I propose to take Questions Nos. 48, 64, 65 and 82 together.
The carer's allowance is a means tested payment for carers on low income who look after people in need of full-time care and attention. Following a detailed examination of the review of the carer's allowance, which was published in October 1998, a range of measures was introduced in the 1999 budget at an additional annual cost of more than £18 million to improve and develop the position of carers. These measures were implemented between April and August this year. The estimated expenditure on carer's allowance in 1999 is almost £60 million. At the end of September 1999, there were 13,605 carers in receipt of the carer's allowance compared with 11,100 at the same time last year. This number is expected to increase to almost 15,000 when the package of measures introduced for carers in the last budget come into full effect.
The review of the carer's allowance proposed the introduction of a PRSI carer's benefit to facilitate carers in employment to temporarily leave work to care. The review envisaged that this would be financed through the PRSI system. The proposal would, for example, require an increase of the order of 0.1 per cent to 0.2 per cent in each of the current employee and employer PRSI rates, depending on the level of Exchequer contribution. A working group has recently been established in my Department to examine the operational details involved in the introduction of a carer's benefit scheme.
The review considered that a needs assessment encompassing both the needs of the care recipient and the carer should be introduced. This would separate care needs from income support needs and could be used by all State organisations which provide reliefs or grants to those in need of care. A working group which is chaired by Deputy Moffatt, Minister of State at the Department of Health and Children, and comprising membership from my Department and the health boards has been set up to advance this proposal.
The review of the carer's allowance also examined the issue of paying the carer's allowance in conjunction with another social welfare payment. The practice of paying only one allowance is a feature, with few exceptions, of all social welfare payments and is designed to ensure that limited resources are not used to make two income support payments to any one individual. The review concluded that the payment of two concurrent income support allowances would not be an effective use of resources.
The measures introduced in the 1999 budget clearly indicate my commitment and that of the Government to carers and the appreciation we must have for this valuable role in society. In addition, my colleagues, the Minister for Finance, the Minister for Health and Children and the Minister for the Environment and Local Government, have also brought forward proposals of assistance to carers. The Government is conscious that such an integrated approach is required and needs to be developed further. Further improvements in the carer's allowance will be considered in a budgetary context.