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Seanad Éireann debate -
Wednesday, 28 Jan 1970

Vol. 67 No. 11

Health Bill, 1969: Committee Stage (Resumed).

Debate resumed on the following amendment:
In subsection (5), line 35, before "and" to insert "for the purposes of considering and if thought fit passing with or without amendment" and in line 37, before "has" to insert "or the draft as amended".
—(Senator FitzGerald.)

I have every sympathy with the Minister's point of view on this. That he comprehends our point of view is illustrated by the fact that we are having a debate on this subsection which, and I am open to correction here, is a precedent. I do not know of any other example of a section in which there is provision for draft regulations. It is only right that the House should face up to the implications of the subsection. The Minister made one point and, having listened to him, I felt that I should have been more critical in regard to my own draft. I had not fully faced up to the implications of amendments in one House which are not to be reconciled with amendments of another House. None of us wants to propose amendments which would create a mess; certainly I do not. If the Minister wished to have a debate resulting in amended regulations which did not have an element of disorder in them, this could be done by providing the order in which these amendments would be taken, that the section or subsection in question could, in fact, provide that the regulations should first come before the Dáil and then be considered by this House when amended by the Dáil.

Perhaps, I am a novice in this and, perhaps, this would require an amendment of our Standing Orders, and, perhaps, an amendment of the Standing Orders of the Dáil, to deal with what would be a new kind of procedure. I have been looking through Standing Orders to see if there is anything in them to cover this kind of situation and there does not seem to be. However, there could be, and it might be the duty of this House to amend Standing Orders accordingly if this amendment were passed. I hope I do not sound too legalistic but we are dealing with the law and, therefore, I suppose one is allowed use this kind of language. I also feel, and every Member of the House will share this feeling with me, that this House should not simply be a target for abuse, for the suggestion that we are a useless body, for questions asking what is the purpose of this body and how much does it cost or what are its functions. We would all like to feel that we are doing a useful job for the country. We do not want to destroy the cool, quiet, friendly atmosphere which we have and which we all like.

The Minister is wrong if he thinks that the only kind of problem he will be faced with in relation to draft regulations will arise from a conflict as between one locality and another. I spoke on Second Stage of this Bill and the Minister knows my position. There is no question of it being in conflict with the opinion of my party and I did not make my speech without getting the guidance of my leader so that I might express my view. Regulations might come before the House which to a large degree would commend themselves to me but yet might contain elements to which I might object for as strong reasons as I support the Minister's policy in relation to health but which to the officials who advise him would not be understandable but might have some justification.

I do not know whether I made myself clear when trying to make the point that we have great respect for our civil servants, and long may we retain it, and that is not just said for the purpose of pleasing anybody who may read or hear what I say. It is true, but not all the wisdom in the world is mustered behind the Minister and it would be very unwise guidance if those who advise him thought that all the wisdom in the world is mustered behind them. The regulations we may be faced with may be as defective as the rules set forth in the Second Schedule are defective, so defective that unless I were to retire from what I am otherwise doing I could not set about drafting amendments.

There are all sorts of things which seem to me capable of giving rise to great trouble and I hope that, when we come to deal with the Second Schedule, there will be some clarification. I gave some examples. There is nothing to prevent the Minister appointing the entire Cabinet to membership of the health board. There is nothing to prevent him appointing a sufficient number of Senators and Deputies to the health board. There is nothing to prevent him maintaining on the health board or removing from the health board established criminals or lunatics.

These are the rules submitted to us after great care and consideration. We may be presented with regulations which will have similar defects. We may favour the general trend of the regulations, but with the kind of defects about which I spoke, and because they will have these defects, we will be forced to vote against the whole set of regulations despite the fact that we approve of the general trend. Why should that be so? If the Minister merely wants to have a situation in which the ordinary kind of debate will take place—the test being that in one case you need a motion to have a debate and, in the other, it must be passed by the House—this is too high a price. It will be safer, wiser and better if the Minister, in fact, amends this and puts it back into the ordinary form in which he would put regulations which are to be annulled. There are two points about this. As I understand the law with regard to the Executive, the Executive has only such power as we in the Legislature give it and the Minister has only such power as we in the Legislature give him. It may be that he will have power to re-submit draft regulations. I do not know. It is not expressed here. I should like the Minister to consider this matter between now and the Report Stage. I know that in the case of particular sections of the 1953 Health Act the Minister at the time was advised that he had no powers to revoke the orders he made and the Minister had to introduce a new Act for the purpose of getting such powers.

The word "draft" used in this legislation must have meant that it was to be given a particular interpretation and draft regulations must be different from other regulations. The word "draft" must be given a meaning. What if someone, having a grievance against a health board, proceeds to argue that the powers being exercised are defective because they are exercised pursuant to draft regulations which were not treated as draft regulations? The courts are not allowed to listen to or to read what we say, which is very bad for them, and, in endeavouring to construe legislation, the fact that we had a debate as to what draft regulations are would not be looked at by the judges. It would be better business not to depart from well-established precedent. Such departures very often have unforeseen consequences. If this amendment is not accepted then there should be some provision making it quite clear that our position is that we simply have the right to annul the regulations and nothing more.

Amendment put.
The Committee divid ed: Tá, 15; Níl, 30.

  • Belton, Richard.
  • Boland, John.
  • Butler, Pierce.
  • Desmond, Eileen.
  • Dooge, James C.I.
  • Dunne, James.
  • Farrelly, Denis.
  • FitzGerald, Alexis.
  • Mannion, John M.
  • O'Brien, Andy.
  • O'Brien, William.
  • O'Higgins, Michael J.
  • Owens, Evelyn P.
  • Quinlan, Patrick M.
  • Reynolds, Patrick J.

Níl

  • Ahern, Liam.
  • Alton, Bryan G.
  • Bourke, Mary T.W.
  • Brennan, John J.
  • Brugha, Ruairí.
  • Cranitch, Mícheál C.
  • Crinion, Brendan.
  • Doyle, John.
  • Eachthéirn, Cáit Uí.
  • Farrell, Joseph.
  • Fitzsimons, Patrick.
  • Flanagan, Thomas P.
  • Gallanagh, Michael.
  • Garrett, Jack.
  • Hanafin, Desmond.
  • Honan, Dermot P.
  • Jessop, W.J.E.
  • Keery, Neville.
  • Killilea, Mark.
  • McElgunn, Farrell.
  • McGlinchey, Bernard.
  • Nash, John J.
  • Norton, Patrick.
  • Ó Maoláin, Tomás.
  • O'Sullivan, Terry.
  • Ryan, Eoin.
  • Ryan Patrick W.
  • Ryan, William.
  • Sheldon, W.A.W.
  • Walsh, Seán.
Tellers: Tá, Senators J. Boland and William O'Brien; Níl, Senators Brennan and Joseph Farrell.
Amendment declared lost.
Question proposed: "That section 4 stand part of the Bill".

This is the section that establishes the various area or regional health boards. As I mentioned on Second Reading, every Member has been circularised with tentative proposals of administration. I shall not repeat what I said then. That is not my intention now. The Minister has at various times indicated that he would like to see these boards established some time in the autumn of 1970 and that they would become operative, I expect he means, in the financial year 1971-72. I wonder what business or function these boards will be carrying out within that six months? Will they have anything assigned to them? Will they in any way interfere with the running of the current boards? Will there be any liaison between the current boards and these regional health boards?

There are two aspects of this, one that will be dealt with in detail later but I shall advert to it now, that is the aspect of continuity of boards. I do not intend to enlarge on this, but the continuity of staffs of the boards makes for more smooth running of the board.

It does not arise on this section. We shall never get this debate concluded if the Senator is going to refer to matters that arise on other sections.

I am finished on that point now. I should like to know who will produce the estimates for 1971-72? Will it be the new regional health board or will it be the current health authority or will it be the new bodies that will constitute the new health board?

The regional health boards will prepare them in collaboration with the existing health authorities and they will be engaged in looking at the schedule of work they will be able to do, examining the orders passed by the county managers, the heads of the old health authorities, in relation to matters other than eligibility, charges, the remuneration and terms of service of staff. They will be getting a compendium of information from my Department on the general characteristics of the regional areas over which they will have jurisdiction. They will be given information and statistics so that they will be able to see the whole spectrum of their activities. I imagine they will also be considering the kind of committees they might want to appoint, which have to have my consent. There is a mass of planning work in which they will be engaged before they finally come into operation. I thought it was a very good idea to appoint them in advance.

I do not dispute that. I agree with the Minister in that.

We will also have some management advice made available to them as well, not to dictate what they shall do but to help them in management practice in relation to the health authority, the kind of activity which they will normally leave to the chief executive officer. They will be discussing the general framework of policy, the budgetary policy for the whole area, all this kind of thing.

I am sorry if I have to intervene again but I did not catch the Minister's reply about the preparing of estimates for 1971-72.

The regional health board and the existing health authorities will have to collaborate to prepare the first regional health board budget. That will be quite a complex business but I am certain that the accountants with the present health authorities and the existing county managers or the heads of the Cork, Waterford and Limerick Health Authorities will be able to do that. That will be largely a matter of accountancy and establishing what the total cost will be for the whole area and then looking at any extensions of service and so on. It could be very difficult but with the help of a competent local civil service I do not think the transfer will be too difficult in the first year provided I can get these boards established in time so that we will have an opportunity of studying all this.

I am grateful to the Minister for his answer, but the first chairman of the Dublin Health Authority spent six months carrying out actual work; it may appear simple but it is not all that simple.

I did not say it was simple. What I said was that with the help of what I regard as an excellent team of officers they can collaborate.

On the Second Reading of this Bill I mentioned that it would be appropriate if a health board which happened to have a medical school in its area had some member from the medical school as a member of the board. I had in mind putting down an amendment to this effect before the Committee Stage. But I was very glad the Minister referred to this in his reply to the debate and gave an assurance that he would bear this in mind when making nominations to the health board. I am very glad to have his assurance and I thank him for it.

Question put and agreed to.
SECTION 5.

I move amendment No. 11:

In page 5, subsection (1), before paragraph (c) to insert the following new paragraph:—

"( ) A health board may erect, acquire, purchase, convert or reconstruct, lease or otherwise private dwellings, including houses, flats, maisonettes and hostels (and such dwelling may be temporary or permanent) for persons employed or to be employed by the board."

We shall be able to dispose of this amendment fairly quickly if the Minister can answer some queries on it. The real reason why we put it down is that as far as I could ascertain in reading the Bill there does not appear to be power for the new health board to do any of the things that are listed in the amendment. I could not find any power for them to purchase new buildings that they might need, for instance, to house their nursing staffs, even to provide extra accommodation which will certainly be needed for the new administrative areas. If the Minister can assure me these powers are there I shall gladly withdraw the amendment but, if not, we would have to discuss it.

I do not blame the Senator for asking this question. There is a great deal of legislation which has not been repealed, the 1947 Health Act and the 1953 Health Act. Section 105 of the 1947 Act could be adapted to apply to this Bill: a health board "may, with the approval of the Minister, and shall, if the Minister so directs, provide and maintain residences for the use of officers appointed or servants employed by them."

That gives the new health boards the power?

Amendment, by leave, withdrawn.

I move amendment No. 12:

To add to the section the following subsections:—

"( ) The Minister may by order, on the application of a health board, amend the Rules set out in the Second Schedule applying in relation to the board.

( ) A draft of an order which it is proposed to make under this section shall be laid before each House of the Oireachtas for the purposes of considering and if thought fit passing with or without amendment and the order shall not be made until a resolution approving of the draft or the draft as amended has been passed by each House."

I put this amendment down so that the Minister and his advisers could consider the matter. In my own personal experience it is extremely undesirable to have any body constituted without a carefully designed system of amending its constitution. I think these rules are deficient. Perhaps I am going to be educated when the Minister comes to deal with the Schedule by being made aware of existing provisions or statutes that will correct deficiencies that, on our first reading of these rules, seem to be there. The one that strikes me most is that there does not seem to be any power of borrowing. Perhaps this is in the Health Act of 1947.

Section 32 of the Bill.

I am grateful to the Minister for that, but while that section can now be cited to me, it may be I would be drawing attention to a deficiency in the rules which did in fact require repair. We are pioneering a very important development. We do not know the difficulties that may lie ahead. If we read our legislation of the past we will find many sections which have never been used. We do find that amending legislation is necessary in relation to bodies such as those to be established under this Bill, when enacted. It may be found that various matters will require clarification. For example, what is a "casual vacancy"? These words have gone through law courts for over 100 years. Under the Companies Acts, there is a different interpretation of "casual vacancy". What is a "casual vacancy" under these rules? It might be found desirable to define "casual vacancy".

I am now arguing that the Minister should have power to make and vary the rules set forth in the Schedule so that if he finds he has difficulties he does not have to come back to the Oireachtas for a new Act but can make an order altering the rules; in like case, any other order he makes under any other section. It is not usual to find me pressing powers upon Ministers but this is a power I want to press on the Minister for Health. I have never known a body of any kind which did not find itself in difficulty if it did not have power to amend its constitution. We are creating new bodies here. It means that the constitution cannot be altered without coming back for a new Act of Parliament. To me, this seems expensive and unwise.

I will give a qualified assent to the proposed amendment. Subsection (2) of this section 5 reads as follows:

The Minister may, by order made at the request of a health board, substitute in relation to that board a different rule for any of the following rules set out in the Second Schedule, namely, rules 15, 17, 20, 21, 22, 23.

Furthermore, any amendment is being done by order and orders, I take it, under the Bill are not to be laid before the Houses even under the rule.

I agree with Senator FitzGerald that it seems a very odd provision, in view of what the Minister said earlier on section 2 about the importance of being free to deal with minor points without legislation, that certain rules should now be laid down by Act and can be ended only by Act. The sensible approach would be that any of these rules might be amended by order but I should like the draft of the order to be laid before both Houses of the Oireachtas, subject to the ordinary 30-day rule.

I would not go as far as Senator FitzGerald's amendment seeks to go by widening the scope of the debate on orders.

This is a complex matter. The concept of "casual vacancy" has been accepted as it has occurred in a great many other Acts of one kind or another. I do not think there is any difficulty about interpreting it. Following the practice over a period. I do not think we need to define "casual vacancy" any further in relation to a great deal of our legislation.

I have already dealt with the powers to borrow. Senator FitzGerald raised a number of matters in relation to which he thinks the Second Schedule should be altered; perhaps we had better wait until we reach it. As I said in the Dáil, a great many of the rules in the Second Schedule should consistently be applied to all the health boards. Neither I nor the health boards should be allowed by the Oireachtas to vary the general character of the health boards. In response to a request by Deputy Richie Ryan, I introduced an amendment and, as the Seanad will see, section 5 (2) provides arrangements whereby, at the request of a health board, different rules can be provided that are specified in number.

I do not think there should be any variation in relation to the method of electing the local authority representatives. It might give one political bloc in one regional health board a greater preference or a greater privilege than they could obtain in another health board; I do not say it would be likely to happen. Nevertheless, there should be consistency and that would be the general basis for the election of professional members; it should be reasonably uniform for the entire country. This means that a general framework of rules should be set up.

If we turn to the Second Schedule, variations can be made, with my consent, in relation to a number of rules. There can be variations in relation to the quorum. The boards can make arrangements for the election of chairman and vice-chairman—No. 17. There are a number of them; the House can read them. There are arrangements in relation to proceedings at meetings. There are four rules in that respect where there can be some variation by the board, subject to my consent. With regard to all the other rules, I consider that there should be consistency of practice. I understand why this amendment was moved but I do not think I can accept it as I wish to have consistency.

I shall be withdrawing this amendment with a view to possibly re-introducing it on Report Stage but I hope the Minister will give it further consideration, at least the first part. He has already stated his objection to the second proposed subsection. On the point of consistency, assuming for a moment it is desirable that the rules regulating the regional boards should be exactly the same—a matter which I am not convinced is necessarily right for the good administration of the health service generally—if the power is given to the Minister he can see that there is no inconsistency in the proposed rules. This may be his reason for rejecting the proposal because it would give rise to an inconsistency of which he does not approve but to be given the power to amend cannot be wrong from his point of view. It cannot give rise to inconsistency unless he inconsistently approves of different alterations in the different health boards.

I am withdrawing the amendment in the hope that the Minister will give it careful consideration. I have come across cases where bodies have come to an absolute impasse and a great loss suffered because there was no power to amend the rules. The Minister is putting himself and his Department in the position of having to introduce a new Health Bill, to get it passed in the Dáil and in the Seanad, if he does not take the powers proposed to him by this amendment which I am now withdrawing.

Amendment, by leave, withdrawn.
Question proposed: "That section 5 stand part of the Bill".

I wish to raise a point of explanation. In the constitution of the health boards there will be certain people appointed by election and so far as I can see they are not subject to regulations that permit the Minister to dismiss persons from the board. However, the people being appointed by the Minister for the first session of a health board, until 1972, will be the forerunners of the people to be elected and who will actually be nominated by the Minister following the democratic process of election by the medical profession and ancillary services in the area. They will be subject to Rule 13 whereby the Minister could rule from the board. While the medical profession is most conscious of responsibility for getting health boards off the ground and of good relations between the different branches, the local authorities, the medical service, and the Department of Health, there would be greater confidence in the medical profession if people who were appointed from their ranks were independent of ministerial favours and this same point will apply later so far as regional hospital boards are concerned. I should like if people coming from the ancillary services in the medical profession were excused from Rule 13 of the Second Schedule.

Senator Alexis FitzGerald withdrew his amendment so rapidly that I wish to raise a point on the section in regard to rules. I am rather baffled to find the Minister so anxious to tie his hands. In regard to the sacrosanct nature of the rules, I draw his attention to the second part of Rule 2 in which it is stated:

...one member falls to be appointed to a health board, he shall be appointed at the appropriate meeting by a majority of the votes of the councillors present at the appointment,

whereas Rule 28 states:

All acts of the board and all questions coming or arising before the board may be done and decided by the majority of such members of the board as are present and vote at a meeting of the board duly held according to law.

There is a vast difference here and I think the first rule is not as clear as Rule 28. What is meant by a majority of votes of councillors present? This is one of the expression that can frequently give rise to trouble and it is a pity this has occurred when so much care has been taken in Rule 28 to give a precise definition.

I shall have a look at this when we are dealing with the rules.

I was merely making a case to show how dangerous it is to consider rules absolutely sacrosanct.

Dealing with the point raised by Senator Alton, I could put in an amendment on Report Stage whereby I would not terminate the appointment of a person except, of course, if he were removed from the medical register or some such circumstances.

That would be satisfactory.

I do not mind doing that and it would only apply to members of the board whom I appointed. It would place the professional group in a consistent position with local authority groups and I have no objection to doing that on Report Stage.

Question put and agreed to.
SECTION 6.
Government amendment No. 13:
In page 6, subsection (1), line 4, after "than" to insert "as".

This is merely a drafting amendment. The county council act as both sanitary authority and health authority and the purpose of the amendment is to make it clear that the functions performed as a sanitary authority will remain with the council.

Amendment agreed to.
Section 6, as amended, agreed to.
SECTION 7.

In view of the division on amendment No. 8 we are not pressing amendment No. 14.

Amendment No. 14 not moved.
Question proposed: "That section 7 stand part of the Bill."

On Second Reading I spoke at some length about the functions of these local committees and the Minister might have noticed that in the Fine Gael amendments, where we were concerned about the method of appointing people from Dublin Corporation to the health boards and trying to provide that members of the dissolved corporation would be entitled to be appointed, we did not enter the same amendment as the Labour Party in relation to section 7. The reason was that we did not think it very important because, as the Bill stands, we could not see what useful function these local committees were going to serve. I asked the Minister on Second Reading to consider giving these committees some real work to do and I pointed out that the 1960 Act provided that the constituent local authorities in the Dublin health area could appoint committees, which they did. In a short time these committees ceased to function for the simple reason the members realised they were wasting their time and had nothing to do.

I do not see how in section 7 any real authority is given to any of the members, or potential members, of these proposed committees and I should like to hear the Minister's views on this. I think the section was slightly amended in the Dáil in relation to sub-section (5) (a) to oblige a health board to consider any advice tendered to it by a local committee but if this is the best the Minister can do as regards giving teeth to a local committee it is not very much. The committee cannot make any real decisions; all it can do is make recommendations and it was a bit disappointing to see the Minister only feeling in a position to go as far as to decide that the health board would have to consider whatever advice was given to it by a local committee.

I understand that there are one or two health advisory committees that have operated very well. It seems to me that this is a matter of what intensity of feeling there is in a county council that there should be an advisory committee and how much they really want to survey the work of the regional health board in a particular county council or borough area. It seems to me that this is a matter of willingness to do the job. The health committees themselves could receive deputations from various bodies in a county in relation to any views they have about the operation of the health services so far as they are concerned. They can ask of the health board that an executive officer attend their meetings. They can require him to give such reports as they desire on the operation of the services. There is nothing to stop them asking the health board to prove that in respect of any one decision made the very best possible service is being given in the area in respect of that service. There is nothing to prevent them, through their own officer, collecting a series of complaints during the year in regard to defects of service and referring them to the health board. This is really a matter of communication.

I thought the House would accept that in the last ten years facilities for communication or belief in local groups communicating has grown enormously. Some of it is effective, some of it is foolish, some of it is most unwisely conducted but there is a great deal of growing communication partly through the growth of the communication media, partly through better education and partly through the fact that government has become so complex and so difficult that a great many intelligent people in every local area see that they need to express their view and somehow their point of view must reach the nearest large unit of administration and then must move upwards. They certainly do not fail to make their views known both to the smaller unit such as the regional health board by parliamentary question in the Dáil to the Minister for Health. This is really a matter of what might be described as local "zizz". If there is local "zizz" these health committees can be extremely effective. If nobody is interested they are undoubtedly useless. I differ from Senator Boland in believing that if you can just get even four or five people on a county committee who are interested in having a practicable, sensible report on the health services in the county or the corporation area good work will be done and they will be useful to the regional health board. I cannot say more about it than that.

It was rather a personal opinion of mine but the House will be dealing with that under section 6 and, perhaps, some other section.

Some of the functions heretofore administered by the county council and the sanitary authority are being transferred to the new health board and the remaining functions of the sanitary authority are being left with the county council to administer. These new local committees will in the main consist of members of the county council with officials of the council and some medical people. One of the things that struck me was that many difficulties will arise because of this splitting of the functions of the sanitary authority and the feeling in many parts of the country that the health board should administer all the sanitary functions and the feeling in other parts of the country that the sanitary functions should not have been interfered with at all. I am more inclined to agree with the former. I rather thought that the Minister might usefully have looked at the suggestion that the local committees would have acted as the sanitary authority and in this way have had some linking-in of the functions of the sanitary authority with the functions of the health board. It would, to some extent, clarify the position of health inspectors who used to be called sanitary inspectors and will, when this Bill becomes law, once again be sanitary inspectors but without any reference to the area health board.

Many people are apprehensive that there will be a lot of confusion in regard to this and, indeed, the business of being a sanitary authority in this quickly changing and developing era is one that will be of greater importance especially in the more urbanised areas. A committee such as this which, as I suggested the week before last and earlier tonight, will not have very much to do, might be an ideal one to be given the very complex and onerous task of being a modern sanitary authority in a modern age.

I would feel that the local committees should be a very important link in the chain getting down to the grass roots and I feel they have very important work in that they can communicate the problems of health services in the local areas to the appropriate area health board. I should like to query the Minister if I may on one point. I understand that membership will be specified in regulations and I hope that the Minister can give us some idea of what the spread will be. It is mentioned that local authorities will have more than half the representation. Will the remainder be a similar type of spread as occurs in the area health board?

A memorandum was issued to all Members of the Dáil and Seanad giving the approximate constitution and initial proposals for the constitution of the health boards and the constitution of the health boards will come again before the Seanad in the form of draft resolutions.

I am sorry; I did not make myself clear. I really meant to ask would the local committees be the same type of thing as the health boards with county council members and some professionals, right through the list like that.

That is correct, yes.

I should like to join Senator Alton in welcoming the establishment of these local committees. When speaking on Second Stage, I indicated a basic problem we face in our society at the moment. While we have larger and larger administration areas, there is the problem of maintaining some form of local contact point, some form of local forum, where there can be discussions of problems which affect every citizen from day to day. I feel these local committees can serve this function. I am disappointed that someone like Senator Boland regards this function as not an important one or as something that does not mean very much. In fact, it seems to me extremely important that this opportunity should be there for local discussion. I feel it is no small matter for a local committee to be able to advise a health board about the working of the health services in their area. I might go so far as to suggest that in the course of the discussion on other sections of this Bill today I was somewhat disappointed by the approach of many Members who are also members of local authorities. It seems to me that in his approach to this section Senator Boland is showing some of these traits which disappoint me. I am not a member of a health authority——

——and have no vested interest in the matter but I feel that one of the problems about people who become members of any body is that their attitudes tend to become focussed on the procedures of that body; their thinking tends to become fossilised and institutionalised. Particularly if they are politicians, they tend to think that the only way in which a job is done is when somebody has to stand up and have his vote counted. Constantly, too, they are thinking in terms of people either complaining to them about decisions which have been made or of people who are likely to land up on their doorsteps looking for benefits of one kind or another.

I would suggest that it is this type of attitude which leads people to be sceptical and cynical about these local committees, because with a local committee which provides purely an advisory function there is no reason why it should act in this stodgy way of thinking merely in terms of head counting and so on. It can sit down and do a proper constructive job discussing the problems of the area and passing on its advice. I think that it is in this new spirit, this post-Devlin spirit, that we must be thinking about legislation as it comes before us.

Miss Bourke

We have not discussed that on motion yet. We are waiting for it.

I hope that I have made all the suggestions I can to indicate that I favour discussion of this report at a later stage. I am happy to see that the Senator and other Senators have had an opportunity to study the Devlin Report and see the type of thinking that is there and think over the report and do, as I hope many of them will do, in order to apply it to the pieces of legislation that may come before us meantime. This type of legislation needs a complete change of attitude, and it is important that in the health boards and on these committees the people who are elected by the local authorities should cease thinking in narrow local terms and think more about the general problems of the people they serve and try to get away from this idea of worrying about complaints about the rates or local grievances and local politics.

It is about time that people on committees when matters come up for discussion thought more in terms of asking "Can we deal with this efficiently and effectively? Is it a realistic proposition comparing the benefits and the costs?" and then to be prepared to say equally to people "Look, we have achieved this for you and it will cost so much." That is the fact of the situation, rather than going to person A. and saying "We have got you this benefit" and then going to person B. and saying "It is terrible that this has cost us so much". I think that people will have to be single-minded in their approach to the committees and the boards of this Bill and bring a constructive approach to the debate, so I very much welcome these bodies and I hope that this section will be adopted.

I thoroughly agree with the distance that the Minister has gone in this. A lot of people feel that there should be more teeth in local bodies like these, but if you give more teeth to local bodies you will find them either overloading or in conflict with the parent body. To act in an advisory capacity on the part played by the health board is, I think, as far as they should go, and if the Minister goes further then they would be usurping certain functions of the health board and would come in conflict with it. To that extent this section as it stands at the moment is the right way.

It is very obvious to the House that Senator Belton and I are in disagreement about this. We have discussed this section privately on several occasions. It is my feeling that the local committees might be given some functions which the health board will administer. They might instead be given, as I suggested, some of the functions of the sanitary authority. On this I did not get the Minister's reaction at all. I did not intend my comments about membership of the local committees to be taken up and adopted by Senator Keery in the way he did in an attempt to justify his suggestion last week on the Second Stage that politicians should not have control of the health boards, and I do not intend that my remarks should be used by Senator Keery in that way. I was at some pains, and went to great lengths——

If the Senator will go to column 939 of the debate of 15th January he will see precisely what I did say.

I was at some pains last week to point out the value and the merit of the contributions of the local authority representatives acting as the health authority over the years and the very great debt we owed to them for the manner in which our health service has evolved. I read Senator Keery's speech several times, and at column 938 he said "I still wonder whether it is entirely desirable that the major voice on these bodies should be that of the representatives of the local authorities", which is a little cry from today's speech where he represents himself as being an advocate of the local authority members, a little bit away from his suggestion last week when his own colleague, Senator McGlinchey, had to come out and defend members of local authorities who had worked so hard over the years to provide proper health services.

I do not blame Senator Keery. I welcome the fact that he has now been educated and sees the valuable contribution which members of local authorities have given in relation to developing our health services. All that I am asking is that they should be given some function, some purpose, in future. I refer to the members who will not be members of the new health boards, but I hope that their contribution and their merit will be recognised and suitable opportunity be given to them by giving them something further to do. I said last week, and I repeat it, that these men have something to offer. I am quite convinced that, after the Minister went around the country and met them, he knows that they have something to offer, he knows that they—from all parties—are only too anxious to contribute to the development of our health services and the evolution of a proper system of local government. They are men who will work tirelessly and endlessly for no reward, like any Member of this House, in an effort to provide better services for our people.

I again ask the Minister to investigate between now and the Report Stage who will have responsibility for the sanitary functions, which obviously are going to become much more important and to create a great deal of difficulties between the health boards and the local authorities. For instance, it will be generally recognised that pollution is something which is injurious to health—the pollution of the atmosphere and of our rivers. The control of pollution, the little legislation we have, is a matter for the sanitary authority and should remain a matter for the sanitary authority. If this local committee were dealing with it, it could seek and get advice from the health boards and the district medical officers and it would be fulfilling useful health and sanitary functions. This is what I was talking about and that is why I have risen again to make my position quite clear. I do not intend to allow myself to be used as a whipping boy to get Senator Keery off the Seanad electoral hook.

Question put and agreed to.
SECTION 8.
Government amendment No. 15:
In page 7, between lines 4 and 5, to add the following sub-section:—
"(2) Membership of a committee appointed under this section may, with the consent of the Minister, include persons who are not members of the board".

This is a clarifying amendment arising out of a point raised by Senator Jessop on the Second Stage. He raised it on 15th January at column 909 in the Seanad Official Report. This is in order to enable members of a committee appointed under the section to include persons who are not members of the board, with the consent of the Minister. This is in order to get a greater variety of expertise in those members who can be appointed to the board.

I think that this is a very good amendment and I certainly agree with it.

I welcome the amendment. It is related to points I was trying to make on the Second Stage and on the last section.

An Leas-Chathaoirleach

The Senator should not go too far in that direction. If he made the point on section 7 he should not make it again on section 8.

I know you will have no hesitation in interrupting me if I stray from this section. The point I welcome is that membership of a committee appointed under the section may include persons who are not members of the board. This is very important. It should be possible to bring people into discussions of committee considerations who are not necessarily local authority members or members of the board, so that expertise can be introduced. I should like to make the point that we do not in any way underestimate, as Senator Boland suggests, the work and the contribution of local authority members. I know they have worked themselves to the bone during the years, but my question is whether they have worked themselves to the bone doing the right sort of thing.

The difficulty is that the expertise of local authority members tends to be solely in terms of explaining away rate increases or finding the answers to local problems. If we take the example of a health board or a local committee, they may be discussing the control of pollution. The tragedy is that very few local authority representatives had the time or the facilities to study matters like the control of pollution, which is the sort of thing they should be doing in an improved society.

An Leas-Chathaoirleach

The Chair is rather concerned here. The Senator is making a distinction between members and non-members of local authorities whereas the amendment relates to persons who are not members of the board.

The point is that the majority of board members will be local authority members and I am welcoming the proposal that when committees are set up under this section they may include persons who are not members of the board. This widens the scope of the matter and allows the opportunity to bring in expertise from outside. I was explaining why I welcome this, without, in any way belittling the role of local authority members. If Senators consider my remarks further they will realise that I am concerned with the general role of local authorities and the working of local government which I regard as a serious problem in our society as it is developing.

Amendment agreed to.
Section 8, as amended, agreed to.
SECTION 9.

An Leas-Chathaoirleach

Amendment No. 16 has been ruled out of order.

Amendment No. 16 not moved.

I move amendment No. 17:

In page 7 to add to the section the following subsection:—

"( ) (a) A Health Board may make an allowance to the Chairman of the Board and to the Chairman of a Committee established under sections 7 or 8,

(b) A Health Board may make payments to a member of a Health Board or to a member of a Committee established under sections 7 or 8 for attendance at a meeting in lieu of compensation for lost time,

(c) a payment under this sub-section shall not be a charge on the Exchequer."

The purpose of the amendment is to enable health boards to make allowances to their chairmen to enable them to recoup expenses incurred in the performance of their duties. What we have in mind principally are matters such as entertainment. We have had experience of chairmen of local authorities being considerably out of pocket in this respect. There is no provision by which they can be recouped and we want such provision made in this Act. That is principally the purpose of paragraph (a) of the amendment.

In relation to paragraph (b), we have been concerned for some time that intending members of local authorities have been inhibited from becoming members because of lack of income. People who would have very good service to give to the people, eminently suitable people, have been unable to accept public service and we are principally concerned about wage earners. The Bill does not provide in any way compensation and wage earners will thus continue to be inhibited. Therefore we are keeping some of the best people out of public service. We hope that the Minister will agree and that he will introduce an amendment accordingly on Report Stage.

This is rather difficult for me because it involves a departure from the principle set up in relation to county councils and to the present health authorities. It is true that certain people—the Lord Mayor of Dublin and the mayors of other cities —are given allowances for the purposes of entertaining, but that is not really what is proposed in the amendment. Quite a number of corporate bodies have been set up by the Minister for Health in relation to which these allowances are not made. I can see the point made by the Senator and perhaps there is a case for making some allowances for those members who would include the chairmen and vice-chairmen who have a great deal more to do than the rest of the board, such as the preparation of agendas and so on. All I can say is that I will look at it before the Report Stage. As the Senator knows, there has been some comment in regard to it in the newspapers. I suppose there will be changes of this kind but I really cannot set a precedent which would apply to a great many other corporate bodies: I cannot be the one to set the pace— there must be some general understanding in regard to this.

I have some sympathy with part of this amendment. Paragraph (a) suggests that a health board may make an allowance to the chairman of the board and to the chairmen of committees established under sections 7 and 8. I could agree with that part of it, but not the whole. Future chairmen of these boards must spend quite a lot of their time not alone attending meetings but in consultation with senior officers. They must waste a lot of their own time. There are certain occasions when a chairman must entertain. Chairmen of health authorities had not an allowance, yet they had to entertain visitors and buy wreaths. The chairmen of health boards should get some emolument. I go that far, but if you get down too far in the amendment I am not sure I agree with it. I must emphasise that I am making only a general comment here. I will not pursue any argument on this, but from experience I know that the chairman of a board such as the proposed health boards, no matter who he is—be he the poorest councillor or the poorest man entitled to be chairman—should be capable of doing what is expected of chairmen of such boards, such as entertainment or the buying of wreaths.

We would, of course, be prepared to accept the Minister's undertaking to have a look at this before the Report Stage. Having said that, I should like to make a few further points in support of the principle involved in the amendment. I wish to point out that the area now proposed to be administered by the new health boards is much larger than that covered by the institutions to which the Minister has referred.

The point must also be made that it is envisaged in this Bill, and indeed in all our hopes for the future working of the health services, that it is inevitable that there will be quite a lot of visiting—to use no greater term—involved and which inevitably will affect the chairmen who will be expected to receive from abroad people who will be visiting their areas to advise on the proper working of hospital services or perhaps to learn from us. We are only suggesting that these particular allowances should be given to eight people and these are people who will be of considerable stature and importance in the community. The point I made in regard to the larger geographical areas gives further weight to our suggestion that these allowances should be provided and not merely subsistence allowances and that consideration should be given to members who might be obliged to lose time.

Obviously the proper functioning of the health boards will involve much travelling by the members of the health boards and the same principle as applies to parliamentary allowances should be applied in this respect. I am sure it would not be the Minister's wish that any citizen who wished to render service to the community through the health boards should be prevented from doing so because of financial considerations, because if he became a member of a health board it would involve travelling long distances from home and therefore loss of work and pay. We accept the Minister's undertaking that he will look at this before Report Stage.

I should like to support this amendment. I agree with what Deputy Dunne said about the enlarged areas, a point which had already come to my mind. I support the amendment both in regard to clause (a) and clause (b). If we do not agree with these clauses it could be that the area of selection of members will be too restricted. I am glad that the Minister has agreed to look into the matter.

I am inclined to support this amendment and I should like to point out that in section 23 (12), there is provision for setting up committees to investigate the removal of an officer and to pay travelling and subsistence allowances as well as fees to the members of that committee. I do not see why people who are appointed to look into the merits or demerits of the suspension or removal of an official should be paid fees when the members of a health board are not.

Amendment, by leave, withdrawn.
Section agreed to.
Section 10 agreed to.
SECTION 11.

I move amendment No. 18:

In subsection (1) to add at the end—

"provided that the Minister may not under this paragraph remove the members of the Board unless the Minister has first exhausted the power of appointment to the Board vested in him under the specification of membership by regulations under section 4 subsection (1)."

I am moving this amendment without any pressure, if I may put it that way. I just was not quite clear about the thinking behind subsection (1) (d). It seems to me that if you had a political situation in which, say, a successor Government did not like the scheme which it is proposed to operate, and also happened to have control of the local authorities, they might by the exercise of the unrestricted power of subsection (1) be able to abolish the health boards simply by not appointing the number they were entitled to appoint. It seems to me therefore that the Minister should be obliged to appoint the number that under the specifications he will be entitled to appoint, before he is entitled to remove members of the health board because the numbers have fallen below the quorum necessary.

It is not our party you are afraid of?

I am not making the kind of speech Senator McGlinchey would like me to make.

As the House knows the quorum is one-quarter of the members or five, whichever is the greater. In practice the quorum will be from seven to nine, depending on the size of the board. Subsection (1) is included to cover the case of mass resignations from the board leaving the membership less than one-quarter of the total. In such circumstances it is desirable for the Minister of the day to initiate the procedure for removal under section 11 rather than using the limited power of appointing under section 4, to top up the small number to something over the quorum. I should at most have two or three members on the board. That should be in further explanation to Senator FitzGerald. This is an emergency situation. The Minister can only remove the members of the health board if they refuse to do certain things. In a case of a mass resignation I would not believe in using the topping-up procedure.

I should like to urge the Minister to reconsider his attitude to this amendment. I would draw his attention to subsection (3). The Minister says that this is to be used only in an emergency situation but subsection (3) enables him to wait two years before actually re-appointing new members and therefore it is not really an urgent emergency he has in mind. I fail to see why, if there are some members of the board willing and capable of acting, their number cannot be added to rather than abolishing the board and placing oneself under the obligation of appointing a new board within two years. That is not my idea of an emergency piece of activity.

I think it would be very difficult to have meetings with so small a number. We could argue this all night. I do not think it is likely to happen at all and I could not accept the suggestion made here. It is most unlikely this would happen.

On the last point made by Senator Sheehy Skeffington, is the Minister armed with power which would enable him to remove certain members, who are incapable of acting, to allow the members capable of acting to continue and to add to their number?

On a point of order. Has Senator FitzGerald not withdrawn the amendment?

An Leas-Chathaoirleach

Senator FitzGerald is not entitled, of his own motion, to withdraw so long as the House wishes to discuss the amendment.

Under section 11, I can remove the members of the health board for the reason stated in subsection (1) (a), (b), (c) and (d). That is the position.

Amendment, by leave, withdrawn.

I move amendment No. 19:

In page 8, before subsection (2) to insert the following new subsection:—

"( ) The Minister shall, in the event of making an order under subsection (1) of this section issue to each member of such board comprehensive and detailed reasons as to the making of such order."

I am sure the Minister will not object, when he is removing a board from office, to informing the members of that board, through his agent, the reason for their removal.

There will be a public local inquiry and the issue of removal will be quite clearly debated. But if the House wishes the Minister to be absolutely specific in the matter and give stated reasons, then I will put down an amendment to that effect on the Report Stage so that the Minister's clear view on the matter will be indicated, even though there has been a public local inquiry.

I am grateful to the Minister. Even though there is a public local inquiry the exact reasons may not emerge.

Is the Minister quite sure this can only happen after full public local inquiry? Even for legal persons it is often difficult to know when the matters set out in paragraphs (a), (b), (c) and (d) all require to be fulfilled or whether there are alternatives. What is the position here? It seems to me that, if the Minister is satisfied after a public local inquiry that duties have not been performed, he may dismiss, or if he is satisfied the board has refused to comply with a judgment of the court, he may dismiss.

I must make this clear. The public local inquiry is ordered only if the Minister is going to remove from office members of the health board on the ground of the board's duties not being duly and effectually performed. It is not considered necessary to hold a public inquiry if the board refuses to comply with a judgment, order, or decree of any court.

That was my reading of it and that seems to add to the importance of Senator Belton's amendment.

I accept the Minister's undertaking.

How does the Minister define "capable of acting"?

I suppose it means members of the board who are known to be neither ill nor incapacitated. If this did not apply they would be considered capable of coming to a board meeting and taking part in its activities. I think that is all it can mean.

Amendment, by leave, withdrawn.

I move amendment No. 20:

In subsection (3), page 8, line 28 to delete "two years" and substitute "one year".

This matter was the subject of quite a long debate in the Dáil. Deputy Richie Ryan had two months down and it was extended to two years. If the Minister has any cogent, logical reasons why it should remain at two years we will consider his logical, cogent reasons.

I think two years is reasonable. It will relate, first of all, to a complete accounting period and, if the board was removed in the middle of one of the five-year periods, when a local election was taking place advantage could be taken of that fact and new persons might in some cases be elected to local authorities. I think it is a reasonable proposition. I do not believe there will be many removals and, if a board is removed, the position will be sufficiently serious to justify the Minister of the day wanting to wait for two years.

Considering the way the Minister hamstrings local authorities in later sections of the Bill it is most unlikely boards will be dissolved

Amendment, by leave, withdrawn.

I move amendment No. 21:

In page 8, to add to the section the following new subsection:—

"( ) An order made under subsection (3) of this section shall be in conformity with the provisions of section 4 (2) (a) and (b).

( ) A draft of each order which it is proposed to make under this section shall be laid before each House of the Oireachtas and the order shall not be made until a resolution approving has been passed by each House."

We are trying to provide here that the new appointment shall be in conformity with section 4 (2) (a) and (b). I think the Minister understands what I am getting at. The replacements should be in conformity and in proportion.

That will be the case. We amended this to provide for that. The only modification would be in relation to the mechanics of making the new appointments but not to the appointments themselves, their nature or their proportions.

Does this give the councils power to elect new members?

Of course it does.

In that case I am satisfied.

The modifications proposed are only of a minor nature in relation to having to appoint a board not necessarily at the normal period. That is all. There is nothing more to it than that.

I do not know whether it would affect the thing if the Minister did produce this order. I do not know whether it would take the Minister much trouble to produce an order of this nature.

No. For example you might have to alter the rule which requires appointments of boards to be held at an annual meeting of the council after a quinquennial election of the members of the council. If the board was reconstituted, not on that occasion but at a time of the year which did not relate to a five year period then, quite obviously, the Minister would have to make arrangements for appointing a meeting to be held other than the one which is specified in the Bill in the normal way. That is all. It is purely a matter of mechanics. It does not affect the democratic position; it does not affect the actual structure of the board. I have given a clear declaration on that and I gave it in the Dáil.

One of our main reasons for entering the second paragraph of this amendment was that under existing legislation regarding the dissolution of local authorities the Minister for Local Government was obliged to lay a copy of the order which he made dissolving those local authorities before each House and it did seem to us to be surprising that in a section dealing with the removal of the members of a health authority from office the Minister would be entitled to remove the members of that board without laying a copy of the order of removal before each House of the Oireachtas. We felt that the Minister would have derived his power from this section because of the fact that each House would have passed this section and that it was only right that at least a copy of the order and preferably a draft of the order would be laid before both Houses of the Oireachtas. That is the reason for the second paragraph of amendment No. 21.

I am still a little bit apprehensive. Our intentions in the first paragraph were to ensure that if a board was dissolved and was being reconstituted it would be reconstituted by virtue of each of the constituent local authorities electing the number of members which they were entitled to and the Minister appointing a certain number of other members following their election by their representative organisations and then appointing his two or three personal representatives.

It does not seem to me that the provisions of subsection (3) of section 11 as it now stands make this quite clear. The wording is that the Minister shall by order provide for new appointments of members to that board. It seems to me that the Minister could very well make an order appointing members directly to that board and it does not seem as if the writing in of a paragraph to see that the order made under subsection (3) of this section shall be in conformity with (a) and (b) is in any way harmful to the Bill because, in effect, what that would be saying would ensure that the local authorities would be allowed to re-appoint.

I do not mind looking at this point again for Report Stage but from my long experience I find that the legal advisers to the Department are generally correct. I am advised that the Minister of the day cannot appoint a new board in any other way than it will be appointed having regard to the rest of the provisions of the Bill. He can only make changes in relation to the mechanics by which the board is appointed simply because it is not appointed in the usual way after a period of five years.

How about the point in relation to the order being laid before each House of the Oireachtas?

Honestly, I do not think it is necessary in the circumstances.

It applies under the 1941 Local Government Act.

I do not think it is necessary.

If the Minister has given this undertaking that he will provide reconstitution in the same form as it was when the board was dismissed, I am prepared to accept the Minister's undertaking and to withdraw the amendment.

Amendment, by leave, withdrawn.
Question proposed: "That section 11 stand part of the Bill".

Would the Minister tell me if there is any provision for the disqualification of a member who misses, say, six consecutive meetings of the board?

This is in the Schedule —six months.

It is in the Schedule —six months.

I am not sure if it is a point or not but in my copy of the Bill as passed by Dáil Éireann there seems to be a literal printing error in line 30 where a word is spelled incorrectly. I do not know if this sort of thing involves amendment on Report Stage or what the procedure is.

Verbal amendments can be made.

That will be put right.

Question put and agreed to.
SECTION 12.

I move amendment No. 22:

In subsection (9), line 44, after "board" to add:—

"and within two months of the vacancy falling due the Minister shall instruct the Local Appointments Commissioners to select under section 14 a person for appointment as chief executive officer of the board."

I cannot see that the Minister would have any objection to this amendment. This has nothing to do with the filling of a temporary vacancy. It is proposed in order to ensure that the machinery for filling the appointment is set on foot within two months and that machinery is that the Minister shall instruct the Local Appointments Commissioners to select under section 14 a person for appointment as chief executive officer of the board. The purpose of putting in this period of two months is that there tends to be too much delay between the vacancy occurring and the machinery being set on foot for the new appointment. The amendment is self-explanatory and I do not intend to delay the House on it. I should just like to hear the Minister on it.

Again, this is one of those amendments that have some validity. It may be undesirable to fix a rigid limit for initiating the procedure for appointment of a chief executive officer. We might be considering altering the boundaries of health boards. We might be reviewing the qualifications for the office at the time. I think I have had enough experience of local appointments to know that it is pretty dangerous to try to confine the time in any way because so many matters can arise such as, as I have said, the qualifications for the office being reviewed at the time the vacancy fell due or that we might be reviewing the organisation of the area. All I can say is that I think it is true and in line with modern thought that Ministers who are responsible for organisations where appointments are made by the Local Appointments Commissioners more and more will have to do their utmost to see that the appointments are made as promptly as possible. Although I can see that, I would not like to be tied by the amendment suggested.

Progress reported; Committee to sit again.
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