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Seanad Éireann debate -
Thursday, 12 Jul 2012

Vol. 216 No. 12

Adjournment Matters

Water and Sewerage Schemes

Will the Minister consider increasing the grant for group sewerage schemes from €2,200 to a more realistic amount, say, €4,000 or €5,000, which would be nearer the grant of €6,000 for group water schemes. In the current climate there may not be many more group water schemes but there will be many more group sewerage schemes, given the issue of septic tanks. A substantially increased grant would incentivise many communities to connect, particularly in urban areas, where the mains system is within a couple of hundred metres.

Recently I attended a meeting of the Woodlawn Estate residents association, Loughville, Ennis, County Clare. There are 37 septic tanks in an area about 600 m away from the mains. This is a sensitive area, being part of the Drumcliffe water catchment area. I have no doubt this area will be one of the first to be inspected. If a reasonably substantial grant structure was in place there would be a quicker buy-in to connect to the mains systems and this would deal with the concentration of septic tanks in many areas.

In many rural areas there are groups of ten, 12 and 15 septic tanks in the open countryside. A more substantial grant system would encourage many people to put in place a larger group system.

I thank the Senator for raising the matter.

I am impressed with the work I have seen across the country which has been advanced by the group water sector with the support of the Department, local authorities and the National Federation of Group Water Schemes, in improving water supplies in rural areas. Some €750 million has been spent in the past decade or so by the Exchequer in supporting the sector, particularly to address deficiencies in supplies which were highlighted in a case against Ireland taken to the European Court of Justice.

With the priority attached to the group water sector in recent years, only limited funding has been available for group sewerage schemes and the take-up has also been limited. I am interested in the degree to which group sewerage schemes can make a meaningful contribution to the improvement of the water environment in rural areas in the period ahead. The consideration of this issue has to take account of technical and operational issues as different issues arise in the progression of group sewerage schemes compared with group water schemes.

The National Rural Water Services Committee, which has a role in advising my Department on rural water policy, has examined this issue in preparing the investment strategy for the rural water sector for 2012 and recommended that the rate of grant be reviewed for group sewerage schemes. The rate of grant available for group sewerage schemes is €2,031.58 per house or 75% of the cost of the scheme, whichever is the lesser. The examination of this issue will take into account he results of a pilot programme funded by the Department to test a range of small-scale wastewater collection and treatment systems under Irish conditions.

The pilot programme was implemented by local authorities to test a range of new, small-scale wastewater collection and treatment systems. Twelve villages in six counties were selected as locations for the pilot programme under which appointed contractors design, build and operate the infrastructure over a 20 year period. The experience of the pilot programme will inform guidance being developed by my Department for the roll-out of future group sewerage schemes. I hope the issues associated with reviewing the grant level will come to a conclusion shortly to facilitate the progression of a number of group sewerage schemes later this year and to take account of the results of the pilot programme in which we have been engaged over the past six months.

By the end of the year, depending on the resources and savings we make in the rural water sector, I hope we will be in a position to examine, along the lines mentioned by Senator Mulcahy, how we can improve areas where there is ribbon development on the edges of towns and villages so that they can be included in a way that is more financially viable for householders while meeting the groundwater conditions to which we aspire.

European Court Judgment

I welcome the Minister to the House. This Adjournment matter concerns the question of whether the expert group established to examine the options available to the Government in responding to the European Court of Human Rights decision in A, B and C v. Ireland case is clear that the judgment does not require Ireland to introduce abortion in either a regulatory or statutory form and that the group knows it is free to recommend options that do not require the performance of abortions in Ireland.

I raise this matter because legitimate concerns have been raised about the attitude the Minister for Health appears to have taken in recent debates. Prior to the last election, Fine Gael gave commitments that everyone would support. According to a recent Millward Brown Lansdowne opinion poll, 80% of respondents agreed with the proposition. The Fine Gael commitment was that it would ensure all necessary medical treatment for women in pregnancy, while the duty of care to preserve the life of the baby would always be upheld. It is an attractive proposition because it guarantees the best medical care for women in pregnancy but also the duty of care to the unborn.

The Minster for Health appears to be under the impression the judgment requires Ireland to introduce abortion into Ireland either via regulation or statute. Why do I say that? It is obvious from the Minister's response to citizens' queries on the issue and from his statements in the Dáil during the debate on Deputy Clare Daly's Medical Treatment (Termination of Pregnancy in Case of Risk to Life of Pregnant Woman) Bill. We need to be clear on the point that nowhere does the A, B and C v. Ireland judgment mention or require Ireland to introduce abortion. In that instance and in many others, the court has said there is no such thing as a right to abortion under the European Convention on Human Rights. If the expert group or the Minister were to ignore this basic legal fact, it would be both a damning indictment of their attitude to unborn human life and would misrepresent the law with the effect of heralding abortion in Ireland. The court has required that our constitutional position is reflected in what would then happen. It remains open to Ireland to determine its precise constitutional position.

More worryingly, in his correspondence and in his Dáil speech on the Medical Treatment (Termination of Pregnancy in Case of Risk to Life of Pregnant Woman) Bill, the Minister seems to be pre-empting the expert group's presentation of options. Everything he said on the matter seemed to indicate his intention to bring abortion into Ireland in some form. He has not on any occasion mentioned the right to life of unborn children or the duty of care to which I referred. He seems to assume that introducing abortion in line with the notorious X case would require a very limited abortion regime when the opposite is the case. The Supreme Court decision in the X case in 1992 did not stipulate any time limits and did not hear from any psychiatrists. The endorsement of a threat of suicide as a ground for abortion is medically highly questionable but paves the way for the practice of abortion on demand in Ireland.

The Minister said he must introduce regulation or legislation in line with the X case. He failed to reflect on the fact that, if anything, in the knowledge we have gleaned since the decision in 1992, nowhere is there evidence that abortion is in anyway therapeutic on mental health grounds. The question people are asking is in what precise circumstances does abortion act as a causative factor with adverse mental health sequelae in women. This is an important issue that must be explored.

We find ourselves with a judgment from the European Court of Human Rights but we have experience in Ireland and we have learned an awful lot in the past 20 years. Were we to legislate for the constitutional position, we could not but introduce abortion, in effect, on demand on the basis of the threat of suicide as grounds. The concern that many people have, including myself, is the perception that the expert group, in light of what the Minister said, may come back with a narrow list of options, all leading to abortion when there are many different options. What must be explored with the European Court of Human Rights is whether Ireland would be better off not introducing legislation rather than legislating in line with the Supreme Court decision that is highly problematic, especially in light of what we know about abortion and issues of mental health. Another important principle is that, whatever we come up with, the Irish people must be asked to sign off on what is proposed. This is a basic democratic principle, particularly on an issue so sensitive.

During a previous coalition Government, the former Fine Gael Party leader and former Taoiseach, John Bruton, was asked whether he would legislate in line with the 1992 decision of the Supreme Court he said that he would not. When asked why by the journalist on "Six-One", he said that it would have the effect of bringing abortion into Ireland. We need to keep our best traditions. We do not have a medical problem but a legal problem. We have the best medical care for women in the world in terms of maternal mortality but we need to make sure the expert group does not come back with a narrow series of options, all of which point in the direction of legislating for a flawed Supreme Court decision.

I thank Senator Mullen for raising this matter. I apologise that the Minister for Health cannot be here. Abortion in Ireland is prohibited except where it is established, as a matter of probability, that there is a real and substantial risk to the life of the mother and that this risk can be averted only by the termination of her pregnancy. Following the ruling in the X case, this risk to the life of the mother includes the risk of suicide. In 2009, the European Court of Human Rights heard an application by three women that it is a breach of their rights under the Convention for the Protection of Human Rights and Fundamental Freedoms for the Irish State not to provide abortion in certain circumstances. This is the A, B and C v. Ireland case to which Senator Mullen referred.

The court found no violation of the convention in regard to the first and second applicants — Ms A and Ms B. However, the court determined that the rights of Ms C had been violated under Article 8 of the convention. The judgment of the court confirmed that Article 40.3.3° of the Constitution is in conformity with the European Convention on Human Rights. Article 40.3.3°, as interpreted by the Supreme Court in the X case, means it is lawful to terminate a pregnancy in Ireland if it is established as a matter of probability that there is a real and substantial risk to the life, as distinct from the health, of the mother, which can only avoided by a termination of the pregnancy. The court did, however rule, that "no criteria or procedures have been . . . laid down in Irish law . . . by which that risk is to be measured or determined, leading to uncertainty" and held that further legal clarity was required. Ireland has signed and ratified the European Convention on Human Rights and Article 46 of it states that signatories agree to abide by any judgment of the court in any case to which they are parties. Ireland is, therefore, under a legal obligation to implement the judgment of the European Court of Human Rights in A, B and C v. Ireland.

In January, the Government established an expert group to recommend a series of options on how to implement the A, B, and C v. Ireland judgment. The terms of reference of the expert group, as approved by Government, are to examine the A, B and C v. Ireland judgment of the European Court of Human Rights, to elucidate its implications for the provision of health care services to pregnant women in Ireland, and to recommend a series of options on how to implement the judgment taking into account the constitutional, legal, medical and ethical considerations involved in the formulation of public policy in this area and the overriding need for speedy action. I assure the Senator that the expert group is fully aware of its remit. The Minister for Health, Deputy Reilly, is confident the group will fulfil its task efficiently.

I thank the Minister for his response, which is legally flawless. I contrast the response of the Minister, Deputy Hogan, with what was said in the Dáil, to the effect that Ireland must introduce legislation in line with the Supreme Court decision. The Minister has not so erred and I take it as reassurance that his contribution is more legally clear and correct than what was said in the debate in the Dáil on the legislation to which I referred.

The Senator should be assured that it is legally proofed and legally clear.

Childhood Obesity

I welcome the Minister of State, Deputy Joe Costello. Some years ago the county child care committee in Sligo established the Early Years health promotion project which is now co-sponsored by Sligo and Leitrim child care committees in collaboration with the counties' sports partnerships, a community dietician and community workers from the Health Service Executive. What is being done under the scheme is simple but practical, namely, targeting young children up to six years of age to encourage healthy eating, physical activity, oral health, sun safety, gardening and outdoor play. This is the type of project to which we routinely point when it is done in one of the Scandinavian countries and we wonder why we cannot have something similar in this country. As we are all agreed, if we are to safeguard the nation's health, we must begin to work with children and their parents at the earliest possible stage of development.

The number of children involved in the scheme in counties Sligo and Leitrim has grown steadily from the 500 earmarked five years ago to more than 1,500 today. The cost of running the scheme is calculated at 58 cent per child per week. It includes working with children with special needs, parent and toddler groups, children from the Traveller community and private and community services. As well as directly benefiting the children concerned, the initiative is also building a nucleus of knowledge and good practice in the community in regard to healthy eating and living. The benefits for the wider community are clear to see after only five years and will undoubtedly build over time. There should be something similar in every community in the country. The statistics clearly show that more and more children are suffering from obesity, with all the evidence suggesting the problem will get worse in the next decade without effective intervention. The Seanad Public Consultation Committee, of which I am a member, recently heard that some 30% of common cancers were preventable entirely through lifestyle changes, that is, what we eat and drink and the amount of physical activity in which we engage. The Government must take action to ensure children receive a good grounding in healthy living which they can carry into adulthood and pass on thereafter to their own children.

I am seeking a guarantee that funding for the Early Years project in Sligo-Leitrim will continue once the current allocation runs out in September. The Government has indicated its desire to roll out a national programme of this type, but there has been no concrete action in this regard. I understand the Health Service Executive is examining the strengths and weaknesses of the programme, perhaps with a view to using it as a model. Those running the Early Years scheme support and advocate a national project and will do everything they can to assist in its roll-out. At this juncture, however, they are uncertain of the future of their own project. Their expertise and good work should be supported and taken on board in seeking to introduce a nationwide scheme. For that to happen, sufficient funding must be provided.

I am taking this Adjournment matter on behalf of my colleague, the Minister for Health, Deputy James Reilly, who is speaking in the other House. The Minister established the special action group on obesity to advise him on priority actions to tackle overweight and obesity. In the light of the growing problem of obesity among children, the group has identified the necessity of targeting childhood obesity as one of a range of action measures. We know from the ongoing Growing Up in Ireland study, carried out by the Department of Children and Youth Affairs, that one in four children as young as three years of age is overweight or obese. It is well accepted that childhood obesity can track into adulthood and is linked with a range of chronic diseases, including type 2 diabetes and heart disease.

The Health Service Executive is represented on the special action group on obesity and has updated it on successful initiatives for young children, including the Early Years health promotion programme in Sligo-Leitrim. I understand the programme is a partnership between the local family resource centre and the HSE and funded through the executive's Border counties child care committees via the local region. The HSE has provided funds of €15,000 for the Early Years health promotion programme for training and resources in 2012. The training is intensive and while it produces excellent results, the cost per beneficiary is high.

It is in this context that the HSE approached the Department of Children and Youth Affairs and arranged a meeting to discuss the long-term future of the programme. The Department of Children and Youth Affairs, in turn, facilitated a joint meeting with the Department of Education and Skills to discuss national training possibilities. The outcome of this meeting is that discussion is under way with officials to ensure all voluntary education centres throughout the country include the Early Years health promotion programme as part of their training agenda. This will allow for everyone working in the area of child care to do this course as part of their training. In other words, the Early Years health promotion programme will not only continue to be provided in the Sligo-Leitrim area but will, as the Senator proposed, be mainstreamed for the entire country in order that all child care workers can benefit from the training. The good news story that is the health promotion programme initiated in Sligo-Leitrim is being expanded in order that children who are overweight or obese can obtain consistent advice on healthy eating and being physically active.

In regard to cost, the Minister of State's indication that the cost per beneficiary is high is completely at odds with what the managers of the Early Years scheme have told me. Second, while I understand talks have taken place with voluntary education centres with a view to rolling out the scheme across the State, that process of engagement has apparently stalled. As such, the people running the scheme in Sligo-Leitrim have been left in limbo. If the project is not, after all, going to be delivered on a nationwide basis, what will happen to it when its funding runs out in September? I appreciate that the Minister of State may not have this information to hand.

I have given the most up-to-date information from the Minister. Given his indication that the project will be mainstreamed, I assume that whatever difficulties have arisen are being addressed and that the matter will be resolved. We can take it in the round that this is now part and parcel of the way forward. In conjunction with the Minister for Children and Youth Affairs, the Minister for Education and Skills and the Health Service Executive, the decision was made that because it was such a good programme, it should be rolled out across the State.

I thank the Minister of State.

As Senator Martin Conway is not in the Chamber to raise the matter he has tabled for debate, the House now stands adjourned.

The Seanad adjourned at 6.30 p.m. until 10 a.m. on Friday, 13 July 2012.
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