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Thursday, 17 Dec 2020

Written Answers Nos. 527-550

Health Services

Questions (527)

James Browne

Question:

527. Deputy James Browne asked the Minister for Health further to Parliamentary Question No. 596 of 8 December 2020, the position regarding the creation of multidisciplinary teams, MDTs, in community healthcare organisations 6, 7 and 9; the position regarding recruitment and appointment of optometrists, orthoptists and other support staff to deliver care in these teams; the locations of the MDTs; the anticipated delivery time frame; and if he will make a statement on the matter. [44237/20]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Mental Health Services

Questions (528)

Richard Boyd Barrett

Question:

528. Deputy Richard Boyd Barrett asked the Minister for Health if sufficient mental health supports will be put in place in advance of the publication of the report of the commission of inquiry to include all adoptees and survivors and not just those who could participate in the commission's inquiry; and if he will make a statement on the matter. [44239/20]

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Written answers

As this is a service, matter I am referring this to the Health Service Executive to respond directly to the Deputy as soon as possible.

Medical Aids and Appliances

Questions (529)

Michael Healy-Rae

Question:

529. Deputy Michael Healy-Rae asked the Minister for Health if an appointment will be expedited for a person (details supplied); and if he will make a statement on the matter. [44240/20]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Child and Adolescent Mental Health Services

Questions (530)

Mark Ward

Question:

530. Deputy Mark Ward asked the Minister for Health the number of children waiting for appointments in CAMHS; the average waiting times by community healthcare organisation, CHO; and if he will make a statement on the matter. [44241/20]

View answer

Written answers

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services

Questions (531)

Mark Ward

Question:

531. Deputy Mark Ward asked the Minister for Health the number of adults waiting for appointments for mental health services; the average waiting times by CHO; and if he will make a statement on the matter. [44242/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services

Questions (532, 533)

Mark Ward

Question:

532. Deputy Mark Ward asked the Minister for Health the number of adults waiting for appointments in the adult primary care psychology service; the average waiting times by CHO; and if he will make a statement on the matter. [44243/20]

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Mark Ward

Question:

533. Deputy Mark Ward asked the Minister for Health the number of children waiting for appointments in the primary care child psychology service; the average waiting times by CHO; and if he will make a statement on the matter. [44244/20]

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Written answers

I propose to take Questions Nos. 532 and 533 together.

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Mental Health Services

Questions (534)

Mark Ward

Question:

534. Deputy Mark Ward asked the Minister for Health the number of psychologists employed in the adult primary care psychology service; the average waiting times by CHO; and if he will make a statement on the matter. [44245/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy, as soon as possible.

Mental Health Services

Questions (535)

Mark Ward

Question:

535. Deputy Mark Ward asked the Minister for Health the number of child psychologists employed in the child primary care psychology service; the average waiting times by CHO; and if he will make a statement on the matter. [44246/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy, as soon as possible.

Health Services Provision

Questions (536)

Francis Noel Duffy

Question:

536. Deputy Francis Noel Duffy asked the Minister for Health the measures he is taking to reduce the three-year waiting list to see a paediatric rheumatologist; when the third paediatric rheumatologist will be employed; the outcome of the meetings (details supplied) on the matter of increased risk of juvenile arthritis in children with Down's syndrome in November 2019; the way his Department is raising awareness of the increased risk of juvenile arthritis in children with Down's syndrome to general practitioners and other healthcare professionals; and if he will make a statement on the matter. [44250/20]

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Written answers

I sincerely regret that children can experience a long waiting time for Rheumatology treatment, and I am conscious of the burden that this places on them and their families.

Children’s Health Ireland (CHI) has advised my Department that during the initial phases of COVID-19, all face to face hospital outpatient reviews and most of the planned diagnostic tests, including MRI, were deferred in response to the pandemic. CHI at Crumlin have recommenced the majority of outpatient and diagnostic services, albeit at reduced numbers, due to public health guidelines on social distancing. Currently, Consultant Rheumatologists are seeing a number of patients in the outpatient suite including urgent patients and those who were deferred during the early phases of COVID-19.

CHI has further advised that there is an active recruitment campaign for an additional Rheumatology Consultant underway. This addition to the medical staff will allow for an increased number of patients to be seen, diagnosed and treatment initiated, as part of the comprehensive Rheumatology service.

In relation to the query raised regarding meetings held and associated promotion of awareness campaigns, I have asked the Health Service Executive to respond to the Deputy directly.

Covid-19 Pandemic

Questions (537)

Thomas Gould

Question:

537. Deputy Thomas Gould asked the Minister for Health the breakdown of patients admitted to the Keltoi centre for isolation purposes, including the location they were referred from and the reason they could not make use of the facility in Citywest, Dublin 24. [44257/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Alcohol Treatment Services

Questions (538)

Róisín Shortall

Question:

538. Deputy Róisín Shortall asked the Minister for Health the reason a suitable location for a community alcohol treatment service has not be secured (details supplied); the way the allocated funding for the inoperative service is being used; if he has engaged with the HSE regarding resumption of this service; when he expects this service to recommence; and if he will make a statement on the matter. [44259/20]

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Written answers

Additional funding of €3m was provided for the implementation of the National Drugs Strategy in 2020. In June 2020, €225,779 of this funding was provided to the HSE for the development of a community alcohol service in Galway.

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Question No. 539 answered with Question No. 520.

Voluntary Sector

Questions (540)

Róisín Shortall

Question:

540. Deputy Róisín Shortall asked the Minister for Health if he will increase membership of the dialogue forum with voluntary bodies to include union representatives; and if he will make a statement on the matter. [44262/20]

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Written answers

The Report of the Independent Review Group established to examine the role of voluntary organisations in publicly funded health and social services, published in February 2019, highlighted the important contribution that voluntary organisations have made and continue to make in the delivery of health and social care services across the country.

The key finding in the Report is the need to strengthen the relationship between the State and voluntary sector organisations. To this end, a Dialogue Forum with Voluntary Organisations was established in December 2019 as recommended in the Report as a key mechanism for strengthening this relationship. The aim of the Forum is to build a stronger working relationship between the State and the voluntary healthcare sector for the benefit of patients and service users. The Forum will also facilitate regular dialogue with the voluntary sector on policy initiatives and will consider issues around governance more generally.

The Forum is independently chaired by Peter Cassells. Members of the Forum include the Department, the HSE, HIQA, the Mental Health Commission and the main representative bodies of voluntary providers of health and social care. Membership of the Forum reflects its key imperative to strengthen the relationship between the State and voluntary organisations and it is not therefore envisaged that membership will be broadened to staff representation organisations at this time.

In the broader context of the strategic development of the health and social care sector, as you are aware, the Department engages with stakeholders across the sector on a regular basis on the development of health and social care policies and there are already a number of formal mechanisms in place for engagement with staff representative bodies.

Hospital Appointments Status

Questions (541)

Aengus Ó Snodaigh

Question:

541. Deputy Aengus Ó Snodaigh asked the Minister for Health when a person (details supplied) will have a knee operation. [44263/20]

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Written answers

Maintaining scheduled care access for all patients is a key priority for hospitals. I fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled, particularly for clinically urgent procedures.

It is recognised that waiting times for scheduled appointments and procedures have been impacted as a direct result of the COVID-19 pandemic.

In response to the Covid-19 pandemic the HSE had to take measures to defer most scheduled care activity in March, April, and May of this year. This was to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work. This decision was in line with the advice issued by the National Public Health Emergency Team (NPHET) in accordance with the advice of the World Health Organisation.

Patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The HSE continues to optimise productivity through alternative work practices such the use of alternative settings including private hospitals, community facilities and alternative outpatient settings.

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The National Waiting List Management Policy is a standardised approach used by the HSE to manage scheduled care treatment for in-patient, day case and planned procedures. It sets out the processes that hospitals are to implement to manage waiting lists and was developed in 2014 to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care.

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Data

Questions (542)

Aengus Ó Snodaigh

Question:

542. Deputy Aengus Ó Snodaigh asked the Minister for Health the number of patients from Tallaght and St. James’s hospitals that were prepped for surgery and then sent home as there were no recovery beds available in the past five years. [44264/20]

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Written answers

Maintaining scheduled care access for all patients is a key priority for hospitals. I fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled, particularly for clinically urgent procedures.

While every effort is made to avoid cancellation or postponement of planned procedures, the HSE has advised that planned procedures and operations can be postponed or cancelled for a variety of reasons including capacity issues due to increased scheduled and unscheduled care demand.

In relation to the specific query raised regarding Tallaght University Hospital and St. James' Hospital, as this is a service issue, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Charitable and Voluntary Organisations

Questions (543)

Mark Ward

Question:

543. Deputy Mark Ward asked the Minister for Health the funding provided to a charity (details supplied) in 2020; if the amount was an increase on 2019; the services for which the funding was to be used; and if he will make a statement on the matter. [44267/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Covid-19 Pandemic

Questions (544)

Louise O'Reilly

Question:

544. Deputy Louise O'Reilly asked the Minister for Health if his Department has been in contact with an organisation (details supplied) regarding the restrictions placed on indoor training due to Covid-19; and his plans to engage with the organisation to allow artistic roller skating to proceed in a safe and secure manner under level 3 restrictions. [44270/20]

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Written answers

The Government appreciates that there are many aspects of normal life that have been altered by the emergence of COVID-19, and the response that has been required. It also recognises that these changes are difficult for many people. However, it is the case at present that many of the things which we have previously taken for granted are no longer accessible in the same way due to the risks that they pose and the ease with which this virus spreads in particular conditions.

The Government’s medium-term Strategy Resilience and Recovery 2020-2021: Plan for Living with COVID-19, sets out Ireland's approach to managing and living with COVID-19, in a range of areas, over a period of 6 – 9 months.

The Plan aims to allow society and businesses to operate as normally as possible, while protecting our key priorities of supporting and maintaining health and social care services, keeping education and childcare services open and protecting the most vulnerable members of our communities.

The Plan consists of 5 levels. Each level sets out what is permitted for social or family gatherings, work and public transport, bars, hotels and restaurants, exercise activities and religious services, at that moment in time. Each level contains a “basket” of measures which are intended, collectively, to contribute to lowering the risk of transmission of Covid-19 in alignment with the risk level at that time. The set of measures, individually, do not comprise a list of activities or places which are equally safe. Instead, they are “baskets” of measures which are informed by public health understanding of the disease. The measures in place for each level reflect the prevailing disease situation and recognise that we can and must prioritise some activities over others.

As I'm sure you can appreciate, COVID-19 spreads when individuals and groups come into close contact with one another, enabling the virus to move from one person to another. COVID-19 is infectious in a person with no symptoms, or for the period of time before they develop symptoms. The numbers of people allowed to gather in different scenarios in the Government Plan are based on a review of international practice and the judgment of public health experts. It seeks to balance the risks of different types of gatherings against the desire to allow normal activities to proceed in so far as possible.

Information in relation to the public health measures in place at all levels of the Plan are available at: www.gov.ie/en/campaigns/resilience-recovery-2020-2021-plan-for-living-with-covid-19/

Ireland is currently at Level 3 of the Plan. Under the Health Act 1947 (Section 31A - Temporary Restrictions) (COVID-19) (NO. 9) Regulations 2020 Regulation (S.I. 560 of 2020), Schedule 2 sets out the restrictions on relevant businesses or services, including roller skating rinks, under the current measures.

Statutory Instruments related to the Covid-19 pandemic are available at: www.gov.ie/en/collection/1f150-view-statutory-instruments-related-to-the-covid-19-pandemic/.

Covid-19 Pandemic

Questions (545)

Louise O'Reilly

Question:

545. Deputy Louise O'Reilly asked the Minister for Health if he plans to allow swimming classes to operate within level 3 restrictions. [44271/20]

View answer

Written answers

The Government appreciates that there are many aspects of normal life that have been altered by the emergence of COVID-19, and the response that has been required. It also recognises that these changes are difficult for many people. However, it is the case at present that many of the things which we have previously taken for granted are no longer accessible in the same way due to the risks that they pose and the ease with which this virus spreads in particular conditions.

The Government’s medium-term Strategy Resilience and Recovery 2020-2021: Plan for Living with COVID-19, sets out Ireland's approach to managing and living with COVID-19, in a range of areas, over a period of 6 – 9 months.

The Plan aims to allow society and businesses to operate as normally as possible, while protecting our key priorities of supporting and maintaining health and social care services, keeping education and childcare services open and protecting the most vulnerable members of our communities.

The Plan consists of 5 levels. Each level sets out what is permitted for social or family gatherings, work and public transport, bars, hotels and restaurants, exercise activities and religious services, at that moment in time. Each level contains a “basket” of measures which are intended, collectively, to contribute to lowering the risk of transmission of Covid-19 in alignment with the risk level at that time. The set of measures, individually, do not comprise a list of activities or places which are equally safe. Instead, they are “baskets” of measures which are informed by public health understanding of the disease.

The measures in place for each level reflect the prevailing disease situation and recognise that we can and must prioritise some activities over others.

The Department of Tourism, Culture, Arts, Gaeltacht, Sport and Media has recently issued guidance to the sports and leisure sector. Swimming pools are permitted to open, for individual use only, with protective measures in place. This guidance is available at:

www.gov.ie/en/publication/35bb8-covid-19-sectoral-guidance/.

Question No. 546 answered with Question No. 521.

Covid-19 Pandemic

Questions (547)

Louise O'Reilly

Question:

547. Deputy Louise O'Reilly asked the Minister for Health further to Parliamentary Question No. 450 of 10 December 2020, if non-Fáilte Ireland-affiliated venues have to comply with the Fáilte Ireland guidelines, which ban music and dancing. [44273/20]

View answer

Written answers

Ireland is now at level 3 of the Government's medium-term Plan Resilience and Recovery 2020-2021: Plan for Living with COVID-19, which sets out Ireland's approach to managing and living with COVID-19 in a range of areas over a period of 6 – 9 months.

The Plan aims to allow society and businesses to operate as normally as possible, while protecting our key priorities of supporting and maintaining health and social care services, keeping education and childcare services open and protecting the most vulnerable members of our communities.

The various limits at all levels in the Government's Plan are all designed to reduce the number of households mixing with each other and cut down the virus’s chances of spreading into more homes. It seeks to balance the risks of different types of gatherings against the desire to allow normal activities to proceed in so far as possible.

As I'm sure you can appreciate, COVID-19 spreads when individuals and groups come into close contact with one another, enabling the virus to move from one person to another. COVID-19 is infectious in a person with no symptoms, or for the period of time before they develop symptoms. In certain settings, such as weddings, higher noise levels due to music, can force people into close proximity, requiring them to raise their voices or shout to communicate thus increasing the risk of spreading virus to others. Dancing is not permitted given the close contact involved. Such activities present a higher risk of transmission of Covid-19. This applies to all wedding venues regardless of their affiliation to Fáilte Ireland.

Details of the public health measures in place for weddings at level 3 can be found at: www.gov.ie/en/publication/ad569-level-3/.

Guidance for religious services can be found at: www.gov.ie/en/publication/7ba40-guidance-for-religious-services/.

You may also wish to note that Fáilte Ireland has provided guidelines for the hospitality industry which includes guidance on weddings and is available at: - https://failtecdn.azureedge.net/failteireland/Guidelines-for-Re-opening-Hotels-and-Guesthouses.pdf.

Child and Adolescent Mental Health Services

Questions (548)

Mark Ward

Question:

548. Deputy Mark Ward asked the Minister for Health the number of children admitted to adult psychiatric services in each of the years 2017 to 2019 and to date in 2020; and if he will make a statement on the matter. [44278/20]

View answer

Written answers

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Medical Cards

Questions (549)

John McGuinness

Question:

549. Deputy John McGuinness asked the Minister for Health if the approval of a medical card for a person (details supplied) will be expedited. [44280/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Medical Cards

Questions (550)

John McGuinness

Question:

550. Deputy John McGuinness asked the Minister for Health if the approval of a medical card will be expedited for a person (details supplied). [44284/20]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

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