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Thursday, 5 Nov 2015

Written Answers Nos. 169-179

Early Childhood Care Education

Questions (169)

Patrick O'Donovan

Question:

169. Deputy Patrick O'Donovan asked the Minister for Children and Youth Affairs for details of the consultation his Department had with the Health Service Executive in advance of extending the free preschool year for children; if his Department has taken into consideration that in accordance with the HSE's regulations, children who are not toilet trained may not be accommodated in private preschool providers; if the HSE requested a review of the staffing levels allowed for in private preschools to take the different levels of needs for three to five year olds into account; and if he will make a statement on the matter. [38938/15]

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Written answers

Pre-school services are governed by Part VII of the Child Care Act 1991 and by the Child Care (Pre-School Services) (No 2) Regulations 2006.

The adult/child ratios recommended for childcare services providing full day care, part-time care and sessional care are set out in the Explanatory Guide to the 2006 Regulations. The ratios recommended for children availing of sessional pre-school services in the age category 2.5 years to 6 years is 1 adult to every 10 children. From September 2012, the recommended adult/child ratio for sessional services delivering the ECCE programme was increased to 1 adult to every 11 children, and this ratio, together with the ratios for the other types of pre-school services, will be set out in the revised Child Care Regulations which I hope to publish shortly. The responsibilities of a person carrying on a pre-school are set out the existing Regulations and include a requirement that the well-being of children is facilitated in the daily life of the service. There is no provision under the Pre-School Regulations for the non-enrolment of children in the circumstances outlined by the Deputy.

The age range for eligibility for the current ECCE programme is 3 years and 2 months to 4 years and 7 months at September in the relevant year. In the region of 67,000 have enrolled for the free pre-school provision each year since 2011 and many of these children at the date of enrolment would have been aged 3 years 2 months. The reduction of the lower age limit to 3 years, and the expanded age category for eligibility under the new measure being introduced, are not expected to present any significant difficulties to pre-school providers participating in the programme.

Early Childhood Care Education

Questions (170)

Patrick O'Donovan

Question:

170. Deputy Patrick O'Donovan asked the Minister for Health the number of applications for preschool attendants in 2014, by county; the number of these that were made for children with physical disabilities and for children with severe and profound intellectual disabilities; the number allocated for each heading; and if he will make a statement on the matter. [38861/15]

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Written answers

The Early Childhood Care and Education (ECCE) Programme, is the responsibility of my colleague, the Minister for Children and Youth Affairs. While certain flexibilities had been built in to the Programme to facilitate the inclusion of children with a disability the Better Outcomes, Brighter Futures children and young people's policy framework contained a commitment to develop a plan to facilitate the full participation of such children in the ECCE Programme. The Department of Children and Youth Affairs has lead responsibility for the implementation of this commitment and has concluded an intensive process of deliberation and consultation on the matter in conjunction with my Department and the Department of Education and Skills and has brought forward a new model of supports to facilitate the full participation of children with a disability in the ECCE Programme.

As part of Budget 2016, the Minister for Children and Youth Affairs has announced the necessary funding to implement the new model of ECCE supports for children with a disability. The new model will provide supports including enhanced continuing professional development for early years practitioners; grants for equipment, appliances and minor alterations; and access to therapeutic intervention. Funding of €15m has been provided to phase these supports in during 2016. Full year costs for these supports are estimated to be €33m from 2017 onwards.

Just to add, in relation to the specific information sought by the Deputy that while the Health Service Executive has no statutory obligation to provide assistant supports for children with special needs wishing to avail of the ECCE scheme, it has worked at local level and in partnership with the relevant disability service providers to address individual needs as they arise. This has been done, for example, by funding special pre-schools that cater specifically for children with disabilities. In some limited cases at local level, disability services have also facilitated children with a disability to attend mainstream pre-schools by providing assistant supports where possible and where resources are available. The provision of such pre-school assistant supports should not be confused with Special Needs Assistants who are funded by the Department of Education and Skills to support children with special educational needs in primary and post-primary school settings.

Within this context, I have asked the HSE to respond directly to the Deputy in relation to the information that he has sought insofar as it is available. 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.

Home Help Service Expenditure

Questions (171)

Brian Stanley

Question:

171. Deputy Brian Stanley asked the Minister for Health the average cost per hour to the Health Service Executive for home helps provided by private agencies. [38710/15]

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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.

Ambulance Service Provision

Questions (172)

Martin Ferris

Question:

172. Deputy Martin Ferris asked the Minister for Health if he will ensure a person (details supplied) in County Kerry who is paralysed from the chest down is transported by ambulance from the person's home to the Mater Hospital in Dublin 7 on 5 November 2015. [38712/15]

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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.

Legislative Process

Questions (173)

Clare Daly

Question:

173. Deputy Clare Daly asked the Minister for Health if patients who have concluded successful cases against the Health Service Executive for negligence were consulted during the drafting of legislative proposals to facilitate open disclosure of adverse events to patients; and if not, the reason. [38713/15]

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Written answers

The legislative proposals to support open disclosure give effect to the recommendations of the Commission on Patient Safety and Quality Assurance. The recommendations state that legislation be enacted to provide legal protection for open disclosure undertaken in good faith and in compliance with national standards. The proposals take account of the National Policy on Open Disclosure and the National Guidelines on Open Disclosure. These Guidelines were developed by the HSE and State Claims Agency, incorporating the learning from a two year open disclosure pilot programme. They were informed by feedback following wide consultation of the document nationally across health and social care departments and services, patient representatives, patient representative/advocacy groups, trade unions, regulatory bodies and indemnifying bodies. They were also informed by evidence based research of best practice in open disclosure in other countries and learning from the Irish Hospice Foundation's programme on "Breaking Bad News".

Open Disclosures Policy

Questions (174)

Clare Daly

Question:

174. Deputy Clare Daly asked the Minister for Health further to Parliamentary Questions Nos. 258 to 260, inclusive, of 22 October 2015, the steps the Health Service Executive will take to address instances of non-compliance with the open disclosure policy when they are detected through analysis of the National Institute for Materials Science database. [38714/15]

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Written answers

As this is a service matter the question has been referred to the Health Service Executive for attention and direct reply to the Deputy.

If no reply has been received from the HSE within 15 working days please contact my Private Office and they will follow up the matter with the Executive.

Medical Card Applications

Questions (175)

Tom Fleming

Question:

175. Deputy Tom Fleming asked the Minister for Health if he will examine an application for a medical card by a person (details supplied) in County Kerry who applied in July 2015, given that mislaid documents submitted with the original application have now been resubmitted; if the application will be expedited; and if he will make a statement on the matter. [38717/15]

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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.

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.

Departmental Staff Relocation

Questions (176)

Fergus O'Dowd

Question:

176. Deputy Fergus O'Dowd asked the Minister for Health the number of applicants awaiting transfer in his Department to locations other than their present location; the number of applications, by location; the rules that apply for such transfers; if an applicant has a defined position on the list for transfer; the grounds that apply to applicants being moved up or down on the list; and if he will make a statement on the matter. [38758/15]

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Written answers

Civil Servants who are interested in transfers to regional offices can seek such transfers through the Departmental Transfer Lists or the Central Applications Facility which was maintained in the context of the decentralisation programme. In addition Civil Servants can also seek transfers through their Staff Association for head to head swaps. More recently staff have also had the opportunity to apply for many redeployment vacancies in the Public Service as previously advertised by the Public Appointments Service.

This Department does not have a record of all such applications. Details of staff who have applied for such transfers to specific regional locations would be available from the Departments that have offices in those locations and as a result maintain transfer lists for the locations concerned. As my Department does not have any offices outside its headquarters in Dublin, it does not maintain a Transfer List for any location.

Health Services Provision

Questions (177)

Seán Ó Fearghaíl

Question:

177. Deputy Seán Ó Fearghaíl asked the Minister for Health the Health Service Executive's plans for the development of services at Derrinturn Health Centre; and if he will make a statement on the matter. [38765/15]

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Written answers

The HSE has responsibility for the provision, maintenance and operation of Health 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.

Health Services Provision

Questions (178)

Seán Ó Fearghaíl

Question:

178. Deputy Seán Ó Fearghaíl asked the Minister for Health the Health Service Executive's supports in place in County Kildare for families who have experienced multiple births; and if he will make a statement on the matter. [38766/15]

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Written answers

As this is a service issue, it has been referred to the Health Service Executive 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 the Executive.

Ambulance Service Provision

Questions (179)

Dominic Hannigan

Question:

179. Deputy Dominic Hannigan asked the Minister for Health how an organisation (details supplied) in County Meath will be provided with an ambulance from the Health Service Executive which is surplus to current operating needs; if this will be provided; and if he will make a statement on the matter. [38834/15]

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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.

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