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Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: My official can answer.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: That is all right. I am being guided by the officials accompanying me. I ask the committee to bear with me. It will be mandatory from the Minister and it will say that the HSE should carry it out. The Minister may specify that it be done. If he does so, the HSE must carry it out. If the Minister gives the instruction, it will be done.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I cannot answer that.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: It is to give parameters for the Minister. Therefore, it is the Minister who will make those decisions.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: Yes.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I will try to answer the Deputy's question. It is up to the Minister to define the list of criteria and instruct the HSE to carry out the decisions.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: It is advisory, but when the list goes out to the HSE it will be mandatory.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I have been advised that the list may be changed and other criteria may be added.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: A process is under way to address this. It will be a continuous process as we journey through the Sláintecare plan.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I do not have any figures to provide the Deputy. Public health doctors will take the lead on this issue and a process is under way to ensure this is done. That is all the information I have on that issue.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: At the moment, yes.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I am advised that the health needs assessment already happens in an ad hoc manner and resources are not the issue. People who are ready to take part in this are already in the system. That is the answer I have been given. I cannot develop it further for the Deputy.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: Did I say that?

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: Penalties have not been identified.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I move amendment No. 3: In page 6, line 37, to delete “and” and substitute the following: "(c) in subsection (6), by the substitution of "or issuing a direction under subsection (4) amending or revoking a direction issued under subsection (1)" for "or (4)", and". As I outlined when discussing the health needs assessment amendments, section 10 of the Health Act 2004...

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: I move amendment No. 4: In page 7, between lines 4 and 5, to insert the following: “Health needs assessment 6.The Principal Act is amended by the insertion of the following section before section 10B: “10AA.(1) A direction under section 10(2)(c) shall include specific requirements to be taken into consideration by the Executive when conducting a health needs assessment....

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: We are starting well.

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: The Bill provides for a ten-person board, specifically the chairperson, the deputy chairperson and eight ordinary members. The amendment would require the eight ordinary members to include a patient advocate, a financial expert and two clinical experts. I understand the Deputy’s thinking on this amendment but the view of the Minister is that the best approach is as set out in the...

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: Board members can come from a range of backgrounds, bringing their expertise and skills. The board is the governing body for the HSE and we should not be too prescriptive in this legislation. I do not intend to get into the details of individuals and the board members. Board members do not represent groups. They are brought to the board because of their skills. The Seanad amended the...

Select Committee on Health: Health Service Executive (Governance) Bill 2018: Committee Stage (20 Feb 2019)

Catherine Byrne: As the Deputy said, he has looked at the people on the board and identified each of them. In his opinion, some of these people are unqualified to be on the board. The Minister has appointed these people and I am assured by him and the Department that these people have adequate skills to deal with all the issues that will be presented to the board into the future. Board members do not...

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