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Dáil Éireann debate -
Tuesday, 7 Nov 1995

Vol. 457 No. 7

Written Answers. - Nursing Homes Subvention.

Liam Aylward

Question:

125 Mr. Aylward asked the Minister for Health if his attention has been drawn to the fact that there is no appeal of medical decision within the subvention regulations until six months after the initial examination of the patient; and if he will review this restriction with a view to allowing an immediate appeal. [16259/95]

Limerick East): There is no formal appeal against the assessment of dependency of applicants for nursing home subvention, the assessment being a clinical one carried out by health professionals. However, my Department has advised health boards to make arrangements to review assessments of dependency by a third party where problems are raised.

A health board may review the dependency, means and circumstances of a person in receipt of a subvention at six monthly intervals. However, a review may also be carried out in less than six months if the board is of the opinion that a major change has occurred in the dependency, means or circumstances of the person in receipt of subvention.

Jim Mitchell

Question:

126 Mr. J. Mitchell asked the Minister for Health if his attention has been drawn to reports which suggest that the Weir House in Cork Street, Dublin, currently used for the accommodation of a number of adult mentally handicapped males, is to be transformed into a drugs detoxification centre; whether or not these reports are factual; the plans, if any, there are to move these residents and their families; if so, the location to which they will be moved; and if he will make a statement on the matter. [16313/95]

Limerick East): As the Deputy will be aware, the provision of health services is a matter for the Eastern Health Board in the first instance.

In line with the recommendations of the report —Planning for the Future— which has been accepted as policy in mental health by successive Governments, the Eastern Health Board has been developing a comprehensive range of community-based psychiatric services. Prior to discharge each patient is assessed individually to assess his-her psychiatric needs together with his-her personal strengths. Following assessment, a specially designed programme of rehabilitation is drawn up for each individual patient.
In 1981, St Brendan's Hospital transferred patients from ward 4 of that hospital to the Weir Home, since then it has been used as a ward of St. Brendan's. The hospital is at present focusing on the rehabilitation of the residents there to prepare them for transfer to community-based living, taking into account individual patient need and personal wishes.
The premises in Cork Street is being considered by the board as a location of a community drug centre. The board is involved in consultations with local public representatives, health care professionals and local groups on the service needs in that area. When these consultations have been concluded a decision will be made on the services to be provided there.
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