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Seanad Éireann debate -
Wednesday, 28 Apr 2004

Vol. 176 No. 7

Hospital Services.

I wish to raise the issue of Plunkett Home in Boyle, County Roscommon, operated under the aegis of the Western Health Board and providing a fantastic service to the people of north Roscommon. It was built in the 1960s, replacing the district hospital in Boyle and has provided extremely good services. As chairman of the Western Health Board in 2001 and 2002, I visited the home on many occasions. I am concerned about the recent propaganda regarding a reduction in the number of beds at the home. I fail to understand how there could be any possibility of any reduction in numbers at the Plunkett Home in Boyle because every bed is needed and there is a considerable waiting list for admission.

As well as providing 24 hour a day services, the home also provides services for out patients and the elderly of the area and there is sheltered housing in the grounds. Over the years, the Plunkett Home in Boyle with its excellent management and staff has proven very popular in the area and I receive numerous demands from people who wish to reside there.

I understand negotiations are ongoing between the Western Health Board and staff in respect of the staff complement at the welfare home in Boyle but these negotiations should be successfully concluded and should ultimately result in the retention of the full complement of beds at the home. Nothing less would be acceptable. It is regrettable that this issue is being used in the run up to the local and European elections on 11 June and it is important that the Minister for Health and Children allay the fears of the residents and their families and the staff in regard to any possibility of any reduction of the services at the Plunkett Home.

I am surprised this issue has arisen. I do not know the source of the propaganda and I hope the Minister of State will be able to clarify the position. I cannot understand why the Western Health Board should have any difficulties in respect of staffing at the Plunkett Home in Boyle because it has been staffed by a professional work force.

On my behalf and that of the Minister for Health and Children, I thank Senator Leyden for raising this matter on the Adjournment.

Responsibility for human resource planning rests with the chief executive officer, CEO, of each health board. Each CEO in managing the work force in his or her region is responsible for determining the appropriate staffing mix and the precise grades of staff to be employed in line with service plan priorities, subject to overall employment levels remaining within the approved regional employment ceiling.

Recent years have seen dramatic changes in both the concept and practice of services for older people and enormous strides have been made and continue to be made in developing a comprehensive, community-based service that is integrated with other health services. The shift in the delivery of services from predominantly hospital-based care has been extremely successful and undoubtedly the quality of care for older people has been enhanced by this development.

While we all realise that the economic situation facing us is not as vibrant as we have been used to over the last number of years, I assure the Senator that the issues surrounding older people and their welfare have not been ignored by this Government. Without wishing to burden the House with figures, I will give a brief summary of how some of the additional money for services for older people was spent this year. In 2004, a total of €9.497 million in additional revenue funding was allocated to services for older people. This funding is being used for a variety of services including home help services, nursing home subvention scheme, support to carers, continuation of the elder abuse programme, support to voluntary organisations, aids and appliances, development of dementia services and funding of day care centres. Since 1997, more than €280 million in additional funding has been put into services for older people.

As with all other sectors of society, the injection of Government money is not an absolute solution to all the issues. There will always be a need for extra resources, extra facilities, extra staff, etc. As the Senator will be aware, responsibility for the provision of health services in the Roscommon area rests with the Western Health Board in the first instance. With regard to the Plunkett Home in Boyle, the Senator will be aware that there has been an issue surrounding staffing numbers there. The health board has informed me that it has invested significantly over the past two years in upgrading the home and staffing levels have also increased. The board has undertaken a review of staffing levels and staff to patient ratios at the home. The Labour Relations Commission is facilitating discussion between management and the unions regarding the numbers and skills mix of staff that will be required for the service in the long term. No decision has been made on a reduction in bed numbers or staffing at the Plunkett Home in Boyle.

I thank the Minister of State for coming to the House and giving such a comprehensive reply. I reiterate the last line of his reply that "no decision has been made on a reduction in bed numbers or staffing at the Plunkett Home in Boyle". I welcome this statement which is the most positive part of the Minister of State's contribution.

The Seanad adjourned at 4.50 p.m. until10.30 a.m. on Thursday, 29 April 2004.
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