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Tuesday, 26 Jan 2016

Written Answers Nos. 335-351

Mental Health Services

Questions (335)

Dessie Ellis

Question:

335. Deputy Dessie Ellis asked the Minister for Health if he is aware of the incremental closure of mental health services in the Drumcondra, Clontarf and Ballymun areas, Dublin, and the centralisation of services at the day centre on the North Circular Road, Dublin 7, including the winding down of the Tús Nua centre to just one day per week; the impact this will have on local service users, their families and the wider community; and how this strategy fits into the A Vision for Change strategy for mental health. [2894/16]

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Written answers

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

Motorised Transport Grant Closure

Questions (336, 387)

John Halligan

Question:

336. Deputy John Halligan asked the Minister for Health if he will reinstate the mobility allowance or provide a similar scheme to the one which was closed to new applicants in February 2013; and if he will make a statement on the matter. [2900/16]

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Charlie McConalogue

Question:

387. Deputy Charlie McConalogue asked the Minister for Health when he will finalise and introduce a replacement scheme for the motorised transport grant scheme and the mobility allowance scheme; and if he will make a statement on the matter. [3256/16]

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Written answers

I propose to take Questions Nos. 336 and 387 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. The 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; and

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

Health Screening Programmes

Questions (337)

Joan Collins

Question:

337. Deputy Joan Collins asked the Minister for Health the status of the reintroduction of school screenings for scoliosis; and if he will make a statement on the matter. [2903/16]

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Written answers

The introduction of any screening campaign has to be very carefully considered and the positive and negative impact of screening programme evaluated. In 2011, the UK National Screening Committee commissioned a full and systematic assessment of the international evidence base for scoliosis screening based on international evidence. The review concluded that screening for scoliosis was not recommended.

There have been no significant additions to the evidence base since this comprehensive assessment which drew on studies from many countries. The Irish epidemiology of scoliosis is not known to differ significantly from that in other countries, therefore this finding is also relevant for the Irish population.

The US Preventive task force which reviewed screening for scoliosis also came out against screening. They are in the process of updating this review, which is due to report in 2016, and any changes in that position will be noted.

In conclusion, there is no evidence to support the re-introduction of scoliosis screening in secondary schools in Ireland at this time but as with all potential screening programmes this will be subject to review as new evidence emerges.

Medical Card Applications

Questions (338)

John Perry

Question:

338. Deputy John Perry asked the Minister for Health if he will allow a discretionary medical card for a person (details supplied) in County Sligo, whose application has been ongoing for some time; and if he will make a statement on the matter. [2904/16]

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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.

HSE Expenditure

Questions (339)

Fergus O'Dowd

Question:

339. Deputy Fergus O'Dowd asked the Minister for Health the number and location of projects in the Louth-East Meath constituency that will be funded under the Health Service Executive capital budget for 2016; if the proposed 100-bed unit for St. Mary's Hospital on the Dublin Road in Drogheda in County Louth will be included in that programme; and if he will make a statement on the matter. [2919/16]

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Written answers

The HSE has submitted its draft Capital Plan for the multi-annual period 2016-2021. This is being reviewed. It requires my approval together with the consent of the Minister for Public Expenditure and Reform. When approved the HSE will publish the schedule of projects on its website.

There will always be more projects than can be funded by the Exchequer. As with all capital projects, the further development of the health care infrastructure, including St Mary's Hospital and other projects in counties Louth and Meath, must be considered within the context of the overall capital envelope available to the health service. Plans for capital investment in public nursing homes between now and 2021 are in the course of being finalised, and details will be made available once this process is complete. In the acute care context any future investment must be considered within the overall acute hospital infrastructure programme and establishment of hospital groups. Each hospital group will be required to develop a strategic plan to describe how it will provide more efficient and effective patient services and reorganise its services to provide optimal care to the populations it serves. The HSE is concentrating on applying the funding available for infrastructure development in the most effective way possible to meet current and future needs.

Hospital Waiting Lists

Questions (340)

Ruth Coppinger

Question:

340. Deputy Ruth Coppinger asked the Minister for Health the number on the waiting list a person (details supplied) in Dublin 15 is currently at to see a neurologist in Connolly Hospital and in the Mater Hospital in County Dublin; the estimated waiting time; and if he will make a statement on the matter. [2928/16]

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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 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 the Deputy directly. If she has not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow up the matter.

Hospital Waiting Lists

Questions (341)

Ruth Coppinger

Question:

341. Deputy Ruth Coppinger asked the Minister for Health the number of persons on the waiting list to see a neurologist in Connolly Hospital in County Dublin; and if he will make a statement on the matter. [2929/16]

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Written answers

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

General Practitioner Services Provision

Questions (342)

Tom Fleming

Question:

342. Deputy Tom Fleming asked the Minister for Health to urgently resolve the ongoing need for a full-time resident general practitioner in Rathmore, County Kerry, to fully replace the former retired general practitioner, given that many patients have had to seek general practitioner services in other towns; and if he will make a statement on the matter. [2931/16]

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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 he has 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.

General Practitioner Services Provision

Questions (343)

Noel Coonan

Question:

343. Deputy Noel Coonan asked the Minister for Health if it is appropriate for a general practitioner to put additional charges in the region of €20 upwards on a medical card holder for the purpose of taking blood samples; and if he will make a statement on the matter. [2942/16]

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Written answers

Persons covered by the General Medical Services (GMS) Scheme should not be charged for routine phlebotomy services provided by their GP, or the Practice Nurse on behalf of the GP, which are required to either assist in the diagnosis of illness or the treatment of a condition.

Consultation fees charged by GPs outside the terms of the GMS contract are a matter of private contract between the clinicians and the patients. While I have no role in relation to such fees, I would expect clinicians to have regard to the overall economic situation in setting their fees.

The Department of Health and the HSE are cognisant of the need for a new contract with GPs that will help modernise our health service and develop a strengthened primary care sector and negotiations are underway with the IMO in this regard. The development of appropriate contractual arrangements in relation to the management of chronic conditions and issues such as phlebotomy services are amongst the significant issues to be considered during the contractual talks.

Hospital Appointments Status

Questions (344)

Martin Ferris

Question:

344. Deputy Martin Ferris asked the Minister for Health when a person (details supplied) in County Kerry will receive treatment for which the person is waiting since June 2015. [2943/16]

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Written answers

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

Medical Card Reviews

Questions (345)

Seán Fleming

Question:

345. Deputy Sean Fleming asked the Minister for Health why a valid medical card held by persons (details supplied) in County Laois was cancelled while it was under review; why the medical card did not continue in operation until the review process was completed; and if he will make a statement on the matter. [2945/16]

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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.

Hospital Waiting Lists

Questions (346)

Denis Naughten

Question:

346. Deputy Denis Naughten asked the Minister for Health the steps that have been taken to improve waiting times for patients awaiting spinal surgery for scoliosis in the Saolta Healthcare Group; if additional equipment such as theatre tables is required or has been purchased; and if he will make a statement on the matter. [2961/16]

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Written answers

It is acknowledged that issues of capacity and complexity adversely impact a small number of specialties, including spinal surgery for scoliosis. With specific reference to scoliosis, these include appropriate bed availability, access to diagnostics, purchase of specialist spinal equipment and access to theatre for significant periods of time.

I have been assured that the waiting list for spinal surgery for Scoliosis is a high priority for the Saolta Healthcare Group, and that Galway University Hospital is working to ensure that the necessary resources and arrangements are in place in order to address the needs of patients with scoliosis and that plans are in place for all those currently on the waiting list.

The Department of Health will continue to work with the HSE to ensure that the service needs and waiting times in this area will be addressed, having regard to the overall level of resources available to the HSE.

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly. If he has not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow up the matter.

Health Care Professionals

Questions (347)

Denis Naughten

Question:

347. Deputy Denis Naughten asked the Minister for Health further to Parliamentary Question Nos. 415, 426 and 441 of 1 December 2015, if he will provide an update on this matter; and if he will make a statement on the matter. [2971/16]

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Written answers

The Physiotherapists Registration Board is currently preparing the necessary by-laws under the Health and Social Care Professionals Act 2005 to allow it to establish its register in the coming months. The title of physiotherapist will, as a consequence, will be protected under the Act for the exclusive use of the board's registrants when the register's 2-year transitional period ends in 2018.

In the rest of the English speaking world the titles of physical therapist and physiotherapist are interchangeable and their users are qualified physiotherapists. In Ireland, however, the title is also used by a number of practitioners who are not physiotherapists but who have been providing musculoskeletal therapies in the private sector for many years. Physiotherapists are trained to provide musculoskeletal, cardio/respiratory and neurological therapies, working in both the public and private sector.

Last year, I consulted with the Physiotherapists Registration Board and thereafter I wrote to a number of relevant organisations about the question of also protecting the title of physical therapist under the Act. In considering their views I endeavoured to take into account, appropriately and subject to ensuring public protection, the legitimate concerns of the current users of the title and the other parties that may be affected by my decisions in this matter. I have come to the conclusion that protecting the title of physical therapist under the Act as a variant of the title of physiotherapist would be the best way to eliminate the ongoing risk of title confusion and the consequent risks to public safety. I have also decided to allow particular existing users of the title physical therapist who are not physiotherapists but who hold qualifications of a certain standard to continue to use the title.

New grand parenting provisions will allow such practitioners to apply, on a once-off basis and for a limited period, to register in the physiotherapists register. After this period only qualified physiotherapists will be permitted to register. The registration board’s code of professional conduct and ethics will oblige all registrants, including those registered under the new provisions, to act within the limits of their knowledge, skills, competence and experience. In other words, and to ensure public protection, those registered under these time limited special provisions will be required to confine their practise to musculoskeletal therapies.

My Department will now prepare the necessary legislation to give effect to my decisions which were communicated to the Physiotherapists Registration Board and other interested parties last week.

Health Screening Programmes

Questions (348)

Joan Collins

Question:

348. Deputy Joan Collins asked the Minister for Health why there is no BreastCheck clinic in the Dublin 12 area, given that a person in Crumlin who has to get a regular annual BreastCheck has been informed she has to attend at Tallaght hospital or St. Vincent's hospital, Dublin 4. [2972/16]

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Written answers

BreastCheck provides free mammograms to all women aged 50-64 every two years and is available nationwide. It is currently being extended to women aged 65-69.

There are four static centres responsible for the delivery of BreastCheck, two in Dublin and one each in Cork and Galway. In addition the Screening Programme also provides mobile screening services in convenient locations in community settings, in Dublin and around the country.

Separate to breast screening, comprehensive symptomatic breast services are available for women in the eight designated cancer centres. These centres, together with a satellite centre in Letterkenny, provide a range of services, including for women who have been referred by their general practitioner.

Mental Health Services Provision

Questions (349)

Bobby Aylward

Question:

349. Deputy Bobby Aylward asked the Minister for Health to expedite an appointment for an assessment for a person (details supplied) by the child and adolescent mental health services of the Health Service Executive; and if he will make a statement on the matter. [2974/16]

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Written answers

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

Accident and Emergency Departments Data

Questions (350)

Thomas P. Broughan

Question:

350. Deputy Thomas P. Broughan asked the Minister for Health the number of serious injuries due to road traffic collisions, by hospital, in each of the years 2012 to 2016 to date. [2976/16]

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Written answers

In relation to serious road accidents, the Deputy might wish to note that trauma services have been identified as a priority service requiring national policy direction on the basis of the international evidence of the benefits of major trauma networks. My Department, in consultation with the HSE, is currently developing a policy on a Trauma Network for Ireland. In England, the establishment of such trauma networks has already led to a substantial decrease in death and disability arising from serious accidents including road traffic collisions.

In relation to your specific query in this matter, I have asked the HSE to respond to the Deputy directly. If he has not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow up the matter.

Hospital Appointments Status

Questions (351)

Pat Breen

Question:

351. Deputy Pat Breen asked the Minister for Health when a person (details supplied) in County Clare will be facilitated with a medical procedure; and if he will make a statement on the matter. [2980/16]

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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 the Deputy directly. If he has not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow up the matter.

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