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Dáil Éireann debate -
Thursday, 16 May 1968

Vol. 234 No. 11

Ceisteanna—Questions. Oral Answers. - Deductions for Hospital Treatment.

47.

(South Tipperary) asked the Minister for Health if he is aware that persons receiving social welfare moneys such as old age pensioners, who are in the lower income group and who are admitted to county homes for medical treatment rather than for shelter-care, are liable to be deprived of their small income often of less than £1 per week; and that if they are admitted to a neighbouring district hospital under the same health authority no such deduction is made; and if, as such a high percentage of admissions to many county homes are now truly medical cases, he will seek to have the situation investigated and rectified.

48.

(South Tipperary) asked the Minister for Health under what section of the Health Acts persons in the lower income group who are stated to be entitled to free hospital institutional treatment are deprived of their income of less than £1 per week in (a) county homes and (b) mental hospitals.

With your permission, a Cheann Comhairle, I propose to reply to Questions Nos. 47 and 48 together.

I am not aware that persons, such as old age pensioners, whose income is less than £1 per week are being deprived of that income in county homes. If the Deputy has particular cases in mind I will be glad to look into the matter if he will give me the necessary details.

The charges made on persons in institutions depend on whether the person concerned is receiving "institutional services"—that is, broadly, hospital treatment—or "institutional assistance"—that is, shelter and maintenance in a county home, or similar institution. Provision for charges for hospital care are contained in section 15 of the Health Act, 1953, as amended, and section 231A of the Mental Treatment Acts, 1945 to 1961. In addition, section 8 of the Social Welfare (Miscellaneous Provisions) Act, 1960, as amended, provides for the appropriation of pensions of persons detained in district mental hospitals who are in receipt of non-contributory old age pensions. Such patients may be allowed up to £1 a week from their pensions for their personal use and further sums may be allocated towards the cost of meeting various charges such as rent, rates, ground rent, etc., on their homes outside. Provision for charges for "institutional assistance" is contained in section 54 of the Health Act, 1953.

Is the Minister aware of the fact that in many cases those old age pensioners are treated in hospitals and that the decision lies with the almoner as to whether they need medical treatment? They are only in there under institutional care but because of their age, they require some treatment. They should not be deprived of their pension because in 99 per cent of the cases, they get treatment.

I would suggest to the Deputy, as I have already suggested, that if he has any particular cases, he should bring them to the notice of the Minister.

There are not any particular cases. This is happening all over Dublin city. Those old people are being deprived of their pensions on the pretence that they are not getting medical care.

That is not the position.

It is the accepted thing. The Minister should know that this is the case even in County Louth.

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