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Tuesday, 29 Jan 2019

Written Answers Nos. 439-456

Pharmacy Regulations

Questions (439)

Róisín Shortall

Question:

439. Deputy Róisín Shortall asked the Minister for Health his views on the concerns raised by many clinical pharmacists regarding the draft statutory instrument he has published to implement the falsified medicine directive; if his attention has been drawn to the concerns raised that the proposal will move onerous responsibilities from the hospitals onto pharmacists; his further views on whether this is in the best interests of patients; and if he will make a statement on the matter. [4356/19]

View answer

Written answers

The Safety Features Delegated Regulation (EU 2016/16) provides that from February 2019, most prescription medicines and a very small number of non-prescription medicines will have to carry "safety features" on their outer packaging. These safety features take the form of an anti-tamper device (e.g. foil seal, breakable cap) and a set of unique identifiers embedded in a 2D barcode on the pack.

The Delegated Regulation was finalised and published in 2016. The intervening three-year transition period allowed time for all concerned parties to prepare well in advance of the legislation coming into full effect on 9 February 2019. Details of the requirements of the Delegated Regulation have been widely communicated to all sectors throughout this three-year transition period.

The Delegated Regulation is directly applicable across all EU Member States. However, a Statutory Instrument is being prepared to ensure that the Irish legislative system is consistent with the requirements of the new regulation.

A copy of the draft Instrument was recently circulated as part of a targeted consultation process. The consultation process provides a mechanism for stakeholders and interested parties to express concerns and to make submissions. The Department is considering all points submitted in the consultation, including the query on responsibility raised in this Parliamentary Question, prior to finalising the Statutory Instrument.

Mental Health Services Provision

Questions (440)

Brendan Smith

Question:

440. Deputy Brendan Smith asked the Minister for Health his plans to implement measures to ensure the provision of adequate mental health services and supports for homeless persons; his further plans to ensure that adequate mental health services and supports are developed for such persons in line with, "A Vision for Change"; and if he will make a statement on the matter. [4364/19]

View answer

Written answers

The year 2016 was the tenth anniversary of the publication of the Report of the Expert Group on Mental Health Policy entitled, "A Vision for Change", which laid out a pathway to progressive, modern and recovery-based mental health care in Ireland. The year 2016 also marked the end of the "A Vision for Change" ten-year term. In October 2016, the Government committed to:

- Complete an evidence-based expert review of international best practice in the area of mental health;

- Establish an oversight committee to oversee the development of a new policy for mental health;

- Direct the Health Service Executive to develop a multi-annual approach to the development of mental health services.

In October 2017, an Oversight Group was established to work on a refresh of "Vision for Change". The refreshed report is expected to be finalised in quarter 1, 2019 and will emphasise the importance of policy supporting tangible changes in the lives of people using mental health services.

A main aim of the refresh is to ensure that the main focus is on the needs of service users and wider population – not on the needs of the mental health system. A major national stakeholder consultation process occurred in 2018 in five counties that engaged with over 1000 individuals from community, statutory and voluntary groups. Social inequalities and social exclusion were the main themes arising.

Consultation with the Department of Social Protection and the Homeless Agency was also undertaken. As a result, there will be a chapter in the refreshed policy that will seek to respond to health inequalities. It is my understanding that the final refreshed policy will make recommendations to address the mental health needs of vulnerable groups, including those who find themselves homeless.

In addition to the work on "Vision for Change", Budget 2019 provides for an additional €250,000 under New Development funding to support the current service improvement initiative for homeless persons already being progressed in mental health services and in collaboration with Social Inclusion services.

Medicinal Products Reimbursement

Questions (441)

Denis Naughten

Question:

441. Deputy Denis Naughten asked the Minister for Health the reason Pioglitazone remains an approved drug under the GMS for the treatment of diabetes in view of the fact that the US Food and Drug Administration has found it to be associated with bladder tumours; and if he will make a statement on the matter. [4367/19]

View answer

Written answers

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Hospitals Capital Programme

Questions (442)

Jackie Cahill

Question:

442. Deputy Jackie Cahill asked the Minister for Health the status of the project to renovate St. Patrick's Hospital, Cashel; the timeline for the project; if the capital project will be affected by the overrun on the national children's hospital project; and if he will make a statement on the matter. [4368/19]

View answer

Written answers

The Health Service Executive is currently developing its Capital Plan for 2019. The requirements of the new children's hospital and other health capital projects currently at various stages of development, including St. Patrick's Hospital, Cashel, are being considered as part of this process.

As the Health Service Executive is responsible for the delivery of healthcare infrastructure projects, I have asked the HSE to respond to the Deputy directly regarding the current status of this project.

National Children's Hospital Expenditure

Questions (443)

Stephen Donnelly

Question:

443. Deputy Stephen S. Donnelly asked the Minister for Health the monthly timeline of each notification of cost increase that was provided to him by the National Paediatric Hospital Development Board regarding the construction costs of the new national children’s hospital; and if he will make a statement on the matter. [4399/19]

View answer

Written answers

I was advised by my officials in September 2017 of a potential cost overrun of €61 million, related to a number of factors (including programme alignment, resequencing of works at OPD urgent care centres and fire certificate requirements). This was monitored through 2017 and 2018 with a view to offsetting the potential cost increases through a variety of measures.

I was next briefed on potential cost escalation on Monday 27 August 2018 following a meeting with Department officials and the Chair and CEO of the National Paediatric Hospital Development Board, NPHDB, on Friday, 24 August 2018.

A further note was provided to me on 7 September 2018 updating me on the emerging position on foot of briefing provided to the Department by the NPHDB.

Further updates were provided on 1 October and again on 9 November 2018. The NPDHB Report on the Process to Guaranteed Maximum Price was submitted to the HSE on 12 November 2018 and submitted to my Department by the HSE. That report set out the confirmation of the GMP process, which informed the preparation of the memo that I brought to Government on 18 December 2018.

Primary Care Centres Provision

Questions (444)

Stephen Donnelly

Question:

444. Deputy Stephen S. Donnelly asked the Minister for Health if the planned primary healthcare centre (details supplied) in County Wicklow and its services or facilities are at risk of delay or cancellation due to the cost overruns on the new national children's hospital; and if he will make a statement on the matter. [4417/19]

View answer

Written answers

It is intended that the new primary care centre in Arklow will be delivered by means of operational lease, rather than funded directly as part of the HSE Capital Plan. Therefore it is not expected to be impacted by any funding requirements arising for the new children's hospital.

As the HSE has responsibility for the provision of primary care centres, I have asked the Executive to reply directly to the Deputy with an update on the status of this project for his information.

Services for People with Disabilities

Questions (445)

Brendan Griffin

Question:

445. Deputy Brendan Griffin asked the Minister for Health his views on a matter (details supplied); and if he will make a statement on the matter. [4418/19]

View answer

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.

Hospital Beds Data

Questions (446)

Louise O'Reilly

Question:

446. Deputy Louise O'Reilly asked the Minister for Health further to Parliamentary Question No. 172 of 23 January 2019, the location of the additional 240 beds in the past 12 months by hospital in tabular form. [4420/19]

View answer

Written answers

Increasing bed capacity is a Government priority. Over the past 18 months, an additional 240 beds have been opened of which as detailed in the table:

2017-2018 Acute Beds Open

Hospital Group

Hospital

Type of bed

Number of beds

RCSI

Our Lady of Lourdes Drogheda

Acute beds (part of new bed block)

25

RCSI

Beaumont Hospital

Acute beds

20

DM

St. James’sHospital

Acute beds

23

DM

Naas General Hospital

Acute beds

11

IE

The Mater Hospital

Acute beds

24

Saolta

Galway University Hospital

Acute beds

28

UL

Limerick University Hospital

Short Stay beds

17

IE

St. Vincent’s Hospital

Acute beds

22

IE

Mater Misericordiae University Hospital

HDU beds

2

IE

St. Luke’s Hospital Kilkenny

Acute beds

14

RCSI

Our Lady of Lourdes Hospital Drogheda

Acute beds (part of new ward block)

4

SSW

Cork University Hospital

Acute beds

30

SSW

Cork University hospital

Critical care beds

2

SSW

Waterford University Hospital

Acute beds

18

Total

240

Services for People with Disabilities

Questions (447)

Michael McGrath

Question:

447. Deputy Michael McGrath asked the Minister for Health if a person (details supplied) in County Cork is on a waiting list for a residential placement; if so, the position of the person on the waiting list; and if he will make a statement on the matter. [4423/19]

View answer

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 an individual case, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply to the Deputy.

Young Farmers Scheme

Questions (448)

Jackie Cahill

Question:

448. Deputy Jackie Cahill asked the Minister for Agriculture, Food and the Marine if the case of a non-payment to persons (details supplied) will be investigated in view of the fact they have been informed that all matters relating to same have been addressed; and if he will make a statement on the matter. [3838/19]

View answer

Written answers

The person named submitted an application to my Department under the 2018 Young Farmers Scheme. My Department is currently finalising the required administrative and on-farm checks in relation to a small number of Young Farmers Scheme applications and it is expected that these cases will be completed shortly.

Fisheries Protection

Questions (449)

Brendan Griffin

Question:

449. Deputy Brendan Griffin asked the Minister for Agriculture, Food and the Marine if illegal commercial fishing activities by visitors to an area (details supplied) in County Kerry will be investigated; and if he will make a statement on the matter. [3839/19]

View answer

Written answers

The monitoring and control of fishing vessels within Ireland’s Exclusive Fisheries Zone are matters for the Irish control authorities. Under the Sea Fisheries and Maritime Jurisdiction Act, 2006, all operational issues concerning sea fisheries control are, as a matter of law, exclusively for the Sea Fisheries Protection Authority and the Naval Service. As Minister, I am precluded from getting involved in operational matters including those in relation to law enforcement.

I have passed on the Deputy's query to the SFPA for direct response.

Sheep Welfare Scheme

Questions (450)

Éamon Ó Cuív

Question:

450. Deputy Éamon Ó Cuív asked the Minister for Agriculture, Food and the Marine when payment under the 2018 and 2019 Sheep Welfare Scheme will issue to a farmer (details supplied) in County Galway; the reason for the delay in issuing the payment; and if he will make a statement on the matter. [3867/19]

View answer

Written answers

My Department has no record of an application for participation in the Sheep Welfare Scheme from the individual named.

Areas of Natural Constraint Scheme

Questions (451)

Marcella Corcoran Kennedy

Question:

451. Deputy Marcella Corcoran Kennedy asked the Minister for Agriculture, Food and the Marine if lands (details supplied) not included under the designation of eligible townlands for the 2019 areas of natural constraint scheme can be reviewed with a view to inclusion; and if he will make a statement on the matter. [3960/19]

View answer

Written answers

My Department has recently concluded the redesignation of eligible lands for the 2019 Areas of Natural Constraint Scheme, as required under the EU Regulations. The lands referenced in the question, in Mossfield and Oakley Park, were not eligible for the ANC Scheme prior to this redesignation and are also not eligible under the new designation of eligible lands. An independent appeals process is in place for any farmer who wishes to query the eligibility status of a townland. Further details are available on my Department's website: www.agriculture.gov.ie.

Agriculture Scheme Payments

Questions (452)

Charlie McConalogue

Question:

452. Deputy Charlie McConalogue asked the Minister for Agriculture, Food and the Marine the number of 2018 BPS applicants by county; the number who received payments; the amount of expenditure in payments in 2017, by county in tabular form; and if he will make a statement on the matter. [3983/19]

View answer

Written answers

The payment details per county as of 24 January 2019 are set out in the table. Regular pay runs will continue to take place to ensure that cases that become clear for payment are paid as quickly as possible.

County

Scheme Year

Num Apps

Num Elig Apps

Num Paid

Amt Paid BPS

CARLOW

2018

1,653

1,592

1,585

€21,579,657.6

CAVAN

2018

4,988

4,709

4,690

€34,034,330.68

CLARE

2018

6,206

5,928

5,923

€46,254,934.89

CORK

2018

13,254

12,748

12,686

€150,410,208.6

DONEGAL

2018

9,084

8,300

8,174

€56,678,621.47

DUBLIN

2018

659

622

619

€8,786,115.9

GALWAY

2018

12,408

11,756

11,708

€83,653,249.75

KERRY

2018

8,029

7,573

7,514

€65,551,005.96

KILDARE

2018

2,168

2,046

2,030

€28,786,586.21

KILKENNY

2018

3,458

3,325

3,296

€47,518,635.71

LAOIS

2018

2,988

2,891

2,880

€35,923,115.02

LEITRIM

2018

3,538

3,363

3,350

€20,395,848.84

LIMERICK

2018

5,262

4,980

4,954

€48,257,178.78

LONGFORD

2018

2,451

2,316

2,307

€18,360,769.33

LOUTH

2018

1,536

1,469

1,462

€17,784,563.16

MAYO

2018

11,781

11,249

11,165

€70,641,917.79

MEATH

2018

3,911

3,728

3,709

€49,455,514.74

MONAGHAN

2018

4,257

3,962

3,953

€27,154,154.06

OFFALY

2018

3,101

2,965

2,953

€33,068,659.6

ROSCOMMON

2018

5,851

5,577

5,558

€39,684,764.16

SLIGO

2018

4,092

3,862

3,844

€24,573,317.14

TIPPERARY

2018

7,061

6,757

6,735

€89,582,469.75

WATERFORD

2018

2,484

2,358

2,350

€35,389,124.05

WESTMEATH

2018

3,107

2,950

2,945

€31,085,286.16

WEXFORD

2018

4,101

3,972

3,955

€54,394,215.61

WICKLOW

2018

2,207

2,097

2,086

€27,448,768.23

TOTAL

129,635

123,095

122,431

€1,166,453,013

Basic Payment Scheme Data

Questions (453)

Charlie McConalogue

Question:

453. Deputy Charlie McConalogue asked the Minister for Agriculture, Food and the Marine the number of eligible and ineligible farmers, respectively, enrolled in the basic payments scheme; the number of eligible farmers who have received a 2018 BPS payment by ranges (details supplied) in tabular form; the number who have not received the payment; and if he will make a statement on the matter. [3984/19]

View answer

Written answers

As of 24 January 2019, payments amounting to €1.166 billion had issued to 122,431 BPS applicants. There are 123,095 applicants currently deemed eligible. Remaining cases are being processed as a matter of priority, and in many of these cases applicants have yet to meet all the scheme requirements or submit relevant documentation in order to qualify for payment.

Regular pay runs will continue to take place to ensure that cases that become clear for payment are paid as quickly as possible.

Details of applicants paid under the requested ranges as of 24 January 2019 is set out in the table.

BPS + Greening:

Payment range:

Number of Applicants:

Between €0 and €5,000

38,103

Between €5,000.01 and €10,000

34,786

Between €10,000.01 and €20,000

29,033

Between €20,000.01 and €30,000

10,873

Between €30,000.01 and €40,000

4,655

Between €40,000.01 and €50,000

2,064

Between €50,000.01 and €60,000

1,125

Between €60,000.01 and €70,000

614

Between €70,000.01 and €80,000

368

Between €80,000.01 and €90,000

243

Between €90,000.01 and €10,0000

154

Between €10,0000.01 and €11,0000

118

Between €110,000.01 and €120,000

88

Between €120,000.01 and €130,000

52

Between €130,000.01 and €140,000

33

Between €140,000.01 and €150,000

29

Greater than €150,000.01

93

TOTAL

122,431

Agriculture Scheme Eligibility

Questions (454)

Charlie McConalogue

Question:

454. Deputy Charlie McConalogue asked the Minister for Agriculture, Food and the Marine the criteria used to classify farmers as eligible or ineligible for scheme payments in Pillar 1 and 2; and if the number of eligible and ineligible farmers combined equate to the number of farmers participating in a scheme, for example, GLAS. [3985/19]

View answer

Written answers

The eligibility criteria for the wide range of CAP Pillar I and II schemes run by my Department are set out in the Terms and Conditions of schemes. These terms and conditions vary from scheme to scheme and full details are published on my Department's website: www.agriculture.gov.ie.

As the Deputy would expect, eligibility criteria vary from scheme to scheme. Some schemes are multi-annual in nature and while an applicant may be eligible to join, the eligibility status for payment each year will depend on the applicant meeting specific requirements before certain dates over the lifetime of the scheme. Other factors which can affect eligibility include the requirement for a participant to maintain certain farming practices or eligible land over the lifetime of a multi-annual scheme, as failure to do so can affect eligibility for payments.

In some schemes, an applicant can go from being eligible to being ineligible as normal processing is carried out during the year.

Agriculture Scheme Data

Questions (455)

Charlie McConalogue

Question:

455. Deputy Charlie McConalogue asked the Minister for Agriculture, Food and the Marine the number of farmers who applied to schemes (details supplied) in 2018; the number of eligible and ineligible participants, respectively; the number of eligible participants who passed all checks and were approved for payment; the number who received an advance payment for 2018 to date; and the most common reason for delays with payments. [3986/19]

View answer

Written answers

The Department publishes a weekly scheme payments update. As of Friday, 25 January, the position is as set out:

GLAS:

The GLAS scheme was fully subscribed following the third and final Tranche, GLAS 3, which closed for applications in December 2016.

The position for participants under existing GLAS five-year contracts is as follows: at the end of December 2018, there were 49,100 active GLAS participants in all three tranches. To date, 44,275 GLAS participants have received their 2018 advance payment and are fully up-to-date with their payments.

In relation to outstanding 2018 payments, a significant proportion relate to applicants who have not yet fulfilled the requirements for payment. Non-compliances include the non-submission of Commonage Management Plans and Nutrient Management Plans, GLAS 1 and 2 cases where the mandatory GLAS training has not been completed, Low Emission Slurry Spreading and Rare Breeds forms not returned or cases where the GLAS participant has omitted to update the Department on issues crucial to the payment process.

Sheep Welfare Scheme:

The table shows the current position with regards to year 2 of the Sheep Welfare Scheme:

Scheme Year:

Yr 2 (2018)

Total Number of applications:

20,549

Number of applications withdrawn:

892

Number of applications remaining:

19,657

Number of eligible applications:

18,738

Number of applicants paid:

18,607

Participants in the scheme are required to submit their Sheep Census return within the specified timeframe for each year of participation in the scheme. The late or non-submission of applicants' Sheep Census as required under the Scheme terms and conditions is the primary reason for outstanding payments at this stage.

Knowledge Transfer:

The Knowledge Transfer, KT, Programme is a three-year scheme. The first two years of the Programme have been completed.

In Year 1, there were approximately 19,100 eligible participants, of which approximately 19,000 have been paid a total of €12.5 million. Remaining applications are being cleared on a case-by-case basis.

Following the conclusion of year 2 of the KT Programme, some 18,700 participants are due a full or partial payment. Payments to farmers in respect of year two of the programme commenced in October 2018 in line with the Farmers Charter commitment, with some €9.9 million issuing to some 15,400 farmers. The remaining year two participant payments are being processed as a matter of priority, and payments are continuing as more farmers meet their commitments to qualify for payment.

In addition to the farmer payments, facilitator payments of approximately €12.9 million have also issued in respect of year one and year two combined. The facilitator payment is made once the 25 working day participant pay-over period has elapsed and the Department receives confirmation from the facilitator that the farmer payments have been made via the appropriate procedures.

Outstanding payments relate, in the main to, the following issues:

- Changes of herd ownership during the scheme year;

- The submission of a BPS application in a Herd/Registered Farm Partnership number other than that used to register/participate in the Knowledge Transfer Programme;

- the manual submission of scheme completion information.

All of the above require significant additional investigation and subsequent manual intervention within the payment system in order to confirm all requirements have been completed and submitted correctly and cleared for payment.

Beef Data Genomics Programme:

The Beef Data and Genomics Programme provides for multi-annual payments to farmers for completion of actions which deliver accelerated genetic improvement in the Irish national herd and improvement of its environmental sustainability.

Payments under the 2018 Programme year for both BDGP I and BDGP II commenced in December 2018. A total of 24,543 active participants have received payment.

Where payment has not issued, it is because the participant has not yet been found to be sufficiently compliant with the requirements of the scheme to allow for a payment to issue. Payments will continue to be made to participants over the coming weeks as they become compliant with the requirements of the Programme.

Animal Welfare

Questions (456)

John Brady

Question:

456. Deputy John Brady asked the Minister for Agriculture, Food and the Marine if his attention has been drawn to the concerns raised regarding the welfare of dogs in a location (details supplied); if his attention has been further drawn to the fact that there is an online petition which has over 24,000 signatures; the action being taken in this regard; and if he will make a statement on the matter. [4036/19]

View answer

Written answers

Under the Control of Dogs Acts, local authorities have responsibility for the management of dog pounds. Enforcement of welfare standards for animals, including dogs, comes under the Animal Health and Welfare Act 2013. My Department maintains a close working relationship with local authorities on dog welfare matters and has consulted with the relevant local authorities who avail of the services of the enterprise referenced who have indicated that the facility is maintained to an adequate standard and has passed all recent unannounced veterinary inspections.

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