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 Header Item Hearing Tests (Continued)
 Header Item Medical Card Appeals
 Header Item Hospital Waiting Lists
 Header Item Health Services Issues
 Header Item Hospital Procedures
 Header Item Respite Care Grant Applications
 Header Item Departmental Expenditure
 Header Item Community Drug Response Project
 Header Item Medical Card Appeals
 Header Item Hospital Waiting Lists
 Header Item Disability Support Services Provision
 Header Item Hospital Consultants Recruitment
 Header Item Heritage Sites

Tuesday, 22 October 2013

Dáil Éireann Debate
Vol. 818 No. 1

First Page Previous Page Page of 83 Next Page Last Page

  Question No. 578 answered with Question No. 558.

  Question No. 579 answered with Question No. 576.

Medical Card Appeals

 580. Deputy James Bannon Information on James Bannon Zoom on James Bannon asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if a medical card will be reissued as a matter of urgency in respect of a person (details supplied) in County Longford. [44707/13]

Minister of State at the Department of Health (Deputy Alex White): Information on Alex White Zoom on Alex White The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has issued to Oireachtas members.

Hospital Waiting Lists

 581. Deputy John Browne Information on John Browne Zoom on John Browne asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will arrange to have a person (details supplied) in County Wexford who is waiting two years for an ENT appointment approved as a matter of urgency.  [44708/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly Improving access to outpatient services is a key priority for the Government. Collaborating with individual hospitals, the SDU, together with the National Treatment Purchase Fund (NTPF) and the HSE, has developed the outpatient waiting list minimum dataset. This allows data to be submitted to the NTPF from hospitals on a weekly basis and, for the first time, outpatient data is available on www.ntpf.ie. For 2013, a maximum waiting time target has been set of 12 months for a first time consultant-led outpatient appointment and this is reflected in the HSE service plan. The SDU and the NTPF will work closely with hospitals towards achievement of the maximum waiting time.

  Should a patient's general practitioner consider that the patient's condition warrants an earlier appointment, he or she would be in the best position to take the matter up with the consultant and hospital involved. In relation to the specific hospital appointment query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.

Health Services Issues

 582. Deputy John McGuinness Information on John McGuinness Zoom on John McGuinness asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will review the accommodation needs of a person (details supplied) in County Kilkenny; if his Department and the Health Service Executive will expedite a solution and funding to deal with this issue.  [44715/13]

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.

  Refurbishment works are a matter for the Department of Environment, Community and Local Government.

Hospital Procedures

 583. Deputy John McGuinness Information on John McGuinness Zoom on John McGuinness asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if an assessment and operation will be arranged immediately in respect of a person (details supplied) in County Kilkenny.  [44718/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The management of inpatient and daycase waiting lists for patients awaiting public health care is based on the principle that after urgent and cancer patients are treated, then clinically assessed routine patients should be seen in chronological order (i.e. longest waiter first).

  Should the patient's general practitioner consider that the patient's condition warrants an earlier appointment, he/she would be in the best position to take the matter up with the consultant and hospital involved.

  In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.

Respite Care Grant Applications

 584. Deputy John McGuinness Information on John McGuinness Zoom on John McGuinness asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if a respite grant will be approved for the south-east regional family support network (details supplied); and if he will confirm when these grants are approved each year.  [44719/13]

Minister of State at the Department of Health (Deputy Alex White): Information on Alex White Zoom on Alex White Decisions in relation to the National Lottery Respite Care Grant Scheme are made by the HSE. In the circumstances, I have referred the question to the HSE for direct reply.

  Question No. 585 answered with Question No. 558.

  Questions Nos. 586 and 587 answered with Question No. 567.

Departmental Expenditure

 588. Deputy Mary Lou McDonald Information on Mary Lou McDonald Zoom on Mary Lou McDonald asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he will provide the full-year effect of all expenditure reductions for his Department as set out in the expenditure report 2014, as provided for in the expenditure report 2013.  [44748/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The gross current budget for the Health Sector for 2014 is €13,263m, a reduction of €361m on the 2013 allocation of €13,624m. A total of €666m in health savings measures have been identified in the context of the Health Estimates to meet the overall health expenditure ceiling reduction of €361m, commitments under the Programme for Government of €57m and health service pressures of €248m. Some of the savings measures represent the full year effect of initiatives taken in 2013, while others are new savings targets for 2014.

  In terms of the projected full-year effects, the table below provides details regarding ten of the fifteen measures concerned. Full-year savings from the remaining five measures are more difficult to quantify at this stage for reasons of timing and the nature of the savings involved. Further detail in relation to these measures is set out below. It should be noted that a number of the measures I have taken here are new initiatives, and for this reason I believe that we should take account of the learning from them as we implement change and reform our health system.

  At my request, the Government has decided that the Secretaries General of the Departments of Health, Public Expenditure and Reform and the Taoiseach will engage in an intensive exercise to ensure verification and implementation of the proposed savings in the Health Vote.

Medical Card Probity and Pay related savings to be achieved under the Haddington Road Agreement.

  Extremely ambitious savings targets have been set in relation to medical card probity and for pay savings to be achieved under the Haddington Road Agreement. These savings targets will be the subject of the verification and implementation exercise mentioned above.

Generic Substitution and Reference Pricing

  Generic substitution and reference pricing is being introduced on a phased basis. It is not possible, at this juncture, to provide accurate figures regarding the potential savings after 2014, as these depend on various factors including prevailing prices, number of competitors, availability of substitute products, and market dynamics.

Instead of retention of full medical card on return to work, give GP Visit Card

  It is not possible, at this juncture, to provide accurate figures regarding the potential savings from this measure after 2014, as it will require primary legislation and a detailed costing exercise as to its implications.

Nurse Bank

  The full-year saving achievable will be determined in the light of experience with implementation of the Nurse Bank in 2014.

Measure Savings in 2014

€million
Estimated Full Year Effect

€million
Generic Substitution and Reference Pricing 50 (see note above)
IPHA/APMI Agreement 28 150
Full year impact of FEMPI fee reductions 37 2014 saving is carry over from 2013 fee reductions
Full year impact of increase in prescription charges 4 2014 saving is carry over from Budget 2013 increase
Full year effect of income thresholds and probity 20 2014 saving is carry over from Budget 2013 measure
Reduce Income Thresholds for the over 70s Medical Card (€900 p.w. couple and €500 p.w. single) 25 49
Additional Delisting of Drugs from the GMS reimbursable drugs 10 Full year effect applies in 2014
Increase Prescription Charges to €2.50 per item with €25 cap 43 Full year effect applies in 2014
Medical Card Probity 113 (see note above)
Instead of retention of full medical card on return to work give GP Visit Card 11 (see note above)
Charge all Private Patients in Public Hospitals 30 45
Fair Deal – Full year effect of enactment of the Health Amendment Act 2013 adjusting asset contribution 10 2014 saving is carry over from 2013 measure
Increase in Charge for Licensing of Tobacco Retailers 5 5
Nurse Bank 12 (see note above)
Pay Related Savings 268 (see note above)

Community Drug Response Project

 589. Deputy Seán Crowe Information on Seán Crowe Zoom on Seán Crowe asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the funding arrangements and amounts per community drug response project in the Tallaght area, Dublin, per year, over the past five years; and the cuts that have been imposed each year on each project.  [44755/13]

Minister of State at the Department of Health (Deputy Alex White): Information on Alex White Zoom on Alex White Funding provided by my Department for community drugs initiatives is allocated by Local and Regional Drugs Task Forces and channelled to projects through designated agencies including the HSE, Department of Social Protection, Education & Training Boards and certain local authorities. The allocations made in respect of each project in the Tallaght Local Drugs Task Force area in the past five years are detailed in the table hereunder:

Project

Code
Project Name 2009 Allocation 2010 Allocation 2011 Allocation 2012 Allocation 2013 Allocation Channel of Funding
T-17 Community Addiction Studies Tallaght €14,010.00 €13,309.00 €12,993.00 €5,000.00 €17,917.00 Dublin and Dun Laoghaire Education & Training Board
T2-1c Brookfield Addiction Support Programme €39,742.00 €37,755.00 €37,755.00 €37,755.00 €37,755.00 HSE SW
T2-4a SWAN Family Support €46,264.00 €43,951.00 €43,951.00 €43,951.00 €43,951.00 HSE SW
T2-4b Barnardos Rivendell Project €297,498.00 €282,323.00 €277,273.00 €277,273.00 €277,273.00 HSE SW
T2-6 Dodder Valley Partnership Liaison meetings €2,668.00 €2,535.00 €2,535.00 €0.00 €0.00 HSE SW
T2-8a St. Aengus Project €37,118.00 €35,262.00 €35,262.00 €35,262.00 €35,262.00 DSP
T2-8b St. Dominic's Stabilisation Programme €34,676.00 €32,934.00 €32,934.00 €16,274.00 €16,274.00 DSP
T2-8d Treatment & Rehab Fund €34,584.00 €32,854.00 €32,854.00 €30,000.00 €30,000.00 HSE SW
T2-8e JADD Project €75,444.00 €71,672.00 €71,237.00 €71,672.00 €71,672.00 HSE SW
T2-9 Dodder Valley Partnership Prevention Projects €34,960.00 €33,212.00 €33,212.00 €30,700.00 €91,881.00 HSE SW
T2-10 Foróige Prevention Projects €118,798.00 €112,744.00 €92,744.00 €112,744.00 €167,744.00 Dublin and Dun Laoghaire Education & Training Board
T2-11 (NUI/UCD) Diplima in Community Drug Work €86,556.00 €82,228.00 €82,225.00 €40,541.00 €0.00 HSE SW
T2-13 Development Fund €43,016.00 €40,865.00 €38,000.00 €81,669.00 €0.00 HSE SW
T2-14 Interim Co-ordinator (formerly Development Worker) €170,236.00 €161,724.00 €161,724.00 €161,724.00 €161,724.00 HSE SW
T2-15 St. Dominic's Community Reponse €40,468.00 €38,444.00 €21,949.00 €38,444.00 €81,868.00 HSE SW
T2-19

S/D
Tallaght Evening/Cocaine Project €0.00 €13,425.00 €50,000.00 €25,845.00 €0.00 HSE SW
T2B-1 Slanú Young Persons Rehab Programme €88,964.00 €84,516.00 €82,548.00 €84,516.00 €84,516.00 Dublin and Dun Laoghaire Education & Training Board
T2B-2 Tallaght-wide Aftercare Service €9,000.00 €95,000.00 €95,000.00 €95,000.00 €95,000.00 DSP
T2B-3 Tallaght Artbase €49,374.00 €46,905.00 €46,905.00 €16,722.00 €0.00 Dublin and Dun Laoghaire Education & Training Board
T2B-4 Area 24 Youth Health Café, Mountain Park €58,134.00 €55,255.00 €30,255.00 €45,255.00 €0.00 Dublin and Dun Laoghaire Education & Training Board
- Totals €1,281,510.00 €1,316,913.00 €1,281,356.00 €1,250,347.00 €1,212,837.00 -

Medical Card Appeals

 590. Deputy Mary Lou McDonald Information on Mary Lou McDonald Zoom on Mary Lou McDonald asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly when a decision will be made on an appeal for the renewal of a medical card for a five year old child (details supplied) with Down's syndrome, asthma, arthritis and a heart condition.  [44763/13]

Minister of State at the Department of Health (Deputy Alex White): Information on Alex White Zoom on Alex White The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has issued to Oireachtas members.

Hospital Waiting Lists

 591. Deputy James Bannon Information on James Bannon Zoom on James Bannon asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly his plans to eliminate the backlog of patients attending the eye clinic in County Longford; and if he will make a statement on the matter. [44783/13]

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

Disability Support Services Provision

 592. 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 disabled child (details supplied) in County Dublin.  [44784/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The particular issue raised by the Deputy is a service matter for the Health Service Executive. Accordingly I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

  Question No. 593 answered with Question No. 567.

Hospital Consultants Recruitment

 594. Deputy James Bannon Information on James Bannon Zoom on James Bannon asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly when the ophthalmologist, who has retired from their post at the clinic, will be replaced; and if he will make a statement on the matter. [44891/13]

Minister of State at the Department of Health (Deputy Alex White): Information on Alex White Zoom on Alex White Community Optometric Services are provided by the Health Service Executive (HSE). The HSE has therefore been asked to examine this matter and to reply to the Deputy as soon as possible.

Heritage Sites

 595. Deputy Bernard J. Durkan Information on Bernard Durkan Zoom on Bernard Durkan asked the Minister for Transport, Tourism and Sport Information on Leo Varadkar Zoom on Leo Varadkar the extent to which the oldest historical and-or heritage sites in this country continue to be promoted internationally.  [44802/13]

Minister for Transport, Tourism and Sport (Deputy Leo Varadkar): Information on Leo Varadkar Zoom on Leo Varadkar Tourism Ireland is responsible for the overseas promotion of Ireland as a tourist destination including the promotion of our tourist attractions. Accordingly, I have referred the Deputy's question to the agency for direct reply. Please advise my private office if you do not receive a reply within ten working days.  


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