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Wednesday, 21 Jan 2015

Written Answers Nos. 174-182

Home Care Packages Provision

Questions (174)

Catherine Murphy

Question:

174. Deputy Catherine Murphy asked the Minister for Health if his attention has been drawn to a shortage in availability of agency nurses trained in the correct management of tracheotomies; the measures he will take to address same; the total number of respite and home care package situations which the Health Service Executive is utilising agency nurses for; the total number of these which require training in tracheotomy application and supervision; and if he will make a statement on the matter. [3017/15]

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Written answers

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

If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Primary Care Centres Provision

Questions (175)

Bernard Durkan

Question:

175. Deputy Bernard J. Durkan asked the Minister for Health the number of primary care centres currently operational throughout the country; the extent to which the general hospitals in the respective catchment areas alleviated the problem of overcrowding at accident and emergency in recent weeks; and if he will make a statement on the matter. [3018/15]

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Written answers

There are currently 85 Primary Care Centres in operation throughout the country.

I assume the Deputy is referring to the extent to which these centres helped to alleviate overcrowding in accident and emergency departments in their catchment areas in recent weeks. As this information relates to service issues and is not routinely provided to my Department, I have asked the Health Service Executive to reply directly to the Deputy on these matters. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Hospital Services

Questions (176)

Bernard Durkan

Question:

176. Deputy Bernard J. Durkan asked the Minister for Health the steps he is taking to alleviate the problem of overcrowding at various general hospitals throughout the country; and if he will make a statement on the matter. [3019/15]

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Written answers

Emergency Department overcrowding is a priority issue for me and for the Government and I acknowledge the difficulties which the current surge in ED activity is causing for patients, their families and the staff who are doing their utmost to provide safe, quality care in very challenging circumstances.

All hospitals have escalation plans to manage not only patient flow but also patient safety in a responsive, controlled and planned way that supports and ensures the delivery of optimum patient care. These plans include the opening of additional overflow areas, reopening of closed beds, provision of additional diagnostic scans and Consultants doing additional ward rounds to improve the appropriate flow of patients through hospitals. The Government has provided additional funding of €3 million in 2014 and €25 million in 2015 to address delayed discharges and actions being taken include the provision of additional home care packages, additional transition beds in nursing homes, 300 additional Fair Deal places and an extension in Community Intervention Teams.

I convened the Emergency Department Taskforce last month to find long term solutions to overcrowding by providing additional focus and momentum in dealing with the challenges presented by the current trolley waits. Following a second meeting last week, the HSE is working on an action plan to be finalised by the end of the month to specifically address ED issues with a view to a significant reduction in trolley waits over the course of 2015.

Hospital Services

Questions (177)

Bernard Durkan

Question:

177. Deputy Bernard J. Durkan asked the Minister for Health the extent to which spare wards or beds capacity exists at any of the general hospitals that experience overcrowding at accident and emergency departments in the past number of weeks; the steps being taken to address the issue; and if he will make a statement on the matter. [3020/15]

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Written answers

In relation to the specific queries raised by the Deputy, as these are service matters, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Hospitals Discharges

Questions (178)

Bernard Durkan

Question:

178. Deputy Bernard J. Durkan asked the Minister for Health the extent to which step-down, public or private nursing home beds are available or are being made available throughout the country with particular reference to general hospitals that have experienced overcrowding at accident and emergency departments; and if he will make a statement on the matter. [3021/15]

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Written answers

Delayed discharges arise when a patient has been clinically discharged from an acute hospital but remains in an acute hospital bed, thus rendering that bed unavailable for patients who need admission. In Budget 2015 the Government allocated €25m to tackle the problem of delayed discharges and this additional funding is being applied across residential and community services to reflect the varying needs of patients.

Of this €25m €10m has been allocated to the Nursing Homes Support Scheme which has resulted in 300 extra approvals and shortening the waiting time for approval from 17 weeks to 11 weeks, 145 of which were in acute hospitals and 107 of these are now in long-term residential care; €8m is being used to augment short-term residential care capacity and has provided for 50 additional short stay beds which have been sourced from the private sector. An additional 65 are to come on stream on a phased basis from March 2015; €5m is being used for home care services which will provide 400 additional Home Care Packages to benefit 600 discharges across targeted hospitals; and €2m is being used to strengthen Community Intervention Teams which to date has facilitated 571 people to be seen in their own home.

Further to this in July of 2014, the HSE allocated €5m for an initiative to improve access to appropriate care for older people. To date this has funded over 300 transitional care beds for patients in acute hospitals who are on the Nursing Homes Support Scheme national placement list.

The HSE is looking at every possible option for alternative accommodation, including vacant beds in private nursing homes to address delayed discharges. Since January 5 2015, the HSE has been working to match patients whose acute care has been completed but who require ongoing residential care with suitable placements. This will see a potential movement of 250 patients across the country from acute hospitals to other suitable facilities.

Hospital Services

Questions (179)

Bernard Durkan

Question:

179. Deputy Bernard J. Durkan asked the Minister for Health the number and location of public nursing home beds that have been reduced throughout the country in the past ten years; the extent to which any such beds could be utilised to alleviate overcrowding in general hospitals at present; and if he will make a statement on the matter. [3022/15]

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Written answers

As this is a service matter it has been referred to the Health Service Executive for direct reply. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Hospital Services

Questions (180)

Bernard Durkan

Question:

180. Deputy Bernard J. Durkan asked the Minister for Health the degree to which waiting times can be reduced for elective procedures in hospitals throughout the country; and if he will make a statement on the matter. [3023/15]

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Written answers

As this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

National Children's Hospital

Questions (181, 182)

Bernard Durkan

Question:

181. Deputy Bernard J. Durkan asked the Minister for Health the extent to which the plans for the national children’s hospital have been advanced; the degree to which the proposed site has been architecturally married to the development; and if he will make a statement on the matter. [3024/15]

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Bernard Durkan

Question:

182. Deputy Bernard J. Durkan asked the Minister for Health the number of bed spaces and extent of facilities likely to be provided for in the context of the national children’s hospital; and if he will make a statement on the matter. [3025/15]

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Written answers

I propose to take Questions Nos. 181 and 182 together.

The new children's hospital will be co-located with St James's Hospital, and ultimately tri-located with a maternity hospital to be developed on campus. The National Paediatric Hospital Development Board is the statutory body responsible for planning, designing, building and equipping the new children's hospital. Since the decision to locate the hospital at the St. James's campus, the Board's initial focus was on decant planning; site surveys and investigations; design team procurement; and review and update of the Project Brief to take account of the new site. The revised Project Brief also took account of the outcome of a review of the location, model and number of urgent care centres which was undertaken in 2013. Following that review, which involved significant consultation with the relevant stakeholders, it was decided that satellite centres, which will share governance and staffing with the new children's hospital, will be built on the campuses of Tallaght and Connolly Hospitals.

The Project Brief was approved in June 2014 and sets out details of the specialties to be provided and the planned accommodation. This will include 384 in-patient beds, all in single en-suite rooms with in-room parent accommodation, a further 85 day-care beds and 14 theatres, including three hybrid theatres to facilitate access to imaging during surgery, all in the main hospital. There will be 111 outpatient consulting examination rooms across both the main hospital and the two satellite centres, as well as Emergency Department and urgent care facilities.

Accommodation will also include family accommodation near the Neonatal Intensive Care Unit/Paediatric Intensive Care Unit, as well as in-room parent accommodation and separate family accommodation adjacent to the hospital (planned to be provided on a philanthropic basis by a charitable agency); play areas, external gardens and courtyards; specialist therapy area with hydro-pool and gym; and a family resource and information centre. The Project Brief also sets out the design principles which will be applied in the design. In this context it affirms that it is important that the design created is consistent with the campus-wide site masterplan for the joint campus with St James’s Hospital and with the Dublin City Council Local Area plan, and that it can constitute a landmark feature that can be welcomed by the community as a contribution to urban regeneration.

The design team is now working on detailed design development, with the aim of submitting a planning application in June 2015. Subject to planning, work will commence at the main site at St. James's, and at satellite centre sites at Connolly and Tallaght, in January 2016. It is intended that a maternity facility will be developed in due course on the St James’s campus, achieving tri-location of adult, paediatric and maternity services on one campus.

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