Jennifer Carroll MacNeill

It is an excellent question. It is exactly what I have asked Bernard Gloster to do. Of course, I have to wait for the report to be able to express my confidence in the quality of the work that has come back. The Deputy may take that as a reference example. As I said my opening reply, if there was underutilised capacity, that is, as the report states, other people in the hospital could have held su…

The Deputy raised the issue I am concerned about, namely that there are incentives to be under productive during the working week with a view to, or which have the outcome of, very busy clinics on Saturdays or bank holiday Mondays. That is exactly the sort of incentive I need to see stop. I cannot speak to the relative activity because I do not have that data. The Deputy's example is precisely th…

There are nine HSE rapid access symptomatic breast disease clinics nationally, as the Deputy knows. The HSE has set a target of 95% of urgent referrals being seen within ten working days. Non-urgent referrals should be seen within 12 weeks. The HSE national cancer control programme monitors the performance of these clinics. Last year, national compliance with targets was 76% for urgent and non-urg…

The Deputy is right. Yesterday I was at St. James's Hospital and it and Trinity College have become one of the accredited cancer centres of the Organisation of European Cancer Institutes. There are many accredited centres but this is at a different level. It is the most prestigious award for cancer control. The Deputy is correct that we have very good services. He asked in what world is this accep…

I thank the Deputy and I agree with him on all of these points. Yesterday at the health committee we covered some of the workforce planning issues and the expansion of training places. It is also a workforce management issue and the variation between hospitals is well noted. I am told that in the Mater there have been long-standing recruitment challenges but they have been stabilised. There has be…

In response to a series of reviews which raised corporate and clinical governance concerns at CHI, I have moved to strengthen governance and oversight structures at CHI in a range of different way. This was done via the appointment of two members of the HSE board to the board of CHI on 28 May. There are more board appointments to be made. This means that all but one members of the board have been …

The Deputy will note the number of resignations from the board. She has identified a series of important and serious issues, most of which we knew would be coming because of the concerns raised by whistleblowers and others. Reports were correctly commissioned with HIQA by the HSE and CHI. We knew they would come but, as she pointed out, the report that was not shared with either the HSE or the Dep…

I want to be very careful of the privacy of Mikey and his family but I have met him and I have met his family. I am aware of the various issues. On foot of meeting them, I put in train a process and perhaps I might speak to the Deputy about it privately rather than on the floor of the Dáil, recognising his privacy. With regard to scoliosis and the issue of waiting times, it is a source of great f…

I thank the Deputy. The role our healthcare workers played during the pandemic cannot be overstated, particular at the very early stage of it. They went beyond the call of duty, working in front-line environments, treating Covid-19 positive patients, particularly in the early days when the control mechanisms were what they ultimately became and while the risk was extraordinarily great. In respons…

There is no intention not to recognise that or to not be empathetic, which is why the scheme for full pay was there for five years. I am aware that the Minister for Social Protection has reviewed the EU recommendation in respect of the recognition of Covid-19, not long Covid, for an occupational illness. Following that review, it was determined that Covid-19 did not meet the requirements to be rec…

Again, I recognise that the findings of the Labour Court are still awaited and I respect that. I will also reiterate the terms of the sick leave scheme. Having been on full pay for five years, the healthcare workers may receive further full pay for three months, half pay for three months, temporary rehabilitative remuneration for 547 days of paid leave and the critical illness protocol that forms …

I thank the Deputy. As part of the Government’s ambulatory care policy and in advance of the new elective hospitals, the HSE is developing surgical hubs across the regions. They will play an important role in separating scheduled and unscheduled care, reducing waiting times, thereby improving access and care for patients. The programme for Government committed to delivering six new hubs and explo…

I thank Deputy Ward and I assure him, representatives from Donegal, the consultants and doctors in Letterkenny and the people of Donegal more broadly that I will do precisely that. I am committed to that region. That is why I visited it a number of weeks into becoming Minister for Health in order to understand for myself. I cannot look at it on a map or look at drawings. I have to be there to unde…

I thank Deputy Ward and I hear what he is saying about his experience of the HSE. That is important. It is also important to reflect on local hospital management and their responsibility to advance cases on behalf of the hospital. When I met Deputies from Donegal, I went through the projects that had been advanced and supported. I recognised there was, in my view, insufficient surgical ask by the …

I will answer on HIQA specifically and ask the Minister of State, Deputy O'Donnell, for his perspective as well. HIQA plays a crucial role in ensuring high-quality and safe care for patients using our health and social care services. The Government strongly supports HIQA in maintaining and strengthening its critical regulatory role. While it provides an important role, it also needs improvement. A…

It is exceptionally important to acknowledge that our focus here is on HIQA, but HIQA did not do and did not enable what happened in the nursing homes. I want to take a moment to reflect on the fact that the provider and the individuals involved are ultimately responsible. We will also work with HIQA but let us first and foremost direct our ire at the providers of the nursing homes.

I recognise the importance of timely access for patients to medicines, including new medicines. Supported by €128 million of funding, in the past four years the State has delivered access to 194 new medicines. Of these, 74 were for cancer and 49 were for rare diseases. Budget 2025 allocated €30 million for new medicines, to come from efficiencies to be identified by the HSE. The Government has in…

I want to put a little bit of context on this. The State spent more than €3 billion in 2023 providing medicines to patients. We sometimes forget that €3 billion of the health spend goes to providing medicines. That is appropriate but it is a major budgetary consideration as well. With the early access programmes, we have to get the balance right between being able to get access to the drugs and al…

I will do so, Deputy.

I agree completely with the Deputy. However, my immediate priority is to ensure that there is clinical follow-up and care for patients who have undergone pelvic osteotomy surgery in accordance with the recommendations of the Thomas audit report. I am very aware that there are families around Ireland who are receiving letters and follow-up to say that surgery was not necessary on their child. I can…

My practice, as much as I possibly can, is to meet people. Like Deputy Clarke, I have met parents and seen the distress. I have parents in my constituency in this situation. There is no difference between our experiences of this. I cannot believe the distress being experienced by the parents of the 71 children. We are already identifying children. Parents are being told through this initial clinic…

I do not know the exact details of the Deputy's constituent's case but for any child now indicated for surgery, the assessment is done in a very different way from how it happened before. Any such assessment is done by a multidisciplinary team, including a doctor. It is a cross-site piece of work including a physiotherapist assessment. It is not, as had been the case, that an individual consultant…

The GP chronic disease management programme commenced in 2020 and has been rolled out on a phased basis over four years to adults with either a medical card or, for GMS patients, a GP visit card. The aim of the programme is to prevent and manage chronic diseases. Since 2020, over 680,000 patients have been registered on the programme, including those who have exited the programme. Some 91% of pati…

That is right. It impacts early detection as well. As populations age - which ours is doing - the prevalence of chronic conditions, including multimorbidity, rises. Early protection through the chronic disease management programme prevents the need for more intensive hospital-based treatments. Since 2020, 51% of the new chronic disease diagnoses have been made through elements of this programme. I…

I can update the Deputy on the orthodontic waiting lists. As of April 2025, the HSE employs 14 consultant orthodontists and 36 specialist orthodontists nationally. There are almost 35 oral healthcare vacancies at the moment which the HSE is working to fill, including three specialist orthodontist whole-time equivalents, and a further 2.22 dental nurse whole-time equivalents. There are staffing cha…