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Dáil Éireann debate -
Wednesday, 4 Apr 1979

Vol. 313 No. 7

Private Members' Business. - Adjournment Debate: Care of the Aged.

I sought permission to raise this matter on the Adjournment because it appears that the Minister, the responsible person, is uncaring about the needs of the elderly, particularly those living alone, in relation to their heating requirements. The weather we have had in the last five months has been the worst experienced for many years and the elderly have suffered most. While provision was made for free fuel for such people they were left with fuel vouchers because they could not exchange them for fuel. There was no fuel available for a long time. The fuel vouchers could be described as worthless cheques because of that situation. When I stated that people had died from hypothermia I was not exaggerating. Indeed, my medical colleagues corroborated that statement. Doctor John Fleetwood, who is very concerned about the needs of the elderly and has worked very hard on their behalf, admitted this and made a statement to the effect that from what his colleagues had told him the increase in deaths from hypothermia this year had been significant. It is no exaggeration to say that quite a number of people died this year because there was no provision made for their heating needs.

We had a situation that the same people living alone in poor circumstances had their circumstances worsened by the fact that they were deprived of food due to the removal of the food subsidies. The free fuel scheme collapsed and I was inundated with requests from people who had fuel vouchers for up to 11 weeks but could not exchange them for fuel. That was in January and February and I made a private and a public appeal to the Minister to organise a national relief campaign mobilising such services as the Red Cross and other voluntary organisations to provide fuel, electric blankets, ordinary blankets, electric fires and other heating appliances for such people. I asked the Minister to provide the contingency funds that would enable them to use electricity without regard to the number of units used. I did not criticise the Minister but I appealed to his better sense to do something in the circumstances to save the lives of such people. When I mentioned the problem in the Dáil the Minister accused me of trafficking in human misery.

The problem has been brought to light because a number of people have died as a result of the cold. The Minister has the responsibility and could have mobilised the forces of the health boards and voluntary organisations, such as the Red Cross, in a national relief campaign to try to help such people. There was no response from him. That was a great shame. The Minister may argue that there was home help, meals on wheels and other assistance. On paper they are great but I have seen hundreds of cases where home help or meals on wheels were not available to such people. I was engaged daily in giving names to health boards and requesting assistance for such people but friends and relatives later informed me that they had not received any such help, fuel or acknowledgement from the boards.

I recognise that there are problems created by bureaucracy which exist in health boards but if the leadership had come from the Minister the entire community would have been anxious to help. The leadership should have come from the Minister in the allocation of contingency funds or a directive to the health boards to ignore the costs and make sure that funds were provided. A public statement from the Minister on television telling the people that it was a national emergency where old people were concerned would have meant the saving of a lot of those lives. It is a very serious indictment of the Minister, the Department, the health boards and society that a bigger effort was not made to help such people. A few months ago the Cold Comfort Campaign proposed that a national heating scheme be introduced to cover the entire year and be administered by the Department of Social Welfare. I am sure the Minister agrees that the present fuel scheme is grossly inadequate. We have had old people queueing at fuel depots while contractors moved in. Those aged and disadvantaged people were being exploited by members of the public. The scheme is unworkable, archaic and is not meeting the needs of those people. As the Cold Comfort Campaign members asked, those vouchers should be exchangeable for any type of fuel at any shop or used to pay central heating or ESB bills. They also ask that delivery vouchers be given to people who cannot collect the fuel themselves. At present one must prove that one is disabled before qualifying to have the fuel delivered. That situation is not confined to Dublin; it is national. Deputy Eileen Desmond had already highlighted the problems in Cork.

The Cold Comfort Campaign also asked that fires be distributed to such people through the supplementary welfare allowance scheme. Health Boards have not moved in. Leadership should have come from the Minister in the form of a directive. The Minister may say that he gave instructions that there was provision for that. I told him today that one woman living alone had £13 a week disabled person's maintenance allowance out of which she pays £6 a week rent. I brought this to the attention of the health board, who said they might be able to help with the rent but that it would be some time yet, that they were busy and they might get round to it. The health board have the funds, but because of some bureaucratic bungling what the Minister may have in mind is not getting through to the people concerned. Those people have had to stay in bed all day to try to keep warm in very cold, damp surroundings. This is a terrible indictment of every one of us, particularly the Minister in charge. There is no sign of an abatement of the inclement weather and I ask the Minister now to give a firm promise that he will issue a directive to all health boards that no money is to be spared. He should announce this on television and radio.

I support the points made by Deputy O'Connell. There appears to be a discrepancy between the kind of information at his disposal in relation to the actual situation and some of the evidence in cases that have been referred to by the Cold Comfort Campaign and medical authorities in the city. Deputy O'Connell referred to some parts of this city and places throughout the country. There appears to be evidence that the free fuel scheme has broken down and that many people entitled to fuel under that scheme have been waiting five weeks for delivery. I agree that the difficulties have been compounded because there are no vouchers available.

It looks as if the cold spell is continuing. The Minister should sit down with the health boards, the local authorities and all those involved in the administration of the scheme to see what emergency action can be taken to alleviate the hardship of those poor people. There is evidence from the voluntary bodies that those people have suffered hardship. However, the Minister, from the information at his disposal, does not appear to have evidence that the situation is serious. We are simply saying to him that there is the evidence of those various bodies that there appears to be a real problem in the delivery of the fuel under the scheme. One group said today that it was chaotic. The Minister said that that is untrue, that the scheme is still working. If there are in Dublin city and elsewhere old people and others who are entitled to delivery of free fuel and who are not receiving it, then I believe it is an emergency for those people. The Minister should sit down immediately with the groups involved and perhaps bring forward, as an interim measure, some of the national heating schemes which have been called for by the various bodies. We know that the free fuel scheme at the moment has been subjected to the strain of unprecedented bad weather and the postal difficulties. A lot of hardship has been caused to poor people and I ask the Minister to look into the matter.

I was very surprised, Sir, that you gave permission to have this matter raised on the Adjournment because I thought that by now Deputy O'Connell and Deputy O'Leary had got sufficient mileage out of the hardship of the poor for their particular purposes. The free fuel scheme in Dublin and the other urban areas is now 35 years in existence and I, as Minister for Social Welfare, am the first person who ever looked at that scheme during the period of its existence with a view to doing something about it.

The Minister is not the first.

The Deputy's colleague, Deputy Cluskey, when Parliamentary Secretary in the Department of Social Welfare for over four years, made no change whatsoever in the free fuel scheme. I have checked the records and if he was ever asked anything about it in the House his standard reply was "That is a matter for Dublin Corporation; it is their responsibility and their function".

The Minister was not the first to do anything about it.

I did not interrupt the Deputy. Deputy O'Connell now comes along and tells me I am uncaring, that I am indicted and so forth. If he is really concerned about this matter he should attend the Eastern Health Board meetings which discuss it. He is a member of the Eastern Health Board. That is an indictment I am levelling at Deputy O'Connell. My colleagues on these benches are constantly at their meetings of the Eastern Health Board and discussing those matters.

If Deputy O'Connell went to his meetings he would not be put in the false position of coming in here and demonstrating so ostentatiously that he is completely out of touch with the situation. I explained in the House today that the Eastern Health Board and Dublin Corporation during all of this year have been particularly vigilant and have been doing everything they possibly can to mitigate the effects of the severe weather we have been having. I am in constant touch with both those bodies about this matter. I instanced today that the health board have their field staff activated—their public health nurses, welfare officers and other similar outdoor staff. They have been asked to be specially active in aiding old people in the community who might be suffering from the effects of the cold.

Why does Deputy O'Connell come along here and ask me to authorise things which have already been authorised three or four months ago? The staff of the Eastern Health Board have been authorised to issue blankets, fuel and electric fires if necessary. These things are going on day by day through the work of the dedicated, devoted staff of the health board. Deputy O'Connell and Deputy O'Leary are not doing themselves or anybody else any justice by attacking those officers of the health board who are doing a very good job in the most unprecedented difficult weather conditions we have had for many years.

I was also in touch with Dublin Corporation before this winter weather commenced with a view to effecting improvements in the scheme. I have kept in touch with them right through the winter. I got an up-to-date assessment from Dublin Corporation no later than this morning of the situation and of their activities.

Because the Minister knew this question was down for reply.

Rubbish. I keep in constant touch with Dublin Corporation about this matter. I know more about it than either of the two Deputies over there. I know the details of it and I know that every effort is being made by both those authorities.

I am ashamed of the Minister.

I am ashamed of the Deputy trafficking in human misery for low election purposes. The Deputy likes to get up here, fulminate and make wild accusations and when I attempt to outline the situation as it is he is not prepared to take his medicine. His medicine simply is that he does not bother going near the health board where these matters are discussed and monitored.

I have brought hundreds of cases to their notice.

The Deputy should attend his meetings. There has been a very difficult situation in Dublin because of the cold weather. This free fuel scheme has never been regarded as satisfactory, but nobody did anything about it until now. I have had it reviewed and investigated by an expert body of people in the field, representative of Dublin Corporation, voluntary organisations and social workers. I have had a report from that body which is under examination at the moment. It is my intention to bring about some improvement in the situation before next winter. In the meantime, I assure the House that everything that can possibly be done by the health-board and Dublin Corporation to mitigate the effects of the severe winter is being done. Deputy O'Connell has got sufficient political mileage out of those unfortunate people.

The Dáil adjourned at 9 p.m. until 10.30 a.m. on Thursday, 5 April 1979.

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