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Dáil Éireann debate -
Tuesday, 22 Jun 1999

Vol. 506 No. 5

Written Answers. - Social Welfare Benefits.

Proinsias De Rossa

Question:

163 Proinsias De Rossa asked the Minister for Health and Children the benefits and schemes available for carers who are looking after spouses or other family members who have suffered a brain haemorrhage and need constant care and attention; and if these benefits are means tested. [15920/99]

The Deputy will accept that the challenge to a health board in situations such as that outlined is to use the powers and services available to it to provide a package of support which will best meet the needs of both the person who is ill and the carer. Depending on the specific circumstances, this package would include elements of support from public health nurses, home helps, respite care and relevant voluntary organisations.

The Deputy will also be aware that medical cards are issued to persons who, in the opinion of the chief executive officer of the relevant health board, are unable to provide general practitioner medical and surgical services for themselves and their dependants without undue hardship. Income earned from the payment of the carers' allowance is not taken into account when determining eligibility for a medical card. The guidelines, however, are not statutorily binding and even though a person's income exceeds the guidelines set by the chief executive officers, a medical card may still be awarded if the chief executive officer considers that the person's medical needs or other circumstances would justify this. Medical cards may also be awarded to individual family members on this basis.

Non-medical card holders are entitled to a broad range of health services including an entitlement to public hospital and public consultant treatment subject only to modest statutory charges and out-patient services free of charge. There are also a number of schemes which provide assistance towards the cost of medication for non-medical card holders. These are the long-term illness scheme, the drug cost subsidisation scheme and the drugs refund scheme. With effect from July 1999 the drug payments scheme is being introduced to replace the drug refund scheme and the drug cost subsidisation scheme. Under the drug payment scheme, a person or his/her dependants will not have to pay more than £42 in any calendar month for approved prescribed drugs, medicines and appliances for use by that person or his/her dependants in that month.
While there is no specific provision for the type of case the Deputy has mentioned, if the Deputy wishes to supply details I will bring the case to the attention of the chief executive officer of the relevant health board so that a suitable support package, within the limits of the resources available, may be provided.
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