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Showing posts with label HSE overspend. Show all posts
Showing posts with label HSE overspend. Show all posts

Thursday, May 29, 2014

Donie's Ireland daily news BLOG update

The number of female TDs hits a new record high for Dáil Éireann

 

The election of Dublin West Socialist Party TD Ruth Coppinger, as well as Gabrielle McFadden, brings to 27 the total number of women in Dáil Éireann 2014.

There are now more female TDs than ever before, with Fine Gael’s Longford-Westmeath by-election winner Gabrielle McFadden having taken up her Dáil seat today.
195 women were elected to local government last Friday, while six seats remain to be allocated.
There has also been a slight increase in the proportion of Ireland’s female elected members of the European Parliament, with five women and five men having been elected across the three Irish constituencies and one seat still to be filled.
The National Women’s Council of Ireland (NWCI) has welcomed the increase in the number of elected female representatives. They’re  calling on political parties to continue showing their commitment to getting more women involved in politics.
Women in Politics and Decision Making Officer at NWCI, Louise Glennon said: “This is a clear sign that the impending gender quotas legislation is having a positive impact. Women deserve and need to be at the table where decisions that affect all our lives are made.
“The most recent elections have proven a proud moment for all the women who put themselves forward, whether they were elected or not… the increased visibility of women throughout this campaign will encourage more women to stand in the General Elections”, she added.
The election of  Dublin West Socialist Party TD Ruth Coppinger, as well as Gabrielle McFadden, brings to 27 the total number of women in Dáil Éireann.
At present, Fine Gael have ten sitting female Dáil members, namely Catherine Byrne (Dublin South-Central), Áine Collins (Cork North-West), Marcella Corcoran-Kennedy (Laois/Offaly), Regina Doherty (Meath East), Frances Fitzgerald (Dublin Mid-West), Heather Humphreys (Cavan/Monaghan), Helen McEntee (Meath East), Olivia Mitchell (Dublin South), Mary Mitchell O’Connor (Dún Laoghaire) and Michelle Mulherin (Mayo).
The Labour Party have seven female deputies, namely Joan Burton (Dublin West), Ciara Conway (Waterford), Anne Ferris  (Wicklow), Kathleen Lynch (Cork North-Central), Jan O’Sullivan (Limerick City), Ann Phelan (Carlow/Kilkenny) and Joanna Tuffy (Dublin Mid-West).
There are six female independent members of Dáil Éireann, namely Joan Collins (Dublin South-Central), Lucinda Creighton (Dublin South-East), Clare Daly (Dublin North), Catherine Murphy (Kildare North), Maureen O’Sullivan (Dublin Central), Róisín Shortall (Dublin North-West) 
Sinn Féin is represented by Mary Lou McDonald (Dublin Central) and Sandra McLellan (Cork East).
Ruth Coppinger has become The Socialist Party’s Dáil Deputy, while there are currently no sitting female Fianna Fáil members in Dáil Éireann.
Women currently hold 20.5% of the 949 total local election seats across the country, a 3.5% minimum increase on the number of outgoing female local authority representatives.
An urban / rural divide continues, however. Dublin City Council has just exceeded the 30% quota, with 44 men and 19 women, while in Clare just three women were elected to sit alongside 29 men.
According to NWCI Director Orla O’Connor: “We need to see more women and men working towards women’s equality and this can only happen if there are more women at the decision making table.
“We are being told that Ireland is on the road to recovery, yet this is not true for many women. Men leave the Live Register four times faster than women. Employment for women under 35 is falling, even as overall employment improves.
“NWCI looks forward to working with all those newly-elected politicians to advance the issues that will make a real difference to women’s lives and make society better for both women and men”, she said.
Constance Markievicz was the first woman elected to Dáil Eireann in 1919 and was the only female Cabinet minister in Irish history until 1979.

Garda oversight body ‘A defining moment for our force’ 

say’s Noirin O’Sullivan

 

Garda Commissioner Noirin O’Sullivan tells Oireachtas the independent authority brings a chance to rebuild trust.

Speaking before the Oireachtas Justice Committee, interim Garda Commissioner Noirin O’Sullivan said the introduction of the authority could represent a ’defining moment for the force’.
The establishment of an independent Garda oversight authority provides the force with a unique opportunity to reform and renew itself and build public trust and confidence, interim Garda commissioner Noirín O’Sullivan has said.
Speaking before the Oireachtas Justice Committee, which was discussing the new oversight body, Ms O’Sullivan said the introduction of the authority could represent a “defining moment for the force” that could allow it to demonstrate accountability and professionalism are at its core.
The authority was mooted by the Government after a string of recent scandals related to the force emerged.
An Garda Síochána, Ms O’Sullivan said, was already subject to significant oversight from institutions such as the Oireachtas Justice Committee, judiciary and Garda Inspectorate.
She said this was welcome as An Garda Síochána needed to be accountable and the new authority could further enhance confidence in the force. She said the new authority should be guided by what is good for the community and policing.
Ms O’Sullivan said An Garda Síochána was committed to engaging constructively with the Garda Síochána Ombudsman Commission (GSOC) to reach the objectives of the force, adding that she believed gardaí should not investigate other gardaí as independent objectivity was important.
She said the force must be open to internal and external criticism and that “dissent was not disloyalty”.
The expectations society has for An Garda Síochána have changed since the 2005 act was introduced, she said.
Gardaí hold a privileged position and serve with energy, dedication and pride, she added.
Former Northern Ireland police ombudsman Baroness Nuala O’Loan said GSOC had done some very good work since its introduction but there was now an opportunity to enhance it and make it more effective and independent.
Independence and impartiality are key factors for a successful police watchdog, she said, but the act underpinning GSOC does not mention these matters.
She said GSOC should be responding to every individual complaint and should have the power to investigate policy and practice matters.
Baroness O’Loan said it was not sustainable that GSOC could not investigate complaints against the Garda commissioner as it gave the impression accountability was OK for junior members of the force but not their seniors.
She said there needed to be a separation between GSOC and the State and that she could not think of any experience serving officers could bring to the table that retired officers could not.
A provision in the Garda Síochána Act act stating that people who made false or misleading complaints face penalties should be removed as it could deter people from coming forward as they might.
Ronan Brady, journalism lecturer at Griffith College, said the Freedom of Information Act should be extended to An Garda Síochána and that Ireland was unique in the fact it did not cover the police force, which had brought a greater openness in other jurisdictions.
He said it was convenient to believe FOI could inhibit intelligence gathering but this was not the case.

The recently elected ‘Anti-austerity candidates’ could damage the Irish economy’

 
The parties and independent candidates that campaigned on anti-austerity agendas and made gains in the local and European elections could do enormous damage to the economy if they repeated this success at the general election in two years, according to economist Jim Power.
“The thought of its scares the living daylights out of me,” said Mr Power speaking at the Friends First economic outlook presentation in Dublin.
He argued that Ireland is a small open economy that is heavily reliant on attracting foreign investment and skilled labour to work in this country. Mr Power declined to name any parties or individuals in particular.
Rather he cited policies such as defaulting on debt and proposed tax hikes as having the potential to wreak havoc with the economy.
He hoped that last weekend “was a massive protest vote” and that in two years time, before the general election, most Irish people will realise that what these parties and individuals stand for is “totally alien to what we stand for”.
Mr Power, who helped campaign for a local election candidate, found on the doorsteps that the overwhelming source of disaffection among voters were issues relating to the health service and in particular medical cards.
The Government is scheduled to introduce €2bn in budget cuts October 14 agreed with the troika in order to reduce the deficit below 3% in 2015.
Mr Power urged the Government to implement a neutral budget apart from the €500m planned in water charges.
“I would argue that at this stage €2bn could do more harm than good and could cause the Government to miss the budget deficit next year.”
Mr Power has forecast GDP to grow by 2.1% this year and 3.8% next year, with GNP expected to grow by 1.5% in 2014 and 3.2% next year.
He forecasts unemployed to drop to 11.4% by the end of this year and 10% by the end of next year.

Named Irish Hospitals blamed for 75% of HSE overspend

  

Irish hospitals are being blamed for almost three-quarters of the HSE’s budget over-spend in the health authority’s performance report.

The HSE said hospitals had racked up €63m of the €80m deficit at the end of March.
The overall deficit is significantly higher than the €26.7m reported over the same period last year.
Almost 40% of the overspend by hospitals was caused by income shortfalls (€10m) and increased costs of agency staff (€14m).

  The hospitals with the biggest budget overspend are:

  1. University Hospital Limerick €5.9m.

  2. Waterford Regional Hospital €4m.

  3. Mater Hospital, Dublin €3.8m.

  4. Galway University Hospital €3.3m

  5. St Vincent’s University Hospital, Dublin. €2.8m.

The health authority said the National Service Plan clearly showed it was facing the most “severe” financial challenge this year.
The report shows spending over the first three months of 2014 at €2.97bn which is lower than the €3.08bn reported over the same period last year.
However, it only had a budget of €2.88bn for the period which was less than what was spent.
The report points out that the HSE’s budget has been cut by 27% — €4bn over the past seven years.
It said the number of new attendances at emergency units had increased by 8,225 over the first three months, a 3% increases and the number admitted as in-patients from emergency departments had risen by 1,583 — a 2% increase.
Admissions through medical assessment units had risen by 1,250 – 16% higher than last year.
However, the number of people on emergency department trolleys while waiting on a ward bed had decreased by 3% compared with the same period last year.
The number of people admitted for planned procedures is 3% (753 people) lower for the first three months of the year compared with the same period last year.
A total of 24,285 people have been admitted for scheduled hospital care up to the end of March. However, the number of people in hospital on a day care basis is 1% (3,077 people) lower than the same period last year. A total of 202,815 people had been treated in hospital on a day care basis up to the end of March.
At the end of March, 46,000 people were waiting for an in-patient or day care hospital procedure, with one in 10 waiting over eight months.
According to the report, 4,532 children are waiting for an in-patient or day care procedure and almost one in five are waiting more than five months.
There were 16,295 people waiting over a year for an out-patient appointment at the end of March — about 5% of all those waiting. Last year, 17% were waiting more than a year for an appointment.

Zebra finch Songbirds can understand non-language aspects of the Human Speech

  
A study has revealed that songbirds can be trained to understand non-language aspects of human speech. The study proved that zebra finches have the capability to show even more sensitiveness to prosodic variations, like changes in the pitch, volume and duration of spoken syllables, than humans.
It is now believed that the evolution of structured language might have been predated by prosodic features of vocal sounds. The study involved birds that were trained to respond to patterns of human speech syllables. Researchers placed a loudspeaker above their cage so that the birds can listen to sounds.
The birds were tasked to peck a specific key or take no action depending upon the sound. The birds were offered a food reward for a correct response, while 15 seconds of darkness was all they got for an incorrect response.
Both a male and a female speaker uttered two different sequences of four naturally spoken syllables. Also, researchers altered pitch, volume or duration to stress the first or last syllable in each group so as to add prosodic patterns typical of human speech.
The finches performed brilliantly as they not only recognized the changing patterns, but they were able to apply their learning to sequences consisting of new syllables as well.
The findings of the study provided strong evidence that zebra finches are sensitive to the same prosodic cues known to affect human speech perception, said the scientists.
Michelle Spierings, from Leiden University in the Netherlands, led the team of scientists and he reported the findings in the journal Proceedings of the Royal Society B.
“Our results show that sensitivity to prosodic cues is not linked to the possession of language and might have preceded language evolution, possibly originating from a pre-existing sensitivity to meaningful variation in pre-linguistic communicative sounds”, he added.           

Friday, November 29, 2013

Donie's Ireland daily news BLOG

Central Remedial Clinic voluntary donations used to pay Staff top-ups

  

CLINIC GETS €19M IN STATE FUNDING TO PROVIDE SERVICES FOR PEOPLE WITH DISABILITIES

The clinic’s fundraising literature states that although it is largely State-funded, it has a “significant annual shortfall which must be made up through voluntary donations and fundraising”.
The Central Remedial Clinic (CRC) receives €19 million a year to provide support to thousands of children and adults with disabilities.
The clinic’s fundraising literature states that although it is largely State-funded, it has a “significant annual shortfall which must be made up through voluntary donations and fundraising”.
It adds: “Your support is vital, without it the Central Remedial Clinic would not be able to deliver such high standards of service.”
A charity linked to the clinic – the Friends and Supporters of the Central Remedial Clinic – raises about €2 million for the organisation each year.
Most of the money raised by the Friends and Supporters organisation is generated from a lottery that is administered by the Care Trust.
Donors to the lottery are invited to make monthly contributions, either by direct debit or credit card, starting from €3.50 a month upwards.
Yesterday, the CRC confirmed that some of the funding generated by the Friends and Supporters organisation was being used to pay top-up allowances to senior staff in the clinic.
Large projects
However, it said most of the money had enabled the clinic to fund a large number of capital projects, such as services in Waterford, Limerick and Dublin.
Accounts for the Friends and Supporters company state that its aims are to “distribute [lottery] funds in accordance with its objectives” and that it intended to “continue to support the Central Remedial Clinic Clontarf and other services for people with physical disability”.
Separately, the CRC also invites potential donors on its website to become a “friend” of the organisation for a minimum subscription of €50 a year.
“In doing so, you will be supporting the clinic’s work for children and adults with physical disabilities and helping to maintain the high standard of services for which we have become renowned,” it states.
High profile
The clinic is also involved in a range of other high-profile fundraising events such as the Santa Bear appeal and a comedy night.
There is no evidence to suggest these funds are being used to make top-up
payments because the clinic has declined to comment beyond the activities of the Friends and Supporters organisation.
Overall, the clinic is acknowledged to have played a vital role in improving the lives of children and adults with physical disabilities since it was established in the 1950s.
Today, the Central Remedial Clinic has expanded to include services in the greater Dublin area, as well as Waterford and Limerick.

Irish Government told HSE overspend could be as much as €300m

 

Health agency says deficit may be double Minister for Health’s estimate in worst-case scenario

The Health Service Executive has told the Government that in a worst-case scenario its financial deficit for this year could be close to €300 million, significantly higher than previously stated.
The director general of the HSE, Tony O’Brien, warned the Department of Health and the Department of Public Expenditure and Reform last month that its latest cash forecasts were indicating a net revenue deficit for the year of about €286 million.
In official correspondence, seen by The Irish Times, he also said this figure could rise as it assumed that funding outside the HSE’s control, such as the receipt of income from the British authorities for citizens treated in Ireland, would come in on target.
The correspondence said that in September receipts from the British department of health were €25 million behind expected levels.
Some Government sources maintained that the potential €286 million deficit did not take into account any additional savings that could be generated before the end of the year or any reduction in the rate of spending in the health service.
Minister for Health James Reilly had forecast after the budget last month that the HSE deficit could be about €150 million this year.
Financial projections 
A spokesman for Dr Reilly last night declined to comment on the HSE’s financial projections on its potential deficit for the year.
One key element in determining ultimately whether the HSE deficit for the year will be close to the €286 million worst-case scenario or nearer the Minister’s estimate will be whether €104 million in accelerated cash receipts earmarked from health insurers actually materialises.
Over recent weeks there has in effect been a stand-off between the health insurance industry and the Department of Health over this issue.
The industry has linked the issue of the €100 million in accelerated receipts to reforms for charging insurers for private patients treated in public hospitals, which the Minister wants to introduce from January.
Fee structure
The Minister said a new fee structure he is seeking to put in place was aimed at generating €30 million in revenue.
Insurers have contended the new fees would realise far more for the Government and have maintained that independent assessments on the issue, which the Minister had sought, had validated their position.
The representative body for the sector, Insurance Ireland Health Insurance Council, yesterday said the current proposed rates would raise an additional €130 million for the HSE rather than the €30 million announced by the Minister.
The council said this represented an additional €100 million over and above the amount planned for and was completely unacceptable.
“These charges come into effect on January 1st, 2014, and if left unchanged they will result in private health insurance customers again having to pay more for their health insurance,” it said.
The exact level of supplementary funding to be provided by the Government to the HSE is likely to be decided formally over the coming week or so and will be debated in theOireachtas in December.
The Department of Health is considering the HSE’s service plan for next year, which was scheduled to produce cuts of between €666 million and €1 billion.

M.A.P. Pill may not work for heavy women

 

IRELAND’S only over-the-counter morning-after pill is being reviewed by the Irish Medicines Board (IMB) after a manufacturer said it would not work for women who weigh over 12-and-a-half stone.

Two pills are under review – Levonelle which is available on prescription and Norlevo which is the over-the-counter product accessible here.
Levonelle is also less effective for women weighing more than 11 stone 11 pounds.
The average Irish woman weighs 11 stone and the new findings mean women who have taken emergency contraception could still fall pregnant.
DATA: “The Irish Medicines Board together with its EU counterparts is also currently reviewing the available data on this issue,” said the IMB in a statement.
Alison Begas, CEO of the Dublin Well Woman Centre, told the Herald there is an alternative drug women can take.
Ella One, a five-day emergency contraceptive pill which is only available on prescription, is 99pc effective and works as well on day five as it does on day one.
The two drugs under scrutiny are only 95pc effective on day one and after 24 hours the effect diminishes to 58pc. Also available is a five-day post-coital coil which must be fitted by a qualified doctor.
The alarming news, an-nounced by manufacturer HRA Pharma comes only two years after over-the-counter emergency contraception was made available here.
A number of pharmacies contacted were not aware of the recent medical development.

Dad-of-two makes full recovery after dying 17 times

 

John Gilmartin studies a photograph of hospital medics working to save his life

A man whose heart needed restarting 17 times is making a recovery after doctors carried out an emergency operation on him in an A&E department.

John Gilmartin (41) from Derby in England had his heart restarted 11 times on the way to hospital and a further six times at Royal Derby Hospital.
Doctors operated in the A&E department’s resuscitation room. They also carried out a procedure to fit a miniature pump in Mr Gilmartin’s heart while he was still in A&E — in what has been described as a first for the hospital.
Mr Gilmartin is recovering at home with wife Sally and children Jade (11) and Jack (14).
He told ‘The Derby Telegraph’: “I can hardly remember any of it but I’m so grateful to be alive. I remember nothing until I woke up in intensive care. The whole thing is so surreal.
“It’s a complete blank until intensive care — I had no idea what had happened.”
Mrs Gilmartin said: “He woke up that morning and he was fine — he went to the shop, came back and went upstairs.
“It was when he came back he said he wasn’t feeling very well and I noticed his face was drained of colour.
“He went outside for a bit of fresh air but then he was sick down the drain, so I told him to go and lie down.
“The next thing, he’s lying on the bed all stiff and purple, with his eyes in the back of his head, and I’m shouting, ‘John! John!’ at him but getting nothing back.
Dr Gareth Hughes, who worked on keeping Mr Gilmartin alive, said that in repeated-resuscitation cases the patient nearly always suffers neurological damage.
He said: “It’s incredibly unusual to have such a successful outcome that not only did he survive but survived completely neurologically intact.
“The fact that he’s quite young and probably has reasonable cardiac functions has helped him in this case in that we were able to recover it.”

Did the comet ISON flame out on its trip around the sun?

   
Like Icarus, comet ISON appears to have flown too close to the sun and broken up in its corona.

Scientists had hoped that the comet from the farthest reaches of the solar system would be able to slingshot around the sun Thursday and emerge streaming a tail visible to the naked eye next month.
But after NASA telescopes tracked the comet plunging into the sun’s corona, no evidence of it emerged on the other side. Scientists said they would continue to analyze imagery from the telescopes for signs of the comet or debris from it breaking up.
“At this point, I do suspect that the comet has broken up and died,” says Karl Battams, a comet scientist for the Naval Research Laboratory, who joined a NASA and Google+ chat from Kitt Peak Observatory in Arizona. “Let’s at least give it a couple of more hours before we start writing the obituary.”
Even if the comet broke up, it offered a very rare opportunity to see how one of the oldest objects in the solar system interacted with the sun’s magnetic field.
The comet originated in the Oort Cloud, a region halfway from the sun to the next closest star. Scientists say comet ISON would have been nudged by gravity from other stars into its 5-million-year plunge toward the sun.
But while scientists have tracked other comets from the Oort Cloud, Battams said this one was the first in recorded astronomy from so far away that passed so close to the sun, passing the sun at a distance of about 1 million miles.
“This is a spectacularly rare event,” Battams said. “We have no idea when we’re going to see something this amazing again.”
The reason scientists study comets is to find out what they contain because they were born along with the solar system 4.5 billion years ago. When comets pass close enough to the sun, their ice melts away and dust gives off signals that describe its composition.
Even if comet ISON evaporated and broke apart near the sun, its behavior in the sun’s magnetic field will help scientists understand more about both comets and the sun.
“This gives us an opportunity to see and study these magnetic fields in a way we normally couldn’t do,” said Alex Young, a solar physicist at NASA’s Goddard Space Flight Center. “Nature is giving us this unique opportunity to study these magnetic fields.”
ISON, pronounced ice-on, stands for International Scientific Optical Network. It was discovered in September 2012 by a pair of amateur astronomers in Russia.
Two NASA telescopes that tracked the comet’s approach to the sun were called SOHO, for Solar and Heliospheric Observatory, and SDO, the Solar Dynamics Observatory.
SOHO has a metal coin that blocks out the sun’s direct light, so that the corona of fountains of magnetic field can be seen splashing off the sun. Comet ISON was visible in SOHO’s red-and-blue images as it approached the sun with a long tail.
But as it approached its closest point to the sun at 1:48 p.m. ET, the half-mile point of the comet faded and the tail thousands of miles across became fuzzier. That suggested it might have broken up.
“We’re not really seeing the head of the comet,” Phil Plait, an astronomer and author who writes for Slate’s Bad Astronomy blog, said of a SOHO image taken at 12:24 p.m. “That to me looks like the \\nucleus broke up.”
SDO, which showed the sun in ultraviolet light as a smoldering yellow marble, glimpsed comet ISON racing toward the sun. But as SDO shifted to watch the comet reappear on the other side, ISON never showed.
This was puzzling because Dean Pesnell, a solar physicist and project scientist for SDO, said even if the comet broke up, its remains should have been visible in the magnetic field for 45 minutes.
“I’d like to know what happened to our half-mile of material that was going around the sun,” Pesnell said of the comet. “We should be able to see something.”
Scientists said they would continue to review images from 11 telescopes worldwide that tracked the comet, to learn what became of it and learn more about the sun.