I thank Senator Crowe for raising this matter today. I am taking this Commencement matter on behalf of my colleague, the Minister for Health, Deputy Carroll MacNeill.
Practice education placements for radiation therapy students are essential to support clinical skills development in the application of theory to patient care and attainment of regulatory standards of proficiency. Practice education offers opportunities for students to translate theoretical learning into practical experience, work in different settings and develop relevant practical skills. Across the health and social care disciplines, there are many students on placements in hospitals and healthcare settings, of which approximately one third are final year students. The length of placement and the activities performed during these placements vary between the disciplines. These students are not employees and are therefore not paid. In many cases, the nature of placement can mainly be limited to participation in an observing and learning capacity.
The length of placements for health and social care professions - HSCPs for short - and the activities performed during these placements varies between disciplines and is determined by the educational standards set by professional regulators. Practice placements for radiation therapy students takes place in two blocs in year one and two blocks in year two. Students must complete a minimum of 1,000 hours in clinical settings. Placements are provided in public and private healthcare settings. CORU registration requirements have been changed to bring Irish training requirements in line with international comparators. Practice hours have been reduced to 1,000 hours from 1,200 hours.
As Senator Crowe mentioned, radiation therapists play a vital role in the delivery of radiation therapy services and supporting patients through each step of their cancer journey. There are approximately 227 whole-time equivalent radiation therapists employed by the HSE. While on placement, radiation therapy students are not employees of the HSE and remain registered with the higher education institution throughout their placements. The nature of the placement is in a learning capacity under supervision meaning their status as a student is protected. In general, there are no allowances or payments for HSCP students while completing placement hours in the health service. Occupational therapy, speech and language therapy, physiotherapy or radiation therapy, dietetics and radiography students do not receive an allowance to support time spent in clinical placements as part of their training.
As the Senator mentioned, uniquely for student nurses and midwives, there is in the final year a paid salary when they are specifically employed on internship placements. Student nurses’ and midwives’ final year internship placements consist of a continual 36-week rostered clinical placement, including annual leave. The internship placement is a paid placement as student nurses and midwives take a reduced caseload. During these placements, students are under supervision and are considered as 0.5 whole-time equivalents of the workforce. In addition, intern students can be allocated across all shift patterns, including nights, weekends and 12-hour days.
An independent review of the radiation therapy profession was finalised in 2024, making 16 recommendations in total. These recommendations intend to support the radiation therapy profession into the future. The review considered important issues such as organisational structure, career development in line with health and social care professional frameworks, strategic workforce planning, and recruitment and retention strategies. An oversight committee is being established by the HSE to implement the recommendations arising from the review.
Senator Crowe may also wish to note that there are a number of student grants and other financial supports available to students in further and higher education. Details are available from the Department of Further and Higher Education, Research, Innovation and Science.
I note the point the Senator raised and I will bring it back to the Minister, Deputy Carroll MacNeill.