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

Lynch, Kathleen

Tuesday, 4 November 2014

Dáil Éireann Debate
Vol. Nbr.


Neuro-Rehabilitation Services Provision

I thank the Deputy for raising this issue. I am glad to be here as I have a particular interest in this area due to family circumstances. Since the introduction in 2010 of the national cardiovasc...More Button

The aims of the national stroke programme are to provide national rapid access to best-quality stroke services including acute care and the implementation of early support discharge, ESD, service...More Button

ESD services are funded in several locations. The feasibility of implementing this model in geographically dispersed populations is limited. The national clinical programme for stroke, NCPS, co...More Button

The Department of Health's national policy and strategy for the provision of neuro-rehabilitation services in Ireland, in collaboration with the national clinical programme for rehabilitation med...More Button

Primary care also plays an important role in stroke rehabilitation. As of 6 September 2014, some 229.5 of the 264.5 primary care team posts have been filled or start dates agreed. The HSE is st...More Button

Taken together, all these developments show we have made significant progress in preventing stroke and its complications. The issue of how best to further develop and support early stroke discha...More Button

A friend of mine recently had a stroke. A lot depends on how quickly one gets to a unit that has the capacity to deliver the relevant treatment.More Button

Neuro-Rehabilitation Services Provision (Continued)

I could not agree more with the Deputy. The joining up of posts we are putting into the community provides that sort of interconnection between primary teams and community intervention teams. I h...More Button

I was hugely impressed recently by a normal gym that had equipment everyone could use for balance and muscle capacity in terms of stroke. The general population also uses that gym. It was not a...More Button

Home Care Packages

The Deputy has known me long enough. I am always loath to direct people to do something unless I consider there is belligerence there and do not think there is in these cases. However, I will und...More Button

I am pleased to take this opportunity to outline the current position in relation to home care plans for children supported by the Jack & Jill Children's Foundation on reaching their fourth birth...More Button

The Jack & Jill Children's Foundation, along with other contracted service providers, is part of a range of services that receive funding from the Health Service Executive to provide services to ...More Button

Each HSE area has a home care co-ordinator who has responsibility for the planning and provision of all home care packages in their area, including for those children receiving supports from the ...More Button

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive for investigation and direct reply to the Deputy. If the Deputy...More Button

As this is a service matter it has been referred to the Health Service Executive for direct reply.If you have not received a reply from the HSE within 15 working days please contact my Private Offi...More Button

As this is a service matter it has been referred to the Health Service Executive for direct reply.If you have not received a reply from the HSE within 15 working days please contact my Private Offi...More Button

Home Care Packages (Continued)

The Jack & Jill Children's Foundation also engages with the primary care division of the health service, which was given an additional budget of €1.2 million in the 2014 national service plan to ad...More Button

The Deputy should not say that.More Button

There is no disagreement. The ideal is a seamless service that is not interrupted just because the child reaches a particular chronological milestone. Circumstances might not permit it but the id...More Button

Nursing Homes Support Scheme Administration (Continued)

I have distributed a note which will tell Members everything they need to know. The Government did not cap the fund referred to by Deputy Mattie McGrath. Fianna Fáil did so and he was a member of...More Button

No; Fianna Fáil capped the fund and he was a member of the party.More Button

The Deputy agreed to it.More Button

He was warned about it. As people listen to the Deputy, we can answer him.More Button

Deputy Dennis Naughten must have got hold of the plan, because everything he suggests needs to be done.More Button

The €25 million in question is ring-fenced. I agree with Deputy John O'Mahony's comments; it would be unsatisfactory for the process to run to six months. The only way people would wait until Mar...More Button

There are just over 2,000 people awaiting approval for the Fair Deal scheme, but these are not the same 2,000 people every month. There are 788 people in acute hospital beds, and these are not t...More Button

Mount Carmel is part of the process and it will be the first community hospital in Dublin city. There are community hospitals around the country and Deputies Mattie McGrath, Denis Naughten and J...More Button

There is a plan, but it must be put into action. Deputy Denis Naughten spoke of a delay, but this will only happen if we do nothing, which is not an option. It is not as if this will go away. ...More Button

The Deputy will do anything to get elected.More Button

There was a recent Topical Issue dealing with stroke care. The stroke programme is being rolled out.More Button

We reduced the percentage of people moving from acute hospitals to nursing homes from 17.3% in 2009 to 14.5% in 2012. The percentage of patients discharged directly home has increased from 49.4% t...More Button

The neurological strategy is being rolled out. The one point on which I do not agree with the Deputy concerns the €23 million to which he referred. We must ensure older people have a choice in wh...More Button

I wish to inform Deputy John O'Mahony that the fair deal scheme is not demand-led and this presents a difficulty. He is right to be concerned about this because it places great pressure on famil...More Button

I do not agree with Deputy Denis Naughten on the figure of €23 million.More Button

The fund should be increased, although not necessarily by taking money from the fair deal scheme, as it stands.More Button

We should increase the fund for home help and enhanced home care packages.More Button

I cannot do anything about that now, but I only approach things in the way I would like them to be dealt with.More Button

That is how I judge myself, which is why I am not as abusive to Deputy Mattie McGrath as he is to me.More Button

Yes, I am on the rota today.More Button

The other Topical Issues are related to my Department.More Button

Road Projects

I am taking this issue on behalf of the Minister for Transport, Tourism and Sport, Deputy Paschal Donohoe. All Members of the House will be well aware that the Minister has responsibility for over...More Button

The planning, design and implementation of individual road projects are matters for the National Roads Authority, NRA, under the Roads Acts 1993 to 2007, in conjunction with the local authorities...More Button

The reality is that the available funds do not match the amount of work required. For this reason, it has not been possible to progress a range of worthwhile projects and the main focus has to b...More Button

Road Projects (Continued)

  The N21 Adare bypass route was intended to run to the south of Adare. The compulsory purchase order and environmental impact statement documentation were submitted to An Bord Pleanála ...More Button

The National Roads Authority is suggesting having isolated and disconnected infrastructure is not a good idea. I imagine the authority is right, but I am equally certain that the Deputy is right. ...More Button

Finance Bill 2014: Order for Second Stage

    Bill entitled an Act to provide for the imposition, repeal, remission, alteration and regulation of taxation, of stamp duties and of duties relating to excise and other...More Button

    Health (Miscellaneous Provisions) Bill 2014: Order for Report Stage

    I move: "That Report Stage be taken now."More Button

    Health (Miscellaneous Provisions) Bill 2014: Report Stage

    I move amendment No. 4:

      In page 22, line 18, to delete “A person shall not,” and substitute “Subject to subsection (2), a person shall not,”.
    This is a technical Bil...More Button

    Health (Miscellaneous Provisions) Bill 2014: Report Stage (Continued)

    I move amendment No. 5:

      In page 22, between lines 27 and 28, to insert the following:
        "(2) A person, other than a registered medical pra...More Button

        I move amendment No. 7:

          In page 22, line 28, to delete "(2) A" and substitute "(3) A".
        More Button

          Amendment agreed to.More Button

        I move amendment No. 8:

          In page 23, line 2, after "optician" to insert ", including sales assisted by persons referred to in section 81B(2)".
        More Button

          Amendment agreed to.More Button

        Health (Miscellaneous Provisions) Bill 2014: Fifth Stage

        I thank the Deputies who contributed to the debate on the Bill. While it is a small Bill, its passage has been lengthy. Deputies' contributions reflected their interest in the legislation and rep...More Button

          The Dáil adjourned at 9.15 p.m. until 9.30 a.m. on Wednesday, 5 November 2014. More Button

        Water Fluoridation

        Water fluoridation is the adjustment of a naturally occurring element found in water in order to prevent tooth decay. Many countries have water fluoridation schemes, including the United States, Ca...More Button

        Fluoridation is one of the most widely studied public health policy initiatives in the world. There have been a number of relevant WHO documents, notably "Fluorides and Human Health", Monograph S...More Button

        More recent studies which confirm the benefits of fluoridation include the report by Public Health England "Water fluoridation: health monitoring report for England (2014)" and the review commiss...More Button

        Primary Medical Certificates Application Numbers

        As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. If the Deputy has not rec...More Button

        Medical Card Eligibility

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        I can advise the Deputy that applications for medical cards for persons aged 70 years and older can be assessed both on the basis of the standard national assessment guidelines and on the basis of ...More Button

        Under the arrangements effected by the Health Act 2008, a much simplified system of assessment for eligibility was introduced for persons aged 70 or over, based on the significantly higher gross ...More Button

        In the main, persons in the over-70s age cohort do not have the same outlays and expenses as those under 70 years of age who are assessed on a means basis. Under the standard means tested medica...More Button

        Persons aged 70 or older who are assessed as ineligible under the gross income thresholds may also have their eligibility assessed under the means tested medical card scheme in the event that th...More Button

        Furthermore, persons aged over 70 years may still be eligible for a medical card on a discretionary basis where they face undue hardship in arranging medical services as a result of medical or so...More Button

        There are no current plans to alter the income limits for the over 70's medical card scheme. More Button

        The Government is committed to the introduction of a universal GP service for the entire population in line with the Programme for Government. As part of the roll out of universal primary care t...More Button

        Medical Card Data

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The following table sets out the national medical and GP card figures at 1 October 2014, as requested by the Deputy.

        More Button

        HIQA Investigations

        I propose to take Questions Nos. 581, 630 and 631 together.

          The Health Information and Quality Authority is the independent authority established under the Health Act 2007 to d...More Button

        Orthodontic Service Waiting Lists

        I have asked the HSE to investigate this matter and respond to the Deputy as soon as possible. If you have not received a reply from the HSE within 15 working days please contact my Private Office ...More Button

        Respite Care Grant Applications

        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.

          If the Dep...More Button

        Drugs Payment Scheme Coverage

        I propose to take Questions Nos. 586 and 724 together.

          On 18 July 2014 the Health Products Regulatory Authority granted a marketing authorisation for cannabis based medicinal p...More Button

        Nursing Homes Support Scheme Applications

        As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Off...More Button

        As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Off...More Button

        As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Of...More Button

        As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Off...More Button

          Question No. 743 answered with Question No. 617.More Button

        As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Of...More Button

          Question No. 784 answered with Question No. 617.More Button

        Dental Services Provision

        Dental services for children up to 16 years of age and persons of all ages with special needs are provided by the Public Dental Service of the HSE through its dental clinics. All HSE dental clinics...More Button

        I have asked the HSE to investigate this matter and respond to the Deputy as soon as possible.

          If you have not received a reply from the HSE within 15 working days please conta...More Button

        Medical Aids and Appliances Provision

        The Health Service Executive is collating the data sought and will forward it to the Deputy as soon as possible. If you have not received a reply from the HSE within 15 working days please contact ...More Button

        Services for People with Disabilities

        The Government is fully committed to ensuring the ongoing delivery of vital services and supports to people with disabilities within available resources.

          In budget 2015, addi...More Button

        As the Deputy's question relates to service matters, I have arranged for the Deputy's question to be referred to the Health Service Executive (HSE) for investigation and direct reply. If the Deput...More Button

        Health Services Provision

        Community chiropody is a discretionary service, which the Health Service Executive endeavours to provide on a prioritised basis within the context of available resources and competing needs for suc...More Button

        As the particular issue raised by the Deputy relates to an individual case, this is a service matter for the Health Service Executive. Accordingly, I have arranged for the question to be referred ...More Button

        I propose to take Questions Nos. 625 and 626 together.

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

        As this is a service matter, it has been referred to the Health Service Executive (HSE) for direct reply to the Deputy. If you have not received a reply from the HSE within 15 working days please ...More Button

        As this is a service matter, it has been referred to the Health Service Executive (HSE) for direct reply to the Deputy. If you have not received a reply from the HSE within 15 working days please ...More Button

        Medical Card Applications

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          Questions Nos. 630 and 631 answered with Question No. 581.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          Question No. 639 answered with Question No. 591.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          Question No. 641 answered with Question No. 591.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 ...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 ...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

        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 c...More Button

        If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

        The Primary Care Reimbursement Service has a target to have 90% of properly completed medical/GP visit card applications processed within 15 days of the application having been received by the HSE....More Button

        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 sche...More Button

        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 sche...More Button

        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 sche...More Button

          Question No. 822 answered with Question No. 594.More Button

        Speech and Language Therapy

        As the particular issue raised by the Deputy relates to an individual case, this is a service matter for the Health Service Executive. Accordingly, I have arranged for the question to be referred ...More Button

        I propose to take Questions Nos. 623 and 624 together.

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

        Disabilities Services Funding

        The Government is fully committed to ensuring the on-going delivery of vital services and supports to people with disabilities within available resources.

          In budget 2015, add...More Button

        Nursing Homes Support Scheme Administration

        I propose to take Questions Nos. 617, 646, 710, 734, 743, 762, 784 and 810 together.More Button

        Applications for financial support under the Nursing Homes Support Scheme are normally processed within 3-4 weeks. Once a determination has been made, approved applicants are put on the placemen...More Button

        The HSE operates the national placement list for the Nursing Homes Support Scheme to enable it to operate within budget. Funding of €939 million is available to the Nursing Homes Support Scheme ...More Button

        While €23 million was transferred from the Nursing Homes Support Scheme in 2014 to provide additional community services, this was with a view to allowing more older people to be supported in the...More Button

        A further €25 million has been allocated to tackle the problem of delayed discharges in budget 2015. This will help with placement list waiting times and the pressure in acute hospitals resultin...More Button

        I propose to take Questions Nos. 708 and 709 together.

          The Fair Deal Scheme provides financial assistance for those who require long-term nursing home care, with residents cont...More Button

          Question No. 710 answered with Question No. 617.More Button

        The position in regard to cases where applicants under the Nursing Homes Support Scheme opt for the nursing home loan (Ancillary State Support), is that the loan becomes repayable:

          More Button

          Section 5(4) of the Nursing Homes Support Scheme Act 2009 states that:More Button

          "In the financial year 2009 and in each subsequent financial year the Executive shall, out of such monies as are available to it for that financial year from monies provided by the Oireachtas, al...More Button

          This provision was included in the Act in order to ring-fence the funding for the Nursing Homes Support Scheme and ensure that it is used for the provision of financial support under the Scheme. ...More Button

          Public Procurement Contracts

          This issue has been referred to the Health Service Executive for direct reply.If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will fol...More Button

          Palliative Care for Children

          As this is a service matter it has been referred to the Health Service Executive for direct reply.If you have not received a reply from the HSE within 15 working days please contact my Private Offi...More Button

          Hospital Staff

          I have asked the HSE to investigate this matter and respond to the Deputy as soon as possible. If you have not received a reply from the HSE within 15 working days please contact my Private Office ...More Button

          Health Services Staff

          As this is a service matter this question has been referred to the HSE for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and th...More Button

          As this is a service matter, it has been referred to the Health Service Executive (HSE) for direct reply to the Deputy. If you have not received a reply from the HSE within 15 working days please ...More Button

          Nursing Home Services

          Following the publication of the Leas Cross Review Report referred to by the Deputy in November 2006 the Health Service Executive established a Task Force in February 2007. The Task Force finalise...More Button

          Medical Card Reviews

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          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 Ser...More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

            Question No. 755 answered with Question No. 714.More Button

            Question No. 756 answered with Question No. 674.More Button

          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 sche...More Button

          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 sche...More Button

          Drugs Payment Scheme Administration

          Under the Health (Pricing and Supply of Medical Goods) Act 2013, the Health Service Executive (HSE) has statutory responsibility for the administration of the primary care schemes, therefore the ma...More Button

          Orthodontic Service Provision

          I have asked the HSE to investigate this matter and respond to the Deputy as soon as possible. If you have not received a reply from the HSE within 15 working days please contact my Private Office ...More Button

          Palliative Care Services

          My Department, in collaboration with the HSE, has carefully considered the issues raised and is now in the process of finalising a reasoned response to the Joint Oireachtas Committee on Health and ...More Button

          Nursing Homes Support Scheme Expenditure

          The legislation underpinning the Nursing Homes Support Scheme requires all private nursing homes and voluntary nursing homes to negotiate and agree a price for the cost of care with the National Tr...More Button

          The NTPF has statutory responsibility for the negotiation of prices with private and voluntary nursing homes. The NTPF is independent in the performance of this function and, in carrying it out, ...More Button

          Funding of €939 million is available to the Nursing Homes Support Scheme in 2014. Applications are processed within 3-4 weeks. Once a determination has been made applicants are put on the placeme...More Button

          In addition to the €939 million allocated to the Nursing Homes Support Scheme, a further €25 million was allocated to tackle the problem of delayed discharges in Budget 2015. The €25 million will...More Button

          General Practitioner Services

          I propose to take Questions Nos. 671 and 697 together.

            The Brain Natriuretic Peptide (BNP) test can be requested by GPs in certain areas at present but it is not yet available ...More Button

          Nursing Homes Support Scheme Appeals

          As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Off...More Button

          Home Help Service Provision

          As the Deputy's question relates to service matters, I have arranged for the Deputy's question to be referred to the Health Service Executive (HSE) for investigation and direct reply. If the Deput...More Button

          Mental Health Act Review

          The Programme for Government contains a commitment to review the Mental Health Act 2001 "informed by human rights standards and in consultation with service users, carers and other stakeholders", a...More Button

          The review is a two phased approach, the first phase of which saw a Steering Group being appointed to review the provisions of the Act having regard to its general operation since its commencemen...More Button

          In August 2012, I established an Expert Group to carry out the second and substantive phase of the review which is principally tasked with fleshing out the Steering Group recommendations. The Gro...More Button

          Mental Health Services Provision

          As this is a service matter this question has been referred to the HSE for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and th...More Button

          Medicinal Products Supply

          The Health Service Executive (HSE) has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drug schemes in accordance with the provisions o...More Button

          The HSE received an application in February 2014 for the inclusion of Sofosbuvir, the first of a new generation of drugs for the treatment of Hepatitis C, in the GMS and community drugs schemes. ...More Button

          In accordance with these procedures, the HSE asked the National Centre for Pharmacoeconomics (NCPE) to conduct a pharmacoeconomic evaluation of the new product in June 2014. The Report by the NC...More Button

          The NCPE report is an important input to assist the HSE in its decision making process. The HSE assessment process is intended to arrive at a decision on the funding of new medicines that is clin...More Button

          The Department has established an advisory group to advise on an evidence-based multi-annual pharmaceutical treatment plan for patients with Hepatitis C. This group will furnish a report to the...More Button

          In advance of the completion of the multi-annual framework the Department and the HSE intend to engage with the pharmaceutical companies shortly regarding an early access programme for the highes...More Button

          Prescription Charges

          The HSE is responsible for the administration of the GMS and community drugs schemes and has put in place procedures for the collection of prescription charges for nursing home residents.

          ...More Button

          Care of the Elderly Funding

          As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Of...More Button

          Medicinal Products Availability

          As previously advised, under the Medicinal Products (Control of Placing on the Market) Regulations 2007, as amended, a medicinal product cannot be placed on the market in Ireland unless it has a ma...More Button

          The HPRA advises consumers not to take Master Minister Solution (MMS) or CD. The Food Safety Authority and the National Poisons Information Centre of Ireland have also issued a public safety war...More Button

          The professions cited in the Deputies question may, at their discretion, choose to circulate, through the appropriate fora, publicly available material regarding the product.More Button

          The HPRA has confirmed that it is actively following up on this issue as a matter of urgency. The HPRA is satisfied that it has sufficient powers under existing legislation to investigate attempt...More Button

          The power to 'shut down' online internet suppliers of unauthorised medicinal products is beyond the remit of my Department.More Button

          I propose to take Questions Nos. 714 and 755 together.

            Firstly I would like to clarify that Fampridine (Fampyra®) was never available to multiple sclerosis patients under the G...More Button

          I propose to take Questions Nos. 794 to 796, inclusive, together.More Button

          The decisions on which medicines are reimbursed by the taxpayer, are not political or ministerial decisions. These are made on objective, scientific and economic grounds by the Health Service Ex...More Button

          The Health Service Executive (HSE) has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drugs schemes in accordance with the provision...More Button

          The HSE received an application for the inclusion of Nalmefeme (Selincro®) in the GMS and community drugs schemes. The application is being considered in line with the procedures and timescales ...More Button

          The Report of the NCPE was published in April 2014. It estimated that the investment required from the taxpayer to provide access to Nalmefene would be between €6.7m and €12m over the next five ...More Button

          The HSE assessment process is intended to arrive at a decision on the funding of new medicines that is clinically appropriate, fair, consistent and sustainable. It is appropriate for the HSE pri...More Button

          It would not be appropriate to comment any further at this time as the decision making process is ongoing.More Button

          Primary Care Centre Provision

          Details of the locations of the primary care centres underway at the 30th September 2014 are shown in the following spreadsheet.

          Primary Care Infrastructure - Underway  &n...More Button

          Medical Card Appeals

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.More Button

          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 c...More Button

          If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.More Button

          Respite Care Services

          As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. I have requested that the...More Button

          As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. I have requested that the...More Button

          I propose to take Questions Nos. 806 to 809, inclusive, together.

            The vision for the Health Service Executive's Disability Services Programme is to contribute to the realisatio...More Button

          Counselling Services

          As this is a service matter this question has been referred to the HSE for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and th...More Button

          Child Protection

          As this is a service matter this question has been referred to the HSE for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and th...More Button

          Health Services

          As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Off...More Button

            Question No. 762 answered with Question No. 617.More Button

          Medical Card Administration

          Under the General Medical Services (GMS) contract, GPs must be available to provide services in their practice premises or by way of domiciliary visits, as appropriate, for their medical card and G...More Button

          They must also make arrangements to enable contact to be made with them, or a locum/deputy, for emergencies outside of these hours. It is a matter for the GP to decide whether it is appropriate ...More Button

          GP out-of-hours co-operatives allow general practitioners to put in place arrangements to provide services to their patients outside normal surgery hours in the evening, on weekends and bank holi...More Button

          Persons who contact GP out-of-hours co-operatives are prioritised as either emergency, urgent or routine. In emergency cases, a triage nurse will organise the appropriate care for the patient an...More Button

          The contract between the Health Service Executive (HSE) and general practitioners under the General Medical Services (GMS) Scheme stipulates that fees are not paid to General Practitioners (GPs) by...More Button

          Consultation fees charged by general practitioners to private patients and to GMS patients outside the terms of the GMS contract are a matter of private contract between the clinicians and the pa...More Button

          Nursing Home Accommodation

          As this is a service matter this question has been referred to the HSE for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and t...More Button

          Mobility Allowance

          The Department is seeking a solution which would best meet the aim of supporting people with severe disabilities who require additional income to contribute towards the costs of their mobility need...More Button

          Conscious of the reports of the Ombudsman regarding the legal status of the Motorised Transport Grant and Mobility Allowance scheme, in the context of the Equal Status Acts, the Government decide...More Button

          Work is ongoing on the policy proposals to be brought to Government for the drafting of primary legislation for a new scheme. The challenge is to provide these benefits to a wider cohort of peop...More Button

          Once policy proposals have been finalised and approved by Government, the time frame for the introduction of a new scheme will become clearer.More Button

          Mental Health Services Funding

          Details of the overall gross non-capital mental health budget are published annually in the Revised Book of Estimates. Based on that information, the table below details the mental health budget f...More Button

          Health Services Staff Data

          The following table shows the number of General Practitioners (GPs) who held a General Medical Services (GMS) contract with the HSE over the period 2010 to date:

        More Button

        Primary Care Reimbursement Service Payments

        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 sche...More Button


         

         

        www.Oireachtas.ie

        Houses of the Oireachtas Service, Leinster House, Dublin 2. Ph: +353 1 618 3000

        - Government Website - Privacy Policy - Accessibility - Copyright and Re-Use