I propose to take Questions Nos. 64, 122 and 131 together.
Pneumoconiosis is a prescribed disease for the purpose of the Occupational Injuries Benefit scheme administered by my Department. The legislation governing the Occupational Injuries Scheme provides entitlement to benefit for persons suffering from certain prescribed diseases which are listed in the legislation and where that person has contracted that disease in the course of their employment.
Where a person has contracted one of the diseases listed in the legislation, benefits are payable if they were employed in an occupation which is specifically prescribed in relation to that disease. In addition, benefits may be payable if the claimant can show that the disease was contracted through an employment not specifically prescribed in relation to that disease.
Employment under a contract of service as a miner is insurable for Occupational Injuries Benefit under the Social Welfare Acts. Miners who are unable to work due to an accident arising from their employment may be entitled to occupational injury benefit for the first 26 weeks of their claim. If their incapacity extends beyond that period they may receive Disability Benefit or Invalidity Pension, subject to meeting the qualifying conditions for these payments.
Miners may be entitled to Disablement Benefit if they suffer a loss of physical or mental faculty as a result of an accident at work or a disease prescribed in legislation that they contracted at work. Medical assessments are undertaken in all such cases to determine the degree of disablement, which is calculated by comparison of the state of health of the applicant with a person of the same age and gender.
Persons claiming Occupational Injuries Benefit in cases of Pneumoconiosis are referred to Consultant Respiratory Physicians in the first instance for an examination and report. This examination consists of a clinical assessment and pulmonary function testing (PFT). Disablement benefit is awarded on the basis of the consultant's report, including the pulmonary function test result. The degree of disablement is expressed as a percentage of loss of faculty and the compensation payable varies accordingly.
Loss of faculty may be determined within a range of less than 1% to 100%, depending on the severity of the condition. A person must be assessed as having a minimum of 20% loss of faculty before they may be considered as being incapable of work due to his or her disablement. There is no reason, medical or otherwise, to award 100% disablement automatically in the case of Pneumoconiosis.
There are 21 persons currently in receipt of Disablement Benefit under the Occupational Injuries scheme as a result of pneumoconiosis and 19 of these are former coal workers. Of this number, 7 are also in receipt of Retirement Pension, 4 are receiving Old Age (Contributory) Pension, 7 are in receipt of Invalidity Pension, 1 is in receipt of Unemployment Assistance and 2 are in employment.
An issue has been raised as to whether Chronic Emphysema and Bronchitis and/or asthma now known as Chronic Obstructive Pulmonary Disorder (COPD) should not be included in the list of occupational prescribed diseases. COPD is a serious clinical condition and is not specifically linked to any particular occupation.
No EU State, other than the United Kingdom, includes COPD in their schemes equivalent to our occupational injuries scheme. The position in the United Kingdom is that their equivalent of Occupational Injuries Benefit may be paid to coal miners who have worked underground for at least 20 years and who are diagnosed as having Pneumoconiosis with considerable lung function loss. The effect of prescribing COPD was to enable a higher rate of payment to be made to some Pneumoconiosis sufferers in certain circumstances.
Where a person has qualified for occupational injuries benefits, the rate of benefit payable increases on an annual basis in line with the normal social welfare budget increases. In addition, where a person feels that his/her occupational injury has deteriorated since the assessment was made under the scheme, it is open to that person to apply for a review of the percentage calculated.