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Dáil Éireann debate -
Thursday, 13 Apr 2000

Vol. 518 No. 2

Written Answers. - Services for People with Disabilities.

Jan O'Sullivan

Question:

24 Ms O'Sullivan asked the Minister for Justice, Equality and Law Reform if he will make a statement on the proposal contained in the report, Towards Equal Citizenship, published by his Department in 1999, that people with a disability should be given a legal right to health and social services; and if he will raise this proposal again with the Department of Finance and request it to reconsider its rejection of the proposal in view of the recent record Exchequer figures. [11184/00]

The recommendations of the Commission on the Status of People with Disabilities, which deal with rights to health and social services are contained primarily in Recommendations Nos. 31, 41, 43, 44, 45, assessment of needs, and Recommendation No. 53, cost of disability payment. The recommendations envisage a broad based assessment of needs procedure underpinned by a graduated cost of disability payment where services are not or cannot be provided. The implementation of these recommendations are primarily matters for the service-providing Departments and agencies involved.

The role of my Department is to guide and monitor progress in relation to implementation of the recommendations of the report of the Commission on the Status of People with Disabilities. I am aware that the Department of Health and Children is already active in implementing assessment of needs procedures for people with intellectual, sensory and physical disabilities.

The National Intellectual Disability Database was established in 1995 under the aegis of the Department of Health and Children to provide comprehensive and accurate information for decision-making in relation to the planning, funding and management of services for persons with intellectual disability. The objective of the database are: to improve the accuracy of data available to health boards on the population of people with an intellectual disability; to assess the needs of clients with an intellectual disability; and to support planning for the future development of services.

The physical and sensory database development committee was established in December, 1998 under the aegis of the Department of Health and Children to prepare detailed proposals for the development of a national database on the specialised health and personal social service needs of persons with physical or sensory disability. Four sites have recently been chosen for the implementation of phase one of the database, which will ensure that accurate and standardised information is collected.

I am also aware that the Programme for Prosperity and Fairness contains a commitment that "the Department of Health and Children, the Department of Social, Community and Family Affairs and the Department of Finance will set up and participate in a Working Group which will consult with the social partners to examine the feasibility of introducing a Cost of Disability Payment".

In the progress report, Towards Equal Citizenship, the Department of Finance, in reply to Recommendations Nos. 31, 41, 43, 44 and 45, responded that, "The Department of Finance cannot accept these recommendations which imply the underpinning by law of access to and provision of services for people with disabilities as a right. This right, if given a statutory basis, would be prohibitively expensive for the Exchequer and could lead to requests from other persons seeking access to health and other services without regard to the eventual cost of providing these services". As requested by the Deputy, I will raise the matter with the Minister for Finance in an effort to facilitate the service-providing Departments in implementing the recommendations of the commission and in the light of recent Exchequer returns.
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