“Savings and efficiencies”, together with restrictions on recruitment, time beyond regulation and the usage of company employees, shall be required to manage the well being price range, prime civil servant Robert Watt will inform TDs and senators on Tuesday morning.

Mr Watt, who’s the secretary normal of the Department of Health, may also inform the Oireachtas Committee on Health that “major gains in output and productivity” shall be required within the well being service within the coming years.

He may also say that the expansion in the price of medicines is “not sustainable” and acknowledge that “forecasts of health expenditure need to improve as does control of expenditure”.

The Government is to face additional questions on its provision for subsequent 12 months’s well being price range within the Oireachtas on Tuesday as members of the Oireachtas well being committee quiz senior officers from the Department of Health and the Health Service Executive, and Sinn Féin tables a movement within the Dáil for debate within the night.

Mr Watt and HSE chief govt Bernard Gloster are among the many senior officers as a result of attend on the Oireachtas well being committee on Tuesday morning.

The Government has been below strain on the well being price range because it emerged within the quick aftermath of the price range bulletins that the Department of Health had been allotted far lower than it sought.

HSE chief Mr Gloster has repeatedly stated that the HSE won’t find the money for subsequent 12 months to supply the present stage of well being providers as a result of prices related to inflation and extra demand.

Minister for Health Stephen Donnelly has stated that he expects {that a} supplementary estimate – ie, a funding top-up later within the 12 months – shall be wanted subsequent 12 months, on prime of the allotted price range.

The HSE is heading in the right direction for an overspend of about €1.5 billion this 12 months, which would require a supplementary estimate later this 12 months.

Mr Gloster will inform the committee that the HSE will stick with clear targets on spending and recruitment subsequent 12 months within the context of a “very constrained and challenging financial position”.

Mr Gloster will say that the deliberate recruitment of an extra 2,200 employees in 2024 – a 3rd of this 12 months’s allocation – will cowl “many of the essential areas of service to be continued”.

There will “in the main” be no progress in nationwide methods and programmes – for areas akin to maternity, most cancers and trauma care – however “there is a significant amount of work that can be done with the existing resources within these programmes”.

In his opening assertion, Mr Gloster will say that 2024 will see a spotlight “on consolidation more so than growth”, however that “services will continue”.

The HSE’s place has not modified since he stated earlier this month that the funding allotted to it in Budget 2024 was “not adequate”, and any supplementary allocation in respect of 2023 and the potential implications of that for 2024 “remain to be decided”.

“Until such time as the HSE receives the letter of determination (from Minister for Health Stephen Donnelly), we are not in a position to elaborate further on the 2024 outlook.

“It is my intention for 2024 that budget holding areas will have a full pay and numbers strategy and allocation within which to work and within which the targets will be very clear.

“An improved control environment will allow for these targets to be met and maintained on the one hand but not exceeded on the other. This will require a particular co-ordinated focus on existing staff, the management of new posts, the management of the use of agency and overtime and conversion from agency staff to direct employment, where appropriate and possible.”

Sinn Féin well being spokesman David Cullinane accused the Government of “throwing in the towel” on the well being service.

“If this decision is not reversed it will have a devastating effect on hospitals and health services right across the State,” he stated.

“The consequences if they fail to do so will be felt widely across all services. The crisis in emergency departments will deepen. Patients will continue to languish on trolleys.

“There will be setbacks across mental health, disabilities and in key clinical strategies such as cancer, cardiovascular and maternity care. There will be no new money for patients in need of new medicines which become available next year.”