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Tuesday, 6 Oct 2015

Written Answers Nos. 492-516

Medical Card Administration

Questions (492)

John McGuinness

Question:

492. Deputy John McGuinness asked the Minister for Health if a payment made to the Health Service Executive by a person (details supplied) in County Kilkenny will be refunded, as the medical fees are covered by the person's medical card; if the explanation provided by the person's general practitioner that, while under the influence of medication, the person completed a form incorrectly will be accepted; if he will expedite a positive response as the person has to borrow from a credit union and is experiencing hardship. [34064/15]

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.

If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

Medical Card Applications

Questions (493)

Tom Fleming

Question:

493. Deputy Tom Fleming asked the Minister for Health if he will examine the removal of an application for the full over-70s medical card by a person (details supplied) in County Kerry; and if he will make a statement on the matter. [34071/15]

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.

If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

Hospital Appointments Status

Questions (494)

Michael Healy-Rae

Question:

494. Deputy Michael Healy-Rae asked the Minister for Health the position regarding an appointment at Mercy University Hospital in County Cork for a person (details supplied) in County Kerry; and if he will make a statement on the matter. [34074/15]

View answer

Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition warrants an earlier appointment, he or she should take the matter up with the consultant and the hospital involved. In relation to the specific case raised, 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.

Hospital Appointments Status

Questions (495)

Pearse Doherty

Question:

495. Deputy Pearse Doherty asked the Minister for Health when a person (details supplied) in County Donegal will receive an appointment for a heart operation in Galway University Hospital; and if he will make a statement on the matter. [34087/15]

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Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

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, 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.

Hospital Appointments Status

Questions (496)

Michael Healy-Rae

Question:

496. Deputy Michael Healy-Rae asked the Minister for Health the position regarding a hospital appointment for a person (details supplied) in County Kerry; and if he will make a statement on the matter. [34096/15]

View answer

Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition warrants an earlier appointment, he or she should take the matter up with the consultant and the hospital involved. In relation to the specific case raised, 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.

Disability Services Provision

Questions (497, 499)

Billy Kelleher

Question:

497. Deputy Billy Kelleher asked the Minister for Health if he will provide, in tabular form, by local health office or county, the number of persons with disabilities currently being provided with a personal assistant service. [34101/15]

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Billy Kelleher

Question:

499. Deputy Billy Kelleher asked the Minister for Health if he will provide, in tabular form, by local health office or county, the number of persons with disabilities that have applied for a personal assistant service and are currently waiting to be provided with one; and the numbers that are waiting up to six; from six plus to12; and 12 plus months. [34103/15]

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Written answers

I propose to take Questions Nos. 497 and 499 together.

As the Deputy's questions relate to service matters, I have arranged for the questions to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, he can contact my Private Office and they will follow the matter up with the HSE.

Home Help Service Provision

Questions (498)

Billy Kelleher

Question:

498. Deputy Billy Kelleher asked the Minister for Health if he will provide, in tabular form, by local health office or county, the number of persons with disabilities currently being provided with a home help service. [34102/15]

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 (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, he can contact my Private Office and they will follow the matter up with the HSE.

Question No. 499 answered with Question No. 497.

Disability Services Provision

Questions (500)

Billy Kelleher

Question:

500. Deputy Billy Kelleher asked the Minister for Health if he will provide, in tabular form, by local health office or county, the number of persons with disabilities who have applied for a home health service and who are currently waiting to be provided with one; the numbers that are waiting up to six; six plus to 12; and 12 plus months. [34104/15]

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 (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office and they will follow the matter up with the HSE.

Primary Care Centres Provision

Questions (501)

Fergus O'Dowd

Question:

501. Deputy Fergus O'Dowd asked the Minister for Health the position regarding the proposed primary care centre for east Meath; and if he will make a statement on the matter. [34107/15]

View answer

Written answers

The HSE has responsibility for the provision, maintenance and operation of Primary Care Centres. Therefore, this matter has been referred to the HSE for attention and 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 (502)

Fergus O'Dowd

Question:

502. Deputy Fergus O'Dowd asked the Minister for Health the position regarding the proposed primary care centre for Drogheda north; and if he will make a statement on the matter. [34108/15]

View answer

Written answers

The HSE has responsibility for the provision, maintenance and operation of Primary Care Centres. Therefore, this matter has been referred to the HSE for attention and 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.

Legislative Measures

Questions (503, 540)

Patrick O'Donovan

Question:

503. Deputy Patrick O'Donovan asked the Minister for Health for an update on proposals to be brought to Government for the drafting of primary legislation for a new scheme to replace the motorised transport scheme; and if he will make a statement on the matter. [34125/15]

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Charlie McConalogue

Question:

540. Deputy Charlie McConalogue asked the Minister for Health when a replacement scheme will be announced for the motorised transport grant and mobility allowance, given that it has been over two years since both were closed; there are thousands of persons awaiting details of the replacement scheme; and if he will make a statement on the matter. [34476/15]

View answer

Written answers

I propose to take Questions Nos. 503 and 540 together.

The Government decided that the detailed preparatory work required for a new Transport Support Scheme and associated statutory provisions should be progressed by the Minister for Health.

The Department is seeking a solution which would best meet the aim of supporting people with severe disabilities who require additional income to contribute towards the cost of their mobility needs, while remaining within the available budget and satisfying all legal and equality concerns.

Work is ongoing on the policy proposals to be brought to Government for the drafting of primary legislation for a new scheme. These proposals seek to ensure that;

- There is a firm statutory basis to the Scheme's operation;

- There is transparency and equity in the eligibility criteria attaching to the Scheme;

- Resources are targeted at those with the greatest needs;

- The Scheme is capable of being costed and it is affordable on its introduction and on an ongoing basis.

Payments of up to €208.50 per month are continuing to be made by the Health Service Executive to 4,700 people who were in receipt of the Mobility Allowance at the time the scheme closed, in February 2013. Any proposals put to Government will seek to take account of this group.

Heads of Bill have now been developed in draft form and are currently subject to detailed legal examination. The approval of a General Scheme and Heads of Bill by the Government will be followed by publication and pre-legislative scrutiny by the Oireachtas Health and Children Committee. The Health (Transport Support) Bill is included in the Government Legislation Programme.

Disability Services Provision

Questions (504)

Willie Penrose

Question:

504. Deputy Willie Penrose asked the Minister for Health that provision be made in the forthcoming budget to offset significant additional costs that are incurred by an organisation (details supplied) following inspections so that it is able to continue its operations; and if he will make a statement on the matter. [34132/15]

View answer

Written answers

The Government is very committed to the protection and safety of our most vulnerable citizens and placed regulation and inspection of residential disability centres on a statutory footing in November 2013. Every person who uses disability services is entitled to expect and receive care of the highest standard and to live in dignity and safety. People with a disability should be able to maximise their potential and live rich and fulfilling lives.

Compliance with HIQA standards for disability residential centres is a requirement under the Service Level Arrangements between the HSE and voluntary service providers.

As discussions on budgetary issues are ongoing between the Department of Health, the HSE and the Department of Public Expenditure and Reform, I am not in a position to comment on the outcome of the process at this stage.

Departmental Staff Data

Questions (505)

Patrick O'Donovan

Question:

505. Deputy Patrick O'Donovan asked the Minister for Health the numbers of supernumerary positions in his Department and those agencies, organisations or bodies funded by his organisation; the maximum period in each case that supernumerary positions have existed; the total cost in maintaining supernumerary positions; and if he will make a statement on the matter. [34144/15]

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Written answers

I confirm to the Deputy that staffing levels in my own Department are below the employment control framework ceiling, and as such, there are no supernumerary employees. We are collating the information in relation to the non-commercial semi state bodies under my Departments aegis and will revert to the Deputy on receipt. With regard to HSE employees, I have asked the HSE to respond directly to the Deputy on this matter.

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 Appointments Status

Questions (506)

Bernard Durkan

Question:

506. Deputy Bernard J. Durkan asked the Minister for Health if and when a necessary surgical procedure will take place for a person (details supplied) in County Carlow; and if he will make a statement on the matter. [34153/15]

View answer

Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

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, 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.

Mental Health Services

Questions (507)

Brendan Griffin

Question:

507. Deputy Brendan Griffin asked the Minister for Health if he will meet with service users of a facility and concerned persons in relation to the proposed closure of a facility (details supplied) in County Kerry; and if he will make a statement on the matter. [34160/15]

View answer

Written answers

Lantern Lodge is an Adult Mental Health Day Centre facility operated by the HSE in Killarney.

I understand that a recent Environmental Health Officer inspection report identified various deficiencies in the building environment, with particular reference to accessibility, lack of outdoor space, or otherwise not meeting certain standard requirements. A review commenced between the local Rehabilitation Team, and Kerry Mental Health Management Team (KMHMT), to address the various points raised in the EHO report, including both the current clinical needs of the service users along with future requirements for service users in the Killarney area generally, in line with A Vision for Change.

Current mental health policy in the area of Recovery emphasises a less isolated and more community integrated service model, thereby promoting independence where possible and ensuring that the service model does not de-skill service users by fostering over-dependency. The decision to move from the current premises has been made in the best long-term interests of service users and staff. In this context, in order to move from the current model of care to a more independent recovery orientated service, the Rehabilitation Team are currently devising a number of initiatives to assist service users to reach optimal recovery. As part of this relocation of services, users will receive required intervention, based on assessed needs in the most appropriate setting.

The needs of all service users, as identified in Care Planning assessments, will continue to be addressed by the Rehabilitation Team. These care needs will continue to be reviewed on a regular basis, to ensure that any change in service delivery does not result in reduced ability to meet identified needs. Therefore, the Team will strive to enhance the well-being of all clients, including their integration into the greater community.

Bearing in mind all the circumstances, I am satisfied that the HSE is properly undertaking in this case its statutory responsibility to plan and delivery services at a local level. I have been aware of this particular issue for some time, and the Deputy can rest assured that I will keep this under regular review and take whatever action is necessary to ensure that the best interests of service users are kept to the fore.

Health Services Provision

Questions (508)

Brendan Griffin

Question:

508. Deputy Brendan Griffin asked the Minister for Health if he will account for the level of health care, therapy, counselling, home help etc. that the Health Service Executive is providing to a person (details supplied) in County Kerry; and if he will make a statement on the matter. [34161/15]

View answer

Written answers

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

Health Services Funding

Questions (509)

Michael McGrath

Question:

509. Deputy Michael McGrath asked the Minister for Health his plans to extend funding for the provision of fertility treatment; and if he will make a statement on the matter. [34162/15]

View answer

Written answers

In February of this year I received Government approval to draft the General Scheme of a Bill for assisted human reproduction, which will include provisions relating to numerous aspects from the beginning to the end of the assisted human reproduction process. As I have previously stated it is currently not the case that the public funding of fertility treatments will be included as part of these provisions.

Although in vitro fertilisation (IVF) treatment is not provided by the Irish public health service, there is some support available in that patients who access IVF treatment privately may claim tax relief on the costs involved under the tax relief for medical expenses scheme. In addition, a defined list of fertility medicines needed for fertility treatment is covered under the High Tech Scheme administered by the Health Service Executive (HSE). Medicines covered by the High Tech Scheme must be prescribed by a consultant/specialist and approved by the HSE ‘High Tech Liaison Officers’. The cost of the medicines is then covered, as appropriate, under the Medical Card or Drugs Payment Scheme.

Pharmacy Services

Questions (510)

Richard Boyd Barrett

Question:

510. Deputy Richard Boyd Barrett asked the Minister for Health the savings he envisages will be made by establishing a State pharmacy; and if he will make a statement on the matter. [34229/15]

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Written answers

Most drugs, medicines and consumable appliances paid for by the Health Service Executive (HSE) are supplied to patients through over 1,800 community pharmacies which, in turn, purchase them from wholesalers or, to a lesser extent, directly from manufacturers. The HSE strives continuously to achieve greater efficiencies in the areas of drug pricing, supply and distribution. For example, the HSE reduced the fees and allowances paid to pharmacists in 2009, 2011 and 2013 under the Financial Emergency Measures in the Public Interest Act 2009. Under the present agreement with the Irish Pharmaceutical Healthcare Association, savings of some €400m in the cost of drugs will be achieved over the period 2012-2015.

The current distribution model results in over 70 million items being dispensed annually through local pharmacies across the State, including centres of low population in rural areas. This enables pharmacies to receive deliveries each day from multiple wholesalers, ensuring that all patients have continued access to essential medicines without delay.

Before any decision might be made to depart from this long-standing model of provision, clear evidence would be needed that a more cost-effective and equally accessible service, capable of meeting patients' needs on a day-to-day basis, would result. A State pharmacy would require a system capable of distributing some 70 million items across the State annually and I am not aware of any evidence that this could be achieved reliably and more cheaply through a centralised State function. It is worth noting also that the establishment of such a State-run arrangement would most likely have implications for the current network of community pharmacies, which fulfil a considerably wider role than the dispensing of State-funded medication.

Nursing Homes Support Scheme

Questions (511)

Richard Boyd Barrett

Question:

511. Deputy Richard Boyd Barrett asked the Minister for Health the number of persons whose nursing home care is paid for under the fair deal scheme; the annual cost; the average cost per patient; the amount that is recouped from the assets and incomes of the residents; and if he will make a statement on the matter. [34230/15]

View answer

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.

Health Services Funding

Questions (512)

Fergus O'Dowd

Question:

512. Deputy Fergus O'Dowd asked the Minister for Health if he will increase funding for a group (details supplied) in County Louth, following a recent meeting with the Health Service Executive; and if he will make a statement on the matter. [34235/15]

View answer

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.

Disability Services Provision

Questions (513)

Catherine Murphy

Question:

513. Deputy Catherine Murphy asked the Minister for Health if he is aware that a person (details supplied) cannot be accommodated at the Central Remedial Clinic despite experiencing significant pain arising from a condition; if the Health Service Executive will examine ways to ensure that the treatment the person requires can be made available at greater intervals than one month; if the expertise necessary to treat the person's condition can be sourced within Ireland, rather than having to schedule appointments around the visit of a professional from the United Kingdom; and if he will make a statement on the matter. [34239/15]

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 (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, she can contact my Private Office and they will follow the matter up with the HSE.

Medical Aids and Appliances Provision

Questions (514)

Michael Healy-Rae

Question:

514. Deputy Michael Healy-Rae asked the Minister for Health the position regarding the provision of a push chair for a baby (details supplied) in County Kerry; and if he will make a statement on the matter. [34240/15]

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 (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, he can contact my Private Office and they will follow the matter up with the HSE.

Hospital Staff Recruitment

Questions (515)

John Halligan

Question:

515. Deputy John Halligan asked the Minister for Health if he will acknowledge that the psychology and psychiatry departments in University Hospital Waterford are very seriously understaffed; the reason there has been no maternity cover for the psychology service in Tramore in County Waterford; his views that it is unacceptable to have vital positions remaining unfilled, or at least receiving maternity cover; if he will make inquiries into a particular case (details supplied); and if he will make a statement on the matter. [34247/15]

View answer

Written answers

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

Health Services

Questions (516)

Tom Fleming

Question:

516. Deputy Tom Fleming asked the Minister for Health if he will ensure that the Health Service Executive budget for 2016 will include adequate funding to provide a high quality of service to persons with neuromuscular conditions and to their families; and if he will make a statement on the matter. [34272/15]

View answer

Written answers

Work is currently underway in the Department of Health in relation to the preparation of budget estimates for 2016. As part of this process, the Health Service Executive (HSE) has submitted an estimate of its proposed expenditure for 2016, including health and personal social services for people with a disability. As discussions on budgetary issues are ongoing within the Department of Health, with the HSE and with the Department of Public Expenditure & Reform, I am not in a position to comment on the outcome of the process at this stage.

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