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Dáil Éireann debate -
Tuesday, 12 Dec 2006

Vol. 629 No. 3

Adjournment Debate.

General Practitioner Co-operatives.

I do not intend to delay the House, other than to inquire with the HSE, via the Department of Health and Children, when the doctor on call scheme will be extended to all parts of County Louth. Many parts of the country now have this excellent service and where it is available, the service has enhanced patient care considerably. The elderly living in isolated areas have particularly benefited from the availability of doctors on a round the clock, seven days a week basis.

While the range of services provided for care in the community has grown significantly, there are pockets where the doctor on call scheme is not available. There may be local reasons and justifications for this or there may be no justifications for its not being available. County Louth has experienced a rapid population growth in the past five or six years as a result of the upturn in the economy and every part of the county needs a doctor on call service.

When the doctor on call service is available in other parts of the country, the pressure on accident and emergency departments is considerably reduced. The need for people to be rushed to hospital because of the unavailability of a doctor often means that family members must provide the transport. In turn, this brings people into accident and emergency departments who should be dealt with in a home setting. There is a clear need to accelerate efforts to put in place a full doctor on call scheme countrywide.

My interest tonight is parochial and relates to County Louth. When can we expect to have a comprehensive doctor on call service available?

The development of GP out of hours co-operatives throughout the country is an essential part of our health service policy of strengthening primary care services and ensuring that, to the greatest extent possible, care needs are met in the primary care setting. Out of hours co-operatives allow general practitioners to put in place arrangements to provide services to their patients while their surgeries are closed in the evenings, at weekends and on public holidays. These co-operatives offer responsive, high quality services, which are delivered by on duty doctors, nurses and secretarial staff in well equipped, modern clinical centres. The service can be accessed through a single lo-call telephone number in each region.

Organised co-operatives enable general practitioners to manage the provision of urgently needed care in a way that affords them reasonable off duty arrangements. This is an important resource which helps to maintain and sustain GP services provided by single-handed doctors and other smaller practices in rural and deprived urban areas. Out of hours co-operatives are now in place in all Health Service Executive areas providing coverage in all, or in part of all, counties.

Between 2000 and 2005, my Department allocated approximately €105 million to the HSE for out of hours GP co-operatives. Almost €34 million is available to the executive for these services in 2006. In 2007, a further €3 million has been allocated to meet the full-year cost of co-operative developments commenced in 2006.

North-eastern doctor on call, NEDOC, is a partnership between the HSE and participating general practices in the north east. There are 48 GPs with general medical service contracts in County Louth and 21 of these participate in the co-operative. NEDOC provides out of hours services to patients of participating practices from 6 p.m. to 8 a.m., Monday to Friday, and around the clock at weekends and on public holidays. The service was established in September 2000 and more than 400,000 care interactions have been provided to date. A recent patient satisfaction survey recorded extremely high satisfaction levels, with 96% of respondents saying they were satisfied with the service. Between 2000 and 2006, more than €15 million was allocated to the former North Eastern Health Board and the HSE for the expansion of the out of hours co-operative in the north-eastern area. This dedicated funding does not include fees paid to participating practitioners for attending patients.

There are four main treatment centres in NEDOC based in Castleblayney, Cavan, Drogheda and Navan. There are also ten peripheral centres where GPs can arrange to meet patients nearer to their homes when required. I have been advised by the HSE that the Dundalk area is not covered by NEDOC as the majority of GPs practising there have declined to join the NEDOC co-operative. There is also an insufficient number of GPs willing to participate in the co-operative to enable the executive to establish a treatment centre in Dundalk.

There is no contractual obligation on GPs to participate in these co-operatives and these GPs are providing out of hours cover to their public patients through agreed rota arrangements in accordance with their GMS contracts. The HSE has confirmed that it will continue to work towards the extension of the GP out of hours co-operative to all GP practices in the north east and, in particular, that it will continue to actively pursue the establishment of a NEDOC treatment centre for the Dundalk area.

Schools Building Projects.

I thank the Ceann Comhairle for permitting debate on this important issue and the Minister of State for coming here to reply to it. The issue relates to the need for the Minister for Education and Science to announce immediate funding so that the go-ahead may be given to the extension at St. Mary's national school in Virginia.

The town of Virginia has dramatically increased in size over the past few years. Many of its new inhabitants have bought houses there and work in Dublin. It is bad enough for them that the M3 has not been built, but the fact that their children, and the children of families who have lived in Virginia all their lives, have no acceptable school accommodation is deplorable.

The existing school was built for approximately 190 pupils and there are 315 pupils on the roll today. There are seven teachers working in prefabs where they teach approximately 150 pupils. There is no longer a computer room or library. There is no storage for all the resources needed to fully implement what the principal accepts is a wonderful new child-friendly curriculum. The principal has no office and has to use part of an old building, while 17 female teachers are using a single toilet. The rental of prefabs for the past two years was €90,000 and at best will cost a minimum of €360,000 before a new school can be finalised.

If ever there was an example of failed consultation between the housing section in the Department of the Environment, Heritage and Local Government and our education system, this is it. Surely we must not just plan for houses, but at the same time for services such as schools. It is totally unacceptable that no senior Department official has stood on the site since the application for an extension consisting of four classrooms and three ancillary rooms was made in April 2004. While I appreciate that I received a commitment from senior Department officials on Monday that every effort is being made to assess projected needs to bring us up to 2011, it is difficult to explain to parents, teachers and management why the Minister, Deputy Hanafin, has not assured more progress on such a critical issue.

The management team met the Minister in June 2005 and it is still awaiting progress. I ask the Minister of State to make sure that the assessments are finished before the end of the year so that it is included in the new year programme as an urgent and emergency need. I hope that by the end of January the Minister for Education and Science will be in a position to allow her Department to bring this to the planning stage.

I compliment the parents' association, management, principal, teachers and all the staff for the delivery of an excellent service in an extremely difficult situation. It creates difficulties for teachers and pupils, both in class and at play, but it is clearly even more difficult for children needing resource-remedial or other support teaching. It is difficult to teach normal-sized classes in such accommodation but it is impossible when five of the classes have over 30 pupils and three have over 35.

This school has a waiting list for some of its classes. Some 49% of the pupils from first to sixth class have joined after junior infants, highlighting the influx of new people to the area. Of course, they came as a result of the increased housing, which itself came as a result of planning. Situations such as this should be dealt with in advance and planning taken into account by our education system.

The people of Virginia have the proud record of providing their own secondary school in very difficult times, when the State had no money. It is unacceptable that, with the State coffers bulging to the extent the Tánaiste says there is no need for all the taxes, teachers and children should have to survive in such structures. It is difficult to explain to the farming community and small shop owners how health and safety considerations can be ignored by the Department of Education and Science when they are subject to such on-the-spot inspections under the guise of so-called EU regulations.

The Minister of State's colleague, Deputy Brendan Smith, was at the meeting last night, as was Deputy Connolly. We saw at first hand the seriousness of the situation. The school does not even have computers, which is not the way young children should be taught in this day and age. I urge him to bring a message to the Minister that this is an urgent crisis.

I thank the Ceann Comhairle for selecting this item for debate. As Deputy Crawford said, we and the Minister of State at the Department of Agriculture and Food, Deputy Brendan Smith, attended a meeting last night at St. Mary's school, Virginia. It was a very well-attended meeting and was very constructive. The parents' committee had briefed us exceptionally well and handled the meeting well.

Deputy Crawford, the Minister of State at the Department of Agriculture and Food, Deputy Brendan Smith and I made a promise to work as a team for the people of Virginia. I am sure other Oireachtas colleagues will join with us, so that it will not be allowed to become a political football. There was much debate about how the school had arrived at the situation in which it finds itself. A decision was made that that was historical and we had moved forward. The view of the meeting was that we should consider what is to happen in the future. There are reasons why the situation has got to where it is, such as the increase in population at a rate much more rapid than anybody had anticipated, the increase in new house building and poor planning by departments who did not interact and apply joined-up thinking. Difficulties that had arisen with the school were outlined and people were unhappy with the way the pupil-teacher ratio had been calculated. The school was regarded as having a ratio of 1:24 but in reality it is 1:29. With such a ratio the school would be entitled to an extra teacher. Not only were teachers taking classes but classroom assistants were brought in to make the picture look different. There are five classes with more than 30 pupils and three with 34 or more. Reference was made to the aeroplane seats into which the children were crammed, which is not a good teaching environment, whatever one might be teaching, as it is claustrophobic. The school was built for 190 pupils but there are now nearly twice as many.

Mention was also made of the external facilities, such as the way the portakabins took up the children's play space and the fact that the school faced a busy road. The primary schoolchildren can climb on to the wall, leading to a situation where three members of staff feel they must, for safety reasons, patrol the school yard daily, whereas in most schools one suffices.

It was also revealed that there was one toilet for 17 female staff, which presents health and safety difficulties and would not be accepted in any private industry, never mind in a public institution, which is supposed to be the upholder of such standards.

The collection and dropping off of children also causes difficulties. Approximately 90% of the children must cross the road at some time, because most live on the far side from the school. There is no school crossing, although Cavan County Council advanced many reasons why that had to be so. It was suggested that primary school students be trained to teach the younger children how to cross roads. That is fine if a lollipop man or woman is there to supervise the training programme, but that is not the case and the issue needs to be addressed.

One of the big issues to arise during the night was the assessment process. It was generally known by all present that the Minister had sent an official to examine the case in May 2005. How much time does it take to assess a problem as obvious as children having to attend a cramped school which cannot accommodate its students? Everyone knows that Virginia is a growing commuter town of Dublin. A better road structure will be delivered in the near future and the school has a fair argument.

I wish I could share the optimism of the Minister of State at the Department of Agriculture and Food, Deputy Brendan Smith, who said the assessment would be finished by late January or early February, when he appeared to expect positive news. I hope the Minister of State can add to that this evening.

I thank both Deputies for raising these matters as it affords me the opportunity to outline to the House the Government's strategy for capital investment in education projects and, in particular, to outline the position regarding the proposed building project for St. Mary's national school in Virginia and the situation relating to its staffing levels. It is good to see two Deputies from the same constituency working together as a team. I wish them well in their efforts.

Modernising facilities in our 3,200 primary and 750 post-primary schools, as well as responding to emerging needs in areas of rapid population growth, is a major priority for the Government. Since taking office, this Government has shown focused determination to improve the condition of our school buildings and to ensure that the appropriate facilities are in place to enable the implementation of a broad and balanced curriculum.

As evidence of this commitment, approximately 1,300 building and modernisation projects are active in our primary and post-primary schools during 2006. This year alone some €500 million is being spent on primary and post-primary projects throughout the country, compared to approx €90 million in 1997. Indeed, funding has progressively been increased in recent years with an aggregate total of over €2 billion between 2000 and 2005 and a commitment to invest a further €3.9 billion up to 2010.

I am sure the Deputies will agree that this record level of investment is a positive testament to the high priority the Government attaches to ensuring that school accommodation is of the highest standard possible. On top of this, to reduce red tape and allow projects to move faster, responsibility for smaller projects has been devolved to school level. Standard designs have also been developed for 8- and 16-classroom schools to facilitate speedier delivery of projects and to save on design fees. The design and build method is also used to expedite delivery where the use of standard designs is not possible. Taken together with the unprecedented level of funding available, these initiatives ensure that building projects are delivered within the fastest timeframe possible.

St. Mary's national school in Virginia is a co-educational primary school with a current enrolment of 309 pupils. In recent years an upward trend in enrolment at the school has necessitated a review by the Department of housing developments, demographic trends and enrolment trends in the area to ensure that any capital funding provided will deliver accommodation appropriate to the school's need into the future. On completion of this assessment, a decision will be taken by the Department and conveyed to the school on how best to provide for the school's long-term accommodation needs. A site visit will be required to inform the final brief for the project and the Department will be in contact with the school authority to arrange this at the appropriate time. Following the site visit, the brief will be completed and the project will be considered for progress in the context of the school building and modernisation programme from 2007 onwards.

I assure the House that school building projects are selected by the Department for inclusion in a capital programme on the basis of priority of need presenting, which is determined by published prioritisation criteria formulated following consultation with the education partners. The application of these criteria to capital funding submissions and the publication of the school building programme ensure that maximum openness and transparency applies to the school building and modernisation programme. Most importantly, this approach ensures that all schools applying for capital funding can know how their applications will be treated and when they are likely to progress.

The mainstream staffing of a primary school is determined by reference to the school's enrolment figures on 30 September of the previous year. The number of mainstream posts is determined by reference to a staffing schedule that is finalised for a particular school year following discussions with the education partners. The staffing schedule is set out in a circular that issues from the Department to all primary school boards of management. Accordingly, all boards are aware of the staffing position for their schools in any school year.

The general rule is that the schedule provides at least one classroom teacher for every 28 pupils in the school. Schools with only one or two teachers have much lower staffing ratios, with two teachers for just 12 pupils in some cases and so on. Next year, this ratio will be reduced to 27 children per classroom teacher.

On 30 September 2005, St. Mary's national school had an enrolment of 278 pupils, which warrants a staffing for the 2006-07 school year of a principal and ten mainstream teachers. The school also has the services of one permanent learning support-resource teacher and one temporary language support teacher.

Within the terms of the current staffing arrangements for primary schools, there is provision for additional posts, referred to as developing school posts, to be assigned to schools on the basis of projected enrolments for the next school year. A developing school is defined as a school where the enrolment on 30 September of one year is projected to exceed the enrolment of 30 September of the previous year by a specified minimum numerical increase and by having an excess of five pupils above the required appointment figure.

I am pleased to inform this House that one such developing school post was sanctioned by the Department at St. Mary's national school for the 2006-07 school year based on an enrolment of 309 pupils. In the circumstances, the Department is satisfied that the school's staffing levels are consistent with its needs and nationally agreed protocols. I assure both Deputies that the Department is anxious to move ahead with the school's building project and every effort will be made to finalise an accommodation brief so that the project can move to the next stage.

Landslides Prevention.

I thank the Ceann Comhairle's office and the Leas-Cheann Comhairle for this opportunity. I also thank the staff of the House and the Minister of State for staying late to hear what I have to say.

I do not know whether the Minister of State has been in the town of Cobh. If not, I invite him to visit. The town is built on a series of hills and, consequently, is susceptible to landslides. In the past 25 years, the town council has raised with the Department of the Environment, Heritage and Local Government the potential danger to human life caused by landslides. To be fair, the Department has provided funding to Cobh Town Council to repair damage caused by landslides and to carry out works to stabilise slopes. While these substantial and recent works were funded 100% by the Department, a number of areas continue to give rise to concern.

In 2005, JODA Engineering Consultants prepared a report outlining some of the areas where it was believed that further work was necessary. The report has been forwarded to the Department's officials. The town council understands that the opinion of the Department is that a full review of the landslide programme must be carried out before further funding can be sanctioned by the Department of Finance. While the council has no difficulties with a review of that nature, serious concerns have been expressed that it may give rise to a delay in dealing with the issues raised in the JODA report. The report identifies a number of locations where work is urgently needed, including Harbour Terrace, Harbour Road, Connolly Street and a number of smaller projects. Many of the necessary works have been costed and requests for sanction to carry them out have been submitted to the Department.

Since the report's completion, two further areas have experienced landslides. On 18 November, a serious landslide occurred on West View, resulting in the closure of the public road. JODA has reported to the council regarding the danger of further landslides with the potential to affect the safety of persons and property, including a number of houses. The council has also been advised of a rockfall on the grounds of Belview national school, giving rise to concerns about the safety of the children attending the school. It should be noted that neither West View nor Belview was prioritised by JODA in its report.

On foot of representations by concerned residents, members of Cobh Town Council have consistently raised this issue at council meetings. Councillor Paddy Whitty rang me this morning as I made my way here. Councillors are aware that a landslide in 1980 resulted in the tragic death of a child and are concerned that a similar occurrence is possible.

I do not know what is in the Minister of State's prepared script, but I ask that he take the matter seriously and ask the Department's officials to examine the case of Cobh. Having heard what I have said, he would agree that the matter needs urgent attention before a serious landslide resulting in injury or death occurs. We want to avoid such a situation if possible. Owing to the recent heavy rains, the issue is even more urgent because they can lead to further landslides, as the Minister of State knows. We have experienced tragedies in the past and I ask the Minister of State to use his good offices to prioritise this issue.

I thank Deputy Stanton for raising this matter. I am standing in for my colleague, the Minister for the Environment, Heritage and Local Government, Deputy Roche.

The urban area of Cobh is unique in terms of its geological and structural problems. The geology of the area is limestone shale, which has become unstable in certain areas following excavation and weathering. This instability has been exacerbated by the manner in which Cobh developed, particularly in the 19th century. As a result of the construction of the naval dockyard and supply port at Haulbowline, the population of the town grew from a few hundred at the beginning of the 1800s to 7,000 by 1837. Demand for accommodation meant that hillsides were excavated to create building space and access roads. This activity resulted in steep slope faces and rock faces of up to 90 degrees behind houses. The excavated stone was used to construct the houses, roads and retaining walls. Those retaining walls were generally substandard.

Following a fatality caused by a landslide in 1980, the Department has given considerable financial assistance towards remedial works undertaken by Cobh Town Council to strengthen areas susceptible to landslides. The assistance takes the form of 100% grants subject to prior approval of the remedial works by the Department. Since 1980, grants of more than €4 million have been paid to Cobh Town Council.

I assure the Deputy that while the Minister shares his concern about the situation in Cobh, he must also be satisfied that works to be undertaken from public funds are cost effective and properly prioritised. The existing Department of Finance sanction allows the Department of the Environment, Heritage and Local Government to recoup expenditure to a limit of €4,285,366.

As there has been an ongoing programme of works during almost a quarter of a century, periodic review is important. It is now desirable to quantify the number of projects left to be completed, the estimated completion date and the potential final cost. Cork County Council will take the lead in this review. I understand that a draft brief for the engagement of a specialist adviser in connection with the review has been endorsed by the Department subject to some adjustments. Cork County Council has also been advised that if it is of the opinion that immediate remedial works are essential in the interest of public safety, the Department is prepared to consider a proposal from it.

Cork County Council is free to commit its own resources to meet such works as it considers necessary. In this regard, the Minister has announced increased local government fund allocations of almost €948 million in general purpose grants to all local authorities, including Cork County Council and Cobh Town Council. Next year, Cork County Council will receive €54.8 million from the fund, an increase of more than6%, while Cobh Town Council will receive more than €1.3 million, up almost 8% on its 2006 allocation.

The Dáil adjourned at 11.30 p.m. until 10.30 a.m. on Wednesday, 13 December 2006.
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