Minister for Health Leo Varadkar has said that reducing the number of staff in the Health Service Executive would not necessarily produce cash savings.
Mr Varadkar said that was due to the need to use expensive agency staff to fill gaps due to staff shortages that already existed.
He was responding to reports that the HSE has failed to reduce staff numbers by around 2,600 this year, as provided for in its 2014 National Service Plan published in January.
He said cutting HSE staff by 700 a month from now to the end of December would not be practical.
Minister Varadkar said it also could only be done by compulsory redundancies, which would be an extra cost.
HSE staff numbers had already been reduced by 15,000.
Mr Varadkar said detailed funding issues were a matter for the HSE.
He said around 100,000 staff worked in the HSE and that any reduction would depend on which staff and where.
Mr Varadkar said he had no information on any further possible future voluntary scheme.
He also said it would not be possible to reverse the €2.50 prescription charge, or have any "give back" in health in the next Budget.
He said that co-payments are useful if they are low enough, and he was awaiting some research on the issue, which is under way at Trinity College Dublin.
The minister said that health reform should be evolutionary, rather than disruptive.
He was speaking after a health consultation event in Dublin involving 200 people from 100 health organisations.
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