Dáil Éireann Debate, Wednesday - 25 June 2014
192. Deputy Stephen S. Donnelly asked the Minister for Health if he will provide in tabular form, the amount spent on commissioning therapists in private practice to undertake assessments under the assessment of need process for the years 2011 to 2013; and the amount spent to date in 2014. [27574/14]
View answer193. Deputy Stephen S. Donnelly asked the Minister for Health the projected spend by the Health Service Executive on commissioning therapists in private practice to undertake assessments under the assessment of need process for 2014 and 2015; his plans to employ more therapists in view of the fact that the age limit for assessment of need has been increased leading to far greater demand for assessments than was envisaged initially; and if he will make a statement on the matter. [27575/14]
View answerI propose to take Questions Nos. 192 and 193 together.
Part 2 of the Disability Act 2005 was commenced on 1 June 2007 in respect of children aged under 5. In 2008, the then Government decided, in the light of financial circumstances, to defer further implementation of the Disability Act 2005 and the Education for Persons with Special Educational Needs Act 2004. However, in light of legal advice following on a ruling of the High Court, children born after 1 June 2002 are being treated by the HSE as eligible to apply for an assessment under the Act. Part 2 of the 2005 Act provides for an assessment of the needs of eligible applicants, occasioned by their disability, to be commenced within three months of receipt of an application and completed within a further three months.
Although the HSE recognises that it faces significant challenges in respect of meeting the statutory time-frames which apply to the assessment of need process given the number and complexity of cases, it has taken a number of measures to address the issue. While any delay in assessment or intervention for any child is not desirable, the assessment process under the Disability Act can take place in parallel with any intervention which is identified as necessary. The HSE has issued guidance to its staff that where there is a delay in the assessment process, this should not affect the delivery of necessary and appropriate interventions identified for a particular child.
Following the publication of a report commissioned from the National Disability Authority by the Department of Health and the Health Service Executive, a major emphasis is being placed on reconfiguring disability services for children into integrated multidisciplinary geographically-based early-intervention and school-aged teams as part of the implementation of the Progressing Disability Services for Children and Young People Programme. This involves the roll-out of a new model of service, the objective of which is to bring about equity and consistency, with a clear pathway for children with disabilities and their families to services, regardless of where they live, what school they go to or the nature of their difficulty. The Programme is a key priority for the HSE in 2014 with an additional €4m allocated to assist in its implementation.
My Department has requested the HSE to provide the Deputy with the detailed operational information that he has sought.
