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Wednesday, 18 Jun 2014

Written Answers Nos. 173-8

Hospital Waiting Lists

Questions (173, 174, 181)

Gerry Adams

Question:

173. Deputy Gerry Adams asked the Minister for Health if St Vincent's Hospital Dublin has suspended life-saving gastric bypass operations for dangerously obese public patients; the exact number of patients who are on the waiting list for this surgery; the number of patients on the outpatient list to see a specialist; the reasons this surgery has been suspended; the way he plans to deal with the patients waiting for surgery and outpatients; and if he will make a statement on the matter. [26191/14]

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Patrick O'Donovan

Question:

174. Deputy Patrick O'Donovan asked the Minister for Health the current situation regarding waiting lists for bariatric surgery; his plans to reduce the waiting time; and if he will make a statement on the matter. [26195/14]

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Mary Mitchell O'Connor

Question:

181. Deputy Mary Mitchell O'Connor asked the Minister for Health the reason St. Vincent's Hospital in Dublin is suspending life-saving gastric-bypass operations on dangerously obese public patients; and if he will make a statement on the matter. [26241/14]

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Written answers

I propose to take Questions Nos. 173, 174 and 181 together.

In relation to the detailed queries raised, as these are service matters, I have asked the Health Service Executive to respond to the Deputy directly.

Health Insurance Prices

Questions (175)

Mattie McGrath

Question:

175. Deputy Mattie McGrath asked the Minister for Health if he will outline the increases in VHI premiums over the past two years and the justifications for same; and if he will make a statement on the matter. [26200/14]

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Written answers

I have no function in the setting of VHI's prices, as it is a commercial company operating in a competitive market and makes its own commercial decisions about prices.

VHI's average price increase for the last two years has been 4.5%. It increased its prices by an average of 3% on March 1, 2014 and an average of 6% on March 1, 2013. VHI has indicated that the price increases were necessary to cover the costs of providing for the healthcare needs of their customers in an aging market and it has continuously sought to keep any price increases as low as possible. It has minimised price increases in the past two years because of the work it has done on cost containment.  This has been achieved through a range of measures, such as targeted claims efficiency programmes, reduced fees to providers, increased activity of the special claims investigation unit and the continued transition of procedures to lower cost medically appropriate settings. It reduced its cost of total gross claims paid in 2013 by 2.1%.

I have consistently urged the VHI and all the private health insurers to do everything possible to keep down the cost of private health insurance. I am determined to address costs in this sector in the interest of consumers and I have made it clear to insurers that I believe significant savings can still be made, the effect of which can be to minimise the need for increases in premiums.

As part of the Consultative Forum on Health Insurance, I appointed Mr. Pat McLoughlin as Independent Chair to work with insurance companies and the Department to identify effective cost management strategies to help ensure the long-term sustainability of the private health insurance market. Mr. McLoughlin’s first report was published on 26 December 2013 and the second phase report is expected to be finalised in the coming weeks.

Many consumers can make large savings on their health insurance premiums by shopping around for the health insurance plan that best suits their needs. For those who have been insured on the same plan for a number of years, it is important to review the level of cover to ensure that their needs are being met, without being over-insured. Consumers have a legal right to switch between or within insurers to get better value and to reduce their premium costs. The Health Insurance Authority (HIA) provides information to consumers regarding their rights and also on health insurance plans and benefits. The HIA's website www.hia.ie has a useful plan comparison tool which assists in finding suitable and competitive health insurance plans.

Hospital Waiting Lists

Questions (176)

Denis Naughten

Question:

176. Deputy Denis Naughten asked the Minister for Health when a person (details supplied) in County Roscommon will be called for a surgical procedure; the reason for the delay in same; and if he will make a statement on the matter. [26202/14]

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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 2014, 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.

Services for People with Disabilities

Questions (177)

Caoimhghín Ó Caoláin

Question:

177. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if he will provide a copy of the Kildare model of progressing services for children with disabilities programme. [26220/14]

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Written answers

The Health Service Executive has recognised the need to increase the level of consistency and standardisation in the way services for children with disabilities are delivered. It is currently engaged in a reconfiguration of existing therapy resources to multi-disciplinary geographic based teams for children as part of its National Programme on Progressing Disability Services for Children and Young People (0-18 years).

The aim of the Progressing Disability Services for Children and Young People Programme is to achieve a national, unified approach to delivering disability health services so that there is a clear pathway to services for all children, regardless of where they live, what school they go to or the nature of their disability.

The Programme is organised at national, regional and local level and includes representatives from the health and education sectors, non-statutory service providers and parents. An additional €4m has been specifically allocated in 2014 to drive implementation of the Programme. This equates to approximately 80 therapy posts.

As the specific issue raised by the Deputy is an operational matter for the HSE I have arranged for the Deputy's question to be referred to the Executive for direct reply to him.

Medical Card Reviews

Questions (178)

Aodhán Ó Ríordáin

Question:

178. Deputy Aodhán Ó Ríordáin asked the Minister for Health if any consideration has been given to allowing those currently in receipt of a medical card over the age of 90 being exempted from the medical card review for over 70s medical cards; and if he will make a statement on the matter. [26222/14]

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Written answers

There are no proposals to exempt medical card reviews for those over 90 years of age, under the Person's Aged 70 Years and Older Medical Card/GP Visit Card Scheme.

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