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Harris, Simon

Tuesday, 10 October 2017

Dáil Éireann Debate
Vol. Nbr.


Financial Resolution No. 1: Tobacco Products Tax

I move:

  (1) THAT for the purposes of the tax charged by virtue of section 72 of the Finance Act 2005 (No. 5 of 2005), that Act be amended, with effect as on and from 11 October...More Button

I am pleased to move this financial resolution, which provides for excise duty increases on tobacco products with effect from midnight tonight. The increase amounts to 50 cent, inclusive of VAT, o...More Button

Financial Resolution No. 1: Tobacco Products Tax (Continued)

I thank Deputies Calleary, Jonathan O'Brien, Sherlock, Breathnach, Boyd Barrett, Mattie McGrath, Danny Healy-Rae, Harty, Fitzpatrick, McLoughlin, Neville and Troy for contributing on this financial...More Button

The Deputies who suggested that this is not just about the price, but also about public health measures, were correct. If our only measure to tackle tobacco and smoking levels was to increase th...More Button

High taxation has an important role to play, but there has been a range of health initiatives. In 2004, we had the ban on tobacco advertising and sponsorship and the smoking ban. In 2007, we ha...More Button

A number of Deputies referred to the consumption of, and trade in, illicit tobacco. This is an issue for people around the country, in particular Deputies living in Border counties. I assure th...More Button

In 2016, Ipsos MRBI conducted a survey on behalf of the Revenue Commissioners and the National Tobacco Control Office. This showed that the percentage of illicit cigarettes had been on a downwar...More Button

The House has also taken a number of legislative actions to support the Revenue Commissioners. The Finance Act 2012 clarified the legal basis for Revenue officers to open and examine the content...More Button

I noted Deputy Jonathan O'Brien's comments on whether this measure would accrue the figure in question. His party had a different figure - I respect its right in that regard - in its budget prop...More Button

Deputy Sherlock raised the issue of nicotine replacement therapies. I accept that a cost is associated with them. We want to do everything that we can to support people who make the decision to...More Button

All in all, this is a positive measure for the health of our nation as we continue to work together to reach our aspiration of making this country tobacco free by 2025.More Button

Health Services Staff

Was asked: the cost of restoring all section 39 employees to pre-FEMPI levels; and if he will make a statement on the matter.More Button

Under section 39 of the Health Act 2004, the HSE has in place Service Level Agreements with voluntary providers which set out the level of service to be provided for the grant to the individual org...More Button

Any individuals employed by these Section 39 organisations are not HSE employees and therefore, the HSE has no role in determining the salaries or other terms and conditions applying to these sta...More Button

Was asked: the conversations his Department has had with representatives of personal assistants or the persons whom they care for regarding the implications of the Organisation of Working Time Act 1997 on the...More Button

My Department has not had any direct conversations with representatives of service users with personal assistants or of personal assistants in relation to the implications of the Organisation of Wo...More Button

Health Services Staff Data

Was asked: the number of personal assistant hours in County Westmeath in the past five years, in tabular form.More Button

Alcohol Advertising

Was asked: the reason the experience of a group (details supplied) and its submission on the subject are not included in the Bill which plans to regulate the display of alcohol in supermarkets; and if he will...More Button

Was asked: if a group (details supplied) is included in all discussions regarding the regulation of the display of alcohol in supermarkets; and if he will make a statement on the matter.More Button

Was asked: if the regulations that are implemented in the regulation of display of alcohol in supermarkets reflect the difference between the multiple sector and the smaller retailer (details supplied); and i...More Button

Services for People with Disabilities

Was asked: his plans to address the funding concerns of a society (details supplied); and if he will make a statement on the matter.More Button

Was asked: when a case (details supplied) will be fully assessed in view of the fact it has been awaiting assessment since 8 September 2017.More Button

Was asked: when the new legislation to provide for transport supports for persons with disabilities will be brought before Dáil Éireann; and if he will make a statement on the matter.More Button

Medicinal Products Reimbursement

Was asked: if the budget necessary to enable the HSE reimburse the drug Translarna will be provided. More Button

Was asked: the reason the HSE did not approve the drug Translarna, which would benefit seven children here. More Button

Was asked: if he will engage with the pharmaceutical company that wishes to provide Translarna to those suffering from muscular dystrophy. More Button

Was asked: if the HSE will re-enter negotiations with a company (details supplied) with a view to finding an acceptable outcome for the provision of Translarna for the two persons here with an immediate need;...More Button

Was asked: if he has sought an increased budget for the HSE drug group in 2018 to provide for the reimbursement of the drug Translarna; and if he will make a statement on the matter. More Button

I propose to take Questions Nos. 276, 327, 328, 361 and 397 together.

  The Health Service Executive has statutory responsibility for decisions on pricing and reimbursement of me...More Button

Was asked: the status for funding in respect of a drug (details supplied) used in the treatment of phenylketonuria; and if he will make a statement on the matter.More Button

Was asked: the reason Kuvan, the only drug available to those diagnosed with PKU, was refused by the HSE in view of the fact that it radically improves the quality of life for those with the condition; if he ...More Button

Was asked: if the drug Kuvan will be made available for sufferers of the genetic disorder phenylketonuria (details supplied); and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 284, 295 and 322 together.

  The HSE has statutory responsibility for decisions on pricing and reimbursement of medicines under the community dru...More Button

Was asked: his plans to expand the licence for pembrolizumab to cover rare cancers (details supplied). More Button

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

Was asked: if a High Court appeal as set out under section 27 of the Health (Pricing and Supply of Medical Goods) Act 2013 is the only mechanism for a pharmaceutical company to seek reimbursement of a medicin...More Button

Was asked: his plans to establish an independent review mechanism to review appeals by pharmaceutical companies in circumstances in which the HSE has decided not to reimburse their medicinal products; and if ...More Button

Was asked: the difference in approach taken by Irish and other European assessors of a medicine's clinical and cost effectiveness with regard to treatments for rare disease in circumstances in which certain m...More Button

Was asked: the role the US Food and Drug Administration, FDA, has in assessing a medicine for reimbursement here under the Health (Pricing and Supply of Medical Goods) Act 2013; if a conflicting position betw...More Button

I propose to take Questions Nos. 436 to 439, inclusive, together.

  The assessment process for medicines in Ireland is a statutory process in line with the Health (Pricing and Su...More Button

Home Help Service

Was asked: the level of consultation with home helps in County Kilkenny, which is being or has been undertaken by the HSE relative to establishing a new roster system; if a pilot project is being put in place...More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

Was asked: the reason full-time staff employed by the HSE for home help are excluded from the general staffing numbers in the HSE; his views on whether this is appropriate and respects the dignity of the HSE ...More Button

Directly employed HSE home help workers are regarded as employees and are recorded on HSE payrolls. While the HSE records data for home help workers, they are not currently included in the genera...More Button

Home help workers were not always classified as employees. Following a Labour Court ruling in 1997, home help workers established employment status. This led to 4,000 WTE (12,000 headcount) hom...More Button

Accepting the desirability for consistent reporting of both pay and numbers, and acknowledging the need to allow for comparison across years, my Department, the HSE and the Department of Public E...More Button

It should be noted that home help workers have, for some time, acquired all the same terms and conditions of employment, including pension entitlements, as any other cohort of staff and are not d...More Button

Stroke Care

Was asked: the facilities available in the CHO 1 region for persons who suffer from a stroke, in relation to acute hospitals and primary care centres; and if he will make a statement on the matter.More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply.More Button

Mental Health Services Data

Was asked: the number of young persons in each catchment area of each Jigsaw youth mental health service respectively, in tabular form; and if he will make a statement on the matter.More Button

Hospital Appointments Status

Was asked: the status of an operation for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of an audio test for a person (details supplied); and if he will make a statement on the matter.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

Was asked: the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of an operation (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: when a person (details supplied) will be called for a procedure.More Button

The Deputy's questions relate to service delivery matters and accordingly I have asked the HSE to respond directly to him.More Button

Was asked: when a person (details supplied) can expect an appointment with a consultant.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Question No. 322 answered with Question No. 284.More Button

Was asked: when a person (details supplied) in County Westmeath will receive two operations which have been triaged as urgent; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of an appointment for a person (details supplied).More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply.More Button

Was asked: if a person (details supplied) will receive urgent prioritisation for scoliosis treatment here.More Button

Was asked: the way in which his Department and the HSE have assisted a person (details supplied).More Button

Was asked: the way in which his Department and the HSE plan to assist a person (details supplied).More Button

I propose to take Questions Nos. 329 to 331, inclusive, together.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the H...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of an appointment for an MRI scan for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of a medical assessment for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments is a matter for the hospital to which the patient has been referred. Should a patient’s general practitioner consider the patient’s condition warrants an earlier a...More Button

Was asked: when a person (details supplied) in County Clare will receive an appointment at University Hospital Limerick; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments is a matter for the hospital to which the patient has been referred. Should a patient’s general practitioner consider the patient’s condition warrants and earlier ...More Button

Was asked: if a person (details supplied) can be advised of the date of a hip replacement operation in Merlin Park Hospital, Galway; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensu...More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly. .More Button

Was asked: the status of an operation for a person (details supplied); the communication that the person has received regarding same; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensu...More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly. .More Button

Was asked: when a person (details supplied) will be called for a procedure; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: the status of a plastic surgery appointment for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: if a hospital appointment for a person (details supplied) can be expedited; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Health Services Provision

Was asked: his plans to reopen the Clashmore health centre, County Waterford; and if he will make a statement on the matter. More Button

As the HSE has responsibility for the provision, along with the maintenance and operation of Primary Care Centres and other Primary Care facilities, the Executive has been asked to reply directly t...More Button

Was asked: when he expects the day care centre in Drogheda Street, Monasterevin, County Kildare, to be open; and the services that will be provided there.More Button

Was asked: if a step down bed at a community hospital will be made available for a person (details supplied) in County Donegal subsequent to discharge from Letterkenny University Hospital; and if he will make...More Button

Health Services Funding

Was asked: if funding for a further podiatrist in County Meath will be made available in Budget 2018. 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

Was asked: if funding for a further podiatrist in County Wexford will be made available to support persons with diabetes; if his attention has been drawn to the recent data released which indicates that Count...More Button

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

Diabetes Strategy

Was asked: his views on findings in recent data showing that County Meath had the largest year-on-year increase in the number of persons with diabetes hospitalised for foot ulceration treatment. More Button

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

Hospital Waiting Lists

Was asked: when a person (details supplied) in County Donegal will receive an appointment at Sligo University Hospital; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensu...More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly..More Button

Was asked: when a person (details supplied) in County Meath will receive a hospital appointment.More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensure...More Button

In response to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly..More Button

Medical Aids and Appliances Applications

Was asked: the status of prosthetics for a person (details supplied); and if he will make a statement on the matter. 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

Was asked: when FreeStyle Libre will be made available on the GMS and long-term illness card; if that availability will not be restricted only to persons with type 1 diabetes but will be made available to all...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

Minor Ailments Scheme

Was asked: if he will provide a report on the introduction of a minor ailment scheme in community pharmacies.More Button

The Programme for Partnership Government is committed to the expansion of the community pharmacy role in managing the health of patients.

  A feasibility trial into a minor ailme...More Button

Community Pharmacy Services

Was asked: if he will provide a report on the implementation of e-prescribing in the community.More Button

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred t...More Button

Hospitals Data

Was asked: the hospitals and specialties that benefited from the recent allocation of 120 advanced nurse practitioners, in tabular form.More Button

The selection process in relation to the allocation of the advanced nurses practitioner places is ongoing. The outcome of the selection process will be known on 23 October 2017, and I will write t...More Button

Was asked: the number of planned cases by doctor in general surgery at Letterkenny University Hospital in each of the years 2007 to 2016 and to date in 2017; the number of cases operated on; and the numbers o...More Button

Cancellation of elective procedures can occur for a variety of exceptional reasons, including cancellations because a bed or the clinical team are not available, cancellations by the patient, or be...More Button

Was asked: the number of operating theatres for orthopaedic surgery available in Galway University Hospital; if these theatres are on the Merlin Park campus; if not, the reason the theatres that were on this ...More Button

The Saolta University Healthcare Group advises that Galway University Hospitals currently have four orthopaedic surgical theatres. Two of these theatres are located on the University Hospital Galw...More Button

My Department was advised by Saolta that a leak developed in the roof of a building in the Merlin Park hospital campus that houses the hospital's two orthopaedic theatres on 4 September. At this...More Button

A second leak was noted on 13 of September, and Saolta advises that a multi-disciplinary team, consisting of members of the hospital's management and infection control teams and the HSE's West Es...More Button

As a result, elective orthopaedic surgeries are now being deferred at Merlin Park and affected patients are being contacted by the Hospital. It should be noted however that no emergency patients...More Button

Hospital Consultant Recruitment

Was asked: if funding will be provided for a third paediatric rheumatologist to combat the waiting list for persons with juvenile arthritis; and if he will make a statement on the matter.More Button

In relation to the query raised by the Deputy, as this is a service issue, I have asked the HSE to respond to you directly regarding the actions being taken to address waiting times for children wh...More Button

Was asked: the status of the appointment of an oncologist with a special interest in Sarcoma for St. Vincent's hospital; the actions undertaken to fill this post since the interview process; the name of the s...More Button

The Deputy's questions relate to service delivery matters, and accordingly I have asked the HSE to respond directly to her.More Button

Nursing Homes Support Scheme Administration

Was asked: the arrangements in place for collecting moneys under the nursing home support scheme; the amounts received in each of the years 2011 to 2016 and to date in 2017 under this scheme; and if he will m...More Button

HSE Funding

Was asked: the reason an application for HSE national lottery grants submitted by a service (details supplied) was unsuccessful; if this decision may be appealed by the service; the other suitable sources of ...More Button

Was asked: the status of funding within the HSE to carry out valve-replacement surgery and the purchase of replacement valves; and if he will make a statement on the matter. More Button

In response to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.More Button

General Practitioner Services

Was asked: the position regarding the Shannondoc service in the Shannon region, County Clare; and if he will make a statement on the matter.More Button

Was asked: the position regarding the Shannondoc service in the Shannon region, County Clare, being provided during weekends; if the service has been downgraded; if a decision has been made to downgrade it in...More Button

I propose to take Questions Nos. 300 and 301 together.

  As these questions relate to service matters, I have arranged for the questions to be referred to the Health Service Exec...More Button

Home Care Packages Data

Was asked: the funding available for home care packages of approximately €149 million and the additional €9 million supported by HSE and an organisation (details supplied) available for intensive home care pa...More Button

Was asked: the number of persons with dementia availing of intensive home care packages as of 30 September 2017 by county, in tabular form; and if he will make a statement on the matter.More Button

Orthodontic Services Waiting Lists

Was asked: the reason there is a delay in providing an appointment for orthodontic treatment for a person (details supplied); and if he will make a statement on the matter.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

Was asked: if the waiting times for children waiting for orthodontic treatment will be addressed; and if he will make a statement on the matter.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

Hospital Services

Was asked: if the HSE plans to put a permanent ward in the Our Lady of Lourdes Hospital, Drogheda, for COPD patients; and if he will make a statement on the matter. More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Was asked: if the necessary resources will be provided to a hospital (details supplied) to launch a new service before the end of 2017; and if he will make a statement on the matter.More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly. More Button

Was asked: the processes and services available for children with intestinal failure transitioning from the national paediatric unit at Our Lady's Children's Hospital, Crumlin; and if he will make a statement...More Button

I am aware that a business case for the establishment of a dedicated centre for Intestinal Failure was prepared by St. James’s Hospital. Any proposals for the funding for the centre for intestinal...More Button

Hospital Consultant Contracts

Was asked: the status of dedicated respiratory consultants for Our Lady of Lourdes Hospital, Drogheda; and if he will make a statement on the matter.More Button

In response to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.More Button

Hospital Admissions

Was asked: the number of chronic obstructive pulmonary disease, COPD, patients admitted into the RCSI hospital group in the years 2015 and 2016 and to date in 2017, by location; the number of days COPD patien...More Button

In response to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.More Button

Medical Aids and Appliances Provision

Was asked: if sufficient funding will be sought from his Department in the context of Budget 2018 to meet the cost of purchasing medical equipment for those on a waiting list for same (details supplied). 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

Was asked: the reason a person (details supplied) has not received medical equipment that has been requested by a consultant in St. James' Hospital. 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

Hospital Charges

Was asked: if his attention has been drawn to changes to ultrasound charges at a hospital (details supplied) in Dublin 1; the reason for the change to hospital policy in this regard; his views on whether the ...More Button

In response to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.More Button

  Question No. 311 withdrawn.More Button

Was asked: if persons with haemochromatosis are to be charged €80 for outpatient attendance to have their blood drawn off; if so, if this applies just to private patients; if this charge will be imposed on me...More Button

Outpatient charges are set by S. I. No. 45/2013 - Health (Out-Patient Charges) Regulations 2013. Currently, the only charge for an outpatient service is at an Emergency Department, ED. Medical Ca...More Button

The €80 charged referred to by the Deputy is the statutory daily charge, up to a maximum of €800, where a person has been referred to a hospital for an inpatient service, including that provided ...More Button

General Medical Services Scheme

Was asked: the reason Versatis 5% medicated plaster has been taken off the medical card since 1 September 2017 (details supplied); if his attention has been drawn to the fact that persons will be forced into ...More Button

Medicines play a vital role in improving the health of Irish patients. Securing access to existing and new and innovative medicines is a key objective of the health service. However, the challen...More Button

Was asked: the status of the general practitioner blood tests under the medical card scheme (details supplied); the general practitioner functions that are not covered under the medical card scheme; and if he...More Button

Under the terms of the current GMS contract, GPs are required to provide eligible patients with, ''all proper and necessary treatment of a kind usually undertaken by a general practitioner and not ...More Button

This is a matter of concern for me as it has long been the position of the Government and the Oireachtas that no user charges should apply to GP services provided to GMS and GP visit card patient...More Button

The GMS contract stipulates that fees are not paid to GPs by the HSE in respect of certain medical certificates which may be required, for example, "under the Social Welfare Acts or for the purpo...More Button

Civil Marriages Data

Was asked: the waiting time for each civil registration office for persons who are seeking an appointment to notify the civil registration office of their intention to marry; and if he will make a statement o...More Button

The Civil Registration Service is operated by the Health Service Executive on behalf of the General Register Office under the aegis of the Department of Employment Affairs and Social Protection. I...More Button

Occupational Therapy

Was asked: if his attention has been drawn to the fact that occupational therapists in County Mayo are not carrying out risk assessments on pre-school-going children with special needs under the newly introdu...More Button

Occupational Therapy Waiting Lists

Was asked: when a person (details supplied) in County Mayo can expect to have their next occupational therapy appointment; his views on whether it is unfair that this person has had no appointment since Febru...More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply.More Button

Was asked: the number of persons awaiting occupational therapy services in County Wexford; the number of those waiting who are under 18 years of age; and the average waiting time for those awaiting these serv...More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply.More Button

Questions Nos. 327 and 328 answered with Question No. 276.More Button

Was asked: the way in which it is proposed to reduce the long waiting times being experienced by children in County Kildare who are in need of an assessment for occupational therapy.More Button

Was asked: the way in which it is proposed to reduce the long waiting times being experienced by children in counties Laois and Offaly who are in need of an assessment for occupational therapy.More Button

I propose to take Questions Nos. 367 and 372 together.

  As these questions relate to service matters, I have arranged for them to be referred to the Health Service Executive, HS...More Button

Medical Card Eligibility

Was asked: the reason a person (details supplied) in County Mayo is now being asked to apply for the renewal of their card under regular regulations; the reason their card has not automatically been renewed u...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

Hospital Waiting Lists Data

Was asked: the number of persons waiting to see a consultant neurologist in County Donegal; the length of time these persons have been waiting; if a second neurologist has been appointed; the way in which the...More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Was asked: the waiting list for joint replacement operations in the Royal College of Surgeons hospital group, by individual hospital, for each of the past three years; the number of such replacement joint ope...More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Was asked: the number of persons on the waiting list for orthopaedic surgery at Galway University Hospital for more than two years and less than three years, for three years and less than four years and for f...More Button

I acknowledge that waiting times are often unacceptably long and I am conscious of the burden that this places on patients and their families.

  Reducing waiting times for the lo...More Button

Was asked: the number of persons on waiting lists who were due to receive scheduled treatment during October, November and December 2017 who have been notified that their procedure has been postponed; and if ...More Button

I fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled.

  Maintaining scheduled care access is a key priority ...More Button

Was asked: the waiting list for joint replacement operations in the Ireland East Hospital Group in each of the past three years, by hospital; the number of such replacement joint operations carried out in the...More Button

In relation to the queries raised by the Deputy, as these are service issues, I have asked the HSE to respond to the Deputy directly.More Button

Was asked: the number of persons with diabetes requiring inpatient treatment for diabetic foot ulceration from County Kildare; and if he will make a statement on the matter.More Button

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

Protected Disclosures

Was asked: if a protected disclosure submitted to his Department by a person (detailed supplied) has been processed.More Button

All protected disclosures submitted to my Department are given due attention in keeping with my Department's protected disclosures policy and procedures and in accordance with the requirements unde...More Button

Cannabis for Medicinal Use

Was asked: the date on which the compassionate access programme for medicinal cannabis will come into operation.More Button

Was asked: the number of times the expert group charged with developing the operational, clinical and practice guidelines for the compassionate access programme for medicinal cannabis has met; the dates on wh...More Button

I propose to take Questions Nos. 332 and 333 together.

  As the Deputy will be aware, in March 2017, on foot of the conclusions from the Health Products Regulatory Authority’s re...More Button

Was asked: the status of the medical cannabis compassionate programme; the timeframe for this programme to become more widely used by medical professionals; and if he will make a statement on the matter.More Button

As the Deputy will be aware, in March 2017, on foot of the conclusions from the Health Products Regulatory Authority's report, "Cannabis for Medical Use – A Scientific Review", I established an Exp...More Button

The Expert Group is chaired by Dr. Mairín Ryan, Director of Health Technology Assessment at the Health Information and Quality Authority, HIQA, and comprises representation from the areas of onco...More Button

The Expert Group is tasked with the development of clinical guidance for healthcare professionals treating patients through the Access Programme. A critical requirement for the successful establ...More Button

Officials in my Department are working on secondary legislation to underpin the programme and on the logistics of sourcing suitable cannabis-based product supplies for the Irish market place. Th...More Button

Pending implementation of the Cannabis Access Programme, and for medical conditions that are not included in the Cannabis Access Programme, under existing legislation it is open to me as Minister...More Button

Ultimately it is the decision of the clinician, in consultation with their patient, to prescribe or not prescribe a particular treatment for a patient under their care. As Minister for Health, I...More Button

Where a consultant requires information or clarification in relation to the licence application process, he or she should contact my Department directly..More Button

Nursing Staff Provision

Was asked: the steps which will be taken to replace eight front-line hospital and community based nurses in counties Laois and Offaly who are due to go on maternity leave over the coming months.More Button

HSE Staff Recruitment

Was asked: the steps being taken to fill a post (details supplied) in community health services in County Laois.More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

Hospital Appointments Delays

Was asked: if an appointment for a person (details supplied) will be scheduled; and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition war...More Button

Was asked: if a hospital appointment will be expedited for a person (details supplied); and if he will make a statement on the matter.More Button

Under the Health Act 2004, the Health Service Executive, HSE, is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE...More Button

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensur...More Button

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly..More Button

Home Help Service Provision

Was asked: if additional home help hours on the weekend will be provided in the case of a person (details supplied); and if he will make a statement on the matter.More Button

Was asked: if home help hours will be provided for a person (details supplied); if funding will be provided in order that extra staff and support for home help services in Crumlin will be provided for persons...More Button

Infectious Diseases

Was asked: if his attention has been drawn to the increasing number of persons contracting Lyme disease; if he will instruct the HSE to be more supportive in recognising this illness; if he will request the H...More Button

Was asked: the supports in place for persons with Lyme disease; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 340 and 371 together.

  Lyme disease (also known as Lyme borreliosis) is an infection caused by a spiral-shaped bacterium called Borrelia burgdor...More Button

Primary Care Centres

Was asked: the opening hours for the Derrinturn and Johnstownbridge health centres; and if he will make a statement on the matter.More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply.More Button

Autism Support Services

Was asked: the waiting list times for occupational therapists assessments in the regional autism services, Dublin; and if he will make a statement on the matter.More Button

Was asked: if he will be seeking more funding for autism services in Budget 2018 (details supplied); and if he will make a statement on the matter. More Button

Was asked: the average waiting time for children on the autism spectrum looking to access preschool services; and if he will make a statement on the matter.More Button

Mental Health Services Staff

Was asked: the number of staff vacancies which have occurred at the psychiatric unit at Letterkenny University Hospital in 2015 and 2016 and to date in 2017, in tabular form; the dates on which each such vaca...More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

Was asked: the number of members of staff, both medical and clerical, that make up the Child and Adult Mental Health Services team based at University Hospital Waterford; and if he will make a statement on th...More Button

National Treatment Purchase Fund Data

Was asked: the number of persons referred under the treatment purchase fund in 2017 for orthopaedic operations in the Galway region; and if he will make a statement on the matter.More Button

I acknowledge that waiting times are often unacceptably long and I am conscious of the burden that this places on patients and their families.

  Reducing waiting times for the lo...More Button

Was asked: the number of persons who have received treatment to date in 2017 under the funding provided to the National Treatment Purchase Fund separately from HSE waiting list initiatives.More Button

I acknowledge that waiting times are often unacceptably long, and I am conscious of the burden that this places on patients and their families.

  Reducing waiting times for the l...More Button

Primary Care Centres Provision

Was asked: the progress with regard to the provision of a primary health care centre in Swords, County Dublin; and if he will make a statement on the matter.More Button

Was asked: the progress with regard to the provision of a primary health care centre in Malahide, County Dublin; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 352 and 353 together.

  As the HSE has responsibility for the provision, along with the maintenance and operation of Primary Care Centres and oth...More Button

Hospitals Building Programme

Was asked: the position regarding a project (details supplied) at the University Hospital Limerick; and if he will make a statement on the matter.More Button

As this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Emergency Services

Was asked: if he will establish an adrenaline station in Leinster House as a matter of good practice, with a view to setting up such a provision in all workplaces, community facilities and schools; and if he ...More Button

The Deputy will be aware that in October 2015, my predecessor, Minister Leo Varadkar, T.D., signed regulations which allow certain prescription-only medicines to be administered by trained members ...More Button

Ministerial Functions

Was asked: the powers he has delegated to the Ministers of State in his Department; the date on which such a delegation was made; if there were changes in powers delegated relative to the situation in place p...More Button

I have delegated responsibilities to the three Ministers of State assigned to my Department as follows:More Button

Finian McGrath, T.D., Minister of State for Disabilities at my Department, has been delegated responsibility for all legislation, policy and funding relating to the provision of specialist health...More Button

Catherine Byrne, T.D., Minister of State, has been delegated responsibility for Communities, the National Drugs Strategy and also the additional responsibility of Health Promotion. The Order S.I...More Button

Jim Daly, T.D., Minister of State for Mental Health and Older People, has been delegated responsibility for all legislation, policy and funding relating to the provision of mental health services...More Button

The Orders also include any new relevant legislation pertaining to the areas of responsibility given to the Ministers of State which has been enacted in the period since the last delegation order...More Button

Nursing Homes Support Scheme Data

Was asked: the number of persons under 65 years of age in the fair deal scheme, under the nursing homes support scheme; and the number of persons under 65 years of age in receipt of it in each of the years 20...More Button

Psychological Services

Was asked: the number of children in County Wexford awaiting primary care psychology services; the number of those children waiting longer than 12 months, 24 months and more than 36 months respectively; and i...More Button

Was asked: if he is satisfied with the inability of primary care psychology services in County Wexford to offer urgent appointments; and when this matter will be addressed.More Button

Was asked: the number of persons waiting for a psychology appointment in primary care; and the number waiting more than a year.More Button

Hospital Waiting Lists Action Plans

Was asked: if he will report on the progress regarding the commitments he made in respect of reducing surgery waiting times for children with scoliosis; and if he will make a statement on the matter.More Button

The HSE is actively implementing the action plan they developed to ensure that no child will be waiting over four months by year-end and are focused on maximising all available capacity both intern...More Button

Additional nurses are now in post in both Crumlin and Temple Street. An additional consultant orthopaedic surgeon commenced last month in Crumlin. So far in 2017, 272 scoliosis procedures have ...More Button

The HSE has also completed an international tender for paediatric spinal fusion procedures and three hospitals have been successful. These hospitals have commenced patient reviews with a view to...More Button

The HSE has also developed a forecasting model to predict on a weekly and monthly basis the numbers of patients expected to receive surgery by year end. This is assisting the HSE further in moni...More Button

The overall number of patients waiting for scoliosis procedures has been reducing this year and progress continues in delivering on the four-month target announced by the HSE by the end of 2017 i...More Button

Health Services Staff Recruitment

Was asked: the vacancy rates for consultants, doctors, nurses and midwives in the HSE; and his plans to fill those vacancies while also retaining existing staff in the HSE.More Button

I have asked the HSE to respond to the Deputy directly concerning the vacancy rates requested. However, it should be noted that typically the HSE does not operate a "vacancy rate", but rather reco...More Button

The need to increase the numbers of consultants, doctors, nurses and midwives in the public health service is a priority for me, my Department and the HSE against a backdrop of global shortages. More Button

At the end of August 2017, there were 2,913 whole-time equivalent consultants in the public health services. This is 103 more than the end of August 2016 figure and an increase of over 700 in th...More Button

The Nursing Recruitment and Retention Agreement concluded with the INMO and SIPTU Nursing earlier this year committed to increasing the number of nurses and midwives by 1,224 additional permanent...More Button

The Public Service Pay Commission will also be examining the reasons behind the recruitment and retention issues faced by some public service grades in the next phase of its work. This will incl...More Button

Was asked: if funding for a further podiatrist in Dublin will be made available in Budget 2018; and if he will make a statement on the matter. More Button

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

Community Care

Was asked: his views on the Mental Health Commission’s call for it to be given powers to regulate community-based care services.More Button

Health Strategies

Was asked: if the appointment of dementia care co-ordinators and dementia advisers in each local health office area will be considered.More Button

Speech and Language Therapy Provision

Was asked: if he will report on the HSE's engagement with the introduction of a new in-school speech and language service.More Button

Parliamentary Questions

Was asked: the target response times for Parliamentary Questions that are submitted to the HSE for response; the percentage of responses that are returned to Deputies within this timeframe; if he is satisfied...More Button

My Department consistently answers more Parliamentary Questions than any other. A significant number of theses, as they relate to service matters or individual queries are referred to the HSE for ...More Button

To October 5, this year 9,024 PQs were received by the Department, 6,342 of which were referred to the HSE. Some 74% of referred PQs have been answered within the ten working-day timeframe. I c...More Button

Long-Term Illness Scheme Coverage

Was asked: when the list of medical conditions that are covered by the long-term illness scheme will be amended (details supplied).More Button

The LTI Scheme was established under Section 59(3) of the Health Act 1970 (as amended). The conditions covered by the LTI are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in ...More Button

There are no plans to extend the list of conditions covered by the Scheme..More Button

Was asked: if haemochromatosis will be added to the list of long-term illnesses; and if not, the reason therefore.More Button

The LTI Scheme was established under Section 59(3) of the Health Act 1970 (as amended). The conditions covered by the LTI are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in ...More Button

There are no plans to extend the list of conditions covered by the Scheme. More Button

Question No. 397 answered with Question No. 276.More Button

Was asked: his plans for a review of the illnesses constituted as long-term illnesses; and if not, the reason therefor.More Button

The LTI Scheme was established under Section 59(3) of the Health Act 1970 (as amended). The conditions covered by the LTI are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in ...More Button

There are no plans to extend the list of conditions covered by the Scheme.More Button

Prescriptions Charges

Was asked: further to Parliamentary Question No. 210 of 10 May 2017, the status of legislative change to address the issue of anomalous prescription charge pricing; and if he will make a statement on the matt...More Button

My Department is aware of the issues raised by the Deputy and is in contact with the HSE to seek a resolution of the issue.More Button

Mental Health Services

Was asked: his plans to fast-track children in care to access CAMHS in a speedier manner; and if he will make a statement on the matter. More Button

Medical Qualifications

Was asked: the qualifications required for a person to deliver psychological counselling and therapeutic services to young and elderly persons suffering from mental health issues in the private or public sect...More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

Palliative Care Facilities

Was asked: if a submission seeking funding for palliative care rooms within the replacement ward accommodation under phase two of the current developments at Saint Luke's Hospital in Kilkenny has been submitt...More Button

In relation to the query raised by the Deputy, as this is a service issue, I have asked the HSE to respond to the Deputy directly.More Button

Medicinal Products Availability

Was asked: if the drug eteplirsen is available for persons here; his plans to fund this drug for public patients; and if he will make a statement on the matter.More Button

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

Garda Vetting of Personnel

Was asked: the reason it takes up to eight weeks for Garda vetting forms to clear for staff waiting to begin working for the HSE; the reason it is not possible for the HSE to apply for Garda vetting online fo...More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

General Practitioner Training

Was asked: if he has given consideration to providing funding to appoint more tutors for the north Dublin area to help maintain general practitioners’ commitments to continuous medical education in view of th...More Button

All doctors on the Medical Council's register, including GPs, are required to maintain professional competence by enrolling in professional competence schemes and engaging in maintenance of profess...More Button

The HSE provides some support towards this requirement for GPs by funding the GP Continuing Medical Education, CME, National Tutor Network. These Tutors provide teaching to all GPs in active pra...More Button

As this is a service matter, I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy. .More Button

Ambulance Service Provision

Was asked: the level of ambulance cover available each day of the week on a 24-hour basis at each of the ambulance stations across counties Cavan and Monaghan; and if he will make a statement on the matter. More Button

As this is a service matter, I have asked the HSE to respond to the Deputy directly. More Button

Emergency Departments

Was asked: his plans to tackle the expected surge in trolley numbers and the expected overcrowding in accident and emergency departments in the event of winter vomiting bug occurring; and the contingencies in...More Button

Firstly, I wish to acknowledge the distress for patients and their families, and the impact on staff, caused by cramped and overcrowded conditions in some of our hospital Emergency Departments, EDs...More Button

In general, demand in EDs reaches a more intense peak during the winter period. Therefore, there is a requirement for winter planning and preparedness to be undertaken, to provide assurance that...More Button

As such, Hospital Groups, Community Health Organisations and hospitals are all currently in the process of developing integrated winter plans to cover the period October 2017 to March 2018. Thes...More Button

In compliance with the Escalation Directive, all hospitals with EDs have contingency plans in place, to be implemented as required in times of high demand. More Button

My Department continues to work intensively with the HSE to address the challenges, and monitor performance, in our EDs. .More Button

Health Services Data

Was asked: if figures are available with regard to the number of persons suffering with Parkinson's disease; and if he will make a statement on the matter.More Button

Hospital Deaths

Was asked: if the CEO of West-North West Hospital Group Saolta has responded to persons (details supplied) on the loss of their baby; if these persons can view their file; when the persons will have the detai...More Button

I would like to extend my condolences to the family concerned.

  With regard to the specific information sought by the Deputy, as this is a service issue, I have asked the HSE ...More Button

UN Convention on the Rights of Persons with Disabilities

Was asked: his views on ratifying the UN Convention on the Rights of Persons with Disabilities; and if he will make a statement on the matter.More Button

National Children's Hospital Status

Was asked: the progress on the construction of the national children's hospital, including changes to the overall cost estimates; and if he will make a statement on the matter.More Button

Following the Government’s April 2017 decision to give the green light for the new children's hospital project construction investment, detailed discussions with the preferred tenderer and the hund...More Button

The capital project to build the new children’s hospital and satellite centres will only provide buildings. The overall programme to deliver the new Children’s Hospital entails both a complex me...More Button

This new hospital is an extraordinary opportunity to transform paediatric services in Ireland by bringing together patients and staff from across the three existing children’s hospitals into a si...More Button

Generic Drugs Substitution

Was asked: the timeframe for the publication and implementation of a new national biosimilar policy in view of the fact that the public consultation for same has now closed; and if he will make a statement on...More Button

Was asked: his views on the introduction of prescribing quotas for biosimilars and gain share schemes for hospitals to increase usage of biosimilars, as recommended by leading biosimilar manufacturers; the me...More Button

I propose to take Questions Nos. 400 and 402 together. More Button

Medicines play a vital role in improving the overall health of Irish patients. Securing access to new and innovative medicines, in a timely manner, is a key objective of the Irish health service...More Button

To this end, the IPHA Agreement included a specific provision in regards to biosimilar medicines whereby biological medicines receive an automatic reduction of 30% when a biosimilar equivalent co...More Button

The National Biosimilar Medicines Policy will aim to better position Ireland to benefit from current and future biosimilar medicines. The primary objective of the policy will be to increase bios...More Button

The public consultation for this policy was closed on 29 September, and my officials are currently examining the 30 responses in depth. More Button

Having performed research on international best practice as part of the policy development process, my Department will now begin the developing an appropriate policy framework to increase the usa...More Button

I expect this policy to be published in early 2018. .More Button

Was asked: if he has satisfied himself with the level of uptake of biosimilars here; the percentage usage and or market share of each biosimilar available here relative to its biologic equivalent; if not, the...More Button

The HSE has statutory responsibility for the operation and the administration of the community drug schemes, therefore, the matter has been referred to the HSE for reply to the Deputy.More Button

Question No. 402 answered with Question No. 400.More Button

Medical Card Administration

Was asked: if medical card applicants can receive medical cover from the date on which their application was received rather than the date of issue; if not, if he will adopt this change; and if he will make a...More Button

Medical card cover starts from the date the medical card is issued. It should be noted that new applications received for medical card and GP visit card eligibility where the application does not ...More Button

Mental Health Services Funding

Was asked: his plans to invest €55 million for mental health services in Budget 2018 (details supplied); and if he will make a statement on the matter. More Button

Home Care Packages

Was asked: if, in assessing home care packages for persons being discharged from hospitals, there is an assessment carried out of the home situation; if there is a visit to the person's home to assess the hel...More Button

Was asked: the level of home care available to a person (details supplied); and if he will make a statement on the matter.More Button

Medical Card Drugs Availability

Was asked: further to the refusal by the HSE to provide a person diagnosed with narcolepsy after receiving the pandemrix vaccine (details supplied) with a medical card, his views on whether it is appropriate ...More Button

The Department of Health, the HSE and the Department of Education and Skills continue to work together to provide a wide range of services and supports for those affected. The HSE's Advocacy Unit ...More Button

The ex-gratia health supports include clinical care pathways to ensure access to rapid diagnosis and treatment, multi-disciplinary assessments led by clinical experts, counselling services for b...More Button

The Deputy has raised a query regarding an individual case. The HSE has responsibility for the administration of treatment and delivery of services in this case. The matter has therefore been ...More Button

Was asked: further to Parliamentary Question No. 535 of 20 September 2017, if his attention has been drawn to the impact that the changes of the prescribing of Lidocaine has had on persons with chronic neurop...More Button

As outlined in Parliamentary Question No. 535 of 20 September 2017, following a review by the Medicines Management Programme, MMP, of the evidence available to support the use of Versatis 5% medica...More Button

Respite Care Grant Applications

Was asked: if financial assistance will be given to a person (details supplied) to assist with respite care bills; and if he will make a statement on the matter.More Button

Ambulance Service Staff

Was asked: the number of staff who have been recruited by the national ambulance service in regions (details supplied) in each of the years 2015 and 2016 and to date in 2017, in tabular form.More Button

I have asked the HSE to respond to the Deputy directly on this matter.More Button

Health Services

Was asked: further to the roll-out of the national integrated medical imaging system, NIMIS, the number, name and location of HSE hospitals in which this system has been installed; the number, name and locati...More Button

Both the roll-out and operation of NIMIS are being managed by the Health Service Executive and I have asked them to respond to the Deputy directly.More Button

Was asked: the reason there is a sudden increase in persons requiring inpatient treatment for diabetic foot ulceration; and if he will make a statement on the matter.More Button

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

Respite Care Services Funding

Was asked: if urgent and emergency funding for existing respite service proposals that are in the possession of the HSE will be provided in view of the respite crisis in County Louth; and if he will make a st...More Button

Hospital Procedures

Was asked: the number of hip and knee replacements that have taken place in Castlebar Hospital, County Mayo, in the past year; and if he will make a statement on the matter. More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Was asked: the number of post-operation wash out procedures following knee and hip replacements in the past year in Castlebar Hospital, County Mayo; and if he will make a statement on the matter. More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Hospital Acquired Infections

Was asked: the number of persons who contracted the MRSA virus in Castlebar Hospital post-operation procedures in the hospital in the past three years; and if he will make a statement on the matter. More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Departmental Reports

Was asked: the timeframe to publish an antimicrobial resistance plan; and if he will make a statement on the matter.More Button

I am pleased to advise the Deputy that Ireland's National Action Plan on Antimicrobial Resistance 2017-2020, iNAP, will be published on Wednesday 25 October next. The plan will be launched by Mini...More Button

Ireland's first National Action Plan on AMR 2017-2020 was developed following the WHO Global Action Plan on Antimicrobial Resistance 2015, which required all countries to have in place a national...More Button

The iNAP lists Strategic Interventions and Activities, responsible bodies and priority rankings of timelines for implementation. An implementation plan will be developed separately which will ad...More Button

The iNAP aims to ensure the development and implementation of multifaceted interventions which will safeguard against inappropriate prescribing, dispensing and consumption of medicines, while sim...More Button

Was asked: the status of the development of a national women's health action plan as committed to in the national strategy for women and girls; the number of persons in his Department working on this action p...More Button

Health Promotion

Was asked: the reason the HSE has cut an information and advice programme (details supplied); and if he will make a statement on the matter.More Button

Lobbying Data

Was asked: the number of occasions on which he has been lobbied in respect of the Public Health (Alcohol) Bill since March 2016; the persons he has met with; the dates of these meetings; the details of the ba...More Button

Maternal Mortality

Was asked: the number of maternal deaths in hospitals; the age of the women; if they were born here or outside the State, in tabular form; and if he will make a statement on the matter.More Button

Was asked: if he will report on the availability of interpretative services within the maternity services; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 429 and 430 together.

  As the issues raised are operational matters, I have asked the HSE to respond to the Deputy directly. More Button

Health Services Reform

Was asked: the timeframe to which he is working to establish an implementation office for Sláintecare; when the post of senior executive to lead that office will be advertised; and if he will make a statement...More Button

As the Deputy is aware, I supported the establishment of the cross-party Committee on the Future of Healthcare and have consistently supported its work. I have welcomed the publication of the Slái...More Button

I am committed to making tangible and sustainable improvements in our health services and the Committee’s work now provides a framework to do this. I have briefed Government colleagues on the re...More Button

In parallel, work is underway to develop a detailed response to the report. The report is wide-reaching and it is important that appropriate time is allowed for it to be fully considered and for...More Button

Hospital Staff

Was asked: the progress being made to secure the allocation of two additional advanced nurse practitioners to diabetes services at Letterkenny University Hospital; and if he will make a statement on the matter.More Button

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.More Button

Dental Services Provision

Was asked: if dental treatment for a person (details supplied) will be expedited; and if he will make a statement on the matter.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

General Practitioner Services Provision

Was asked: if his attention has been drawn to the fact that if a person does not have a medical card a doctor will not be assigned by the HSE; if his attention has been further drawn to the fact that no priva...More Button

Persons who do not hold a medical card or GP visit card access GP services on a private basis. Details of the numbers of private patients attending particular GPs are not collected by the Departme...More Button

GPs are private contractors and issues relating to the acceptance of private patients or payment of fees outside the terms of the GMS contract are a matter of private contract between the clinici...More Button

The HSE Primary Care Unit in Community Healthcare Organisation 5 has advised that it has not been made aware of any issues regarding the assignment of private patients to GPs in County Carlow. I...More Button

Mobility Allowance

Was asked: if the mobility allowance will be reintroduced for new applicants in 2018; and if he will make a statement on the matter.More Button

Cancer Services Provision

Was asked: the reason some supports for women with breast cancer such as breast prosthesis and post mastectomy bras have been reduced; and if he will make a statement on the matter.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

General Practitioner Data

Was asked: the number of general practitioners availing of a rural general practitioner allowance by county; and if he will make a statement on the matter.More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive for direct reply.More Button

Was asked: the ratio of general practitioners to population by HSE area, in tabular form; and if he will make a statement on the matter.More Button

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive for direct reply.More Button

Nursing Homes Support Scheme Review

Was asked: the steps he plans to take to eliminate the discrimination against farmers under the fair deal scheme; the timeframe for same; and if he will make a statement on the matter.More Button

Occupational Therapy Staff

Was asked: the number of occupational therapists that would be needed to clear the waiting lists of children awaiting assessment of needs and long term plans, by CHO and LHO, in tabular form; and the amount i...More Button

Hospital Accommodation Provision

Was asked: if he will support, fund and direct the HSE to develop a rehabilitation ward in empty buildings on the site of Our Lady's Hospital, Navan, County Meath, in order to allow for the treatment of perso...More Button

Was asked: if he will start to fund the ten-bed escalation ward that has been operating within Our Lady’s Hospital, Navan, County Meath, for the past number of years in view of the fact this ward is key in or...More Button

Was asked: if he or the HSE plans to close or part close the 24-hour emergency department service in Our Lady's Hospital, Navan, County Meath, in the next 12 months in view of the level of pressure experience...More Button

Was asked: his views on whether Our Lady's Hospital, Navan, County Meath, can function safely into the future in view of the fact the conditions in the emergency department have not changed since it was opene...More Button

Was asked: the estimated cost to facilitate 24-hour emergency department consultant cover in Our Lady's Hospital, Navan, County Meath. More Button

I propose to take Questions Nos. 450 to 454, inclusive, together.More Button

Our Lady’s Hospital, Navan, is part of the Ireland East Hospital Group. Every hospital in that group, large and small, has a vital role to play within the group, with smaller hospitals managing ro...More Button

Currently, the Hospital Group is engaged in a programme of re-design work to further integrate and enhance the role of Navan hospital within the group and to ensure that it will provide more serv...More Button

The Hospital Redesign Working Group includes representation from local GPs, the National Ambulance Service, the Mater and Navan Hospitals and from the Ireland East Hospital Group. It is intended...More Button

I can assure the Deputy that there are no immediate plans to change Emergency Department services at Navan. Any proposed changes to Emergency Department services will only take place after stake...More Button

In relation to the specific service queries raised by the Deputy, I have asked the HSE to respond to the Deputy directly..More Button

Hospital Facilities

Was asked: the position regarding cancelled surgery for persons resulting form repairs being carried out at Merlin Park Hospital, Galway; the location to which staff are being deployed; the location to which ...More Button

The Saolta University Healthcare Group has advised that a leak developed in the roof of a building in the Merlin Park Hospital campus that houses the Hospital's two orthopaedic theatres on 4 Septem...More Button

Following discovery of a second leak on 13 September, a multi-disciplinary team in the Saolta Group, consisting of Hospital Management and Infection Control staff and HSE Estates, took the decisi...More Button

On Wednesday 4 October, I met with the Saolta Hospital Group Management, representatives of the consultant orthopaedic surgeons at the Hospital, HSE Acute Hospitals and Estate Divisions as well a...More Button

The Saolta Group has advised that it is working with the orthopaedic surgeons and staff of the Hospital and more widely across Galway University Hospitals to implement solutions pending completio...More Button

Interim solutions being progressed include: utilising additional bed capacity at University Hospital Galway to enable some further elective procedures to be carried out; engaging with local priva...More Button

Furthermore, the Saolta Group and HSE Estates are working to progress a mobile theatre unit at Merlin Park Hospital as quickly as possible.More Button

The Saolta Group and HSE have committed to provide a contingency plan that deals service demand.More Button

I acknowledge the upset that this suspension of service has caused the patients affected and their family. The Saolta Group and the HSE have assured me that they are committed to resolving the i...More Button