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Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Cuirim fáilte roimh, Mr. Gloster. Does Mr. Gloster believe he has control, as CEO, of the organisation?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: I will now compliment Mr. Gloster. I have here a copy of a memo that was sent out in which Mr. Gloster identified €30 million a year being spent on postage. When I heard about this, and Mr. Gloster's efforts to try to reduce that spend, I was concerned. I thought the message had not gone out, or perhaps not clearly, but in fairness, I see it is very clear from the memo that where...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: What system is in place at the moment? If a patient is in the hospital and a doctor is working with the person, how does the HSE get that person to move from getting letters to receiving an SMS? Is that system available to every hospital?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Ms Long is the regional executive officer for the Dublin area. How is it going in her hospitals? Has she tried to roll this out and implement it?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Of all the patients who come through the hospitals every day, what percentage does Ms Long think are being asked for their SMS and email contact details?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Does Ms Long think any patients are being asked?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: The point I am making is that the feedback I have received is that this is not happening and that the postage costs are not going down. Every year, €30 million in postage is being spent on reminders for appointments and account statements. The HSE is sending out €30 million worth of post per year. Mr. Gloster was right to identify that this cost has to be brought down. I...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: I appreciate that, and I wish Mr. Gloster well with the implementation of that, but I just think the HSE should mandate that for every single patient who walks through its doors, the first thing that is captured is that piece of data. When patients come through the door is when the HSE has it and then it never has to send that person a letter again. I accept there will be elderly people for...

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: I find it interesting that the chief financial officer says he will have to check the non-pay figures. When I sum up that non-pay spend, it amounts to about €89 billion across six years. Is that where procurement sits?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: I know that €7 billion is going to outside agencies, and I will come to that later. Given the level of non-pay spend, can Mr. Mulvany explain how the HSE monitors and manages it?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Mr. Mulvany is depending on each manager, organiser and hospital to stay within the budget they are given.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: I do not believe it is closely monitored. I say this because I have asked parliamentary questions on how many tenders came in on budget or over budget and the HSE was not able to tell me. Does the HSE have oversight of all tenders within the organisation and does it have a contract management system for managing that?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: At the moment, the HSE cannot track performance at the contract level.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: In terms of spending and non-compliant procurement, I want to define what constitutes non-compliant procurement. It is essentially where the rules for procurement are not followed. Is that correct?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: The HSE self-assesses its procurement. In 2024, it reviewed 29,012 invoices involving amounts over €25,000. Is that correct?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Does the HSE have any checks in place for consistent invoices coming in at €24,000 or €23,000 or for any anomalies such as that which we are discussing?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Does Mr. Mulvany believe there are companies which are invoicing the HSE for less than €25,000 in order that they can go under the radar?

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: It is in their interests if they were not properly procured.

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: If they were non-compliant in the process of procurement and then come in under the amount-----

Public Accounts Committee: Financial Statements 2024: Health Service Executive (16 Oct 2025)

Albert Dolan: Mr. Mulvany is right that it is a matter for the organisation. If an individual in the organisation is a related party or is connected to any of these companies, it is in their interests to go under the radar.

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