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Seanad Éireann debate -
Thursday, 23 Jun 2016

Vol. 246 No. 6

Commencement Matters

Care of the Elderly

I welcome the Minister of State and thank her for taking this matter which concerns long-term planning. The Minister has set out clearly the need for a ten-year strategy for palliative care. However, we need to consider the HSE's 2015 annual report and the emphasis placed in it on the need for urgency in dealing with demographic influences. Let us consider the figures. In this regard, the Minister of State will have seen the figures quoted previously.

The number of people aged 65 years and over is 600,000, but by 2031 the corresponding figure will be over 1 million, which will represent growth of 400,000 within a short timeframe. The good and interesting news is that the number in the over 85 year age group is also increasing. My understanding is the figure has increased by approximately 20% in the past six years alone. The HSE report cites the fact that the number in the over 85 year age group is growing by approximately 4.5% per annum. I am looking for some joined-up thinking among those involved in the care of the elderly, including in the private and the public sectors. The fair deal scheme is functioning well in the sense that there are now over 23,000 people in private nursing homes under the scheme. The question is how we plan for what will happen in the long term and whether we can have the same ratio in the coming 15 years. How can we provide for care in nursing homes without the necessity of people having to be admitted to hospital? An issue arises when elderly persons are referred to hospital from nursing homes. Is the emergency department the appropriate route for them?

The matter I am raising relates to long-term planning and the need to put something comprehensive in place to deal with the growing number for whom we will have to provide in the coming ten, 12 and 15 years. That is the context in which I am raising the matter with the Minister of State.

I thank the Senator for raising this Commencement matter.

Ireland's population is ageing rapidly, with advances in health care leading to a dramatic rise in the older population.

As the Senator mentioned, in the next 20 years the number of people over 65 years will double and the number of people in their 80s will treble. While that is obviously very positive, it brings its challenges. These demographic changes will have significant social and economic implications. Demand for community services is rising as more people are supported at home rather than in hospitals or nursing homes.

The challenges arising from population ageing can be met if we plan effectively and necessary adjustments are made over time to services. We need to ensure levels of service are sufficient to meet the growing needs, that services are co-ordinated and integrated effectively and that the preferences of older people are at the heart of this process.

Significant additional resources were provided for older persons services in 2015. Two weeks ago we provided €40 million in additional funding to support home care services and develop short stay and transitional care beds. There will, however, always be a cohort of older people who will require a quality long-term residential care option. It must continue to be available to anyone who needs it. Therefore, we will ensure the nursing homes support scheme is funded to a level where successful applicants will not have to wait more than four weeks for funding.

Most older people want to stay in their own homes for as long as they can. It is widely accepted, not just within the Department of Health and the HSE but also among advocacy groups, that people live happier, longer and healthier lives when they live in and contribute to their communities. Home care services are a key element of how we can support them to do this.

A Programme for a Partnership Government is committed to supporting, on a multiannual basis, the development of home care services. We are now supporting more people at home with more complex needs than would have been possible in the past. The more of this we can achieve, the more and better the options we can offer to older people.

The integrated care programme for older people which is being established and implemented across four pilot sites, inclusive of community health care organisations and hospital groups, will bring a focus to the clinical requirements of the small but ever increasing number of older people with complex care needs who are at risk of admission to hospital emergency departments in an unscheduled manner. This was an issue raised by the Senator. The programme will see the development of access to specialist teams such as consultant geriatrician-led multidisciplinary teams and bring a case management approach to supporting identified older people living in their own community through bespoke care plans and where resources such as home care, day care and respite care services can be interlinked appropriately to meet their needs in order that each organisation will know what each person's care plan is and can deal with it appropriately.

The Department of Health is committed to developing a national integrated strategic framework for health workforce planning in collaboration with other Departments and agencies. A cross-sectoral steering group has been established to develop this workforce planning framework for health services that will support the recruitment and retention of the right mix of staff across the health system. It is envisaged that a plan will be submitted by the end of the year setting out how we can ensure an adequate supply of appropriately trained health professionals to provide high-quality services that are delivered safely and cost-effectively. In that regard, additional funding is required on an annual basis. We also need a change in how we provide services. That shift is happening, but obviously we need to ensure it will happen as quickly as possible.

I have a question on home care services. One of the big problems in rural areas is finding suitably qualified staff to look after elderly people. Can we develop a new initiative in that regard? It is now a fundamental issue. I am dealing with a case where someone living in a rural area is on dialysis three days a week. The person concerned needs the additional support which in a rural area can be quite difficult to receive. I ask the Minister of State to consider a new initiative to encourage people living in rural areas who might not be in the workforce to provide this backup support. Could something like this be done?

The cross-sectoral steering group that has been established has been given a remit to look at this issue. I will certainly ensure there will be something specific for elderly people and those living in rural areas. In recent years it has been a mixture of the lack of funding and also not being at the relevant stage. I will bring that matter to attention of the steering group.

Hospital Waiting Lists

Cuirim fáilte roimh an Aire Stáit. Ba mhaith liom comhghairdeas a dhéanamh léi i dtosach as ucht a ceapacháin. Guím gach rath uirthi. I congratulate the Minister of State on her appointment and wish her all the best.

A number of years ago we were told with great fanfare that the west was getting a new hospital group called Saolta that would go a long way towards solving the crisis in health services in the west. Unfortunately, the practice has not proved to be as successful as planned. The latest figures and statistics from the National Treatment Purchase Fund are stark for University Hospital Galway, in particular. We have had much talk of leagues and people winning games etc., but, unfortunately, University Hospital Galway is top of the league again for outpatient and inpatient waiting lists for all the wrong reasons. According to the latest figures, University Hospital Galway is top of the list nationally, with 31,417 waiting on its outpatient waiting list. When the figures are parsed more closely, we can see that 4,744 on the waiting lists have been waiting for more than 12 months. The particular pressure points seem to be in cardiology, dermatology, general medicine, general surgery, gynaecology, neurology, ophthalmology, orthopaedics and ENT. Particularly worrying are the figures in orthopaedics where 4,248 are waiting on the outpatient waiting list.

Unfortunately, the picture gets worse when one considers inpatient day cases by hospital. Not only is University Hospital Galway "Top of the Pops" again, but its figure is actually almost double that for its closest rival. It has 11,099 on its waiting list. Its closest rival is Beaumont Hospital which has 6,065 on its waiting list. Again, when the figures are parsed, we can see that 2,907 have been waiting for more than 12 months. Therefore, almost one in four has been waiting for more than a year for the treatment he or she needs.

Representatives of the Saolta hospital management group recently made a presentation to Oireachtas Members and members of the regional health forum in which they finally said publicly that they believed there was a massive issue in the hospital in Galway. We have been saying this for years. They said it was clear that the hospital could not deal with the numbers passing through it and that that was part of the reason for the consistently high numbers on waiting lists.

The physical building is not the only problem. There are huge issues with staffing, particularly a lack of nurses. The lack of theatre nurses has been highlighted as an issue, as has the number of specialists in various areas. In the past five years I heard that this issue would be addressed and that there would be recruitment processes, etc. However, the lists are getting ever longer and people are suffering for longer, with no apparent solution. That is why this is a crucial question for the people of Galway.

As Senator John O'Mahony will know, part of the reason waiting lists are so long is that the Saolta hospital group now covers the hospitals from County Donegal to County Galway, including those in counties Mayo and Roscommon. People living in all of these regions are affected by the long waiting lists in Galway. It is totally unacceptable and the issue needs to be addressed as a matter of urgency. I look forward to the Minister of State's response to see what plan and strategy the Department has to ensure it is addressed as a matter of urgency.

Tá brón orm nach bhfuil mórán Gaeilge agam; therefore, I will respond in English.

I thank the Senator for giving me the opportunity to address the House on this issue. I again apologise for the mix-up yesterday. I am taking this debate on behalf of my colleague, the Minister for Health, Deputy Simon Harris, who sends his apologies; he is elsewhere on Government business.

Tackling waiting lists has been a challenge for hospitals this year to date, particularly owing to increased demand for emergency care, which increased by 5.6% on the figure for last year. Waiting lists for specialties such as rheumatology, orthopaedics, ophthalmology, urology, plastics and ENT are challenging nationally. However, the 2016 HSE service plan undertakes to maintain 2015 levels of service in the case of scheduled care.

The HSE oversees and supports hospital groups in meeting waiting list targets and has established a scheduled care governance group to co-ordinate key actions to reduce waiting times.

University Hospital Galway, UHG, as part of the Saolta University Health Care Group, continues to monitor and act on outpatient, inpatient and day-case targets in line with the HSE national service plan. The hospital provides tertiary level services and accepts referrals from a large catchment area, contributing to waiting list length.

The HSE has advised that specific measures have been taken to reduce the length of current waiting lists. Additional outpatient clinics are taking place within University Hospital Galway, while some activity is being transferred to Mayo, Roscommon and Portiuncula University Hospitals. University Hospital Galway is developing the elements required to support specialties with the longest waiting times regarding inpatient beds, high-end equipment, access to theatre and staffing, all of which are required to support greater elective surgery throughput. Initiative clinics are running in some specialties to reduce particularly challenging waiting lists, some led by allied health professionals such as physiotherapists and nurses.

The HSE has further advised that IT solutions are being deployed to validate current waiting lists and streamline outpatient appointment scheduling, as well as minimising do-not-attend cases. The shortage of radiographers, causing recent issues with the MRI and DXA scanning facilities, is being addressed by ongoing recruitment. Extended hours of operation are being implemented for the MRI facility. University Hospital Galway has recently protected the surgical day ward for elective activity as demand for emergency care decreases. Construction work is ongoing on a new 75-bed ward block, as well as a new UHG acute mental health department.

The Minister is confident the Saolta group, in conjunction with the HSE, is working to address waiting lists at University Hospital Galway in the best interests of patients. A Programme for a Partnership Government emphasises the need for a sustained commitment to improving waiting times for patients, with a particular focus on those waiting the longest. It commits to the provision of €15 million in funding for the National Treatment Purchase Fund in 2017 for an initiative targeted at those waiting the longest as part of a continued investment of €50 million per year to reduce waiting lists. The Department of Health is engaging with the National Treatment Purchase Fund, while the HSE in planning a dedicated 2016 waiting list initiative focused on endoscopy. It has also commenced engagement with the National Treatment Purchase Fund and the HSE to deliver on the waiting list commitments in A Programme for a Partnership Government. The fact that a high number are waiting over 12 months needs to be a priority for the Minister. I will bring the matter to his attention. We have been successful in many areas, but we still have much work to do.

I thank the Minister of State for her response. I am glad that she acknowledged that waiting lists in Galway were higher than anywhere else. The short-term needs must be addressed and I hope the National Treatment Purchase Fund can examine prioritising dealing with the issues in Galway. The elephant in the room, however, is the need for a new hospital, with the provision of the necessary resources, in Galway. I have previously called on the Minister for Health to put together a working group to look at the issue of building a new hospital in Galway on a greenfield site, with the provision of the requisite staffing and resources, for which Dr. Pat Nash, clinical director of the Saolta hospital group, has called. Anyone in Galway and across the region can see that this is imperative if the hospital group is to continue servicing the region. Will the Minister of State ask the Minister to consider setting up a working group immediately to look at the need for a new hospital in Galway on a greenfield site?

I will do so. I will also ask the Minister if the €15 million fund can be used specifically to deal with the issues in Galway.

Road Network

I welcome the Minister of State, Deputy Patrick O’Donovan, to the Chamber and congratulate him on his appointment.

I have raised the issue of the condition of the rural roads infrastructure, particularly in counties Cavan and Monaghan. Many Members are well qualified to speak about this issue, as they travelled throughout the country in seeking to be elected to this House. We may have reached a few dead-ends, but that was from a purely political point of view.

County Monaghan is predominantly rural, with less than 30% of the population living in urban areas, compared to the national average of 62%. It has a strong agrifood manufacturing and engineering base, with many employers living in local areas along small boreens. It has no real public transport infrastructure and a poor national bus service. It has the highest density of local roads per square kilometre outside Dublin. It is dependent on its roads infrastructure, in particular regional and local roads, to provide mobility and access to employment opportunities. It has the highest agricultural exports value per hectare outside Dublin, mainly poultry, with 52% of the country’s entire flock located in the county. It is also the largest producer and exporter of mushrooms. Both sectors depend on commercial vehicles being able to access local roads to get produce to the marketplace. Approximately 2,500 people are employed in the agriculture sector in County Monaghan, the highest number in any Border county.

This year the roads funding allocation for Cavan-Monaghan came to €13 million. While it seems to be a lot of money, it represents a decrease of 40% on the amount allocated in 2011. An extensive survey conducted by Monaghan County Council indicated that 60% of regional and local roads were in need of immediate attention. When one thinks of the good work that has been done and the investment that has been made in local roads infrastructure across the country, it is sad that it is now crumbling under our feet. It is an acute issue in an area such as Monaghan from an employment perspective. Will the Minister of State increase the funding available?

The Minister of State is welcome.

I attempted to get in here on one occasion, but I was beaten by a quarter of one vote.

We are delighted to have the Minister of State here and hope we will have him here again.

I congratulate the Leas-Chathaoirleach and all Senators on their election. I look forward to working with Members on the various panels and in the university seats.

As the line Minister of State with responsibility for tourism and sport, I congratulate the Republic of Ireland soccer team on its fantastic result last night. I am sure all Senators, including the Leas-Chathaoirleach, will agree that it was a fantastic result for the country. I see my predecessor, the Minister of State, Deputy Michael Ring, in the Visitors Gallery. They are all asking for him in the field of sport, but they are in safe hands.

I thank the Senator for raising this matter which I am taking on behalf of the Minister for Transport, Tourism and Sport, Deputy Shane Ross, who is out of the country. Much of what the Senator said resonates with me as I come from west Limerick which is also predominantly rural. While there is a large urban centre in Limerick city, the majority of the constituency I represent mirrors the Senator’s. Accordingly, I am acutely aware of the issue raised by him.

The improvement and maintenance of regional and local roads in Monaghan and other counties are the statutory responsibility of the local authority, in accordance with the provisions of section 13 of the Roads Act 1993. Works on these roads are funded from the council's own resources supplemented by State road grants. The initial selection and prioritisation of works to be funded are also matters for the local authority.

Ireland has just under 100,000 km of road in its network and the maintenance and improvement of roads place a substantial financial burden on local authorities and the Exchequer. Owing to the national financial position, for several years there have been large reductions in Exchequer funding available for roads expenditure. For this reason, the focus has been on maintenance and renewal rather than major new improvement schemes.

In January this year my predecessor, the then Minister of Transport, Tourism and Sport, Deputy Paschal Donohoe, announced the 2016 regional and local road allocations, of which Monaghan County Council was allocated €7.16 million.

In February and May this year, as part of the tranche 1 and 2 funding for local authorities to remedy damage caused by severe weather, Monaghan County Council received additional funding, bringing the total for regional and local roads in the county in 2016 to €12.3 million. All available funding for 2016 has now been allocated. An important change was made last year arising from the introduction of the local property tax, LPT, and the Government commitment that local authorities would retain 80% of revenues from 2015. Under this new arrangement, the four Dublin councils became fully self-funding in respect of the main regional and local road maintenance and rehabilitation programmes.

In addition, the Department has emphasised to the councils that will continue to receive Exchequer and local road grants that the commitment of local authorities to contribute significantly from their own resources towards the cost of improving and maintaining the regional and local roads network is essential and that full consideration needs to be given to utilising local property tax revenue to boost their own resources. For the next number of years the financial realities are that the budgets proposed by my Department indicate that capital funding will continue to be very tight, limiting the scope for progressing additional new projects over and above the public private partnerships, PPP, programme that is already in place and the projects prioritised in the capital plan. It is important, however, to note that the seven-year transport capital plan does provide for the gradual build-up of capital funding for the road network from the current relatively low base towards levels needed to support maintenance and aid and improve works.

The capital plan published in September 2015 outlined proposed transport investment priorities to 2022. The transport element of the plan was framed by conclusions reached in the Department's strategic investment framework for land transport. The report highlighted the importance of the maintenance and renewal of transport infrastructure, together with targeted investments to address particular bottlenecks and critical safety issues. The capital plan provides €6 billion for investment in the road network in the period to 2022, with €4.4 billion earmarked for the maintenance and strengthening of the existing extensive network throughout the country and €1.6 billion for new projects.

I think we are all conscious that the recovery of the economy is generating spending pressures across the Government system, including capital investment needs. As part of A Programme for a Partnership Government, there is increased emphasis on the need for spending on public services, but the Government still has to operate within EU fiscal rules and this does constrain options. There will be a mid-term review of the capital plan which will provide an opportunity to assess progress and consider the scope for increased levels of investment, depending on economic growth. On that point, I am very conscious of where I come from and our dependence on the road network. As the Senator said, we do not have a rail line from my county either. In the context of the review, I am very conscious of the condition of tertiary, local and all other roads on which we are so dependent in rural areas.

I thank the Minister of State for his response. It is heartening to know that his neck of the woods is similar to ours and that he can appreciate and relate to the point we are makingt. I appeal to him, however, to raise in his discussions with the Minister, Deputy Shane Ross, the fact that the network is crumbling under our feet or tyres and that we are storing up more problems for ourselves down the road if we do not address this critical issue as a matter of urgency. Additional funding is needed. Otherwise we will have a bigger problem in trying to restore roads to an acceptable level in the future.

I do not disagree with the Senator. I have met officials from the Department of Transport, Tourism and Sport in the past few weeks as part of my introduction to my current role. As a former member of Monaghan County Council, the Senator will probably agree with me that a major issue is that local authorities, even when they did have money, did not carry out adequate drainage works in the past few years. One can find roads all over the country where good money was thrown after bad. As the Senator said, roads are crumbling because water literally has nowhere to go. One of the issues I was very keen to deal with as a councillor and that I now wish to deal with, having been appointed as a Minister of State in the Department of Transport, Tourism and Sport, is that local authorities must also take responsibility for dealing with many of the problems, especially on regional and local roads, which are due to the fact that there is no drainage. Drains have not been maintained since the famous man with a shovel was around. Until we get back to a situation where water will be allowed to drain off tertiary, secondary and regional roads, we will continue to have this problem. I would much prefer to see a proper drainage network to take water off roads rather than, as the Senator said, watch the road network crumble. I will certainly take the points he has made on board and relay them to the Minister for Transport, Tourism and Sport. Much of what he said I would say myself and I do not disagree with any of it.

Architectural Heritage

I am delighted to see the Minister of State, Deputy Michael Ring, in this position. I very much welcome his appointment and hope to see him often in Killarney. I think he is nearly as familiar as I am with the particular property mentioned in this Commencement matter. As he knows, Killarney House is a magnificent place which has been beautifully restored and has had huge money invested in it by the State and his Department. Perhaps one other Department provided a little help. I think the Minister of State is taking over responsibility for the National Parks and Wildlife Service, something about which I am delighted. A wonderful job has been done in the gardens of Killarney House which are now open to the public at weekends and which, I think, will be open on a full-time basis shortly - next month, in fact.

I look forward to hearing the Minister of State outline when Killarney House will open to the public. I expect it to happen before the year is out and I am sure it will contain suitable commemorative rooms to the previous owners, John McShain, the man who built Washington, and the Browne family, Earls of Kenmare, who were significantly involved in the development of Killarney town since the 1600s or so. Please God, the house will have the capacity to become the top tourist attraction in the south west, given that it is situated within the town and the national park. As the Minister of State will outline, I am sure it will become the main visitor centre for Killarney National Park. Being immediately adjacent to the town centre, it is but a short walk for visitors staying at any of the hotels and locals alike, through the golden gates, as they are known. I look forward to the Minister of State's comments on the governance, management and operation of Killarney House.

As this is the first occasion on which I have been present in the Seanad since the new Members were elected, I congratulate everybody who was elected. I congratulate Senator Paul Coghlan on being appointed Leas-Chathaoirleach; it is a well deserved honour as he has served this House well and is one of the great survivors, not alone in this House but also the country, following the recent campaign to ensure the retention of the Seanad. I also compliment the Senator who is in the Chair on her appointment as the new Chief Whip and wish her well in the role.

The Minister of State, Deputy Patrick O'Donovan, has just gone out the door, but I cannot let this opportunity pass without congratulating the Irish soccer team. It was brilliant to watch them play last night. It was a great performance which brought great spirit to the country. Deputy Patrick O'Donovan has taken over my role as Minister of State with responsbility for sport and I am glad that I had all of the hard work done and funding put in place prior to his appointment. That is why the Irish team were so successful.

I thank the Senator for raising this Commencement matter. As he will be aware, the refurbishment of Killarney House and its grounds and gardens was announced in 2011 by a previous Minister, Jimmy Deenihan. The overall value of the project is in the region of €8 million, with Fáilte Ireland providing €5.2 million. I was the one who announced the provision of that €5.2 million when I was Minister of State with responsibility for tourism and sport. I was delighted with the pressure exerted by Senators-----

I remember it well.

-----and the then Minister, Jimmy Deenihan. I put pressure on Fáilte Ireland to make sure the €5.2 million was provided, with the Department providing the remainder. To date, my Department has spent €1.9 million, while over €4.2 million of Fáilte Ireland's provision has been drawn down. My Department has been collaborating with Fáilte Ireland in its role as the national tourism development authority and co-funder of Killarney House and Gardens and the Office of Public Works which has acted as project manager for the refurbishment. Killarney House will act as the visitor and interpretative centre for Killarney National Park. The interpretative exhibition will highlight the beauty and significance of the park's landscape, habitats, flora and fauna, as well as telling the story of how local people have interacted with the park over the centuries. Within that context, the exhibition will also address the history of the house and its former owners, the Brownes and later the McShains.

The location of Killarney House, in the middle of the town, means that it will be a hugely valuable tourism asset. It will provide a vital link between the town centre and the park. The new landscaped gardens at Killarney House will lead into the natural areas of the park and provide a wonderful view linking the town with the scenery of mountain, wood and water. The availability of a focal point for the park within walking distance of the town will bring wider recognition to the park which is, of course, incredibly popular. Many visitors, even short-stay visitors, wander around the town environs in the evening, especially during the summer.

The refurbished Killarney House in its historic setting and functioning as a national park visitor centre will provide an added attraction for visitors and an excellent opportunity to explain the significance and importance of the park to the south-west region. The refurbishment of the house and the gardens is one of the most significant developments for the local tourism sector in years. The final phase of works to Killarney House began in early January 2014. These works, overseen by the Office of Public Works, included a new extension for the exhibition space and visitor centre, and this is substantially complete. The work on the interpretative centre which will be installed in Killarney House is continuing. The Office of Public Works has also overseen completion of much of the landscaping of the grounds and ornamental gardens. The final phase of the work on the gardens will be completed by mid-August. This phase involves the planting of the central formal garden, the provision of seating and the installation of potted plants in a number of locations. The gardens have been open to the public at weekends since April and will be open to the public on a daily basis from 10 July. They have proved popular, with an estimated 70,000 visitors in the past three months. I expect the House and interpretative exhibition to open to the public in early 2017.

I turn to the future governance and administration of Killarney House. My Department has, with assistance from Fáilte Ireland, commissioned an operational study to examine the future of Killarney House. My Department is examining a draft of this study which will inform our thinking on the future governance of the house and gardens. I know Killarney House, Muckross House and the area well and this will be a major tourist attraction for the town of Killarney.

I hope I have addressed the Senator's queries.

That was a comprehensive reply. I look forward to the Minister of State visiting Killarney House before the year is out to formally open it. Perhaps he might also visit Muckross House and sign the management agreement with the trustees when it is ready down the line. I thank him and would appreciate it if he commented further on the governance, management and operation of Killarney House because a few questions have arisen locally.

There are 18 rooms in Killarney House. To be fair to my departmental officials and OPW staff, they are anxious to get this right because it will be a flagship project for the south. I am delighted with it and the Senator has campaigned for it for many years. He contacted me regularly when I held my previous portfolio and had responsibility for Fáilte Ireland to put funding in place for the project. Fáilte Ireland and my Department have examined the management structure and produced a report which is being considered. We are looking at ways and means to put the structure in place because that will be the most important aspect. It is one thing to put the project in place, but there also has to be a management structure in place to run it in the years ahead. I will ask my officials to write to the Senator when a decision is made.

The Senator asked me to visit and I intend to do so in July. I would like to see what is happening with the works and will definitely be there in August to open the gardens. I hope to be there next year to formally open this tremendous facility. I visit the area on holidays on a regular basis and the house had been left in a poor state for many years. It will be great for the town and the national park as it is probably one of the finest amenities in the world, one about which the Senator has been vocal for many years. I will see him there in July.

I am grateful to the Minister of State. There is a capable regional manager in the form of Mr. Pat Dawson who comes from County Mayo. I look forward to Killarney House being opened, I hope before the end of the year, when everything is ready and the staff are in place. The Minister of State has in place the management and staff in the Department to run it. I look forward to meeting him during his visit.

Sitting suspended at 11.15 a.m. and resumed at 11.30 a.m.
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