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Tuesday, 15 Jul 2014

Written Answers Nos. 595-621

Asylum Seeker Accommodation

Questions (595)

Clare Daly

Question:

595. Deputy Clare Daly asked the Minister for Justice and Equality if her attention has been drawn to the fact that a citizen of Ireland (details supplied), a minor, must live in residential style accommodation for asylum seekers in County Sligo because their parent is obliged to live in the residential style accommodation while awaiting a decision on their application for temporary residence here; when it is expected that their parent's application will be processed; when a decision is expected to be made on the application; if any arrangement will be made to have the parent and child provided with alternative accommodation in the community taking into consideration that the child is a citizen of the Irish Republic; and if she will make a statement on the matter. [31516/14]

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Written answers

It is important to point out that no person is compelled to reside in asylum seeker accommodation provided by the Reception and Integration Agency (RIA). Such accommodation is made available to persons who claim not to have the means to source their own private accommodation and so as to ensure that such persons do not become homeless. This position applies to the third country national person referred to by the Deputy.

In terms of the immigration case referred to by the Deputy, I am advised by the Irish Naturalisation and Immigration Service (INIS) of my Department that this person is the subject of a Deportation Order, made on 3rd August, 2004, following the refusal of their asylum claim and the detailed examination of the written representations they submitted for consideration under Section 3 of the Immigration Act 1999 (as amended). The Order was formally served on the person concerned by letter dated 9th September, 2004. That Order remains valid and in place.

On 18th September 2013, the person concerned, having returned to this State from abroad, made an application for a right of residency in the State, accompanied by a right to work, based on their parentage of an Irish born minor citizen child, and based also on the principles of the Zambrano Judgment. When consideration of this application has been completed, and a decision is arrived at, the person concerned will be notified in writing. In the event that a favourable residency decision is made, the Deportation Order referred to will be formally revoked.

Queries in relation to the status of individual immigration cases may be made directly to the INIS of my Department by e-mail using the Oireachtas Mail facility which has been specifically established for this purpose. This service enables up to date information on such cases to be obtained without the need to seek information by way of the Parliamentary Questions process. The Deputy may consider using the e-mail service except in cases where the response from the INIS is, in the Deputy’s view, inadequate or too long awaited.

Public Relations Contracts Expenditure

Questions (596)

Denis Naughten

Question:

596. Deputy Denis Naughten asked the Minister for Justice and Equality the total cost of public relations and communications to her Department in 2013; the spend to date in 2014; the total estimate for 2014; the corresponding figures for each agency funded from her Department; and if she will make a statement on the matter. [31533/14]

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Asylum Seeker Accommodation

Questions (597)

Arthur Spring

Question:

597. Deputy Arthur Spring asked the Minister for Justice and Equality her views as to whether the timeframe applied to asylum applications is appropriate; and if the living standards in the accommodation provided is meeting best practice standards for families with young children. [31553/14]

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Written answers

Under current legislation applications for international protection in Ireland are dealt with in a sequential manner. An application is first examined in order to determine if the applicant is eligible for refugee status. If the applicant is found not to be a refugee then a follow-on application can be made to determine if the person is eligible for subsidiary protection. By contrast, under a single procedure, following a single examination, the applicant is subject first to a determination as to whether he or she is a refugee, and if not, is then subject to a determination as to whether he or she is eligible for subsidiary protection.

It should also be noted that in very many instances the delay in finalising cases is due to applicants challenging negative decisions by initiating judicial reviews at various stages of the process. At present there are approximately 1,300 such judicial review applications pending in the Courts. In addition to the persons directly involved in these judicial review applications there may be other associated family members in the system who have applications pending whose cases cannot be finalised while the judicial review is ongoing. Moreover, many other failed protection applicants do not leave the State when subject to a Deportation Order even though the clear legal requirement is for them to leave the State.

The consequence of all of this is that persons spend longer in direct provision than would be desired. I have said on a number of occasions since taking up office in my Department that the length of time that residents spend in Direct Provision is an issue to be addressed. My immediate priority is that the factors which lead to delays in the processing of cases are dealt with so that protection seekers spend as little time as necessary in direct provision.

The Government remains committed to legislative reform in this area as provided for under the Programme for Government and under the Government Legislation Programme. In this regard, legislative reform aimed at establishing a single application procedure for the investigation of all grounds for protection is a key priority for this Government. Such reform would substantially simplify and streamline the existing arrangements by removing the current multi-layered and sequential processes and provide applicants with a final decision on their application in a more straightforward and timely fashion. In consultation with my officials, I am reviewing the work done to date in respect of the Immigration, Residence and Protection Bill and will then decide on how best to progress the implementation of the Government's priorities, in particular to expedite those relating to the establishment of a single application procedure.

The direct provision system, which facilitates the State providing for the basic needs of those seeking protection or on other grounds to be allowed to stay in the State, is managed by the Reception and Integration Agency (RIA) of my Department in accordance with Government policy. As at 29 June 2014 there were 4,324 persons availing of direct provision accommodation in 34 centres under contract to RIA. Approximately 38 % of these residents are children under the age of 18. Overall, 68 % of RIA residents had first claimed international protection in Ireland three or more years previously. More detailed information is available on the RIA website - www.ria.gov.ie . The current occupancy of 4,324 compared to the number residing in direct provision at its highest point in April, 2005 (8,080), shows that there has been a reduction of 46%, or 3756 persons in the intervening period.

In relation to accommodation standards and practices, RIA affords the highest priority to the safeguarding and protection of children. RIA has a fully staffed child and family service unit, the head of which is seconded from the HSE and whose role is to manage, deliver, coordinate, monitor and plan all matters relating to child and family services for all residents in the direct provision system. The unit also acts as a conduit between RIA and Child and Family Agency (Tusla), the latter having statutory functions in this area.

A key feature of the Irish system of accommodating asylum seekers is that services are ‘main streamed’. Social Work supports for children in centres are thus provided through HSE/Tusla on the same basis as for children in the wider community. Centre staff are provided with training and with any guidance needed on a day-to-day basis by the Child & Family Services Unit in RIA.

In addition to the standard accommodation services and supports provided through Direct Provision accommodation centres, both RIA and other State service providers, particularly the HSE and Tusla, link in with those centres to provide on-site services and monitoring of children and families through Public Health Nurse and GP services, social work teams, mental health specialists and through the positive engagement of accommodation centre management teams.

As regards education, children of asylum seekers are linked to local mainstream primary and post-primary schools in a like manner to the general population and the role of the accommodation centre manager is central to this process. In addition, asylum seeker children can avail of the free ECCE preschool. More detail on the services and supports available to direct provision centres can be found in RIA’s Annual Report for 2013 on its website.

As a general point, RIA engages with service providers to ensure that, from a contractual perspective, standards are continuously improved.

Garda Deployment

Questions (598)

Joan Collins

Question:

598. Deputy Joan Collins asked the Minister for Justice and Equality the number of gardaí assigned to tackle child pornography exclusively; and if she will make a statement on the matter. [31558/14]

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Written answers

I have been advised by the Garda Commissioner that all members of An Garda Síochána are tasked with the investigation of criminal activity.

Investigations and complaints are normally investigated in the Garda District where the report was received and/ or an investigation commences.

Members of An Garda Síochána who are investigating child pornography can avail of the assistance of specialised units within An Garda Síochána in relation to the investigation of these offences (e.g. the examination of computer and digital media which is suspected to contain child abuse material, is carried out by the Computer Crime Unit attached to the Garda Bureau of Fraud Investigation).

There is a specialist unit which is part of the National Bureau of Criminal Investigation with responsibility to investigate child pornography including assisting with reports and investigations that have an international dimension. This unit is lead by an Inspector, with a Sergeant and five Gardaí.

Garda Recruitment

Questions (599)

Seán Kyne

Question:

599. Deputy Seán Kyne asked the Minister for Justice and Equality if new candidates for An Garda Síochána have commenced training in Templemore; the number of entrants; if the entrants include a number of persons with adequate proficiency in the Irish language; and if she will make a statement on the matter. [31588/14]

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Written answers

I have been informed by the Garda Commissioner that recruitment to An Garda Síochána is in accordance with the Public Service Management (Recruitment Appointment) Act 2004.

The Public Appointments Service was established under that Act as a central recruitment agency and the Public Appointments Service undertook the initial stages of the recruitment process for Garda Trainee.

The first intake of approximately one hundred Garda Trainees to the Garda College is scheduled to take place in the coming weeks.

A total of 33 applicants in the Irish Stream were successful at the Interview Stage and have commenced the Stage 5 process i.e. Vetting, Medical, Physical Competence Test. It is expected that a number of applicants from this stream will be included in the first intake into the Garda College.

Naturalisation Applications

Questions (600)

Bernard Durkan

Question:

600. Deputy Bernard J. Durkan asked the Minister for Justice and Equality further to Parliamentary Question No. 173 of 3 July 2014, if all documentation requested by her Department in the case of a person (details supplied) in County Dublin has been received in the relevant section; if in the event of a positive decision it will be possible for them to make an application for naturalisation; and if she will make a statement on the matter. [31615/14]

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Written answers

I am advised by the Irish Naturalisation and Immigration Service (INIS) of my Department that the person concerned has applied for a right of residency in the State, accompanied by a right to work, based on their parentage of an Irish born minor citizen child, and based also on the principles of the Zambrano Judgment.

The person concerned has not, to date, provided all of the documentation requested in a letter to their legal representative, dated 29th April, 2014. The outstanding documentation should therefore be submitted to the INIS as soon as possible. Upon receipt of the outstanding documentation, the position in the State of the person concerned can be considered further.

The Deputy will appreciate that as the person concerned has no current right of residency in the State, the issue of an application for a Certificate of Naturalisation does not arise at this time. However, in the event of a favourable residency decision being made, it will be open to the person concerned to apply to the Citizenship Division of my Department for a Certificate of Naturalisation when they are in a position to meet the lawful residency criteria applicable to the lodgement of such applications. Details on the criteria to be met by persons lodging such applications are available from the INIS Website (www.inis.gov.ie).

Queries in relation to the status of individual immigration cases may be made directly to the INIS of my Department by e-mail using the Oireachtas Mail facility which has been specifically established for this purpose. This service enables up to date information on such cases to be obtained without the need to seek information by way of the Parliamentary Questions process. The Deputy may consider using the e-mail service except in cases where the response from the INIS is, in the Deputy’s view, inadequate or too long awaited.

Garda Síochána Ombudsman Commission Investigations

Questions (601)

Finian McGrath

Question:

601. Deputy Finian McGrath asked the Minister for Justice and Equality if she will provide an update on a complaint regarding the conduct of An Garda Síochána (details supplied); and if she will make a statement on the matter. [31670/14]

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Written answers

The Garda Síochána Act 2005 established the Garda Síochána Ombudsman Commission to, among other matters, receive complaints from members of the public concerning the conduct of members of the Garda Síochána. The Ombudsman Commission is independent in the exercise of its functions and I am not in a position, therefore, to comment on individual complaints which have been made to the Ombudsman Commission.

Security Checks

Questions (602)

Ruth Coppinger

Question:

602. Deputy Ruth Coppinger asked the Minister for Justice and Equality the steps she will take to ensure that a company (details supplied) will publish a report for Ireland showing the number of requests for information which the State had sought from the company; and if she will make a statement on the matter. [31673/14]

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Written answers

The company contacted my Department prior to publication and was requested not to disclose certain statistical information in its report. This was done for sound reasons of public policy related to national security and the investigation of serious crimes which may be hindered by the publication of such information. Particular concerns arise in Ireland given the small size of the jurisdiction and the specific terrorist threat posed by paramilitary groups.

The operation of Ireland’s legislation governing lawful interception and access to call-related data is subject to independent judicial oversight and reports are made annually to the Taoiseach which are laid before the Houses of the Oireachtas. There is also an independent Complaints Referee procedure whereby persons who believe that their communications have been accessed in breach of the legislation governing such access can have the matter independently investigated. This function is carried out by a serving Judge of the Circuit Court.

Mobility Allowance Review

Questions (603, 715)

Dan Neville

Question:

603. Deputy Dan Neville asked the Minister for Health the position regarding a scheme to replace the mobility allowance scheme. [30724/14]

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Finian McGrath

Question:

715. Deputy Finian McGrath asked the Minister for Health the position regarding the replacement scheme for the mobility allowance and motorised transport grant; and if he will make a statement on the matter. [31625/14]

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Written answers

I propose to take Questions Nos. 603 and 715 together.

On 26th November 2013, the Government decided to assign responsibility to the Minister for Health for the development of a new statutory travel payment scheme. The Department of Health is working to develop proposals on foot of the Government’s decision.

Enabling provisions will be required in primary legislation in the first instance for any new scheme. Any regulations which might be required would be developed according to the policies and principles contained in such primary legislation. Under the new rules on pre-legislative scrutiny, the draft Heads of Bill, once approved by Government, will be brought before the Joint Committee on Health and Children for discussion

Given the dependency on decisions yet to be made, a definitive time frame is not yet available. This will become clearer as the work progresses.

The HSE continue to make an equivalent payment to those who were in receipt of a Mobility Allowance payment before the original schemes were closed. Those individuals have continued to receive the same payment on a monthly basis as before.

Medical Card Eligibility

Questions (604, 606)

Richard Boyd Barrett

Question:

604. Deputy Richard Boyd Barrett asked the Minister for Health the reason persons over 70 are means tested for a medical card on gross income while a person under 70 applying for a medical card is means tested on net income; if this constitutes discrimination under equality legislation; and if he will make a statement on the matter. [31006/14]

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Joan Collins

Question:

606. Deputy Joan Collins asked the Minister for Health in view of the changes to the over 70s medical card criteria and a cap of €500 single and €900 couple gross weekly income this year, meaning that a number of pensioners are over the limit by €10, €20, €30 per week because they are in receipt of a State pension and a work pension, if he will introduce the same criteria for the general medical card scheme where gross earnings less PRSI and income tax, and allowable expenditure such as medical cards and house insurance and so on are taken into account for the over 70s medical card. [31177/14]

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Written answers

I propose to take Questions Nos. 604 and 606 together.

Applications for persons aged 70 years and older can be assessed both on the basis of the standard national assessment guidelines and on the basis of the guidelines for persons aged 70 years or over.

Under the Health Act 2008, automatic entitlement to a medical card for persons aged 70 and over ended on 31 December 2008. Under the arrangements effected by the Act, a revised system of assessment for eligibility was introduced for those 70 years of age and over, based on the significantly higher gross income limits rather than the standard net income thresholds. This advantageous arrangement for persons aged over 70 years has facilitated a much greater share of this cohort qualifying for a medical card compared to the general population as a whole. There are no proposals to change this assessment process and it is not seen to constitute discrimination under equality legislation.

In the main, persons in the over-70s age cohort do not have the same outlays and expenses as those under 70 years of age who are assessed on a means basis. Under the standard means tested medical card scheme, allowance may be made for rent/mortgage, travel to work and child care costs. Generally, for the over 70s, mortgages have been cleared, children have been catered for and they would not have travel to work related costs.

However, persons aged 70 or older who are assessed as ineligible under the gross income thresholds may also have their eligibility assessed under the means tested medical card scheme where they face particularly high expenses, e.g., nursing home or medication costs. As I have outlined, this assessment is based on net income and assessable outgoing expenses and the qualifying income thresholds under this scheme are lower than over -70s gross income thresholds.

Furthermore, persons aged over 70 years may still be eligible for a medical card where discretion is exercised where they face undue hardship in arranging medical services as a result of medical or social circumstances.

Ambulance Service Staff

Questions (605)

Dara Calleary

Question:

605. Deputy Dara Calleary asked the Minister for Health the eligibility criteria and application process for securing a transfer within the national ambulance service; the rights paramedics have in terms of transfers; and if he will make a statement on the matter. [31038/14]

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Written answers

As this question relates to an operational matter, I have forwarded it to the HSE for direct reply.

Question No. 606 answered with Question No. 604.

Water Fluoridation

Questions (607)

Michael McGrath

Question:

607. Deputy Michael McGrath asked the Minister for Health his views on the fluoridation of water; the steps that have been taken to deal with any public health concerns; and if he will make a statement on the matter. [31414/14]

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Written answers

The Forum on Fluoridation, established in 2000, reviewed the policy of water fluoridation and recommended in 2002 that it should continue as a public health measure. In 2011 a review by the European Union Scientific Committee on Health and Environmental Risk (SCHER) concluded that there are no known negative health implications from fluoridating water at levels used in the EU. The balance of scientific evidence worldwide confirms that water fluoridation, i.e. the adjustment of the natural concentration of fluoride in drinking water to the optimal recommended level for the prevention of dental caries, does not cause any ill effects and protects the oral health of the population.

The Department of Health keeps this policy under constant review. As part of this ongoing work, a review of evidence on the impact of water fluoridation at its current level on the health of the population and on the environment is being conducted by the Health Research Board on behalf of the Department. The Department is also collaborating in a University College Cork-led research project, "Fluoride and Caring for Children's Teeth" (FACCT). The study will consider the impact of changes on the oral health of children, following policy decisions relating to toothpaste use by infants and young children made in 2002 and the reduction in the level of fluoridation in drinking water introduced in 2007. In addition, a study on general and oral health findings in adults linked to the duration of exposure to fluoridated water as part of the Irish Longitudinal Study on Aging (TILDA) is underway.

Tobacco Control Measures

Questions (608, 675, 676)

Terence Flanagan

Question:

608. Deputy Terence Flanagan asked the Minister for Health if he notified the Department of the Taoiseach in the context of the preparation of the national risk assessment that he expects the tobacco industry to sue the Government when it introduces plain packaging for tobacco products for compensation over loss of intellectual property rights; if this risk has been or will be quantified; and if he will make a statement on the matter. [31418/14]

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Terence Flanagan

Question:

675. Deputy Terence Flanagan asked the Minister for Health if his Department has notified the Department of the Taoiseach of any economic or social risks in the context of its preparation of the national risk assessment; and if he will make a statement on the matter. [31419/14]

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Terence Flanagan

Question:

676. Deputy Terence Flanagan asked the Minister for Health if his Department has notified the Department of the Taoiseach of any economic or social risks to in the context of its preparation of the national risk assessment; and if he will make a statement on the matter. [31421/14]

View answer

Written answers

I propose to take Questions Nos. 608, 675 and 676 together.

In its publication entitled "Technical Resource for Country Implementation of WHO Framework Convention on Tobacco Control Article 5.3", the WHO has outlined the various forms of tobacco industry tactics to interfere with tobacco control measures. Litigation and threat of litigation is one of the forms mentioned. These measures are often utilised as a means of delaying various legislative provisions from coming into operation and as a means of diverting resources away from other tobacco control and health promotion initiatives.

Litigation also acts as a deterrent for other countries from developing and enacting new progressive pieces of tobacco control legislation. The threat of litigation should not be an obstacle to the introduction of important public health measures.

I am of the view that standardised packaging for tobacco products is a proportionate, evidence-based public health measure which will assist, together with the other many initiatives outlined in Tobacco Free Ireland, in reducing the overall prevalence of smoking in Ireland. The introduction of standardised packaging has the support of the Government and has been considered and approved by Government.

Medical Card Applications

Questions (609)

Michael Healy-Rae

Question:

609. Deputy Michael Healy-Rae asked the Minister for Health the position regarding a medical card in respect of person (details supplied) in County Kerry. [30666/14]

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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 Applications

Questions (610)

John O'Mahony

Question:

610. Deputy John O'Mahony asked the Minister for Health the reason a person (details supplied) in Dublin 14 has not received a decision on their medical card; his views on the length of time it is taking to issue a decision; and if he will make a statement on the matter. [30679/14]

View answer

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.

Services for People with Disabilities

Questions (611)

Seán Ó Fearghaíl

Question:

611. Deputy Seán Ó Fearghaíl asked the Minister for Health if he will ensure that an assessment is completed in respect of a child (details supplied) in County Kildare; and if he will make a statement on the matter. [30681/14]

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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.

Drugs Payment Scheme Coverage

Questions (612, 696)

Billy Timmins

Question:

612. Deputy Billy Timmins asked the Minister for Health the position regarding the drug Fampyra for MS sufferers who are on a trial with this drug; if sanction will be given for the continuation of this drug in view of the benefits to patients; and if he will make a statement on the matter. [30682/14]

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Eoghan Murphy

Question:

696. Deputy Eoghan Murphy asked the Minister for Health if he will consider adding the multiple sclerosis drug Fampyra to the drug payment scheme. [31511/14]

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Written answers

I propose to take Questions Nos. 612 and 696 together.

The Health Service Executive (HSE) has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drug schemes in accordance with the provisions of the Health (Pricing and Supply of Medical Goods) Act 2013.

The HSE received an application for the inclusion of Fampridine (Fampyra®) in the GMS and community drugs schemes. The application was considered in line with the procedures and timescales agreed by the Department of Health and the HSE with the Irish Pharmaceutical Healthcare Association (IPHA) for the assessment of new medicines. In accordance with these procedures, the National Centre for Pharmacoeconomics (NCPE) conducted a pharmacoeconomic evaluation of Fampridine and concluded that, as the manufacturer was unable to demonstrate the cost effectiveness of fampridine in the Irish healthcare setting, it was unable to recommend the reimbursement of the product. The report is available on the NCPE's website (www.ncpe.ie). The NCPE report is an important input to assist the HSE in its decision making process and informs further discussions between the HSE and the manufacturer of the drug.

The HSE assessment process is intended to arrive at a decision on the funding of new medicines that is clinically appropriate, fair, consistent and sustainable. In these circumstances, the HSE has not approved the reimbursement of Fampridine under the GMS or other community drug schemes.

However, I am aware that studies are ongoing to assess the wider impact of Fampridine on both walking and quality of life for persons diagnosed with MS. The results of these studies will contribute to the evidence base demonstrating the clinical effectiveness of the product which can be used to support future applications for its inclusion on the lists of reimbursable items supplied under the GMS and other community drugs scheme.

The HSE met with Biogen Idec recently to discuss a potential revised application. The HSE expects that Biogen Idec will submit a revised application. The HSE will then re-consider the application in as timely a fashion as possible in line with the agreed procedures and timescales for the assessment of new medicines.

Medical Card Applications

Questions (613)

Stephen Donnelly

Question:

613. Deputy Stephen S. Donnelly asked the Minister for Health the position regarding a medical card in respect of a person (details supplied), issued earlier this year; if the card is still valid; and if it has been revoked, if he will instruct the Health Service Executive to reinstate the card. [30717/14]

View answer

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.

Services for People with Disabilities

Questions (614)

Catherine Murphy

Question:

614. Deputy Catherine Murphy asked the Minister for Health if corrective lenses to aid primary school-aged children with Irlen syndrome associated with dyslexia are covered under optical benefit where their parents or guardians do not have a medical card; and if so, the amount of the cost that is covered; if the full cost of the lenses may be provided for in cases where the parents have a medical card; and if he will make a statement on the matter. [30721/14]

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Written answers

Ophthalmic treatment and appliances are available to children, as provided for in the Health Act, 1970. The HSE provides standard frames and/or lenses to children free of charge. Requests in respect of children with particular optical needs are dealt with on a case by case basis, subject to available funding.

Drug Rehabilitation Clinics

Questions (615)

Maureen O'Sullivan

Question:

615. Deputy Maureen O'Sullivan asked the Minister for Health the number of beds currently available for persons with addiction issues for both under the age of 18 and over 18 years, in the areas of detox and residential addiction treatment; the locations of such beds available; and if he will make a statement on the matter. [30722/14]

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Written answers

In line with the National Drugs Strategy, it is Government policy to expand the availability of, and access to, detoxification facilities and treatment services, in particular for those who are under 18 years of age.

As the information requested by the Deputy is not readily available to my Department, I have referred the Deputy's query to the HSE for direct reply.

Services for People with Disabilities

Questions (616)

David Stanton

Question:

616. Deputy David Stanton asked the Minister for Health the position regarding an application for a motorised wheelchair in respect of a person (details supplied) in County Cork; and if he will make a statement on the matter. [30734/14]

View answer

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 Applications

Questions (617)

Dara Calleary

Question:

617. Deputy Dara Calleary asked the Minister for Health the position regarding a medical card application in respect of a person (details supplied) in County Mayo. [30759/14]

View answer

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.

Audiology Services Provision

Questions (618)

Dan Neville

Question:

618. Deputy Dan Neville asked the Minister for Health the position regarding the fitting of hearing aids from the audiology services in the Health Service Executive Limerick in respect of a person (details supplied) in County Limerick. [30761/14]

View answer

Written answers

The Health Service Executive Community Audiology service administers and monitors hearing tests for adults who are at risk for hearing loss. Appointments for the audiology service are sent in a strict chronology according to clinical priorities and date of receipt of referral. The HSE has been asked to examine this matter and to reply to the Deputy as soon as possible.

Health Services Provision

Questions (619)

Finian McGrath

Question:

619. Deputy Finian McGrath asked the Minister for Health the position regarding a long-term care plan in respect of a person (details supplied) in Dublin 3; and if he will make a statement on the matter. [30764/14]

View answer

Written answers

As this is a service matter this question has been referred to the HSE for direct reply.

Mental Health Services Provision

Questions (620)

Finian McGrath

Question:

620. Deputy Finian McGrath asked the Minister for Health if there is a scheme or supports for families of mentally ill persons who are a danger to themselves or the broader community; and if he will make a statement on the matter. [30765/14]

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Written answers

There is a range of supports available to families of persons with mental health difficulties. Funded parent, family and/or child support groups are available either through the Mental Health Services provided by the HSE, or through state funded voluntary organisations such as SHINE, Aware or Grow. Mentalhealth-support is an organisation created to help the families, care-givers and those suffering and affected by Psychosis. The website provides e-Learning Programmes that give the most comprehensive information and practical and up-to-date advice on this area of Mental Illness. The Endeavour Family Connections Programme is a 12-week group for relatives and friends of a person with chronic self harm, suicidality and a diagnosis of Borderline Personality Disorder, who is or has been involved in the Endeavour Programme in Cork North Lee.

The national policy document A Vision for Change, recognises the vital role played by family members in the recovery process which is accepted and supported by our mental health professionals. I am also aware and acknowledge that patient outcomes are better where families and/or carers are involved in the development of the patients care and treatment plan. Healthcare professionals should proactively encourage patients at all stages to involve their family and/or carer in the development of these plans.

I must also accept, however, that patient confidentiality is important and should not be compromised where in some limited cases patients specifically request that contact not be made with families and/or carers. For the benefit of the patient, every effort must be made to encourage him or her to involve family and/or carers, but it is equally important to recognise that breaching this confidence against the patients wishes, can damage the health professional /patient relationship. The Medical Council's Ethical Guide does however specially allow a doctor to ethically breach confidentiality if, for example he/she believes that the patient is at risk of harming himself/herself or others.

The Expert Group which is reviewing the Mental Health Act 2001 is examining a range of issues, including the broader issue of whether mental health legislation should be amended to require health professionals to consult with the family of persons with mental health problems. The Group is coming towards the end of its deliberations, and I expect to receive its final report by the end of quarter 3 this year.

Mental Hospitals Report

Questions (621)

Gerry Adams

Question:

621. Deputy Gerry Adams asked the Minister for Health the findings from the Mental Health Commission's recent visit to St. Brigid's Hospital, Ardee, County Louth; the long-term plan envisaged for St. Brigid's; and if he will make a statement on the matter. [30787/14]

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Written answers

As this is a service issue this question has been referred to the HSE for direct reply.

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