A leaked recording of a meeting of Department of Health officials shows there is a "dysfunctional relationship" between Minister for Health Stephen Donnelly and Minister for Public Expenditure Michael McGrath, the Labour leader has claimed.
The recording, published today by the Business Post, indicate a senior official's concerns about the "horror of waste in the HSE" and questions over the need for a supplementary budget of €514 million in 2020.
Alan Kelly contended: "It shows a lack of trust between departments, and a Minister for Health who isn't in control and doesn't seem to know what's going on."
The Department of Health has said no official had given consent to be recorded, and the recording was made without their knowledge.
In a statement, the department said it was "a direct violation of individual privacy" to publish details of meetings between Government officials in such circumstances.
The Business Post has acknowledged that those present at the meeting did not know it was being recorded.
However the newspaper has justified publishing the comments as "the matters raised are clearly in the public interest."
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Meanwhile, Mr Kelly has also said elective hospitals should not be scrapped from Sláintecare plans.
Speaking on RTÉ's This Week, he said elective hospitals are needed, adding that they should be built on public lands by the HSE.
The issue is Ireland "does not have a good track record of building hospitals and we need to get better at it and do it soon," he said.
The days of having private hospitals cannot happen anymore, Mr Kelly added.
"We need those hospitals because they are part of Sláintecare and everyone has signed up to Sláintecare."