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Dáil
‹ An tOrd Gnó - Order of Business

Health recruitment restrictions

Summary

Deputy Mattie McGrath raised freezes and recruitment restrictions in health, especially for junior doctors and home helps, and pressed for accountability from the Minister for Health and senior officials. The Taoiseach defended the budget process, said the Minister was willing to engage, and argued that recruitment was still up overall in the health service, with restrictions limited to service posts.

I want to raise the serious situation in health. The ink was not dry on the budget when we heard on Friday evening about major freezes in the recruitment of junior doctors, home helps and in all those areas where people are needed at the front line to deal with the most basic needs. Where is the accountability and why do we not have questions with the Minister for Health and Mr. Watt, the Secretary General? This is an outrageous attack on ordinary people. Junior doctors run our hospitals and home helps keep people out of hospitals and safe and healthy at home. They cut the weakest, the lowest hanging fruit, when waste continues in the children's hospital and there is waste across the board, with no accountability.

I know the Minister was buried in the budget, but the chief executive tried to resurrect it on Sunday on national radio. It is shocking that three or four days after the budget, a decision was made last Friday to cut these areas. That is in spite of the agreement the Minister made with those junior doctors last year, in order to avert a strike, that 800 more of them would be recruited. We are facing an ongoing disaster in health into the winter and the Minister is not even accountable to the Dáil about it.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I will come back on a few of the points. To be very clear, the budget is agreed by the entire Government and the entire Government is responsible and accountable for the budget. It is not agreed bilaterally between the Minister for Public Expenditure, National Development Plan Delivery and Reform, Deputy Donohoe, and the Minister for Health, Deputy Donnelly, and any other Minister. The budget was agreed by the Government and approved by the House. That is essentially how it works. I just want to be very clear about that.

The Minister for Health is responsible for the health budget. The Minister for Public Expenditure, National Development Plan Delivery and Reform is responsible for expenditure in the round. Both take questions regularly in the House on matters that pertain to their briefs, and I am sure they will continue to do so.

In relation to the motion on the situation in the Middle East, 200 minutes have been set aside for a debate and discussion on it tomorrow. I think that is a considerable amount of time for people to discuss it. The Tánaiste has engaged with spokespeople and some of the party leaders about the motion.

Comment on this

No, he has not.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I am sure he is happy to engage.

Comment on this

No, he has not.

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No, he has not.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

I am sure he is happy to engage. He has engaged with some and I am sure he is happy to do so again.

Comment on this

He was very selective.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

We believe the motion is balanced and does provide a strong statement-----

Comment on this

Who did he talk to?

Comment on this
Leo Varadkar The Taoiseach Fine Gael

-----on behalf of this House.

Comment on this

Who did he talk to?

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Leo Varadkar The Taoiseach Fine Gael

We hope it will get cross-party support.

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We need to know who the Tánaiste spoke to-----

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Leo Varadkar The Taoiseach Fine Gael

Just finally-----

Comment on this

The Taoiseach should be allowed to speak without interruption.

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-----because what the Taoiseach has said is completely wrong.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

In regard to the recruitment restrictions in the HSE, the HSE still has the authority to hire additional home helps, up to a certain level, and the restrictions do not apply to the private providers which provide most of the home help. To be very clear on doctors, despite the talk and the description that we often hear of a recruitment and retention crisis in the health service, we have seen a surge in recruitment in the past three years. There are more than 20,000 more people working in the health service than there were three years ago, including 2,000 more doctors.

Comment on this

They are not on the front line.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

There are 2,000 more doctors and 6,000 more nurses than was the case three years ago.

Comment on this

There are more managers.

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Leo Varadkar The Taoiseach Fine Gael

The recruitment restrictions do not apply to nursing and midwifery, GPs, GPs in training, consultants and doctors who are on specialist training.

Comment on this

They apply to junior doctors.

Comment on this
Leo Varadkar The Taoiseach Fine Gael

They only apply to service posts. These are not doctors in training. The HSE had authorisation to hire 500, and it hired 770. No public body should hire staff it does not have the authority or the budget to fund. It does not happen in schools, it does not happen in Garda stations, it does not happen in Departments and it should not happen in the health service.

Comment on this

It is somebody else's fault now.

Comment on this