Healthcare Policy Dail Éireann — 2026-04-21 ============================================================ David Cullinane (SF), Waterford I could not agree more. I have been saying this for a long time. I am a big supporter of the surgical hubs. There is one coming in my own constituency adjacent to University Hospital Waterford, so I know the difference that will make. I fully agree that we have to look at how to take pressure away from our acute and major hospitals, for example, more off-site rooms for outpatient activity where we can free up clinical space. I am in favour of all of that. I am fully on board with a seven-day-week health service. I want all of that to happen, but for the efficiencies to happen, there also have to be the resources. While the surgical hubs will be a game-changer, I can tell the Minister for a fact that the elective hospitals will be an even bigger game-changer. I am saying that to her because there will be push-back from consultants. I have got it in relation to the elective hospitals. They want the low-lying fruit still in public hospitals. It is why insourcing was so profitable and something they were trying to protect. We have to protect public patients, get value for money and efficiencies but also reduce waiting times. I guarantee that if the elective hospitals are built, the Minister will see some of those wait times in orthopaedics and other areas come down rapidly. It will be the biggest reform that could be made in the health service. --- Source: Houses of the Oireachtas. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). The Official Report is revised after first publication; the fetch timestamp below identifies the version quoted. Record URI: https://data.oireachtas.ie/akn/ie/debateRecord/dail/2026-04-21/debate/main Retrieved: 2026-09-21T01:01:08+00:00 Sitting date: 2026-04-21