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Dáil Éireann debate -
Wednesday, 5 Dec 2001

Vol. 545 No. 5

Priority Questions. - Housing Aid for the Elderly.

Gay Mitchell

Question:

30 Mr. G. Mitchell asked the Minister for Health and Children the number of people on waiting lists for work to be completed to their dwellings under the special housing aid for the elderly scheme; the average length of time a person is waiting to get on the waiting list; and his views on whether it is fair to senior citizens that they have to wait an unacceptable length of time to have basic alterations and improvements to their houses to enable them to live with some level of dignity. [31007/01]

As the Deputy may be aware, the special housing aid scheme for the elderly is administered by the Eastern Regional Health Authority and the health boards on behalf of the Department of the Environment and Local Government which fund it.

The guidelines for the operation of the scheme are determined by a task force which is chaired by an officer of the Department of the Environment and Local Government. All statistical information on the scheme is collected by the Department of the Environment and Local Government, and it has supplied the following information about applications on hand as at 30 June 2001. It has no information on the average length of time a person might wait to get on the waiting list. Eastern Regional Health Authority, 1,801; Midland, 795; Mid-Western, 1,519; North-Eastern, 1,284; North-Western, 637; South-Eastern, 892; Southern, 749; Western, 2,491. This gives a total of 10,168.

In the interests of elderly persons whose housing conditions are improved under the scheme, it has, since its inception, been administered with flexibility and a minimum of formality. However, over the years health boards have evolved a priority list to ensure that the most urgent cases are dealt with as quickly as possible, within the terms of the guidelines. Typically, aid is available for necessary repairs to make a dwelling habitable for the lifetime of the occupant. In 2000, the scheme was extended to include the provision of suitable heating systems where found necessary, to meet the needs of elderly persons.

The community care departments of the health boards operate the scheme, using various mechanisms to carry out the work, including contractors, FÁS, and a grant-based approach whereby the applicant employs the contractor.

Additional InformationHealth boards have been requested by the task force to use a combination of approaches, with the most suitable being applied as appropriate in individual cases.

The scheme itself is extremely effective. Between 1982 and the end of 2000 more than 42,000 cases have been dealt with. A further 2,288 jobs have been completed in the period January to June 2001, the latest date for which figures are available, an increase of 33% on the same period last year, and 2,360 jobs are under way. An increase of 24% in applications has also been recorded. There has been an unprecedented level of demand for the provision of heating systems since it was introduced in February 2000, with 429 applicants provided with such facilities in the balance of that year and 649 to June 2001.

In recognition of the valuable work being done, funding for the scheme has been increased significantly since 1997, with a provision of £4 million, 5.08 million, in that year raised to £5 million, 6.35 million, in 1998; £6 million, 7.62 million, in 1999; £8 million, 10.16 million, in 2000; £8.65 million, 10.98 million, for 2001. The allocations to the boards are determined by the task force from the funding available and are based, not on the geographical spread of the population, but on the statistical returns received from the health boards showing the level of activity within the area, the actual number of applications on hands and the estimated cost of these applications.

In 2001, £8.65 million was allocated to the boards as follows: health board allocation: Eastern £1,280,000, 1.625 million; Midland £920,000, 1.168 million; Mid-Western £1,150,000, 1.460 million; North-Eastern £1,008,000, 1.280 million: North-Western £700,000, 0.889 million; South-Eastern £950,000, 1.206 million; Southern £1,000,000, 1.270 million; Western £1,650,000, 2.095 million.

Any task force that does not know the average period of time that old people are waiting for these fittings ought to be sacked and any Minister that puts up with a task force like that is not worthy of the name. Is the Minister aware of people like my elderly constituent in Inchicore aged 80 who was admitted to hospital last week because she fell at home, having been waiting and waiting for assessment for a stair rail to enable her to remain independent and safe in her home? Is the Minister aware that there are thousands of people in Dublin alone waiting for up to three years for assessment by an occupational therapist so that they can get rails fitted to the bath or shower or stairs? Does the Minister not consider it an absolute scandal that one of his 78 task forces can inform the Minister in a reply for this House that it does not know the average length of waiting time for a senior citizen in these circumstances? How do they deal with the task, what sort of a force are they and what sort of a Minister is he that he would put up with that reply?

Will the Minister introduce a scheme whereby senior citizens will be allowed spend up to £3,000 on the certification of a GP and the local community welfare officer in order to get rid of these waiting lists? That would allow people who are aged 80 years to remain in their own homes and not become dependent on State care.

There is a great variance in waiting times throughout the various health board areas. I am aware that in the Western Health Board area six to eight months is the average. Nearly 5,000 out of 10,000 applications are being completed in any one year. There is a scheme of prioritisation where the health boards can prioritise if there is a difficult case and I can see room for manoeuvre there. We have increased the moneys going to this scheme over the years. In 2001, more than £8.5 million was given to this scheme whereas less than £4 million was provided before we came into office. We have increased the amount of money going into the scheme. We have also introduced a new scheme for heating. We are looking after the needs of the elderly. I would still prefer to see a waiting time of less than three months and I would like the needs of the elderly to be met instantly if possible. We depend on the health boards personnel to do the job and I have every faith in them.

With regard to major works we have run into problems finding contractors because of the buoyant economy. The work can be completed either through contract; by FÁS; by way of health board grants. To date there has been great flexibility in regard to how these works were undertaken. Today's Budget Statement may make more money available for these schemes. We have dramatically increased the funding for these schemes over the years. This Government has done more for the elderly than any other Government heretofore.

The time for this question is concluded. The Standing Order is six minutes for each question and the Chair has no control over either the length of reply from a Minister or the length of a question from the Deputies.

We were entitled to three priority questions: one was ruled out because it anticipates—

I am coming to that now, Deputy. If the Deputy will resume his seat.

There is a woman in my constituency who has been waiting two years for a toilet.

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