Dáil Éireann Debate, Wednesday - 3 March 2004
217 Mr. Healy-Rae asked the Minister for Health and Children if he will reconsider the cut in home help hours in view of the fact that they are having a detrimental effect on the people for whom they are providing the service; and if he will make a statement on the matter. [7105/04]
View answerI wish to inform the Deputy that the aim of the home help service is to enable people to remain living at home, where appropriate, who would otherwise need to be cared for in long-stay residential care and that this service is an essential support to families and informal carers. The home help service by its nature is a flexible service which is designed to respond to clients' needs. The service is targeted at high and medium dependency clients in accordance with their assessed needs. As a result, therefore, the level of service required in individual cases will fluctuate from time to time. To ensure effective prioritisation of the service, assessments are undertaken at local sector level and are carried out by the public health nursing services.
There are a number of reasons demand for home help service has been increasing, such as demographic factors. Approximately 6,000 additional people come into the over 65 age bracket every year and there has been a proportionately higher percentage increase in the more dependant over 80 age category. These factors may necessitate some minor adjustments in the provision of the home help service. Basically, what this means is that, although a small percentage of clients may have had their hours reduced, this has been counter-balanced by others receiving the service for the first time. I have been assured by all health boards that the provision of the home help service is organised on the basis that the most vulnerable clients are given priority. The following table illustrates funding allocated to the home help service by health board area in 2003 and the percentage increase in funding for this service as compared with 2000.
|
Authority/Health Board |
Expenditure in 2003 on Home Help Service |
Percentage Increase in Expenditure since 2000 |
|
€ |
% |
|
|
Eastern Regional Health Authority |
21,650,641 |
45.74 |
|
Midland Health Board |
8,671,000 |
147.81 |
|
Mid-Western Health Board |
9,574,315 |
136.62 |
|
North Eastern Health Board |
8,165,391 |
107.05 |
|
North Western Health Board |
8,347,268 |
131.62 |
|
South Eastern Health Board |
9,196,719 |
155.07 |
|
Southern Health Board |
31,300,000 |
154.47 |
|
Western Health Board |
13,513,791 |
122.98 |
|
Total |
110,419,125 |
The total increase in expenditure on the home help service across all health board areas since 2000 is 113.59%. The Deputy might also wish to note that an additional €3.748 million has been allocated by my Department to this service in 2004.
Since my appointment as Minister of State I have been encouraging the Eastern Regional Health Authority and the health boards to introduce home care packages including home based subvention for clients applying for nursing home subvention as an alternative to long-stay residential care. The criteria that apply for home based subvention are the same as apply for nursing home subvention. I am pleased to advise that a number of health boards are developing personal care packages that are more focused on individual care needs, for example, public health nurse service, attendance at day care, day hospital and rehabilitation, and the provision of respite care, home help and care assistance.
