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Tuesday, 11 Jun 2013

Written Answers Nos. 988-1003

Health Services Provision

Questions (988)

Billy Kelleher

Question:

988. Deputy Billy Kelleher asked the Minister for Health the intentions of the Health Service Executive regarding St. Mary's Community Centre, Richmond Hill, Rathmines, Dublin 6; if his attention has been drawn to the fact that its opening time has recently been cut back from seven days a week to four days a week, that the HSE has indicated that it is refusing to recruit new staff for the centre and at present there is just one full-time member of staff there; if his attention has been drawn to the fact that the centre had to close down for two weeks recently owing to staff illness; if it is the case that the HSE is hoping to close it down by simply putting no resources into the centre; the reason funding is not being provided for this vital resource in Rathmines; if his attention has been drawn to the fact that its closure would have a huge detrimental impact on the local community; and if he will make a statement on the matter. [27463/13]

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Written answers

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

EU Directives

Questions (989)

Andrew Doyle

Question:

989. Deputy Andrew Doyle asked the Minister for Health the work his Department is currently undertaking on various pieces of upcoming legislation, through a potential Bill to go through the Houses of the Oireachtas or through statutory instrument, to ensure Ireland is in compliance with the upcoming deadlines of Directives from the European Union; the deadline in each case; and if he will make a statement on the matter. [27476/13]

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Written answers

Three Directives fall due for transposition by my Department during the remainder of 2013 as follows:

1. Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border health care – due 25/10/13

The purpose of the EU Directive on the Application of Patients' Rights in Cross Border Health care is to establish a clear legal framework to facilitate cross border health care with a focus on patient rights, information for patients on entitlements and patient choice. The Directive deals with complex issues, both nationally and between Member States, and work continues on the preparation of proposals for legislation. At this time it is not possible to be specific regarding dates for such legislation but details will be announced in due course.

2. Commission Implementing Directive 2012/52/EU of 20 December 2012 laying down measures to facilitate the recognition of medical prescriptions issued in another Member State – due 25/10/13

It is anticipated that this Directive will be transposed by the due date.

3. Directive 2012/26/EU of the European Parliament and of the Council of 25 October, 2012 amending Directive 2001/83/EC as regards pharmacovigilance - due 28/10/13

It is anticipated that this Directive will be transposed by the due date.

In addition to the above, one article of Directive 2011/62/EU amending Directive 2001/83/EC on the Community code relating to medicinal products for human use, as regards the prevention of the entry into the legal supply chain of falsified medicinal products - the "Falsified Medicines Directive" - remains to be transposed by my Department.

This Directive constitutes a major revision of the EU legislative framework regulating medicines. The Directive, other than Article 85c, was transposed into Irish law by means of four Statutory Instruments on 22 May, 2013.

Article 85c of the Falsified Medicines Directive relates to regulation of the internet supply of medicines. Article 85c will come into effect one year after the Commission adopts an Implementing Act regarding a common logo for internet sites. This Implementing Act has not as yet been adopted by the Commission. Drafting of a Statutory Instrument to transpose Article 85c into Irish law is at an advanced stage.

My Department continues to monitor the transposition of EU Directives on an ongoing basis and makes every effort to transpose Directives by their deadline.

Health Services Staff Recruitment

Questions (990)

Thomas P. Broughan

Question:

990. Deputy Thomas P. Broughan asked the Minister for Health when a clinical director for rare diseases will be appointed; the proposed location of the national office for rare diseases; and if he will make a statement on the matter. [27486/13]

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Written answers

As this is a service matter, the Deputy will receive a reply directly from the HSE.

Medical Card Reviews

Questions (991)

Thomas P. Broughan

Question:

991. Deputy Thomas P. Broughan asked the Minister for Health the number of random financial reviews that have been carried out on holders of medical cards whose cards were not due to expire until 2017; the number of reviews that are due to take place in 2013; and the number of card holders who have lost their entitlement to a full medical card and have instead been given a general practitioner visit card only following a review. [27487/13]

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Written answers

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has recently reissued to Oireachtas members.

Health Services Staff Recruitment

Questions (992)

Thomas P. Broughan

Question:

992. Deputy Thomas P. Broughan asked the Minister for Health the number of posts that have been filled in child and adolescent mental health services from January 2013 to date; and the number of further posts which will be filled during the remainder of this year [27488/13]

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Written answers

The basic approach to delivery of mental health services to children and adolescents revolves around Community Mental Health Teams. In this regard, 150 additional posts were allocated to Child and Adolescent Mental Health Teams in 2012, and a further 80 posts have been identified for allocation to this specific service area in 2013, arising from targeted Government investment of €35 million for each of these respective years.

As of 29 April last, 100 of the designated 150 WTE posts for Child and Adolescent Mental Health Services were filled (20 successful candidates had taken up their positions prior to the end of December 2012); a further 10 candidates had accepted a post and start dates had been agreed.

The National Recruitment Service (NRS) of the HSE creates national panels in anticipation of vacancies. On occasion, however, it is difficult to fill some posts due to various reasons, such as geographical location or shortage of suitable candidates at certain times for some grades such as Clinical Psychologists. However, given the policy and service requirements identified, the NRS is currently working to ensure that remaining posts will be filled as soon as possible, subject to qualified candidates being available.

In relation to the additional funding and posts available for mental health services in 2013, each of the four HSE regions were asked to submit a business case against each of the identified objectives detailing how the additional funding is to be spent and the type and number of WTE to be recruited. Approval has issued to three of the Regions, HSE Dublin North East, HSE South and HSE West and it is expected that approval will issue to the remaining HSE Region shortly to enable recruitment to commence. I have received assurances from the HSE that the recruitment process for the new posts being funded in 2013, and any outstanding posts from those approved in 2012, is being given priority within the HSE.

I wish to re-iterate this Government's strong commitment to enhance this year in practical terms mental health services for children and adolescents and I will continue to closely monitor the position over the remainder of 2013.

Diabetes Strategy

Questions (993)

Arthur Spring

Question:

993. Deputy Arthur Spring asked the Minister for Health his views on whether there is equitable treatment of diabetes patients in rural areas outside Dublin; and if there is a satisfactory level of services such as the equitable provision of insulin pumps in such areas. [27496/13]

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Written answers

The National Integrated Care Diabetes Programme is being implemented on a phased basis. The programme will improve patient access and manage patient care in an integrated manner across service settings, resulting in better outcomes, enhanced clinical decision making and the most effective use of resources.

The Government has approved funding for the appointment of 17 Integrated Care Diabetes Nurse Specialists (one per HSE Integrated Service Area) to support the phased roll out of the programme. These Diabetes Nurse Specialists will work 1 day per week in a hospital setting and 4 days per week in primary care. They will play a key role in the development of clinically sound collaborative links between primary care and secondary care providers and will also be an essential resource in empowering patients to achieve optimum diabetes control. It is anticipated that all 17 positions will be filled soon.

Funding has also been secured to appoint 16 podiatrists and a number of these posts have been filled. Recruitment for the remaining posts is underway and the aim is to have them filled as soon as possible in 2013.

The National Integrated Care Diabetes Programme, when implemented, will facilitate an equitable approach to Diabetes care across all HSE Integrated Service Areas.

Ambulance Service Provision

Questions (994)

Arthur Spring

Question:

994. Deputy Arthur Spring asked the Minister for Health in the context of the centralisation of the switchboard for ambulance emergency calls, his views on whether the call centre should be compartmentalised by region, with each section containing staff with excellent geographic knowledge of a particular region and locality. [27497/13]

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Written answers

The HSE National Ambulance Service (NAS), through its national control centre reconfiguration project, is continuing to rationalise the number of ambulance control rooms across the country, with a target of one national system. This project is focused on improving call taking and dispatch functions and on delivering improved technology. This will assist in improving response times and will allow the NAS to deploy emergency resources in a much more effective and efficient manner, on a regional and national basis rather than within small geographic areas.

The control centre reconfiguration project is consistent with international best practice and is endorsed by HIQA as the most appropriate approach to improve the quality of services to patients and facilitate investment in technologically enabled service delivery. The project is also a key element of Future Health: A Strategic Framework for Health Reform in Ireland 2012-2015.

The NAS will continue to use the same structured process to answer 999/112 calls and to prioritise responses callers will continue to be asked for direction to incidents, and special mapping tools will be in the Emergency Operations Centre which can plot the location of the incidents on the map. Responding crews can then be guided to the location in the normal way. In the later stages of this project, a new web-based satellite system will be introduced into all emergency vehicles so that paramedics can see the same map as the staff in the Emergency Operations Centre.

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Question No. 995 answered with Question No. 938.

Health Services Issues

Questions (996)

Finian McGrath

Question:

996. Deputy Finian McGrath asked the Minister for Health if he will respond to correspondence (details supplied) regarding smoking in the vicinity of a hospital [27533/13]

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Written answers

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Hospital Waiting Lists

Questions (997)

Willie Penrose

Question:

997. Deputy Willie Penrose asked the Minister for Health the steps he will take to have a person (details supplied) in County Westmeath admitted to Midland Regional Hospital, Tullamore; and if he will make a statement on the matter. [27539/13]

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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 National Treatment Purchase Fund has now taken over the reporting of outpatient waiting time data. For the first time data is available on www.ntpf.ie. The collation and analysis of outpatient waiting time data in a standardised format will reveal the distribution of long waiters across all hospitals. For 2013, a maximum waiting time target has now been set of 12 months for a first time outpatient appointment.

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.

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Hospital Waiting Lists

Questions (998)

Willie Penrose

Question:

998. Deputy Willie Penrose asked the Minister for Health the steps he will take to have a person (details supplied) in County Westmeath admitted to Midland Regional Hospital, Tullamore; and if he will make a statement on the matter. [27540/13]

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Written answers

The management of inpatient and day case waiting lists for patients awaiting public health care is based on the principle that after urgent and cancer patients are treated, then clinically assessed routine patients should be seen in chronological order (i.e. longest waiter first).

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.

Medical Card Applications

Questions (999)

Willie Penrose

Question:

999. Deputy Willie Penrose asked the Minister for Health if a person (details supplied) in County Westmeath was refused a medical card; if he will set out in detail the exact income which has been assessed in this case; and if he will make a statement on the matter. [27541/13]

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Written answers

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has recently reissued to Oireachtas members.

Food Safety Promotion Board

Questions (1000)

Seán Fleming

Question:

1000. Deputy Sean Fleming asked the Minister for Health when Labour Court recommendations LRC19842 of June 2010 in relation to the Food Safety Promotion Board will be implemented; and if he will make a statement on the matter. [27552/13]

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Written answers

The Deputy’s question with regard to Labour Court Recommendation LRC19842 of June, 2010 concerns the upgrading of five positions within the Food Safety Promotion Board (FSPB) as a result of a review carried out in 2008. Implementation of the Labour Court recommendation would have required the approval of both sponsor Departments North and South – as both jurisdictions must agree to any change in staffing arrangements. Such joint sanction has not been forthcoming in view of the fact that, inter alia, the grading review in question was commissioned by the FSPB without the required approval of the sponsor Departments and both sponsor Departments consider that the job comparators used in the review were seriously flawed.

Diabetes Strategy

Questions (1001)

Billy Kelleher

Question:

1001. Deputy Billy Kelleher asked the Minister for Health if his attention has been drawn to the fact that according to the National Cancer Screening Centre website the National Diabetic Retinopathy screening programme commenced in February 2013 and that according to the Health Service Executive's 2008 framework report on diabetic retinopathy, it has been internationally recognised that screening and treatment of diabetic retinopathy is one of the most cost effective interventions ever investigated, preventing 6% of potential blindness in year one; in view of the fact that the NCSS makes reference to ensuring that all risks to patients are minimised, if he will confirm that there is funding ring fenced by the Health Service Executive to treat these patients with licensed medications; and if he will make a statement on the matter. [27563/13]

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Written answers

The HSE-National Cancer Screening Service commenced the national diabetic retinopathy screening programme (Diabetic RetinaScreen) in February 2013.

Diabetic Retinopathy is the most common diabetic eye disease and the leading cause of blindness among working age Irish adults. Approximately 10 per cent of the Irish diabetic population has sight-threatening Diabetic Retinopathy and around 90 per cent of this group will develop some form of retinopathy.

Diabetic RetinaScreen offers free, annual diabetic retinopathy screening to people with diabetes aged 12 and older (approximately 190,000 people). All people with both Type 1 and Type 2 diabetes are at risk of developing diabetic retinopathy, a common complication of diabetes which affects the small blood vessels in the lining at the back of the eye and can lead to deterioration in vision. Eye screening uses specialised digital photography to detect, at an early stage, when it is effective at reducing or preventing damage to sight. The NCSS is working closely with treatment centres to ensure they are ready to provide timely, quality assured treatment as part of the programme.

A quality assurance framework and a central database of the eligible diabetic population has been developed for the programme. The first round of screening is being introduced on a phased basis, in line with the roll-out of the first round of screening across other international programmes. Approximately 30 per cent of the eligible diabetic population is expected to be invited in 2013. The remaining 70 per cent will be screened in 2014. Treatment is tailored on a case-by-case basis. Adequate funding has been assigned for the programme for 2013.

Medicinal Products Availability

Questions (1002)

Billy Kelleher

Question:

1002. Deputy Billy Kelleher asked the Minister for Health the reason there continues to be geographical inequity of access to medication for severe allergic asthma, with asthma sufferers in the Health Service Executive Cork and Kerry region particularly disadvantaged; if he will create a national funding mechanism for this treatment, as has been done for a number of cancer treatments; and if he will make a statement on the matter. [27565/13]

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Written answers

In relation to the particular query raised by the Deputy, as this is a service issue, I have asked the Health Service Executive to respond directly to the Deputy in this matter.

Health Screening Programmes

Questions (1003, 1044)

Mary Mitchell O'Connor

Question:

1003. Deputy Mary Mitchell O'Connor asked the Minister for Health the position regarding the health screening tender process; and if he will make a statement on the matter. [27566/13]

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Mary Mitchell O'Connor

Question:

1044. Deputy Mary Mitchell O'Connor asked the Minister for Health the person that needs to be contacted in relation to the tendering process for health screening of staff in Government Buildings; when the screening is due; if there is a specific person in each Department that needs to be contacted; and if he will make a statement on the matter. [27939/13]

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Written answers

I propose to take Questions Nos. 1003 and 1044 together.

The Civil Service Occupational Health Department (CSOHD) has direct responsibility for the provision of an occupational health service to civil servants. This may include the direct provision of workplace health promotion and basic screening. It is a matter for each individual Department to decide whether to offer such a service and make any necessary arrangements. The CSOHD carried out health screening for employees of my Department earlier this year and therefore no tendering process was required in our case.

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