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Thursday, 16 Jan 2014

Written Answers Nos. 309-321

Respite Care Services

Questions (309)

Caoimhghín Ó Caoláin

Question:

309. Deputy Caoimhghín Ó Caoláin asked the Minister for Health further to Parliamentary Question No. 1208 of 5 November 2013, the reason only two days' notice was given before a 14 year old autistic boy (details supplied) was transferred from a respite home in Beaufort to one in Derrymore, County Kerry; the period that has been signed up to for the respite property in Derrymore; the reason a property located on a national route was selected; of all the properties available between Tralee and Dingle, the reason this property was selected; and if he will make a statement on the matter. [1923/14]

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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.

Medical Card Eligibility

Questions (310)

Bernard Durkan

Question:

310. Deputy Bernard J. Durkan asked the Minister for Health if he will review eligibility for a medical card in respect of a person (details supplied) in County Kildare; and if he will make a statement on the matter. [1930/14]

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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 issued to Oireachtas members.

Medical Card Eligibility

Questions (311, 318)

Finian McGrath

Question:

311. Deputy Finian McGrath asked the Minister for Health if he will provide an update on the number of children with Down's syndrome who lost medical cards. [1935/14]

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Michael Healy-Rae

Question:

318. Deputy Michael Healy-Rae asked the Minister for Health if he will provide statistics from January 2013 to December 2013 in respect of the number of children with Down's syndrome who have lost their discretionary medical cards; and if he will make a statement on the matter. [1985/14]

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Written answers

I propose to take Questions Nos. 311 and 318 together.

The HSE can only award medical cards in accordance with the Health Act 1970 which provides that persons that are ‘unable without undue hardship to arrange GP services for themselves and family’ qualify for a medical card. The Act obliges the HSE to take account of the overall financial situation of an applicant and dependants. If an applicant’s means are above the financial thresholds for eligibility for a medical card or a GP visit card, as set out in the national Guidelines, the HSE examines for any indication of circumstances (medical or social), which might result in undue financial hardship. Eligibility may be granted on a discretionary basis if these circumstances are such that a person cannot access General Practitioner or other medical services, without undue financial hardship. In these cases social and medical issues are considered when determining whether or not undue financial hardship exists for the individual in accessing GP or other medical services.

There is no (and has never been an) automatic entitlement to a medical card on the basis of a specific illness or medical need. Medical cards are not issued 'automatically' or irrespective of means, even if an applicant is suffering from a serious medical condition. As medical cards are not awarded on the basis of illnesses or medical conditions, the HSE does not collect data such as illness category, unless it is required for the review procedure.

Down’s Syndrome is covered under the Long Term Illness Scheme for which entitlement applies, irrespective of means. Where persons with Down’s Syndrome are not eligible for a medical card following an assessment of their means, the HSE can provide their full requirements in respect of prescribed medicines and appliances free of charge through this statutory entitlement. Public dental, ophthalmic and aural treatment and appliances are also available free of charge to children and in respect of any difficulties identified at child health or school health examinations. Details of further services available to all patients under the Disabilities Act are available at the local health centre.

Hospital Accommodation Provision

Questions (312)

Brendan Griffin

Question:

312. Deputy Brendan Griffin asked the Minister for Health his plans for a facility (details supplied) in County Kerry; and if he will make a statement on the matter. [1950/14]

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Written answers

Management of the healthcare property portfolio is a service matter. Therefore your question has been referred to the Health Service Executive for direct reply.

Health Insurance Prices

Questions (313)

Brendan Griffin

Question:

313. Deputy Brendan Griffin asked the Minister for Health his views on whether it is just that a retired couple who had continuous health insurance cover since the establishment of the VHI should be asked to pay €6,300 in premium, representing a huge proportion of their household income; if ceilings exist on premium costs; if not, if he will consider same; the advice he would give to persons in such a position; and if he will make a statement on the matter. [1952/14]

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Written answers

As Minister, I have no legal power to intervene in relation to health insurance prices set by the health insurance providers. The insurance companies, operating as commercial providers, make commercial decisions about their prices.

Many consumers can make savings on their health insurance premiums by reviewing their level of cover to ensure that their needs are being met, without being over-insured. The Health Insurance Authority provides information to consumers regarding their rights, and on health insurance plans and benefits. The HIA's web-site, www.hia.ie, had a useful plan comparison tool which assists in finding suitable and competitive health insurance plans. The HIA may also be contacted at 1850 929 166. Bearing these factors in mind, it is possible for consumers to shop around and to identify lower cost policies that still meet their health insurance needs. I would urge all consumers to look carefully at their policies at renewal time, so as to maximise the savings that are possible in a competitive market.

The Government remains committed to keeping down the cost of private health insurance, so that it is affordable for as many people as possible, in the transition to Universal Health Insurance. In this regard, I appointed Mr. Pat McLoughlin to work with insurance companies and my Department on an independent review process to identify effective cost management strategies to help ensure the long-term sustainability of the private health insurance market. I am currently examining Phase 1 of Mr. McLoughlin's report, Review of Measures to Reduce Costs in the Private Health Insurance Market 2013 , which was published on 26th December 2013, and Phase 2 of this costs review process is now underway.

Services for People with Disabilities

Questions (314)

Patrick Nulty

Question:

314. Deputy Patrick Nulty asked the Minister for Health the timeframe for the commencement of disability services with Beechpark for a child (details supplied) in Dublin 15; the reason for the delay; and if he will make a statement on the matter. [1961/14]

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Written answers

As the particular issue raised by the Deputy relates to an individual case, this is a service matter for the Health Service Executive. Accordingly, I have arranged for the question to be referred to the HSE for direct reply to the Deputy.

Home Help Service Provision

Questions (315)

Patrick Nulty

Question:

315. Deputy Patrick Nulty asked the Minister for Health further to Parliamentary Question No. 458 of 3 December 2013, if he will outline in detail the reason an increase of only two hours per week was provided for a person (details supplied) in Dublin 15 and not the additional hour a day home help which is required; if this matter will be urgently reviewed; and if he will make a statement on the matter. [1963/14]

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Written answers

I understand that the Health Service Executive replied to the Deputy's question on 3rd December, 2013. As the particular case referred to by the Deputy relates to service matters, I have arranged for the question to be referred to the Health Service Executive for investigation and direct reply to the Deputy.

Health Services Access

Questions (316)

Brendan Griffin

Question:

316. Deputy Brendan Griffin asked the Minister for Health the supports that are available to couples who are experiencing difficulty conceiving due to low fertility in one or both partners; if he will outline the services available; and if he will make a statement on the matter. [1965/14]

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Written answers

In vitro fertilisation (IVF) treatment is not provided by the public health system. Patients who access IVF treatment privately may claim tax relief on the costs involved under the tax relief for medical expenses scheme. In addition, a defined list of fertility medicines needed for fertility treatment is covered under the High Tech Scheme administered by the Health Service Executive (HSE). Medicines covered by the High Tech Scheme must be prescribed by a consultant/specialist and approved by the HSE ‘High Tech Liaison Officers’. The cost of the medicines is then covered, as appropriate, under the Medical Card or Drugs Payment Scheme.

Departmental Bodies

Questions (317)

Simon Harris

Question:

317. Deputy Simon Harris asked the Minister for Health the number of quangos, State agencies or organisations under the remit of his Department that have been merged, reformed or abolished since 2011; the details of each of these measures in tabular form; the cost saving or service delivery improvement which has resulted; how many more he expects to be merged, reformed or abolished and the timeline for same; if he will provide a full list of all agencies and organisations under his remit; and if he will make a statement on the matter. [1979/14]

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Written answers

The table below sets out the statutory bodies operating under the aegis of my Department. No new statutory bodies have been established in the health sector since the formation of this Government.

Three bodies, the National Council for the Professional Development of Nursing and Midwifery, National Social Workers Qualifications Board and the Children Acts Advisory Board have been dissolved since March 2011. The Public Service Reform document on 17th November 2011 identified three agencies under the aegis of this Department to be rationalised, amalgamated or abolished in 2012 - the National Council for the Professional Development of Nursing and Midwifery, the Opticians Board and the National Cancer Registry Board. The National Council for the Professional Development of Nursing and Midwifery was dissolved on the 31st December, 2011. The Opticians Board is to be subsumed into the Health and Social Care Professionals Council. The general scheme of Bill for this purpose was approved by Government and assigned to the Office of the Parliamentary Draftsman in July 2013. It is expected to be published in Q1 2014. In regard to the National Cancer Registry Board, with the ongoing changes to the structure of the HSE, and the fact that the Health Information Bill has not yet been enacted, I consider that it would not be appropriate to subsume the Registry into the HSE's National Cancer Control Programme at this time.

HIQA's role in the area of health and social care is expanding and it is envisaged that in future HIQA will be the body responsible for the licensing of public and private healthcare facilities. The future of the Mental Health Commission will be considered in the context of any re-alignment or amalgamation of the health and social care regulatory bodies. The move to Universal Health Insurance will have implications for the National Treatment Purchase Fund and Health Insurance Authority. I intend to restructure the National Paediatric Hospital Development Board so that it focuses specifically on the capital project, allowing the paediatric hospitals working together as the Children's Hospital Group to focus on the other functions previously held by the National Paediatric Hospital Development Board. With regard to the Pre-Hospital Emergency Care Council, I have decided that it should continue to operate in its present form for a further period and the matter will be kept under review with a view to proceeding with the integration with CORU when it is operationally ready to assume the functions involved, which is expected to be 3 or 4 years.

The extent of savings will vary between organisations and the majority of staff will be redeployed to other public service bodies, as was the case with the National Council for the Professional Development of Nursing and Midwifery. Efficiencies will derive from economies of scale and the elimination of duplication in areas such as recruitment, procurement, payroll and ICT systems. Savings will also arise from the dissolution of Agency Boards, some of which attract payment of travel and subsistence and/or Board fees.

Non Commercial Agencies

Nursing and Midwifery Board of Ireland

Dental Council

Food Safety Authority of Ireland

Food Safety Promotions Board (Safefood)

Health and Social Care Professionals Council (CORU)

Health Information and 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 Agency

VHI

Question No. 318 answered with Question No. 311.

Health Services

Questions (319)

Michael Healy-Rae

Question:

319. Deputy Michael Healy-Rae asked the Minister for Health the position regarding an appeal in respect of persons (details supplied) in County Kerry; and if he will make a statement on the matter. [1987/14]

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Written answers

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

Services for People with Disabilities

Questions (320)

Éamon Ó Cuív

Question:

320. Deputy Éamon Ó Cuív asked the Minister for Health the funding being provided for disability in 2014; the progress made to date in the provision of services for school leavers in 2014; and if he will make a statement on the matter. [1996/14]

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Written answers

The Government is providing funding of €1.4 billion to the Disability Services Programme in 2014, including an additional €14m to address the priority needs identified by the Minister for Health and advised to the Health Service Executive (HSE). The additional funding includes provision for new places for school-leavers and rehabilitative (life-skills) training graduates.

The HSE, through its Occupational Guidance Service, is working with schools, service providers, young people and their families to identify training needs and explore suitable options for school-leavers graduating in 2014. Many young people with disabilities will progress to further education or vocational training funded by the Department of Education and Skills. For those young people who will require ongoing HSE-funded support, the HSE has established a National Oversight Group to coordinate a timely response to processing applications for day services and rehabilitative training places. As a result, new arrangements are currently being put in place for a centralised regional application process.

The HSE have informed me that they are liaising with disability agencies and the National Council for Special Education to supply the necessary information to parents and students on the new application process. Applications will be required by a specified date and the supports required will be identified and agreed. A communications process with all stakeholders will be put in place and young people and their parents will be advised of the placement which will be available to them by the end of June 2014.

Hospital Beds Data

Questions (321)

Terence Flanagan

Question:

321. Deputy Terence Flanagan asked the Minister for Health the full list of wards and number of beds that have been closed at Beaumont Hospital over the past three years; the background to these ward closures; and if he will make a statement on the matter. [2008/14]

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Written answers

In relation to the detailed information requested by the Deputy, I have asked the Health Service Executive to respond to him directly.

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