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 Header Item Hospital Procedures
 Header Item Mental Health Services Provision
 Header Item Home Help Service Provision
 Header Item Medical Card Applications
 Header Item Medical Card Applications
 Header Item Medical Card Applications
 Header Item General Medical Services Scheme
 Header Item Hospital Procedures
 Header Item HSE Staff Remuneration
 Header Item Health Services Expenditure
 Header Item Health Services Provision
 Header Item Health Services Provision
 Header Item Labour Court Recommendations
 Header Item Services for People with Disabilities
 Header Item Health Services Allowances

Tuesday, 18 September 2012

Dáil Éireann Debate
Vol. 774 No. 1

First Page Previous Page Page of 162 Next Page Last Page

Hospital Procedures

 1653. Deputy Pearse Doherty Information on Pearse Doherty Zoom on Pearse Doherty asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will provide an explanation for the long delay in a person (details supplied) in Dublin receiving medical treatment for a prolapse disk. [37696/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly As this is a service matter, it has been referred to the Health Service Executive for direct reply.

Mental Health Services Provision

 1654. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the reason the mental health community services are being wound down (details supplied) in Dublin 17.  [37703/12]

Minister of State at the Department of Health (Deputy Kathleen Lynch): Information on Kathleen Lynch Zoom on Kathleen Lynch As this is a service matter the question has been referred to the HSE for direct reply.

Home Help Service Provision

 1655. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding nursing home care in respect of a person (details supplied) in Dublin 5.  [37704/12]

Minister of State at the Department of Health (Deputy Kathleen Lynch): Information on Kathleen Lynch Zoom on Kathleen Lynch The matter raised by the Deputy relates to the processing of an application by the Courts. Neither the Minister nor the Health Service Executive has any function in this regard

Medical Card Applications

 1656. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a medical card application in respect of a person (details supplied) in Dublin 3. [37710/12]

Minister of State at the Department of Health (Deputy Róisín Shortall): Information on Róisín Shortall Zoom on Róisín Shortall As this is a service matter it has been referred to the Health Service Executive for direct reply to the Deputy.

Medical Card Applications

 1657. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a medical card in respect of a person (details supplied).  [37718/12]

Minister of State at the Department of Health (Deputy Róisín Shortall): Information on Róisín Shortall Zoom on Róisín Shortall As this is a service matter it has been referred to the Health Service Executive for direct reply to the Deputy.

Medical Card Applications

 1658. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a medical card application in respect of a person (details supplied) in Dublin 17. [37720/12]

Minister of State at the Department of Health (Deputy Róisín Shortall): Information on Róisín Shortall Zoom on Róisín Shortall As this is a service matter it has been referred to the Health Service Executive for direct reply to the Deputy.

General Medical Services Scheme

 1659. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding medical costs in respect of a person (details supplied). [37721/12]

Minister of State at the Department of Health (Deputy Róisín Shortall): Information on Róisín Shortall Zoom on Róisín Shortall Some vitamin B12 injections are covered by the General Medical Services (GMS) scheme. If the Deputy can furnish me with the details of the injection in question, I will have the matter investigated.

Hospital Procedures

 1660. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a medical appointment in respect of a person (details supplied) in Dublin 5.  [37722/12]

 1684. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a knee replacement operation in respect of a person (details supplied) in Dublin 5.  [37926/12]

 1692. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding an angiogram in respect of a person (details supplied) in Dublin 5. [38055/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly I propose to take Questions Nos. 1660, 1684 and 1692 together.

  As these are service matters, they have been referred to the Health Service Executive for direct reply.

HSE Staff Remuneration

 1661. Deputy Nicky McFadden Information on Nicky McFadden Zoom on Nicky McFadden asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if a person (details supplied) will receive redundancy payment from the Health Service Executive; and if he will make a statement on the matter. [37726/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly As this is a service matter, it has been referred to the HSE for attention and direct reply to the Deputy.

Health Services Expenditure

 1662. Deputy Michael Healy-Rae Information on Michael Healy-Rae Zoom on Michael Healy-Rae asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the amount of the Health Service Executive's budget that will over-run in 2012 and the over-run for the first six months of this year; and if he will make a statement on the matter.  [37735/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The HSE is facing a very serious financial challenge and following a financial review of its National Service Plan which was submitted to the Board of the Executive in June, it was clear that it would have to make very significant additional savings over the course of the rest of the year. The June Performance Reports were considered by the Board and showed a net deficit of €295m. This report is published on the website of the Health Service Executive - www.hse.ie. Based on the rate of drawdown of its Vote, the HSE was forecasting a shortfall in Vote terms of approximately €500m by the end of the year if no action is taken. The Executive indicated that hospital activity, PCRS and retirements were significant factors contributing to the overrun.

Since then, there has been intensive engagement between my Department and the Health Service Executive to address the overrun in health expenditure. In the short term to address the 2012 position it has been agreed that cash limits will be imposed on agency and overtime and there will be more intensive management of absenteeism. In addition, travel and subsistence will be limited, and there will be more intensive management of stocks in order to better manage cash. Other measures are also being undertaken in order to achieve a balanced budget. These include reductions on services, the use of capital to fund revenue on a once-off basis and the transfer of Department funds to the HSE on a once-off basis. I have instructed the Executive to provide fortnightly reports on the cash situation, and the Regional Directors are being required to more intensively manage the cash so as to achieve a balanced vote.

On a strategic level my Department has undertaken a number of initiatives to address concerns around financial control in the HSE. These included engaging an expert from the UK NHS to examine the financial management of the HSE and make recommendations regarding strengthening and improving the management of its finances. PA Consultancy has been engaged to prepare an Action Plan for implementation of these recommendations. In addition, a new Director General Designate has taken up position in the HSE and has been given a clear mandate in respect of controlling expenditure this year and putting forward proposals that deal with the challenge in 2013 and beyond.

  Question No. 1663 answered with Question No. 1529.

Health Services Provision

 1664. Deputy Finian McGrath Information on Finian McGrath Zoom on Finian McGrath asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the position regarding a medical certificate in respect of a person (details supplied) in Dublin 3. [37744/12]

Minister of State at the Department of Health (Deputy Kathleen Lynch): Information on Kathleen Lynch Zoom on Kathleen Lynch As the Deputy's question relates to service matters I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Health Services Provision

 1665. Deputy Nicky McFadden Information on Nicky McFadden Zoom on Nicky McFadden asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if there are plans to recognise creative arts therapies through stage registration (details supplied); if creative arts therapies will be included in the list of professionals covered by the Health and Social Care Professionals Act; and if he will make a statement on the matter. [37745/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The Health and Social Care Professionals Council, established in 2007, and the 12 registration boards being established under the Health and Social Care Professionals Act 2005 (the Act), will be responsible for protecting the public by regulating health and social care professionals in Ireland. The object of the Council is to protect the public by promoting high standards of professional conduct and professional education, training and competence among the registrants of the following 12 health and social care professions designated under the Act: clinical biochemists, dietitians, medical scientists, occupational therapists, orthoptists, physiotherapists, podiatrists, psychologists, radiographers, social care workers, social workers and speech and language therapists. In time, only registrants will be entitled to use these titles.

The regulation of the 12 professions designated under the Act is being implemented on a phased basis and currently 2 registration boards have been established. These are the Social Workers Registration Board and the Radiographers Registration Board. It is intended that the remaining 10 registration boards and their registers will be established by end 2014.

While the proposed system of statutory registration applies, in the first instance, to 12 health and social care professions, the legislation empowers the Minister for Health to include, if he considers it appropriate and in the public interest to do so, additional health and social care professions in the regulatory system over time, as appropriate. Section 4 of the Act provides a definition of a health and social care profession and also sets out the factors governing the subsequent addition of any further professions into the regulatory system at a later date, including:

(a) The extent to which the profession has a defined scope of practice and applies a distinct body of knowledge;

(b) The extent to which the profession has established itself, including whether there is at least one professional body representing a significant proportion of the profession’s practitioners;

(c) The existence of defined routes of entry into the profession and of independently assessed entry qualifications;

(d) The profession’s commitment to continuous professional development;

(e) The degree of risk to the health, safety or welfare of the public from incompetent, unethical or impaired practice of the profession;

(f) Any other factors that the Minister for Health considers relevant

My Department's priority is to develop statutory registration for the 12 professions designated under the Act. The extension of statutory registration arrangements under the Act for other health and social care professionals will not be considered until after regulatory frameworks in respect of the 12 designated professions are fully in place.

Questions relating to the recognition of creative arts therapies in the public health services, the need for such services and the direct employment of creative arts therapists are matters for the Health Service Executive in the first instance. Any proposals relating to grade and pay levels would, of course, require the approval of my Department and the Department of Public Expenditure and Reform.

Labour Court Recommendations

 1666. Deputy Sean Fleming Information on Seán Fleming Zoom on Seán Fleming asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will supply a list of all Labour Court recommendations that have been issued in respect of his Department and organisations under his aegis that have not been complied with in full; and if he will make a statement on the matter. [37755/12]

 1667. Deputy Sean Fleming Information on Seán Fleming Zoom on Seán Fleming asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will provide a list of all Labour Court recommendations in respect of the Health Service Executive that have not been complied with in full; and if he will make a statement on the matter. [37764/12]

 1668. Deputy Sean Fleming Information on Seán Fleming Zoom on Seán Fleming asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will obtain and provide a list of all Labour Court recommendations that have been issued in respect of the Health Service Executive that have not been complied with in full; and if he will make a statement on the matter. [37765/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly I propose to take Questions Nos. 1666 to 1668, inclusive, together.

  Labour Court Recommendation (No. LCR19900, dated 10th September 2012) issued in respect of my Department has not been implemented as implementation was not considered compatible with relevant Government policy in the area. The Deputy's query regarding the HSE has been referred to the Executive for attention and direct reply.

Services for People with Disabilities

 1669. Deputy Pearse Doherty Information on Pearse Doherty Zoom on Pearse Doherty asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will consider reversing the decision to cut the disabled sheltered allowance, which was cut from €31.80 per week to €20.00 per week; and if he will make a statement on the matter.  [37767/12]

Minister of State at the Department of Health (Deputy Kathleen Lynch): Information on Kathleen Lynch Zoom on Kathleen Lynch The decision to reduce the top up payment made to people with a disability attending rehabilitative training was implemented by the Health Service Executive (HSE) without informing the Department of Health. e reduction from €31.80 per week to €20 per week, from the 1st January 2012, was communicated to the HSE Local Managers in advance of the Minister approving the National Service Plan for 2012. I subsequently requested the Executive not to proceed with this reduction pending a fuller consideration of the effects and consequences of this measure.

This measure was proposed in order to restore equity between the top-up bonus paid to people attending the HSE-funded rehabilitative training schemes following a reduction in a similar payment to students, including those with disabilities, attending FÁS/SOLAS training schemes. The proposed reduction remains under consideration in the context of the 2013 estimates. Any reduction in payments to individuals requires adequate advance notice to enable the recipients and indeed, service providers, to take the reduction into account in planning their support needs and other arrangements. It should also be noted that people with a disability attending Rehabilitative Training are usually in receipt of a State payment such as the Disability Allowance.

Health Services Allowances

 1670. Deputy Joanna Tuffy Information on Joanna Tuffy Zoom on Joanna Tuffy asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly further to Parliamentary Question No. 255 of 16 February 2012, if he will provide an up-to-date position; and if he will make a statement on the matter.  [37776/12]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly Student medical scientists who are in their third year of study, and who are accepted for clinical placement in a public health service laboratory, are eligible to receive a monthly training allowance of €813.58. I have asked the HSE to examine the circumstances regarding the payment of this allowance and will correspond with the Deputy on the matter as soon as possible.


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