Written Answers - Services for People with Disabilities.
Liz McManus
Question:
467
Ms McManus
asked the
Minister for Health and Children
if his attention has been drawn to the difficulties being faced by the reduction of funding in 2003 for a centre (details supplied) in Dublin 7 and to the fact that some factors have never been addressed; if his attention has further been drawn to the fact that to maintain the same level of service in an ageing population is not possible and that due to the Government decisions not to provide funding for new service developments and an inflation rate of close to 5%, the work in tackling the waiting lists in 2000 and 2001 which needs to continue will be totally undone; if his attention has further been drawn to the fact that the core budgets and harmon assessment were accepted by his Department and commitment to address these issues was given and to the fact that this was implemented in the Mid-Western Health Board area but in the Eastern Regional Health Authority area it has only been funded by 20% of the cost of the agreed deficiency; and if he will make a statement on the matter.
[7976/03]
I am aware of the concerns regarding the provision of services to persons with an intellectual disability and those with autism. Between 1997 and 2002, an extra €188 million revenue and €139 million capital funding was provided, making a total additional investment of €327 million for the maintenance and development of services to persons with an intellectual disability and those with autism.
In 2003, further additional funding of €13.3 million has been allocated to services for persons with an intellectual disability or autism to meet the full year cost of the 2002 developments and to further enhance the health related support services to children with an intellectual disability or autism. This funding brings the total extra investment in these services to €340 million over seven years. Of this total, over €200 million has been built into the ongoing budget base.
This funding has brought about very significant and unprecedented developments in the services. Between 1997 and 2002, around 1,700 extra residential places were provided, with most of these based in the community. This figure includes new residential respite places which were developed in 1997 and 1998. Between 1999 and 2002, about 465 dedicated respite places were also provided. The period from 1997 to 2002 saw the provision of around 2,950 new day places.
Despite this very significant investment, demographic factors are contributing to growing waiting lists for residential services in particular, even though the number of people in receipt of services, including full-time residential services, continues to increase. The increased birth rate in the 1960s and 1970s has resulted in large numbers of adults in their late 20s and early 30s requiring full-time residential services. People with an intellectual disability are living longer than previously, adding to the need for services compared to previous generations. This has also been the international experience in service provision to this population.
The overall economic position in 2003 has had implications for all aspects of public investment, and this is reflected in the Estimates and budget adapted by the Government for 2003. Within this overall framework, however, some two-thirds of the additional funding available for non-capital investment in services has been allocated to the health service. This funding is being applied largely to maintaining existing levels of service across all service programmes including services for people with an intellectual disability. While it is regrettable that the level of investment in these services achieved in recent years could not be maintained in 2003, my Department will work closely with the health boards and other service providers in relation to service provision.
