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Thursday, 13 Jul 2017

Written Answers Nos. 850-869

Health Services Funding

Questions (850)

Pat Buckley

Question:

850. Deputy Pat Buckley asked the Minister for Health the annual budget for each crisis house operating in the State for the past five years, respectively. [34470/17]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Hospital Beds Data

Questions (851)

Pat Buckley

Question:

851. Deputy Pat Buckley asked the Minister for Health the number of dedicated beds for adult psychiatric treatment by service. [34471/17]

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Written answers

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

Mental Health Services Data

Questions (852)

Pat Buckley

Question:

852. Deputy Pat Buckley asked the Minister for Health the number of additional CAMHTs needed in the Health Service; and the additional cost of staffing these teams on an annual basis. [34472/17]

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Written answers

In January 2006, the Government adopted the Report of the Expert Group on Mental Health Policy A Vision for Change as the basis for the future development of mental health services in Ireland. The recommendations contained within A Vision for Change were based on Ireland’s then population of 3.917 million, as indicated in the 2002 census. The population of Ireland today, based on the most recent Census figures for 2016, is 4.7 million.

The table outlines the number of Whole Time Equivalent staff numbers working in Child and Adolescent Mental Health Services (CAMHS) as of April 2017, and the gap in staffing according to A Vision for Change recommendations adjusted for an increased population. Using an average figure of €66,000 per Whole Time Equivalent, the additional resources required to fill the 583 posts would be €38.5 million per annum.

Community Team Type

Community Health Organisation

(CHO)

Whole Time Equivalents (WTE) at April 2017

% of A Vision for Change(adjusted for 2017 population)

WTE gap Per A Vision for Change

CAMHS

CHO 1

57

53%

51

CHO 2

56

57%

50

CHO 3

55

55%

45

CHO 4

86

49%

90

CHO 5

63

45%

75

CHO 6

67

55%

54

CHO 7

71

48%

77

CHO 8

102

57%

76

CHO 9

90

69%

52

ALL

657

53%

583

Since 2012, €140 million in additional funding has been allocated to the Mental Health services. This has increased the total Mental Health Budget from €711 million in 2012 to over €850 million today. The increased investment in mental health services over the last number of years has helped to facilitate an increase in the number and staffing levels of both Adult, and Children & Adolescent Community Mental Health Teams. Of the additional 1,550 new mental health posts approved since 2012, some 1,150 have been, or are in the process of being recruited, notwithstanding the very challenging recruitment environment in which the HSE is operating. The HSE has prioritised the recruitment of staff required for its mental health services.

Mental Health Services Funding

Questions (853)

Pat Buckley

Question:

853. Deputy Pat Buckley asked the Minister for Health the annual budget for the past five years, respectively, for each CHO for child and adolescent mental health services. [34473/17]

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Written answers

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

Mental Health Services Expenditure

Questions (854)

Pat Buckley

Question:

854. Deputy Pat Buckley asked the Minister for Health the average cost of the provision of an additional bed for child and adolescent mental health services. [34474/17]

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Written answers

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

Mental Health Services Expenditure

Questions (855)

Pat Buckley

Question:

855. Deputy Pat Buckley asked the Minister for Health the average cost of the provision of an additional bed for adult mental health services. [34475/17]

View answer

Written answers

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

Mental Health Services Expenditure

Questions (856)

Pat Buckley

Question:

856. Deputy Pat Buckley asked the Minister for Health the average cost of the provision of an additional bed for psychiatry of old age services. [34476/17]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Hospital Beds Data

Questions (857)

Pat Buckley

Question:

857. Deputy Pat Buckley asked the Minister for Health the number of psychiatry of old age beds in the State; the cost for this service in 2016 and 2017; his plans to increase the number of beds; and the location of same. [34477/17]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services Expenditure

Questions (858)

Pat Buckley

Question:

858. Deputy Pat Buckley asked the Minister for Health the estimated cost to move community mental health services to a seven-day working week model; and the estimated time this would take to transition. [34478/17]

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Written answers

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services Expenditure

Questions (859)

Pat Buckley

Question:

859. Deputy Pat Buckley asked the Minister for Health the estimated annual cost to move community mental health services to a 24-7 model; and the estimated time this would take to transition. [34479/17]

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Written answers

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

Mental Health Services Provision

Questions (860)

Pat Buckley

Question:

860. Deputy Pat Buckley asked the Minister for Health the mental health services provided to those living in direct provision; and the annual cost of this. [34480/17]

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Written answers

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

Mental Health Services Expenditure

Questions (861)

Pat Buckley

Question:

861. Deputy Pat Buckley asked the Minister for Health the estimated additional investment required for mental health services to complete the implementation of A Vision for Change. [34481/17]

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Written answers

A Vision For Change, our national Mental Health Policy, was introduced in 2006. Among its recommendations were that approximately 10,650 Mental Health Whole Time Equivalents were required to fully implement the policy. The recommendations of A Vision for Change were based on the population figures of the 2002 census (3.9 million) and the total recommended staffing was 10,647. The 2016 population is 4.7 million, and the requirements for staffing should be adjusted to 12,760 for 2016 and a further 1.4% for 2017 totalling 12,778.

As of April 2017, the HSE Mental Health Division have 9,815 Mental Health Whole Time Equivalents. In addition, there are a further 1000 indirect Whole Time Equivalents staff providing services. There are also approximately 300 being recruited, with more than 700 posts approved and in development from Programme for Government funding.

The figure of 9,815 Mental Health Whole Time Equivalents, comparable to the 12,778 posts as outlined in adjusted A Vision for Change recommended figures, indicates a gap of 2,963. Using an average figure of €66,000 per Whole Time Equivalent, the additional resources required to fill the gap would be €195.6 million per annum.

Since 2012, around €115 million has been added to the HSE Mental Health Budget, which totalled €826 million in 2016. Budget 2017 made allowance for an additional €35 million for services to be initiated in 2017. Recognising the time lag in new staff taking up posts and the completion of preparations for the introduction of these services, it is estimated that the revenue spend in 2017 associated with this increased allocation will be some €15 million. There will also be a further additional spend of €9.5 million in mental health associated with increased pay rates. With other minor adjustments, the total budget for mental health in 2017 will be €853.1 million.

Recruitment to meet the needs of our mental health services is therefore underpinned by the increased Budget Allocations in the National Service Plans of recent years, which have progressed the implementation of A Vision For Change. A Vision for Change came to the end of its 10-year term in 2016 and preparations for a review and updating of policy have been underway since early last year. In September 2016, an external evidence and expert review was commissioned from WRC Consultants as the first step in determining the parameters of a revision of A Vision for Change. This review was completed on 17 February 2017, and provides evidence to determine the policy direction for a revision of A Vision for Change, both in terms of international best practice and the experience of implementing A Vision for Change. An Oversight Committee will shortly be established to oversee the development of a new policy for mental health based on the outcome of the Expert Review.

Mental Health Services Expenditure

Questions (862)

Pat Buckley

Question:

862. Deputy Pat Buckley asked the Minister for Health the estimated cost of providing SafeTalk training to all secondary level students over 16 years of age. [34482/17]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services Expenditure

Questions (863)

Pat Buckley

Question:

863. Deputy Pat Buckley asked the Minister for Health the estimated annual cost of operating an additional 11 crisis houses across the State, including initial set up costs, that would be incurred. [34483/17]

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Written answers

As this is a service issue, this question has been referred to the HSE for direct reply in respect of mental health services.

Mental Health Services Expenditure

Questions (864)

Pat Buckley

Question:

864. Deputy Pat Buckley asked the Minister for Health the average estimated cost to ensure that all accident and emergency departments, Garda custody suites and prisons have a psychiatric nurse on duty at all times. [34484/17]

View answer

Written answers

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

Mental Health Services Expenditure

Questions (865)

Pat Buckley

Question:

865. Deputy Pat Buckley asked the Minister for Health the estimated average cost of the provision of an additional bed for psychiatry of old age services. [34485/17]

View answer

Written answers

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

Mental Health Services Expenditure

Questions (866)

Pat Buckley

Question:

866. Deputy Pat Buckley asked the Minister for Health the estimated average cost of ensuring the provision of at least one mental health professional on every primary care team in the State. [34486/17]

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Written answers

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

Mental Health Services Expenditure

Questions (867)

Pat Buckley

Question:

867. Deputy Pat Buckley asked the Minister for Health the estimated cost of extending free primary care counselling to persons that earn less than the living wage of €456 per week. [34487/17]

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Written answers

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Mental Health Services Provision

Questions (868)

Pat Buckley

Question:

868. Deputy Pat Buckley asked the Minister for Health the services available to support persons with mental health issues to secure stable accommodation; and the estimated annual cost of these services. [34488/17]

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Written answers

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

Mental Health Services Provision

Questions (869)

Pat Buckley

Question:

869. Deputy Pat Buckley asked the Minister for Health the services to support persons with mental health issues to secure stable employment; and the estimated annual cost of these services. [34489/17]

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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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