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Harris, Simon

Tuesday, 2 July 2019

Dáil Éireann Debate
Vol. Nbr.


HSE Expenditure

Was asked: the amount by which the HSE budget is overspent as of the end of quarter 2 of 2019; the projection for the full year overspend; the additional spending commitments he has made to date during 2019; ...More Button

The management of health services finances is always challenging, as we have seen since the HSE was set up. There is a range of supplementary figures going right back to the start of the HSE that ...More Button

Encouragingly and importantly, significant savings are profiled later in the year in line with the targets set out in the national service plan.More Button

Was asked: the amount the HSE budget is overspent as at the end of quarter 2 of 2019; the projection for the full-year overspend; the additional spending commitments he has made during 2019; his plans to seek...More Button

The HSE’s latest income and expenditure position at 30 April 2019 shows a revenue deficit of €116.2m which represents 2.3% of the available budget.  The main drivers of the deficit are acute hospit...More Button

HSE Expenditure (Continued)

I have heard this misrepresented on many occasions in recent weeks. When the service plan was being drawn up, the HSE was asked - and instructed - as is the norm in most health services, including...More Button

I have emphasised to the HSE and its new board the need to address health spending urgently by means of the following measures: steps to ensure compliance with the staffing limits for 2019 - in o...More Button

The 10% increase in the assessment threshold for GP visit cards was implemented at the start of April. The budget for this would have been held back as a reserve in my Department. I say that from...More Button

Every Government of every hue monitors healthcare spending on an almost monthly basis in the run up to any budget. My message to the HSE is to deliver the service plan in full and, in parallel, to...More Button

It is understandable that the Deputy is trying to project from now until the end of the year. It is important to note, however, that when one looks at how the savings are profiled in the HSE Vot...More Button

At a political level, every day Deputies call on me to spend more on the health service, with calls for more for SIPTU workers, more for consultants and more for home care just in the past six we...More Button

Hospital Consultant Recruitment

Was asked: the number of consultant doctors operating in the health service, by hospital and speciality; the number of consultant doctor vacancies, by hospitality and speciality; and his views on the shortage...More Button

I thank Deputy O'Reilly for her question. The number of consultants working in the public health service continues to grow year on year. It increased by 125 whole-time equivalents, WTEs, or just ...More Button

In the five years to the end of May, the number has increased by 533 - more than 20% - and now stands at 3,121 consultants working in the Irish health service. The details by hospital and specia...More Button

On vacancies, the national doctors training and planning division of the HSE has provided figures up to 27 June. This identifies 362 posts, by hospital and specialty, that have been approved for ...More Button

The public health service operates in a global market for medical specialists, which is experiencing a worldwide shortage. Notwithstanding this fact, progress continues to be made in attracting ...More Button

The issue of new entrant pay is being addressed in general terms under the terms of the Public Service Stability Agreement 2018-2020 and has been examined by the Public Sector Pay Commission. Th...More Button

Was asked: his views on whether there is a shortage of full-time consultants in post here and that this shortage is a material contributor to the current waiting lists; if he will commence the unwinding of ne...More Button

The public health service in Ireland operates in a global market for medical specialists which is experiencing a world-wide shortage.  Nonetheless, the number of consultants working in the public h...More Button

While it would be preferable if all vacant posts could be occupied on a permanent basis, the majority of vacant posts not filled on a permanent basis are filled by alternative arrangements; fixed...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund increasing from €55 million in 2018 to €...More Button

Recruitment and retention of consultants has been examined by the Public Sector Pay Commission.  The Commission found that evidence of recruitment campaigns with very low levels of applications w...More Button

The Government accepted the Report of the Commission and recognises that there are significant recruitment and retention challenges in relation to consultant posts. The proposal of the Commission...More Button

Was asked: if the recruitment process to replace the retiring cardiologist serving Sligo University Hospital can be expedited; and if he will make a statement on the matter.More Button

Pursuant to the Health Acts, the Consultants division of National Doctors Training and Planning Unit, HSE, is responsible for the regulation of the number and type of medical consultant posts engag...More Button

The HSE has advised that there are currently two Consultant Cardiologists employed in Sligo University Hospital, one permanent staff member and one temporary staff member. An application has been...More Button

With regard to national cardiac services, the National Review of Specialist Cardiac Services is ongoing. The aim of the Review is to achieve optimal patient outcomes at the population level with ...More Button

While much work has been completed in relation to informing the optimal configuration of adult cardiac services, some significant and important work remains outstanding. In order to allow this wo...More Button

Was asked: his views on the consultant recruitment and retention difficulties experienced by the HSE; and if he will make a statement on the matter.More Button

The issue of new entrant consultant pay has been examined by the Public Sector Pay Commission. The Commission found that evidence of recruitment campaigns with very low levels of applications was ...More Button

The Commission acknowledged that the difference in pay between the pre-existing and new entrant consultants is greater than for other categories of public servants. It did not view the measures ...More Button

The Government accepted the Report of the Commission and recognises that there are significant recruitment and retention challenges in relation to consultant posts. The proposal of the Commission...More Button

It should also be noted that while pay has an impact in recruitment and retention of consultants, a number of other factors are also important, including, inter alia, opportunities for career dev...More Button

Notwithstanding the current recruitment challenges, the number of consultants working in the public health service continues to grow year on year. It increased by 125 whole time equivalents or ju...More Button

Hospital Consultant Recruitment (Continued)

We are making progress.More Button

It is fair game, when the Deputy asks a question on wanting to recruit more consultants, to point out that the policies she puts forward would result in fewer consultants.More Button

In 2012, Sinn Féin believed consultants were paid too much.More Button

It is not like Deputy O'Reilly to be unruly. I tried to look at a document Sinn Féin published in November 2016 under the tile, Framework for New Pay Agreement, but it does not seem to be availabl...More Button

We have more to do in this regard. I believe pay is an element of this but I also believe work practice change is an element. I believe the Deputy agrees with me on the need to make sure we hav...More Button

In direct answer to the Deputy’s question on how we reduce the shortage of consultant doctors across the health service, we do it through engaging on the issue of pay and through a pay agreement ...More Button

As the Deputy says, I preside over a health service that has seen more than 90% of GPs - the front-line doctors in our communities - accept the new agreement and contract that I have put to them. ...More Button

We have more to do. I believe that, sequentially, much progress has been made with regard to GPs and nursing and midwifery. Consultants are the next issue. I have met the IHCA directly here in...More Button

National Drugs Strategy

Was asked: if he will consider implementing a national multi-annual education and awareness campaign on drugs in view of the recent report from the European Monitoring Centre for Drugs and Drug Addiction; and...More Button

Rights of People with Disabilities

Was asked: his views on the right of persons with disabilities to a personal assistant; the steps he is taking to introduce same; and if he will make a statement on the matter.More Button

Rights of People with Disabilities (Continued)

Do not drag me into it.More Button

It is the Battle of Clontarf.More Button

Cannabis for Medicinal Use

Was asked: if other conditions such as chronic pain will be considered for inclusion in the pilot of the commencement of the medical cannabis access programme; and if he will make a statement on the matter.More Button

To break out a bit of harmony after the previous question, I thank Deputy Gino Kenny for his role in advocating for medicinal cannabis. We may not fully agree on the approach to take but I acknowl...More Button

With this legislation in place, for the first time in Ireland potential producers and suppliers can apply to the HPRA to have cannabis products assessed for suitability for medical use in this pr...More Button

The HPRA report did not recommend the inclusion of chronic pain in the access programme, but I reassure the Deputy, who has taken a close interest in the development of the programme, that this p...More Button

My approach to this, which the Deputy and I have discussed on many occasions, is that I have to be led by the views of clinicians. I take that approach because they are the people who have the med...More Button

Cannabis for Medicinal Use (Continued)

Different countries do slightly different things. If my memory serves me correctly, the Danish programme referenced by Deputy Gino Kenny does not include children and our programme does. Differen...More Button

I wish to pursue the points the Deputy made about reimbursement and travel because I think we can make progress on both of those. With the changes I made to the law last Wednesday, it may be pos...More Button

Health Reports

Was asked: the progress on implementation of the recommendations and findings of the report of the independent review group established to examine the role of voluntary organisations in publicly funded health...More Button

I thank Deputy Heydon for this important question. The report of the independent review group established to examine the role of voluntary organisations in publicly funded health and personal soci...More Button

The recommendations are grounded in two key overarching findings. First, the report recognises, as does the Deputy, the important contribution voluntary organisations make and concluded that the...More Button

I fully agree with and endorse the findings. Voluntary organisations have an important role to play in the delivery of health services. I have already signalled my commitment to further strengt...More Button

As a first step, I have given approval for the establishment of a new dialogue process between the Department, the HSE and other relevant health agencies and representatives of voluntary organisa...More Button

I believe that this new dialogue process can provide a forum for engaging more effectively with voluntary organisations on key policies and initiatives. I also believe it can provide a forum for...More Button

There is also a broad range of other recommendations in the report that are under consideration. The good news is that many of themes align with the Sláintecare programme and will be taken forwa...More Button

The Minister of State, Deputy Finian McGrath, and I support Deputy Heydon in that regard. I am aware of the very good work of KARE in the Deputy's constituency and in mine, and the very good work ...More Button

In the excellent report we are discussing, Ms Catherine Day made some good recommendations about having a public interest director or whatever we wish to call him or her. We can and must respect...More Button

I agree with Deputy Heydon that it is an excellent report. I thank Ms Catherine Day, Ms Jane Grimson and Ms Deirdre Madden for doing that body of work. In the report we heard from the voluntary s...More Button

I accept that we will have to address the funding issues. The Minister of State, Deputy Finian McGrath, and I will have to look at the legacy issues with Government colleagues. I am sure Deputy...More Button

Primary Care Centres Provision

Was asked: the timeframe for the provision of primary care centres in Portumna, Gort and Headford, County Galway; and if he will make a statement on the matter.More Button

I am pleased to be able to inform the Deputy that the development of the primary care centres in Portumna, Gort and Headford is being progressed.More Button

Was asked: if his attention has been drawn to the long delays in the delivery of primary healthcare centres in Lucan and Clondalkin; 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

  Question No. 111 answered with Question No. 53.More Button

Primary Care Centres Provision (Continued)

Planning permission has been obtained for the Portumna development, and the HSE expects to enter into a lease agreement with the developer in quarter 3 of this year, which is quite shortly.More Button

Previous efforts to develop primary care centres in Gort and Headford have not been successful. However, Gort was included in a recent national advertisement seeking expressions of interest from...More Button

Unfortunately, it is not possible at this stage to provide an estimated operational date for any of the three centres. Nonetheless, the HSE and the primary care sector are very determined to del...More Button

I thank Deputy Rabbitte. She is correct that we had an excellent day at the Tuam primary care centre. It is a really state-of-the-art centre of which I am aware the community in Tuam is very prou...More Button

With regard to Galway, there are now primary care centres operational in Tuam, Mountbellew, Loughrea, Athenry, Galway city east, the Aran Islands, Ballinasloe and Moycullen. The centre in Inishb...More Button

On the broader issue of dental services in the country, as the Deputy probably knows, I launched our new dental strategy, Smile agus Sláinte, a couple of weeks ago. The previous dental strategy wa...More Button

The Deputy is correct that collectively, her party and mine have invested an awful lot in trying to roll out primary care centres. Fine Gael is doing so with its Independent colleagues in govern...More Button

Cancer Screening Programmes

Was asked: if he or his officials understood that the second Scally report was to be delivered in February 2019; and if he will make a statement on the matter.More Button

Was asked: if he or his advisers received communications in January or February 2019 confirming the Scally report was imminent; and if so, if he will publish same. More Button

I propose to take Questions Nos. 50 and 69 together.More Button

Deputy Kelly has taken a deep interest in this. As he will be aware from responses to previous parliamentary questions, I met Dr. Gabriel Scally to discuss the progress of his supplementary repo...More Button

The timeline works logically. On 12 February, I answered a parliamentary question stating I expected to receive Dr. Scally's report shortly thereafter, because I did. On 13 February, my Secretary...More Button

Dr. Scally took longer because, according to him, the laboratories were not forthcoming regarding the data. As the Deputy knows, Dr. Scally discovered four more laboratories, most disappointingl...More Button

Dr. Scally sent me a copy of it. We all have the same information.More Button

Was asked: the number of claims made against the cancer screening programme regarding BreastCheck screening since its commencement; and if he will make a statement on the matter.More Button

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims, including claims in respect of clinical negligence, on behalf of Delegated State Authorities (DSA’s) including ...More Button

I have been informed by the State Claims Agency that a total of 22 claims have been made in relation to the BreastCheck programme. These claims relate to allegations of cancer misdiagnosis, clini...More Button

Was asked: if he will issue a meaningful apology to the women affected by the recent cervical cancer screening controversy in which abnormalities were undetected in routine smear tests; and if he will make a ...More Button

It is estimated that regular cervical screening can prevent 75% of cervical cancer cases. However cervical screening will not prevent all cases of cervical cancer. In the cases of 1,482 women who h...More Button

In August 2015, a decision was taken by the HSE, in line with international best practice, to provide information on the outcome of the audit for onward communication to patients but the intentio...More Button

Consideration is being given to an appropriate form of apology, and this will be discussed with the 221+ before any final decision is made. I have met and spoken with many of the women involved, ...More Button

It is also very important to note the actions taken by the State to address the issues identified in the Scoping Inquiry led by Dr Scally. Government has accepted in full the recommendations of t...More Button

Was asked: the reason the State is appealing the recent High Court ruling in respect of a case (details supplied); and if he will make a statement on the matter.More Button

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims, including claims in respect of clinical negligence, on behalf of Delegated State Authorities (DSA’s) including ...More Button

The particular case is being managed by the State Claims Agency on behalf of the HSE. More Button

The High Court found that the HSE was entitled to an indemnity from the two laboratories in respect of the Court’s finding that their examination of the two smear test results had been negligent ...More Button

Given the importance of screening, and other diagnostic testing in general, the HSE will also appeal the Court’s finding of the Absolute Confidence test which has caused considerable disquiet amo...More Button

Was asked: if the HSE and CervicalCheck have sought a reassurance from a laboratory (details supplied) that the personal details of Irish women availing of the CervicalCheck screening programme were not expos...More Button

In early June 2019 there were media reports of a data breach issue in one of the laboratories contracted to provide services to CervicalCheck, Quest Diagnostics. This breach involved a third-party ...More Button

The HSE advises that it has confirmed with Quest that the nature of the data breach does not impact on Irish cytology slides processed for CervicalCheck. More Button

Cancer Screening Programmes (Continued)

It is an important question. I accept Deputy Kelly's bona fides regarding this matter. All I can tell him about is the chain of correspondence, meetings and parliamentary questions regarding my s...More Button

Autism Support Services

Was asked: if a full review will be undertaken of services provided for children with Down's syndrome in County Roscommon in order to determine the number of therapists required to provide a service fit for p...More Button

Disability Support Services Provision

Was asked: the way in which he plans to address the increase in CHO 9 of the number of overdue first assessments under the Disability Act 2005; and if he will make a statement on the matter.More Button

Industrial Disputes

Was asked: his views on the perceived negative impact that low pay and poor conditions have on the recruitment and retention of staff in the healthcare system; the steps he will take to resolve the pay claims...More Button

Was asked: if his attention has been drawn to the strike action due to take place by 10,000 hospital support staff; and his plans to resolve the matter in order to avoid further strike action.More Button

I propose to take Questions Nos. 53 and 111 together.More Button

I thank the Deputies for raising this important matter. I will answer the questions in the context of the Labour Court tomorrow starting three days of intensive hearings and engagements on this ...More Button

It is important to say that staff in the public service are already in receipt of a series of pay increases and pay restoration measures under the public service stability agreement, which will s...More Button

In terms of recruitment and retention of health service grades, the Public Service Pay Commission is continuing its work on assessing roles in the public service that have been identified as expe...More Button

Regarding the industrial action that took place on 26 June by SIPTU support staff grades, I was pleased that talks between the parties resumed at the Workplace Relations Commission, WRC, last Thu...More Button

While I acknowledge that SIPTU acted in good faith by deferring two days of its planned industrial action, for which I thank it, we cannot forget that one day of action went ahead involving 10,00...More Button

I remind the Deputies that, prior to the dispute, constructive and positive engagement by the parties involved took place at the WRC. I am disappointed that the issue did not go to the Labour Co...More Button

Industrial Disputes (Continued)

I agree with the Deputy on the integral part support staff grades play in our health service. He knows of it from his personal experience and we all know of it from our use of the health service. ...More Button

There has been significant movement by the management. I do not wish to say anything provocative or that will in any way impede the work of the Labour Court tomorrow - the Oireachtas has a proto...More Button

I agree that significant pain and hardship was inflicted on many people in this country as a result of the economic crash. We have been working to try to rebuild the country from that point. We i...More Button

The Deputy is correct that a job evaluation scheme was carried out and that the workers are doing complex and changed jobs. They are reforming their practices and working differently. I recentl...More Button

Hospital Services

Was asked: the status of the implementation of the trauma strategy; if the Midland Regional Hospital, Tullamore will provide the trauma unit for the midlands; and if he will make a statement on the matter.More Button

The report of the trauma steering group was approved by Government in 2018 and a HSE interim implementation group is currently progressing its four immediate actions, the first of which was the rec...More Button

On 21 June, the formal process for the designation of the major trauma centre for the central network commenced, with each of the Dublin hospital groups invited to make a submission which will be...More Button

It is expected that further detailed implementation planning, including the designation of trauma units nationally, will be required to fully implement the trauma strategy, and this will be led b...More Button

The Deputy is correct that this will involve revenue and capital costings. The overall estimated maximum staffing requirement suggests that an indicative estimate of revenue costs of €53.6 million...More Button

The Deputy will agree that it is important that this decision will be made by clinicians and an independent assessment panel and independent of me and the House. Deputies regularly raise with me t...More Button

Was asked: if the establishment of a day hospital in Swords, County Dublin will be considered.More Button

The National Development Plan 2018-2027 outlines that new dedicated ambulatory/elective-only hospital facilities will be delivered in Dublin, Cork and Galway to tackle waiting lists and provide acc...More Button

The Sláintecare Action Plan 2019 includes a commitment that the criteria for ambulatory/elective sites will be determined during the course of this year. This will involve policy development to d...More Button

Was asked: when the orthopaedic theatres at Merlin Park Hospital, Galway which have been closed since September 2017 will be reinstated; and if he will make a statement on the matter.More Button

Was asked: when full orthopaedic services will recommence in Merlin Park Hospital, Galway; when two operating theatres will be operating there again; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 82 and 516 together.

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

Was asked: his plans to implement 24-7 cardiac care services for those living in the south east; his views on whether there is an equal provision of cardiac services in the region in comparison to the rest of...More Button

In 2016, the Herity Report concluded that the needs of the effective catchment population of University Hospital Waterford (UHW) could be accommodated from a single cath lab and recommended that th...More Button

A mobile cath lab has been deployed at UHW since October 2017 to conduct diagnostic cardiac procedures pending the recruitment of the additional staff required to extend the opening hours of the ...More Button

I remain committed to the provision of a second cath lab in University Hospital Waterford and I asked the HSE to consider the cost of progressing the project to design, planning and construction ...More Button

The HSE has confirmed that this project has now been included in the HSE’s Capital Programme 2019 and that it is expected that the Planning Permission application will be lodged by the end of thi...More Button

The Herity Report also recommended that the current 9 to 5 provision of emergency pPCI services should cease to allow the hospital focus on the much larger volume of planned work. I asked his Dep...More Button

The aim of this Review is to achieve optimal patient outcomes at population level with particular emphasis on the safety, quality and sustainability of the services that patients receive by estab...More Button

Drafting of the report will continue over the summer and it is expected that this work to be finalised in early September.More Button

Was asked: his plans for Belmullet District Hospital and a nursing unit (details supplied); the way in which it is planned to address concerns in relation to staffing and bed numbers; and if he will make a st...More Button

Was asked: if the options appraisal for the model 4 hospital at Merlin Park, Galway will be completed by the end of July 2019; the cost to date of the options appraisal process; the anticipated overall cost o...More Button

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

Was asked: the status of the plans to develop a medical rehabilitation unit at Roscommon University Hospital; the stage of the project; if the project has been included in the capital plan of the HSE for 2020...More Button

As the Health Service Executive is responsible for the delivery of healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.More Button

Was asked: the alternative arrangements in place to treat patients of Merlin Park Hospital for orthopaedic procedures, including University Hospital Galway and other hospitals; the number of persons on the wa...More Button

Reducing waiting time for patients for hospital operations and procedures is a key priority for Government. Last year saw considerable improvement in the number of patients waiting for procedures. ...More Button

Was asked: the reason gynaecology services have been removed from a community hospital (details supplied); if they will be reinstated; and if he will make a statement on the matter.More Button

As this query relates to a service matter, it has been referred to the HSE for direct reply.More Button

Hospital Services (Continued)

This is about ensuring that we can get the patient to the most appropriate hospital. For a limited number of trauma procedures, this is not about altering the significant footfall that goes into h...More Button

  Written Answers are published on the Oireachtas website.More Button

Hospital Beds Closures

Was asked: if his attention has been drawn to the planned closure of beds and units at St. Mary's Hospital; the rationale for the closure; and if he will make a statement on the matter.More Button

Ambulance Service

Was asked: the status of the community paramedic project; if this has reduced the demand and response time for ambulances in rural areas; and if he will make a statement on the matter.More Button

An EU Interreg-funded programme is currently being delivered in the border counties of Ireland, Northern Ireland and west coast of Scotland.  The programme aims to assess and treat higher volumes o...More Button

The National Ambulance Service is participating in one of the unscheduled care initiatives.  The initiative, a Community Paramedic pilot programme, involves paramedics treating patients in the co...More Button

Although the project is at a relatively early stage, the data from the pilot sites indicates that over 86% of patients seen by Community Paramedics were not transferred to an acute setting.  Thus...More Button

The pilot project is expected to be completed in September 2020.  At that stage the results will be evaluated and used to inform any further rollout of the community paramedic model of care.  Of ...More Button

Was asked: the status of the review of ambulance services in Arklow and west County Wicklow; and if he will make a statement on the matter.More Button

As this is a service issue, I have asked the HSE to reply to you directly.More Button

Mental Health Services Provision

Was asked: the mental health support services he is making available free of charge to families in emergency homeless accommodation; if these are available to all families in hubs and-or hotels and guesthouse...More Button

Was asked: the model he is planning for the crisis text line service for mental health; the other models this is based on; the rationale for choosing this model; and if he will make a statement on the matter.More Button

Was asked: his plans to improve mental health services in the west County Cork local health office area; and if he will make a statement on the matter.More Button

Was asked: if the case of a person (details supplied) will be reviewed in order to sanction funding for therapy via CAMHS; and if he will make a statement on the matter.More Button

Was asked: his views on the negative impact experienced by 2,500 children waiting for long periods for an appointment with mental health services; and if he will make a statement on the matter.More Button

Community Care Provision

Was asked: the action being taken to reduce the waiting list for home support hours in the north Dublin local health office area; and if he will make a statement on the matter.More Button

Was asked: the action being taken to reduce the waiting list for home support hours in the north-west Dublin local health office area; and if he will make a statement on the matter.More Button

Was asked: the reason 176 persons are waiting for home support for more than 12 months and a further 80 persons waiting for an increase in home support hours in County Galway as at 31 May 2019; the longest pe...More Button

Was asked: his plans to increase investment in home care and home care packages in order that those that choose to be cared for at home will have adequate supports; his further plans to introduce legislation ...More Button

Was asked: the timeframe for introducing a statutory right to home care; and if he will make a statement on the matter.More Button

Departmental Agencies

Was asked: the situation regarding section 39 organisations declaring deficits in service agreements with the HSE; and if he will make a statement on the matter.More Button

Under Section 39 of the Health Act 2004, the HSE provides funding to bodies that deliver services similar, or ancillary to, services that the HSE may provide. These organisations provide a broad ra...More Button

Nursing Home Services

Was asked: further to Topical Issue No. 2 of 4 April 2019, the reason his reply indicated difficulties in recruitment of healthcare assistants was due to pay scale and not due to lack of availability in view ...More Button

HSE Planning

Was asked: his views on whether it is acceptable that the HSE capital plan has not been published to date; his further views on whether this delay amounts to poor financial management; when it will be publish...More Button

My Department has been working with the Health Service Executive and the Department of Public Expenditure and Reform to develop a multi annual capital plan for the health services.

 &...More Button

Hospitals Capital Programme

Was asked: when capital funding for the development of St. Joseph’s Community Hospital, Stranorlar, Ramelton Community Hospital and Lifford Community Hospital will be allocated to ensure they meet HIQA standa...More Button

Was asked: his long-term plans for a number of community hospitals in County Donegal including the community hospitals in Lifford, Ramelton and St. Joseph's Hospital, Stranorlar; and if he will make a stateme...More Button

I propose to take Questions Nos. 62 and 79 together.More Button

The overarching policy of the Government is to support older people to live in dignity and independence in their own homes and communities for as long as possible. The standard of care delivered ...More Button

The HSE is responsible for the delivery of health and personal social services, including the facilities at St. Joseph’s Community Hospital Stranorlar, Ramelton Community Hospital and Lifford Com...More Button

The Community Nursing Unit programme provides for the retention of services at St. Joseph’s Community Hospital Stranorlar and Ramelton Community Hospital with a requirement for refurbishment of b...More Button

In the short term the HSE will invest minor capital in both units in 2019 and 2020 in order to deal with HIQA compliance issues and an agreed schedule of works is being finalised with HIQA.More Button

The redevelopment of the Lifford unit on the existing site is not deemed viable. The need for additional beds and the potential to develop a new facility on a greenfield site will be reviewed fur...More Button

Was asked: if a capital budget for three Donegal community hospitals (details supplied) will be confirmed; when works will commence for the hospitals; if all works will be completed within the timeframe of th...More Button

Was asked: the status of St. Joseph's Community Hospital, Ramelton Community Hospital and Lifford Community Hospital, County Donegal; the budgets in place to bring the hospitals up to HIQA standards and to fu...More Button

I propose to take Questions Nos. 88 and 113 together.More Button

The overarching policy of the Government is to support older people to live in dignity and independence in their own homes and communities for as long as possible. The standard of care delivered ...More Button

The HSE is responsible for the delivery of health and personal social services, including the facilities at St. Joseph’s Community Hospital, Stranorlar, Ramelton Community Hospital and Lifford Co...More Button

The Community Nursing Unit programme provides for the retention of services at St. Joseph’s Community Hospital, Stranorlar and Ramelton Community Hospital with a requirement for refurbishment of ...More Button

In the short term the HSE will invest minor capital in both units in 2019 and 2020 in order to deal with HIQA compliance issues and an agreed schedule of works is being finalised with HIQA.More Button

The redevelopment of the Lifford unit on the existing site is not deemed viable. The need for additional beds and the potential to develop a new facility on a greenfield site will be reviewed fur...More Button

Was asked: the status of upgrades to a number of community hospitals (details supplied) in County Cork; the timeframe for the completion of each; and if he will make a statement on the matter.More Button

As the Health Service Executive is responsible for the delivery of healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.More Button

Services for People with Disabilities

Was asked: the way in which it is planned to address the funding challenges which are impeding the move from congregated settings in County Kilkenny; and if he will make a statement on the matter.More Button

Was asked: if the case of a person (details supplied) regarding an assessment of needs application will be investigated; and if he will make a statement on the matter.More Button

Was asked: the number of respite hours provided for adolescents with an intellectual disability in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Healthcare Infrastructure Provision

Was asked: further to Parliamentary Question No. 57 of 13 March 2019, the status of the State property transfer process in relation to the transfer of land on Inisbofin, County Galway by Galway County Council...More Button

The HSE is responsible for the delivery of health and personal social services, including the development of primary care facilities at Inisbofin, County Galway. The HSE has advised that Galway Cou...More Button

Was asked: further to Parliamentary Question No. 157 of 22 May 2019, the length of time the design team is at stage 1 of the preliminary design; if there is a timeline to commence stage 2; and if he will make...More Button

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond directly to you in relation to this matter.More Button

Hospital Waiting Lists

Was asked: the action he is taking to reduce waiting times for outpatient appointments in Waterford University Hospital in which the number of persons waiting over 18 months stood at 11,412 at the end of May ...More Button

Reducing waiting times for hospital appointments and procedures is a key commitment of government. While the last 18 months have seen considerable progress in the reduction of waiting times for Inp...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund increasing from €55 million in 2018 to €...More Button

South/South West Hospital Group has advised my Department that University Hospital Waterford is focused on the reduction of waiting lists, and is actively working with the NTPF to engage in initi...More Button

For example, an additional ENT Consultant is focusing on long waiting patients, while UHW Audiology Department is working with an external provider to schedule hearing test assessments for long w...More Button

For the specialty of Urology, a Locum Consultant Urologist has been appointed to focus on the longest waiting patients. An additional clinic has been established to schedule long-waiting patients...More Button

UHW further advise that to address the Rheumatology outpatient waiting list, extra time slots have been made available for the longest waiting patients at external clinics, while an out of hours ...More Button

In addition to these initiatives, the University Hospital Waterford Central Appointments Office has recently taken over the management of the Outpatient Waiting List for Gastro-Enterology and Pae...More Button

  Question No. 69 answered with Question No. 50.More Button

Was asked: the action he is taking to reduce outpatient waiting times; if his attention has been drawn to the fact that the number of patients waiting more than 18 months in Kerry University Hospital has incr...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The Access Plan sets out the activity levels for the National Treatment Purchase Fund (NTPF), who will supply additionality to HSE activity, in order to reduce waiting times experienced by patien...More Button

 A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointm...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. The NTPF has a...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

With regard to overall measures being implemented at Kerry University Hospital to address Outpatient Waiting Lists, I have asked the HSE to respond to the Deputy Directly.More Button

Was asked: the reason for the significant increase in waiting times for outpatient appointments in Our Lady's Hospital, Navan since May 2016; and if he will make a statement on the matter.More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

 A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointm...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. While the NTPF...More Button

In relation to the reason for the significant increase in waiting times for outpatient appointments in Our Lady’s Hospital Navan since May 2016, I have asked the HSE to respond to the Deputy dire...More Button

Was asked: the action he is taking to reduce outpatient waiting times; if his attention has been drawn to the fact that the number of patients waiting more than 18 months in Tallaght Hospital has increased by...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

Was asked: his plans to provide enough resources to eliminate the long waiting lists for treatment at pain management clinics; and if he will make a statement on the matter.More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The Access Plan sets out the activity levels for the NTPF, who will supply additionality to HSE activity in order to reduce waiting times experienced by patients for a hospital appointment, opera...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

Furthermore, the Sláintecare Action Plan 2019 which was published by my Department, includes a specific workstream on Access and Waiting Lists. Sláintecare emphasises the need to invest in increa...More Button

In line with Sláintecare objectives, my Department is working with the HSE and the NTPF, to develop medium-long term improvement initiatives for patient access to hospital procedures. This will i...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. To date in 201...More Button

  Question No. 113 answered with Question No. 88.More Button

Was asked: the action he is taking to reduce outpatient waiting times; if his attention has been drawn to the fact that the number of patients waiting more than 18 months in University Hospital Limerick has i...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The Access Plan sets out the activity levels for NTPF, who will supply additionality to HSE activity, in order to reduce waiting times experienced by patients for a hospital appointment, operatio...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. The NTPF has a...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

With regard to overall measures being implemented at University Hospital Limerick to address Outpatient Waiting Lists, I have asked the HSE to respond to the Deputy Directly.More Button

Was asked: the extent to which he is satisfied that issues affecting long waiting lists for various procedures in public hospitals, overcrowding at accident and emergency services and other contributory facto...More Button

I am committed to tackling the key challenges our health service faces in relation to long waiting times and hospital overcrowding. Improving timely access for patients to scheduled and unscheduled...More Button

Last year saw considerable improvement in the number of patients waiting for procedures. As a result of increased activity and the ongoing collaboration between the HSE and the NTPF, the number o...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the NTPF increasing from €55 million in 2018 to €75 million in 2019. More Button

The joint Department of Health, HSE, and NTPF Scheduled Care Access Plan 2019 was published in March. Under the Plan, the HSE in accordance with the National Service Plan, will aim to deliver 1.1...More Button

- detailed plans from the NTPF to fund 25,000 IPDC treatments; 5,000 Gastro Intestinal Scopes and 40,000 first outpatient appointments.More Button

- Projections by year end to reduce the overall number of patients on the Inpatient/Day Case waiting list (excluding GI scopes) from just over 70,200 in Dec 2018 to under 60,000;More Button

- Within this overall reduction the number of patients waiting longer than 3 months will reduce from 40,200 at the end of 2018 to 31,000;More Button

-It is also projected that for ten identified high volume procedures, all clinically suitable patients waiting more than 6 months will be offered treatment in 2019. These 10 procedures account fo...More Button

A key element of the Scheduled Access Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE will aim to deliver 3.3 million outpatient appointments, of which approximat...More Button

 While the meeting of short-term targets is always welcome, more can be achieved and, in this regard, the HSE, Department of Health and NTPF, under the Access Plan, will work together with the ob...More Button

With regard to unscheduled care, Ireland is seeing a growing demand, which is evident from the increased pressures on hospital Emergency Departments (EDs), particularly during peak periods such a...More Button

Despite the significant increase in demand, our health services have managed better for the first five months of 2019 than in the previous year, and the numbers of patients waiting on trolleys na...More Button

The HSE are undertaking a review of performance across all Hospital Groups and Community Health Organisations over the winter period, which has now been extended to include a review by an indepen...More Button

The group will carry out a comparative analysis of unscheduled care performance across the nine hospital sites and the relevant Community Healthcare Organisations that were the subject of specifi...More Button

The Health Service Capacity Review published last year was crystal clear on the need for a major investment in additional capacity in both hospital and community – combined with a widescale refor...More Button

Increasing capacity is a priority for Government. Since 2017, an additional 241 acute hospital beds opened, and the National Service Plan for 2019 provides for a comprehensive capacity programme....More Button

Was asked: the action he is taking to reduce outpatient waiting times; if his attention has been drawn to the fact that the number of patients waiting more than 18 months in Sligo University Hospital has incr...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The Access Plan sets out the activity levels for the NTPF, who will supply additionality to HSE activity, in order to reduce waiting times experienced by patients for a hospital appointment, oper...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. The NTPF has a...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

With regard to overall measures being implemented at Sligo University Hospital to address Outpatient Waiting Lists, I have asked the HSE to respond to the Deputy Directly.More Button

Was asked: if his attention has been drawn to the fact that some cancer patients (details supplied) triaged as urgent are being informed that they must wait two years for appointments; if these patients can b...More Button

Rapid Access Clinics (RACs) for patients with suspected breast disease (symptomatic breast disease clinics), prostate or lung cancer symptoms were established by the National Cancer Control Program...More Button

Target times, within which patients triaged as urgent should be seen, are in place for the Breast, Lung and Prostate clinics. The performance of each hospital in meeting these targets is monitor...More Button

As the Deputy's question relates to a specific service delivery issue, I have asked the HSE to respond directly to him.More Button

Was asked: when a person (details supplied) will receive an appointment for hip surgery in University Hospital Waterford.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, since January 2014, has been developed t...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 reason there is a four to five year wait to see a pain specialist in County Galway; if extra resources will be allocated to reduce waiting times; if persons waiting for more than one year can b...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. Many areas in our health service currently lack sufficient capacity ...More Button

In this regard, the Government is committed to improving waiting times for scheduled care in acute hospitals. The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled ...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

The Access Plan sets out the activity levels for the NTPF, who will supply additionality to HSE activity, in order to reduce waiting times experienced by patients for a hospital appointment, oper...More Button

The Access Plan ensures an appropriate balance between high volume activities and offering treatment to complex long waiting patients. The NTPF is working with public hospitals to seek NTPF-funde...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

The HSE has advised that the Galway University Hospital chronic pain service is a tertiary referral service and is delivered across both University Hospital Galway and Merlin Park University Hosp...More Button

In addition, there are 2 interventional pain management sessions carried out in the Surgical Day ward per week (8 per month). One session (6 patients) is radiology guided procedures and 1 sessio...More Button

There are also scheduled interventional pain lists (6 per month) in Merlin Park. Four sessions are radiology guided and 2 sessions are non-radiology guided. These lists consist of 6 patients per...More Button

The Registered Advanced Nurse Practitioner offers a telephone follow up service for all patients following intervention to avoid repeat Outpatient Department appointments for routine follow ups. ...More Button

The HSE advise that all patients are called in order of clinical priority and/or in chronological order and additional clinics to support the waiting lists are currently being discussed.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 National Waiting List Management Policy, a standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, since January 2014, has been developed t...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: if a person (details supplied) in County Donegal is on the routine or urgent waiting list to attend Crumlin 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, since January 2014, has been developed t...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 directlyMore Button

Was asked: his plans to examine the extensive outpatient waiting list at University Hospital Waterford in relation to ophthalmological services; his views on whether the waiting lists are too long; and if his...More Button

Reducing waiting times for hospital appointments and procedures is a key commitment of government. While the last 18 months have seen considerable progress in the reduction of waiting times for Inp...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund (NTPF) increasing from €55 million in 20...More Button

South/South West Hospital Group has advised my Department that University Hospital Waterford is focused on the reduction of waiting lists and is actively working with the NTPF to engage in initia...More Button

University Hospital Waterford has advised that it remains committed to working in collaboration with South South-West Hospital Group, and the NTPF, on waiting list initiative supports.More Button

Was asked: his plans to examine the extensive outpatient waiting list at University Hospital Waterford in relation to orthopaedic services; his views on whether the waiting lists are too long; if his attentio...More Button

Reducing waiting times for hospital appointments and procedures is a key commitment of government. While the last 18 months have seen considerable progress in the reduction of waiting times for Inp...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund (NTPF) increasing from €55 million in 20...More Button

South/South West Hospital Group has advised my Department that University Hospital Waterford is focused on the reduction of waiting lists and is actively working with the NTPF to engage in initia...More Button

University Hospital Waterford has advised that it remains committed to working in collaboration with South South-West Hospital Group, and the NTPF, on waiting list initiative supports.More Button

Was asked: his plans to examine the extensive outpatient waiting list at University Hospital Waterford in relation to urologist services; his views on whether the waiting lists are too long; if his attention ...More Button

Reducing waiting times for hospital appointments and procedures is a key commitment of government. While the last 18 months have seen considerable progress in the reduction of waiting times for Inp...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund increasing from €55 million in 2018 to €...More Button

South/South West Hospital Group has advised my Department that University Hospital Waterford is focused on the reduction of waiting lists and is actively working with the NTPF to engage in initia...More Button

In relation to urology services, UHW advise that a Locum Consultant Urologist has been appointed to focus on the longest waiting patients. An additional clinic has been established to schedule lo...More Button

University Hospital Waterford has advised that it remains committed to working in collaboration with South South-West Hospital Group, and the NTPF, on waiting list initiative supports.More Button

Was asked: the reason the waiting time for first-time ophthalmic appointments in University Hospital Limerick is now 18 months; and if he will make a statement on the matter.More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The Access Plan sets out the activity levels for the NTPF and the HSE. The NTPF will supply additionality to HSE activity in order to reduce waiting times experienced by patients for a hospital ...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

The latest published waiting list figures show that at the end of May 2019 there were 4,408 patients awaiting a first Ophthalmology outpatient appointment at University Hospital Limerick. Of this...More Button

With regard to the specific issue raised by the Deputy in relation to first time Ophthalmology outpatient appointments in University Hospital Limerick, I have asked the HSE to respond to the Depu...More Button

Hospital Accommodation Provision

Was asked: if Naas General Hospital will be considered for an extension to accommodate the population growth in its catchment area.More Button

In January 2018, I published the Health Service Capacity Review which made clear that we need additional capacity across nearly all areas of the health service over the next decade. The review ackn...More Button

Arising from the findings of the Capacity Review, the Government committed to investing in an extra 2,600 beds in our hospitals and 4,500 more community beds in the National Development Plan over...More Button

 The Capacity Review also acknowledged the need for reform of the health service and provided projections based on reform scenarios that align with the Sláintecare vision and reform programme.  I...More Button

Any proposals for an extension to Naas General Hospital will be considered in the context of service reform requirements overall in the Dublin Midlands Hospital Group and subject to the availabil...More Button

Was asked: when the emergency department at Mayo University Hospital will be extended and capacity increased. More Button

Was asked: when an extension will be made to the emergency department in Mayo University Hospital; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 408 and 454 together.More Button

The Health Service Executive's National Capital & Property Steering Group are currently considering an application for capital developments at the Emergency Department, the Medical Assessment Uni...More Button

This project at Mayo University Hospital is at the very early stages of development. It is important to recognise that all capital development proposals, including this one, must progress through...More Button

The availability of funding, the relative priority and the stage in the project's lifecycle determines the timeframe for the delivery of capital projects such as the proposed capital developments...More Button

Our plans for the 2019 bed capacity programme include preparation of 202 beds, including 10 additional beds in Mayo University Hospital, during 2019, with a view to bringing this extra capacity i...More Button

Mayo University Hospital is an integral part of the Saolta Hospital Group providing health services and care to the people of Mayo and the west of Ireland. The Hospital provides quality patient c...More Button

Hospital Staff Recruitment

Was asked: if the necessary staff have been recruited to ensure that the paediatric outpatient department and urgent care centre at Connolly Hospital can be operational from 8 a.m. until midnight, seven days ...More Button

The new Children’s Health Ireland paediatric outpatient and urgent care centre at Connolly Hospital is due to open on 31 July 2019.   

  The unit w...More Button

Was asked: the status of a post (details supplied) in Letterkenny University Hospital; 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 reply to the Deputy directly.More Button

Long-Term Illness Scheme

Was asked: his plans to update the long-term illness scheme to include illnesses such as fibromyalgia and myalgic encephalomyelitis; and if he will make a statement on the matter.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 a...More Button

Cross-Border Health Services Provision

Was asked: the way in which he plans to tackle the delays in reimbursing patients who have availed of the cross-border treatment directive; and if he will make a statement on the matter.More Button

The HSE is responsible for the operation of the Cross Border Directive (CBD) and the management of processing reimbursements for treatment under the Cross Border Directive (CBD) is an operational m...More Button

As the Deputy is aware, the numbers of persons availing of the Directive has been increasing steadily for a number of years with a corresponding increase in the workload for the CBD office.  I am...More Button

Departmental Agencies Funding

Was asked: his views on whether it is appropriate for the HSE to be providing significant loans to section 39 organisations; and if there are concerns regarding the governance of these organisations as a resu...More Button

As this is a matter for the Health Service Executive, I have asked them to respond to you directly.More Button

Hospital Staff

Was asked: his views on the staffing levels in Naas General Hospital; and if there are plans to reduce workloads on staff.More Button

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

  Question No. 79 answered with Question No. 62.More Button

Was asked: the action being taken to address the fact that four of the seven permanent radiation oncology posts at Cork University Hospital are either vacant or filled on a temporary basis while one of the fi...More Button

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

Was asked: if a full staffing complement will be in place when the new radiation oncology unit at Cork University Hospital opens in October 2019.More Button

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

Was asked: the extent to which efforts continue to be made to retain doctors and nurses here; and if he will make a statement on the matter.More Button

The public health service in Ireland operates in a global market for medical specialists which is experiencing a world-wide shortage. Notwithstanding this fact, progress continues to be made in at...More Button

The issue of new entrant pay is being addressed in general terms under the terms of the Public Service Stability Agreement 2018-2020. The issue has also been examined by the Public Sector Pay Co...More Button

It should also be noted that while pay has an impact in recruitment and retention of consultants, a number of other factors are also important, including, inter alia, opportunities for career dev...More Button

Concerning Nurses, the recent nursing agreement and the new Enhanced Practice Nurse/Midwife contract will see the financial position of nurses and midwives improve and should help to both recruit...More Button

Mental Health Commission Reports

Was asked: the way in which he plans to address the issues raised in the annual report of the Mental Health Commission and the inspector of mental health services; and if he will make a statement on the matte...More Button

Was asked: if his attention has been drawn to the recent annual report of the Mental Health Commission which found unacceptable failings in hygiene and maintenance at units across services; and his plans to i...More Button

Hospital Car Parks

Was asked: the moneys raised through public hospital car parking charges; the amount of this paid to the private companies that operate hospital car parks; the amount retained by the hospital; the way in whic...More Button

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

Health Services Staff Remuneration

Was asked: his plans to deal with the outstanding issues with regard to pay and conditions across the health service in order that the shortages of staff can be addressed; and if he will make a statement on t...More Button

Staff employed in the public health service are in receipt of a series of pay increases under the Public Service Stability Agreement.  This will see public servants receiving an average 7% increase...More Button

Abortion Legislation

Was asked: if a definitive date will be provided for the introduction of exclusion safe zones for persons accessing abortion services at general practitioner surgeries or hospitals; and if he will make a stat...More Button

Was asked: when the legislation for exclusion zones will be ready. More Button

I propose to take Questions Nos. 87 and 462 together.

  It was my original intention to provide for safe access to termination of pregnancy services in the Health (Regulation of ...More Button

Abortion Services Provision

Was asked: the hospitals in which abortion care is available; the hospitals in which it is unavailable; and if he will make a statement on the matter.More Button

The Health (Regulation of Termination of Pregnancy) Act 2018 was passed by the Houses of the Oireachtas on 13 December 2018 and signed into law by the President on 20 December 2018. 

&nbs...More Button

Was asked: the number of terminations of pregnancy carried out here in each of the years 2013 to 2018; and if he will make a statement on the matter.More Button

The Protection of Life During Pregnancy Act 2013 was enacted on 30 July 2013 and commenced on 1 January 2014.

  Section 20 of the Act 2013 required that the Minister for Health...More Button

Primary Care Centres Administration

Was asked: if scanning facilities will be provided for the primary care centre in Balbriggan, County Dublin. 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

Home Help Service Provision

Was asked: the progress made to reduce the waiting list and waiting time for home support services in community healthcare organisation area 7, CHO 7; and if he will make a statement on the matter. More Button

Was asked: if he will address a matter (details supplied) regarding home help staff in County Tipperary.More Button

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

Hospitals Policy

Was asked: the reason he has not made public the De Buitléir report on private practice in public hospitals; when he plans to do so; and if he will make a statement on the matter. More Button

The Report of the Independent Review Group established to examine private activity in public hospitals (the "De Buitléir Report) has been received and is being examined in my Department. It is...More Button

Health Screening Programmes

Was asked: the corrective and preventative actions put in place to ensure the diabetic retina screening programme delivers accurate and timely results to service users; and if he will make a statement on the ...More Button

Diabetic RetinaScreen, the National Diabetic Retinal Screening Programme is a government funded screening programme in Ireland that offers free, regular diabetic retinopathy screening to people wit...More Button

Diabetic RetinaScreen uses specialised digital photography to look for changes that could affect sight. Results are delivered in compliance with quality standards as outlined in the ‘Standards fo...More Button

Was asked: if he will request a review on the way in which the diabetic retina screening programme delivers results to service users; and if he will make a statement on the matter.More Button

Diabetic RetinaScreen, the National Diabetic Retinal Screening Programme is a government funded screening programme in Ireland that offers free, regular diabetic retinopathy screening to people wit...More Button

Diabetic RetinaScreen uses specialised digital photography to look for changes that could affect sight. Results are delivered in compliance with quality standards as outlined in the ‘Standards fo...More Button

In accordance with Part 9 of the Health Act 2004, should any individual with a complaint in relation to the operation of the programme should in the first instance make their complaint known dire...More Button

Was asked: if a review of newborn screening will be conducted in view of recent advances in detection and treatment of conditions and the expansion of services and screening in Italy and other countries with ...More Button

All newborn babies (between 3 and 5 days old) are offered newborn bloodspot screening (generally known as the ‘heel prick’) through their parents/guardians for eight very rare conditions that are ...More Button

Was asked: the extent to which school medical examinations continue to identify particular health issues in children that subsequently become instrumental in dealing with the issue through an earlier response...More Button

As this is a service matter it has been referred to the HSE for attention and direct reply to the Deputy.More Button

National Maternity Strategy Implementation

Was asked: if relevant parties will be informed that the new maternity hospitals are to have no dedicated facilities for private patients further to an unanimous adoption of a Private Members' motion on mater...More Button

Project Ireland 2040 provides €10.9 billion for health capital developments across the country. This unprecedented health capital investment will support existing Government priority projects and p...More Button

It is important that we carefully plan all projects to meet population health needs and achieve value for money.  This work is ongoing. While I am not in position to outline the year on year pro...More Button

The first new maternity hospital will be built on the St Vincent's University Hospital campus. I can assure the Deputy that the vast majority of services in the new hospital will be public servi...More Button

Finally, I should perhaps also confirm that there will be no designated private in-patient bedrooms in the new maternity hospital. More Button

National Cervical Screening Programme Inquiry

Was asked: the date a person (details supplied) found out that a laboratory in Manchester was not accredited to perform cervical cancer screening; and if he will make a statement on the matter. More Button

In the Supplementary Report of the Scoping Inquiry, which was published on 11 June, Dr. Scally confirmed that the number of laboratories involved in CervicalCheck work was greater than was original...More Button

As the Deputy is aware, Dr. Scally expressed concern about accreditation in relation to one laboratory in Salford, UK. This is ancillary to the main MedLab facility in Dublin. The performance dat...More Button

I am not aware of the specific dates involved in relation to the accreditation of the laboratory in Manchester and I would emphasise the independence of Dr Scally's work in this regard. However, ...More Button

Was asked: the laboratories from which the 221 false readings came in the CervicalCheck screening programme; and if he will make a statement on the matter.More Button

As the Deputy will be aware from previous responses on this issue, the HSE has advised that analysis was required in order to make the requested data available. 

  The requiremen...More Button

National Children's Hospital

Was asked: if he will revise his plan to allow a private section in the new children's hospital further to his comments to a newspaper on 23 June 2019 (details supplied); and if he will make a statement on th...More Button

The vast majority of services in the new children’s hospital will be public services. However, as part of the National Contract for Consultants negotiated in 2008, some consultants holding specifi...More Button

The Report of the Independent Review Group established to examine private activity in public hospitals has been received and is being examined in my Department. It is a comprehensive examination...More Button

Was asked: the steps he will take to ensure both the new children’s hospital and new national maternity hospital will be operated as public hospitals only in view of his recent comments regarding his support ...More Button

I can assure the Deputy that the vast majority of services in the new children’s hospital and the new maternity hospital will be public services.  However, as part of the National Consultants' Cont...More Button

The Report of the Independent Review Group established to examine private activity in public hospitals (the De Buitléir Report) has been received and is being examined in the Department. It is a ...More Button

Detailed consideration of the Report by Department officials is ongoing and covers a range of issues, which have also been discussed in engagement with the Department of Public Expenditure and Re...More Button

Home Help Service

Was asked: if he is satisfied that information indicating that there is no person waiting for home support hours in the north Cork local health office area is accurate; and if he will make a statement on the ...More Button

Was asked: his plans to ensure that more home supports are provided through direct employment by the HSE rather than through agencies or private companies; and if he will make a statement on the matter.More Button

Hospital Waiting Lists Action Plans

Was asked: the measures in place to reduce waiting times for orthopaedic assessments and procedures for patients in counties Cavan and Monaghan; and if he will make a statement on the matter.More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The National Treatment Purchase Fund (NTPF) has provided my Department with data on the number of patients resident in Cavan and Monaghan who were present on an Inpatient/Daycase and Outpatient O...More Button

The data shows that there are 76 patients from Cavan/Monaghan on the IPDC Orthopaedics waiting list, which represents 0.8% of the National orthopaedics waiting list. 43% of the patients from Cava...More Button

The NTPF data also shows that there are 2,122 patients from Cavan/Monaghan on the Outpatient Orthopaedic waiting list, which represents 3% of the National orthopaedics waiting list. 73% of the pa...More Button

More broadly, Budget 2019 announced that the Government has further increased investment in tackling waiting lists, with funding to the National Treatment Purchase Fund (NTPF) increasing from €55...More Button

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointme...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. While the NTPF...More Button

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital proced...More Button

Disability Services Provision

Was asked: if his attention has been drawn to the waiting times for disability services for children in south County Kildare; and if he will make a statement on the matter.More Button

Was asked: when the needs assessment recommendations will be put in place for a person (details supplied); and if he will make a statement on the matter.More Button

Disabilities Assessments

Was asked: the way in which he plans to address the increase in CHO 3 of the number of overdue first assessments under the Disability Act 2005; and if he will make a statement on the matter.More Button

Was asked: when a child (details supplied) in County Cork will have an assessment of need carried out; the date they joined the list; the current number of the child on the list; and if he will make a stateme...More Button

Pharmaceutical Sector

Was asked: when financial emergency measures in the public interest, FEMPI, cuts for pharmacists will be reversed; and if he will make a statement on the matter.More Button

In accordance with the provisions of Part 5 and Part 6 of the Public Service Pay and Pensions Act 2017, the Government is committed to developing a statutory basis for payments to primary care cont...More Button

Medical Aids and Appliances Provision

Was asked: if the report from an organisation (details supplied) submitted in April 2019, will be considered as part of the HSE review into the extension of the FreeStyle Libre device to all persons with type...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

Was asked: if survey findings by an organisation (details supplied) are considered as part of the HSE review; if the FreeStyle Libre device will be made available to all persons with type 1 diabetes; if he wi...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

Was asked: if the HSE has completed a review on the cost effectiveness of providing FreeStyle Libre sensors to assist persons in managing diabetes; his plans to provide this technology in the near future; and...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

Was asked: the position of the review into making the FreeStyle Libre device available to all patients with type 1 diabetes; if the findings of a survey (details supplied) will form part of the review; and if...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

Question No. 418 answered with Question No. 416.More Button

Was asked: when he will review the decision regarding making flash glucose monitoring technology available to persons with type 1 diabetes; if the survey he received from an organisation (details supplied) ha...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

Was asked: if the FreeStyle Libre device will be made available to all persons with type 1 diabetes; if the HSE review on the matter has been completed; if he will consider a report recently submitted on the ...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

Maternity Services

Was asked: the status of the implementation of the recommendations of the review of maternity services in Portiuncula Hospital; and if he will make a statement on the matter.More Button

The Walker Report, which was the report of an external review into maternity services in Portiuncula University Hospital, was published on 3 May 2018.  The report made 35 key recommendations under ...More Button

I have asked the HSE to reply directly to you with regard to the current status of the implementation of the recommendations.More Button

Was asked: if his attention has been drawn to the fact that treatment of therapeutic hypothermia which is used to treat newborn babies with moderate to severe hypoxic ischaemic encephalopathy is not available...More Button

Was asked: if his attention has been drawn to the fact that over the period 2016 to 2017, 140 babies underwent therapeutic hypothermia treatment and 40% of these babies were transferred from regional hospitals.More Button

Was asked: if his attention has been drawn to a matter in relation to newborn babies (details supplied); and his views on whether the treatment is time crucial.More Button

Was asked: his plans to extend therapeutic hypothermia treatment on site to each maternity hospital; if so, the timeline in place for the allocation of funds and the implementation of the service in maternity...More Button

I propose to take Questions Nos. 463 to 466, inclusive, together.

  The National Women & Infants Health Programme was established in the HSE to lead the management, organisat...More Button

Mental Health Services Staff

Was asked: his plans in place to increase psychiatry of later life staffing levels in CHO 4 which are currently at barely a third of the level recommended under A Vision For Change; and if he will make a stat...More Button

Medicinal Products

Was asked: the way in which Ireland was represented at the meeting of the 72nd World Health Assembly held on 20 to 28 May 2019 in Geneva; the stance Ireland took on an issue (details supplied); the policy Ire...More Button

I am informed that the Irish delegation to the 72nd session of the World Health Assembly was led by the Irish Permanent Representative to the United Nations and other International Organisations at...More Button

Home Care Packages Provision

Was asked: the extent to which home care packages are being made available to persons that might otherwise need hospitalisation; the number approved in each of the regions in the past three years to date; the...More Button

Was asked: when a person (details supplied) will be provided with an appropriate homecare package to allow the person to be discharged from hospital and return home. More Button

Was asked: when an increase in home support will be in place for a person (details supplied) in County Sligo; and if he will make a statement on the matter.More Button

Mother and Baby Homes Inquiries

Was asked: the status of plans for HAA cards for survivors of mother and baby homes; and if he will make a statement on the matter.More Button

My colleague the Minister for Children and Youth Affairs published the recommendations of the First Report of the Collaborative Forum of Former Residents of Mother and Baby Homes on 16 April, 2019....More Button

My Department has established an Interdepartmental Working Group to undertake an assessment of the report's health and well-being related recommendations, given their range and complexity, and wi...More Button

Medical Card Eligibility

Was asked: if asylum seekers in temporary accommodation are granted medical cards; the process for accessing such medical cards; and if he will make a statement on the matter.More Button

In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE. Asylum seekers living in direct provision must complete and submit a...More Button

Medical Cards are issued to Asylum Seekers where their application is supported by relevant documentation (confirmation that they are in receipt of Asylum Seekers Weekly Payment). Medical Cards ...More Button

Hospitals Building Programme

Was asked: when funding for the promised extension to the emergency department at Mayo University Hospital will be provided.More Button

The Health Service Executive's National Capital & Property Steering Group are currently considering an application for capital developments at the Emergency Department, the Medical Assessment Unit ...More Button

This project at Mayo University Hospital is at the very early stages of development. It is important to recognise that all capital development proposals, including this one, must progress throug...More Button

The availability of funding, the relative priority and the stage in the project's lifecycle determines the timeframe for the delivery of capital projects such as the proposed capital developments...More Button

Our plans for the 2019 bed capacity programme include preparation of 202 beds, including 10 additional beds in Mayo University Hospital, during 2019, with a view to bringing this extra capacity i...More Button

Mayo University Hospital is an integral part of the Saolta Hospital Group providing health services and care to the people of Mayo and the west of Ireland. The Hospital provides quality patient ...More Button

Hospital Appointments Status

Was asked: when a person (details supplied) will receive an appointment with a consultant; 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, since January 2014, has been developed t...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: further to Parliamentary Question No. 357 of 14 May 2019, the progress being made to arrange an early assessment and operation at University Hospital Waterford for a person (details supplied); if a...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for sc...More Button

The NTPF works with public hospitals, as opposed to with patients directly, to offer and provide the funding for treatment to clinically suitable long waiting patients who are on an inpatient/day...More Button

The key criteria of the NTPF is the prioritisation of the longest waiting patients first. While the NTPF identifies patients eligible for NTPF treatment, it is solely on the basis of their time s...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 National Waiting List Management Policy, a standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, since January 2014, has been developed t...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) who has been urgently referred to an orthopaedic consultant will be issued with an appointment; 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, since January 2014, has been developed t...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 a MRI 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 National Waiting List Management Policy, a standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, since January 2014, has been developed t...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 a cataract 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 National Waiting List Management Policy, a standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, since January 2014, has been developed t...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: if an appointment will be expedited for a person (details supplied).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, since January 2014, has been developed t...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: if a person (details supplied) in County Donegal can be considered for an earlier appointment; 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, since January 2014, has been developed t...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 receive an appointment with a respiratory consultant at University Hospital Waterford; 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, since January 2014, has been developed t...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

Question No. 454 answered with Question No. 408.More Button

Was asked: when a person (details supplied) will be called for an initial appointment for assessment at University Hospital Waterford; 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, since January 2014, has been developed t...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

HSE Donations

Was asked: the reason an offer to paint a facility (details supplied) was refused by the HSE.More Button

Home Care Packages

Was asked: when a person (details supplied) who has recently been discharged from hospital will receive an urgently required hospital bed at their home; and if he will make a statement on the matter.More Button

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

HSE Properties

Was asked: if he will consider the purchase of a facility (details supplied) in County Sligo; his views on whether the opportunity to purchase same should not be missed in the interest of providing care for p...More Button

As the Health Service Executive is responsible for the management of the healthcare property estate, I have asked the HSE to respond directly to you in relation to this matter.More Button

Departmental Strategies

Was asked: the strategies and policy proposals published by his Department since 2014, in tabular form; and if he will make a statement on the matter.More Button

The information requested by the Deputy is not immediately available. I have surveyed the Department and the collated replies will be prepared into a full response to the Deputy as soon as possibl...More Button

Was asked: the HSE strategies and policy proposals published since 2014; the number of these which have been launched by him or his predecessors, by a Minister of State or featured ministerial participation i...More Button

The Deputy's question has been referred to the HSE for direct reply.More Button

Departmental Reports

Was asked: the reason he is not immediately releasing the de Buitléir report; and if he will make a statement on the matter.More Button

The Report of the Independent Review Group established to examine private activity in public hospitals (the "De Buitléir Report) has been received and is being examined in my Department. It is a c...More Button

Detailed consideration of the Report by my Department officials is ongoing and covers a range of issues, which have also been discussed in engagement with the Department of Public Expenditure and...More Button

Semi-State Bodies

Was asked: the purpose of the recent establishment of two subsidiaries by a group (details supplied); and if this means the group will now commence owning and investing in private hospitals and clinics.More Button

Was asked: if his Department, as shareholder of a group (details supplied), is now engaging in a strategy to purchase private hospitals and clinics.More Button

I propose to take Questions Nos. 382 and 383 together.More Button

Since 2008, Vhi has been empowered to acquire, manage, operate and maintain medical facilities (Voluntary Health Insurance (Amendment) Act 2008, section 7). The same Act allows Vhi to form subsi...More Button

As a part of authorisation by the Central Bank, Vhi was restructured to separate the many functions of the Voluntary Health Insurance Board. The Vhi Group Structure continues to evolve in respon...More Button

- Vhi Group DAC is the Group Holding company.More Button

- Vhi Insurance DAC is a regulated insurance undertaking, underwriting private medical insurance in Ireland, and is regulated by the Central Bank.More Button

- Vhi Healthcare DAC is a regulated insurance intermediary providing sales and policy administration for the group's private medical insurance and other insurance businesses, and is regulated by ...More Button

- Vhi Group Services DAC provides shared services to the Group Companies.More Button

- Vhi Health & Wellbeing Holdings DAC is the holding company for Vhi’s health and well-being services, including Vhi Swiftcare, Vhi Hospital@Home , Medical Screening and Employee Assistance Servi...More Button

- Vhi Abbey DAC and Vhi Portfolio DAC own, operate and develop properties from which Vhi Health & Wellbeing Services are provided. Vhi took full ownership of Swiftcare in September 2017.More Button

Vhi is a commercial company operating in a highly competitive market and it seeks to pursue its strategic goals to meet the current and future healthcare needs of its members. Including through ...More Button

HSE Staff Data

Was asked: the number of category C consultants in each of the years 2017, 2018 and 2019, in tabular form. More Button

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

Medical Card Administration

Was asked: his views on the need to increase medical card income thresholds for lower income families with children to ensure prompt treatment for the medical needs of all those children in view of the fact t...More Button

Medical card provision is primarily based on financial assessment. In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the Health ...More Button

A number of measures have been introduced in recent years to improve access to free GP care and other health services. Since July 2015, all children under 18 years of age with a diagnosis of canc...More Button

Children aged under 6 years and individuals over 70 and those in receipt of a Carer's Allowance or Carer's Benefit are now automatically eligible for a GP visit card. Most recently in April of th...More Button

In context of the above, it is important to note that approximately 42.8% of the population now have access to free GP care. In addition, if a person's sole income is derived from a social welfar...More Button

Psychological Services

Was asked: the position regarding the establishment of assistant psychologists; the details of assistant psychologists and the location of the posting of each as of 23 June 2019, in tabular form; the key perf...More Button

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

Health Services Provision

Was asked: his views on the case of a person (details supplied) who applied for an optical examination with the HSE; and if he will make a statement on the matter. More Button

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

Was asked: the position regarding a health unit (details supplied); his future plans for its use; and if he will make a statement on the matter.More Button

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

Disability Services Data

Was asked: the number of respite hours provided for adults with an intellectual disability in County Clare in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Was asked: the number of respite hours provided for children with an intellectual disability in County Clare in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Was asked: the number of respite hours provided for adolescents with an intellectual disability in County Clare in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Was asked: the number of persons on the waiting list for residential care for adults with an intellectual disability in County Clare in each of the years 2008 to 2018, in tabular form; and if he will make a s...More Button

Was asked: the number of adults with intellectual disabilities in residential care in County Clare; and if he will make a statement on the matter.More Button

Was asked: the number of persons on the waiting list for residential care for adults with an intellectual disability in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the ...More Button

Respite Care Services

Was asked: if the HSE has conducted an audit of respite provision; and if he will make a statement on the matter.More Button

Hospitals Data

Was asked: the number of persons presenting to Our Lady of Lourdes Hospital, Drogheda, with alcohol and drug misuse related issues from 2016 to date; and if he will make a statement on the matter.More Button

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

Nursing Homes Support Scheme Administration

Was asked: in the case of rental income derived from a person's principal private residence in the context of a fair deal review, if that is rental income net of costs and expenses or gross rental income. More Button

Pharmacy Regulations

Was asked: the position regarding the proposed draft Pharmaceutical Society of Ireland (temporary absence of pharmacist from pharmacy) rules 2018; if he has considered concerns raised by an association (detai...More Button

Under the Pharmacy Act 2007, my role in relation to the Pharmaceutical Society of Ireland PSI (Temporary Absence of Pharmacist from Pharmacy) Rules is limited to their consideration once submitted ...More Button

General Practitioner Services

Was asked: the number of practices likely to benefit in view of the recent announcement of €2 million per annum investment to support general practitioner practices in areas of high deprivation; the areas of ...More Button

I am pleased that we have recently been able to conclude an agreement with the Irish Medical Organisation on a major package of GP contractual reforms which will benefit patients and make general p...More Button

The outcome of the talks process is a comprehensive service development and reform agreement in return for significant phased increases in funding for general practice services provided by GPs to...More Button

As part of the deal, it has been agreed that the GP rural practice allowance will be increased in 2020 and that targeted funding of €2 million will be set aside to provide additional support to p...More Button

Child and Adolescent Mental Health Services

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

Treatment Abroad Scheme

Was asked: further to Parliamentary Question No. 303 of 18 June 2019, if assistance is available for a treatment abroad that is not available here and is only available in a private hospital abroad; and if he...More Button

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly on the specific query raised in Parliamentary Question No 303 and a reply is due by 2 July, ...More Button

Patient Data

Was asked: the number of persons that presented to the emergency department at Mayo University Hospital in 2018 and to date in 2019.More Button

The hospital system is currently operating at close to full capacity. The number of patients attending Emergency Departments continues to increase year on year, with approximately 1.3 million atten...More Button

For the first five months of 2019, the number of patients attending hospital EDs increased by 4.9%, and the number of ED admissions increased by 3.3% compared to the same period last year. Despit...More Button

With regard to the numbers of presentations at the emergency department of Mayo University Hospital, I have asked the HSE to respond to the Deputy directly with the requested information.More Button

Hospital Staff Data

Was asked: the number of midwives employed at Mayo University Hospital; and the number of vacancies for midwives at the hospital.More Button

Was asked: the number of women that went through the maternity unit at Mayo University Hospital in 2017, 2018 and to date in 2019.More Button

Was asked: the number of babies born at the maternity facilities in Mayo University Hospital in 2017, 2018 and to date in 2019.More Button

I propose to take Questions Nos. 410 to 412, inclusive, together.

  As the queries raised by the Deputy relate to operational matters, I have asked the HSE to reply to you direct...More Button

Hospital Consultant Remuneration

Was asked: the further proposals he is considering to restore salary levels for the cohort of hospital consultants employed since 2011 and in the context of budget 2020.More Button

The issue of new entrant consultant pay has been examined by the Public Sector Pay Commission. The Commission found that evidence of recruitment campaigns with very low levels of applications was ...More Button

The Commission acknowledged that the difference in pay between the pre-existing and new entrant consultants is greater than for other categories of public servants. It did not view the measures ...More Button

The Government accepted the Report of the Commission and recognises that there are significant recruitment and retention challenges in relation to consultant posts. The proposal of the Commission...More Button

Notwithstanding the current recruitment challenges, the number of consultants working in the public health service continues to grow year on year. It increased by 125 whole time equivalents or ju...More Button

Primary Care Centres Staff

Was asked: the steps he is taking to ensure that all primary care centres have the necessary complement of general practitioners in view of reports that more than 20% of those centres have no practitioner; an...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

State Claims Agency Data

Was asked: the current level of claims against the HSE; the cost of these liabilities over the past five years; and if he will make a statement on the matter.More Button

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims, including claims in respect of clinical negligence, on behalf of Delegated State Authorities (DSA’s) including ...More Button

Nursing Homes Support Scheme Applications

Was asked: if a person transfers assets in 2014, makes an application for the fair deal scheme in 2015 but does not take up the nursing home placement and continues to reside and be cared for at home until 20...More Button

Was asked: if fair deal assessment remains valid in circumstances (details supplied); and if he will make a statement on the matter.More Button

Prescriptions Charges

Was asked: the estimated cost of reducing a charge (details supplied); and if he will make a statement on the matter.More Button

The estimated cost of reducing the prescription charge for medical card holders over the age of seventy to €1.25, to €1.00 and abolition for over seventies is as follows.

More Button

Was asked: the estimated cost of reducing a charge (details supplied); and if he will make a statement on the matter.More Button

The estimated cost of reducing the prescription charge for all medical card holders to €1.50 is €11.5 m.

  The estimated cost of reducing the prescription charge for all medical ...More Button

Drugs Payment Scheme

Was asked: the estimated cost of reducing a family charge (details supplied); and if he will make a statement on the matter.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

Was asked: further to Parliamentary Question No. 112 of 28 March 2019, the length of time he expects the review will take; when the results will be published; and if he will make a statement on the matter.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

General Practitioner Contracts

Was asked: if payments under the GMS contract for general practitioners can be made in advance or monthly for new practices (details supplied); and if he will make a statement on the matter.More Button

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

General Practitioner Services Provision

Was asked: the financial supports available for general practitioners who wish to take over or set up new practices; and if he will make a statement on the matter.More Button

Under the General Medical Services (GMS) contract, GPs are reimbursed for a range of services they provide to medical card and GP visit card holders. GPs are remunerated for these services primaril...More Button

Under the GMS scheme GPs are also paid a subsidy towards the cost of employing a practice nurse and/or a practice secretary. The rate payable depends on the GP's GMS panel size and the level of e...More Button

GPs working in rural areas who meet the qualifying criteria will also qualify for the rural support allowance of €20,000 per annum.More Button

I am pleased that we have recently been able to conclude an agreement with the Irish Medical Organisation on a major package of GP contractual reforms which will benefit patients and general prac...More Button

Agreement has been reached on the provision of new services and on a wide-ranging set of modernisation and reform measures. In return for cooperation with these service developments and reforms, ...More Button

There will be increased support for GPs working in rural practices and for those in disadvantaged urban areas. Improvements in the maternity and paternity leave arrangements have also been agreed...More Button

Each GP who holds a GMS contract has been invited to sign up to the reform measures which will allow them to access the new fees from 1 July 2019. I am informed that a high proportion of GPs hol...More Button

Nursing Staff Provision

Was asked: the assistance that will be given in the form of funding for the training to advance nurse practitioner level for a nurse (details supplied) in view of the general practitioner contract agreement t...More Button

I am pleased that we have recently been able to conclude an agreement with the Irish Medical Organisation on a major package of GP contractual reforms which will benefit patients and make general p...More Button

Health Services Staff Recruitment

Was asked: the position of a person (details supplied) on the panel for healthcare assistant; if there are upcoming vacancies in this regard; and if the panel will be extended over two years.More Button

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

Home Care Packages Administration

Was asked: further to Parliamentary Question No. 431 of 11 June 2019, when a response will issue to same from the HSE.More Button

Rare Diseases

Was asked: the services and treatments available to persons with Friedreich's ataxia; the level of funding provided for research for treatments; his plans to increase funding for future treatments; and if he ...More Button

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

Speech and Language Therapy Staff

Was asked: when a replacement staff member will be appointed for the position of speech and language therapist in the west Waterford network 1 area while the existing speech and language therapist is on mater...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

Medicinal Products Reimbursement

Was asked: when a decision will be made on reimbursement for the drug osimertinib for treatment of advanced lung cancer; the steps being taken to expedite this assessment; and if he will make a statement on t...More Button

The HSE has statutory responsibility for medicine pricing and reimbursement under the Health (Pricing and Supply of Medical Goods) Act 2013. The Act specifies the criteria for decisions on the reim...More Button

Was asked: the status of the provision of respreeza for patients with alpha-1.More Button

The HSE has statutory responsibility for decisions on the pricing and reimbursement of medicines under the Health (Pricing and Supply of Medical Goods) Act 2013.

The HSE carefully consi...More Button

Departmental Reviews

Was asked: the number of live studies, reviews and research undertaken or commissioned by him; and the date by which each study, review and research is scheduled to be completed.More Button

The information requested by the Deputy is not immediately available. I will survey the Department and the collated replies will be prepared into a full response to the Deputy as soon as possible.More Button

Mobility Allowance Review

Was asked: when a replacement scheme will be announced for the mobility allowance and motorised transport grant; the reason for the delay in finalising same to date; and if he will make a statement on the mat...More Button

Was asked: the progress to date in determining the appropriate scheme to replace the mobility allowance and motorised transport grant; and if he will make a statement on the matter.More Button

Departmental Information

Was asked: the documents published by his Department since 1 January 2016 (details supplied); and if he will make a statement on the matter.More Button

The information requested by the Deputy is not immediately available. I have surveyed the Department and the collated replies will be prepared into a full response to the Deputy as soon as possibl...More Button

Orthodontic Services

Was asked: the number of whole-time equivalent consultant orthodontists in the south-east in each of the years 2014 to 2018 and to date in 2019, by county (details supplied), in tabular form; and if he will m...More Button

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

National Children's Hospital Expenditure

Was asked: the projected cost of the national children’s hospital in each of the years 2021 to 2024; and if he will make a statement on the matter.More Button

In terms of the financing of the children’s hospital project for 2019, €250m is included in capital profiles for the project in 2019. More Button

The Summer Economic Statement, published recently, provides an expenditure reserve of up to €200m in 2020 to accommodate funding requirements for the new Children's Hospital and the National Broa...More Button

Was asked: if the cost of the national children’s hospital is €1.73 billion as mentioned in a report (details supplied); and if he will make a statement on the matter.More Button

I advised Government in December 2018 that the overall cost to complete the capital project is €1,433m, this includes all of the capital cost for the main hospital at St James's Hospital campus whi...More Button

The €1.7 billion includes the capital cost plus investment in ICT and the Electronic Health Record rollout - funded through the ICT capital programme, the comprehensive Children's Hospital Integ...More Button

Healthcare Policy

Was asked: if there are active guidelines on the use of defibrillators on infants; and if so, if they are being applied.More Button

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

Cancer Services Provision

Was asked: if he has considered proton beam therapy in the treatment of cancerous tumours; and if he will make a statement on the matter.More Button

Proton beam therapy is an advanced form of radiotherapy, primarily used in neural and some paediatric cancers. 

  Currently in Ireland, patients are referred abroad for proton be...More Button

Food Safety Standards

Was asked: the position regarding the health hazards of nitrates in food; and if he will make a statement on the matter.More Button

I am advised by the Food Safety Authority of Ireland (FSAI) that Nitrate is found naturally in vegetables. It can also enter the food chain as an environmental contaminant in water, due to its use ...More Button

Assisted Human Reproduction Legislation

Was asked: the status of correspondence he has had with a group (details supplied) with regard to changes requested to the assisted human reproduction Bill concerning changes to the law to be more inclusive o...More Button

In October 2017, the Government approved the drafting of a Bill on assisted human reproduction (AHR) and associated areas of research, based on the published General Scheme of the Assisted Human Re...More Button

The aim of the AHR legislation is to promote and ensure the health and safety of parents, others involved in the process (such as donors and surrogate mothers) and, most importantly, the children...More Button

My officials and I have engaged with LGBT Ireland (the group referred to by the Deputy) in relation to provisions within both the General Scheme of the Assisted Human Reproduction Bill and Parts ...More Button

Given the comprehensive scope of the legislation and the ethical, legal and social issues which arise from AHR practices, it is anticipated that certain areas of the General Scheme will require f...More Button

Child and Adolescent Mental Health Services Staff

Was asked: his plans to increase CAMHS staffing in CHO 7, which is less than half the personnel numbers recommended under A Vision For Change; and if he will make a statement on the matter. More Button

General Medical Services Scheme

Was asked: the reason the HSE is no longer fully funding the cost of prescription contact lenses (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 HSE for attention and direct reply to the Deputy.More Button

Ministerial Meetings

Was asked: if he will meet the families that have been impacted by the misreading of scans at University Hospital Kerry further to his commitment at the Oireachtas Joint Committee on Health on 22 May 2019; an...More Button

My Department and I have sought to be kept regularly informed regarding the Radiological Lookback Review which took place at University Hospital Kerry in 2017/2018. The report of this review was c...More Button

My officials last met with the South/South West Hospital Group on 08 May 2019 to discuss the look-back review, the status of implementation of the recommendations made in the report of the review...More Button

My Department has been assured by the HSE and the South/South West Hospital Group that implementation of the report's recommendations are underway and are receiving the priority they require.More Button

I wish to once again express heartfelt sympathies to the patients and their families. My absolute priority remains ensuring their confidentiality is respected. On an ongoing basis, my officials...More Button

I have made commitments to travel to visit health services in the Kerry area and plan to do so in the coming weeks. Planning for my visit is underway. More Button

Was asked: the number of times he has formally met with the chief executive officer and-or chairperson of a company (details supplied) in 2018 and to date in 2019; and if he will make a statement on the matter.More Button

The Minister for Health did not meet with either person in 2018 or 2019. The Vhi Chairperson and Chief Executive Officer meet regularly with Department of Health officials to ensure the Minister is...More Button

Legislative Measures

Was asked: when the human tissue (transplantation, post-mortem, anatomical examination and public display) Bill will be published.More Button

The Government approved the publication of the General Scheme of a Human Tissue (Transplantation, Post-Mortem, Anatomical Examination and Public Display) Bill on the 01 May 2019. The General Scheme...More Button

  Question No. 462 answered with Question No. 87.More Button

Midwifery Services

Was asked: further to Parliamentary Question No. 401 of 21 May 2019, the way in which the number of student midwifery nurses rose from 533 in December 2018 to 933 in April 2019; and if he will make a statemen...More Button

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

Disabilities Data

Was asked: the number of adults with an intellectual disability in residential care; and if he will make a statement on the matter.More Button

Drug and Alcohol Task Forces

Was asked: his plans to roll out new localised pilot schemes aimed at tackling and preventing drug and alcohol addiction in local communities which can and will operate and develop outside the governance of t...More Button

Respite Care Services Data

Was asked: the number of respite hours provided for adolescents with an intellectual disability in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Was asked: the number of respite hours provided for adults with an intellectual disability in each of the years 2008 to 2018, in tabular form; and if he will make a statement on the matter.More Button

Mental Health Services Data

Was asked: the number of mental health beds available in each LHO; and if he will make a statement on the matter.More Button

Was asked: the number of incidents of self-harm in respect of children under the age of 15 reported in each of the past five years to date; the extent to which it was found possible to provide the necessary h...More Button

Respite Care Services Provision

Was asked: the reason respite care allocation was cut for a person (details supplied) in County Donegal; when full respite care service will be reinstated; and if he will make a statement on the matter.More Button

Nursing Homes Support Scheme

Was asked: further to Parliamentary Question No. 131 of 4 April 2019, his plans to introduce a three year cap on farm businesses assets in circumstances in which a family successor commits to continue to farm...More Button

State Claims Agency

Was asked: if a person (details supplied) will be entitled to their full award of damages regardless of the outcome of an appeal in view of the appeal by the State Claims Agency against the judgment; and if h...More Button

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims, including claims in respect of clinical negligence, on behalf of Delegated State Authorities (DSA’s) including ...More Button

In June 2019, Government gave approval that the Chief State Solicitor to issue, on behalf of the Minister for Health, a letter giving an undertaking to the plaintiffs to make any balancing paymen...More Button

Parliamentary Questions

Was asked: when a response will issue to an interim response (details supplied); and if he will make a statement on the matter.More Button

The issues involved are currently being examined by my officials and a response will issue as soon as possible.More Button

Speech and Language Therapy Provision

Was asked: when speech therapy and a device will be provided to a child (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 HSE for attention and direct reply to the Deputy.More Button

Emergency Departments Data

Was asked: the number of children presenting at emergency departments here with self-harm injuries, suicide attempts and or overdoses in each of the years 2014 to 2018; the location of same in tabular form; a...More Button

Hospital Charges

Was asked: if he will remove charges for those with haemochromatosis attending venesection clinics; and if he will make a statement on the matter.More Button

Was asked: the amount raised in payments by those with haemochromatosis attending venesection clinics in 2018; and if he will make a statement on the matter.More Button

I propose to take Questions Nos. 487 and 488 together.

  Where venesection is classed as a day case procedure and is not carried out in an out-patient setting, the public in-pati...More Button

Health Services Reports

Was asked: when the national review under way of cardiac services will conclude; when the report will be published; and if he will make a statement on the matter. More Button

The aim of the National Review of Specialised Cardiac Services is to achieve optimal patient outcomes at population level with particular emphasis on the safety, quality and sustainability of the s...More Button

While much work has been completed in relation to informing the optimal configuration of adult cardiac services, some significant and important work remains outstanding. In order to allow this wo...More Button

National Treatment Purchase Fund Data

Was asked: the number of persons treated under the National Treatment Purchase Fund, NTPF, in each month to date in 2019; the specialties treated by percentage, in tabular form; and if he will make a statemen...More Button

The information requested by the Deputy is currently being collated by officials in my Department and will be provided to the Deputy directly as soon as it becomes available.More Button

Was asked: the amount the National Treatment Purchase Fund, NTPF, has spent in the first five months of 2019 treating those on waiting lists in excess of 11 months wait; and if he will make a statement on the...More Button

The information requested by the Deputy is currently being collated by officials in my Department and will be provided to the Deputy directly as soon as it becomes available.More Button

Orthodontic Services Provision

Was asked: the extent to which orthodontic services are readily made available by all possible means; the extent to which the school medical examinations identifies the need for such services; if the existenc...More Button

As this is a service matter it has been referred to the HSE for attention and direct reply to the Deputy.More Button

Health Promotion

Was asked: the extent to which the need for oral hygiene remains an important part of health service information; the extent to which Ireland complies with best practice in that regard; and if he will make a ...More Button

Oral hygiene, particulary toothbrushing advice in line with best evidence, is central to oral heath promotion programmes in Ireland and internationally. More Button

Smile agus Sláinte, the National Oral Health Policy, which was published in April 2019 aims to enable people to achieve their personal best oral health. The Policy has three strategic strands. Th...More Button

Health Services Expenditure

Was asked: the extent to which he continues to pursue best practice, efficiency and value for money in the delivery of various aspects of the health service; the extent to which a particular aspect of the ser...More Button

The HSE National Service Plan (NSP) is an important accountability instrument in use by the Department in determining how the HSE is performing against its targets as it captures in a clear and qua...More Button

The Department provides oversight of the performance of the HSE in relation to the delivery of the services set out in the NSP. The mechanism for this oversight includes the ongoing monthly perf...More Button

As part of the monthly performance cycle, the HSE provides an update on the application of its Performance and Accountability Framework. This includes the submission of an Escalation report whic...More Button

The latest escalation report is for April 2019 and currently the HSE are reporting 7 areas (6 in acute hospitals and 1 in social care) which have been escalated to the National Performance Oversi...More Button

The HSE’s latest income and expenditure position at 30 April 2019 shows a revenue deficit of €116.2m which represents 2.3% of the available budget. The main drivers of the deficit are acute hosp...More Button

Significant savings are profiled later in the year in line with the targets set out in the National Service Plan. However, on present trends, taking account of the pressure in certain areas, the ...More Button

Was asked: the branch or branches of the health services that have failed to work within budget in the past ten years; and if he will make a statement on the matter.More Button

In any given year, the Government has a finite amount of money for allocation in the Budget and has many competing priorities. During the fiscal crisis, as with most areas of public spending, signi...More Button

From 2015 onwards, funding began to be increased on a gradual basis to meet existing costs within the system. In recognition of the difficulties facing the system, in 2016 a further €500m was app...More Button

Additional funding was provided for health from 2017 onwards, including supplementary estimates, to cover pay and pension costs, and the SCA. Overall, since 2017, increased funding has been alloc...More Button

The HSE National Service Plan (NSP) sets out annually the services to be provided by the Executive and the budget provided for that purpose across all health programme areas. The NSP is finalised...More Button

It is clear that there are areas where further improvements are required and my Department continues to work closely with the HSE to optimise service provision within the constraints of available...More Button

Health Services

Was asked: the degree to which various budgetary projections and targets have been missed in the services provided; the corrective measures taken or pending to address such issues; and if he will make a state...More Button

The HSE’s latest income and expenditure position at 30 April 2019 shows a revenue deficit of €116.2m which represents 2.3% of the available budget. The main drivers of the deficit are acute hospit...More Button

Significant savings are profiled later in the year in line with the targets set out in the National Service Plan. However, on present trends, taking account of the pressure in certain areas, the ...More Button

I have emphasised to the Executive the need to address health spending urgently by means of the following measures; More Button

- Steps to ensure compliance with the staffing limits for 2019. The Executive has put in place controls around recruitment, pending receipt of finalised financial plans to manage the staffing lev...More Button

- A reporting and monitoring structure around agreed savings targets in the National Service Plan, with responsible managers providing a monthly report from Quarter 1; More Button

- A mid-year review of the Health Service Executives performance on savings and staffing limits, with further interventions as necessary.More Button

The National Service Plan requires the HSE to protect and promote the health and well-being of the population, having regard to the resources available to it, and making the most efficient and ef...More Button

Was asked: the extent to which the delivery of health services here in terms of value for money compares with the most competitive overseas; and if he will make a statement on the matter.More Button

Comparing health expenditure across countries is not straightforward, and there are a variety of ways of measuring health spend e.g. as a proportion of Gross Domestic Product (GDP), modified GNI* (...More Button

The System of Health Accounts (SHA) was devised by the Organisation for Economic Co-operation and Development (OECD) and has been adopted for joint reporting of health care expenditure by the OEC...More Button

The latest figures for Ireland according to the SHA methodology were included in the CSO statistical release, 20 June 2019. Overall there was a 5% increase in health expenditure in Ireland betwee...More Button

If modified GNI* us used, Ireland is above the OCED average and if GDP is used Ireland is below the OECD average.More Button

From the most recent report, the majority of health expenditure (73%) was funded by government, with the balance funded by private sources including health insurance (14%) and household out-of-po...More Button

Even within a country, accurately measuring healthcare expenditure can be challenging due to uncertainty over what constitutes expenditure on health. A key feature of the SHA methodology is that ...More Button

The HSE National Service Plan (NSP) is an important accountability instrument in use by the Department in determining how the HSE is performing against its targets as it captures in a clear and q...More Button

The Department provides oversight of the performance of the HSE in relation to the delivery of the services set out in the NSP, including the ongoing monthly performance management of the health ...More Button

Hospital Waiting Lists Data

Was asked: the hospitals or locations nationally most affected by longer than advisable waiting lists; the degree to which the cause of such waiting lists has been identified with a view to resolution; and if...More Button

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting tim...More Button

Last year saw considerable improvement in the number of patients waiting for procedures. As a result of increased activity and the ongoing collaboration between the HSE and the National Treatment...More Button

Budget 2019 announced that the Government had further increased investment in tackling waiting lists, with funding to the NTPF increasing from €55 million in 2018 to €75 million in 2019. The join...More Button

In terms of locations with highest numbers on waiting lists, the latest NTPF figures show that there are 15,947 patients on Saolta University Healthcare Group IPDC waiting list. This represents a...More Button

The latest NTPF figures show that there are 114,609 patients on the South/South West Hospital Group Outpatient Waiting List. The NTPF figures also show that there are 109,543 on the Ireland East ...More Button

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals.More Button

The Sláintecare Action Plan 2019 which was published by my Department, includes a specific workstream on Access and Waiting Lists. Sláintecare emphasises the need to invest in increased capacity ...More Button

In line with Sláintecare objectives, my Department is working with the HSE and the NTPF, to develop medium-long term improvement initiatives for patient access to hospital procedures.More Button

HSE Governance

Was asked: his views on whether the restructured HSE is likely to improve the efficiency and delivery of the health services nationally; and if he will make a statement on the matter.More Button

The report of the cross-party Oireachtas Committee on the Future of Healthcare, Sláintecare, identifies four core building blocks that underpin a well-functioning health system. The first of these ...More Button

In addition to this, the Sláintecare Implementation Strategy commits to the development of regional care organisations that will enable the delivery of integrated care at a local level. As a firs...More Button

The development of regional care organisations is a critical enabler of the Sláintecare reform programme. These organisations will be designed to facilitate the efficient and effective delivery ...More Button

Home Care Packages Data

Was asked: the number of personnel engaged in the delivery of home care packages either directly through the HSE or through selected agencies; the extent to which the number has fluctuated in each of the past...More Button

General Practitioner Data

Was asked: the number of general practitioners practicing throughout County Kildare; the extent to which each practice is sufficiently supported to meet growing demands; and if he will make a statement on the...More Button

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

Question No. 509 answered with Question No. 439.More Button

Speech and Language Therapy

Was asked: the extent to which speech and language therapy and mental health support exists for children in all areas nationally; if particular shortfalls have been identified and are being addressed; and if ...More Button

Medical Card Data

Was asked: the number of full medical cardholders in each of the years 2011 to 2018 and to date in 2019; and if he will make a statement on the matter.More Button

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

Health Services Staff

Was asked: the extent to which adequate staff at all levels remain available to the HSE to ensure delivery of health services in a fast, effective and efficient manner; and if he will make a statement on the ...More Button

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

Medicinal Products Availability

Was asked: the procedures in place to encourage manufacturers of medicines to make their product available for sale to the health service at a manageable cost with particular reference to top of the range new...More Button

The HSE has statutory responsibility for medicine pricing and reimbursement decisions under the Health (Pricing and Supply of Medical Goods) Act 2013. The Act specifies criteria for decisions on th...More Button

  Question No. 516 answered with Question No. 82.More Button


 

 

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