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Tuesday, 18 Jun 2013

Written Answers Nos. 560-578

Health Services Staff Issues

Questions (560)

Billy Timmins

Question:

560. Deputy Billy Timmins asked the Minister for Health the position in relation to the Health Service Executive staff offer of a three year career break on up to a maximum of €12,000 per year, the deadline for applications was 31 May and the career break starts on 1 July and may be deferred to the last day of 2013; if, in view of the fact that some workers only read about this in the paper in the past few weeks and are too late to apply, the date to which applications may be extended; and if he will make a statement on the matter. [29201/13]

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Written answers

On 1 May 2013 my Department authorised the HSE to introduce an Incentivised Career Break Scheme in the HSE and in organisations funded by the HSE under Section 38 of the Health Act 2004. The Scheme is one of a number of measures being employed to assist in the Health Sector achieving the reduction in staffing numbers required by Government. While the scheme is subject to the operating requirement that services are not adversely affected, applications for career breaks were to be facilitated to the greatest extent possible.

A total of 2,706 applications were received by the closing date of 31st May. Health service managers are currently considering the applications received and decisions are being notified to the staff members concerned. Under the terms of the Circular career breaks sanctioned under the scheme must start no later than 1 July, 2013, unless for business reasons the employer determines that release cannot be permitted until later in 2013. I have no plans to change or extend the timelines which have been set.

Hospital Waiting Lists

Questions (561)

Michael McGrath

Question:

561. Deputy Michael McGrath asked the Minister for Health the position regarding surgery for a person (details supplied) in County Cork. [29234/13]

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Written answers

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2013, has been developed to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care. This policy, which has recently been adopted by the HSE, sets out the processes that hospitals are to implement to manage waiting lists.

In relation to this particular query raised by the Deputy, I have asked the Health Service Executive to investigate the situation and respond directly to the Deputy in this matter.

Medical Card Applications

Questions (562)

Tom Fleming

Question:

562. Deputy Tom Fleming asked the Minister for Health if he will expedite a medical card application in respect of a person (details supplied) in County Kerry; and if he will make a statement on the matter. [29235/13]

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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.

National Dementia Strategy Implementation

Questions (563)

Terence Flanagan

Question:

563. Deputy Terence Flanagan asked the Minister for Health his policy on the treatment of Alzheimer's disease; and if he will make a statement on the matter. [29236/13]

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Written answers

It is estimated that there are currently 41,000 people with dementia in Ireland and Alzheimer’s Disease accounts for the majority of cases.

Currently, the HSE provides a range of services for people with dementia including Primary Care Services, Home Support Services, Day Care, Respite, Housing with Care and Continuing Care Services. These are delivered through the HSE’s network of local offices, via Public Health Nursing, Day Care Centres and Public and Private Residential Care Facilities and where appropriate, Psychiatry of Old Age teams. In addition a limited number of memory clinics and specialist services are available.

Families and carers of people with dementia can access a number of services through their primary care team or HSE funded services such as those provided by the Alzheimer Society of Ireland. In addition carer support groups have been established across the country, details of which can be obtained from local Primary Care Teams.

Given that the number of people with dementia is expected to rise to between 141,000 and 147,000 by 2041, the Programme for Government contains a commitment to develop a National Alzheimer’s and other Dementias Strategy by 2013 to;

- increase awareness

- ensure early diagnosis and intervention and

- ensure development of enhanced community based services.

A significant amount of preparatory work has already been completed. A research review funded by the Atlantic Philanthropies to lay the foundations for the Strategy, titled Creating Excellence in Dementia Care, A Research Review for Ireland’s National Dementia Strategy was published in January 2012. A public consultation process to inform the development of the Strategy was conducted in 2012 and a report of same published on the Department’s website in February 2013.

A Working Group, representative of key stakeholders from the Department, the HSE, the medical profession and the community and voluntary sector has been established, the first meeting of which took place in May.

While the development of the Strategy will have to have due regard to the constraints imposed by the budgetary situation, it is intended that it will be a transformative Strategy. It will have a very practical focus, will be action oriented and will focus on what can be done to make a difference to the lives of people with dementia. It is intended that a draft of the Strategy will be completed by the end of 2013.

Nursing Homes Support Scheme

Questions (564)

Catherine Murphy

Question:

564. Deputy Catherine Murphy asked the Minister for Health if his attention has been drawn to the fact that the fair deal system is failing a person (details supplied) and their child and carer in the provision of assistance with funded nursing home care; if his attention has been drawn to the impact of the delay in the availability of funding, following assessment, approval and sign off for the scheme, that is causing significant financial hardship for their family; his plans to reform the system; and if he will make a statement on the matter. [29241/13]

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Written answers

The Nursing Homes Support Scheme is a demand-led, resource capped system of financial support for individuals who are assessed as requiring long-term nursing home care. The total budget for long-term residential in 2013 is €974m. The HSE operates a national placement list to enable it to operate within the budget for the Scheme. All applicants who are approved for funding are put on the placement list in chronological order by the date of determination of their application. The HSE makes every effort to match available funding to demand by releasing funding on a weekly basis.

When the Nursing Homes Support Scheme commenced in October, 2009, a commitment was made that it would be reviewed after three years. The reason for allowing this period to elapse is to ensure that trends and statistics will be available in order to inform the work. It is envisaged that the review will be completed by end 2013- early 2014.

As the Scheme is statutory based, the implementation of any recommendations arising from the review may require significant amendments to the Nursing Homes Support Scheme Act, 2009.

In relation to the specific case raised by the Deputy, as this is a service matter, it has been referred to the HSE for direct reply.

Air Ambulance Service Provision

Questions (565)

Terence Flanagan

Question:

565. Deputy Terence Flanagan asked the Minister for Health the number of patients that have been transported to Beaumont Hospital, Dublin, using the new helicopter landing site at Our Lady of Mercy College; and if he will make a statement on the matter. [29250/13]

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Written answers

The landing site at Our Lady of Mercy College, Beaumont, is approved for use by both Irish Air Corps and Irish Coast Guard Service helicopters. It is used in order to reduce transit times for aeromedical transfer patients, who previously had to be transferred by ambulance from Dublin Airport.

The National Aero-Medical Coordination Centre (NACC) manages the use of the site. The NACC dispatches both Irish Air Corps and Irish Coast Guard helicopters for emergency, as well as planned and routine, aeromedical transfers.

In relation to the particular information sought 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. 566 answered with Question No. 500.

Departmental Staff Sick Leave

Questions (567)

Barry Cowen

Question:

567. Deputy Barry Cowen asked the Minister for Health if he will provide in tabular form the total number of uncertified sick days taken by employees in his Department; the average uncertified sick days per employee taken; the total certified sick days taken by employees; the average certified sick days per employee; the total sick days taken by employees; the average total sick days and median overall sick days per employee in 2009, 2010, 2011 and 2012. [29274/13]

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Written answers

The statistical information requested by the Deputy is set out below. The average overall number of sick days per employee over the four year period was 10.42 and relates to employees of the Department of Health and Children up to 1st June 2011 and the Department of Health thereafter.

-

2009

2010

2011

2012

Total uncertified sick days

520.09

437.93

436.26

261.70

Average uncertified sick days per employee*

0.98

0.84

1.01

0.70

Total certified sick days

5284.44

4345.13

4344.76

3670.89

Average certified sick days per employee*

9.93

8.37

10.10

9.76

Total sick days taken by employees

5778.53

4783.06

4781.02

3932.59

Average total sick days per employee*

10.86

9.22

11.12

10.46

*Averages given are calculated by reference to average of monthly headcount statistics in Departmental returns.

Question No. 568 answered with Question No. 533.

Health Services Provision

Questions (569)

Seán Kyne

Question:

569. Deputy Seán Kyne asked the Minister for Health if the Health Service Executive currently operates a sleep seizure observation facility at Beaumont Hospital, Dublin, or at any other hospital here; and if he will make a statement on the matter. [29288/13]

View answer

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 Services Staff Issues

Questions (570)

Seán Kyne

Question:

570. Deputy Seán Kyne asked the Minister for Health if consideration will be afforded to extending the remit of registered nurse prescribers, who have previously been permitted to prescribe medication for nursing home/residential care centres, so as to enable such professionals to write prescriptions for medical card holders in the same facility; and if he will make a statement on the matter. [29292/13]

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Written answers

Current legislation allows registered nurses or midwives who: have completed an approved education programme; have appropriate clinical experience; have registered with An Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) as a Registered Nurse Prescriber (RNP); and have authority from the health service provider who employs them to prescribe a range of medications within their scope of practice.

The HSE has put arrangements in place governing prescribing in the community by RNPs. Under these arrangements, the Primary Care Reimbursement Service (PCRS) will allocate a GMS number and provide Primary Care Reimbursement Forms to RNPs to allow them issue prescriptions to GMS patients subject to a number of criteria, including: the RNP's service area is a community setting where the RNP is working in collaboration with GPs and GMS prescriptions are normally used; the community RNP is a HSE/statutory voluntary sector employee; and the HSE Area Manager/Local Health Office (LHO) have supplied notification and authorisation to the PCRS for the community RNP to be issued with a GMS number and a Primary Care Prescription Pad.

Currently, RNPs employed in acute/specialist hospitals, mental health services, private hospitals, private nursing homes and general practice are not issued with Primary Care Prescription Pads.

Under the current arrangements/structures, the HSE cannot impose governance requirements on private organisations. Given the quality and safety requirements for patients, it is critical to maintain the integrity of the prescribing initiative in the event of extending this arrangement to private organisations.

Ambulance Service Provision

Questions (571)

Caoimhghín Ó Caoláin

Question:

571. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if he will provide in tabular form the ambulance service performance with respect to the response time KPI for the first three months of 2013 for counties Cavan, Monaghan, Meath and Louth; if he will provide a breakdown of same on a county basis; and if he will make a statement on the matter. [29330/13]

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Written answers

A significant reform programme is underway in the HSE to reconfigure the management and delivery of pre-hospital emergency care services. Under Future Health: A Strategic Framework for Health Reform in Ireland 2012-2015, this will ensure a clinically driven, nationally coordinated system to support all pre-hospital emergency care activity in the State.

The National Ambulance Service (NAS) is taking steps to improve response times where possible, by addressing challenges such as reliance on on-call rostering, geography, resourcing and the use of emergency ambulances for routine patient transport.

The NAS is moving its emergency ambulance services from on-call to on-duty rostering. This means highly trained paramedic crews are in their stations or vehicles to respond immediately to 112/999 dispatches, and they can move to optimal locations at any time during a shift.

The national control centre reconfiguration project will produce one national control and dispatching system. With improved technology, this will allow the NAS to deploy emergency resources more effectively and efficiently, on a regional and national basis rather than within small geographic areas. The project, endorsed by HIQA, is a key element of Future Health.

In relation to the particular information sought 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.

Departmental Agencies Issues

Questions (572)

Denis Naughten

Question:

572. Deputy Denis Naughten asked the Minister for Health if he will list the regulators which are accountable to his Department; the administrative cost of operating each regulator in 2012; the accommodation costs and the number of staff employed; the total income and expenditure in 2012 for each regulator; his plans to amalgamate some regulatory offices and to amalgamate some regulatory processes; and if he will make a statement on the matter. [29424/13]

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Written answers

Twelve of the 18 Non-Commercial State Agencies operating under the aegis of my Department carry out functions which include a regulatory element. The table below sets out the staffing levels for each of these agencies as at 31st March 2013, the most recently available data. Work is ongoing in relation to the amalgamation of the Opticians Board and CORU and I hope to bring the Heads of a Bill to Cabinet in the coming weeks. The agencies participate in the Health, Social Care and Regulatory Forum which provides ongoing opportunities to develop and improve synergies and a number have entered into shared services agreements as a means of achieving greater efficiencies.

The information requested in relation to income and expenditure etc is currently being collated and will be forwarded to the Deputy as soon as it is available.

Agency

Staffing level (Whole Time Equivalents) End Q1 2013

The Nursing and Midwifery Board of Ireland

42.4

Dental Council

6

Food Safety Authority of Ireland

73.24

CORU

17.9

HIQA

153.1

Health Insurance Authority

10.58

Irish Medicines Board

279.5

Medical Council

52.5

Mental Health Commission

32.6

Opticians Board

2

Pharmaceutical Society of Ireland

24.35

Pre-Hospital Emergency Care Council

13

Departmental Bodies

Questions (573)

Dara Calleary

Question:

573. Deputy Dara Calleary asked the Minister for Health if he will outline in tabular form the number of semi-State organisations currently in operation under the aegis of his Department; and if he will make a statement on the matter. [29815/13]

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Written answers

The following table sets out the commercial/non-commercial State agencies under the remit of my Department.

Non-Commercial Agencies

Commercial/non-commercial State agencies

Bord Altranais agus Cnáimhseachais na hÉireann

Dental Council

Food Safety Authority of Ireland

Food Safety Promotions Board

Health and Social Care Professionals Council

Health Information Quality Authority

Health Insurance Authority

Health Research Board

Irish Blood Transfusion Service

Irish Medicines Board

Medical Council

Mental Health Commission

National Cancer Registry Board

National Paediatric Hospital Development Board

National Treatment Purchase Fund

Opticians Board

Pharmaceutical Society of Ireland

Pre-Hospital Emergency Care Council

Commercial Agencies

VHI

Departmental Bodies Establishment

Questions (574)

Dara Calleary

Question:

574. Deputy Dara Calleary asked the Minister for Health if he will outline the number of new semi-State organisations under his aegis which have been established since March 2011; and if he will make a statement on the matter. [29828/13]

View answer

Written answers

No new statutory bodies have been established under the aegis of my Department since March, 2011.

Street Lighting

Questions (575)

Dara Calleary

Question:

575. Deputy Dara Calleary asked the Minister for Transport, Tourism and Sport if he will provide details on the minimum technical standard that applies to street lighting. [29155/13]

View answer

Written answers

Technical specifications relating to street lighting are addressed in the NRA's Specification for Roadworks (Series 1300) and the Design Manual for Urban Roads and Streets (Chapter 4).

Cycling Facilities

Questions (576)

Andrew Doyle

Question:

576. Deputy Andrew Doyle asked the Minister for Transport, Tourism and Sport if he will outline in tabular form on a yearly basis the amount of funding his Department has provided for the Dublin Bikes scheme since its inception and operated through Dublin City Council under various headings; and if he will make a statement on the matter. [29301/13]

View answer

Written answers

Funding of the Dublinbikes scheme since its inception has been a matter for Dublin City Council and no funding from Department administered funding schemes has been granted towards its provision or operation.

Decisions regarding the expansion of the Dublinbikes scheme and any funding required are matters falling entirely within the remit of Dublin City Council and the National Transport Authority (NTA), given their role in the implementation and development of infrastructure projects in the Greater Dublin Area as well as the development of an integrated, accessible public transport network.

Accordingly, I have forwarded the Deputy's question to the NTA for direct reply.  Please advise my private office if you do not receive a reply within ten working days.

Vehicle Licences

Questions (577)

Finian McGrath

Question:

577. Deputy Finian McGrath asked the Minister for Transport, Tourism and Sport if it is possible to defer the renewal of a permit in respect of a person (details supplied). [28772/13]

View answer

Written answers

The regulation of the small public service vehicle (SPSV) industry, including the renewal of vehicle licences, is a matter for the National Transport Authority (NTA) under the provisions of the Public Transport Regulation Act, 2009. I have referred the details of your question to the NTA for a direct reply. Please advise my private office if you do not receive a response within 10 working days.

Tourism Policy

Questions (578)

Terence Flanagan

Question:

578. Deputy Terence Flanagan asked the Minister for Transport, Tourism and Sport if there are grants available from his Department to help businesses looking to set up tourist packages to help persons with disabilities and if there is grant aid available from Europe; and if he will make a statement on the matter. [28801/13]

View answer

Written answers

As the matter raised is an operational matter for Fáilte Ireland, I have referred the Deputy's question to the agency for direct reply.  Please contact my private office if a response is not received within ten working days.

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