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Wednesday, 8 Oct 2014

Written Answers Nos 141-160

Health Services Provision

Questions (141, 142, 143, 144)

Billy Kelleher

Question:

141. Deputy Billy Kelleher asked the Minister for Health his views on the findings of the Irish Heart Foundation report Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland compiled by the Economic and Social Research Institute and the Royal College of Surgeons of Ireland; his further views that more than 3,000 stroke survivors every year could benefit from early supported discharge programmes that would yield net savings of up to €7 million per annum to the health service; the action he will take to deliver improved community stroke rehabilitation services; and if he will make a statement on the matter. [38490/14]

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Billy Kelleher

Question:

142. Deputy Billy Kelleher asked the Minister for Health in view of the findings of the Irish Heart Foundation report, if he will ensure specific plans are put in place to tackle significant regional variations in stroke services such as access to physiotherapy and speech and language therapy, length of hospital stay, availability of nursing home places, community rehabilitation staffing and the intensity of therapy available in different locations; and if he will make a statement on the matter. [38491/14]

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Billy Kelleher

Question:

143. Deputy Billy Kelleher asked the Minister for Health his views that any delay in developing community stroke rehabilitation services in view of the findings of the Irish Heart Foundation report would represent an avoidable and unnecessary failure to enable many stroke survivors to make the best possible recovery by addressing service deficits resulting in one in three discharged stroke patients here having no access to physiotherapy, half with no speech and language therapy or occupational therapy and just 11% having access to psychological services; and if he will make a statement on the matter. [38492/14]

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Billy Kelleher

Question:

144. Deputy Billy Kelleher asked the Minister for Health his views on the recommendations of the Irish Heart Foundation report regarding patients with severe stroke, in particular that capacity and staffing should be expanded for specialist inpatient rehabilitation; his further views that the numbers of nursing home places should be increased, especially in areas where there are long delays in hospital discharge due to difficulties in accessing nursing home care; and if he will make a statement on the matter. [38493/14]

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Written answers

I propose to take Questions Nos. 141 to 144, inclusive, together.

I am aware of the findings of The Irish Heart Foundation Report "Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland," and am asking that the HSE provide a further response to the Deputy in relation to the specific recommendations contained therein.

Health Services Provision

Questions (145)

Sandra McLellan

Question:

145. Deputy Sandra McLellan asked the Minister for Health if he will ensure physiotherapy is provided in respect of a child (details supplied) in County Cork; and if he will make a statement on the matter. [38495/14]

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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.

Pharmacy Regulations

Questions (146)

Patrick O'Donovan

Question:

146. Deputy Patrick O'Donovan asked the Minister for Health if he will review the guidelines of the regulatory authority of pharmacists in view of the unfair restrictions these guidelines impose on assistant pharmacists acting in a temporary absence by requiring them to be employed 15 hours per week and the steps assistant pharmacists may take to challenge these guidelines; and if he will make a statement on the matter. [38497/14]

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Written answers

The Pharmacy Act 2007 (the Act) provided for the establishment of the Pharmaceutical Society of Ireland (PSI) as the statutory regulatory authority responsible for the regulation of the practice and profession of pharmacy in Ireland. The PSI established in 2007 replaced the previous professional regulatory body of the same name.

The PSI regulates approximately 5,250 pharmacists, 1,800 pharmacies and 450 pharmaceutical assistants. The Act provides for a formal system of registration and inspection of retail pharmacy businesses (pharmacies), a registration system for pharmacists which takes account of the obligations imposed by a statutory Code of Conduct for pharmacists, disciplinary procedures and mandatory continuing professional development, and a registration system for pharmaceutical assistants.

Pharmaceutical assistants are a grade of pharmacy professionals that are permitted under section 30(1) of the Act to act on behalf of a registered pharmacist during the temporary absence of the registered pharmacist.

In December 1994, the "old PSI" and the Pharmaceutical Assistants Association agreed a Code of Practice governing temporary absence. This Code does not place restrictions on what may or may not be done by a pharmaceutical assistant in the temporary absence of pharmacists, but provides a framework for the interpretation of the phrase "temporary absence". Section 5(6)(b) of the Pharmacy Act provides that in any contract or other agreement to which the old society was a party, the Society is substituted for the old Society. This Code of Practice has been in place since that time and the PSI has operated it in so far as practicable, in accordance with its terms.

Section 30(2) of the Act provides for the PSI Council to make rules (with the consent of the Minister) defining temporary absence and also what may or may not be done by a pharmaceutical assistant when acting on behalf of a registered pharmacist.

The PSI is aware of the concerns raised by pharmaceutical assistants regarding the current employment environment and continues to engage with pharmaceutical assistants and the Pharmaceutical Assistants Association. This engagement will inform the development of policy and an applicable legislative framework that may be established under section 30(2) of the Act. This process is ongoing, and the PSI is committed to expediting this work as quickly as possible.

Health Services Provision

Questions (147)

Finian McGrath

Question:

147. Deputy Finian McGrath asked the Minister for Health the health and Health Service Executive support services available for the residents of an area (details supplied) in Dublin 9; and if he will make a statement on the matter. [38498/14]

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Written answers

The HSE support services available in any area can be identified on the HSE website http://www.hse.ie/eng/services/maps/. Officials from the Department have been in contact with the Deputy's office to see if there are any particular support services he is interested in. If the Deputy can provide further information regarding particular service requirements, I will ask the HSE to investigate further.

Community Care Provision

Questions (148)

Catherine Murphy

Question:

148. Deputy Catherine Murphy asked the Minister for Health if there are plans to develop a purpose built designated facility for older persons at Connolly Hospital, Dublin; and if funding has been identified for such a development. [38505/14]

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Written answers

The Community Nursing Unit infrastructure programme must be considered within the overall capital budget available to the health service and there is limited funding available for new projects over the next multi-annual period 2015-2019 given the level of commitments already in place.

As the demand for capital investment far exceeds the funding available, the funding for the Services for Older People must focus on the upgrade and refurbishment of existing facilities to achieve HIQA compliance. The development of Connolly Hospital will be considered in that context

Home Help Service Provision

Questions (149)

Finian McGrath

Question:

149. Deputy Finian McGrath asked the Minister for Health the position regarding home help in respect of persons (details supplied) in Dublin 9; and if he will make a statement on the matter. [38539/14]

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Written answers

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

Home Care Packages

Questions (150)

Finian McGrath

Question:

150. Deputy Finian McGrath asked the Minister for Health if he will re-examine the need for home care in respect of a person (details supplied) in Dublin 9; and if he will make a statement on the matter. [38542/14]

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Written answers

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

Departmental Expenditure

Questions (151)

Brendan Smith

Question:

151. Deputy Brendan Smith asked the Minister for Foreign Affairs and Trade the expenditure profile for his Department at the end of September 2014; and if he will make a statement on the matter. [38309/14]

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Written answers

The Department of Foreign Affairs Group’s profiled budget to end of September 2014 is €560,186m and the actual spend to end of September 2014 is €506,610m resulting in a period variance of €53,576m.

These variances in the main arise in Vote 27 and are due to timing differences between the planned or profiled draw down of funding by implementing partners and the actual drawn down demands to date. My Department continues to operate within the budget allocation.

Commissions of Investigation

Questions (152)

Eoghan Murphy

Question:

152. Deputy Eoghan Murphy asked the Minister for Foreign Affairs and Trade if he will provide a list of the commissions of investigation, inquiries and similar investigations established under his Department during the past 12 months or being considered for establishment during the next 12 months, and in each case the person or persons conducting the inquiry and the timeframe, including start and end date envisaged. [38335/14]

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Written answers

On foot of the detection of internal fraud in the Passport Service in 2013, the Secretary General requested an external group to undertake a review of Passport Service systems, processes and controls including a wider examination of the spectrum of challenges/risks to the integrity of the Irish passport – both internal and external. The Review Group was chaired by a retired Assistant Secretary from the Department of Public Expenditure and Reform, with representation on the Group from An Garda Síochána, the Defence Forces and the Department’s Evaluation and Audit Unit. The investigation took place over a period of 6 months and a confidential report was presented to the Secretary General in March 2014.

A dedicated project team has been established with the Department tasked with examining the recommendations in the report; evaluating options to deliver on these recommendations; and delivering on the options selected.

North-South Ministerial Council

Questions (153)

Brendan Smith

Question:

153. Deputy Brendan Smith asked the Minister for Foreign Affairs and Trade the issues discussed at the recent North South Ministerial Council meeting; and if he will make a statement on the matter. [38523/14]

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Written answers

A meeting of the North South Ministerial Council (NSMC) in plenary format was held at Dublin Castle on 3 October 2014. This was the 18th Plenary meeting of the NSMC. At the meeting, discussions covered a wide range of financial, economic and EU matters including the employment situation in both jurisdictions and measures to encourage job creation. Also discussed were actions to build trade links with developing markets, attraction of foreign direct investment and issues relating to banking, in particular lending to Small and Medium-sized Enterprises, economic and budgetary challenges facing both administrations and measures aimed at rebalancing the Northern Ireland economy. Progress on the disposal of NAMA’s Northern Ireland portfolio was welcomed by the Council.

Ministers also welcomed the success of the Giro d’Italia cycling event which secured widespread global media coverage. We also noted the opportunities for tourism and trade through the hosting of all-island events and agreed to continue to cooperate on a joint bid for the 2023 Rugby World Cup.

We noted that the draft Programmes for the new INTERREG V and PEACE IV Programmes for the period 2014 – 2020 have been submitted to the EU Commission. As several other new European programmes may present opportunities for cooperation to maximise the drawdown of EU funding to the island, we agreed that these should be further examined.

With regard to the St Andrews Agreement Review, the Council noted that discussions on Sectoral Priorities have now taken place, following the decisions taken at the last NSMC Plenary in November 2013 and the NSMC Institutional meeting in January 2014. These discussions focused on efforts to support economic recovery, job creation, ensuring the best use of public funds and the most effective delivery of services for citizens.

Ministers agreed that it had been useful to review progress and identify opportunities within the existing agreed work programmes and noted that a report on other priorities identified during the Ministerial discussions will be brought to the next NSMC Institutional Meeting.

The Council also reviewed the progress made on the areas of co-operation by the North/South Bodies and in the other areas for co-operation, and noted the current position on a North South Consultative Forum.

We also discussed the North West Gateway Initiative noting the conclusion of the consultation process that had been carried out with regional stakeholders and agreed that further consultation with relevant Government Departments should be undertaken on the issues identified during the consultation process and that there should be a meeting of Ministers in the North West to consider strategic approaches to the development of the region.

The Government is firmly committed to developing North South cooperation in every possible respect and I am looking forward to continuing to work with our Northern colleagues in the North South Ministerial Council.

Overseas Development Aid Expenditure

Questions (154)

Joan Collins

Question:

154. Deputy Joan Collins asked the Minister for Foreign Affairs and Trade his plans to ensure Ireland meets its stated commitment of allocation of 0.7% of GNI to overseas aid. [38532/14]

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Written answers

The Government is strongly committed to Ireland’s overseas aid programme, which is at the heart of our foreign policy. Our policy on International Development, “One World, One Future” restates the Programme for Government commitment to achieving the UN target of providing 0.7% of Gross National Product (GNP) for Official Development Assistance (ODA), when economic circumstances permit.

Since coming to office, the Government has successfully managed to stabilise the budget for development assistance. This is a significant achievement, particularly in light of the difficult budgetary circumstances we faced. It is a clear demonstration of our commitment to the aid programme. Since 2011 we have allocated in excess of €2.5 billion to ODA, providing €657 million in 2011, €629 million in 2012, and €637 million last year. For 2014 we expect to provide in excess of €600 million for ODA. These are substantial allocations of public funds and represent a genuine investment on behalf of the Irish people to assist those less fortunate than ourselves.

The estimates process for Budget 2015 is now in its final stages. As with allocations to all Government Departments, the 2015 budget for Ireland’s aid programme will be framed in the context of our policy commitments and the overall budgetary circumstances we face. The final allocation to ODA is ultimately a decision for Government, and will be announced by the Minister for Public Expenditure and Reform on Budget Day. As the Deputy can appreciate I am not in position to announce next year’s allocation but, as I have repeatedly stated publicly, and in response to previous Questions, I and the Minster for Foreign Affairs and Trade have made, and will continue to make, the strongest case possible for the allocation to the development assistance programme.

I am determined to ensure that Ireland’s aid programme continues to be recognised as a world leader, focusing relentlessly on delivering real and sustainable results that provide lasting improvements to the lives of some the world’s poorest people.

Public Sector Staff Recruitment

Questions (155)

Seamus Kirk

Question:

155. Deputy Seamus Kirk asked the Minister for Education and Skills if her attention has been drawn to the potential crisis in the area of recruitment for tutors and teachers in SOLAS and the VECs because of the moratorium on recruitment; the way the foregoing are restricted in the number of courses they can organise because of the recruitment embargo; and if she will make a statement on the matter. [38361/14]

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Written answers

The Education and Training Board (ETB), formerly VEC, staff referred to by the Deputy are not comprehended by the public service staffing moratorium. However, former SOLAS staff that have recently transferred to ETBs are subject to the moratorium on recruitment. In relation to these staff, it is the practice in my Department to seek an exemption from the moratorium to replace mission critical staff when a vacancy occurs or when there is growth in demand in specific areas like apprenticeship.

School Transport Provision

Questions (156)

Gerry Adams

Question:

156. Deputy Gerry Adams asked the Minister for Education and Skills if her attention has been drawn to the case of a child (details supplied) in County Louth; if her attention has been further drawn to the fact that this child's parents had paid for and were approved for a concessionary bus ticket on 15 July 2014 and that Bus Éireann issued a full ticket on 11 September 2014; and if she will make a statement on the matter. [38407/14]

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Written answers

Bus Éireann which operates the School Transport Scheme on behalf of my Department has advised that the child in question is now availing of a service on a concessionary basis.

Bus Éireann has confirmed that while a temporary service was in place initially, the service now being availed of by the child in question is operating to the same pick up point and time as last year.

Apprenticeship Programmes

Questions (157)

Billy Timmins

Question:

157. Deputy Billy Timmins asked the Minister for Education and Skills her plans to expand the number of apprenticeships available in the trades; if she will consider offering a basic welding course separate from the inclusion of coding; and if she will make a statement on the matter. [38526/14]

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Written answers

By its nature, the Irish Apprenticeship system is employer-led and the number of apprenticeship registrations is dictated by the numbers taken on by approved employers in the first instance. However, following on from the Apprenticeship Review an Apprenticeship Implementation Plan was published in June 2014. As part of this plan a new Apprenticeship Council is in the process of being established. The Council will be enterprise led and will have representatives from business, trade unions, as well as further and higher education bodies. The first job of work of the new Apprenticeship Council will be to develop a call for proposals from industry for new apprenticeships. Alongside this work, the curricula for current apprenticeships will continue to be reviewed under existing structures.

Furthermore, in addition to the SOLAS Further Education and Training Strategy 2014-2019, SOLAS has published the first ever integrated Further Education and Training Services Plan for 2014. The plan provides information on the range of further education and training funded by the Irish Government and it sets out in detail how the State's investment in 2014 will be used by SOLAS and the Education and Training Boards to meet the skills needs of learners and employers. The plan is available on the SOLAS website, www.solas.ie. The process to develop the 2015 services plan will begin shortly and each Education and Training Board will develop proposals to SOLAS on its planned training programmes based on local skills demands, patterns of unemployment, overall demand for programmes and the resources available. The process is also informed by skills demand forecasts produced at a national level.

Question No. 158 withdrawn.

Special Educational Needs Service Provision

Questions (159)

Finian McGrath

Question:

159. Deputy Finian McGrath asked the Minister for Education and Skills if she will ensure all children with a physical and intellectual disability get a quality service in our national and second level schools. [38017/14]

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Written answers

My Department provides for a continuum of special education provision to be made available for children with special needs, so that regardless of the level of need of the child, educational provision can be made for them.

The policy of my Department is that children with special educational needs should be included in mainstream placements with additional supports provided. In circumstances where children with special educational needs require more specialised interventions, special school or special class places are also available.

The level of investment, some €1.3 billion this year, shows that the overall level of funding for special education has been protected, and increased in some areas for this school year, despite the ongoing severe financial position.

I want to assure the Deputy of my commitment to continue to provide appropriate high quality resources to schools for the education of children with special educational needs.

Pupil-Teacher Ratio

Questions (160)

Jim Daly

Question:

160. Deputy Jim Daly asked the Minister for Education and Skills the cost to her Department of a reduction of two points in the retention figure on pupil-teacher ratio for three and four teacher primary schools; if she will provide favourable consideration to such a move ahead of the upcoming budget; and if she will make a statement on the matter. [38307/14]

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Written answers

Teacher allocations to all schools are approved annually by my Department in accordance with established rules based on recognised pupil enrolment. The staffing schedule at primary level operates on the basis of 1 classroom teacher for an average of every 28 pupils. More favourable ratios operate in DEIS schools.

Each one point adjustment to the current 28.1 schedule at primary level is estimated to cost of the order of 250 posts (€15m).

A significant amount of analysis would be required to provide an indicative estimate for the costings requested by the Deputy. It is not possible in the time available, to undertake such an analysis. This information will be provided to the Deputy as soon as it can be gathered.

Given the current budgetary environment there is no scope in the short term to consider improvements to pupil teacher allocation ratios. My Department's focus for the foreseeable future is on targeting any additional resources to cater for the continuing increase in demographics at all levels in the education system.

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