Houses of the Oireachtas

All parliamentary debates are now being published on our new website. The publication of debates on this website will cease in December 2018.

Go to oireachtas.ie

 Header Item Written Answers Nos. 265-270
 Header Item Hospital Trusts
 Header Item Hospital Staff
 Header Item Medical Aids and Appliances Provision
 Header Item Nursing Homes Support Scheme Eligibility
 Header Item Services for People with Disabilities
 Header Item Hospice Services

Wednesday, 24 April 2013

Dáil Éireann Debate
Vol. 800 No. 4

First Page Previous Page Page of 92 Next Page Last Page

Written Answers Nos. 265-270

Hospital Trusts

 265. Deputy Róisín Shortall Information on Róisín Shortall Zoom on Róisín Shortall asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if his attention has been drawn to the concerns expressed by the Master of the Rotunda Hospital about the Project Plan for the establishment of Acute Hospital Groups and the future of the Rotunda Hospital in this regard; if he accepts that there is an existing successful 30 year partnership between the Rotunda and the Mater at clinical level and that this is delivering best patient outcomes; his views on whether mothers' lives would be unnecessarily put at risk if high risk patients needed to be brought to an adult acute hospital which was significantly further away than the Mater; and if he will make a statement on the matter. [19449/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly A key stepping stone to the introduction of Universal Health Insurance will be to develop independent not-for-profit hospital trusts in which all hospitals will function as part of an integrated group. As a first step on that journey, hospitals will be aligned within groups on an administrative basis. The rationale behind the establishment of hospital groups and trusts is to support increased operational autonomy and accountability for hospital services in a way that will drive the service reforms and provide the maximum possible benefit to patients.

It is well recognised that the Rotunda Hospital provides leadership in maternity services obstetrics, midwifery, neonatology and gynaecology services to all of north Dublin and the northeast. Strong clinical links with the Mater Misericordiae University Hospital, including joint consultant appointments, are a fundamental support to the work of the Rotunda, and this will continue in any configuration in which the Rotunda is required to operate. It is neither intended nor anticipated that the Rotunda will be constrained by being positioned within a particular group. As well as its long standing links with the Mater, which can and should be retained, it would also be appropriate for the Rotunda to establish links with other hospitals to meet its future aspirations for sub-specialty development and to expand and consolidate the links which currently exist.

The KPMG Independent Review of Maternity and Gynaecology Services in the Greater Dublin, which was completed in 2008, noted that Dublin’s model of stand alone maternity hospitals is not the norm internationally and recommended that the Dublin maternity hospitals should be co-located with adult acute services and that one of the three new Dublin maternity facilities should be built on the site of the new national paediatric hospital. The intention has been that the National Maternity Hospital should be relocated to St Vincent's, the Coombe to Tallaght and the Rotunda to the Mater, and the maternity hospitals have been working with the relevant adult sites to progress this. There will be early discussions with the maternity hospitals regarding their maternity /adult co-location plans in the context of the Government decision to build the new children’s hospital on the St James’s campus. Notwithstanding this, I am committed to the intent of the report - that the Dublin maternity hospitals be located alongside adult acute services - while also bearing in mind the need to plan for the provision of tri-located paediatric , adult and maternity services, as is the intention in relation to the new children's hospital.

Hospital Staff

 266. Deputy John Halligan Information on John Halligan Zoom on John Halligan asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the number of whole time equivalent posts currently filled at Waterford Regional Hospital; the number of these whole time equivalent posts filled at Waterford Regional Hospial at the end of 2010, 2011 and 2012; the current approved employment ceiling in Waterford Regional Hospital; if it is due to be increased in the near future; and if he will make a statement on the matter. [19474/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly The Government has decided that the numbers employed across the public service must be reduced in order to meet its fiscal and budgetary targets. The Health Sector must make its contribution to that reduction. However, the HSE can make staff appointments once it remains within its overall employment ceiling and has the financial resources to do so. In relation to the particular query raised by the Deputy, as this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Medical Aids and Appliances Provision

 267. Deputy John Halligan Information on John Halligan Zoom on John Halligan asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly the reason insulin pumps are not available at Waterford Regional Hospital for children suffering with type 1 diabetes; and if he will make a statement on the matter. [19475/13]

Minister for Health (Deputy James Reilly): Information on Dr. James Reilly Zoom on Dr. James Reilly In relation to the particular query raised by the Deputy, as this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Nursing Homes Support Scheme Eligibility

 268. Deputy Tom Fleming Information on Tom Fleming Zoom on Tom Fleming asked the Minister for Health Information on Dr. James Reilly Zoom on Dr. James Reilly if he is satisfied that the funding available for the fair deal nursing home support scheme for eligible residents support scheme of nursing homes is sufficient to meet the ongoing demand; if he will clarify the issue of the Health Service Executive creating a new placement list for applicants; if this list is another term for a waiting list; if he will give an assurance that the current fair deal scheme will operate on the basis of meeting the demand in a timely fashion and ensure the continuation of this scheme will serve the purpose of making long term nursing home care accessible and affordable [19477/13]

Minister of State at the Department of Health (Deputy Kathleen Lynch): Information on Kathleen Lynch Zoom on Kathleen Lynch At end-February, it was taking an average of 27 days from the date that an application is determined for funding to issue under the Nursing Homes Support Scheme.

The HSE makes every effort to match available funding to demand by releasing funding on a weekly basis. However, the total amount available for the Scheme is capped at €974m for 2013. As of now it is unclear when that limit will be reached, as this depends on the rate at which applications are received during the year. The position will be monitored on an on-going basis and every effort will be made to manage the funds that are available in the most effective way possible.

As a temporary measure, in order to relieve particular pressures in the Emergency Departments of certain acute hospitals, the HSE has suspended the normal chronological order for the release of Nursing Homes Support Scheme funding. Normal arrangements will be restored as soon as possible.

Services for People with Disabilities

 269. 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 if he will support a person (details supplied) in County Offaly regarding support services for adults with autism. [19480/13]

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.

Hospice Services

 270. 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 if he will support a matter (details supplied) in Dublin 9 regarding hospital transport. [19481/13]

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 it has been referred to the Health Service Executive for direct reply.


Last Updated: 29/04/2020 08:42:39 First Page Previous Page Page of 92 Next Page Last Page