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Seanad
‹ Order of Business

Doctor recruitment crisis

Summary

Senators Burke and Quinn warn that Ireland’s dependence on non-EU doctors is becoming unsustainable, citing working-time rules, pay and tax pressures as barriers to recruitment and retention.

All those appointed to a board are suitably qualified if they are self-employed and running their own business. It they are able to manage their business, they are well able to serve on a board of directors, regardless of what that board is for.

Comment on this

The issue I wish to raise relates to the health sector. I agree with the remarks made by Senator Mullins. The general doctors issue is getting quite serious and by this time next year we will face a major problem. For the last 15 to 20 years we have been relying on doctors from non-EU countries to come here and apply for the jobs in this country, but the number of doctors from non-EU countries will decrease by up to 50% over the next 12 months. Part of the reason for that is the introduction of the working time directive.

The basic salary of general doctors was reduced four or five years ago. Nobody questioned it at the time because people were getting additional hours of overtime and therefore were being suitably rewarded for their work. Now there is a restriction on the number of hours they can work. Everybody sought that and it is correct, but the basic salary has remained at the same level as five years ago. As a result, the number of doctors coming here from abroad will decrease substantially over the next 12 months, so there will be a major shortfall. We have done absolutely nothing about it. The MacCraith report was published in three separate reports over the last nine months and I submitted a question to the HSE on what is being done on its implementation. There is a serious question as to whether there is a commitment to the implementation of that report.

Another issue in the health sector relates to dieticians employed in hospitals. At present, dieticians employed by the HSE are not required to visit nursing homes. If a person in a nursing home requires a consultation with a dietician, he or she must be taken to attend the clinic at a hospital, at huge cost. Any new dietician who is employed should be required to visit nursing homes. The State is incurring a huge cost with the current procedure. This relates to Senator Mullins's request for a serious debate on all the issues in health with the new Minister. There are many issues we have not mentioned which must be examined and reformed. The employment of dieticians is one such area in respect of how they are employed and their responsibilities to a group of people for whom it is extremely important that they get proper care and back-up support.

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Interestingly, I raised the issue of doctors yesterday and spoke about medical students, the huge tax implications and how it might be possible to overcome that in some way. Unless we solve that, we will be unable to reach a solution for the issues raised by Senators Mullins and Colm Burke. It is a big challenge but it is our responsibility to do something about it.

Some days ago I met a man from Australia who is now living in Ireland. He remarked that while Ireland wishes to establish itself as a leader in high technology, he had noted that our cars use the old fashioned method, dating from 1904 or so, of displaying tax, national car test, NCT, and insurance discs on the front windscreen.

He said that in New South Wales some years ago a modern method to do it was identified. Every police car is equipped with a scanner that can read the registration of every car in the country and they can immediately tell whether the owner has paid the tax, insurance or NCT. If we are trying to lead the world in technology, we are way behind if we do not remove all the old-fashioned ways of measuring compliance regarding cars. Britain is attempting to implement a modern method of identifying cars but is not getting there easily. It is in the interests of efficiency and of Ireland’s image as being involved in technology and we should do it immediately.

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