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Select Committee on the Future of Healthcare: Future of Health Care: eHealth Ireland (14 Sep 2016)

Kate O'Connell: Deputy Naughton mentioned electronic prescriptions and I am very interested to hear more about where we are with this. Reference is often made to a push pull system with prescriptions. Where are we with regard to patient choice in Ireland? A family member is a pharmacist in the Netherlands and in that country a defined number of patients are directed to a particular community pharmacy...

Select Committee on the Future of Healthcare: Future of Health Care: eHealth Ireland (14 Sep 2016)

Kate O'Connell: In considering the cost savings of implementing this, Mr. Corbridge mentioned something about this being dangerous with respect to the NHS. What did he mean by that?

Committee on Budgetary Oversight: Revenue Raising Proposals: Minister for Finance and Revenue Commissioners (20 Sep 2016)

Kate O'Connell: I am glad to see the Minister is well. Deputy McGrath mentioned the 9% rate on the tourism sector earlier. It is widely acknowledged that there has been growth in Dublin that has not been seen throughout the country. Is there any scope for a city tax like there is in other European countries based on the nightly value of accommodation? It would be specifically for Dublin and maybe other...

Committee on Budgetary Oversight: Current and Capital Expenditure: Minister for Public Expenditure and Reform (21 Sep 2016)

Kate O'Connell: That has pretty much answered what I was going to ask the Minister. To follow on from Deputy Brophy's question, when we talk about a laser-like focus on reform and value for taxpayers' money, what I am conscious of in this committee is that we have the same amount of money from last year, that it does the same work and that we add more to it. I assume what we are talking about are...

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: I wish to clarify a point that has been made. Would a deprivation weighted capitation payment be based on the need of the patient, so that a larger payment would be received for a patient with many complex issues, rather than the headage payment normally received for a patient through the General Medical Services, GMS?

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: Is there a method to assess this? I am a community pharmacist and the same issue arises in that one could be an hour with somebody because the person needs it and not because one is chatting, and somebody else could be out the door in 30 seconds. Is there a method to assess the complexity of people's illnesses and how we could assign capital to them?

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: I am sorry for coming back in again but I want to refer back to the protocol-driven access to diagnostics. Perhaps the witness could clarify this. Is this a case where someone presents to a GP practice with a headache, and in order for them to be seen, one is able to prioritise? Could the witness explain what he means by that?

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: In talking about diagnostics I believe it is pretty much agreed that an X-ray does not work in the community, or I take it that it does not work since it was tried in Ballymun and it was not resourced right. With regard to hospital trusts and the hospital at the centre of that, would Dr. Gibney consider that if there were a diagnostic wing which was attached to an acute hospital and not...

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: On the obsession with the deprivation index, is there any reason people might be stigmatised as a result of being in a sort of a higher-risk category? Normally, GMS patients are all the one and the same and the GP gets a certain payment. The HSE issued a card to those who contracted hepatitis from contaminated blood or blood products and there was some name on it, which I cannot remember,...

Select Committee on the Future of Healthcare: General Practice in Disadvantaged Areas (21 Sep 2016)

Kate O'Connell: I am just making sure that they do not get a card stating "high risk" or-----

Select Committee on the Future of Healthcare: Relationship between Primary Care and Secondary Care (21 Sep 2016)

Kate O'Connell: I welcome the delegates and thank them for attending. I had the pleasure of being welcomed by them in Carlow–Kilkenny a few months ago and was very impressed. I wish to refer to a few issues, including the structure of the HSE, the regional health organisations and the separate social and mental health care services. In Carlow–Kilkenny has this issue been addressed in the...

Joint Oireachtas Committee on Health: Charities Regulatory Authority (21 Sep 2016)

Kate O'Connell: Mr. Farrelly covered many of the issues I had intended to raise. Given his experience and having listened to him, I have no doubt that the system will be efficient and effective. It may not be within his remit to discuss an issue that has come to my attention. I refer to charities which are competing with the private sector for State tenders. Do charities receive preferential treatment in...

Pharmacy Fees: Motion [Private Members] (27 Sep 2016)

Kate O'Connell: I fully support this motion. Like Deputy Brassil, I declare an interest in that I am a community pharmacist and the holder of a contract with the State, as is my husband. I commend RTE for going to the trouble of exposing this. My concerns as a community pharmacist relate to the fact that various proportions of business are taken up with blister packing or phased dispensing. In my...

Select Committee on the Future of Healthcare: Universal Health Care and the NHS: Discussion (28 Sep 2016)

Kate O'Connell: I have a few questions. I spent a stint of my own life in the NHS in 2003 or 2004.

Select Committee on the Future of Healthcare: Universal Health Care and the NHS: Discussion (28 Sep 2016)

Kate O'Connell: Can Professor Pollock hear me now?

Select Committee on the Future of Healthcare: Universal Health Care and the NHS: Discussion (28 Sep 2016)

Kate O'Connell: I worked in the NHS in 2003 or 2004. Around that time, if my memory serves me correctly, there was a sort of realignment of the NHS, because the costs were getting out of control when it came to pensions, and there was a huge renegotiation of contracts. I was a junior at the time and I was not really thinking about a pension at that stage. My question is this. Has Professor Pollock any...

Select Committee on the Future of Healthcare: Management of Chronic Care Illness: Discussion (28 Sep 2016)

Kate O'Connell: I thank Dr. Murphy for his presentation and wish him well with his new practice. He is brave. He referred to patients with multiple illnesses. When we met Dr. Fawsitt last week, I believe Professor Susan Smith spoke about the capitation rate for GMS patients and suggested having an increased rate for more complex patients. Obviously, a straightforward seven year old who has nothing wrong...

Select Committee on the Future of Healthcare: Management of Chronic Care Illness: Discussion (28 Sep 2016)

Kate O'Connell: It is okay. In the NHS it is very important. I would deal with GPs in that other job sometimes more than any other profession. The access to mental health services in the community is horrendous. Last weekend a lady whose GP had diagnosed chronic depression told me that it cost her €5,000 to get herself fixed. While she is not loaded, this lady has a good job and has private...

Select Committee on the Future of Healthcare: Management of Chronic Care Illness: Discussion (28 Sep 2016)

Kate O'Connell: I am over it.

Joint Oireachtas Committee on Health: Update on Health Issues: Minister for Health (29 Sep 2016)

Kate O'Connell: I thank the Minister for appearing before the committee. The first issue I want to speak about is the State Claims Agency, which is mentioned in regard to budgets. I want to focus on maternity care, in particular cases where a woman goes into a hospital to deliver a child and something goes wrong at the birth, for whatever reason - I am not saying it is the fault of the HSE or a doctor. I...

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