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Lynch, Kathleen

Tuesday, 8 December 2015

Dáil Éireann Debate
Vol. Nbr.


Mental Health (Amendment) Bill 2008 [Seanad]: Second Stage

I move: "That the Bill be now read a Second Time."More Button

I am pleased to present the Mental Health (Amendment) Bill 2008 to the House. I acknowledge and thank the Opposition Deputies for their support for this short but important Bill. Their co-opera...More Button

I will give a brief history of the Bill and explain why it is only now coming before the House. The Bill commenced in the Seanad in 2008 as a Private Members' Bill sponsored by then Senators Dei...More Button

Given the discussions in the Seanad and elsewhere about ECT, I indicated to the Seanad that, given that I was planning to establish an expert group to undertake a comprehensive review of the Ment...More Button

The expert group specifically recommended that the change with regard to ECT that I am planning today should proceed as a matter of priority in advance of other changes recommended.More Button

Mental Health (Amendment) Bill 2008 [Seanad]: Second Stage (Continued)

Under section 59 of the Mental Health Act 2001, the written consent of the involuntary patient is currently required if a programme of ECT is to be administered. If the patient is "unwilling" or "...More Button

In addition, I am proposing an amendment to section 60 of the Mental Health Act 2001 which deals with the administration of medicine after a three-month period. This section, which uses similar ...More Button

Everyone in this House and in the wider community of mental health stakeholders is aware that there have been divergent views on the use of ECT for many years. No one denies that it remains a co...More Button

The expert group was clear on the need to retain the right to give ECT to patients who are unable to consent to treatment. This view is supported by professional groups. These cases involve pat...More Button

I will briefly set out the specific measures in the Bill before the House. Section 1, as it stands, amends section 59(1)(b) of the Mental Health Act 2001 by deleting the word "unwilling". This ...More Button

I thank Deputies for their support for this Bill and in particular the amendments which I will shortly bring forward on Committee Stage. These amendments have all-party support and will further ...More Button

I thank Deputies for their contributions. Deputy Maureen O'Sullivan referred to the late John McCarthy. While the Department carried out a review of the Mental Health Act, my view on electroconvu...More Button

I plan to group the amendments to this short Bill, as they relate to only two sections of the 2001 Act. The changes involved are similar involving the removal of the word "unwilling" from sectio...More Button

I apologise. I am anxious to complete the passage of the Bill. I thank Deputies for their contributions on Second Stage.More Button

Mental Health (Amendment) Bill 2008 [Seanad]: Committee and Remaining Stages

I move amendment No. 1:More Button

I move amendment No. 2:More Button

  Amendment agreed to.More Button

  Section 1 deleted.More Button

I move amendment No. 3:More Button

  Amendment agreed to.More Button

  Section 2 deleted.More Button

I move amendment No. 4:More Button

  Amendment agreed to.More Button

  Section 3, as amended, agreed to.More Button

I move amendment No. 5:More Button

  Amendment agreed to.More Button

  Title, as amended, agreed to.More Button

  Bill reported with amendments and received for final consideration.More Button

  Question proposed: "That the Bill do now pass."More Button

Mental Health (Amendment) Bill 2008 [Seanad]: Committee and Remaining Stages (Continued)

I thank everyone who has contributed. As well as mentioning John McCarthy tonight, it is important to mention the people who introduced this Bill in the Seanad in 2008. It seems such a long time ...More Button

The numbers affected by this are not substantial in terms of the population. However, in terms of the effect, what it says about us and how far we have moved in the mental health area, it says a...More Button

Electroconvulsive therapy is controversial. I say to people that only way I can ever judge the matter is by asking how I would feel if someone belonging to me was despondent, catatonic and not e...More Button

Wider issues were raised. I very much understand what Deputy Healy has said and I have taken note of it. I have noted what other Deputies have said as well. We will have plenty of time to air ...More Button

I will bring the Bill before the Seanad on Thursday week, 17 December. Assuming the proposed amendments are passed, I plan to sign a commencement order in January 2016 with a likely effective da...More Button

I have received Government approval to develop the general scheme of a Bill and a review of the Mental Health Act. This is already being worked on. There will be substantial amendments, possibl...More Button

I thank the Members of the Opposition for their co-operation. It is a sign of what we all know to be right and proper when the entire Opposition decides this is the right thing to do and no barr...More Button

Special Educational Needs Staff

I propose to take Questions Nos. 345 to 348, inclusive, together.More Button

The particular issue raised by the Deputies 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 di...More Button

Neuro-Rehabilitation Policy

I propose to take Questions Nos. 349, 379, 385, 387 and 393 together.More Button

The report "National Policy & Strategy for the Provision of Neuro-Rehabilitation Services in Ireland 2011 - 2015", made a number of recommendations for services for people with rehabilitation nee...More Button

The HSE Disability Services Division has a role in certain key aspects of Neuro-Rehabilitation Services, primarily the provision of community-based therapy services and personal social services. ...More Button

A National Steering Group, chaired by the Health Service Executive Social Care Division, has been assigned the task of developing an implementation framework for the National Policy and Strategy ...More Button

The HSE is very aware of the needs of people with neurological conditions and will continue to work towards improved services, making best use of available resources in the interests of all those...More Button

I have referred the element of the Deputies' questions regarding community teams to the HSE for direct reply to the Deputies. If the Deputies have not received a reply from the HSE within 15 wor...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.

  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.

  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

  Question No. 391 answered with Question No. 384.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. 410 answered with Question No. 408.More Button

Services for People with Disabilities

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

Each Local Health Office area in the Health Service Executive (HSE) has a dedicated Disability Manager to coordinate the delivery of services to people with disabilities. It is open to the individ...More Button

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HS...More Button

I understand that the Deputy has requested clarification on 3 transport schemes. My reply to the Deputy's recent question on this matter outlined the latest position on the Motorised Transport Gra...More Button

The Revenue Commissioners' Disabled Drivers and Disabled Passengers (Tax Concessions) scheme is still in operation and provides a range of tax reliefs in connection with the purchase and use of m...More Button

Home Care Packages Provision

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

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

Medical Card Eligibility

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

There are no proposals to change the gross income limits for medical cards for persons aged 70 years and older. More Button

I can advise the Deputy that persons aged 70 years and over can be assessed both under the over-70s gross income arrangements and under the standard medical card means test which is open to pers...More Button

  Question No. 387 answered with Question No. 349.More Button

Under the provisions of the Health Acts, medical cards are provided to persons who are, in the opinion of the HSE, unable without undue hardship to arrange GP services for themselves and their depe...More Button

The Domiciliary Care Allowance (DCA) payment is made by the Minister for Social Protection to carers in respect of a child at home under 16 years of age with a severe disability, where it has bee...More Button

The Deputy will be aware that the report of the Expert Panel on Medical Need for Medical Card Eligibility, known as the Keane Report, recommended that a person’s means should remain the main qual...More Button

Consequently, the Clinical Advisory Group on medical card eligibility was established by the HSE to develop a framework for assessment and measurement of the burden of disease and appropriate ope...More Button

The Government is committed to making the medical card system as responsive as possible to the circumstances of people with significant medical needs. As a result of a range of improvements, the ...More Button

Ultimately, the proper way to address this issue is to develop a system of universal health care, which is at the centre of Government health policy. Otherwise, whenever there are qualifying rule...More Button

Long-Term Illness Scheme Administration

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the primary care schemes, therefore the matter has been referred to t...More Button

Respite Care Services Availability

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HSE ...More Button

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HSE ...More Button

General Medical Services Scheme Data

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the primary care schemes, therefore the matter has been referred to t...More Button

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the primary care schemes, therefore the matter has been referred to t...More Button

Special Educational Needs Service Provision

The Early Childhood Care and Education (ECCE) Programme, is the responsibility of the Minister for Children and Youth Affairs. While certain flexibilities had been built in to the Programme to fac...More Button

Home Help Service Eligibility

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. 379 answered with Question No. 349.More Button

HSE Funding

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

Health Services Access

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

Long-Term Illness Scheme Coverage

Phenylketonuria (PKU) is one of 16 conditions covered by the Long Term Illness Scheme, a statutory scheme administered by the HSE. Under this scheme, PKU patients are entitled to free approved dru...More Button

  Question No. 393 answered with Question No. 349.More Button

Health Services Staff Recruitment

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

Primary Care Services Provision

Primary Care Teams comprise a range of healthcare professionals and may include general practitioners, nursing staff, occupational therapists, physiotherapists, social workers, health care assistan...More Button

The HSE is at present working to implement the reform of non-acute services set out in the Community Healthcare Organisation (CHO) Report, which was published in October 2014.  Nine CHOs have bee...More Button

Currently, approximately 484 Primary Care Teams are in operation and vary as to their composition in terms of professional disciplines, staff numbers and associated costs.  It is not possible, wi...More Button

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.

 &...More Button

Health Services Funding

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HSE ...More Button

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HSE ...More Button

Nursing Home Beds Data

I propose to take Questions Nos. 408 and 410 together.

  The Health Information and Quality Authority is an independent authority established under the Health Act 2007. Since 200...More Button

Autism Support Services

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 dire...More Button

Medical Card Administration

As the Deputy will be aware, in accordance with the provisions of the Health Act 1970, medical cards are provided to persons who are, in the opinion of the HSE, unable without undue hardship to arr...More Button

Every effort is made by the HSE, within the framework of the legislation, to support applicants in applying for a medical card and, in particular, to take full account of difficult circumstances,...More Button

I recognise that the existing assessment system is complex because it tries to ensure that a wide range of personal circumstances can be taken into account. We are still committed to further impr...More Button

As evidenced by the increase in the number of discretionary medical cards in circulation from about 52,000 in mid-2014 to nearly 96,000 at the beginning of November this year, the HSE is exercisi...More Button

Medical Card Delays

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

Disability Services Provision

Each Local Health Office area in the Health Service Executive (HSE) has a dedicated Disability Manager to coordinate the delivery of services to people with disabilities. It is open to the individ...More Button

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HS...More Button

Mental Health Services Provision

As this is a service issue this question has been referred to the HSE for direct reply. If you have not received a reply within the next 15 days, please contact my Private Office and they will fol...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 HSE for direct reply to the Deputy. If the Deputy has not received a reply from the HSE ...More Button

Health Services Provision

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

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

I understand that the Health Service Executive (HSE) recently responded to the original question asked by the Deputy on 4 November 2015. I will forward this question to the HSE for a further respo...More Button

Health Services

As the Deputy will be aware, I am precluded under section 6 of the Health Service Executive Governance Act 2013 from directing the HSE to provide a treatment or a personal service to any individual...More Button

General Practitioner Contracts

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

Hospital Waiting Lists

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