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Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: I thank the witnesses for coming in today. In terms of ensuring HIQA is properly accountable and that we have confidence in it, we need to make sure we have a robust regime. What are HIQA's top three requests of the Minister and the Department?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Does HIQA have that right?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Has the Department given HIQA a timeline?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: What trends and areas for improvement has HIQA seen through its various surveys and stakeholder engagement? What are people calling out? In particular, what are patients and people working in these services calling out?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: It is reassuring to hear that about a patient-centred approach. HIQA's responsibilities have grown. Its number of employees has grown to 450. What level of resignations or attrition has HIQA had recently?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: What is HIQA's attrition rate?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: There have been employee difficulties and litigation throughout the public service. What is HIQA's level of employee disputes?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: HIQA has not had any contentious disputes.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Does Ms Fitzgerald know how many employees have left in contentious situations, such as where NDAs would have been required, etc.?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Please do.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Two law firms work for HIQA. What type of advice do they provide? HIQA has an in-house service.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: I am sorry but I am conscious of time. I am not trying to put Ms Fitzgerald off.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: HIQA went through a procurement process for the legal advisers and has a negotiated discounted rate with them.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Does HIQA negotiate a rate with barristers and the counsel it instructs?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: HIQA can negotiate with them, just so Ms Fitzgerald knows.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: The costs were low in 2023. There was an increase in 2024, but it is still relatively low.

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Will HIQA remind me of the number of inspectors it has?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: How does HIQA ensure there is no conflict with those inspectors? For example, to ensure there is no familial relationship to any of the entities they are inspecting, or perhaps the inspectors may have worked there before. How does HIQA ensure that does not arise? Will Ms Fitzgerald confirm that both of those facts would be a conflict of interest?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: How does HIQA ensure that those conflicts do not arise?

Public Accounts Committee: Financial Statements 2023: Health Information and Quality Authority (17 Jul 2025)

Grace Boland: Does Ms Cliffe think that is sufficient? Knowing everything she knows now, does that need to be reviewed? I assume HIQA will continually, maybe annually, review these policies to make sure they are updated.

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