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Seanad Éireann debate -
Tuesday, 3 Oct 2017

Vol. 253 No. 7

Commencement Matters (Resumed)

Third Level Facilities

I welcome the Minister of State and thank her for coming here to take these matters.

I wish to highlight the importance of Mary Immaculate College in Limerick in terms of teacher training. The college was founded in 1898 and is the oldest training college in the State for primary school teachers. It was started by the Sisters of Mercy as part of their convent on the South Circular Road and has expanded over many years. It is in the centre of the city. When it started, the college had a couple of hundred students. It now has almost 5,000 but some of its facilities have not been updated. Its library caters for approximately 700 students, which means that many of the college's students are being disenfranchised because they have to go on a waiting list to get a time slot for library access in the context of research and so on or, alternatively, are obliged to use the public library in Limerick. The number of students in the college and the number of courses on offer there are both growing. In addition to teacher training, the college now offers several other bachelor degrees and postgraduate courses. It plays a crucial role as people come from all over Ireland because its name is known worldwide. When people apply for jobs and so on, the name of the college is recognised. It has established very important links with the University of Limerick, which now accredits all of the college's graduates.

I wish to highlight the plight of the many students who are being disenfranchised by not being able to access the library because there is not enough space therein. The college has outgrown its library. The capital plan review is coming up shortly. It is very important that Mary Immaculate College be considered as part of that in terms of the development of third-level education because all Members will agree that primary school teaching is where we all start in education and it is so important that the students attending the college are not disenfranchised and get the same opportunity as those attending other colleges in terms of being able to undertake proper research.

I thank the Senator for raising the issue of the library in Mary Immaculate College. I am very aware of the good work of the college for its students. The Government recognises the importance of the higher education sector to Ireland's future economic and social development. However, the reality of the economic situation in recent years and the nature of the public expenditure corrections that had to be made presented challenges in all areas of public expenditure, including higher education. The sector has responded well to those challenges and has continued to provide opportunities for increasing numbers of students to undertake higher education qualifications.

In that context, the Department of Education and Skills is aware of the significant infrastructure challenges faced by Mary Immaculate College with respect to library and learning resource facilities. The Higher Education Authority has received a submission requesting funding for a new library to address these challenges. The Department previously provided funding to Mary Immaculate College to upgrade its existing library facilities in 2010. However, as part of the budgetary process in November 2011, a Government decision was taken to concentrate available expenditure or educational capital resources on delivering school places and to restrict investment in higher education infrastructure to legally binding contractual commitments in place at the time. While a very limited amount of funding has been made available since then, it has not been sufficient to allow us to progress the Mary Immaculate College library project.

The Senator will be aware that the 2016-21 capital plan provides for a direct Exchequer investment of €150 million in higher education, including €40 million already allocated to the Grangegorman project. It also provides for €200 million worth of public private partnership, PPP, projects. While these are extremely important and very welcome investments, they cannot address the full scale of demand in the sector. Most of the direct Exchequer funding currently available under the capital plan is required to deliver on existing commitments. The distribution of the remaining funds in future years will depend on a number of factors and this is being managed very carefully in consultation with the Higher Education Authority.

The report of the expert group on the future funding of higher education, the Cassells report, found that a capital programme of €5.5 billion was required in the higher education sector over the next 15 years. This has informed the submission of the Department to the ongoing capital review process led by the Department of Public Expenditure and Reform. We await the outcome of that process. The Government will make final decisions on the allocation of the additional funding available for public investment over the period from 2018 to 2021 in the context of the 2018 Estimates.

Decisions on the distribution of existing and additional capital funding for higher education will be made based on the level of funding available and in the context of competing demands. Particular strategic priorities include expanding capacity in areas of key skills deficits, orientating for demographic growth and ensuring core campus infrastructure is fit for purpose.

The immediate demands in the sector were identified in the responses from higher education institutions to a consultation process on capital requirements recently undertaken by the Higher Education Authority with the support of the Department. These responses, including that from Mary Immaculate College, fed into our submission to the capital review. They also provided higher education institutions with the opportunity to identify projects they wished to put forward for consideration as part of the higher education public private partnerships programme.

Officials of the Department and the Higher Education Authority, with the advice and assistance of the National Development Finance Agency where necessary, have since been engaged in a comprehensive assessment of the projects put forward for inclusion in the programme. Project selection is in its final stages and I anticipate an announcement on the projects to be included in the programme will be made in the coming weeks. It should be noted that projects which are not progressed as part of the PPP programme may still be considered for direct Exchequer funding.

I thank Senator Maria Byrne for raising this matter and confirm the Department's commitment to progressing the building project in the case of Mary Immaculate College, Limerick, when funding allows and taking account of the range of capital investment priorities in the sector.

I thank the Minister of State for her personal acknowledgement, on behalf of the Department, of the contribution of Mary Immaculate College. I thank the Minister of State for her commitment in that they have made their submission and it is there for consideration. I cannot emphasise enough the role they play. Anything the Minister of State can do in her deliberations, I would appreciate.

Would the Minister of State like to add anything?

No, a Leas-Chathaoirligh, I have said my piece.

Areas of Natural Constraint Scheme Funding

I welcome the Minister for Agriculture, Food and the Marine, Deputy Michael Creed. I raise this issue today in the context of budget 2018 and the difficulties the Minister, and every Minister, will have with competing demands. This matter relates to the areas of natural constraint payment where funding of approximately €200 million is available from the Department towards the most severely disadvantaged lands and the farmers who farm those lands, whether they are constrained by coastal issues, hill farming, the altitude of the land, the marginal nature of the land, or the low stocking density. They have argued for a long time, as have the farming organisations, that it is essential that the programme for Government recommendation or agreement for an additional €25 million is made available.

I raise this issue in the context of the forthcoming budget. I know the Minister cannot divulge what he may or may not do, but I wish to highlight the need, if it is at all possible, to make that money available for 2018. These areas are farmed and the first 10 ha of the payment is front loaded at around €109.71 per hectare. After 10 ha, it goes back to between €95 and €99 per hectare. It is argued that there will be additional front loading done and if possible this front loading would increase from 10 ha to 20 ha. This would be of significant benefit to the most marginal farmers in the State. According to Department of Agriculture, Food and the Marine figures, I understand some 30,000 such farms exist. They are constrained and they are custodians of the most rural parts of Ireland. I hope that additional moneys can be made available under the scheme, which is aimed at supporting the most marginal land. I hope there will be some good news in the coming weeks in that regard.

I thank Senator Ó Domhnaill for raising this matter.

The areas of natural constraint, ANC, scheme was introduced under the 2014-2020 rural development programme as a replacement for the previous disadvantaged areas and less favoured areas schemes, which had been in place since 1975. Payments under the ANC scheme are an important support for farmers across the country in addressing cashflow issues and in contributing to the continued growth and development of the agrifood sector.

The scheme was originally introduced in 1975 in recognition of the fact that farmers in particular areas were faced with challenges relating to lower productivity and higher production costs than farmers in other areas where levels of disadvantage were not as pronounced. The significant level of financial support delivered through the scheme in the intervening years was provided in recognition of the fact that such issues posed a significant threat to the future viability of these farming communities. The specific objectives of the scheme are structured around themes such as ensuring continued agricultural land use, thereby contributing to the maintenance of a viable rural society, maintaining the countryside and maintaining and promoting sustainable farming systems, which take environmental protection into account.

I am very aware of the importance of this scheme to the more than 95,000 farmers who receive the payment annually. With this in mind, I have prioritised the efficient payment of the ANC scheme in my Department in recent years. In 2016, payments under the scheme began in mid-September and, to date, in excess of €203 million has been paid to more than 95,000 farmers.

In the past few weeks, payments under the 2017 ANC scheme have also commenced. In the first tranche of payments in the third week in September, €160 million was paid out to some 75,000 farmers.

This is a significant increase on 2016, when 65,000 farmers were paid €140 million in the first tranche. Regular payments will be made in the coming weeks to ensure that cases are processed once they become clear. At present, approximately €170 million has issued to 80,000 farmers.

Under the Common Agricultural Policy finalised in 2013, the new rural development regulation introduced a change in how eligible areas under the areas of natural constraints, ANC, scheme were to be defined. The designation of eligible areas under these schemes to date has been based on a range of socio-economic factors. These factors include: particular stocking density levels; family farm income levels; population density; and the percentage of the total working population engaged in agriculture. The change in question required that eligible areas must be designated using a set list of biophysical criteria. The purpose of this change is linked to a concern at EU level that areas were not being designated as disadvantaged in a consistent manner across the various member states.

My Department has commenced work on this project and relevant technical experts are currently working on sourcing and analysing the data in respect of the new criteria. Department officials have also been in contact with the joint research centre, JRC, and DG Agriculture and Rural Development in the EU Commission in respect of technical issues arising. The ongoing analysis will identify areas deemed to be facing natural constraints, which will, in parallel, be subjected to a refinement process.

In the original rural development regulation, the new ANC designation was scheduled to be in place for payment in the 2018 scheme year. However, as part of the ongoing discussion on amendments to regulations at EU level, a proposal to extend this deadline on an optional basis is being considered. This proposal is currently passing through the relevant approval process at EU level along with a number of other regulatory changes in what is referred to as the "omnibus proposal".

In view of the importance of the financial support to farmers provided under the ANC scheme, the programme for Government commits to a €25 million increase in funding for the scheme in 2018. This is being considered as part of the ongoing annual budgetary process for 2018. There are a number of options in respect of how any additional funding could be allocated. These options range from allocating the funds as a flat increase across the current payable rates to various forms of targeted higher payment rates for particular categories of farmers. Any changes would require agreement with the EU Commission via a formal amendment of the rural development programme for the period 2014 to 2020.

I thank the Minister. It was a comprehensive reply and the Senator has indicated that there is no need for a supplementary question.

Vaccination Programme

I welcome the Minister for Health, Deputy Harris. This is the first time he has graced the new Seanad Chamber with his presence.

I tabled this matter to discuss the need for the Minister to initiate a campaign to outline the safety of the HPV vaccine in light of very negative publicity. The HPV vaccination is a very important tool in the context of public health. It is a very important step for our nation to ensure that our population is well vaccinated. We have over 11 different vaccinations on offer here. The programme has worked very well to ensure that we have good public health standards. That has been a very positive development over the years.

I am greatly concerned by the negative publicity regarding the HPV vaccination in recent months. If we consider the success of other vaccination programmes, in the case of the measles, mumps and rubella, MMR, vaccine, we are seeking a compliance rate of 95%. The current rate of uptake is 93% on foot of a positive campaign. As a father, I think it has been a very worthy campaign. Unfortunately, the rate of uptake for the HPV vaccine has dropped in recent years. The vaccine was first introduced in 2010. In 2013, the rate of uptake was 88%. That fell to 86% in 2014 and to 76% in 2015.

They are stating now that it is possibly as low as 50%. That is greatly worrying. The HPV vaccination gives women the opportunity to be vaccinated against cervical cancer, which is a silent killer. It is an issue that we, as a society, must address. In terms of the figures, 650 women will need to attend hospital treatment for pre-cancerous conditions regarding cervical cancer every year. Every year, 300 women contract the disease and, unfortunately, we lose 90 of them. It is a silent killer, and that is the reason vaccination is so important.

We need to redouble our efforts to get across the positive message regarding this important tool to ensure that this disease can be controlled. I read some figures yesterday and they frightened me. Unfortunately, we would lose another 40 people with a 50% uptake.

I realise the Minister has worked tirelessly to ensure that the good message about this vaccine gets out. We must ensure we have a follow-up programme for people who want to come back into the system. We also need to battle the false information in the media about this important issue.

I put down this Commencement matter to raise my frustration about what I believe is a very important issue. We need to get the information out to the public. The public wants to be informed. It is a good news story, and it is a positive campaign that will literally save lives. I believe the Minister will move heaven and earth to ensure that will happen. I raise this Commencement matter because I believe we need to air this important issue. If we have a successful campaign to get out the good news about this issue, it is hoped that we will literally save lives.

It is very good to be with the Leas-Chathaoirleach and the Members in their new temporary Seanad Chamber. I thank Senator Tim Lombard for tabling this very important issue, which provides me with an opportunity to update the Seanad on what is a very important public health matter.

As Senator Lombard will be aware, immunisation is regarded as one of the safest and most cost effective of health care interventions and the importance of vaccination is acknowledged by all the major health organisations. The Senator is entirely correct. Due to a very successful childhood immunisation programme, the uptake rates for many of our very important vaccinations are now in line with World Health Organization, WHO, targets, which is saving lives and helping to create healthier children at a younger age and throughout their lives.

There is strong evidence of the beneficial impact of the HPV vaccine for women’s health in countries that have had high uptake rates. For example, cases of high grade pre-cancerous changes of the cervix have reduced by 75% in Australia and by more than 50% in Scotland as a result of the high uptake rate of this vaccine. As Senator Lombard correctly said, this is a vaccine that can and is saving lives.

I want to assure Senator Lombard that one of my absolute priorities as Minister for Health, and a priority of the Health Service Executive, HSE, is to counter misinformation relating to the safety of vaccines, and to increase uptake rates of all vaccines in the State's immunisation programmes. That is important. It is not good enough for us to sit silently by. All of us who hold public office have a duty to help get the facts and the information out to the public and to debunk the myths. That is why I showed my strong support for this vaccine when I launched a new HSE HPV information campaign at the end of August. That is an excellent campaign and I pay tribute to the HSE and the many doctors who worked with it in putting that together. It is operating alongside a very effective campaign of information but from an alliance of medical experts who have come together to get the facts out, debunk the myths and make sure parents can make informed choices.

I am pleased to see the work of the HSE in developing a comprehensive range of materials as part of the immunisation programme for this new school year has started. This includes a letter to parents concerning the vaccination programme, leaflets giving the facts about the HPV vaccine and cervical cancer for parents and teachers and a HPV vaccine key facts leaflet for general practitioners, GPs.

Prior to all school immunisations, parents receive an information pack in a sealed package with an information leaflet, a consent form and a cover letter. The information packs for all immunisations are standardised nationally. The information booklets include information on all the known side effects that can occur after any vaccination. Parents are also given contact details for their local immunisation office and advised to speak to a member of the school immunisation team if they have any further questions.

The HSE has invested in marketing communications at a time when parents are receiving our information packs and consent forms in schools, and when the vaccines will be given to girls.

As we speak, advertisements are running on radio stations nationally to coincide with the provision of this information to parents. This five-week campaign of national and regional radio advertising started last week and will include social media posts on Facebook and Twitter as well as digital advertising.

It is very clear that misinformation is causing real harm to unvaccinated children and to adults who develop vaccine-preventable diseases. A number of years ago, the big political outrage on this issue was that the vaccine was not available to girls in this country and was not being funded. Indeed, my predecessor, Senator James Reilly, campaigned for it prior to its brave introduction by another predecessor, Mary Harney. She saw its importance.

As Senator Lombard rightly points out, there was a very good uptake with 87% of eligible girls having this vaccine three years ago, but that rate has dropped to 50% in the last academic year due to misinformation. The Irish Cancer Society estimates that this drop will have the following consequences, which are startling: that 1,000 girls will require invasive therapy to prevent the precancerous form of HPV; 100 girls will develop cervical cancer and require life altering treatment; and the deaths will take place of at least 40 girls with cervical cancer who did not receive the HPV vaccine. The consequences of this are very serious, which is why I get agitated and use strong language when I hear people making ignorant and uninformed comments. We must take our advice on vaccinations from medical experts. In this case, the advice is very clearly that this is a fully tested vaccine which protects against the main cancer-causing strains of HPV and will eventually save around 60 lives in Ireland each and every year. That is 60 girls who will go on into womanhood alive and well as a result of this vaccine. The benefits of this vaccine are clear. It can, does and will save lives.

To respond directly to Senator Lombard's question on a follow-up campaign, I am pleased to inform him that one is now in place. If there are parents at home today who decided at the time they did not want to get their child vaccinated but have now informed themselves of the facts and would like to get it done, they need not feel they have missed out. Any girl can be provided with the vaccine through the school immunisation programme, which is important information to get out to our communities.

I compliment the Minister on his response and on the campaigns he is running on this very important issue. It is great to get clarity on the follow-up campaign which is very important in that people will hopefully see the benefits and come back into the system. Hopefully, lives will, literally, be saved.

That is correct. It is also important to inform the House that we are considering extending the vaccine to boys. Recently, I asked HIQA to carry out a health technology assessment on the benefits for boys of this vaccination, which is due to be completed in 2018. The Government will act accordingly regarding that.

There is an onus on all of us to debunk the myths, publicise the medical facts and help parents to make informed decisions. My advice to parents is very simple. If they have a question, they should absolutely ensure it is answered, but they should get the facts and information from people who are qualified to give it to them. They should go to www.hpv.ie, where they will find all the facts, visit a doctor or talk to a pharmacist or school immunisation team. There is a great deal of information out there to help them to make the best decisions for their daughters.

Sitting suspended at 3.15 p.m. and resumed at 3.30 p.m.
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