The Irish Hospital Consultants Association say that if the Government does not remedy the pay problem Ireland will have lost, in another decade, most of a generation of the specialists that the country absolutely needs. Photograph: The Irish Times

Future of public hospital care at stake unless Government acts, says specialists’ association

Top Consultants

Doctors say Government tabled no concrete proposals at talks on Wednesday

The National Ambulance Service dispute centres on representation rights and the deduction of union subscriptions from members’ pay. File photograph: Alan Betson

Dispute centres on union representation rights and deduction of subscriptions

Taoiseach Leo Varadkar said pay restoration for section 39 staff was not a straightforward issue “but it is one we want to resolve”. Photograph: Gareth Chaney/Collins

Pay rise in January would be backdated to October under proposals put to unions

British Council chief  Ciaran Devane was also a former member of the board of NHS (National Health Service) England.  Photograph: Brenda Fitzsimons

British Council chief Ciarán Devane will head up new board overseeing health executive’s operations

Bus Éireann staff may strike in a dispute over pay, the NBRU has warned. Photograph: Dara Mac Dónaill/The Irish Times/File

NBRU general secretary says employees have not had wage increase in more than 10 years

Minister for Health Simon Harris. The Department of Health papers note that “a key issue for health agencies, where unfunded pension liabilities are recognised, is the absence of a matching pension asset”. Photograph: Brian Lawless/PA Wire

Voluntary providers could receive court orders if they continue with current practices

IMO president Dr Peadar Gilligan warned overcrowding will remain an issue if recommendations are not followed. Photograph: Shane O’Neill/ SON Photographic

IMO president Dr Peadar Gilligan tells conference health service is not ‘a black hole’

The  president of the Irish Medical Organisation (IMO), Dr Peadar Gilligan, pictured at a conference on access to healthcare  in Croke Park on Saturday. Photograph: Shane O’Neill/ SON Photographic.

President of IMO says right ‘level of diplomacy was not shown in all of the cases’

Highly placed sources within the HSE say the overrun this year could be between €750 million and a worst-case scenario of €1.1 billion.  Photograph: Alan Betson

Day-to-day HSE spending and insurance firm practices main culprits behind overspend

Funding pressures could mean the  new National Children’s Hospital will be delayed

Health service facing €110m funding gap as overall deficit forecast to reach €1.1bn

Minister for Health Simon Harris: The Department  refused on a number of occasions in recent weeks to say what projects could be affected by the current capital funding pressures. Photograph: Nick Bradshaw for The Irish Times

Minister warned Paschal Donohoe that Government capital plan was “unbalanced”

Thousands of Siptu members in State-funded organisations providing health and social care have deferred a one-day strike in a dispute over pay restoration.

Siptu decided to call off planned stoppage after intervention of Simon Harris

Taoiseach Leo Varadkar: is “embarrassed” for medical profession in wake of  Dr Gabriel  Scally’s report into the CervicalCheck controversy.  Photograph: Gareth Chaney Collins

Varadkar says attitude of medical staff ‘knowing best’ goes beyond CervicalCheck

The Garda Representative Association says the new legislation would “only partly address existing deficiencies in industrial relations legislation governing An Garda Síochána”. File photograph: Gareth Chaney/ Collins

Garda body says planned new industrial relations legislation has inherent defects

 Dr Gabriel Scally during the launch of his report into the CervicalCheck screening programme, in Dublin on Wednesday. Photograph: Gareth Chaney/Collins

System ‘doomed to fail’ due to ‘demonstrable’ governance deficit, report says

Dr Gabriel Scally during a media briefing at Buswells Hotel, Dublin on Wednesday. Photograph: Brian Lawless/PA Wire

Dr Gabriel Scally recommends statutory duty of candour on individuals and organisations

The Irish Medical Council said it would it carefully consider the Scally report.  Photograph: David Sleator/The Irish Times

Council urged to strengthen guide to put practice of open disclosure beyond doubt

Dr Gabriel Scally yesterday briefed Minister for Health Simon Harris ahead of the publication of his 200-page report on Wednesday. File photograph: Dara Mac Dónaill

Review of Cervical check system says there was a whole system failure

Some northern line commuter services are no longer stopping at Portmarnock or Clongriffin. Photograph: Bryan O’Brien

Shorter carriages on more frequent services blamed for lack of capacity, overcrowding

IMO president Dr Peadar Gilligan said the level of anger among doctors about this issue made a strike more likely. Photograph: Shane O’Neill

Doctors claim pay differential could rise to €50,000 per year for those hired after 2012

 INMO director of industrial relations, Tony Fitzpatrick said: “The recruitment and retention crisis is deepening, with hundreds of nursing vacancies in hospitals across Ireland.”   Photograph: Frank Miller

Lunchtime protests over staffing to take place in Limerick, Cork and Galway

Minister for Health Simon Harris indicated he wished to see new powers for the minister under law to supervise hospitals. Photograph: Brian Lawless/PA Wire

Minister says he remains concerned about circumstances of death of Malak Thawley

Row centres of representation rights and the deduction of union subscriptions

The Public Service Pay Commission recommended a 20 per cent increases in some nursing allowances and improved access to some promotional posts. Photograph by Frank Miller

No generalised problem recruiting and retaining nurses and midwives, report says

INMO general secretary Phil Ní Sheaghdha: ‘Without progress, our members will be forced to examine other alternatives.’ Photograph: Lisa Moyles

Less than half of nurses would benefit from recommended €20m pay improvements

The Public Service Pay Commission report was considered by Cabinet in Tuesday and is expected to be published today.

Public Service Pay Commission says there are difficulties hiring hospital consultants

Masters in their field: John Whelan and Eamonn Tracey

Second Irish competitor takes silver at championship in Germany

Irish Congress of Trade Unions Patricia King said workers in Section 39 organisations had their pay cut in line with cuts imposed on workers in the public sector. Photographer: Dara Mac Donaill

Siptu members planning stoppage on September 18th

 Minister of State for Disability  Finian McGrath said the Government wanted to acknowledge the incredible work carried out by carers and to say thank you. Photograph: Gareth Chaney Collins

Up to 14,000 people to benefit from initiative

A picket on Lloyds in the Nutgrove Shopping Centre.

Employees opting to leave to receive 5 weeks pay per year of service, capped at €100,000

duonurse

Nursing unions threaten industrial action unless Government comes up with pay plan

Phil Ní Sheaghdha, head of the Irish Nurses and Midwives Organisation. The INMO this week set the Government a one-month deadline to produce a “serious pay offer”. Photograph: Nick Bradshaw

Issues of pay restoration and two-tier system could fuel industrial unrest in key sectors

 Under current plans the date of the inauguration on November 11th clashes with the centenary anniversary of Armistice Day, the ending of World War One.   Photograph: Frank Miller

Taoiseach spokesman says he is ‘committed’ to marking Armistice

INMO President Martina Harkin-Kelly said if the Government did not make a serious pay offer by September 26th, the 300 delegates at its special conference in September would face a stark choice.  Photograph: Cyril Byrne/THE IRISH TIMES

INMO to consider other means to pursue claim if no proposals emerge in September

The processing delays stem from a dispute between the Department  Social Protection and GPs over the introduction of new illness certification forms in recent weeks. Photograph: iStock

Social protection staff warn of industrial action as some doctors refuse to use new forms

Ireland East Hospital Group said the patient in question presented to the Wexford hospital on August 7th and then admitted to the hospital with a gastrointestinal complaint. Photograph: Cyril Byrne

Hospital group says risk of ‘further contagion’ low and all protocols had been followed

INMO general secretary Phil Ní Sheaghdha: “We’re more than halfway through 2018, and the HSE still hasn’t confirmed how many new nurses and midwives they plan to hire this year.” Photograph: Dara Mac Dónaill

INMO warns failure to tackle recruitment and retention issues will hamper health reforms

 Connolly Hospital, Blanchardstown, is  known technically as a level III hospital. Photograph: Bryan O’Brien

Connolly needs to be upgraded to level IV hospital before Rotunda’s relocation

The Rotunda Hospital. Photograph: David Sleator

Warning comes after outbreaks of infection in neonatal intensive care unit

Róisín Shortall, Social Democrats TD and a key author of the Sláintecare reforms, maintains  abolishing cross-subsidisation of private practice in public hospitals would offset the loss of the €600 million in income currently generated from fee-paying patients. Photograph: Eric Luke

Plans to remove private care from public hospital practice prompt stark anxieties

“One is more likely to be seen by a consultant if one is a private patient, and more likely to be treated by a more junior doctor if a public patient.” Photograph: Getty Images

Submission to Sláintecare expert group says there is an economic incentive in the public hospital system to treat private patients

The HSE says Sláintecare proposals would effectively eliminate all private inpatient and day-case work for 1,789 consultants who have contracts which allow them to carry out limited private practice on  public hospital sites. Photograph: Patrick T Fallon/Bloomberg

Elimination of private practice in public hospitals to pose financial complications

The Rotunda Hospital says  about 2,400 patients  at the hospital  opted for private care annually, and this generated accommodation income from insured patients of over €11m  annually over recent years

Hospital says State may have to triple salary level to recruit leading obstetricians if it removes private practice from public ho(...)

The Health Insurance Authority said Sláintecare would require a substantial increase in current Government spending on healthcare, and that this would almost certainly lead to a rise in taxation

State insurer says it does not believe Sláintecare recommendations will lead to a substantial reduction in hospital waiting lists

Health committee chair Róisín Shortall TD with health committee members during the launch of the Sláintecare  report in May 2017. Photograph: Gareth Chaney Collins

Insurer says removing private care from public hospitals will close cheaper plans

Ictu said that advances in technology meant many workers are now exposed to longer working time by being reachable outside of office hours. File photograph: Getty Images

Labour Court awarded €7,500 to woman who had to check emails as late as midnight

The Irish Nurses and Midwives Organisation said the HSE is “sleepwalking into yet another winter crisis”. Photograph: Frank Miller/The Irish Times

INMO says highest level of overcrowding for month of July recorded since records began

Tourists at the Molly Malone statue in St Andrew’s Street in Dublin. Photograph: Alan Betson

Department of Finance says rate has cost €2.6bn since its introduction during recession

Paul and Ruth Morrissey. Ms Morrissey was forced to take the witness stand for two days last week and deliver  personal testimony about her pain and the impact of her terminal illness on her young daughter. Photograph: Collins Courts

Legal ‘aggression’ by laboratories in recent weeks has caused surprise

Nursing representatives also argue that pay rises are required both to encourage new graduates to join the public health system and to incentivise those already in post to stay there.

Unions argue that Ireland is losing workers to other countries with better salaries

Medical organisations have estimated that the number of vacant consultant positions could be up to 450. Photograph: Thinkstock

Largest hospital in the south, Cork University Hospital, has 33 vacant positions

Ryanair passengers line up to check in their luggage at Valencia airport during the day of cabin crew strike held in several European countries on Thursday. Photograph: Heino Kalis/Reuters

Ryanair has cancelled 20 of its 300 planned flights to and from Ireland next Friday

Workers at Lloyds Pharmacy in Nutgrove shopping centre stage strike action. Photograph: Garrett White/The Irish Times

Mandate says workers involved in industrial action reject new proposals on terms, conditions

Review found  without significant changes there were a high risk that the service could fail or result in a serious clinical error at Our Lady’s Children’s Hospital

Draft report expresses serious concern at governance and management issues at lab

There were 106 genetic tests for multiple myeloma, a type of blood cancer, carried out at Our Lady’s in Crumlin last year.

Review raises concerns about cytogenetics facility at Our Lady’s hospital in Crumlin

The HSE does not recognise either NASRA or the PNA for negotiation purposes for ambulance staff grades. File photograph: Alan Betson / The Irish Times

HSE last week threatened injunction to prevent previously planned industrial action

Paul Bell (left): “Our members feel that what is being offered is too little, too late and will be striking on Tuesday 18th September.” Photograph: Nick Bradshaw

Union claims management refused to give €1.5m for process to begin

Nurses say ‘startling’ figures up 23% on number recorded on same day last year

More than 400 people are waiting on hospital trolleys in emergency departments

Minister for Health Simon Harris and participants in a campaign for the HPV vaccine in August 2017. Photograph: The Irish Times

Simon Harris says proposal will be given priority if approved by final health body report

Universal free GP care is to be downgraded to a long-term objective, according to Cabinet papers. File photograph: Hugh Macknight/PA Wire

Plan is downgraded to long-term goal, while Donohoe criticises Harris’s HSE proposals

Minister for Health Simon Harris:  his  memo says it is essential the phasing of implementation is correct and aligned with health policy goals. Photograph: Aidan Crawley

Health reform move towards free GP care for all emerging as long-term objective

It is understood that lawyers acting on behalf of the HSE wrote to the Psychiatric Nurses Association (PNA) last week warning it would seek an injunction.

Row over refusal of HSE to facilitate payroll deductions at source of dues for new union members

“The Minister has requested Ervia to prepare a plan for separation which ensures that momentum is not lost.” Photograph: Frank Miller

Union Fórsa says decision to make body commercial raises fears about privatisation

Minister for Finance and Public Expenditure Paschal Donohoe  warned that health spending would have to be controlled. Photograph: Nick Bradshaw

Spending review advises reducing legal aid payments and garda overtime rates

Patients are not seeing the full benefit of major financial investments in hospital services over recent years, a review carried out by the Department of Public Expenditure and Reform has suggested.

Expenditure review states that spending is rising while waiting list numbers ‘stagnate’

Review maintains that 82% of all nurses and midwives are on basic salaries in excess of €40,000, exclusive of allowances or premium payments. Photograph: The Irish Times

Evidence implies nursing and midwifery pay in public health system ‘high comparatively’

The review  says that HSE estimates on expenditure on agency staff have been “consistently out of line” with actual spending. Photograph: Brenda Fitzsimons

Donohoe says Government will broadly balance its books this year

Minister for Finance Paschal Donohoe said the country’s public finances were in good health. Photograph: Tom Honan.

Minister says as much focus should go on €62bn spent annually as on scope for expenditure rises

Warning to Cabinet: Minister for Business Heather Humphreys. Photograph: Dara Mac Dónaill

Fears that industrial relations bodies could otherwise be swamped by Garda complaints

Any increase in the national minimum wage on foot of the new recommendation could benefit up to 120,000 workers. File photograph: Getty Images

Low Pay Commission expected to recommend 25c rise in report set for Minister

Health Service Executive: Auditors examined the files of 74 personnel and discovered overpayments in 24 cases. Photographer Brenda Fitzsimons

Auditors criticise process of placing staff in acting-up roles and regularisation methods

A patient undergoing intensity modulated radio therapy (IMRT) at St Luke’s Hospital.

HSE internal report says medical education grants were not always value for money

Sláintecare aims to  restructure the health service from a current mix of public and private care into “an affordable, universal, single-tier healthcare system, in which patients are treated promptly on the basis of need rather than ability to pay”. Photograph: Getty Images

Growing concerns that the HSE deficit could be over €500m for the full year

 File Photograph: Alan Betson

Varadkar believes people entitled to expect a better service says spokeswoman

Laura Magahy. In the early 1990s, as one of the the youngest ever heads of a semi-State body she oversaw the redevelopment of Temple Bar in Dublin. File photograph: Brenda Fitzsimons

Consultant had roles in several high-profile projects, some of which attracted controversy

Minister for Health Simon Harris sought approval from Cabinet on Thursday morning for the appointment of Laura Magahy. Photograph: Brenda Fitzsimons

Former director of Temple Bar Properties was also involved with the ‘Bertie Bowl’

Minister for Health Simon Harris: We need to find a way we can have accountability at regional level.

Minister rules out a return to old health board system in new reforms

The IMO said public hospitals had 1,531 fewer inpatient beds compared to 2007

Consultants’ body says State’s acute hospital and mental health services are at breaking point

Trade unions Siptu and Unite have been in dispute as to which should represent crane operators. Photograph: The Irish Times

Unions to run rule over number of operators who are members of each union and of both

Staff in health services are ‘becoming extremely frustrated’. Photograph: Peter Byrne/PA

November strike for Section 39 workers on the way unless pay talks progress

Union says the action will  start with non-co-operation with non-core duties but would escalate if there was no resolution.  Photograph: Alan Betson / The Irish Times

Action, to begin on July 24th, is part of dispute about deduction of union dues at source

 The Irish Hospital Consultants Association  said over 70%  of  consultants surveyed said they would “seriously consider resigning from their public hospital posts unless the discriminatory salary terms are corrected”. Photograph: Getty Images

IHCA says system of consultants delivering services in public hospitals ‘on a cliff edge’

There are thousands of people working in State-funded voluntary organisations providing health and social care services. Photograph: Reuters/Regis Duvignau

Siptu insisting on pay restoration for its members in Section 39 organisations

Dr Gabriel Scally had earlier criticised the HSE for a continuing delay in providing documentation to his investigation.  File photograph: Dara Mac Donaill / The Irish Times

Dr Scally had earlier criticised alleged lack of cooperation on provision of documents

HSE director general John Connaghan told the PAC it had recorded a revenue deficit last year of nearly €140 million. Photograph: PA

Solution that will not affect patient care will require ‘serious effort’, committee told

Taoiseach Leo Varadkar: said it is “not acceptable” Dr  Gabriel Scally is facing resistance from State bodies. Photograph: Nick Bradshaw

Scoping inquiry chair Gabriel Scally not happy at information’s ‘pace and format’

HSE director general John Connaghan before the Public Accounts Committee. Screengrab: Oireachtas.ie

HSE chief says there are two other potential cases over misdiagnosis of cervical cancer

Colette Cowan, chief executive of the University of Limerick Hospitals Group told the Oireachtas health committee that graduate nurses need to be incentivised before they leave the country. File photograph: Press 22

Patients needed elective care being ‘crowded out’ says HSE executive

The Arklow’s store employees will stage industrial action on Saturday over pay dispute

Irish Medical Organisation president Dr Peadar Gilligan said the pay differential was directly leading to longer waiting lists for patients. File photograph: Shane O’Neill, SON Photographic

Lower salaries for newer employees has ‘poisoned morale’ and led to staff shortages

The HSE appointed Deloitte in 2016 to carry out reviews of voluntary hospitals and agencies which it funded to determine if they were complying with pay policy and to assess governance arrangements. Photograph: Brenda Fitzsimons

Non-compliance with public guidelines and EU directives among issues found by Deloitte

Stewarts Care Limited. The review  was one of a number commissioned by the HSE into hospitals and health agencies that it funds. Photograph: Eric Luke

Report says it is unable to match 70 employees with Department of Health pay rates

The number of people waiting on trolleys in hospitals fell in June compared with the same period last year, nurses have said. File photograph: iStock.

More than 6,800 patients needing admission had to wait for a hospital bed last month

Paschal Donohoe: ‘In total the costs associated with the agreed unwinding of the remaining Fempi measures is €1.2 billion.’ Photograph: Nick Bradshaw

Repealing Fempi all at once would increase national debt and violate EU pact, says Minister

Minister for Finance Paschal Donohoe: he  said he was committed to tax reform.  Photograph: Julien Warnard/EPA

Minister suggests top HSE chiefs will have to have more personal accountability for spending

Minister for Culture Josepha Madigan was “absolutely right” in speaking out about what she believes are inequalities in the Church, said one churchgoer in Mount Merrion. Photograph: Dara Mac Donaill / The Irish Times

‘The cheek of her,’ says one massgoer but others are supportive of greater equality

Taoiseach Leo Varadkar (left) and Minister for Finance and Public Expenditure and Reform Paschal Donohoe at the National Economic Dialogue, Dublin Castle. Photograph: Dara Mac Dónaill

Social Justice Ireland calls for measures to lift State’s most vulnerable out of poverty

 Taoiseach Leo Varadkar and Minister for Finance and Public Expenditure & Reform Paschal Donohoe speak to the medai before  the National Economic Dialogue at  Dublin Castle. Photograph: Dara Mac Dónaill

Varadkar backs Madigan amid criticism from Archbishop for leading prayers

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