Man kann gar nicht soviel fressen wie man kötzen möchte!
Max Liebermann, Deutsche Maler.
What's going on here?
http://www.irishtimes.com/newspaper/...320450877.htmlTAOISEACH ENDA Kenny will today hold talks with the chief executive of the HSE Cathal Magee whose resignation earlier this week has led to reports of tensions within the Government.
Mr Magee had requested a meeting with the Taoiseach in his letter of resignation which was sent to the secretary general of the Department of Health last Friday.
In an extract from the letter released last night by the HSEs national director of communications Paul Connors, Mr Magee said he would “welcome an opportunity to meet with An Taoiseach before the new legislation governing HSE governance was published”.
The Department of Health has refused to publish the full letter.
the another new other boss at the department of health
The new Director General of the health service is to be Tony O' Brien, who currently heads up the Special Delivery Unit at the Department of Health.
Mr O' Brien has been directly appointed by the Minister for Health Dr James Reilly, to whom he will be accountable.
The Irish Times returns to the HSE deficit story and the Cathal McGee resignation. McGee is claiming that the Dept of Health did not respond to his requests for directions on policy:
http://www.irishtimes.com/newspaper/...ce=twitterfeedTHE DEPARTMENT of Health failed to act as the financial position in the health service deteriorated over recent months, HSE chief executive Cathal Magee has claimed.
In letters to the Department of Health, Mr Magee repeatedly pressed for decisions to be taken and policy directions to be given to deal with the financial position.
In early April he said guidance was required from Minister for Health James Reilly and the Department of Health to the HSE on how projected overspending would be financed and how cost-cutting would affect services.
A number of consultants are receiving allowances in spite of the fact that they no longer hold the posts,
alsoFifty-five acting clinical directors receive an annual allowance each of €46,000, amounting to a total of €2.53 million, figures released to this publication under the Freedom of Information Act reveal. Furthermore, 15 former hospital clinical directors are receiving €43,000 per annum for retaining “additional sessions”, amounting to €645,000 in 2012.
http://medicalindependent.ie/page.as..._in_allowancesAccording to the figures supplied to MI by the HSE’s Office of the National Director of Finance, the nation’s 2,580 consultants earned just over €39 million in allowances this year. This figure is higher than the figure cited by HSE Director General Designate, Tony O’Brien at last week’s Public Accounts Committee meeting.
Well I never PAC being given incorrect figures or are they stored in a different file ?
Thomas Jefferson : Banking Establishments are More Dangerous to our Liberties than Standing Armies.
surely some mistake
Interesting analysis from Sara Burke on past, present and future policy.
Speaking at FF organised conference
Free GP carethe Programme for Government does seek to introduce a one tiered health system where access is based on need not ability to pay. No government has ever tried to do that. There are many problems in the Irish health system but the biggest one in my opinion is the unequal access for public patients where access is often determined by ability to pay not medical need.
And with my health policy analyst hat on that was your biggest crime in health during 14 years in government that you never even tried to create an even playing field for public patients and in fact much of what happened while Fianna Fail and the PDs but also the Greens were in government was to exacerbate the two tier system.
You oversaw the health system between 1997 and 2007 when health spending quadrupled from €4 to 16 billion yet you did not even attempt to introduce a universal health system. You failed to introduce a common waiting list for all patients in Quality and Fairness which would have been the first crucial step to undo the apartheid that currently exists within the health system. Then when the consultants contract came up for negotiation, which took four years to agree, you negotiated and agreed a contract which fuelled rather than undid that inequality.
Critically the government have failed to deliver on free GP care for the 70,000 people on the long term illness scheme. Speaking at the launch of their strategic framework last week, Alex White confirmed that none of the extra staff would be delivered this year but they would be next year as would the extension of free GP care. He said he was working closely on the legislation which was going to extend free GP care through the GP only card for those on certain illnesses. However to do any of this they need to negotiate a new contract with GPs and as of last week these negotiation had not begun. Whether the much required additional staff will be delivered, free GP care extended and a new contract negotiated remains to be seen.
The Primary Care Centre debacle is another worrying example of current government form. The details of this were well washed in public but in short Roisin Shortall and the HSE developed criteria largely based on deprivation to decide the location of PCCs. This then went into the minister’s office and came out as a very different list, crucially with two PCCs in his constituency in the top 25 although even though they had been no way down on Shortall’s list.
Today’s Irish Times confirms that the criteria do not exist and the locations of Balbriggan and Swords were a political choice rather than made through a rigorous evidence based selection process.
The SDUwe pay more for drugs than most other OECD countries – this is largely due to bad deals negotiated under your reign. But as you say, ‘we are where we are’ and this government committed to ‘bring down the price of drugs’.
The HSE 2012 Service Plan planned to save €112 million on drugs in 2012, a PQ response to Tommy Broughan in October specified that the new agreement with the IPHA would save €16 million this year, €116 next year, €136 in 2014, €150 in 2015. However it also specifies that the costs of new drugs allowed for in the deal is €210 million over three years which means that the net savings between 2012 and 2015 is €96 million. If form is anything to go on, even this €96 million saving for next three years is ambitious.
Actions to date have failed to drive down the cost of care and the current plan is just not viable if the cost is not driven down.
Quite clearly the fact that the HSE was €399 million over run on a service plan and budget agreed and signed off on by the minister is evidence of this. Despite multiple denials of the need for a supplementary budget, we hear this week that there will be one.
Minister and Department of Health reclaiming powerWe constantly hear James Reilly say that there are 23% fewer people on trolleys in EDs in the first 9 months of this year when compared to last. And this is true, However, there were still 45,000 people waiting on trolleys during this time. And they do not publish figures about how long people wait in EDs despite having a 6 hour max target.
There is also some progress on waiting times. In September 2011, there were 2,435 people waiting over nine months for treatment, on 1 October 2012, there were 415, the target was not achieved but the numbers were significantly reduced. And also there were reductions in those waiting over three months (from 14,078 to 12,782) and six months (from 8,728 to 6,907). These are positive developments.
However, the waits are still too long and do not include the 385,462 people waiting for that initial appointment with a specialist. These new figures also show that of these 46,000 were waiting over two years for this initial appointment and over 11,000 waiting over four years. These figures are a damming indictment of the failures of Fianna Fail in government.
Hospital groupsThis has happened in a very pro active way. James Reilly has handpicked his overpaid advisors, the new DG designate Tony O’Brien, there is a new secretary general of the Dept of Health, a new CEO and chair of the VHI board, a new minister of state for primary care – you could call it a purge of all health leaders who perhaps had different ideas to the minister.
Not only that but much of the power that lay with the HSE is being brought back into the Dept of Health. There are many reasons to be critical of the HSE but it did take the politics out of health. If you ask me much of what James Reilly has been doing is putting the politics back into health. This is evident in his handpicking of the people around him, of the selection of primary care teams and what might prove most critical, the determination of hospital groups.
The government promised a report on the role of small hospitals before last summer. It is now promised that it will be published when the minister publishes the report on hospital groups, which crucially is meant to determine which hospitals will be grouped with which but also which services will they provide.
We have seen the reaction to people in Waterford and Navan in this respect. I recently asked when the report would be published and what criteria were being used to determine their role and location and I got the following answer
The Prof. John Higgins Group will be reporting to the Minister in November. The report will be submitted to Government for consideration before the end of the year. The Government will decide the make-up of the Hospital Groups. The objective is that they will be formed as early as possible in 2013.
The Government will decide the make-up of the Hospital Groups. To me this is terrifying because it opens the door or pushes it further open for political interference, for health policy that is not based on need or evidence but purely on the whims of a minister who has shown himself to blunder and bluster his way through so called health reform.
Good news for anyone overpaid on the Dole
Visitor ban in Limerick due to a novovirus outbreak
- Friends of the Irish Environment, 28.04.2003"The land Coillte Teo is now selling for development was given to them by the State in 1988 to ensure that our woodlands were run commercially, not to enable them to sell the family silver to service bank loans".
http://medicalindependent.ie/22081/w..._face_reprisalA confidential whistleblower phone line operated by Transparency International Ireland has received a significant number of calls from health service staff who say they have suffered retaliation for reporting concerns to managers or outside bodies, the Medical Independent (MI) has learned.
Health complaints make up the largest proportion of calls to the Speakup service since it was set up in 2011
Comprehensive piece from Sara Burke on the new medical card regime
TDs asked 1,215 medical card parliamentary questions last year
FF out in front of course http://www.medicalindependent.ie/248...ions_last_year
Barry Cowen is gombeen King asking 100, John McGuinness 86