that the...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: Can I ask Mr. Tierney a simple one? For instance, we have 19 maternity hospitals. Four or five of them have introduced computerised records. That was done approximately five years ago.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: But not all of the hospitals will-----

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: For full digitalisation of all medical records, do we have a five-year plan with targets for each year-----

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: -----and showing what we will deliver. What are the repercussions if it is not delivered? Do we just move on and say issues arose and we could not go ahead with it?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: What is the target date for full digitalisation? I know the new children's hospital will be fully digitised, as will the maternity hospitals. What is the timescale for all the other hospitals?

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: A complaint I am getting is some hospitals have outdated systems and they are not getting the funding to update them. I was talking to a junior doctor recently. He told me he is an SHO and spends 50% of his day chasing scans and X-rays that have been taken and trying to get them on to the file. Fifty per cent of his time is taken up doing that.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I will touch on one or two other issues. One relates to step-down facilities. A problem I have come across involves, for instance, a person in a hospital who needed access to Dún Laoghaire rehab facility but that person occupied a bed in a public hospital for four months. Are we doing anything to identity step-down facilities where everything possible has been done for the person in...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: We are very reliant on existing structures. What I am saying is that-----

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: -----we need to look at step-down facilities to get people out of hospitals. For a person to be in a hospital costs the State around €8,000 per week, whereas the most it will cost in a step-down facility will be €2,000 per week.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I will raise one other issue, which relates to dental services. We are now in a disastrous situation in relation to those services. In 2012, 393,000 medical card patients received dental treatment. In 2023, it was down to 283,000. That is a drop of 110,000. The number of dentists providing both private and public care has dropped from over 1,450 to 810. What action will the Department...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: Given the design was already in place, why should it take five years? Especially for maternity hospitals, we could start building up the records of babies when they are born, which would start the whole process of digitalisation of each person's healthcare into the future.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I have two quick questions. The first is on the elective hospital in Cork. I was told by the former Minister, Stephen Donnelly, that a application permission would be made by October 2023. The design has not even been finalised. I ask for a timeline for this process? My second question concerns the lack of co-ordination between Departments in relation to the training of key people....

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: Mr. Tierney is saying that by the end of this year, the planning application will have been submitted.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: I had the same answer from Stephen Donnelly in 2023.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: That is not enough.

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Colm Burke: If I may-----

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