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Seanad Éireann debate -
Wednesday, 15 Jun 1994

Vol. 140 No. 14

Adjournment Matters. - Kilrush (County Clare) Day Care Centre.

A Chathaoirligh, thank you for affording me the opportunity of raising the provision of a workshop for mentally handicapped adults in west Clare. I know the Minister is familiar with this issue because he received a deputation last November from the association for the handicapped who hoped the Mid-Western Health Board would provide capital to commence the building of the centre in Kilrush. The Brothers of Charity have bought a site and full planning permission has been secured for a workshop on that site to accommodate 50 mentally handicapped adults.

West Clare is 27 miles west of Ennis and there is a real demand in the west Clare area for this workshop. The association for the handicapped in west Clare have raised almost £70,000 and they were assured by the Mid-Western Health Board that if they did a certain amount of fund-raising and showed a level of sincerity and commitment to the project, they would be fully supported by the Mid-Western Health Board.

Since then a development has taken place which concerns me. The Mid-Western Health Board told the association they cannot provide capital for new projects. They can provide money to refurbish an existing premises which is being leased but, under the rules, they cannot provide capital for a new building on a green site. This is extremely worrying. This association and the Brothers of Charity have done a lot of work in securing the site, fund-raising and promoting their case.

The case being pressed here is for the most disadvantaged in our community, the mentally handicapped. You can appreciate as a parent, a Chathaoirligh, the concern and worry of the parents of these handicapped adults. There are many handicapped adults and others in special schools in Ennis. There are now about 90 people in the special schools in Ennis who will be able to avail of the facilities of this workshop. As parents advance in years their concern and worries increase when they think about the future of their handicapped children.

I come here this evening to put to the Minister the importance of making capital available, through either the Department of Health or by the Minister providing capital to the health board, to provide this centre for the handicapped in Kilrush. The case has been well put; the health board and the Minister are familiar with the details. It is unfortunate that a bureaucratic detail — money can be provided to refurbish a leased premises but not to provide a premises on a green field site — is calling into question the provision of the money. I urge the Minister to resolve this matter immediately and to do what was promised by the health board, that is, provide the capital for the provision of the centre.

The association has done the fund-raising they were required to do by the health board. It is now up to the health board and the Department to respond in a positive fashion. I hope no more bureaucratic arguments will be presented to these unfortunate handicapped people and to their parents who are so concerned about the provision of the centre. I hope the Minister will be able to give good news this evening.

I am happy to respond to Senator Taylor-Quinn on this very important issue.

I am aware that a number of clients in the west Clare area are travelling to Ennis for day services and that there is a need for a day service for persons with a mental handicap in the west Clare area. As the Senator has rightly said, I met a deputation from the mentally handicapped association of west Clare last November concerning, in the first instance, the provision of a workshop for the area. I explained to them that the determination of priorities for the development of services in the region is a matter for the health board and the regional mental handicap co-ordinating committee.

As the Senator is aware, a total of £12.5 million in additional funding is being provided for the further development of services for persons with a mental handicap this year; £2.5 million of this additional funding is being used to strengthen the funding base of some agencies and to meet some essential needs in existing services. The balance of £10 million has been allocated to the health board regions for the development of new services. This funding will be used to provide a very broad range of additional services, including 250 residential places, 700 day care places and the continued development of home support services.

A total of £1.122 million of this additional money has been allocated to the mid-western region. The precise services to be provided in each region are to be agreed with the regional mental handicap co-ordinating committees within the guidelines issued by my Department and are subject to my approval. Proposals from the mid-western region, including proposals to address the problem raised by the Senator, were received in my Department on 1 June and are currently under consideration.

My Department will be in touch with the Mid-Western Health Board concerning the development proposals within the next week or two. When allocating the additional funding earlier this year I asked the health boards to instruct the regional mental handicap co-ordinating committees to ensure that the funding was targeted to make the maximum impact on the needs of those wait-listed for services. The additional residential and day services which will be put in place this year should be adequate to meet the needs of all priority cases on waiting lists.

The Government intends to build on these developments in future years. This commitment is clearly outlined in the Programme for a Partnership Government, the Programme for Competitiveness and Work and, most recently, in the national health strategy, Shaping a Healthier Future.

In his reply the Minister states "the additional residential and day services which will be put in place this year should be adequate to meet the needs of all priority cases on waiting lists. Do I deduce from that statement that nothing will be put in place in Kilrush?

The Senator would be very wrong to make that deduction.

Do I deduce then that the Minister is saying something will be put in place in Kilrush?

I have already indicated to the House that I received the submission from the health board on 1 June; it was the last of the health boards to make the submission. The submissions from each of the health boards are being finalised by my Department and I will be in a position within the next fortnight to make the determinations nationally.

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