The other alternative would to take responsible for the health service, stop using the HSE as a convenient mudguard, and act like the buck stops with him
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Incremental structural improvement is about the most that could be reasonably expected to be honest, given the complex spiders web of embedded vested interests
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Ah I think thatâs a cop out.
Itâs like what people say about Pope Francis.
There are scandals affecting the health service which need to be tackled head on.
We had a situation recently where, despite a time of prosperity, we had a recruitment ban in our health service.
All due to a game of cat and mouse between DPER and the HSE over a supplementary budget.
Donnelly hiding in the cracks.
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When did the public/private model start?When was it decided that consultantâs could use public hospitals for their own use.
Pretty much always has been that way, to my knowledge. The idea was that private patients would subsidise the public ones.
Youâre suggesting the HSE (and the thousands of managers in there) should be given free rein to recruit away for the long-term despite a short-term budget surplus?
Iâd actually suggest that the recruitment ban and the vague sense of actual budget management in the health service is another encouraging sign for Donnelly.
Iâd say If people who have absolutely no business at a hospital stopped turning up youâd sort out the hse quick enough.
Some amount of wastage.
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The reason there is wastage is that it is a completely fucked up system of funding and accountability for the funding.
But there should never be a situation where there is a blanket recruitment ban on medical staff particularly when there is money there.
And to be clear Gloster in the HSE introduced the recruitment ban to force the governmentâs hand. Meanwhile some poor nurse is worked to the bone because two other nurses have left and not being replaced.
A nugget from the C&AGâs report yesterday.
A financial monitoring system in HSE in terms of where money had been spent was approved over five years ago has not started to be implemented yet.
A fairly basic requirement I would say.
What does it say about an organisation of the HSEâs size that doesnât have one of those and have not implemented one in five years?
Thatâs where I would put most of the problem.
But as @artfoley says there is a buffer there for Donnelly to hide behind.
Health Unions and nurses are as much embedded vested interests as the consultants. Beware the spin.
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You know perfectly well it isnât nonsense. Your just being obtuse. I hope deliberately.
You canât just throw your hands in the air and say the system is inherently dysfunctional.
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Absolutely not but to suggest that anyone who doesnât solve that dysfunction in the lifetime of a gov is a failure is a bit of an unacheivable high bar imho.
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Iâm not being obtuse at all, what youâre saying is nonsense. Employment law exists, the constitution exists, the courts exist, the government canât legislate to do whatever it wants, in any area.
Why couldnât Donnelly for instance make sure that all kids waiting for spinal surgery are seen within a reasonable timeframe, no matter the cost, as is their right?
Source availability abroad if necessary, cover their costs of travel and get it done.
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Because they donât give a shit. They are great at making statements but really couldnât a shite. It is scandalous what those poor kids are being put through, this should be a no brainer and should have been a no brainer 7 years ago or whenever it was that Harris made his statement. If they did give a shit this would have been sorted.
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I donât know.
I think the HSE buys a significant amount of private health procedures both inside and outside Ireland so Iâve no idea why certain patients would be excluded from that
You can be sure if it was one of their kids theyâd be sorted in jig time.
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Eamon Ryan would argue differently
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