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Tuesday, 7 Nov 2023

Written Answers Nos. 1168-1187

Health Strategies

Questions (1168)

Peadar Tóibín

Question:

1168. Deputy Peadar Tóibín asked the Minister for Health the reason many women received appointment letters from Breast Health in the Mater Hospital for Friday, 20 October 2023, only to discover upon turning up for the appointment that the Breast Health system recorded the appointment date as Friday, 27 October, and was not expecting them for another week; the number of women affected by the issue; if he will apologise to the women in question for the distress caused to them as they awaited biopsy results; and if he will make a statement on the matter. [47702/23]

View answer

Written answers

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

Departmental Data

Questions (1169)

Alan Dillon

Question:

1169. Deputy Alan Dillon asked the Minister for Health the number of people diagnosed with breast cancer from 2020-2023 in Ireland; the average age, in tabular form; and if he will make a statement on the matter. [47710/23]

View answer

Written answers

The National Cancer Registry Ireland (NCRI) is charged with collecting and classifying information on all cancer cases that occur in Ireland. The NCRI produces annual reports covering cancer incidence, mortality and survival.

The most recent year for which the NCRI has published incident cancer case counts is 2021. This data was published in its 2022 annual report, which is available at www.ncri.ie/sites/ncri/files/pubs/NCRI_AnnualStatisticalReport_2022.pdf. Full accurate data for 2022 and 2023 will not be available until the NCRI has collected and verified all data.

People Diagonsed with Breast Cancer by Year

  -

Year

Total

Mean age (years)

Median age (years)

Total (males & females)

2020

2,946

60.9

61

 

2021

3,837

60.9

60

Females

2020

2,917

60.9

61

 

2021

3,802

60.8

60

Health Strategies

Questions (1170)

Alan Dillon

Question:

1170. Deputy Alan Dillon asked the Minister for Health if, considering that a high volume of breast cancer cases is oestrogen-driven and many women experience hormonal changes from the age of 40 years onwards, he will consider extending BreastCheck screening to all women from 40 years; and if he will make a statement on the matter. [47711/23]

View answer

Written answers

I am fully committed to supporting our population screening programmes which are a valuable part of our health service, enabling early treatment and care for many people, and improving the overall health of our population.

BreastCheck, the National Breast Screening Programme, currently invites women aged 50 to 69 years at regular periods to have a routine mammogram. Under commitments in the Programme for Government, BreastCheck eligibility has been expanded to women aged 69 years since 2021. The Programme for Government also commits to expanding the age range for BowelScreen to those aged 55 to 74, and the HSE plans to commence this in 2023 with expansion to those aged 59, in addition to the current age range of 60 to 69.

In response to the Deputy's question, I will highlight that any decisions about further changes in cancer screening, including further extension of the age ranges, will be made on the advice of the National Screening Advisory Committee (NSAC). This independent expert group considers and assesses evidence in a robust and transparent manner, and against internationally accepted criteria. It is important we have rigorous processes in place to ensure our screening programmes are effective, quality assured and operating to safe standards, and that the benefits of screening outweigh the harms.

I would stress that careful consideration must be given to any proposed expansion of Ireland’s screening programmes and that this process must be afforded the necessary amount of time to complete. This includes ensuring that decisions are made based on internationally accepted criteria and scientific rigour.

Applications for changes to screening programmes, can be made through the NSAC Annual Call. Details of the next call will be posted on www.gov.ie/en/campaigns/nsac/.

In this regard, I am pleased to report that the Committee is already progressing work to consider the further expansion of our cancer screening programmes and has asked HIQA to evaluate the evidence for the further expansion of the age range eligibility for both the BowelScreen and BreastCheck programmes.

Health Strategies

Questions (1171)

Mark Ward

Question:

1171. Deputy Mark Ward asked the Minister for Health further to Parliamentary Question No. 668 of 20 June 2023, if he will provide an update on funding for the Changing Lives Initiative in Budget 2024; if an expansion of the initiative will be considered in the upcoming HSE Service Plan for 2024; and if he will make a statement on the matter. [47712/23]

View answer

Written answers

Following the announcement of the budget allocation for my Department, I will shortly be issuing a Letter of Determination to the HSE outlining my priorities and funding levels for 2024. This will be the basis on which the HSE will draw up its National Service Plan (NSP) for 2024. It is not until the conclusion of this process that a detailed breakdown of new developments expenditure will be available.

Hospital Appointments Status

Questions (1172)

Pádraig Mac Lochlainn

Question:

1172. Deputy Pádraig Mac Lochlainn asked the Minister for Health when a person (details supplied) in County Donegal can expect to receive an appointment for a consultation in Letterkenny University Hospital; and if he will make a statement on the matter. [47723/23]

View answer

Written answers

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.

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.

Departmental Advertising

Questions (1173)

Robert Troy

Question:

1173. Deputy Robert Troy asked the Minister for Health to provide a breakdown of the advertising spend of his Department and agencies under the remit of his Department, by national media outlet and local newspaper outlet, for each of the years 2020 to 2022, in tabular form. [47734/23]

View answer

Written answers

It is important to note that the figures laid out below include expenditure in response to the COVID-19 pandemic. The Department's communications included a comprehensive advertising campaign across both traditional and online media channels to ensure information reached the widest public audience possible ensuring the public were informed of the latest public health guidance.

The Department's response to the COVID-19 pandemic also included Healthy Ireland communications focused on promoting the Health and Wellbeing of the public during the pandemic. The Department's Healthy Ireland communications included comprehensive advertising campaign across both traditional and online media channels to ensure information reached the widest public audience possible aimed at raising public awareness of the benefits of healthy eating, increasing physical activity, and sustaining mental wellbeing.

The Department has also carried out advertising to raise awareness for landmark new initiatives, such as the free contraception scheme; and the first National Menopause Awareness Campaign which raised awareness for gov.ie/menopause, which provides trusted information for anyone impacted by menopause in Ireland.

The figures requested are listed below:

2020

2021

2022

Total

Television and VOD

RTÉ

€266,733

€216,910

€65,143

€548,786

VIRGIN MEDIA

€128,728

€245,810

€63,728

€438,266

SKY IRELAND

€32,939

€101,473

€26,113

€160,525

CHANNEL 4 IRELAND

€9,075

€15,027

€9,029

€33,131

TG4

€6,129

€2,924

€13,528

€22,581

Total

€443,604

€582,144

€177,541

€1,203,289

Radio

RTÉ

€257,720

€297,119

€106,250

€661,089

IRS+*

€138,999

€107,616

€49,100

€295,715

MEDIA CENTRAL*

€132,338

€145,786

€53,064

€331,188

NEWSTALK

€87,348

€144,593

€231,941

RedFM

€22,920

€15,452

€8,139

€46,511

SPIN

€1,188

€1,188

TODAY FM

€155,109

€124,962

€18,656

€298,727

URBAN MEDIA*

€151,832

€107,127

€38,706

€297,665

WLR FM

€1,206

€2,428

€3,634

Total

€1,834,662

€2,108,149

€631,425

€4,574,236

Print

ANGLO CELT

€2,110

€2,110

ATHLONE ADVERTISER

€434

€434

ATHLONE TOPIC

€1,790

€1,790

BRAY PEOPLE

€2,378

€2,378

CARLOW NATIONALIST

€1,082

€1,082

CARLOW PEOPLE

€2,020

€2,020

CARRIGDHOUN NEWSPAPER

€762

€762

CLARE CHAMPION

€4,888

€1,108

€5,996

CLONMEL NATIONALIST

€4,172

€4,172

CONNACHT TRIBUNE

€3,381

€1,566

€4,947

CONNAUGHT TELEGRAPH

€2,226

€2,226

CORK INDEPENDENT

€1,916

€1,916

DAILY MAIL

€2,709

€2,709

DAILY STAR

€6,088

€11,403

€17,491

DONEGAL DEMOCRAT

€4,114

€4,114

DONEGAL NEWS

€2,716

€2,716

DONEGAL PEOPLES PRESS

€3,822

€1,983

€5,805

DONEGAL POST

€2,516

€2,516

DROGHEDA INDEPENDENT

€2,162

€2,162

DROGHEDA LEADER

€3,472

€3,472

DUNDALK ARGUS

€2,162

€2,162

DUNDALK DEMOCRAT

€3,554

€3,554

DUNDALK LEADER

€3,066

€3,066

ENNISCORTHY GUARDIAN

€2,378

€2,378

EVENING ECHO

€3,824

€3,824

FINGAL INDEPENDENT

€1,412

€1,412

GALWAY ADVERTISER

€1,630

€1,630

GAZETTE

€2,888

€2,888

INISH TIMES

€2,516

€2,516

INISHOWEN INDEPENDENT

€1,478

€1,478

IRISH EXAMINER

€6,681

€2,444

€9,125

IRISH FARMERS JOURNAL

€8,308

€8,308

IRISH INDEPENDENT

€45,182

€11,070

€38,870

€95,122

IRISH MIRROR

€1,903

€4,345

€6,248

IRISH TIMES

€17,243

€36,409

€53,652

KERRY'S EYE

€2,606

€2,606

KERRYMAN

€3,756

€3,756

KILDARE NATIONALIST - DIRECT

€1,082

€1,082

KILKENNY PEOPLE

€4,226

€4,226

LAOIS NATIONALIST - DIRECT

€1,082

€1,082

LAW GAZETTE

€3,204

€3,204

LEINSTER EXPRESS

€5,258

€5,258

LEINSTER LEADER

€4,618

€4,618

LEITRIM OBSERVER

€4,560

€4,560

LIFFEY CHAMPION

€1,550

€1,550

LIMERICK LEADER

€8,434

€8,434

LIMERICK POST

€2,932

€2,932

LONGFORD LEADER

€4,778

€4,778

MAIL ON SUNDAY

€5,643

€5,643

MALLOW STAR

€958

€958

MAYO ADVERTISER

€544

€544

MAYO NEWS

€3,802

€3,802

MEATH CHRONICLE

€1,574

€1,574

MEATH TOPIC

€1,790

€1,790

MIDLAND & TULLAMORE TRIBUNE

€4,304

€4,304

MUNSTER EXPRESS

€1,508

€1,508

NENAGH GUARDIAN

€1,630

€1,630

NEW ROSS STANDARD

€2,378

€652

€3,030

NORTHERN STANDARD

€2,556

€2,556

NORTHSIDE NEWS

€4,084

€4,084

NORTHSIDE PEOPLE (EAST)

€2,998

€2,998

NORTHSIDE PEOPLE (WEST)

€2,998

€2,998

OFFALY INDEPENDENT

€1,896

€1,896

OFFALY TOPIC

€1,790

€1,790

ROSCOMMON HERALD

€2,556

€2,556

ROSCOMMON PEOPLE

€1,738

€1,738

SLIGO CHAMPION

€2,300

€2,300

SLIGO WEEKENDER

€1,628

€1,628

SOUTHERN STAR

€2,300

€2,300

SOUTHSIDE NEWS

€4,084

€4,084

SOUTHSIDE PEOPLE

€2,998

€2,998

SUN

€3,801

€10,011

€13,812

SUNDAY BUSINESS POST

€10,746

€10,746

SUNDAY INDEPENDENT

€28,306

€18,873

€47,179

SUNDAY TIMES

€18,531

€18,531

SUNDAY WORLD

€13,424

€5,430

€18,854

THE AVONDHU PUBLICATIONS LTD

€956

€956

THE CLARE ECHO

€2,162

€2,162

THE CORKMAN

€1,802

€1,802

THE ECHO NEWSPAPER

€3,898

€3,898

THE HERALD

€4,163

€4,163

TIPPERARY STAR

€3,494

€3,494

TRICONAILL TRIBUNE

€2,172

€2,172

TUAM HERALD

€1,886

€1,886

VALE STAR

€958

€958

WATERFORD NEWS AND STAR

€1,738

€1,738

WATERFORD TODAY

€4,242

€4,242

WEEKLY OBSERVER

€958

€958

WESTERN PEOPLE

€2,390

€2,390

WESTMEATH EXAMINER

€2,106

€2,106

WESTMEATH INDEPENDENT

€2,106

€2,106

WESTMEATH TOPIC

€1,790

€1,790

WEXFORD CHRONICLE

€1,724

€1,724

WEXFORD PEOPLE

€2,378

€2,378

WICKLOW PEOPLE

€2,378

€2,378

WICKLOW TIMES

€2,932

€2,932

WICKLOW VOICE

€2,204

€2,204

Total

€45,182

€354,259

€133,094

€532,535

*Regional radio stations are sold in bulk packages that span various stations and regions.

As this question also relates directly to the Health Service Executive, I have asked them to respond directly to the Deputy, as soon as possible.

Information in respect of the other bodies under the aegis of my Department is an operational matter for the bodies concerned and the Deputy should contact the relevant Director/CEO/Registrar directly.

The Department of Health engages the services of various agencies for the purposes of advertisement placement and reaching audiences across a range of mediums including internet, print media, radio, outdoor and TV. Payments for advertising is made to these agencies rather than directly to the media company.

Healthcare Policy

Questions (1174)

Louise O'Reilly

Question:

1174. Deputy Louise O'Reilly asked the Minister for Health how standards are set for a profession (details supplied); and if he will make a statement on the matter. [47758/23]

View answer

Written answers

As this question relates to an operational matter of the Nursing and Midwifery Board of Ireland (NMBI), I have referred the question to the NMBI for its attention and direct response to the Deputy.

Hospital Procedures

Questions (1175)

Robert Troy

Question:

1175. Deputy Robert Troy asked the Minister for Health if he will expedite an application for surgery for a person (details supplied). [47764/23]

View answer

Written answers

In relation to the particular query raised, the details supplied relate to a private hospital. Private health care providers are independent organisations and the range of services available, and access to those services for private patients does not fall under the remit of the Department of Health.

Health Services Waiting Lists

Questions (1176)

Donnchadh Ó Laoghaire

Question:

1176. Deputy Donnchadh Ó Laoghaire asked the Minister for Health the current number of children and adolescents on the waiting-lists of the south Lee primary care services and the north Lee primary care services; and if he will make a statement on the matter. [47780/23]

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.

Health Services Waiting Lists

Questions (1177)

Donnchadh Ó Laoghaire

Question:

1177. Deputy Donnchadh Ó Laoghaire asked the Minister for Health the current number of children and adolescents on the waiting-lists of the south Lee primary care services and the north Lee primary care services in excess of one, two, three, four or more years, in tabular form; and if he will make a statement on the matter. [47781/23]

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.

Departmental Data

Questions (1178)

Donnchadh Ó Laoghaire

Question:

1178. Deputy Donnchadh Ó Laoghaire asked the Minister for Health the number of in-person client sessions offered by each grade of psychologist - assistant psychologists, staff grade psychologists, senior psychologists and principal psychologists in the south Lee child and adolescent primary care services and the north Lee child and adolescent primary care services for each month to date in 2023, in tabular form; and if he will make a statement on the matter. [47782/23]

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.

Health Services Waiting Lists

Questions (1179)

Donnchadh Ó Laoghaire

Question:

1179. Deputy Donnchadh Ó Laoghaire asked the Minister for Health the number of children removed from the assessment of need waiting list in each of the Cork and Kerry primary care psychology services for each month from 1 October 2022, in tabular form; the length of time the child was waiting for an AON in each case and the process of clinical decision-making involved; and if he will make a statement on the matter. [47783/23]

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.

Nursing Homes

Questions (1180)

Louise O'Reilly

Question:

1180. Deputy Louise O'Reilly asked the Minister for Health if he will provide an update regarding any plans the Government has to reimburse families of nursing homes patients illegally charged nursing home fees; and if he will make a statement on the matter. [47797/23]

View answer

Written answers

Up until 2004, people who were provided with publicly-funded long-stay care in public facilities and in publicly contracted beds paid a contribution towards the cost of their maintenance through a charge raised under Regulations made in 1954 and 1976.

It was accepted in 2004 that there was a flawed legal basis for raising charges on those with full eligibility in publicly funded care. This was regularised by the introduction of legislation in 2005 to provide for charges in publicly funded care and the establishment of a repayment scheme to refund charges that had been paid pre-2005. Over €450m was paid out under this scheme. The scope of the scheme was well publicised at the time and was limited to those who had full eligibility under the 1970 Act and who had paid charges to the State as a contribution towards their publicly-funded care.

It is a matter of public record that legal cases have been taken against the State seeking the repayment of private nursing homes fees in cases where people had full eligibility under the 1970 Act. Cases have been managed by the Department on a case-by-case basis in close consultation with the Office of the Attorney General. The consistent position has been that it was not the policy intent of Government at that time for public monies to be used in this way, and that eligibility under the 1970 Act was and continues to be subject to the availability of resources.

Upon the raising of issues about how the State has approached legal challenges taken against it in relation to pre-2005 legacy nursing home charges, the Government moved quickly to establish the facts surrounding these issues, which go back many decades, by requesting the Attorney General to prepare a Report on the litigation management strategy. This comprehensive Report was published on 7 February 2023.

The Minister for Social Protection and I have undertaken to consider the Attorney General's Report in full and hope to revert to Government shortly on any further steps required.

Official Engagements

Questions (1181)

Matt Carthy

Question:

1181. Deputy Matt Carthy asked the Minister for Health the engagements his Department, or any agency or body under his direction, has had with the government of Israel, any state body of the government of Israel, or any engagement within or with Israel, in 2021, 2022 and to-date in 2023; and if he will make a statement on the matter. [47809/23]

View answer

Written answers

My Department has had a number of engagements with officials representing the government of Israel, in 2021, 2022 and to-date in 2023.

• As part of the Chief Dental Officers Group in the WHO European Region the Chief Dental Officer of Ireland engaged with the Chief Dental Officer of Israel as part of the CDO meetings at European level of which Ireland is currently the President.

• In response to a Ministerial request on information in comparator countries which explicitly included Israel, colleagues working in my Department had a scheduled call with two officials from the Israeli Ministry of Health to discuss the aforementioned.

• Minister Rabbitte and departmental colleagues, including the Chief Nursing Officer (CNO) and Deputy Chief Nursing Officer (DCNO), attended the 72nd Session of the World Health Organisation Regional Committee for Europe on 12-14 September 2022 in Tel Aviv. Minister Rabbitte met with the Ambassador to Israel, in the lead up to this meeting. The CNO and DCNO also met with the Israeli Chief Government Nurse, Dr. Shoshy Goldberg, on the 15 September 2022.

• A virtual meeting was held between the Chief Nursing Officer of Ireland and her team and the Chief Government Nurse and Head of the Nursing Division of the Israeli Ministry of Health and her colleagues on 6 December 2022.

• In relation to the Policy Dialogue event on Dual Practice, organised by the OECD and my Department, on 3 May 2023, Dr. Alexey Belinsky from the Israeli Ministry of Health presented on Israel's experience in regulating dual practice.

• A representative from the Nursing Division of the Israeli Ministry of Health visited my Department on 3 October 2023 and met with officials from my Department and from the Nursing and Midwifery Board of Ireland.

• Correspondence was received from the Israeli Chief Government Nurse in relation to the situation in Gaza and Israel on 13 October 2023.

My Department also receives copies of licenses from the Israeli Ministry of Health in respect of the import/export of controlled drugs between Ireland and Israel.

Details for other bodies under the aegis of my Department are operational matters for the bodies concerned and the Deputy should contact the relevant Director/CEO/Registrar directly.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday 6th October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE

Official Engagements

Questions (1182)

Matt Carthy

Question:

1182. Deputy Matt Carthy asked the Minister for Health the engagements his Department, or any agency or body under his direction, has had with the Palestinian Authority, any organ of the Palestinian Authority, or any engagement within, or with organisations in, the Occupied Palestinian Territory, in the years 2021, 2022 and to-date in 2023; and if he will make a statement on the matter. [47827/23]

View answer

Written answers

My Department has had no engagements with the Palestinian Authority, any organ of the Palestinian Authority, or with any organisations within the Occupied Palestinian Territory, in the years 2021, 2022 and to-date in 2023.

Details for other bodies under the aegis of my Department are operational matters for the bodies concerned and the Deputy should contact the relevant Director/CEO/Registrar directly.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday 6th October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Hospital Staff

Questions (1183)

Matt Shanahan

Question:

1183. Deputy Matt Shanahan asked the Minister for Health if any of the hospital group CEOs across all hospital groups hold other remunerated positions; and if he will make a statement on the matter. [47836/23]

View answer

Written answers

I have asked the HSE to respond directly to the Deputy on the matter, however, members of the Oireachtas are advised that the HSE may not be in a position to answer PQs due to industrial action. It is hoped that normal services will resume soon. In the meantime, this Department will continue to refer PQs to HSE for their direct reply as soon as possible

Hospital Staff

Questions (1184)

Matt Shanahan

Question:

1184. Deputy Matt Shanahan asked the Minister for Health the oversight mechanism for approving hospital group CEO expenses across all hospital groups; and if he will make a statement on the matter. [47837/23]

View answer

Written answers

I have asked the HSE to respond directly to the Deputy on the matter, however, members of the Oireachtas are advised that the HSE may not be in a position to answer PQs due to industrial action. It is hoped that normal services will resume soon. In the meantime, this Department will continue to refer PQs to HSE for their direct reply as soon as possible

Hospital Staff

Questions (1185)

Matt Shanahan

Question:

1185. Deputy Matt Shanahan asked the Minister for Health what mechanisms are in place to administer conflicts of interest for all hospital group CEOs; and if he will make a statement on the matter. [47838/23]

View answer

Written answers

I have asked the HSE to respond directly to the Deputy on this matter, however, members of the Oireachtas are advised that the HSE is currently not in a position to answer PQs due to industrial action.

It is hoped that normal services will resume soon. In the meantime, this Department will continue to refer PQs to HSE for their direct reply as soon as possible.

Health Services Staff

Questions (1186)

Robert Troy

Question:

1186. Deputy Robert Troy asked the Minister for Health if he will provide an update on the introduction of the Organisation of Working Time (Reproductive Health Related Leave) Bill 2021. [47851/23]

View answer

Written answers

I wish to advise the Deputy that this is a matter for the Department of Enterprise, Trade and Employment.

Question No. 1187 answered with Question No. 1100.
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