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Dáil
‹ Order of Business

HSE financial deficit

Summary

Micheál Martin challenges the Government over the HSE’s rapidly increasing deficit and possible patient-service cuts, seeking clarity on a supplementary estimate. The Taoiseach says the Government is monitoring expenditure, while the Chair repeatedly prevents a wider debate.

The HSE's financial deficit more than doubled in February to €56 million. It is now predicted that there will be an overrun of hundreds of millions of euro by the end of the year. It looks like the first-quarter financial deficit - that is, the deficit built up by the end of March - will be €100 million. The Minister told a Cabinet sub-committee last week that the HSE will exceed its allocation before the end of the year, or alternatively will have to face introducing cuts to patient services. He also said it was drawing up measures to punish hospitals that have exceeded their allocations. The House has long accepted the fraudulent presentation of financial figures in relation to health. Over €500 million was produced at the end of last year. The same thing happened the year before. Will the Taoiseach confirm honestly that there will be a significant Supplementary Estimate this year to cover the undoubted overruns that will occur in the health sector because of the fraudulent set of figures that were provided, yet again, in last year's budget for the health services? If one travels out of this House and goes into the hospitals, one will see that morale is at an all-time low in the health services. Staff are fed up with the lack of leadership and direction from the Government. They do not know whether they are coming or going. It seems this House does not know what the financial situation is in relation to health. Can the Taoiseach confirm that a Supplementary Estimate for health will be brought before the House?

Comment on this
Enda Kenny The Taoiseach Fine Gael

The Minister for Health and the Government are very much aware of the situation in the Department of Health and the Health Service Executive, HSE. The claim for demand-led schemes is unknown.

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It is known. It is only one third; it is only €18 million of the €56 million.

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Enda Kenny The Taoiseach Fine Gael

The Minister reported on the expenditure flow for the first two months of the year and is very conscious of that and has already made his comments about management and everybody concerned dealing with expenditure effectively in the patients’ interests. I will not comment on any requirement that might or might not be necessary later in the year but I will confirm that the HSE, the Department, the Minister and the Government are very much aware of the requirement for the effective operation of the health system. The Government made €500 million available last year to cover a shortfall there and added a modest amount to that for 2015. That is being closely monitored at the moment.

Comment on this

Does that mean the Taoiseach is not ruling out a Supplementary Estimate?

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Seán Barrett An Ceann Comhairle Fine Gael

We cannot have a debate about it now.

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The Minister has already said there will be one.

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Is the Taoiseach saying there has to be one?

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Enda Kenny The Taoiseach Fine Gael

That is what Deputy Martin is saying.

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What is the Taoiseach saying?

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Enda Kenny The Taoiseach Fine Gael

I am saying the Minister will monitor the situation.

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Can he monitor it?

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Enda Kenny The Taoiseach Fine Gael

He will monitor it very carefully.

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The Minister told us already that there would be one.

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Seán Barrett An Ceann Comhairle Fine Gael

We are not having a chat across the Chamber. This is the Order of Business.

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We might as well at this stage.

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We are trying to get some clarity.

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