Finian McGrath (Dublin Bay North, Independent) | Oireachtas source

I thank the Senators for their contributions on this issue. I fully understand the points raised and I give a commitment that proper consideration will be given to all of the issues raised. The documentation Senator Ruane raised will be gone through by the Minister for Health, Deputy Harris, and the Department of Health as there are some constructive proposals in it. The Government has proposed an amendment in this regard.

The other point raised by Senator Burke regarding the capacity and skills issue at board level is very important as well. The Government amendment will ensure that at least two members of the new HSE will have experience or expertise in advocacy in respect of matters affecting patients. This is in line with the Scally report. I hope the Senators will understand why we are taking this approach.

On the broader issue of patient advocacy, important points were made about carers and high level criteria and as the debate was proceeding I was thinking about something I did before the summer. We have a group in my disabilities to be clearly defined portfolio called the national platform for self-advocates. These are people with intellectual disabilities and I took them on over the summer as consultants on the disability sector. They are a valuable group because they are outside the professional ranks. They are people with disabilities themselves and they have fantastic contributions to make.The debate about genuine patient advocates is very important. Important issues were touched on relating to trust and the patient partnership. Regarding Senator Devine's comment, I am not in thrall to anybody in the HSE and I will push the reform agenda.

In reply to Senator Wilson, the chairman designate, Mr. Ciarán Devane, has been selected and the Public Appointments Service is undertaking a public process to identify the other members of the board. The board will drive accountability and transformation and I cannot underline more strongly how important it is for us to get the right calibre of people and the right mix of experience among board members. Given the nature of the role, the associated time commitment envisaged and the range and breadth of the issues, the Minister for Health has carefully considered the overall size of the HSE board.

The key issue is to ensure we have two people at board level who are voices for patients as well as being competent board members.