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Tuesday, 17 May 2016

Written Answers Nos 805-831

Home Help Service Provision

Questions (805)

Danny Healy-Rae

Question:

805. Deputy Danny Healy-Rae asked the Minister for Health why elderly and invalided persons in County Kerry are not getting comparable levels of home help as in other counties such as County Cork, given that home help is rarely attainable in County Kerry at weekends, on bank holidays and on Christmas day; if this is because the Health Service Executive will not pay overtime costs or if there is a shortage of home help staff in County Kerry; and if he will make a statement on the matter. [10207/16]

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Written answers

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

Medical Card Applications

Questions (806)

Bobby Aylward

Question:

806. Deputy Bobby Aylward asked the Minister for Health to expedite an application by a person (details supplied) under the medical card scheme; and if he will make a statement on the matter. [10208/16]

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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 recently 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 (807)

Catherine Murphy

Question:

807. Deputy Catherine Murphy asked the Minister for Health if funds allocated for outsourcing patients for medical treatment are ring-fenced for that purpose; if they are confined to a specific timeframe; the hospitals that reduced their waiting lists in 2015 using these funds; if any such funds allocated in 2015 have been returned unused; and if he will make a statement on the matter. [10217/16]

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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.

Health Services Staff Recruitment

Questions (808)

Éamon Ó Cuív

Question:

808. Deputy Éamon Ó Cuív asked the Minister for Health when he will fill the 36 posts announced in the 2016 Health Service Executive service plan to support the implementation of the type 2 diabetes cycle of care initiative; the progress to date on this matter; when he will fill the three posts announced for counties Galway and Roscommon as part of the plan; and if he will make a statement on the matter. [10233/16]

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Written answers

As this is a service issue, this question 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 them.

Health and Social Care Professionals Regulation

Questions (809)

Éamon Ó Cuív

Question:

809. Deputy Éamon Ó Cuív asked the Minister for Health when he will sign off on regulations to regulate the profession of psychotherapists and psychologists; and if he will make a statement on the matter. [10253/16]

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Written answers

The regulation of the 14 professions currently designated under the Health and Social Care Professionals Act 2005 is being implemented on a phased basis as the registration board and register for each profession is established. Currently 9 of the 14 designated professions have registration boards and registers have been established for 7 of them.

Psychotherapists and counsellors are not currently regulated under the Health and Social Care Professionals Act 2005. However, the Act provides that the Minister for Health may, by regulation, designate a health and social care profession not already designated if he or she considers that it is appropriate and in the public interest to do so and if specified criteria have been met.

In accordance with the Act, the Health and Social Care Professionals Council has been consulted on the question of regulating counsellors and psychotherapists. Its detailed report on the matter is being examined carefully in the Department of Health with a view to deciding the next steps in the coming months. These steps will, I envisage, include a wider round of consultation involving the various professional bodies and other interested parties.

While the profession or professions of counsellor and psychotherapist are not specifically designated under the 2005 Act, there are various regulatory controls on many counsellors and psychotherapists operating in Ireland.

The profession of psychologist, for example, is a designated profession under the 2005 Act which means that those psychologists who are counsellors and/or psychotherapists will begin to be regulated when the Psychologists Registration Board, which is due to be established later this year, opens its register.

Psychiatrists, some of whom practice psychotherapy, are regulated under the Medical Practitioners Act 2007. Also, counsellors/therapists working in the publicly funded health sector are required to have minimum qualifications set by the Health Service Executive under the Health Act 2004.

I hope this clarifies the matter for the Deputy.

Hospital Appointments Administration

Questions (810)

Colm Brophy

Question:

810. Deputy Colm Brophy asked the Minister for Health when will a person (details supplied) receive a hospital appointment; and if he will make a statement on the matter. [10259/16]

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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.

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.

Orthodontic Services Waiting Lists

Questions (811)

Jim Daly

Question:

811. Deputy Jim Daly asked the Minister for Health the measures he will take to eradicate the waiting list for routine orthodontic treatment, which is in excess of four years; and if he will make a statement on the matter. [10260/16]

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Written answers

The HSE provides orthodontic treatment to those who have been assessed and referred for treatment before their 16th birthday. Patients are assessed by the HSE Orthodontic Service under the modified Index of Treatment Need. Patients with the greatest level of need are provided with treatment by the HSE. Following a national procurement process, a panel of independent practitioners is currently being contracted by the HSE to provide treatment for certain categories of misalignment. The practitioners will be under contract over the next three years, with consideration of an extension to four years. This initiative will especially focus on those waiting for four years or longer. It is expected that this initiative will have a positive impact on waiting times.

In addition, a pilot scheme in the Dublin North East area (DNE), which involves upskilling staff to work as orthodontic therapists is currently underway. A dental hygienist and a dental nurse qualified as orthodontic therapists in September 2015 and are now working in the HSE under the supervision of specialist orthodontists. The scheme is currently undergoing an evaluation, which includes consideration of how the scheme is affecting waiting lists. Figures are currently being collated and early indications are positive. It is planned to extend the scheme after the evaluation has been completed. These initiatives are in line with the commitment in the Programme for a Partnership Government to provide timely access to orthodontic care.

Hospital Beds Data

Questions (812, 828, 829, 954)

Louise O'Reilly

Question:

812. Deputy Louise O'Reilly asked the Minister for Health the number of beds in the acute hospital system in each of the past ten years in tabular form; and if he will make a statement on the matter. [10263/16]

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Louise O'Reilly

Question:

828. Deputy Louise O'Reilly asked the Minister for Health the current ratio of hospital beds per 1,000 of the population in each of the past ten years in tabular form; his plans to increase the number of beds; and if he will make a statement on the matter. [10280/16]

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Louise O'Reilly

Question:

829. Deputy Louise O'Reilly asked the Minister for Health the cost of increasing the number of hospital beds per 1,000 of the population to 4.6, 6.8, 5.0 and 5.2; and if he will make a statement on the matter. [10281/16]

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Louise O'Reilly

Question:

954. Deputy Louise O'Reilly asked the Minister for Health when he will undertake a national hospital bed capacity review to establish number, type and location of beds required into the future, as per the programme for Government; the person or body which will undertake this review; and if he will make a statement on the matter. [10683/16]

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Written answers

I propose to take Questions Nos. 812, 828, 829 and 954 together.

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.

Nursing Staff Contracts

Questions (813)

Louise O'Reilly

Question:

813. Deputy Louise O'Reilly asked the Minister for Health the number of nurses working in the acute hospital system in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will provide additional staff; and if he will make a statement on the matter. [10264/16]

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Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Nursing Staff Data

Questions (814)

Louise O'Reilly

Question:

814. Deputy Louise O'Reilly asked the Minister for Health the number of registered nurse prescribers in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will provide additional staff; and if he will make a statement on the matter. [10265/16]

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Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Hospital Consultant Recruitment

Questions (815)

Louise O'Reilly

Question:

815. Deputy Louise O'Reilly asked the Minister for Health the number of hospital consultants in each of the past ten years, in tabular form; the commitments which exist to increase these numbers; the locations where he will provide additional staff; and if he will make a statement on the matter. [10266/16]

View answer

Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Health Services Staff Recruitment

Questions (816)

Louise O'Reilly

Question:

816. Deputy Louise O'Reilly asked the Minister for Health the number of medical secretaries in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will allocate additional staff; and if he will make a statement on the matter. [10267/16]

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Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Health Services Staff Recruitment

Questions (817)

Louise O'Reilly

Question:

817. Deputy Louise O'Reilly asked the Minister for Health the number of midwives in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will locate additional staff; and if he will make a statement on the matter. [10268/16]

View answer

Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Mental Health Services Staff

Questions (818)

Louise O'Reilly

Question:

818. Deputy Louise O'Reilly asked the Minister for Health the number of staff working on child and adolescent mental health teams in each of the past ten years in tabular form; the commitments which exist to increase staff in these teams; the locations where he will locate additional staff; and if he will make a statement on the matter. [10269/16]

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Written answers

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

HSE Expenditure

Questions (819)

Louise O'Reilly

Question:

819. Deputy Louise O'Reilly asked the Minister for Health the cost of extending the entitlement to a medical card for all children in receipt of the domiciliary care allowance; and if he will make a statement on the matter. [10270/16]

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Written answers

Under the provisions of the Health Acts, medical cards are provided to persons who are, in the opinion of the HSE, unable without undue hardship to arrange GP services for themselves and their dependants. In the assessment process, the HSE can take into account medical costs incurred by an individual or a family. Where deemed appropriate in particular circumstances, the HSE may exercise discretion and grant a medical card even though an applicant's means exceed the prescribed threshold. Where a person does not qualify for a medical card, they may be provided with a GP Visit Card, appropriate therapy or other community supports or drugs.

The Domiciliary Care Allowance (DCA) payment is made by the Minister for Social Protection to carers in respect of a child at home under 16 years of age with a severe disability, where it has been determined that the child requires ongoing care and attention, substantially over and above the care and attention usually required by a child of the same age. Eligibility for the DCA is not based primarily on the medical or psychological condition, but on the resulting lack of function of body or mind necessitating the degree of extra care and attention required. As such it is not possible to say if a particular child or any particular medical condition or disability will qualify for a payment under the DCA scheme.

The Deputy will be aware that the Programme for Government states "We will extend the entitlement to a medical card for all children in receipt of the Domiciliary Care Allowance in Budget 2017. Approximately 10,000 children would benefit from this initiative." The HSE has published the Primary Care Reimbursement Service (PCRS) Statistical Analysis of Claims and Payments 2014 in which it identifies that the average expenditure in 2014 per medical card was €912. Without knowing the individual circumstances and needs of each child, it is difficult to provide the actual cost of extending a medical card specifically to all children in receipt of DCA as it would depend on the variable nature of the individuals’ requirements as well as the number of individuals and the quantum and cost of health services that would be used.

Health Services Staff Recruitment

Questions (820)

Louise O'Reilly

Question:

820. Deputy Louise O'Reilly asked the Minister for Health the number of dentists, including orthodontists, in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will locate additional staffing; and if he will make a statement on the matter. [10271/16]

View answer

Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

Health Services Staff Recruitment

Questions (821)

Louise O'Reilly

Question:

821. Deputy Louise O'Reilly asked the Minister for Health the number of dental nurses in each of the past ten years in tabular form; the commitments which exist to increase these numbers; the locations where he will allocate additional staffing; and if he will make a statement on the matter. [10272/16]

View answer

Written answers

I have asked the HSE to respond to the Deputy directly 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 on the matter with them.

HSE Expenditure

Questions (822)

Louise O'Reilly

Question:

822. Deputy Louise O'Reilly asked the Minister for Health the cost of restoring funding for dental maintenance treatment; and if he will make a statement on the matter. [10273/16]

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Written answers

I assume the Deputy is referring to the dental treatment provided to medical card holders over the age of 16 under the Dental Treatment Service Scheme (DTSS). All medical card holders are entitled to specific dental treatments under the DTSS, e.g., an annual dental examination, two fillings in each calendar year, and extractions as necessary. More complex care such as root canal treatment, gum treatment and dentures may also be provided subject to prior approval by the HSE. Additional treatments are available to persons with specific medical conditions, including persons in receipt of care or services for a disability, persons on a register of disability and more vulnerable clients. The HSE prioritises for treatment patients with special needs, high risk patients and those who have greater clinical needs. Expenditure on the DTSS amounted to €67m in 2015. The cost of restoring treatments which had been provided before 2010 to all medical card holders would depend on a number of factors, including the underlying oral health of the population and the likely level of take-up of such services. The HSE continues to monitor the operation of the DTSS to ensure the most beneficial, effective and efficient use of available resources.

Future service provision will be informed by the National Oral Health Policy, which the Department of Health is currently developing. This three-year project commenced in 2014 and is being led by the Chief Dental Officer. The project includes a needs assessment, a review of resources and involves consultation with stakeholders, including dental professionals and the public.

Ambulance Service Data

Questions (823, 824)

Louise O'Reilly

Question:

823. Deputy Louise O'Reilly asked the Minister for Health the number of ambulances in each of the four HSE regions for each of the past ten years in tabular form; the commitments which exist to increase these numbers; and if he will make a statement on the matter. [10274/16]

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Louise O'Reilly

Question:

824. Deputy Louise O'Reilly asked the Minister for Health the number of ambulance personnel in each of the four HSE regions in each of the past ten years in tabular form; the commitments which exist to increase these numbers; and if he will make a statement on the matter. [10275/16]

View answer

Written answers

I propose to take Questions Nos. 823 and 824 together.

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.

National Drugs Strategy Budget

Questions (825)

Louise O'Reilly

Question:

825. Deputy Louise O'Reilly asked the Minister for Health the funding made available to deliver the national drugs strategy in each year since 2009 in tabular form; the commitments which exist to increase this funding; and if he will make a statement on the matter. [10276/16]

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Written answers

The National Drugs Strategy 2009-2016 is a cross cutting area of public policy and service delivery which requires a coordinated response to tackling the drugs problem. The Oversight Forum on Drugs, which is Chaired by the Minister with responsibility for the Drugs Strategy, is responsible for the high-level monitoring of the implementation of the Strategy across Government Departments and agencies.

The table, which relates to 2009 to 2015, sets out the latest figures provided to the Oversight Forum on Drugs, by relevant Government Departments and Agencies, on funding provided for the delivery of the National Drugs Strategy. Any potential adjustment to the funding for the Strategy will have to be considered in the context of the estimates process for each of the relevant Government Departments.

Department/Agency

2009

(€m)

2010

(€m)

2011

(€m)

2012

(€m)

2013

(€m)

2014

(€m)

2015

(€m)

HSE Addiction Services

104.867

105.400

92.878

89.368

90.392

86.122

86.279

Community Based Drugs Initiatives

0

0

0

0

0

21.570

22.593

An Garda Síochána

45.004

44.500

45.014

45.850

44.000

43.000

43.000

D/Children & Youth Affairs

28.501

25.740

24.987

22.730

20.310

19.548

19.548

D/Justice & Equality

14.801

14.478

18.681

18.580

18.553

18.762

18.928

Revenue Customs Service

15.867

15.797

15.470

14.241

14.624

16.235

16.235

D/Social Protection (former FÁS area)

18.800

18.000

15.634

11.859

13.434

14.063

13.702

D/Health

40.326

35.755

33.554

32.376

30.524

8.280

7.350

Irish Prison Service

5.000

5.200

5.200

5.000

4.500

4.200

4.285

D/Education & Skills

3.643

2.461

0.411

0.815

0.810

0.748

0.746

D/Environment, Community & Local Government

0.461

0.461

0.400

0.200

0

0

0

Total

277.270

267.792

252.229

241.019

237.147

232.528

232.666

The reduction in the Department of Health allocations for 2014 and 2015 reflects the fact that the Department transferred €21.57m in funding relating to Community Based Drugs Initiatives to the HSE on 1 January 2014, with a further €1.02m transferring on 1 January 2015.

HIQA Funding

Questions (826)

Louise O'Reilly

Question:

826. Deputy Louise O'Reilly asked the Minister for Health the funding made available to the Health Information and Quality Authority in each of the years since 2009 in tabular form; the commitments which exist to increase this funding; and if he will make a statement on the matter. [10277/16]

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Written answers

The exchequer funding provided to the Health Information and Quality Authority (HIQA) in the years 2009 to 2016 as follows: 2009: €11.1m (Outturn); 2010: €9.5m (Outturn); 2011: €8.8m (Outturn); 2012: €9m (Outturn); 2013: €10m (Outturn); 2014: €9.4m (Outturn); 2015: €10.7m (Outturn); and 2016: €12.358 (Allocation).

Any increase in my Department's allocation to HIQA as a result of the commencement of any additional functions or responsibilities will be dealt with in the context of the annual estimates process.

Departmental Funding

Questions (827)

Louise O'Reilly

Question:

827. Deputy Louise O'Reilly asked the Minister for Health the funding made available to deliver the health and wellbeing programme in each of the years since 2009 in tabular form; the commitments which exist to increase this funding; and if he will make a statement on the matter. [10278/16]

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Written answers

The Health and Wellbeing Programme in my Department is responsible for co-ordinating the implementation of Healthy Ireland which is the National Framework for Improved Health and Wellbeing 2013-2025. The Framework is based on evidence and experience from around the world which clearly shows that to create positive changes in health and well-being takes the involvement of the whole of Government and all of society working in unison. On that basis, it is not possible to identify in totality how much funding is currently spent on improving health and wellbeing across all Government Departments and agencies and in wider society.

Since Healthy Ireland was launched in March 2013, expenditure on its implementation from within the budget of the Department of Health has amounted to the following:

2013 - €89,315.07;

2014 - €586,470.90;

2015 - €607,706.83.02; and

2016 - €48,305.99 (to date)

In addition to the expenditure noted above, other expenditure arising within the Department could also be described as "Healthy Ireland" depending on classification.

The Deputy may also wish to note that expenditure arising in the HSE, particularly in the Health and Wellbeing Division, could also be described as implementation of Healthy Ireland. However, it is not possible to disaggregate expenditure on promoting and improving health and well-being generally from overall HSE expenditure. Again, for example, within overall HSE expenditure, and in addition to work which is an integral part of the Health and Wellbeing Division, a large component of health promotion and improvement work takes place across the acute and primary care services as part of normal day to day activity. There is also expenditure arising in relation to communications campaigns by the HSE.

Questions Nos. 828 and 829 answered with Question No. 812.

Nursing Staff Recruitment

Questions (830)

Louise O'Reilly

Question:

830. Deputy Louise O'Reilly asked the Minister for Health his progress in providing suicide crisis assessment nurses; and if he will make a statement on the matter. [10282/16]

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Written answers

The Suicide Crisis Assessment Nurse (SCAN) Initiative was first set up in 2008 in line with A Vision for Change's proposed shift towards community-based provision of multidisciplinary services. Under this initiative, GPs can refer directly to SCAN Nurses for assessment and advice on management of their patients who attend their surgeries with suicidal ideation. In each of these settings, a comprehensive biopsychosocial assessment is carried out together with an assessment of mental state and a risk assessment for suicide. On the basis of this, a care plan is drawn up and the next steps depend on the psychosocial stresses identified together with the presence or absence of a mental illness such as depression.

At present there are 15 SCAN nurses providing service nationwide. A number of new sites have expressed interest in developing SCAN and are being considered at present.

Mental Health Services Data

Questions (831)

Louise O'Reilly

Question:

831. Deputy Louise O'Reilly asked the Minister for Health the number of inpatient child and adolescent beds in the mental health service in each of the past ten years in tabular form; if he will increase the number of beds; and if he will make a statement on the matter. [10283/16]

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.

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