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White, Alex

Tuesday, 25 March 2014

Dáil Éireann Debate
Vol. Nbr.


Medical Card Administration

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated c...More Button

Under the General Medical Services (GMS) contract, a general practitioner (GP) is expected to provide his/her patients who hold a medical card or GP visit card with all proper and necessary treatme...More Button

The information sought by the Deputy is not readily available. However, I have asked the Health Service Executive to supply this information to me and I will forward it to the Deputy as soon as po...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. The Health Service Executive operates the General Medical Services scheme, which ...More Button

Medical Card Applications

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated c...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated c...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sch...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sch...More Button

  Question No. 1129 answered with Question No. 988.More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

  Question No. 1151 answered with Question No. 988.More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

Drugs Payment Scheme Coverage

I propose to take Questions Nos. 988, 1110, 1127, 1129, 1133, 1135, 1151 and 1217 together.

  The HSE has statutory responsibility for decisions on pricing and reimbursement of m...More Button

General Practitioner Services

The Government is committed to introducing, on a phased basis, a universal GP service without fees within its term of office, as set out in the Programme for Government and the Future Health strate...More Button

The implementation of this new service requires primary legislation and work on preparing this is ongoing. Preparations are also proceeding in relation to the necessary administrative arrangemen...More Button

As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy.More Button

I propose to take Questions Nos. 1035, 1095, 1096 and 1099 together.

  The Government is committed to introducing, on a phased basis, a universal GP service without fees within i...More Button

Health Services Staff Data

As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy.More Button

Primary Care Services Provision

The HSE is responsible for the administration of the primary care schemes, therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.More Button

The Health Service Executive (HSE) has responsibility for the provision of Primary Care Centres, the maintenance and refurbishment of existing health centres and the provision of services at such c...More Button

The HSE is responsible for the administration of the primary care schemes, therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.More Button

Drugs Payment Scheme Administration

The HSE has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drug schemes in accordance with the provisions of the Health (Pricing and S...More Button

In the current financial environment the Health Service Executive (HSE) faces a continuing challenge to deliver services in a way that will minimise any adverse impact on patients and continue to...More Button

Gluten-free products have become more widely available in supermarkets in recent years and tend to be significantly cheaper than products sold through community pharmacies. More Button

Expenditure on gluten-free foods can be taken into account for tax purposes.More Button

Water Fluoridation

I propose to take Questions Nos. 1002 and 1004 together.More Button

The fluoridation of public water supplies is provided for in the Health (Fluoridation of Water Supplies Act) 1960. The Department of Health keeps the policy of water fluoridation under constant ...More Button

The Department is also collaborating in a University College Cork-led research project, "Fluoride and Caring for Children's Teeth" (FACCT). The study will consider the impact of changes on the o...More Button

The Forum on Fluoridation, established in 2000, reviewed the policy of water fluoridation and recommended in 2002 that it should continue as a public health measure. In 2011 a review by the Euro...More Button

Annual expenditure in recent years which includes operational costs, capital costs and the supply of hydrofluorosilicic acid has been in the region of €3.5 million - €4 million.More Button

Medical Card Eligibility

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated ...More Button

Under the provisions of the Health Act 1970 (as amended), eligibility for health services in Ireland is based primarily on residency and means. The Act provides that persons who are unable, withou...More Button

The HSE is obliged to operate within the legal parameters as set out in the Health Act, while also responding to the variety of circumstances and complexities faced by individuals who apply for a...More Button

Where discretion is exercised with regard to an applicant with an illness or disease, it is the medical costs of that condition on a person's financial situation that is relevant to the assessmen...More Button

All medical card and GP visit card holders are subject to a periodic review of eligibility to determine continuing eligibility. This review process is applied across all medical card holders, and...More Button

  Question No. 1027 answered with Question No. 1024.More Button

  Question No. 1028 answered with Question No. 980.More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

Under the provisions of the Health Act 1970 (as amended), eligibility for health services in Ireland is based primarily on residency and means. The Act provides that persons who are unable, without...More Button

The HSE is obliged to operate within the legal parameters as set out in the Health Act, while also responding to the variety of circumstances and complexities faced by individuals who apply for a...More Button

Where discretion is exercised with regard to an applicant with an illness or disease, it is the medical costs of that condition on a person's financial situation that is relevant to the assessmen...More Button

The National Assessment Guidelines for a medical card or GP visit card state that the ‘exercise of discretion by the HSE, in favour of the applicant, should be considered where meeting the costs...More Button

The HSE will give consideration to a range of medical or social factors that present on an application in deciding whether to approve a medical card on grounds of "undue hardship" or "unduly burd...More Button

The decision maker may make appropriate inquires or seek advice from other sources to assist with coming to a decision on the applicant's overall financial ‘undue hardship’/’undue burden’, includ...More Button

I trust the above reply outlines the circumstances, in addition to income, taken into account in deciding whether to approve medical card eligibility on discretionary grounds. More detailed infor...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme...More Button

Health Services Appeals

The information sought by the Deputy is not readily available. However, I have asked the Health Service Executive to supply this information to me and I will forward it to the Deputy as soon as po...More Button

General Medical Services Scheme Payments

Fosamax 70mg is on the list of GMS Reimbursable items and available to all under the GMS and other community drugs schemes.More Button

Medical Card Reviews

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

All medical card and GP visit card holders are subject to a periodic review of eligibility to determine continuing eligibility. More Button

Ordinarily, three months before an individual’s existing medical card/GP visit card eligibility expiry date, a review notification issues to the individual (or their parents, in the case of a chi...More Button

A reminder letter is issued a month later if the requested review form details have not been received at that point. If a person does not return their review form within the time specified, their...More Button

Persons are requested to return their completed review forms, at least one month in advance of the due expiry date of their existing eligibility in order to give the HSE sufficient time to carry ...More Button

A person (and their dependants, if it applies), the subject of a medical card/GP visit card eligibility review assessment, will continue to have their eligibility extended pending the outcome of ...More Button

1. they have returned their review form within the time specified, andMore Button

2. are engaging with the HSE in enabling their review assessment to complete. More Button

Outside of the date period three months prior to the expiry date of a person’s current approved eligibility, the HSE reserves the right, when appropriate, to undertake a review at any other time ...More Button

Approximately 10,000 letters are issued each month to cardholders asking that they sign and return to the HSE a Declaration of Residency form. On receipt of this Declaration, eligibility to the ...More Button

The Health (Alteration of Criteria for Eligibility) (No. 2) Act 2013 with effect from 18th December 2013 provides for the reduction in the Persons age 70 or older medical card income qualifying...More Button

The HSE is now completing medical card reviews for approximately 86,000 individuals per month. It is expected that increased data sharing between Revenue, Department of Social Protection and the ...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. The Health Service Executive operates the General Medical Services scheme, which ...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. The Health Service Executive operates the General Medical Services scheme, which ...More Button

Medical Card Data

The information sought by the Deputy is not readily available. However, I have asked the Health Service Executive to supply this information to me and I will forward it to the Deputy as soon as po...More Button

The following table provides the card types and numbers as at 1 March 2014, as requested by Deputy.

More Button

I propose to take Questions Nos. 1173 to 1182, inclusive, together.

  The information sought by the Deputy is not readily available. However, I have asked the Health Service Exe...More Button

Medical Card Delays

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

  Questions Nos. 1157 and 1158 answered with Question No. 1100.More Button

Health Services

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

Drug Rehabilitation Clinics

I understand that the Deputy is referring to ICT systems for case management under the National Drug Rehabilitation Framework. As the HSE is the lead agency for the rollout of the Framework nation...More Button

  Question No. 1099 answered with Question No. 1035.More Button

Audiology Services Provision

As this is a service matter this question has been referred to the HSE for direct reply.More Button

Medicinal Products Licensing

The HSE has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drugs schemes in accordance with the provisions of the Health (Pricing and ...More Button

The HSE received an application for the inclusion of Nalmefeme (Selincro) in the GMS and community drugs schemes. The application is being considered in line with the procedures and timescales ...More Button

In accordance with these procedures, the National Centre for Pharmacoeconomics (NCPE) is currently conducting a pharmacoeconomic evaluation of Nalmefeme (Selincro) which will provide detailed inf...More Button

The HSE assessment process is intended to arrive at a decision on the funding of new medicines that is clinically appropriate, fair, consistent and sustainable. It would not be appropriate to co...More Button

Community Care Provision

The Government is fully committed to ensuring the on-going delivery of vital services and supports to people in the community with disabilities within available resources. More Button

The Health Service Executive (HSE) has been provided with funding in the order of €1.4 billion this year to fund its 2014 disability services programme for children and adults with disabilities.More Button

Additional funding of €14m has been provided to address the priority needs within disability services identified by the Minister and advised to the HSE: €10m to provide additional places for scho...More Button

The HSE is engaged in an ongoing process to develop chronic disease management programmes across the spectrum of services from prevention to sustaining services, e.g. as part of the phased roll o...More Button

I have asked the HSE to reply directly to the Deputy in relation to the provision of community based services for persons with chronic illness, including future investment plans.More Button

  Question No. 1143 answered with Question No. 1141.More Button

General Medical Services Scheme Administration

It is sufficient that a medical card holder supplies the Primary Care Reimbursement Service (PCRS) with the names of three doctors in their locality that on request have declined to accept them on ...More Button

It is a contractual obligation for a GMS GP contract holder to be a registered medical practitioner. The employment of a locum by a registered medical practitioner does not obviate such an obligat...More Button

Medical Card Appeals

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services sche...More Button

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. The Health Service Executive operates the General Medical Services scheme, which ...More Button

Orthodontic Service Waiting Lists

The HSE provides orthodontic treatment to patients based on their level of clinical need. An individual's access to orthodontic treatment is determined against a set of clinical guidelines and prio...More Button

Primary Care Centre Provision

The primary care infrastructure model offers a good fit for public private financing. In 2012 the HSE completed a prioritisation exercise for all primary care centre locations. In addition to the l...More Button

As with all capital projects the primary care infrastructure programme must be considered within the overall capital envelope available to the health service. There will always be more projects t...More Button

  Questions Nos. 1211 to 1214, inclusive, answered with Question No. 1009.More Button