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Written Answers — Department of Finance: Fiscal Policy (21 Mar 2024)

Neasa Hourigan: 181. To ask the Minister for Finance his plans to ensure the Irish Strategic Investment Fund divests itself of holdings in companies currently listed on the UN database of businesses operating within the illegal Israeli settlements in the occupied Palestinian territory; and if he will make a statement on the matter. [13358/24]

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: There is so much to cover but we might start with the vaccinations which we spoke about the last time Mr. Gloster was here. We spoke about the low uptake of the Covid-19 vaccine particularly among people with underlying issues. I believe it was one in ten at the time. I wish to broaden that out to get an update on the measles issue. Do the witnesses have anything to tell the committee...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: The clinics are currently focused on higher level learning institutions. Are they going into areas, such as my own constituency, where there is a high population of people from different countries who may not have been caught as children in our own system? Are we targeting locations as well as services?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I thank Dr. Henry. The last time Mr. Gloster was before the committee, we were talking about the move away from private management consultants. Last year, he set a target of a reduction of 30% and he was fairly confident that would be reached by quarter 4, I believe. I wonder where we are in that regard now.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Which is around €40 million.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Are we on course to maintain that reduction for a full year?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Mr. Gloster believes right now we are at that 30% reduction for the last quarter.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I thank Mr. Gloster. I want to move on to the CDNT groups and staffing. We went through some of the levels of staffing the last time and I know how difficult the current situation is. Is there data within the organisation on the challenges with staffing, both those that are staffed by the HSE and those under section 38 and 39 organisations?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I am interested to know if there are lower rates of staffing among CDNT networks that are being serviced by section 38 and section 39 organisations, section 39 organisations in particular, or if there is a different rate. I do not want the average or the mean. It is interested to me whether there are different levels. If a person is in an area where the CDNT is serviced by a particular...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Sorry, I do not mean to cut across the witness. Does that data exist and we just do not have it at our fingertips, or does it not exist?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Have any of the contracts that had been entered into with section 39 organisations been revised, reformed or changed due to the lack of ability to staff those networks?

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Okay.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: Where there is a disparity of whatever level, you would expect to see people voting with their feet.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I want to return to something we have spoken about a lot at the committee, namely, the provision of long-term residential facilities for mental health, particularly in Cork. I acknowledge the seriousness with which the HSE listened to the communities and the concerns and needs of the service users and their families. The way ahead is certainly very encouraging for the community,...

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I know you did.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: It is unlikely Mr. Gloster has projected costs at present.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: The 18-bed intensive care mental health service in Carraig Mór more will cost €14 million so we could-----

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: I know.

Joint Oireachtas Committee on Health: HSE National Service Plan 2024: Discussion (20 Mar 2024)

Neasa Hourigan: It will be slightly different. I think also there will be bungalows in St. Stephen's Hospital. We can see the concern in terms of service provision. A large number of residents of St. Stephen's were moved to community services in places such as Fermoy and Kanturk. Now we are building on the site of St. Stephen's. We could see how there is concern about whether we are really moving...

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