I propose to take Questions Nos. 186 and 188 together.
As the Deputies will be aware, the Health Service Executive has operational responsibility for the delivery of health and personal social services within the ambit of its Vote (Vote 39). The level of health services to be delivered within the available funding has been set out in the HSE National Service Plan, which I approved in January.
The reduction in size of the public service has been an essential component of the approach to addressing the State’s fiscal difficulties. This has been combined with a firm focus on improving public service efficiency and effectiveness. The Haddington Road Agreement provides for some five million additional working hours annually.
These measures will enable the health service to continue to reduce overall numbers, while maintaining services and service levels to the greatest possible extent. The HSE can make staff appointments once it remains within its overall employment ceiling and has the financial resources to do so.
The particular issue raised by the Deputies is a service matter for the Health Service Executive. My Department has not issued any directive to the Stewards Hospital Management Team in relation to the filling of the post in question. I have arranged for the question to be referred to the HSE for direct reply to the Deputies.