The Nursing Homes (Subvention) Regulations, 1993, are administered by the health boards and the Eastern Regional Health Authority. There are three maximum rates of subvention payable – £70, £95, £120 – in accordance with three levels of dependency – medium, high, maximum – which are eligible for subvention. It is the intention to increase these rates to £90, £120 and £150 with effect from 1 April next.
When the Deputy is referring to top up payments it is assumed he is referring to the provision in the regulations whereby a health board may pay more than the maximum rate of subvention relative to an individual's level of dependency, for example, in cases where personal funds are exhausted. Sections 22.3 and 22.4 of the Nursing Home (Subvention) Regulations, 1993, permit health boards to contract beds in private nursing homes and to pay more than the maximum rates of subvention in such cases. The application of these provisions is a matter for the individual health board concerned in the context of meeting increasing demands for subventions within available resources.