Pneumoconiosis is a prescribed disease for the purpose of the Occupational Injuries scheme administered by the 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 or if they can show, to the satisfaction of the Chief Medical Advisor in the Department, that the disease was contracted through an employment not specifically prescribed in relation to that disease.
Employment under a contract of service is insurable for Occupational Injuries Benefit under the Social Welfare Acts. An insured person who contracts pneumoconiosis may qualify for disablement benefit under that scheme, in addition to illness benefit under the general social insurance scheme, subject to meeting the qualifying conditions. 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. Currently, there are 23 people in receipt of disablement benefit as a result of contracting pneumoconiosis arising from their occupation, of which 19 are former coal miners and 4 were in employments prescribed in relation to asbestos. The percentage of disablement assessed in these cases ranges from 8% to 90%. 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 their disablement. These arrangements apply generally and there are no plans for special arrangements in the case of pneumoconiosis.
Where a person qualifies for disablement benefit, the rate of benefit increases on an annual basis in line with the normal social welfare budget increases. In addition, where a person feels that his/her condition has deteriorated since the assessment was made under the scheme, it is open to that person to apply for a review of the disablement percentage calculated.