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Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 9 - Office of the Revenue Commissioners
Chapter 17 - Tax compliance interventions
Chapter 18 - Tax relief on film production
(28 Nov 2019)

Kate O'Connell: These people are providing a legitimate and needed support service for families. Perhaps a lad down the road has a community crèche but has a body of income coming from the private sector and that exemption covers that income. I know that it obviously needs to be used, but I find one will always find a way to spend money if one needs to. Perhaps this committee will have a look at it....

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 9 - Office of the Revenue Commissioners
Chapter 17 - Tax compliance interventions
Chapter 18 - Tax relief on film production
(28 Nov 2019)

Kate O'Connell: Just before Christmas. I will look forward to that.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 9 - Office of the Revenue Commissioners
Chapter 17 - Tax compliance interventions
Chapter 18 - Tax relief on film production
(28 Nov 2019)

Kate O'Connell: I thank Mr. Cody.

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: Following on from the comments of Deputy O'Reilly, I note Mr. Conlon's comments on the expansion of the role of pharmacists throughout the health service but we are talking about contraception here today. While the idea of lengthening the prescription time is very welcome, I have never understood, as a pharmacist, why a prescription would not be for a year, especially where the long-term use...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: There is no arguing with it.

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: I will stop Mr. Conlon there because we had this before about ten years ago with the use of the flu vaccination. There was massive pushback from the medical profession to the effect that pharmacists should not be injecting vaccines. When I was studying at undergraduate level 20 years ago, it was never assumed that would be part of a pharmacist's role but we managed it, we upskilled and we...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: Mr. Conlon said "seem to promote". What sort of quantitative analysis do we have of that? Is it just the view of the working group?

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: It has suggested it?

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: We have loads of examples of continuity of care within the pharmacy sector. In the high tech scheme, for example, there is a patient care fee every month where the patient is assigned to a pharmacy at the point of prescription by a consultant and goes to that same pharmacy every month. There is a mechanism for people to engage on a continuous basis with their community pharmacist even if...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: Yes, but as Dr. Short said, the choice element is fundamental to a woman's healthcare. While the evidence all suggests that the lower the user input, the more efficacious a product is and that we have far more success with long-acting reversible contraceptives, the fact is, as all the experts here know, at different stages in their lives women might choose an oral contraceptive pill at the...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: I am not suggesting that.

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: It seems like the smallest step that could have been made; doubling the length of the prescription time.

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: It was the least the working group could have done. Bearing in mind the discussions we had at the Committee on the Eighth Amendment of the Constitution to look at the roles of pharmacists internationally and the expansion, doubling the prescription time is about as little as could have possibly been done. Looking at the interesting statistics on the cohort of women who are more likely to...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: I did not suggest that, as Dr. Henchion knows. I suggest that we already have-----

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: I am opposed to the idea that oral contraceptives from pharmacies would be the only measure we take. There is easier access in many other countries. There are now online doctor services, which is a total game changer. It is more advantageous for a patient's outcomes to interface with his or her experienced community pharmacy rather than interacting with a doctor online. The horse has...

Joint Oireachtas Committee on Health: Working Group on Access to Contraception: Discussion (27 Nov 2019)

Kate O'Connell: Absolutely. It should be a part of it.

Joint Oireachtas Committee on Health: Update on Construction of National Children's Hospital: National Paediatric Hospital Development Board (27 Nov 2019)

Kate O'Connell: I congratulate Mr. Gunning on his appointment and I wish him the best of luck. I thank the project team for delivering to date. The hospital cannot come quick enough. I attended the accident and emergency department at Crumlin hospital last Sunday with a child. The lack of facilities is shocking. Deputy Donnelly spoke about the rotavirus and RSV in young children. To my mind, it is...

Joint Oireachtas Committee on Health: Update on Construction of National Children's Hospital: National Paediatric Hospital Development Board (27 Nov 2019)

Kate O'Connell: There will be a continuous flow through of patients.

Joint Oireachtas Committee on Health: Update on Construction of National Children's Hospital: National Paediatric Hospital Development Board (27 Nov 2019)

Kate O'Connell: In other words, a patient does not revert to the waiting room.

Joint Oireachtas Committee on Health: Update on Construction of National Children's Hospital: National Paediatric Hospital Development Board (27 Nov 2019)

Kate O'Connell: In terms of the roles of Connolly Hospital and Tallaght Hospital, I was struck when I was picking up the leaflet when I was trying to get out of Crumlin that the unit in Connolly Hospital closes at the weekends so there was no alternative option. For the cohort of people who arrive in and they are not sure how sick their child is, which Dr. Curtis will be aware is commonly the case, is she...

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