Skip to main content
Normal View

Dáil Éireann debate -
Thursday, 29 Mar 2001

Vol. 533 No. 5

Adjournment Debate. - Mental Handicap Services.

I remind the Minister and the Minister for Health and Children that in 1998, amid great fanfare during a by-election in Dublin North, £13 million was announced for the provision of proper facilities for the mentally handicapped in St. Ita's Hospital, Portrane. This money was to be used to provide specially designed bungalow accommodation both on the campus of St. Ita's and off campus at a site in Oldtown. The Oldtown facility to accommodate 30 clients has been completed since September 2000 but, to date, no one has been moved from the inadequate facilities in St. Ita's into this new facility.

There appears to be ongoing negotiations with the staff. I cannot understand why such negotiations could not have been carried out in parallel with the building programme so that now some of the mentally handicapped clients in the hospital could be in the new premises. Progress on the bungalow complex in St. Ita's, alas, is non-existent. Even after three years of the announcement of that money, planning permission has not yet been sought. This accommodation will allow for 60 more people to be moved out of totally unsatisfactory accommodation, unsatisfactory both for the mentally handicapped and the staff who care for them. Even when the 90 places come on stream, there will still be 180 people for whom new accommodation is not planned. Will the Minister give a firm commitment that money will be made available to commence planning and provision for new facilities for the remaining 180 mentally handicapped people in St. Ita's Hospital.

During the February storms, the hospital was without electricity for two full days because of power cuts. The old generator which could have provided a back-up service broke down, leaving the hospital without light, heating or cooking facilities for almost ten hours. It is a scandal in 2001 that the Minister and his Department cannot ensure the most vulnerable patients in our health system are not left without the most basic of human needs. Staff living locally went home to boil kettles so patients could have a hot cup of tea.

I am asking the Minister for a commitment to provide a new modern generator to the hospital so that this kind of lack of service will not happen again. The campus of St. Ita's accommodates 280 mentally handicapped people and 230 psychiatric or mentally ill patients, plus 800 staff with a further 150 staff working off campus but attached to the hospital. At Easter 2000, the main kitchen was closed down by the environmental health officer as being unsatisfactory and temporary kitchens were set up. Progress has been extremely slow in providing a new kitchen complex. I was informed today that it will be a further six months before a planning application is lodged. What is happening in the Minister's Department, that everything to do with the provision of updated and modern facilities for the hospital seems to take forever?

I pay tribute to the staff in all areas of St. Ita's for their fortitude and delivery of services to the patients despite all the difficulties. I call on the management of the hospital, the health board and the Minister to take every step possible to expedite the planning stages of the work and provide the necessary resources to bring St. Ita's Hospital, Portrane, County Dublin, up to the standard expected in the 21st century. It is a scandal that some of its facilities can be described as Dickensian.

On behalf of the Minister for Health and Children, I thank the Deputy for raising this matter as it gives me an opportunity to update the House on the progress being made.

The provision of alternative and refurbished accommodation for persons with an intellectual disability accommodated in St. Joseph's Services, St. Ita's Hospital, was one of the key elements of the capital programme for services for persons with an intellectual disability announced in 1998 by the then Minister for Health and Children, Deputy Cowen. The capital programme which he put in place for these services was subsequently incorporated into, and expanded under, the national development plan for the period 2000-06.

The development plan for St. Joseph's Services includes the provision of new accommodation on St. Ita's campus and the refurbishment of existing residential and day care facilities. It also includes the provision of additional facilities at locations outside the hospital campus. The first of the new facilities to be provided off campus is in Oldtown, County Dublin. It consists of purpose-built residential and day facilities for 30 residents from St. Joseph's Services and is ready of occupation.

It has been ready for occupation since last November.

Discussions are being finalised with staff representatives within the services and the Northern Area Health Board expects to be in a position shortly to begin to move clients into the first two bungalows. New residential accommodation consisting of ten bungalows, with new day service facilities for persons with autism, is being provided on the hospital campus. This will enable a further 60 persons accommodated in the main buildings to be relocated.

As the Deputy will appreciate, there are certain procedures which must be followed in bringing a project of this nature on stream. The initial work involves the completion of an assessment of client need and the preparation of a detailed design brief for the project. In this case it also involved the preparation of a development control plan for St. Ita's complex as a whole. This was necessary to ensure the site chosen for the project would not impede any future developments on the campus.

These procedures have been completed and approval has issued to the authority to proceed to the next stage of development. This involves seeking planning permission for the project and the issuing of tender documents. The Minister has been informed by the Northern Area Health Board that it will shortly submit an application for planning approval to Fingal County Council and that the necessary preparatory work is under way in relation to the advertisement for tenders for the project.

While the anxiety of families and staff to have the new facilities come on stream as quickly as possible is understandable, there are statutory and other requirements which must be complied with and there are inevitable time factors associated with these processes. The board has initiated a significant programme of refurbishment in relation to the existing accommodation on the campus. It is also actively following up on the other elements of its development plan for the services, including the identification of suitable locations for other projects similar to the Clonmethan complex.

The provision of both new and refurbished accommodation for persons with an intellectual disability and those with autism accommodated in psychiatric hospitals and other inappropriate settings is an integral part of the overall development programme for the services. The Minister has visited the St. Ita's Hospital campus and indicated to the Eastern Regional Health Authority and the Northern Area Health Board the priority he attaches to the developments. It is anticipated that progress can be made quickly.

Will the Minister of State tell the Minister about the new generator?

Top
Share