Government policy in relation to older people is to support people to live in dignity and independence in their own homes and communities for as long as possible and, where this is not feasible, to support access to quality, long-term affordable residential care. In line with this policy, a priority of Government in recent years has been to develop care services to assist vulnerable older people to live at home for as long as possible. There has, consequently, been significant development nationally by the Health Service Executive (HSE) of a number of community-based supports such as Home Help, Home Care Packages, and Day/Respite Care. In 2010 the Executive will, for example, invest in the region of €210 million for Home Help services, and €130 million for Home Care Packages.
The focus of the Department and the HSE in recent times has been the introduction of new regulations for the long-term residential care sector, underpinned by a scheme of financial support (the Nursing Homes Support Scheme). While there is at present no statutory regulation of the home care sector, the HSE has responsibility for delivering all aspects of its community based service. This includes training and induction for its community staff, and Garda clearance for all new staff employed since 2006. (Garda clearance has also been sought, on a phased basis, for all staff who commenced employment before 2006. Clearance has by now been received for almost all such staff members, and work will continue in this area until clearance has been received for all HSE employees.)
Following the introduction of Home Care Packages in 2006, and in accordance with a recommendation of the Long-Term Care Working Group and a "T2016" commitment, the Department last year commissioned an independent Evaluation of Home Care Packages. This Evaluation was published on 3 December last. The HSE is committed, in its Service Plan 2010, to implement the recommendations of this Evaluation, which will include the adoption by the Executive this year of:
National Guidelines for the Standardised Implementation of Home Care Packages;
National Quality Home Care Support Guidelines; and
a National Procurement Framework for the provision of home care services.
These measures will apply to all relevant home care services provided directly by, or on behalf of, the HSE.
In relation to the issue of statutory regulation, the Law Reform Commission published a consultation paper in July last, entitled Legal Aspects of Carers. While the focus of the HSE this year will be on the implementation of the recent Evaluation, the Department will also consider the Commission's findings in the context of possible changes to legislation and regulation in the area of home care for older persons generally.
I have referred the Deputy's question to the HSE for direct reply, in relation to the cost information raised.