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Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I thank Mr. Gloster. We will move straight away into questions and Senator Seán Kyne will lead them off this morning.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: Senator Conway is next.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: We will move on to Deputy Wynne. She is welcome to the committee.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: We will now break for ten minutes.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I welcome the opening statement, particularly the commitment to prioritise older and frail people as most urgent users of the service, including the emergency departments. The committee supports that approach. I also want to thank staff in the HSE and funded agencies who participate in the response to unscheduled and emergency care pressures and the challenges in that regard. The slow...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I am conscious of the people who have long Covid and the life-changing side-effects that has. Do we have numbers for those who have long Covid?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I take it they have not got that from the vaccine.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I wish to focus on the pathfinder programme. The service was developed in Beaumont hospital but has been rolled out throughout the country. Pathfinder is the geriatric element of that. I am told that one of the areas it is specifically looking at is the medication being taken by the over-75s. I ask the witnesses to expand on that. I accept it makes sense to review this every so often....

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: For families who have a sick baby or very young child, is the advice go to their GP first?

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I am conscious that a question was asked about UHL and on the challenges in its accident and emergency unit. The answer last year was that there was a lack of beds within the system. When I asked about the challenges that Tallaght University Hospital was experiencing, I was given the same answer about a lack of beds. I understand and see the challenges posed by the budget. The development...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: Mr. Gloster mentioned the recruitment embargo, the exemptions in place and that, possibly, 5,000 posts have been paused. The impression was given that the people who were hired were not key personnel. People might not see an electrician or cleaner as key personnel or say these were not front-line posts that were paused. Does the embargo include cleaners and electricians? Please give us a...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: It is an important point that is lost out there in terms of who is front-line staff and who is not.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I suggest we move on and members will have seven minutes each, if that is okay.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I am also conscious that we are quoting an individual who is not here.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: Let us discuss this at the next private meeting, but I am conscious that the Minister will shortly come before the committee about this subject. That will be a relevant question to ask.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I thank Ms Day. I acknowledge that we got a note from the HSE concerning the idea of the quiet room and work being done in this regard.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I call Senator Conway.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: I call Deputy Colm Burke.

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: We need to finish up. Again, I thank the representatives of the HSE for engaging with the committee on the matter of hospital preparedness this winter and the expected seasonal increase in respiratory and other such illnesses. It was a useful meeting with many positive things happening. I wish the witnesses and all their staff well with regard to the challenges they are facing,...

Joint Oireachtas Committee on Health: Winter Preparedness in the Hospital System: Discussion (22 Nov 2023)

Seán Crowe: One of the big challenges last year related to babies and young children presenting at emergency departments. What is new this year for families possibly facing into that?

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