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Dáil Éireann debate -
Wednesday, 24 Apr 2002

Vol. 552 No. 4

Adjournment Debate. - Respite Care.

I am very obliged to the Ceann Comhairle for selecting this important matter for discussion because of the hardship being imposed on very vulnerable people.

The St. John of God Menni service has been forced to introduce cutbacks affecting some of the most vulnerable people in society with effect from 22 April because of a shortfall in its budgetary allocation for 2002. The impact on the clients affected is very severe and the implications for the parents and carers of the clients is additional strain, inconvenience and the almost intolerable burden of being confronted with no respite care for their loved ones. These measures have been implemented due to the forced cuts in expenditure of €710,000 and the director has been allocated €2.9 million short of his budget to maintain the 2001 level of services.

The cost reduction measures have very serious repercussions. The closure of six respite beds at Old Bawn, Tallaght, will in turn mean a 50% reduction in the respite services available to support the students in the St. John of God school, Islandbridge, the discontinuance of the summer camp, reduced extended day and holiday break programmes and the deferral of the move of 60 clients to a new day centre in Tallaght, planned for August and September 2002. It will also defer the commencement of a supported living programme for 38 clients at Tallaght which had been planned for late 2002. There will be a total of 25 jobs and ten day places affected in Celbridge and the 2002 new service development fund will have to be transferred to protect existing services. The filling of 19 vacancies within the service will be deferred, ten of them until January 2003. Of these posts, a significant number relate to the multi-disciplinary team and include speech and language therapists, physiotherapists, psychologists and social workers.

The order has 19 vacancies, ten of which have been deferred to 2003 and in circumstances where it is difficult to secure such staff, this is extremely grave and makes the planning of services very difficult. I plead with the Minister of State on the last Adjournment debate of the 28th Dáil to immediately intervene to provide the funding to alleviate the plight of the clients and their carers. Wherever cutbacks have to be made, they should not be visited on people who are so vulnerable and in need of the very limited services that are in place. I hope the Minister of State will be able to tell us that the Government that thinks it can afford to spend €1 billion to build a football stadium can at least provide respite care for people who are badly in need of it.

On behalf of my colleague, the Minister for Health and Children, Deputy Martin, I thank the Deputy for raising this matter and giving me the opportunity to outline the position concerning this issue.

In recent years this Government has made significant additional funding available to services for persons with an intellectual disability and those with autism. By the end of this year we will have provided additional revenue and capital funding amounting to nearly €312 million. Within the overall revenue funding which has been provided, specific amounts have been allocated to develop new services and to meet identified needs with existing ones. The changing profile of those who have been in services for many years has led to a need to review issues such as staffing levels and skill mix. For example, an increased need for additional night cover has arisen in many agencies because of the more dependent profile of the residents due to old age, illness or behavioural issues. An ongoing review process has been under way for a number of years in the health boards and voluntary agencies and funding has been allocated annually to meet these identified needs. Significant additional funding has also been allocated for the development of new services. By the end of this year, around 1,700 new residential, 470 respite and 3,000 day places will have been provided since 1997. There has also been a significant enhancement of health related support services for children with an intellectual disability or autism and the specialist support services.

Any funding for new services or to meet existing needs which may be made available to the health boards or the Eastern Regional Authority in any given year is specifically identified in the letter of determination. This funding is agreed by Government and must be used for the purpose set out in the letter. Therefore, I assure the Deputy that freezing or serious curtailment of developments in respect of which funding has been provided and agreed with the Department as part of a board or authority's service plans will not arise.

It already has arisen.

Responsibility for the provision of funding for organisations providing services for people with an intellectual disability or autism in the eastern region is a matter, in the first instance, for the Eastern Regional Health Authority. The Minister understands that the authority is in ongoing discussions with the St. John of God Order and other voluntary agencies with regard to their 2002 budgets. He has asked the authority to keep him informed of the outcome of those discussions.

I wish the Deputy well in the forthcoming election and I say to the Ceann Comhairle, go mbeimís beo ag an am seo arís.

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