Ireland-Health Service Executive is a bureaucracy which must be reformed

During Dáil Questions today (Wednesday), the Minister for Health admitted that the number of Grade Eight Middle Managers in the health service had grown by 37% and said she hoped there was scope for voluntary redundancies, according to Fine Gael Health Spokesperson, Dr James Reilly TD. Dr Reilly highlighted the plight of patients awaiting admission to the National Rehabilitation Hospital which cannot now discharge patients because of the health cutbacks.



Interesting to note the use of the word hope by the Minister. The Minister has expressed no concern for frontline staff laid off. No talk of voluntary redundancies for them. No concern for the patients. What are her proposals to halt this madness?



As Minister for Health, Mary Harney must take hard decisions to reduce administrative costs of the HSE. The HSE bureaucratic monster was established by the last FF/PD government to streamline the health service. It could shelter the FF/PD politicians from the backlash which would inevitably occur when hospital closures and cutbacks occurred. Whilst front line services are being cut in places such as Sligo,top executives may get bonuses of around €20,000. The number of Grade Eight Middle Managers has grown by 37% . Can she justify this? Of course not.

The Health Minister is unwilling to admit that patients will be affected by Government-sanctioned health cutbacks. With the onset of Winter the crisis is likely to escalate.

Ireland-Government cut-backs begin to bite

A Winter of discontent is looming in the Irish health service.


Delegates at the Irish Nurses' Organisation (INO) annual conference have passed an emergency motion condemning a ban on recruitment introduced by the Health Service Executive (HSE) earlier this month.
The emergency motion put to delegates in Killarney was in response to cutbacks introduced by the HSE on September 4th in an attempt to reduce a €245 million financial deficit.

Fine Gael Health Spokesman James Reilly TD has condemned the extensive front line job cuts at Sligo General Hospital saying that it was clear that patient care would be adversely affected.
"Cutbacks have been the order of the day since Fianna Fail and the PDs were returned to Government with hospitals in Ennis, South Tipperary, the Midlands and now Sligo particularly hard hit.
"The jobs cut today include 30 nurses and four consultants so once again we are seeing cutbacks hitting front line staff while the bloated bureaucracy within the health service remains untouched."

According to FG TD Joe McHugh:
Fianna Fáil has slashed funding for community childcare groups also. "Under the previous EU-funded programme, all working parents were entitled to funding towards their childcare expenses. But the Fianna Fáil Government has withdrawn this incentive for mothers to enter the world of work. The Government's new scheme penalises working mothers, as only those in receipt of social welfare or family income supplement are entitled to funding. If anything Fianna Fáil, is now encouraging them to go on social welfare."

Funding for rural roads has also been cut. Promises of funding for rural roads undoubtedly contributed to the election of many FF rural TDs. No sooner was the election over than the promise was binned. There is silence from these TDs.

So its hairshirt time once more for an electorate that has given FF a new mandate. On this occasion FF TDs are unlikely to rock the boat. We will have the ritual expressions of concern about cut backs from FF backbenchers. This type of posturing has traditionally served them well when they act simultaneously as Government and Opposition. Vote in the Dail for cutbacks and oppose them locally in the constituencies.

Prior to the election public expenditure escalated out of control as the Government sought a new mandate. It was party time. Now the hangover has set in. The Irish economy resembles a drug addict waiting for the next fix. Unfortunately it is a time for cold turkey .