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Dáil Éireann debate -
Tuesday, 2 Mar 1999

Vol. 501 No. 3

Written Answers. - Health Services.

Bernard J. Durkan

Question:

80 Mr. Durkan asked the Minister for Health and Children if his attention has been drawn to the need for the provision of a comprehensive and integrated health service with a view to meeting the requirements of current and projected population and demographic trends; his views on the need for strategic investment in key areas in order to meet these requirements; and if he will make a statement on the matter. [5956/99]

The health strategy – Shaping a Healthier Future – reflects an acceptance of the benefits to be derived from strategic management in seeking to provide a comprehensive integrated health service to meet the current and projected needs of our population. The strategy sets health and social gain for patients at its core and specifically addresses the issue of creating better linkages between different aspects of the health services so that from the patient's point of view an integrated seamless service is received. The programme for Government – An Action Programme for the Millennium – further emphasises a strategic approach to our health services.

I am aware of the way in which health service requirements can be affected by population trends, in particular by the ongoing increase in the percentage of older persons, the increase in recent years in the number of births and the increased life expectancy of persons with mental and physical disability. These population trends are a major consideration in my Department's planning of health service developments generally. In this regard an important exercise which will commence shortly will review services for older people and related hospital services.

Service plans, which health boards are required to submit annually to me as Minister for Health and Children under the Health (Amendment) (No. 3) Act, 1996, provide an opportunity to review requirements across the range of health services. Reports of the directors of public health also serve to draw attention to population and other trends with implications for health and health services.

In the context of the population trend and epidemiological data available to it and taking account of current knowledge on the most efficient and effective ways of addressing the health needs indicated by these, my Department is continuing its policy of strategic investment across a range of health service areas. These include services related to cancer and heart disease – two major causes of premature death in our society – services for older people and for persons with a physical and mental disability as well as investment to implement the report of the review group on the waiting list initiative. The 1999 revenue expenditure programme for my Department represents an investment increase of £300 million over the out-turn for the previous year amounting to a 10 per cent increase. In regard to capital investment, over the three year period, 1999-2001, this will be £525 million compared to the 1995-97 period when only £309 million was spent. The investment programme as a whole makes significant provision for the critical service areas and stands as a testament to my commitment to a strategic approach to managing our health service.
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