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Tuesday, 22 Jan 2013

Written Answers Nos. 572-587

Foster Care Provision

Questions (572)

Róisín Shortall

Question:

572. Deputy Róisín Shortall asked the Minister for Children and Youth Affairs the number of foster parents who have been deemed unsuitable and therefore struck off in each of the past five years; if she will provide details of the procedures in place for recording and investigating complaints about foster parents and their subsequent striking off; the way such parents are notified of this; and the procedure for notifying and recording this information in other areas around the country by the Health Service Executive. [2660/13]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy with the most up-to-date information.

Child Care Services Provision

Questions (573)

Róisín Shortall

Question:

573. Deputy Róisín Shortall asked the Minister for Children and Youth Affairs if her attention has been drawn to the decision of the Health Service Executive to cease funding of the Childminding Advisory Service country wide; the action she will take to ensure that this valuable service is maintained in view of the fact that 80% of children are minded by childminders rather than creches and this advisory service has ensured upskilling and raising of standards among childminders; the way she will ensure the continuation of this element of child protection services; and if she will make a statement on the matter. [2661/13]

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Written answers

The 1991 Childcare Act provided for regulation of the pre-school sector. However, there was a recognition at the time of the difficulties of regulating the childminding sector, given its scale and the strong view that women should not be subject to regulation if they minded a small number of additional children. As a result, the majority of childminders are exempt from the Regulations currently in place.

The 2000 Expert Working Group on Childcare set out a plan for integrating the various strands of child care and education, including childminding. It made a number of recommendations aimed at overcoming the barriers preventing childminders from moving into the formal economy, most of which have been implemented. These included the introduction of a system for voluntary notification of childminders, and the introduction of Childcare Services Relief, which allows a voluntarily-notified childminder to mind up to three children without paying tax on the earnings and to make a PRSI contribution.

In 2002, the Health Service Executive (HSE) agreed to fund a Childminding Advisory Officer post in each county, who would work with the 33 City and County Childcare Committees (CCCs) funded under the Childcare Programme, implemented by the then Department of Justice, Equality and Law Reform. The role included notifying childminders of training opportunities, providing networking opportunities and supporting the voluntary notification system which was being developed by the CCCs. While Childminding Advisory Officers were established in most county areas, this was not always the case and they were not always located with the local CCC. Despite their presence and the additional supports including training, a small capital grant scheme and the introduction of a tax relief for childminding in 2006, the increase in the number of voluntarily-notified childminders since 2004, when the number was 500, has been relatively small and levelled off at 1,250

In recent years, HSE funding for the Childminding Advisory Officer posts has gradually decreased, and is no longer in place in some areas. I understand that this is due to pressure on HSE resources and the need to prioritise funding to other areas of front-line services. While this is not a welcome development, I would point to the fact that the CCCs are now well-established and effective bodies at local level, and that supporting the childminding sector is an integral part of their work. As a result, childminders continue to have access to support, training and advice.

My Department provides annual funding to each CCC to enable them to support and advise all childcare providers at local level. In 2012, the total amount allocated to the CCCs was €11.3m. In addition, in 2012 my Department provided €220,000 to the CCCs for Childminding Development Grants. My Department also provides annual funding, totalling €2.85m in 2012, to seven National Voluntary Childcare Organisations to provide support at a local level to their members. This included €358,000 for Childminding Ireland, the representative body for childminders.

In 2007, the then Office of the Minister for Children published National Guidelines for Childminders which had been developed by its National Childcare Co-ordinating Committee. The Guidelines provide information to childminders on whether they are subject to the Child Care Regulations, the voluntary notification system, the tax relief for childminders, as well as guidance on good practice and other useful information on the role of the childminder in the provision of childcare services.

My Department has commenced work on Ireland's first Early Years Strategy. I have received Government approval for the approach I am taking in developing this Strategy as an innovative and dynamic blueprint for the future development of our Early Years sector, aimed at providing a coherent approach to seeking to improve the lives of children from bith to the age of six. One of the policy issues which I have identified for consideration in the preparation of the Early Years Strategy is the development of the childminding sector as a fully-integrated component of early childhood care and education, in particular for the under-one age group.

Under the Child Care (Pre-School Services) (No 2) Regulations 2006, services providing care for children who have not yet commenced primary school are required to notify their service to the Pre-School Inspectorate of the HSE, and are subject to inspection and report by the Inspectorate on a regular basis. Services covered by the Regulations include full-time, part-time and sessional services, as well as childminders taking care of more than three pre-school children from different families in the childminder's home.

Childminders taking care of not more than three pre-school children from different families are not covered by the Regulations. Decisions on how best to regulate and support the childminding sector will continue to form part of the ongoing work on the Early Years Strategy.

Question No. 574 answered with Question No. 566.

Inter-Country Adoptions

Questions (575)

Pat Breen

Question:

575. Deputy Pat Breen asked the Minister for Children and Youth Affairs the position regarding inter country adoptions with Russia; and if she will make a statement on the matter. [2794/13]

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Written answers

As Russia has not ratified the Hague Convention future adoptions from Russia, beyond those provided for under the transitional arrangements, may only be possible under a bi-lateral agreement. The negotiation of bilateral agreements on intercountry adoption with states who have not ratified the Hague Convention is governed by Section 73 of the Adoption Act 2010.

It is the role of the Adoption Authority of Ireland (AAI) to make an assessment of whether the intercountry adoption legislation and practices in a non-contracting state, in this case Russia, are in compliance with both Irish legislation and the principles of the Hague Convention. As part of this assessment the Adoption Authority has reviewed a draft bilateral agreement presented to it during previous discussions with its Russian counterparts and has provided me with an initial assessment in this regard. I have asked the Adoption Authority to revert to me when they have clarified any outstanding matters and to provide a definitive recommendation to me on the feasibility of formally opening discussion with the Russian Federation under Section 73 of the Adoption Act 2010.

The Russian authorities have indicated that they are in a position to meet the AAI in the first quarter of this year. The Adoption Authority, through the Irish Embassy in Moscow, have confirmed their availability for this meeting. A response from the Russian authorities is awaited.

Child and Family Support Agency Remit

Questions (576)

Caoimhghín Ó Caoláin

Question:

576. Deputy Caoimhghín Ó Caoláin asked the Minister for Children and Youth Affairs if she will confirm that the range of services and programmes of work of the Family Resource Centres will continue when the FRCs come under the aegis of the new Child and Family Support Agency that the ethos and culture of the FRC Programme will be maintained that the essential budget for the continuation of the FRC Programme be ring-fenced and that the Family Resource Centre National Forum will have representation on the board of the new agency; and if she will make a statement on the matter. [2853/13]

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Written answers

The Government has approved the Heads of the Child and Family Support Agency Bill and has also agreed to the priority drafting of this Bill. The necessary legislative and organisational preparations are being prioritised so that the Agency can be established as a priority.

From its establishment the Child and Family Support Agency will have service responsibility for a range of services, including child welfare and protection services currently operated by the HSE; domestic, sexual and gender-based violence services. The functions of the Family Support Agency and the National Educational Welfare Board will transfer into the Child and Family Support Agency upon its establishment.

The Government's consideration of these matters was informed, by the content and recommendations of the Report of the Task Force on the Child and Family Support Agency which I published in July 2012. The Task Force considered that the Agency needs to be as broadly based as possible and should include a range of prevention, early intervention, family support and therapeutic care interventions.

It is my intention that the agency will have a role in supporting families and communities. It will have the benefit in this role of 106 Family Resource Centres which have been developed across the country with funding from the Family Support Agency. I can assure the Deputy that the new Agency will build on the excellent work undertaken by the Family Support Agency over the last decade, and that a community based approach will form an integral part of the new Child and Family Support Agency.

The composition of the Board of the Child and Family Support Agency is currently under consideration. While the composition of the Board will reflect the component organisations which are being amalgamated into the Child and Family Support Agency. The criteria for Board membership will be focused on ensuring that Board members have the requisite mix of experience and competencies needed to steer such a large organisation providing a diverse range of personal services. The new Agency and the wider transformation of children's services represents the largest, and most ambitious, areas of public sector of reform embarked upon by this Government.

Ministerial Staff

Questions (577)

Billy Kelleher

Question:

577. Deputy Billy Kelleher asked the Minister for Children and Youth Affairs the number of immediate or extended family members employed by her Department; and the names and remuneration in each case. [2894/13]

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Written answers

I understand the Deputy is referring to immediate family and or close relations and I can confirm that I employ no such persons.

Appointments to State Boards

Questions (578)

Gerry Adams

Question:

578. Deputy Gerry Adams asked the Minister for Children and Youth Affairs if she will report on the new procedures the Government have introduced for appointments to State boards. [3570/13]

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Written answers

I would like to inform the Deputy there are four agencies which are funded by the Exchequer through my Department's Vote. These are the Adoption Authority of Ireland (AAI); the Family Support Agency (FSA); the National Educational Welfare Board (NEWB) and the Ombudsman for Children. With effect from 1 January 2012, I have taken responsibility for the Children Detention Schools as provided in Part 10 of the Children Act 2001.

Apart from the Ombudsman for Children's Office which does not have a board, I am responsible for all Board of Management appointments.

As the Deputy is aware, in line with the Government decision of April 2011, new arrangements were put in place for the making of appointments to State Boards and bodies. Following this Government Decision, on my Department's website I have invited expressions of interest from persons interested in being appointed to the boards of State Bodies and Agencies operating under the Department's aegis. The notice indicates the vacancies in the boards of the respective bodies. My officials acknowledge all expressions of interest received and maintain a database of those expressions. My Department’s website is monitored and updated on a regular basis to reflect the number of vacancies as they arise.

Those who are being proposed for appointment as Chairpersons of State Boards are now required to make themselves available to the appropriate Oireachtas Committee to discuss the approach they will take as Chairperson and their views about the future contribution of the body or board in question. Following that discussion, decisions would then be taken by the Minister or the Government, as appropriate, to confirm the nominee as Chairperson.Since my appointment as Minister for Children and Youth Affairs on 9th March 2011, I have made 35 appointments including 3 Chairpersons to the Boards of Management under the aegis of my Department.

Mr. Joe Horan, Chairperson designate for the Board of Management of the Children Detention Schools appeared before the Joint Committee on Health and Children on 8th March, 2012. I subsequently appointed Mr. Horan as Chairperson to the Board on 26th March, 2012. There is a fee of €5,985 per annum attached to the position of Chairperson. Mr. Horan agreed to waive this fee for his position as Chairperson to the Board.

Ms. Sharon Foley, Chairperson designate of the Board of Management of the Family Support Agency also appeared before the same Committee on 8th March, 2012. I subsequently appointed Ms Foley as Chairperson to the Board on 26th March, 2012. Ms. Foley is in receipt of remuneration of €8,978 per annum.

Ms. Nuala Doherty, Chairperson designate of the National Educational Welfare Board appeared before the Committee on 26th July, 2012. I subsequently appointed Ms. Doherty as Chairperson on 30th July, 2012. Ms. Doherty is not in receipt of any remuneration for her position as Chairperson to the Board.

In making my decisions on appointments to Boards, subject to the governing legislation, I consider the most suitable persons for the positions available with due regard to the body or agency in question and its particular responsibilities and I seek to ensure that the appropriate mix of skills and experience is in place to achieve the best result.

National Lottery Funding Applications

Questions (579)

Michael Healy-Rae

Question:

579. Deputy Michael Healy-Rae asked the Minister for Health the position regarding funding in respect of an organisation (details supplied) in County Kerry. [2601/13]

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Written answers

An application for funding from the 2012 Lottery allocation was received in October from the organisation in question. The application was reviewed by my Department and a decision was made that funding should not be provided on this occasion. My Department informed the organisation of this decision on 27 December 2012. If funding for this project is required in 2013, the organisation may wish to apply for a grant from the 2013 National Lottery allocation. Detailed procedures, along with the application form are set out on my Department's website - www.doh.ie

Special Educational Needs Services Provision

Questions (580)

Jack Wall

Question:

580. Deputy Jack Wall asked the Minister for Health the reason a special education unit in a school (details attached) County Kildare does not have the same services as similar units in different parts of the county; and if he will make a statement on the matter. [2933/13]

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Written answers

As the Deputy will be aware the Department of Education and Skills has primary responsibility for addressing the educational needs of children with disabilities. However the health sector has a role in terms of providing health- related supports to these children, where required.

The Health Service Executive is currently reconfiguring therapy resources for children with disabilities aged 0 to 18 years, including those with autism. Its National Programme on Progressing Disability Services for Children and Young People (0-18 years ), established since 2010, seeks to bring consistency in service delivery and a clear pathway to services for all children with disabilities according to need, regardless of where they live, which pre-school or school they attend or the nature of their disability. In practical terms this means that health professionals and parents will know exactly where a child should be referred and how to refer them. Services may be provided at primary care level or by early intervention and school age disability teams, with access to specialist services, according to the child’s needs.

The Deputy's question relates to the provision of therapy supports by Beechpark services to a particular school. As this is a service matter I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Tobacco Control Measures

Questions (581)

Brian Walsh

Question:

581. Deputy Brian Walsh asked the Minister for Health the number of prosecutions initiated by the Office of Tobacco Control or Health Service Executive under the Public Health (Tobacco) Acts each year since 2004; if he will provide a breakdown by county and the nature of the offence. [2273/13]

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Written answers

Smoking is the greatest single cause of preventable illness and premature death in Ireland, killing over 5,200 people a year. Ireland’s public health policy objective in relation to tobacco is to promote and subsequently move towards a tobacco free society. Smoking is prohibited in most enclosed workplaces under the Public Health (Tobacco) Act 2002 (as amended). Further provisions of the Public Health (Tobacco) Acts 2002 and 2004 (Public Health Tobacco Acts) were commenced with effect from 1 July 2009 including:

- a ban on the display and advertising of tobacco products;

- a requirement for all tobacco products to be out of view and stored within a closed container which can only be accessed by the retailer;

- a prohibition on self-service vending machines except in licensed premises or in registered clubs and

- a requirement for all retailers who wish to sell tobacco products to register with the National Tobacco Control Office.

The aim of these provisions is to further de-normalise tobacco and to protect children from the dangers of tobacco consumption. The National Tobacco Control Office is responsible for the enforcement of tobacco legislation.

As this is a service matter, I have referred this question to the Health Service Executive for attention and direct reply to the Deputy.

Medicinal Products Expenditure

Questions (582)

Clare Daly

Question:

582. Deputy Clare Daly asked the Minister for Health the reason generic drugs here are substantially more expensive than in many other countries; the position regarding the implementation of a scheme similar to the pharmac system which operates in New Zealand; and if he will make a statement on the matter. [2275/13]

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Written answers

The prices of drugs vary between countries for a number of reasons, including different prices set by manufacturers, different wholesale and pharmacy mark-ups, different dispensing fees and different rates of VAT. In recent years, a number of changes to the pricing and reimbursement system have been successfully introduced in Ireland. These have resulted in reductions in the prices of thousands of medicines.

The Department and the HSE have successfully finalised discussions with the Association of Pharmaceutical Manufacturers in Ireland (APMI), which represents the generic industry, on a new agreement to deliver further savings in the cost of generic drugs. Under this Agreement, from 1 November 2012, the HSE will only reimburse generic products which have been priced at 50% or less of the initial price of an originator medicine. In the event that an originator medicine is priced at less than 50% of its initial price the HSE will require a generic price to be priced below the originator price. This represents a significant structural change in generic drug pricing and should lead to an increase in the generic prescribing rate. In addition, the Health (Pricing and Supply of Medical Goods) Bill 2012, which is currently before the House, provides for the introduction of a system of generic substitution and reference pricing for prescribed drugs and medicines. These reforms will promote price competition among suppliers and ensure that lower prices are paid for these medicines resulting in further savings for taxpayers and patients.

Transport Costs

Questions (583)

Dara Calleary

Question:

583. Deputy Dara Calleary asked the Minister for Health if his Department or any Government Department has provisions to assist a help day centre (details supplied) in County Mayo in their ongoing transport costs; if such a scheme exists if he will outline the application process; and if he will make a statement on the matter. [2276/13]

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Written answers

I understand that the HSE replied to the Deputy on the 17th January regarding this matter.

Drugs Payment Scheme Administration

Questions (584)

Billy Timmins

Question:

584. Deputy Billy Timmins asked the Minister for Health the position regarding funding for a T-splint in respect of a person (details supplied) in County Wicklow; and if he will make a statement on the matter. [2288/13]

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Written answers

The HSE is responsible for the administration of the Drug Payment Scheme. Therefore, this matter has been referred to the HSE for attention and direct reply to the Deputy.

Hospital Waiting Lists

Questions (585)

Denis Naughten

Question:

585. Deputy Denis Naughten asked the Minister for Health when a person (details supplied) in County Leitrim will receive an outpatient appointment; the reason for the delay in same; and if he will make a statement on the matter. [2359/13]

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Written answers

Improving access to outpatient services is a key priority for the Government. Building on work already undertaken by the HSE, the NTPF has now taken over the reporting of outpatient waiting time data. The collation and analysis of outpatient waiting time data in a standardised format will reveal the distribution of long waiters across all hospitals. In the first instance, this will allow the SDU and NTPF to target their resources towards those patients who are waiting longest and ensure that they are seen and assessed.

In parallel with reducing the numbers of longest waiters, the SDU will also work with the HSE Clinical Programmes to reform the structure, organisation and delivery of outpatient services to ensure that the right patient is seen and assessed by the right health professional at the right time. Should the patient's general practitioner consider that the patient's condition warrants an earlier appointment, he/she would be in the best position to take the matter up with the consultant and hospital involved. In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.

Hospital Waiting Lists

Questions (586)

Denis Naughten

Question:

586. Deputy Denis Naughten asked the Minister for Health when a person (details supplied) in County Leitrim will be called for an appointment; the reason for the delay in same; and if he will make a statement on the matter. [2362/13]

View answer

Written answers

Improving access to outpatient services is a key priority for the Government. Building on work already undertaken by the HSE, the NTPF has now taken over the reporting of outpatient waiting time data. The collation and analysis of outpatient waiting time data in a standardised format will reveal the distribution of long waiters across all hospitals. In the first instance, this will allow the SDU and NTPF to target their resources towards those patients who are waiting longest and ensure that they are seen and assessed.

In parallel with reducing the numbers of longest waiters, the SDU will also work with the HSE Clinical Programmes to reform the structure, organisation and delivery of outpatient services to ensure that the right patient is seen and assessed by the right health professional at the right time. Should the patient's general practitioner consider that the patient's condition warrants an earlier appointment, he/she would be in the best position to take the matter up with the consultant and hospital involved. In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.

Primary Care Centres Provision

Questions (587)

Kevin Humphreys

Question:

587. Deputy Kevin Humphreys asked the Minister for Health the primary care centres that are funded by his Department in areas of Dublin (details supplied); the funding that will be provided to each in 2013; and if he will make a statement on the matter. [2370/13]

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Written answers

The Government is committed to moving the focus of health care from secondary care to primary care, key aspects of which include the continued development of Primary Care Teams and Primary Care Centres. Up to 95% of people's health and social service needs can be properly met within a primary care setting. The HSE has responsibility for the provision of Primary Care Centres, therefore, this matter has been referred to the HSE for attention and direct reply to the Deputy.

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