James Browne
Question:397. Deputy James Browne asked the Minister for Health the status of Mental Health National Clinical Programme developing integrated care pathways for eating disorders. [31874/18]
View answerEating Disorders
Questions (397)
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.
Eating Disorders
Questions (398)
James Browne
Question:398. Deputy James Browne asked the Minister for Health if he will report on the development of eating disorder specialist community teams. [31875/18]
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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 (399)
James Browne
Question:399. Deputy James Browne asked the Minister for Health the way in which Jigsaw and other early intervention services specific to persons 18 to 25 years of age identified as requiring particular community-based responses have been enhanced to date in 2018. [31876/18]
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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 (400)
James Browne
Question:400. Deputy James Browne asked the Minister for Health the way in which access by older adolescents to specialist mental health services and, for those requiring acute admission, their continued appropriate placement and care in child and adolescent-specific settings, has been enhanced to date in 2018. [31877/18]
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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 (401)
James Browne
Question:401. Deputy James Browne asked the Minister for Health the way in which out of hours responses for general adult mental health services have been expanded to date in 2018 by moving to the 7 / 7 model; and the number of new staff that have been appointed in each CHO in tabular form. [31878/18]
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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 (402)
James Browne
Question:402. Deputy James Browne asked the Minister for Health the way in which mental health services for deaf and mentally ill persons have been enhanced to date in 2018. [31879/18]
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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 (403)
James Browne
Question:403. Deputy James Browne asked the Minister for Health the way in which capacity in the national forensic service for those admitted under section 21(2) of the Mental Health Act 2001 has been increased to date in 2018; the way in which prison in-reach services have been improved; and the number of new and additional staff appointed. [31880/18]
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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 Staff
Questions (404)
James Browne
Question:404. Deputy James Browne asked the Minister for Health the status of the development of adult and child mental health intellectual disability teams in 2018; and the number of additional new staff appointments. [31881/18]
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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 Staff
Questions (405)
James Browne
Question:405. Deputy James Browne asked the Minister for Health the number of additional staff appointed to the CAMHS service in each CHO to date in 2018; the net increase in staff numbers resulting from such recruitment in each CHO to date in 2018, in tabular form. [31882/18]
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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 Staff
Questions (406)
James Browne
Question:406. Deputy James Browne asked the Minister for Health the number of mental health whole time equivalents that need to be recruited for the full implementation of A Vision for Change, in view of demographic changes; the teams and specialities in which the additional staff are required by each CHO area in tabular form. [31883/18]
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As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
Medicinal Products Availability
Questions (407)
Fergus O'Dowd
Question:407. Deputy Fergus O'Dowd asked the Minister for Health the status of the Versatis pain relief plasters under the long-term illness scheme; his plans to reintroduce the plasters on the scheme considering the considerable number of persons that have been adversely affected by the withdrawal; and if he will make a statement on the matter. [31888/18]
View answerWritten answers
Medicines play a vital role in improving the health of Irish patients. Securing access to existing and new and innovative medicines is a key health service objective. However, the challenge is to do this in a safe and sustainable manner. Treatment must be appropriate and proportionate and clinical decision-making, such as prescribing, should be based on both patient needs and sound medical evidence.
Lidocaine 5% medicated plasters are licensed for localised relief of post-shingles pain in adults. This is the patch's only licensed use in Ireland. It has been reimbursed in the community drugs schemes since 2010.
Clinical concern arose when, from 2012 on, usage increased significantly, to the point where more plasters were being used in Ireland than in the entire UK National Health Service. In such situations, it is important and appropriate for clinicians to review usage and, in 2016, the HSE Medicines Management Programme (MMP) reviewed the use of the plasters. The review estimated that only 5-10% of prescribing was for the licensed indication.
From September 2017, following the clinical review, the HSE introduced a new reimbursement approval system for the patches, to support appropriate use and patient care. Under these arrangements, the patient's GP or consultant applies to the MMP for reimbursement approval on behalf of the patient. If an application is refused, the clinician may submit an appeal, making a clear clinical case for the patient, to the MMP. Information for patients and practitioners is on the HSE MMP website at: hse.ie/yourmedicines.
In relation to information on a specific appeal, the patient's clinician should contact the MMP directly.
The decision to introduce a new reimbursement approval process is a matter for the HSE and you will appreciate that, as Minister for Health, I cannot intervene in individual cases. However, I fully support the objectives of the HSE Medicines Management Programme.
Mental Health Policy
Questions (408)
James Browne
Question:408. Deputy James Browne asked the Minister for Health the improvements made in mental health engagement in the design and delivery of services through the further development of forums in each CHO in conjunction with service users, family members and carers and the development of standardised reimbursement methods as per the commitment in the 2018 HSE service plan. [31889/18]
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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 Policy
Questions (409)
James Browne
Question:409. Deputy James Browne asked the Minister for Health if he will report on the development of a standardised approach to inclusion of mental health service users in care planning and the promotion of enhanced self-management for service users in line with the recommendations of the National Recovery Framework as per the commitment in the 2018 HSE service plan. [31890/18]
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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 Policy
Questions (410)
James Browne
Question:410. Deputy James Browne asked the Minister for Health if he will report on the completion and launch of mental health engagement standards to ensure a consistent national model of engagement by service users and carers as per the commitment in the 2018 HSE service plan. [31891/18]
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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 Policy
Questions (411)
James Browne
Question:411. Deputy James Browne asked the Minister for Health if he will report on the implementation of the CAMHS advocacy model. [31892/18]
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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 Staff
Questions (412)
James Browne
Question:412. Deputy James Browne asked the Minister for Health if he will report on the development of the mental health workforce to ensure the right staff with the right skills are allocated to the right services: if he will report on the development and implementation of workforce plans for all disciplines; and the status of a number of measures (details supplied). [31893/18]
View answerWritten answers
As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.