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Dáil Éireann debate -
Thursday, 15 May 2003

Vol. 566 No. 5

Written Answers. - Psychological Services.

Olwyn Enright

Question:

100 Ms Enright asked the Minister for Health and Children when he intends to establish direct posts in each health board following the report of the joint review group, Outside Colleges Career Structures, published in May 2002; and if he will make a statement on the matter. [13261/03]

Olwyn Enright

Question:

101 Ms Enright asked the Minister for Health and Children when he intends to establish principal posts in each community care area following the report of the joint review group, Outside Colleges Career Structures, published in May 2002. [13262/03]

Olwyn Enright

Question:

102 Ms Enright asked the Minister for Health and Children the way in which he intends to ensure a significant reduction in the number of vacancies in the psychological services in the mid term following the report of the joint review group, Outside Colleges Career Structures, published in May 2002. [13263/03]

Olwyn Enright

Question:

103 Ms Enright asked the Minister for Health and Children when his commitment to bring the number of training places to 50 a year will be met following the report of the joint review group, Outside Colleges Career Structures, published in May 2002; and if he will make a statement on the matter. [13264/03]

I propose to take Questions Nos. 100 to 103 together.

I presume the report referred to by the Deputy is that of the joint review group on psychological services in the health services, which was published in March 2002. Following the report's publication a major priority for my Department was to promote an integrated and co-ordinated approach by the health boards to its implementation over time. This applied in particular to the major recommendations of the report relating to the organisation and management of psychology services, entailing very substantial increases in the number of principal and director level psychologist posts.

Given the key role of the Health Boards Executive in fostering collective working and progressing organisational change and development in the health service, my Department secured the agreement of the executive to work with the directors of human resources in the health boards towards the implementation of the recommendations of the report. The present position is that the directors of human resources are in the process of individually considering the recommendations in the report and how their boards might propose to proceed with the implementation process in due course. This work is being undertaken in light of: service imperatives; funding priorities; and the budget 2003 announcement on public service numbers.

In this context, it is important to bear in mind that the overall budgetary and economic position in 2003 has had important implications for all aspects of public spending, and this is reflected in the Estimates and budget adopted by Government for 2003.

Given these constraints, my Department, together with the directors of human resources in the health boards, is prioritising support for the implementation of a key recommendation of the joint review group's report relating to human resource planning through the provision of a substantial number of additional post-graduate training places in clinical psychology. This has resulted in a threefold increase from end-1999 to end-2002, from 26 to 83, in the number of trainee clinical psychologists employed in the health services. This development, in enhancing graduate output, will help maintain an improved balance between demand and supply in human resource and service provision.

My Department remains committed to working on an ongoing basis, with health agencies, educational providers and the education authorities to ensure adequate provision of training places in clinical psychology, consistent with the medium-term human resource requirements of the health services as detailed in the joint review group's report and the important recommendations on investment in training and education detailed in the Action Plan for People Management, published in November 2002.

A priority is to secure the best return, in terms of graduate output, on the very significant financial resources currently being invested in the health services to support post-graduate clinical psychology training. Consequently, my Department, together with the health boards' directors of human resources, is currently examining the current model for post-graduate psychology training, with the objective of supporting training provision on a planned and sustainable medium-term basis.
With regard to the issue of vacancies, the Deputy may wish to note the significant increase, in excess of 40% – an addition of 121 to 412 – over the three years to the end of 2002 in the numbers of fully qualified psychologists working in the health service. This has contributed to a significant increase in the volume of psychological services provided.
Responsibility for human resource planning, including the filling of vacant psychologist posts in each health board region, rests with the chief executive officer, chief executive officer, of each board. Each chief executive officer in managing the workforce in his/her region is responsible for determining the appropriate staffing mix and the precise grades of staff to be employed in line with service plan priorities, subject to overall employment levels remaining within the approved regional employment ceiling.
In addition to measures to increase the supply of psychologists through the implementation of the recommendations of the joint review group's report, it should be recognised that other efforts have been undertaken to improve staffing levels in the psychological services, both at local and national level. Relevant developments include the recruitment of psychologists from overseas by the health boards, the introduction of a fast-track working visa scheme for health and social care professionals, the streamlining of procedures for the validation of overseas qualifications and the devolution of responsibility for recruitment of basic grade psychologist posts to health boards from the Local Appointments Commission. Ongoing pay enhancements through the implementation of the recommendations of the Public Service Benchmarking Body will make a further contribution to reducing current vacancy levels by increasing the attractiveness of employment as a clinical psychologist in the health services.
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