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Wednesday, 8 Mar 2017

Written Answers Nos 65-75

Hospital Procedures

Questions (65)

David Cullinane

Question:

65. Deputy David Cullinane asked the Minister for Health the way in which UHW and the South/Southwest Hospital Group will provide both planned and emergency PPCI work at the cardiac unit at UHW with one lab; if this goes against the recommendation of the Herity report; his views on whether it is possible and safe to provide both planned and emergency work for the effective population with a single lab; and if he will make a statement on the matter. [11824/17]

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Written answers

As the Deputy will be aware, an independent report undertaken by Dr Niall Herity recommended that the provision of PPCI services at UHW should cease, in order to allow the hospital to focus on the much larger volume of planned cath lab work. However, as I have made clear, before any changes are made to how a service is delivered, I want to establish how services are improved for the patients using that service. Therefore, the implications of ceasing primary PCI services at UHW will be addressed by undertaking a national review of all primary PCI services with the aim to ensure that as many patients as possible have access on a 24/7 basis to safe and sustainable emergency interventions following a heart attack.

I should also mention that while Dr Herity found that the needs of the effective catchment population of UHW can be accommodated in a single cath lab, he recommended increased investment in cardiology services at the hospital. I am therefore pleased to confirm that an additional €.5m funding has been provided to UHW in 2017 which will enable the hospital to provide 2 additional cath lab sessions (8 hours) per week. The UHW cath lab will now be funded to provide 12 sessions i.e. 48 hours activity per week.

Electronic Health Records

Questions (66)

Aengus Ó Snodaigh

Question:

66. Deputy Aengus Ó Snodaigh asked the Minister for Health the status of an evaluation being undertaken by his Department in respect of the business case for a national electronic health record, EHR; the time it will take to deliver a full EHR; and if he will make a statement on the matter. [11892/17]

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Written answers

The Government is committed to improving the position of eHealth and ICT in the health delivery system as highlighted in the specific Programme for Partnership Government commitment where it is stated that “We will mandate the HSE to engage strategic partners to help with the planning, financing and roll-out of a 21st century ICT health infrastructure, working towards the universal use of data to improve integrated care and outcomes across primary and secondary care”. It is also noteworthy that the Oireachtas Committee on Future Health in its 2nd Interim Report in January 2017 noted that all stake holders that came before the Committee highlighted the need to develop electronic healthcare records in the healthcare system. In 2013 my Department published an eHealth strategy which outlined a way forward to improve the use of information technology including electronic healthcare records to support health care efficiency and importantly patient safety.

In order to improve the penetration of ICT across the health services and to provide an integration capability to support new models of care, significant new systems deployments, that can provide the necessary patient information across the continuum of care, particularly between Primary/Community and the Acute sector, are now required. This is what the National Electronic Health Record Programme business case is designed to do by providing, a structured, prioritised approach to the deployment of core technology to allow information to flow between the various care settings and also within those settings. It is a programme of work to make patient information available through technology to support improved patient care, safety and efficiency. It is not a single system or technology but a structured coherent programme to improve the quality and the availability of information across the system, facilitated by the Individual Health Identifier to provide the necessary integration. It is worth noting that the National EHR programme has been designed to specifically build on the investments to date in the current suite of systems such the patient administration systems, radiology and other ICT projects and to avoid a big bang approach and unnecessary disruption to current key systems. The EHR business case looks at 5 year and 9 year scenarios.

The scale and the scope of this investment programme is significantly larger than any other information technology programmes to date in Irish health care and the linkage with the provision of an electronic health record in the context of the New Children's Hospital is also being examined. Technology projects in the public sector using voted funds require a peer review process with the Office of Chief Government Information Officer (OGCIO) in the Department of Public Expenditure and Reform. My Department is working closely with the OGCIO and other stakeholders to develop a robust independent review mechanism appropriate to the scale and complexity of the investment required and its is also being considered in the context of the Mid Year Capital Review currently underway.

Disabilities Assessments

Questions (67)

Margaret Murphy O'Mahony

Question:

67. Deputy Margaret Murphy O'Mahony asked the Minister for Health the action being taken by the HSE to ensure that children requiring assessments for services under the Disability Act 2005 receive them within the statutory timeframe. [12089/17]

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Written answers

The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives. This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality of opportunity and improving the quality of life for people with disabilities.

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.

Mental Health Policy

Questions (68)

Thomas Pringle

Question:

68. Deputy Thomas Pringle asked the Minister for Health the status of the forthcoming review of the mental health policy, A Vision for Change; the timeframe for the development of a new national mental health policy; and if he will make a statement on the matter. [12064/17]

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Written answers

'A Vision for Change' has guided national mental health policy for the past 10 years and its term came to an end in 2016. The Department of Health recently commissioned an expert evidence review and analysis of national and international best practice in the development and delivery of mental health services, including an assessment of the current delivery of mental health services in Ireland. This review of evidence has now been completed and will inform the parameters of the ongoing review of mental health policy.

Consideration is currently being given to establishing an appropriate oversight structure for the mental health policy review process, based on the outcome of the expert review.

Question No. 69 answered with Question No. 61.

Hospitals Data

Questions (70)

Jack Chambers

Question:

70. Deputy Jack Chambers asked the Minister for Health the reason there has been an apparent drop in the number of elective procedures despite the increased health budget; and if he will make a statement on the matter. [12057/17]

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Written answers

Performance of the public acute hospital sector must be considered within the context of the totality of hospital activity.

Data reported in the HSE Performance Report October to December 2016, indicate that, up to the end of November 2016, while elective inpatient discharges had reduced by 1.6% in comparison with the same period in 2015, daycase discharges increased by 1.9%. In addition, data to the end of November with respect to emergency inpatient discharges showed an increase of 4.2% in comparison with the same period in 2015, while 2016 saw an increase in ED attendances of 4.6% over the equivalent period in 2015.

This Government is committed to improving access to, and enhancing, health services. This commitment is reflected in the allocation in 2017 of the highest ever health budget of €14.6 billion.

In terms of increasing staffing, from 31 January 2016 - 2017, 135 additional hospital consultants, 216 extra non-consultant hospital doctors and 415 additional nurses and midwives have been employed by the HSE.

As the reduction of waiting times for the longest waiting patients is one of the Government’s key priorities, €20 million has been allocated to the NTPF in the Budget 2017, rising to €55 million in 2018. This funding will be dedicated to the provision of daycase and inpatient treatment to patients. Under the NTPF Daycase Initiative 2017, patients will commence receiving treatment during March.

Further, under the ‘Winter Initiative Plan 2016-2017’ €40 million of additional funding was provided to manage the expected winter surge in demand for hospital care, in an integrated way across primary, acute and social care. So far, the Initiative has delivered 90 additional beds in the Mercy Hospital Cork, University Hospital Galway, the Mater, Beaumont and Mullingar Hospital. A reduction in delayed discharges nationally from a high of 659 earlier in 2016 to 517 this week, has made additional hospital bed capacity available to alleviate ED pressures.

I, and my Department, continue to meet with senior HSE officials on a weekly basis to monitor performance regarding EDs and waiting lists.

HSE Funding

Questions (71)

Bobby Aylward

Question:

71. Deputy Bobby Aylward asked the Minister for Health if he will ensure that the HSE expedites the allocation of funding to a service (details supplied) which is the only residential detoxification and treatment service for adolescents in the country; and if he will make a statement on the matter. [12065/17]

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Written answers

In the 2017 budget, an additional €3m has been provided for a number of measures aimed at improving the health outcomes of those affected by addiction issues. The increased funding will support the development of a pilot supervised injection facility in Dublin city centre, the wider availability of alternative opiate substitution treatments for those who are not suited to methadone, improved services for under 18s and more detoxification beds.

I understand from the Health Service Executive that the addiction services in Community Health Organisation 5 are currently working with Aiséirí to review the model of services provided in Aislinn. As the specific issue raised by the Deputy relates to a service issue, I have referred it to the Health Service Executive for attention and direct reply to the Deputy.

Medical Card Administration

Questions (72)

Martin Ferris

Question:

72. Deputy Martin Ferris asked the Minister for Health the data collection processes that exist in respect of the return of medical cards following death; the number of medical cards that were returned and cancelled as a result of patient death in each of the past five years; the number of death certificates signed by general practitioners in respect of GMS patients; the number of medical cards that were not reissued following the expiration date as a result of the death of a patient; and if he will make a statement on the matter. [11896/17]

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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 was issued to Oireachtas members.

Legislative Process

Questions (73)

Pat Buckley

Question:

73. Deputy Pat Buckley asked the Minister for Health the status of the Cannabis for Medicinal Use Regulation Bill 2016; and if he will make a statement on the matter. [12039/17]

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Written answers

As you will be aware, the Cannabis for Medicinal Use Regulation Bill 2016 is a private members bill and not a Government Bill. All such questions related to the Bill should be addressed to either Deputy Gino Kenny T.D. or Deputy Bríd Smith T.D..

As the Deputy will also be aware, I did not oppose the Bill at Second Stage, despite having a number of serious concerns with aspects of it, in light of the shared desire of many Oireachtas to try to make progress on this matter on behalf of patients. Therefore, it is continuing in the legislative process and I understand is due for pre-legislative scrutiny at the Oireachtas Health Committee next month.

Ambulance Service Funding

Questions (74)

Catherine Connolly

Question:

74. Deputy Catherine Connolly asked the Minister for Health the additional resources that have been made available by his Department to the National Ambulance Service in 2017; and if he will make a statement on the matter. [11885/17]

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Written answers

The Programme for a Partnership Government commits to additional annual investment in terms of ambulance personnel and vehicles. In that regard, an additional sum of €3.6m has been made available to the National Ambulance Service (NAS) in 2017, which includes €1m to fund new developments. The total funds available to the NAS this year, as set out in the National Service Plan 2017, is therefore €155m.

Development funding will be used to continue service improvements with the recruitment and training of additional staff, the development of alternative care pathways such as Hear and Treat, and the implementation of the Electronic Patient Care Record.

Mental Health Services Staff

Questions (75)

Anne Rabbitte

Question:

75. Deputy Anne Rabbitte asked the Minister for Health the number of additional CAMHS personnel which each CHO plans to recruit in 2017 in tabular form; and if he will make a statement on the matter. [12124/17]

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Written answers

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

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