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Rehab report raises concerns about State’s abandonment of not-for-profit sector - Louise O'Reilly TD

21 November, 2018 - by Louise O'Reilly TD


Speaking this afternoon Sinn Fein Health spokesperson Louise O’Reilly TD has said the Rehab Group report published today, on the relationship between the not-for-profit sector and the State, raises serious concerns about the gradual abandonment of the not-for-profit sector by successive governments.

Teachta O’Reilly said:

“This morning the Rehab Group published a report entitled 'Who Cares?- Building a new relationship between the not-for-profit sector and the State'.

“Firstly, the report highlights the fantastic and invaluable work Section-39 Agencies and the not-for-profit sector carry out across the State, particularly in the areas of health and disability.

“However, quite worryingly, the research found that a combination of under-funding, the high and unfunded cost of meeting growing compliance requirements and a lack of clear policy on the role of this sector, is making the work of the Section-39 Agencies and the not-for-profit sector unsustainable.

“Furthermore, the report also raises serious concerns over the role of the HSE in their refusal to pay for the cost of services. Those interviewed for the report spoke of the HSE’s refusal to countenance a reduction in services to match the available funding.

“More seriously however, when organisations indicated to the HSE that they needed to show on the service arrangement that they would be operating at a deficit, they were informed by the HSE that they were not allowed to do so.

“The organisations interviewed for the report described the experience of signing service arrangements on the basis of known, but formally unrecorded, deficits as 'more than a little coercive.

“This looks to be incredibly coercive and manipulative behaviour by the HSE and warrants immediate investigation by the government.

“This behaviour by the HSE also presents difficulties for not-for-profit organisations who feel that they are being asked to present an image of a break-even service, while knowing that the opposite is the case

“The future of the not-for-profit sector is in the hands of the government and this report makes important recommendations which need to be acted on as a matter of urgency. Failure to do so will mean the sector will not be able to deliver its remit and the drift towards privatisation of these services will escalate."

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