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Wednesday, 7 May 2014

Written Answers Nos. 191 - 198

Nursing Home Inspections

Questions (191, 192, 193)

Billy Kelleher

Question:

191. Deputy Billy Kelleher asked the Minister for Health as per the Health Information and Quality Authority regulatory notice (details supplied) the reason community nursing units in Ballina and Swinford district hospitals are not required to register with HIQA and not subject to authority inspection; whether it is the case that all community nursing units are required under Part 8 of the Health Act 2007 to fully register all aspects of their services with HIQA; and if he will make a statement on the matter. [20422/14]

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Billy Kelleher

Question:

192. Deputy Billy Kelleher asked the Minister for Health as per the Health Information and Quality Authority regulatory notice RN002/2013 and the Health Service Executive correspondence (details supplied), the reason community nursing units at Ballina and Swinford district hospitals are not regarded as designated centres under the 2009 regulations arising from Health Act 2007 and do not require registration with HIQA; and if he will make a statement on the matter. [20423/14]

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Billy Kelleher

Question:

193. Deputy Billy Kelleher asked the Minister for Health as per the Health Information and Quality Authority regulatory notice RN002/2013 (details supplied), his views on the fact that private and voluntary nursing homes are rightly subject to the Health and Information Quality Authority registration and inspection while Ballina and Swinford district hospitals and community nursing units are not subject to the same registration and inspection process. [20424/14]

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Written answers

I propose to take Questions Nos. 191 to 193, inclusive, together.

Under the Health Act, 2007 statutory responsibility is given to the Chief Inspector of Social Services, in the Health Information and Quality Authority for registration and inspection of categories of designated centres, including nursing homes for older people. The Chief Inspector is independent in the exercise of his statutory function. It is a matter for the Chief Inspector to decide whether facilities, irrespective of whether the service is public, private or voluntary, meet the definition of a designated centre and are therefore subject to this regulatory regime.

The definition of a "designated centre" is contained in Section 2 of the Health Act, 2007. That definition does not include, inter alia, "that part of an institution in which the majority of persons being cared for and maintained are being treated for acute illness or provided with palliative care." I have been advised by HIQA that the Chief Inspector of the Social Services has determined that neither Ballina District Hospital nor Swinford District Hospital is regarded as a designated centre, on the basis that the majority of patients in both are on an acute care pathway.

Hospital Services

Questions (194)

Sandra McLellan

Question:

194. Deputy Sandra McLellan asked the Minister for Health the position regarding an MRI scan in respect of a person (details supplied) in County Cork. [20425/14]

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Written answers

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

Hospital Waiting Lists

Questions (195)

Seán Fleming

Question:

195. Deputy Sean Fleming asked the Minister for Health when an operation will be carried out on a person (details supplied) in County Carlow; and if he will make a statement on the matter. [20447/14]

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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 been adopted by the Health Service Executive, sets out the processes that hospitals are to implement to manage waiting lists. In relation to the particular query raised by the Deputy, I have asked the HSE to respond directly to him on this matter.

Medical Aids and Appliances Provision

Questions (196, 207)

Sandra McLellan

Question:

196. Deputy Sandra McLellan asked the Minister for Health the reason cancer survivors with medical cards in the Cork and Kerry region are not given a yearly supply of prosthesis and special support underwear as survivors in other regions are; and if he will make a statement on the matter. [20459/14]

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Michael McGrath

Question:

207. Deputy Michael McGrath asked the Minister for Health his views on correspondence (details supplied) concerning breast cancer patients in counties Cork and Kerry. [20592/14]

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Written answers

I propose to take Questions Nos. 196 and 207 together.

All women who have had breast cancer surgery are entitled to their first prosthesis and two bras free of charge. A set policy is not in place in regard to the longer-term provision of bras to post-mastectomy patients who hold medical cards. A national group has recently been established in the HSE to review practices in this area and to develop a national policy on the provision of prosthesis bras, as well as hairpieces, for cancer patients. It is anticipated that the Group will complete its work in the first half of 2015.

Graduate Nursing Scheme

Questions (197, 198)

Charlie McConalogue

Question:

197. Deputy Charlie McConalogue asked the Minister for Health his views on restoring pay parity to all those nurses on the new graduate nurses scheme; and if he will make a statement on the matter. [20460/14]

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Charlie McConalogue

Question:

198. Deputy Charlie McConalogue asked the Minister for Health his views on recruiting additional nurses on a pay scale that has parity with their colleagues to relieve pressure in our hospitals; and if he will make a statement on the matter. [20461/14]

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Written answers

I propose to take Questions Nos. 197 and 198 together.

Under the Haddington Road Agreement, nurses participating in the Graduate Nurse Programme are paid 85% of the starting pay of a Staff Nurse in the first year and 90% in the second year. In addition these nurses would also be in receipt of allowances and other premium payments. There are no plans to review these rates of pay. It is noted that the Agreement specifies that any subsequent appointment following completion of the Graduate Nurse Programme will be to the third point of the staff nurse salary scales and that, under the Agreement, the January 2011 new entrant salary scales have now been assimilated with the scales applicable to those who were in the Public Service prior to January 2011.

A major objective of the Graduate Nurse Programme is to put in place more cost-effective service delivery arrangements, having regard to the high rates of expenditure on agency staffing and overtime. The Programme enables the health services to offer 1,000 graduate nurse positions for two years, at a time when job opportunities in the public service are very limited. Therefore it supports the retention of recently qualified graduate nurses and midwives within the Irish health system and enables them to gain valuable work experience and development opportunities post-graduation.

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