Health and Social Budget overruns - making the rest moot


Well I have to bow to your superior knowledge of the chemsex scene, but in my experience of dangerous sports, participants both novice and experienced tend to be incredibly careful because they know the risks. Some of them still ended up dead, but not for lack of diligent preparation.


HSE overspending to create €300m financial deficit … -1.3211986


You could read that headline in two ways. My first thought was that they are deliberately overspending to create the deficit to secure more funding. But surely they wouldn’t do that.

Money always finds a home. I think of councils that will dig up a perfectly good road and resurface it to use up their budget allocation otherwise they wouldn’t be able to justify receiving the same funding next year.

It’s such a complex monster I can’t begin to get my head around it all.

There are always plenty of incentives to spend more and more but what are the real incentives (professional or personal) to actually saving money? Kudos, promotions, pay rises?

Or is a stick approach being applied at all?


State/Industry Medicine Pricing Agreements, Cost Savings and Counterfactuals: the Case of Ireland

ESRI paper here


This article was written a little cryptically for RTE’s audience. Like something from the old game show 3-2-1.

So ahead of a probable election spending increases are on the table, instead of getting into surplus to pay down some of the Sovereign debt while the sun shines.

10% increase in PAYE tax take, suggests either 5-10% pay increases, or 10%, maybe more in employment and paying higher tax than 1 year ago. Or most probably a combination of both. If PAYE tax increases by 10% year on year this somewhat justifies 10% increases in housing costs, through the higher demand.


Progressive nature of Irish tax system makes the tax take non- linear.

Small increases in income of those at the higher rate has a disportional effect on the tax take.


My employer probably shelled out €10m in bonuses in the last month (not all to me sadly) up maybe 20% on last year, ~50% of this goes to the exchequer so that’s 1 of the 300 from just one employer without hiring a single extra person or raising anyone’s salary. Some would have bought stock with it but PRSI and USC is still due.


Nice one. We could short circuit things madly, on the back of a fag box, and suppose govt revenues and accomodation prices are correlated with bonus payments, which in turn are a function of global stock indices. Which some might argue are firmly in bubble territory.


HSE deficit set to reach close to €100m for first quarter … -1.3471712


First line of article

“There are growing concerns within Government that spending in the health service is out of control.”

Patently obvious to anyone with half a brain for the last decade.


An Apple A Day will sort this out. 8)


HSE may record deficit of €200m-€300m for first half of the year … -1.3543455


Finance have made it way harder to find the monthly figures. Finally got them here

By end May-18
Health were +66m over their Net Voted Expenditure budget
Justice were +30m


An on-call consultant paid more than €14k for one week’s work at Cork University Hospital, and a €25k monthly payment for radiology services at Bantry General Hospital
& more … 55973.html

#260 … 15280.html

Deja deja deja vu.


Had a quick look at least figures

By end Aug-18

Health were +307m (3.0%) over their Net Voted Expenditure budget

Health have spent +891m more than same time last year.

Current spending by all Departments is +130m over budget (+0.5%)

#262 … ctober.pdf

By end Oct-18

Health were +366m (3.0%) over their Net Voted Expenditure current budget

Health have spent +957m more than same time last year.

Current spending by all Departments is +174m over budget (+0.5%)


By end Nov-18

Health were +699m (5.3%) over their Net Voted Expenditure current budget

Health have current expenditure of +1,346m more than same time last year (+10.7%)

Current spending by all Departments is +623m over budget (+1.6%)


This is the most recent breakdown I can find of health expenditure, from 2016. … ounts2016/


Here’s an excellent paper on Irish health expenditure. Jenny O’Connor in the Department of Public Expenditure deserves credit because the HSE couldn’t spare anyone of their 110,000 staff to look at what they’re spending :imp:
Some inconvenient truths here:
Health expenditure has been rising rapidly for five years, staff recruitment is at record levels, medical card numbers are declining, high cost drug costs and legal claim costs are exploding (thanks again, Vicky Phelan).

Did anyone see this in the media? … fI1UQTd3Tv