Dáil Éireann Debate, Tuesday - 3 July 2018
361. Deputy Robert Troy asked the Minister for Health if an independent appeals process will be introduced as part of the fair deal scheme review (details supplied); and if an independent appeals avenue will be opened up to deal with such cases. [29188/18]
View answer362. Deputy Robert Troy asked the Minister for Health the timeframe for the publication of a review of the fair deal pricing mechanism; the reason the review has not been published in view of the fact that a review carried out in 2015 recommended a further review be carried out within 18 months; and his views on whether changes are needed to the pricing model which has operated unchanged since its introduction in 2009. [29189/18]
View answer363. Deputy Robert Troy asked the Minister for Health his views on whether the pricing model for the fair deal scheme is outdated and does not take into account the extensive cost in providing 24-7 clinical care in certain cases. [29192/18]
View answerI propose to take Questions Nos. 361 to 363, inclusive, together.
The Nursing Homes Support Scheme (NHSS), commonly referred to as Fair Deal, is a system of financial support for people who require long-term residential care. Participants contribute to the cost of their care according to their means while the State pays the balance of the cost. The scheme aims to ensure that long-term nursing home care is accessible and affordable for everyone and that people are cared for in the most appropriate settings.
The Report of the NHSS Review published in 2015 identified a number of issues for more detailed consideration, including a review of the pricing mechanism used by the NTPF, with a view to:
- Ensuring value for money and economy, with the lowest possible administrative costs for clients and the State and administrative burden for providers;
- Increasing the transparency of the pricing mechanism so that existing and potential investors can make as informed decisions as possible; and
- Ensuring that there is adequate residential capacity for those residents with more complex needs.
The terms of reference for the review of the pricing mechanism also includes consideration of the appeals mechanism available to nursing homes.
A steering group was established to oversee this review, chaired by the NTPF and including representatives from my Department and the Department of Public Expenditure and Reform. The NTPF are close to completing the review and will bring a draft of report to the steering group shortly.
It would not be appropriate for me to comment on my personal views in advance of the completion of the report.
