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Daly, Jim

Tuesday, 12 June 2018

Dáil Éireann Debate
Vol. Nbr.


Nursing Homes Support Scheme Administration

A review of the Nursing Homes Support Scheme (NHSS) was published in July 2015. Arising out of the review, a recommendation was made to examine the treatment of business and farm assets for the pur...More Button

At present, the capital value of an individual's principal private residence is only included in the financial assessment for the first three years of their time in care. This is known as the thr...More Button

It is proposed to amend the scheme to treat farm and business assets in the same manner as the principal private residence where a family successor commits to working the farm or business, i.e. t...More Button

The Department of Health has been examining the potential for changes to the treatment of business and farm assets under the Nursing Homes Support Scheme. The Department has had a number of engag...More Button

A Memorandum for Government setting out the details of the proposed policy change and seeking Government approval to draft the General Scheme of a bill to amend the Nursing Homes Support Scheme A...More Button

Currently an asset which has been transferred within 5 years prior to the date on which an application for State support is first made is considered a transferred asset and is included in the fin...More Button

Nursing Home Fees

The Nursing Homes Support Scheme (NHSS), commonly referred to as Fair Deal, is a system of financial support for people who require long-term residential care. Participants contribute to the cost o...More Button

In relation to variations in the cost of care for public and private nursing homes it is acknowledged that public nursing homes have, in general, a higher cost of care. It is understood that a nu...More Button

That said, there is a need to undertake a deeper analysis of the factors driving the higher costs of care in public units. The 2015 Review of the Nursing Homes Support Scheme identified the need ...More Button

I have also asked the Interdepartmental Working Group established to oversee the implementation of the recommendations contained in the NHSS Review 2015 to examine the issue of additional charges...More Button

In the first instance a Department of Health/HSE project group was established to examine the high level issues regarding additional charges in nursing homes participating in the NHSS. The projec...More Button

The implementation of any recommendations arising from this work will be developed with the input and support of relevant stakeholders from the sector.More Button

Nursing Home Services

Following the publication of the report referred to by the Deputy the Health Service Executive established a working group in 2007 to coordinate and finalise all outstanding issues pertaining to th...More Button

The working group completed a comprehensive report in 2007 which indicated that action from the recommendations had been completed, or that work was ongoing to ensure compliance with the recommen...More Button

The Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013, replaced the 2009 Care & Welfare Regulations. These regulations contain provisions for...More Button

Revised National Quality Standards were approved by the Minister for Health in 2016, placing a stronger focus on quality of life and a person-centred approach to the care of all residents. More Button

The recently published overview of HIQA regulation of social care and healthcare services 2017 recognises that there remain some issues to be addressed, and the Authority will continue to focus o...More Button

Separate to the regulatory regime introduced in 2009 the Deputy will be aware that the Nursing Homes Support Scheme was also introduced that year to address the then inequity in the treatment of ...More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

I propose to take Questions Nos. 783 and 785 to 787, inclusive, together.More Button

The Health Information and Quality Authority (HIQA) is the independent authority established under the Health Act 2007 to drive continuous improvement and to monitor safety and quality in Ireland’s...More Button

The Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013 require that registered providers must ensure that the number and skill mix of staff is...More Button

HIQA assesses whether residential services are providing high quality, safe and effective services and supports to all residents, and ensures that any issues or deficits are addressed. HIQA’s pro...More Button

The National Standards for Residential Care for Older People provide a framework for HIQA to assess the quality of service provided in nursing homes.  They place a strong focus on quality of life...More Button

The Nursing Homes Support Scheme commenced in 2009. The Scheme aims to ensure that long-term nursing home care is accessible and affordable for everyone and that people are cared for the in most ...More Button

A fundamental principle enshrined in the legislation underpinning the Scheme is that of patient choice. Once a person receives approval for financial support, they can choose to enter any nursing...More Button

In relation to costs, the price agreed between the National Treatment Purchase Fund and each nursing home participating in the NHSS is averaged to take account of the range of dependency levels o...More Button

There are a number of dementia specific residential care units across the country and most nursing homes will accommodate people living with dementia, however they may not have a secured dementia...More Button

A survey of nursing homes in Ireland, undertaken by the Dementia Services Information and Development Centre in 2014, reported that there were 54 Dementia Specific Units accommodating 1,034 peopl...More Button

Assisted Suicide

It is an offence, under section 2(2) of the Criminal Law (Suicide) Act 1993, to assist another person in taking his or her life. Legal provisions concerning euthanasia are a matter for the Departm...More Button

Home Care Packages Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Health Care Policy

The Health Information and Quality Authority (HIQA) is the independent authority established under the Health Act 2007 to monitor safety and quality and drive continuous improvement in Ireland’s he...More Button

The Health Act 2007 (Care & Welfare of Residents in Designated Centres for Older People) Regulations, 2013 contain provisions relating to 'Medicines and pharmaceutical services' and 'Managing beh...More Button

National policy on restraint, including chemical, physical and environmental restraint is set out in Towards a Restraint Free Environment in Nursing Homes, (2011) and is available on the Departme...More Button

The National Dementia Strategy (2014) acknowledges that in some cases the use of psychotropic medications is appropriate in conjunction with environmental interventions for the management of beha...More Button

Health Services Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

HSE Funding

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Health Services

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

I am not aware of the case referenced by the Deputy and have asked the HSE to respond directly to the Deputy as soon as possible.More Button

Child and Adolescent Mental Health Services

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Nursing Homes Support Scheme Review

A review of the Nursing Homes Support Scheme (NHSS) was published in July 2015. Arising out of the review, a recommendation was made to examine the treatment of business and farm assets for the pur...More Button

At present, the capital value of an individual's principal private residence is only included in the financial assessment for the first three years of their time in care. This is known as the thr...More Button

It is proposed to amend the scheme to treat farm and business assets in the same manner as the principal private residence where a family successor commits to working the farm or business, i.e. t...More Button

The Department of Health has been examining the potential for changes to the treatment of business and farm assets under the Nursing Homes Support Scheme. Any changes to the scheme, if approved b...More Button

A Memorandum for Government setting out the details of the proposed policy change and seeking Government approval to draft the General Scheme of a bill to amend the Nursing Homes Support Scheme A...More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

A review of the Nursing Homes Support Scheme (NHSS) was published in July 2015. Arising out of the review, a recommendation was made to examine the treatment of business and farm assets for the pur...More Button

At present, the capital value of an individual's principal private residence is only included in the financial assessment for the first three years of their time in care. This is known as the thr...More Button

It is proposed to amend the scheme to treat farm and business assets in the same manner as the principal private residence where a family successor commits to working the farm or business, i.e. t...More Button

The Department of Health has been examining the potential for changes to the treatment of business and farm assets under the Nursing Homes Support Scheme. Any changes to the scheme, if approved b...More Button

A Memorandum for Government setting out the details of the proposed policy change and seeking Government approval to draft the General Scheme of a bill to amend the Nursing Homes Support Scheme A...More Button

Home Help Service Data

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

I propose to take Questions Nos. 692 and 693 together.

  As these are service matters I have asked the Health Service Executive to respond directly to the Deputy as soon as possi...More Button

Health Services Staff Data

I propose to take Questions Nos. 703 to 705, inclusive, together.

  As these are service matters I have asked the Health Service Executive to respond directly to the Deputy as so...More Button

Respite Care Services Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Home Help Service Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Hospital Services

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Nursing Homes Support Scheme Applications

The Nursing Homes Support Scheme is a system of financial support for those in need of long-term nursing home care. Participants contribute to the cost of their care according to their means while ...More Button

The Department of Health agree a set level of funding for the NHSS with the HSE each year having regard for the demand for the Scheme and the overall fiscal position. The 2018 budget for NHSS is ...More Button

The National Guidelines for the Standardised Implementation of the NHSS provide that State Support and the Nursing Home Loan should be paid in respect of qualified applicants from either the date...More Button

This provision enables the HSE to manage the budget and commitments under the Scheme over a 12 month period, ensuring that long-term residential care remains accessible and affordable for those t...More Button

Mental Health Services Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As Minister with responsibility for Mental Health and Older People, I have set as a priority the development of a Mental Health Telephone/Text Helpline. My officials are currently working with the...More Button

Question No. 837 answered with Question No. 659.More Button

Nursing Homes Support Scheme

A review of the Nursing Homes Support Scheme (NHSS) was published in July 2015. Arising out of the review, a recommendation was made to examine the treatment of business and farm assets for the pu...More Button

At present, the capital value of an individual's principal private residence is only included in the financial assessment for the first three years of their time in care. This is known as the th...More Button

It is proposed to amend the scheme to treat farm and business assets in the same manner as the principal private residence where a family successor commits to working the farm or business, i.e. t...More Button

The Department of Health has been examining the potential for changes to the treatment of business and farm assets under the Nursing Homes Support Scheme. Any changes to the scheme, if approved b...More Button

A Memorandum for Government setting out the details of the proposed policy change and seeking Government approval to draft the General Scheme of a bill to amend the Nursing Homes Support Scheme A...More Button

Question No. 765 answered with Question No. 597.More Button

The National Treatment Purchase Fund (NTPF) negotiates with proprietors of registered nursing homes to reach agreement in relation to the maximum price that will be charged by each nursing home for...More Button

The process of setting prices with individual private and voluntary nursing homes is commonly referred to as the NTPF pricing mechanism. The NTPF has statutory independence in the performance of ...More Button

For each registered nursing home a single price is agreed for all residents participating in the scheme regardless of the level of dependency and need for care. The NTPF assert that existing pric...More Button

Question Nos. 785 to 787, inclusive, answered with Question No. 783.More Button

Respite Care Services

Public residential care facilities are an essential part of our health infrastructure. There are approximately 5,000 long stay and 2,000 short stay public beds across the country. Short stay beds...More Button

The Government is committed to investing in additional capacity and making tangible reforms to our model of healthcare delivery as outlined in the recently published Capacity Review. Programmes ...More Button

The level of funding available for the Department of Health in 2019 and the quantum of services to be provided by the HSE will be considered as part of the national Estimates and budgetary proces...More Button

Home Care Packages Expenditure

I propose to take Questions Nos. 815 to 821, inclusive, together.

  As these are service matters I have asked the Health Service Executive to respond directly to the Deputy as so...More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Question No. 875 answered with Question No. 864.More Button

Psychological Services

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Counselling Services Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Child and Adolescent Mental Health Services Staff

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Child and Adolescent Mental Health Services Data

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Home Help Service Expenditure

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Nursing Homes Support Scheme Data

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Care Services Provision

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Health Services Expenditure

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button

Mental Health Services Staff

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.More Button