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Tuesday, 26 Mar 2013

Written Answers Nos. 566-582

Animal Experimentation

Questions (566)

Maureen O'Sullivan

Question:

566. Deputy Maureen O'Sullivan asked the Minister for Health further to Parliamentary Question No. 636 of 12 March 2013, which does not include a reference to any specific enforcement activities undertaken by the Irish Medicines Board or his Department to ensure compliance with the EU marketing ban on animal tested cosmetics, the number of cosmetic products that have been surveyed by the IMB in conjunction with Environmental Health Services to ensure their compliance with cosmetics regulations, in particular the prohibitions on the marketing of animal tested cosmetics in regulation 9 of S.I. No. 870 of 2004, since 11 March 2009; the number of reports of EU cosmetics surveillance programmes that have been brought to the Government or IMBs attention since 11 March 2009; the number of cosmetics products to which they refer; if he will describe the detailed protocol for any active surveillance programmes to be performed by the IMB or in conjunction with other agencies to ensure compliance with the full marketing ban on animal tested cosmetics that came into force on 11 March 2013; and if he will make a statement on the matter. [15084/13]

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Written answers

The European Communities (Cosmetic Products) (Amendment) (No. 3) Regulations 2010 (S.I. 440 of 2010) nominated the Irish Medicines Board (IMB) as competent authority for cosmetics on 1 October 2010. Since then 292 separate cosmetic products have been surveyed by the IMB in conjunction with the HSE, Environmental Health Services. There have been no incidences of breaches of the animal testing ban detected.

Since the IMB assumed the role as competent authority for cosmetics on 1 October 2010, 354 cosmetic products have been brought to the attention of the IMB from EU surveillance reports and there have been no reported instances of breaches of the animal testing ban. The IMB, in conjunction with the EU Commission and other European Member States, takes a risk-based approach with respect to enforcement of cosmetics legislation, including surveillance programmes, to ensure a high level of public safety. As a notification system operates and there is no pre-approval of cosmetic products in Europe, the regulation of these products primarily involves post-marketing surveillance programmes which are both pro-active and reactive in nature. There is a requirement for a Responsible Person to be designated for each cosmetic product placed on the European market and the Responsible Person must maintain a Product Information File (PIF) relating to each product. This PIF contains all information relating to testing and can be requested for review by the IMB both proactively, as part of a pre-planned surveillance programme, and reactively if there are grounds to suspect a non-compliance.

The PIF must also contain the cosmetic product safety report as specified in Annex I of Regulation (EC) 1223/2009 on cosmetic products, this includes information on the toxicological profile of the substance for all relevant toxicological endpoints and a clear identification of the source of the information. The IMB will be pro-actively reviewing PIFs over the next 12 months for compliance with the implementation of the full animal testing ban as part of a pre-planned surveillance programme.

Prior to October 2010 the HSE, Environmental Health Services was responsible for enforcement activities in relation to cosmetics and my Department has requested the Parliamentary Affairs Division of the Executive to arrange to have the statistic compiled for the period March 2009 to October 2010 and to have a reply issued directly to the Deputy.

Hospital Waiting Lists

Questions (567)

Tom Fleming

Question:

567. Deputy Tom Fleming asked the Minister for Health if he will immediately provide funding to clear the long orthotics waiting list in County Kerry; the way the waiting list time in County Kerry compares to other regions; the number of persons currently on the waiting lists; and if he will make a statement on the matter. [15088/13]

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Written answers

As the Deputy's question relates to service matters I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

HSE Expenditure

Questions (568)

Seán Kenny

Question:

568. Deputy Seán Kenny asked the Minister for Health if he will provide details of each barrister who received payments from the Health Service Executive for legal services in 2010, 2011 and 2012; the amount each individual received for their services; and if he will make a statement on the matter. [15099/13]

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Written answers

This matter has been referred to the HSE for direct reply to the Deputy.

Cancer Incidence

Questions (569)

Robert Dowds

Question:

569. Deputy Robert Dowds asked the Minister for Health the number of cases of breast cancer detected in each of the Health Service Executive regions for the past three years for which data is available. [15113/13]

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Written answers

The National Cancer Registry is the statutory body with responsibility for, inter alia, the collection and analysis of information relating to the incidence of cancer in Ireland. The data requested by the Deputy is presented in the table below and refers to female breast cancer. Final data is available from 2008 – 2010. Data for 2011 is provisional. HSE region is determined on the basis of the patient's area of residence.

Number of invasive female breast cancer cases diagnosed in Ireland, by HSE region of patient residence, 2008-2011

-

Year

Year

Year

Year

HSE Region

2008

2009

2010

2011

Dublin & Mid Leinster

760

759

785

777

Dublin & North East

515

595

535

428

South

829

710

757

759

West

698

699

624

709

Unknown

8

6

30

162

Total

2,810

2,769

2,731

2,835

Cancer Incidence

Questions (570)

Robert Dowds

Question:

570. Deputy Robert Dowds asked the Minister for Health the number of cases of all cancers detected in each of the Health Service Executive regions in the past three years for which data is available. [15114/13]

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Written answers

The National Cancer Registry is the statutory body with responsibility for, inter alia, the collection and analysis of information relating to the incidence of cancer in Ireland. The data requested by the Deputy is presented in the table below. Final data is available from 2008 – 2010. Data for 2011 is provisional. HSE region is determined on the basis of the patient's area of residence.

Number of invasive cancers diagnosed in Ireland by HSE region of patient residence, 2008-2011

-

Year

Year

Year

Year

HSE Region

2008

2009

2010

2011

Dublin & Mid Leinster

7,317

7,581

7,614

7,688

Dublin & North East

5,137

5,344

5,556

4,819

South

6,863

7,319

7,478

7,666

West

6,366

6,613

6,957

7,007

Unknown

119

118

295

1,378

Total

25,802

26,975

27,900

28,558

Number of invasive cancers (excluding non-melanoma skin) diagnosed in Ireland

-

Year

Year

Year

Year

HSE Region

2008

2009

2010

2011

Dublin & Mid Leinster

5,113

5,262

5,224

5,205

Dublin & North East

3,564

3,695

3,826

3,167

South

4,859

5,138

5,242

5,235

West

4,736

4,847

4,814

4,874

Unknown

76

71

232

1,031

Total

18,348

19,013

19,338

19,512

Mental Health Services Provision

Questions (571)

Róisín Shortall

Question:

571. Deputy Róisín Shortall asked the Minister for Health if he will give an assurance that the existing use of Toghermore House, Tuam, County Galway, will be maintained for the foreseeable future. [15122/13]

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Written answers

The HSE, which has operational responsibility for this unit, recently commenced measures to address safety issues identified at the facility. The Executive has indicated that it will continue to work with relevant stakeholders, including medical staff, to ensure that the safety of residents remains the primary concern. Pending the outcome of a review of 24 hour residential facilities for East Galway Mental Health services generally, no decision has been taken in relation to the future use of the unit.

Programme for Government Implementation

Questions (572)

Róisín Shortall

Question:

572. Deputy Róisín Shortall asked the Minister for Health the way in which and when he intends to implement the Programme for Government commitment to create a primary care fund. [15123/13]

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Written answers

The HSE’s National Service Plan for 2013 sets out the funding allocations for this year by care group programme. It includes provision of €2,562 million in respect of the Primary Care Reimbursement Service and €400 million for Primary Care services. This is an increase of 1.7% and 7.6% respectively on the 2012 figures.

During 2013, the Department of Health will work with the HSE and the Department of Public Expenditure and Reform to develop Programme Based Budgeting in 2013 within the confines of the existing financial systems. This will take place in advance of the Vote of the HSE being disestablished, with funding for the services being provided through the Vote of the Office of the Minister for Health with effect from January 2014.

Successful transformation of our health services requires a corresponding transformation of our funding model. The first stage in transforming our funding model is to clarify funding streams through the creation of directorates and corresponding programme based budgets. As part of this process, a Primary Care Directorate is being established within the HSE. This directorate will oversee the development and strengthening of primary care. An announcement is expected very shortly on the appointment of the National Director of Primary Care, who will head up the Primary Care Directorate.

Medical Card Eligibility

Questions (573)

Róisín Shortall

Question:

573. Deputy Róisín Shortall asked the Minister for Health the person who took the decision and when to deny married or cohabiting medical card applicants with serious medical conditions the opportunity to apply for and be assessed for a medical card as an individual as had been the practice of the Health Service Executive up to very recently; when this change in policy was communicated to his office; the reason this change was not communicated to the public; if his attention has been drawn to the implications of this for highly vulnerable people; and the action he proposes to take to immediately restore this practice. [15124/13]

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Written answers

The information sought by the Deputy is not readily available. However, I have asked the Health Service Executive to supply this information to me and I will forward it to the Deputy as soon as possible.

Questions Nos. 574 and 575 answered with Question No. 534.

Orthodontic Services Waiting Lists

Questions (576)

Mattie McGrath

Question:

576. Deputy Mattie McGrath asked the Minister for Health if his attention has been drawn to the fact that the orthodontic treatment waiting list in the South East is currently dating back to August 2009; the reason for this delay; the efforts being made to address this backlog and the options available to patients who are waiting for treatment since 2009/2010 almost three years; and if he will make a statement on the matter. [15156/13]

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Written answers

The HSE has commissioned an independent review of orthodontic services. The outcome of this review will give guidance as to what changes will be desirable to provide the best possible model of care delivery, given the current resources available and future demand for services. Final actions of the review of orthodontic services are currently being completed. It is anticipated that a report for consideration by the HSE and the Department of Health will be ready by the end of the 2nd Quarter of 2013. The HSE has been asked to reply directly to the Deputy regarding the provision of orthodontic services in the South East.

Primary Care Centres Provision

Questions (577)

Billy Kelleher

Question:

577. Deputy Billy Kelleher asked the Minister for Health if he will list the primary care centres contained within the two bundles announced as part of the national stimulus plan; the current status of each of these individual centres; and if he will make a statement on the matter. [15157/13]

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Written answers

Of the 35 primary care centres announced under the infrastructure stimulus package in July 2012, approximately 20 will be offered to the market subject to a) agreement between the local GPs and the HSE on active local GP involvement in the centres and b) site suitability and availability. The HSE is currently analysing the available sites in each location and engaging with the GPs in each location to determine their interest in participating in the primary care centre development.

The HSE is also engaging with the National Development Finance Agency (NDFA) as required to progress Primary Care Centre Public Private Partnership. The NDFA as a centre of expertise will be responsible for the delivery of the Primary Care PPP programme on behalf of the HSE, including the management of the procurement phase and the provision of financial advice including a Value for Money assessment. It has been reviewing the processes involved in procurement of PPP projects with a view to streamlining the process and delivering projects more quickly. The preparatory work for the primary care centre project which precedes signing of any PPP agreements is well underway.

While it is not possible, at this time, to give start and completion dates for any of the individual 20 potential locations, the best estimate is that these primary care centres will be completed by late 2016.

Neuro-Rehabilitation Services Provision

Questions (578)

Nicky McFadden

Question:

578. Deputy Nicky McFadden asked the Minister for Health if he has considered the recent Neurorehabilitation Manifesto from the Neurological Alliance of Ireland in relation to the neurorehabilitation strategy and protection of funding to not for profit organisations that provide neurorehabiliatation supports; and if he will make a statement on the matter. [15186/13]

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Written answers

The aim of neuro-rehabilitation is to enable the person to achieve the highest possible level of independence. Desired outcomes range from a return to full independence in social and work situations to a person requiring long-term support and care but with a higher level of independence than in the absence of neuro-rehabilitation. Current services available include acute hospital services; the National Rehabilitation Hospital; multi-disciplinary community services; long-term assisted living supports; and rehabilitative training services. These services are provided directly by the Health Service Executive (HSE) and several non-statutory organisations.

The Department of Health and the HSE have developed and published the "National Policy and Strategy for the provision of Neuro-Rehabilitation Services in Ireland 2011 - 2015". In addition the HSE is developing its Rehabilitation Medicine Programme within the Clinical Strategy and Programmes Directorate. The Report is the overarching policy on neuro-rehabilitation services and includes proposals for a framework for the future of neuro-rehabilitation services in Ireland and proposals on implementing the report including key elements such as: guiding principles; implementation structure; methodology for implementation; and information and communication.

The Report recognises that given the current economic climate, the focus in the short to medium term has to be on re-configuration of services, structures and resources and the enhancement of the skills and competencies required to meet the changing context. The Rehabilitation Medicine Programme has been working in collaboration with the National Disability Unit as part of an expert Working Group planning for the implementation of the Report. The key priority areas, as identified in the HSE's National Operational Plan for 2013 are to: Map and develop Integrated Service Area level rehabilitation networks; and implement the model of care for rehabilitation services within the networks with a focus on community rehabilitation.

The Rehabilitation Medicine Programme has incorporated key elements of the Report into its own Model of Care and adopted the Strategy's recommendation of "hub and spoke" model for specialist rehabilitation services and is keen to progress with a comprehensive model for the continuation of such service into the community. With regard to funding agencies, this Government currently provides over €1.5 billion to the Disability Services Programme through the HSE's National Service Plan for 2013. We are committed to protecting frontline services for people with disabilities, including neuro-rehabilitation services, to the greatest possible extent. The Minister for Health is working to ensure that protection is afforded to the disability sector and the Social Care area as a whole. While the allocation for disability services in 2013 will be reduced by 1.2%, its share of the estimate reduction, the HSE is seeking to maximise the provision of services within available resources and to maintaining a consistent level to that provided in 2012.

Primary Care Reimbursement Service Payments

Questions (579)

Clare Daly

Question:

579. Deputy Clare Daly asked the Minister for Health the reason no action was taken by the Primary Care Reimbursement Service when evidence was submitted to them that a patient (details supplied) in County Sligo did not make a claim for which they reimbursed the pharmacy; and the assurances that can be given that this is not a regular occurrence. [15196/13]

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Written answers

This matter has been fully investigated by the Primary Care Reimbursement Service of the HSE.

Medical Aids and Appliances Provision

Questions (580)

Paudie Coffey

Question:

580. Deputy Paudie Coffey asked the Minister for Health when a suitable chair will be provided for a person (details supplied) in County Meath; and if he will make a statement on the matter. [15203/13]

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Written answers

As the Deputy's question relates to service matters I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

HSE Expenditure

Questions (581)

Joe Carey

Question:

581. Deputy Joe Carey asked the Minister for Health the Health Service Executive's policy in relation to re-using or returning to the HSE stores, unused unopened medical, surgical or office supplies; and if he will make a statement on the matter. [15204/13]

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Written answers

HSE Procurement is responsible for the strategic sourcing, purchasing, storage and distribution of products, goods and services to optimise efficiencies and achieve best value for money in the delivery of patient care. As this is a service issue your question has been referred to the HSE for direct reply.

Nursing Home Services

Questions (582)

Brendan Smith

Question:

582. Deputy Brendan Smith asked the Minister for Health if he will outline the present admissions policy for St. Mary's Nursing Unit, Castleblayney, County Monaghan; and if he will make a statement on the matter. [15211/13]

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Written answers

As this is a service matter it has been referred to the Health Service Executive for direct reply.

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