Snippet data - viewing only, no editing possible


Label

Field name

Field value


Sitting_Date

06/16/2016 12:00:00 AM


Sitting_Forum


Snippet Ref No

SnippetRefNo

AA00400

Selected Quill

SnippetType

1

Saved Quill

SnippetType_C4D


Selected Quill

SnippetType_1

1

Speaker Name

IndxSpeakerName

Cahill, Jackie

Business Category

IndxMainHeadCat

Estimates for Public Services 2016 (Resumed)

Sub Category

IndxSubTopic


Topic

IndxQHeadTopic


See Also

SeeAlso


Part1

TitlePart1


Part2

TitlePart2


Part3

TitlePart3


Volume

VolumeNo

913

Book No

BookNo

3

Pdf Ref

PdfPageRef

498

Default Business Index

IndexViewCategoryDefault

Estimates for Public Services 2016 (Resumed)

3 Part Title Business Index

IndexViewCategoryTitle


Default Topic Index

IndexViewCategoryDefaultSpeaker

Estimates for Public Services 2016 (Resumed)

3 Part Topic Index

IndexViewCategoryTitleSpeaker


Motion Code

MotionCode


Motion Title

MotionTitle


Stage

MotionStage


Amendment No

MotionAmendmentNo


Bill Code

BillCode


Bill Title

BillTitle


Stage

BillStage


Section

BillSection


Statement Code

StatementCode


Statement Title

StatementTitle


Stage

StatementStage


Hour Indicator

HourIndicator

Not applicable

Procedural Instruction

Procedural_Instruction

No

Debate Adjourned

DebateAdjourned

No

Question Askee

QAskee


Question Asker

QAsker


Question Department

QDept


Question ID

QID


Question Reference

QRef


Question Speaker PID

QSpeakerPID


Question Speaker PID To

QSpeakerPIDTo


Questions Asked

QUESTIONSASKED


Speaker Type

SpeakerType

1

Speaker Name

Senator


Deputy


Minister


Witness


Chairman


ViceChairman


ActingChairmanD


ActingChairmanS


Speaker4Display

Speaker4Display

Deputy Jackie Cahill

Speaker

Speaker

Deputy Jackie Cahill

SpeakerPID

SpeakerPID

JackieCahill

SpeakerText

SpeakerText

Jackie Cahill

OriginalUnidSnippet

OriginalUnidSnippet

0BD1984004ECBC8280257FD40056B86F

LastModifiedSnippet

LastModifiedSnippet

11/20/2017 12:18:27 PM

TopicIndex1stCategoryValues

TopicIndex1stCategoryValues

Snippet Contents:

I wish the new Minister and Ministers of State the best of luck in their portfolios. I welcome the allocation of an extra €500 million for health services.
As a representative of County Tipperary which no longer has a Government Deputy or Senator, I will focus on the lack of mental health facilities in the county. With a population of 160,000, County Tipperary does not have psychiatric beds, while the clinic in Thurles is under-resourced. For example, it does not have an occupational therapist; a psychiatric counselling service is not available and it is only open from 9 a.m. to 5 p.m. five days each week. This means that people from the north of the county must travel to Ennis to avail of care, while people living in the south must travel to Kilkenny. This issue must be addressed and I look forward to the Government making proposals in that regard.
The Minister did not provide detail on how much funding is being provided for home care services and home care packages. Two completely different policies on managing home help hours are applied in north and south Tipperary, respectively. The service in south Tipperary uses its entire allocation of hours with HSE staff and thereafter employs agencies, whereas the service in north Tipperary uses a combination of HSE staff and agencies throughout the year. A consistent approach is required because the use of different approaches in the same county is preventing the system from operating efficiently. In any case, the service requires more funding if an adequate service is to be provided for those who need it most.
The HSE practice of offering home help hours in half-hour segments must be addressed as it is not an efficient use of resources. It is certainly not satisfactory for the service user and employees of the service.
I would like to know if any of the additional funding will be used to tackle the ever-increasing numbers on waiting lists. The numbers on the inpatient and day case lists have increased by almost 50% in the past two years. Figures for May this year show that 509,994 patients are either waiting for an operation or an outpatient appointment. The number waiting for an outpatient appointment has increased from 407,257 to 415,584 in the space of one month, while more than 62,000 of these individuals have been waiting for more than one year. In addition, the backlog of patients who need surgery increased from 74,274 to 74,986, having stood at 50,000 in 2014. This is an increase of approximately 50%. Last year’s targets are being missed, with more than 5,000 waiting for surgery for more than 15 months in May. This is a significant jump when one compares it with the figure of 4,603 who were enduring the same delay in April.
The figures also show that the number waiting in excess of 18 months for an outpatient appointment to see a specialist increased from 8,570 in April to 13,095 in May. Of those waiting for surgery, 4,704 are children, 58 of whom have been waiting for more than a year and a half. More than 60,000 people, including more than 4,500 children, have been waiting for more than one year for an outpatient appointment.
As a first-time Deputy, I find that the annual merry-go-round of health budget overruns followed by the introduction of a Revised Estimate smacks of poor planning. It appears that the HSE runs the service until its budget runs out before being bailed out by the Government. Surely a budget should be presented for a 12-month period. In every year since 2011 the HSE has required a substantial supplementary budget. Given the ad hoc approach to health planning and changing demographics, does the Minister agree that we are storing up major problems for the future? The population grew by 23% in the past 15 years and is set to grow by a further 30% in the next 25.