I propose to take Questions Nos. 146 and 148 together.
The Health (Nursing Homes) Act, 1990 and the new Regulations under the Act, will establish a new legal framework for the regulation of nursing homes by health boards and a new system for the payment of subvention to dependent persons in care in nursing homes. Four sets of detailed regulations have to be drafted under the Act before it can be implemented. Two sets of draft regulations — the Care and Welfare Regulations, which deal with the standards of accommodation and care in nursing homes, and the Boarding Out Regulations, which set out the conditions for boarding out under the new legislation, have already been agreed with nursing home interests and groups representing the elderly.
Two further sets of Regulations have to be finalised before the new Nursing Homes Act can be implemented. These are the Nursing Home Subvention Regulations and the Nursing Home Fees Regulations. The drafting of these Regulations is at an advanced stage. It is my intention to begin discussions on these Regulations with nursing home interests and groups representing the elderly as soon as possible.
It is recognised that the current system of subvention is unsatisfactory as patients in some nursing homes are not entitled to receive a subvention under existing arrangements. This is the case for some private nursing homes in all health board regions, including the Mid-Western Health Board.