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Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: That has its complexities when we want to do things.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: I know. This was all decided in 2008 and prioritised in 2012. We have never defined what a primary care centre is or what constitutes a primary care team or what elements are in it. My understanding is that we have not Sl√°intecare-proofed, so to speak, any of this yet. I read somewhere last night - I think another member mentioned this - that there is not necessarily a GP everywhere....

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: Of what?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: Is this because we do children's vaccinations and things like that? There would have to be a doctor in the centre. I just do not know what a primary care centre is without a GP. I cannot see what-----

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: How many primary care centres do we have in existence that have no GPs?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: For CHO 4 we want 74 teams but we only have 35. Am I reading that right?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: I would have considered that having a doctor present was fundamental to a primary care team.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: Are we planning on defining what is in a team and what is in a centre so that we have something to work from as a standard?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: The Ballymun model works very well. I know it is unique in that I think it is was bought from Dublin City Council.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: It is the only example and it works so well. One can tax the car and the child at the same time.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: It is brilliant.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: When Ballymun works so well and is well attended, it seems that it would have been a great model to replicate as opposed to building up-----

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: I think that is it. After reading the documents last night, the recommendations of the Comptroller and Auditor General have to be implemented. If we look back at this in ten years and we have built 204 things for which we do not even have a definition or know who should be in them, which are not Sl√°intecare-proofed, so to speak, and have not been reviewed to see if they deliver what we...

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: The 14 public private partnerships, PPPs, are all operated by the same company. Is there any particular reason for that? There would usually be competition in the market. Why is it just one company?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: There is just one company for the 14.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: With regard to operational leases, is there any indication that there is an element of control by one company or is it more diverse?

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: So many people are looking for these.

Public Accounts Committee: 2018 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Chapter 15 - Development of Primary Care Centres
(5 Dec 2019)

Kate O'Connell: Are they indigenous companies or are they from elsewhere?

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Supplementary)
(4 Dec 2019)

Kate O'Connell: I thank the Minister of State for coming here today. One of the matters raised by consultant representative bodies when coming before the committee is the lack of training posts. As a result of the loss of experienced medical people to other jurisdictions and the reliance on locums, we now have the potential for a legacy issue as approximately half our non-hospital consultant doctors are...

Select Committee on Health: Estimates for Public Services 2019
Vote 38 - Health (Supplementary)
(4 Dec 2019)

Kate O'Connell: I am not suggesting we stop that.

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