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Dail Éireann · 2024-06-13

Health Services Staff

FF Stephen Donnelly · Wicklow · Minister for Health

Party shown is the one held on 2024-06-13, frozen at parse time — not the speaker's party today.

Summary of this debate

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Probably one good example is public health nurses in CHO 7. In CHO 7 in Clondalkin and Lucan, there are no public health nurses whatsoever. I got a response to a parliamentary question on why public health nurses could not be recruited and the reason was that new public health nurses just could not be recruited into that area.

If you do not have public health nurses looking after young children or elderly people, this will have a really bad effect on public health. There are parts of the country where they have found it very difficult to recruit or replace public health nurses. Public health nurses are doing essential work with infants and with older people.

Built by scoring every sentence in the debate on how distinctive its language is, then quoting the highest-scoring ones back word for word and in the order spoken. Nothing is paraphrased or invented — if a sentence appears here, it was said in the chamber. Drawn from 318 words across 7 contributions by 3 speakers.

Most used terms in this debate

How often each word appears across the whole debate, ranked by how distinctive it is to this debate rather than common to all parliamentary language.

nurses 12
health 12
midwifery 3
hse 6
public 10
salaries 3
cho 3
nursing 4
embargo 2
developmental 2
parts 4
spite 2

The full debate

All 7 contributions, start to finish, in the order they were made. The one you came here for is highlighted.

PBP Gino Kenny

I will be happy to get the Minister's answer on this question, so I will skip my 30-second introduction.

FF Stephen Donnelly

I want to make sure I am addressing the correct question.

CC Catherine Connolly

It is Deputy Paul Murphy's question on nursing vacancies.

PBP Gino Kenny

I am taking his question as well, just to make things more complicated.

FF Stephen Donnelly this contribution

The number of nurses in our health service has been increasing dramatically in the lifetime of this Government. Since January 2020, right across the health service we have increased the number by almost 29,000 whole-time equivalents. It really has been a huge increase. Deputy Murphy asked specifically about nurses and midwifery. In the lifetime of this Government, the nursing and midwifery workforce has grown by nearly 10,000. This has been much needed and they are doing huge work. A 10,000-person increase in nursing and midwifery staff is very significant.

When it comes to the embargo, it is so frustrating. We funded the HSE last year to increase the workforce by 6,000, a record number. The HSE did not stop at 6,000; it kept going to increase the number to 8,000. We now have more than 2,000 extra staff in the HSE for whom there is no funding for their salaries. Obviously, we are still paying their salaries, but there was no funding allocated for their salaries so action needed to be taken. It may come as a surprise to many that, in spite of the embargo which we want to resolve and move away from as quickly as we can, actually, the number of nurses in the HSE this year has increased by about 500. For certain posts where somebody might have retired or resigned, a hospital might be told a post cannot be filled for now, although we know they are using agency workers at a level they have never used them before either, so a lot of agency staff are being brought in for those posts.

In spite of that, there are 500 more nurses working in the HSE today then there were on 1 January. I will come back on this in my response.

PBP Gino Kenny

I thank the Minister. In certain areas, there are pressures on staff. Probably one good example is public health nurses in CHO 7. In CHO 7 in Clondalkin and Lucan, there are no public health nurses whatsoever. This is very worrying. I got a response to a parliamentary question on why public health nurses could not be recruited and the reason was that new public health nurses just could not be recruited into that area. That is extremely worrying. If you do not have public health nurses looking after young children or elderly people, this will have a really bad effect on public health. I have spoken to the Minister of State, Deputy Butler, about this and it is one area that has to be addressed and that gap closed off for public health nurses, not only in CHO 7 but in other areas as well.

FF Stephen Donnelly

I thank the Deputy. I fully agree, and we had a debate with his colleague Deputy Smith recently on exactly this. There are parts of the country where they have found it very difficult to recruit or replace public health nurses. It is not something that can be allowed to stand. Public health nurses are doing essential work with infants and with older people. We cannot have babies for whom the developmental checks are being missed. We cannot have mums and dads who cannot avail of the supports for their babies that the public health nursing teams provide. I do not disagree with the Deputy that there are parts of the country and of Dublin where it has been very difficult. The point we made last time was that this was the inverse care law at play. Parts of the population who need the most help are actually getting less than other parts of the population. It is something I have asked the HSE to look at as a matter of urgency and to look to redeploy or bring in cover if necessary. We simply cannot have a situation where developmental checks, for example, are being missed.