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Reilly, James

Wednesday, 12 June 2013

Dáil Éireann Debate
Vol. Nbr.


Health Service Executive (Governance) Bill 2012: Report Stage (Resumed) and Final Stage (Continued)

I thank the Deputies opposite for their contributions. On the amendment, when performing their functions as members of the directorate, appointed directors will be acting collectively as part of t...More Button

As indicated on Committee Stage it is not feasible for me to accept this amendment with the specificity it involves which means singling out one service area, however vital. I am very happy to p...More Button

I am happy to state that my intention is to appoint a new national director of mental health as a member of the HSE directorate. As I said on Committee Stage, I fully understand the good intenti...More Button

I am sorry the Deputy does not agree. We are in complete agreement on the need to send a strong message on mental health. This is the first time there will be a separate and distinct post of nati...More Button

I remind Deputy Ó Caoláin that a key purpose of the Bill is to abolish the board structure and replace it with a directorate model. The directors are to be employees to ensure that their focus i...More Button

I move amendment No. 3:More Button

I thank the Deputy.More Button

I thank Deputy Ó Caoláin for supporting amendment No. 3. I cannot accept amendment No. 4 because that brings us back to something more akin to a board than to what is intended. The purpose of thi...More Button

I listened to what Deputy Billy Kelleher said and he is right that we are trying to bring in fresh blood across the system. It is important to remember that this is a temporary structure to get ...More Button

I have covered all the points and, as the Deputy pointed out, we covered this on Committee Stage. No more than the other Deputies, I do not wish to delay the passage of the Bill.More Button

  Amendment agreed to.More Button

I could say a great deal in response to the last speaker. First, however, I know of no official in the HSE being paid at the level the Deputy mentioned. If he is alluding to academic appointments...More Button

The pay of the Taoiseach is €100,000 less than when the Deputy's party was in power. We have reduced the pay for new entrants to the consultant grade. I still consider the rates fair at €116,00...More Button

The Deputy mentioned a fairer society and that is an aspiration of this Government. However, it takes time to undo the damage that was done by the previous Government over the long period of tim...More Button

In respect of the substantive issue here, it is useful and important to repeat the point I made on Committee Stage, that an appointed director will not receive any additional remuneration by virt...More Button

These substantive posts are very senior positions within the organisation and the salary levels set reflect the responsibilities undertaken. In the case of the director general, we must remember t...More Button

I must point out again that earlier Deputy Ó Caoláin argued that we should open this up to wider public opportunity but the reality is that if I was to offer the remuneration to which the Deputy re...More Button

I have already made my point with regard to the generality to which the Deputy alludes. I do not believe it is reasonable to ask what the Deputy suggests in his amendments and I do not propose t...More Button

I move amendment No. 5a:More Button

I will happily do that for the benefit of the Deputy. This situation has already arisen in that the interim national director for child and family services in the HSE is in an acting position in t...More Button

I would be very pleased to help the Deputy with that. He might recall that during earlier Stages of the Bill I pointed out that it was possible to bring in new people from outside who can be promo...More Button

I appreciate flexibility and support, and given that the Deputy is inclined to support the amendment I am inclined to thank him.More Button

  Amendment agreed to.More Button

I move amendment No. 6:More Button

The new personal insolvency legislation has broad-ranging implications for all such legislative provisions. Having consulted with the Minister for Justice and Equality, who has responsibility for ...More Button

I accept the Deputy's bona fides in articulating her concerns. The historical view would have been that a person who was bankrupt was not suitable to be in a senior position. As we all know, howe...More Button

In terms of the stresses to which a person who has been adjudicated as bankrupt would be subject, I cannot imagine how those stresses would be relieved or in any way reduced by the loss of his or...More Button

  Question, "That the words proposed to be deleted stand", put and declared lost.More Button

  Amendment declared carried.More Button

I move amendment No. 7:More Button

  Amendment agreed to.More Button

I move amendment No. 8:More Button

  Amendment agreed to.More Button

I move amendment No. 9:More Button

  Question, "That the words proposed to be deleted stand", put and declared lost.More Button

  Amendment declared carried.More Button

I move amendment No. 10:More Button

  Amendment agreed to.More Button

I move amendment No. 11:More Button

  Amendment agreed to.More Button

I move amendment No. 13:More Button

  Question, "That the words proposed to be deleted stand", put and declared lost.More Button

  Amendment declared carried.More Button

I move amendment No. 14:More Button

  Amendment agreed to.More Button

I move amendment No. 15:More Button

  Amendment agreed to.More Button

I move amendment No. 16:More Button

  Question, "That the words proposed to be deleted stand", put and declared lost.More Button

  Amendment declared carried.More Button

I move amendment No. 17:More Button

  Amendment agreed to.More Button

I move amendment No. 18:More Button

  Amendment agreed to.More Button

I move amendment No. 19:More Button

Moving this time limit could lead to unsatisfactory circumstances where an acting situation was allowed to continue indefinitely. I therefore withdrew the amendment and undertook to give it furthe...More Button

I move amendment No. 20:More Button

  Amendment agreed to.More Button

I move amendment No. 22:More Button

  Amendment agreed to.More Button

  Bill, as amended, received for final consideration.More Button

  Question proposed: "That the Bill do now pass." More Button

I regret that the Deputies opposite feel they cannot support the Bill. However, I will address some of the issues raised by them. Regarding the way the directorate will work, it will have collect...More Button

Regarding accountability, the HSE has responsibility for the organisation and delivery of health services and the directorate will be accountable to the Minister for the performance of the HSE fu...More Button

The Bill builds on existing accountability provisions in the Health Act of 2004. It allows the Minister to issue directions to the HSE on the implementation of ministerial and Government policie...More Button

Comments were made about the Secretary General who was appointed in the normal way that all Secretaries General were appointed, namely, through the public appointments system and through competit...More Button

Deputies spoke about protecting the public purse. Regarding the Department, we have seen our budget cut by €3 billion. We have reduced the number of staff by more than 10,000 in recent years, a...More Button

-----and inpatient figures which show that we met our target of one year a year ago and our target of nine months last year, and we will meet our target of eight months this year.More Button

Deputy Dooley finds this highly amusing but he should be aware that we have measured for the first time the number of people waiting on an outpatient waiting list. That is something from which his...More Button

It is 386,000, which is an awesome number but when put in perspective is one with which we will deal-----More Button

-----because we see 200,000 patients in our outpatient clinics every months. We will deal with this in the way we have-----More Button

-----in regard to those who are urgent cases. Cancer cases are being dealt with first and other cases are being dealt with in chronological order. The real scandal is not the 386,000 people who a...More Button

We have brought in hospital groups, which I believe will allow hospitals to make better use of their resources; reduce fragmentation and duplication; have greater autonomy locally; and give them...More Button

It seems that, on the one hand, I am criticised for taking too long to make the changes and clear up the mess we were left with, but, on the other, I am accused of going too fast. On the issue o...More Button

I wish to address the comments of Deputy Caoimhghín Ó Caoláin. We have an Oireachtas committee dealing with health issues and there is consultation. However, the Government cannot be expected t...More Button

I did not interrupt the Deputy and will not stop to listen to his interruption. I have accepted several amendments from the Deputy and Deputy Billy Kelleher and incorporated them into the Bill. T...More Button

It seems appropriate to end by emphasising that the reform programme is ultimately about doing the best for the patient. The Bill, with the new management arrangements, will help to place a grea...More Button

Mental Health Services Provision

Was asked: his plans to reform the law and policy on involuntary psychiatric admission; if will outline any recent changes in this area; the legislation that currently applies; and if he will make a statement...More Button

Medical Aids and Appliances Provision

Was asked: if he will examine the referral for orthotic shoes in respect of a person (details supplied) in County Kerry.More Button

Orthodontic Services Provision

Was asked: when orthodontic treatment will be approved in respect of a person (details supplied) in County Carlow; and if he will make a statement on the matter.More Button

Was asked: when orthodontic treatment will be approved in respect of a person (details supplied) in County Carlow; and if he will make a statement on the matter.More Button

Patient Transport Provision

Was asked: the position regarding the mini-bus ambulance from west Wicklow bringing people daily to various hospital appointments in Dublin; and if he will make a statement on the matter.More Button

Patient transport is the responsibility of the HSE. However, people attending outpatient and hospital appointments are, in general, expected to make their own travel arrangements, using private or...More Button

Transport may also be provided where, in the clinician's view, the patient would be unable to make the journey without clinical assistance or where the patient must be transported on a stretcher. More Button

Following implementation of the HSE's non-ambulance patient transport policy, responsibility for the arrangement and provision of non-ambulance transport has moved from the HSE National Ambulance...More Button

In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.More Button

Departmental Reports

Was asked: if he will set out the value for money reports and the focused policy assessments carried out within his Department since March 2011; the actions that have been taken to implement such reports; and...More Button

The information requested by the Deputy will be collated and forwarded to him as soon as it is available.More Button

Home Care Packages

Was asked: in view of the soon to be published new tender for home care services and with regard to a recently published report quantifying savings of €48 million for 2014 available through more open and tran...More Button

Was asked: if instead of trying to cut the number of home support hours available as was announced and reversed in the Budget, if he is implementing reforms and efficiencies in tendering and outsourcing that ...More Button

Was asked: the actions he has taken in realising cost savings and expenditure reduction in the home help and home care package budgets through reform of tender process as outlined in a recently published repo...More Button

Hospital Accommodation Provision

Was asked: his plans to tackle the number of delayed discharges in hospitals here, which in April stood at 658 nationwide and at 98 in Cork; if he will consider making more home care packages available to hel...More Button

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.More Button

Mobility Allowance Decision

Was asked: the amount the new mobility allowance and motorised transport grant scheme will cost if the alternative scheme is put in place before the present mobility allowance and motorised transport grant sc...More Button

Was asked: the progress made by the review group advising his Department in relation to the effects of the decision to abolish the mobility allowance and the motorised transport grant; if a new scheme will be...More Button

Was asked: the progress on an alternative scheme to the mobility allowance scheme and motorised transport grant (details supplied); and if he will make a statement on the matter.More Button

Medical Card Reviews

Was asked: if he will expedite a medical card review in respect of persons (details supplied) in County Kerry; and if he will make a statement on the matter.More Button

Accident and Emergency Services Provision

Was asked: his policy regarding the State paying for hospital bills when Republic of Ireland patients present at a Northern Ireland hospital for treatment for an injury incurred in the Republic but where the ...More Button

Hospital Waiting Lists

Was asked: if he will ensure that a person (details supplied) in County Westmeath will be given an appointment for orthopaedic care.More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2013, has been develop...More Button

Hospital Services

Was asked: further to Parliamentary Question No. 853 of 11 January 2012, the progress that has been made in developing a designated stroke unit at Cork University Hospital; if this unit is still to be located...More Button

As this is a service matter, the Deputy will receive a reply directly from the HSE.More Button

Was asked: further to Parliamentary Question No. 853 of 11 January 2012, if he is concerned at the impact of delays in opening a dedicated stroke unit at Cork University Hospital in view of the fact that a pr...More Button

As this is a service matter, the Deputy will receive a reply directly from the HSE.More Button

Hospital Staff Recruitment

Was asked: further to Parliamentary Question No. 853 of 11 January 2012, if all the necessary staff (details supplied) have now been recruited; the position which still have to be filled; the timescales for r...More Button

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.More Button

Care of the Elderly

Was asked: if a forum on long-term care of the elderly led by his Department is to be established in response to a request from the private and voluntary nursing homes sector; and if he will make a statement ...More Button

Nursing Staff Recruitment

Was asked: if there are plans to begin the recruitment of nursing staff at Cork University Hospital, Mid-Western Regional Hospital or other general and maternity hospitals in the Health Service Executive sout...More Button

Subject to overall parameters set by Government, the Health Service Executive has the responsibility for determining the composition of its staffing complement. I have asked the Executive to arran...More Button