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Thursday, 30 Jul 2020

Written Answers Nos. 1200-1224

Health Services

Questions (1200)

Brendan Griffin

Question:

1200. Deputy Brendan Griffin asked the Minister for Health the number of places here for oral immunotherapy for children; the location of each facility in which the treatment is dispensed; his plans to expand the number of places for children and the locations in which treatment is dispensed; if cross border arrangements are available for patients that may we willing to avail of treatment in other jurisdictions; and if he will make a statement on the matter. [20114/20]

View answer

Written answers

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

Disability Diagnoses

Questions (1201)

Pauline Tully

Question:

1201. Deputy Pauline Tully asked the Minister for Health the number of children born with neural tube defects in each of the years 2015 to 2019; the number of live births in each of the years; the ratio of neural tube defect births in every 1,000 births in each year; and if he will make a statement on the matter. [20150/20]

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Written answers

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

Maternity Services

Questions (1202)

Pauline Tully

Question:

1202. Deputy Pauline Tully asked the Minister for Health the person or body with responsibility for developing national clinical obstetric ultrasound guidelines as a whole entity; and the status of the progress of those guidelines [20151/20]

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Written answers

The National Clinical Effectiveness Committee (NCEC) was established as part of the Patient Safety First Initiative. NCEC’s mission is to provide a framework for national endorsement of clinical guidelines and audit to optimise patient and service user care. The aim of the suite of National Clinical Guidelines is to provide guidance and standards for improving the quality, safety and cost-effectiveness of healthcare in Ireland.

Clinical guidelines are systematically developed statements, based on a thorough evaluation of the evidence, to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances, across the entire clinical spectrum.  Clinical guidelines endorsed by the Minister are titled ‘National Clinical Guidelines’.

The implementation of these National Clinical Guidelines supports the provision of evidence-based and consistent care across Irish healthcare services. However, it is recognised that the NCEC, and the health system as a whole, is able to effectively implement and monitor only a small number of National Clinical Guidelines each year.  In that context it should be noted that not all clinical guidelines are submitted for national endorsement and Guideline Development Groups continue to develop clinical guidelines in response to the needs of their own organisations.

I have asked the Health Service Executive to reply to the Deputy directly with the specific information requested in relation to obstetric ultrasound guidelines, as soon as possible.

Maternity Services

Questions (1203)

Pauline Tully

Question:

1203. Deputy Pauline Tully asked the Minister for Health the person or body with responsibility for the development of a national check list for the anomaly scan; if checking placental cord insertion will be included in the checklist for the anomaly scan; if there is 100% universal access to the scan nationally per individual unit; the breakdown to the scan by unit on access level and provision, in tabular form; and if he will make a statement on the matter. [20152/20]

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Written answers

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

Dental Services

Questions (1204)

Pauline Tully

Question:

1204. Deputy Pauline Tully asked the Minister for Health the number of children and adults on the dental appointment waiting list in counties Cavan and Monaghan; the average waiting times for appointments; and if he will make a statement on the matter. [20163/20]

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Written answers

As this is a service matter it has been referred to the HSE for attention and direct reply to the Deputy.

Dental Services

Questions (1205)

Pauline Tully

Question:

1205. Deputy Pauline Tully asked the Minister for Health the number of children and adults on the orthodontic waiting lists in counties Cavan and Monaghan; the average waiting times for appointments; the number waiting more than six months; and if he will make a statement on the matter. [20164/20]

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Written answers

As this is a service matter it has been referred to the HSE for attention and direct reply to the Deputy.

Child and Adolescent Mental Health Services

Questions (1206)

Pauline Tully

Question:

1206. Deputy Pauline Tully asked the Minister for Health the number of persons waiting on the CAMHS waiting list in counties Cavan and Monaghan; the average waiting time; the number waiting more than six months; and if he will make a statement on the matter. [20165/20]

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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.

Home Care Packages

Questions (1207)

Pauline Tully

Question:

1207. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting home care support in counties Cavan and Monaghan; the number of hours allocated in each of the past 12 months in the counties; the average number of hours granted to each successful applicant; and if he will make a statement on the matter. [20166/20]

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 Waiting Lists

Questions (1208)

Pauline Tully

Question:

1208. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting a colonoscopy in counties Cavan and Monaghan; the number of these who have been waiting up to 30, 30 to 60, 60 to 90 and more than 90 days, respectively, in tabular form; and if he will make a statement on the matter. [20167/20]

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Written answers

In response to the Covid-19 pandemic the HSE had to take measures to pause most elective scheduled care activity with effect from the end March 2020. This was to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work. This decision was in line with the advice issued by National Public Health Emergency Team (NPHET) and in accordance with World Health Organization guidelines, and the National Action Plan.

The trajectory of the disease means there is now an opportunity for increasing the provision of non-covid care including more routine care. NPHET has since revised its recommendation on the pausing of all non-essential health services, with a recommendation that the delivery of acute care be determined by appropriate clinical and operational decision making.

Application of the essential risk mitigating steps set out in the guidance developed under the auspices of the NPHET Expert Advisory group will have operational implications, which will impact on throughput. 

Where possible, hospitals are working to find innovative ways to enable service provision, which include virtual clinics for some outpatient department appointments. The HSE website provides details on services currently available and operational in each hospital on its website. This information is reviewed frequently and provides up-to-date announcements on services available at each site (www2.hse.ie/services/hospital-service-disruptions/hospital-service-disruptions-covid19.html).

To ensure services are re-introduced in a safe, clinically-aligned and prioritised way, the HSE launched its Strategic Framework for ‘Service Continuity in a Covid Environment’ on 24 June.  Its implementation will ensure service resumption is done in an integrated way. This will involve a phased approach to ensure community services are strengthened. The Framework will also consolidate new ways of working and build on international knowledge. Further detail regarding the phases of service resumption are contained in the HSE’s ‘A Safe Return to Health Services’ document, published on their website on 22 July.

As the system continues to deliver Covid-19 and non-Covid 19 care side-by-side over a more prolonged period, my Department and the HSE will continue to work closely together to protect essential non-Covid 19 acute care and progress the provision of more routine non Covid-19 care.

In relation to the particular query raised by the Deputy concerning colonoscopies, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Waiting Lists

Questions (1209)

Pauline Tully

Question:

1209. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting an endoscopy in counties Cavan and Monaghan; the number of these who have been waiting up to 30, 30 to 60, 60 to 90 and more than 90 days, respectively, in tabular form; and if he will make a statement on the matter. [20168/20]

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Written answers

The information requested by the Deputy is currently being collated by officials in my Department and will be provided to the Deputy directly as soon as it becomes available.

Hospital Staff

Questions (1210)

Pauline Tully

Question:

1210. Deputy Pauline Tully asked the Minister for Health the number of vacancies at Cavan General Hospital; the grade of each vacancy; the length of time of each vacancy, in tabular form; and if he will make a statement on the matter. [20169/20]

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Written answers

As this is a service delivery matter, I have referred the question to the HSE for direct reply to the Deputy.

Disability Services Data

Questions (1211)

Pauline Tully

Question:

1211. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting a needs assessment in counties Cavan and Monaghan; the number waiting less than 3, 3 to 6, 6 to 12 and more than 12 months, respectively in tabular form; and if he will make a statement on the matter. [20170/20]

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Written answers

The recently published Programme for Government document "Our Shared Future" recognises the need to improve services for both children and adults with disabilities through better implementation and by working together across Government in a better way. 

The Government commits to prioritising early diagnosis and access to services for children and ensuring that the most effective interventions are provided for each child, to guarantee the best outcomes.

As the Deputy's question relates to a service issue, it has been referred to the HSE for direct reply. 

Speech and Language Therapy

Questions (1212)

Pauline Tully

Question:

1212. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting a speech and language appointment in counties Cavan and Monaghan; the number waiting less than 3, 3 to 6, 6 to 12 and more than 12 months, respectively, in tabular form; and if he will make a statement on the matter. [20171/20]

View answer

Written answers

The recently published Programme for Government document "Our Shared Future" recognises the need to improve services for both children and adults with disabilities through better implementation and by working together across Government in a better way. 

The  Government commits to prioritising early diagnosis and access to services for children and ensuring that the most effective interventions are provided for each child, to guarantee the best outcomes.

As the Deputy's question relates to a service issue, it has been referred to the HSE for direct reply. 

Occupational Therapy

Questions (1213)

Pauline Tully

Question:

1213. Deputy Pauline Tully asked the Minister for Health the number of persons awaiting an occupational therapy appointment in counties Cavan and Monaghan; the number waiting less than 3, 3 to 6, 6 to 12 and more than 12 months, respectively, in tabular form; and if he will make a statement on the matter. [20172/20]

View answer

Written answers

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

Respite Care Services

Questions (1214)

Pauline Tully

Question:

1214. Deputy Pauline Tully asked the Minister for Health the number of respite hours provided to families in counties Cavan and Monaghan over each of the past 12 months; the number provided in each month since March 2020; and if he will make a statement on the matter. [20174/20]

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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.

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.

Disability Services Data

Questions (1215)

Pauline Tully

Question:

1215. Deputy Pauline Tully asked the Minister for Health the number of day care centres in counties Cavan and Monaghan that have now reopened; the number that will be reopened by September 2020; the number that will not be in a position to reopen by September 2020; and if he will make a statement on the matter. [20175/20]

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Written answers

As part of the overall effort to contain the spread of COVID-19 and in line with public health advice, day service locations closed in March.

Since then, HSE Disability Services have been working to develop national guidance on the part of the disability sector to direct how all day services can be delivered. The Guidance to support the Framework for the Resumption of Adult Disability Day Services was published by the HSE on 8 July 2020.

In developing the guidance document to guide providers, the HSE worked closely with service providers through representative organisations such as the National Federation of Voluntary Service Providers, Disability Federation of Ireland and the Not for Profit Association, in addition to Inclusion Ireland, who represent people with intellectual disabilities and their families.

The guidance document seeks to support the safe return of services in the context of ongoing public health guidance. It also recognises that the impact of public health guidance will result in services being provided at a reduced level and will require changes in how people are supported, increased use of technology where appropriate and more use of outreach supports.

Day services will gradually resume during the month of August. Service providers are already working to get day services ready to reopen safely, and in line with public health guidance. Service providers will be in touch with all families and service users during the month of July to discuss when they may expect the resumption of their service and what that service will consist of.

I want to acknowledge the many challenges experienced by individuals and their families over this difficult time. Families across the country have had their routines upended due to the impact of COVID-19 and I hope that this will be the first step towards returning to some sense of normalcy.

The Guidance to support the Framework for Resumption of Adult Disability Day Services is available on the New Directions website: www.hse.ie/newdirections. The HSE have also issued monthly communications updates for service users and their families, the latest leaflet “Adult Disability Day Services and COVID-19 - What’s Happening? July 2020” is available at the above link.  

An information portal that will contain the dates on which the 966 disability day service locations will reopen around the country is being developed. After August 4th service users and families will be able to access this information on www.hse.ie/newdirections.

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.  

Disability Services Data

Questions (1216)

Pauline Tully

Question:

1216. Deputy Pauline Tully asked the Minister for Health the number of day care centres for persons with intellectual disabilities in counties Cavan and Monaghan that have submitted applications for funding in order to reopen; the amount required; the amount allocated to date by his Department; the amount that will be allocated; and if he will make a statement on the matter. [20176/20]

View answer

Written answers

As part of the overall effort to contain the spread of COVID-19 and in line with public health advice, day service locations closed in March.

Since then, HSE Disability Services have been working to develop national guidance on the part of the disability sector to direct how all day services can be delivered. The Guidance to support the Framework for the Resumption of Adult Disability Day Services was published by the HSE on 8 July 2020.

In developing the guidance document to guide providers, the HSE worked closely with service providers through representative organisations such as the National Federation of Voluntary Service Providers, Disability Federation of Ireland and the Not for Profit Association, in addition to Inclusion Ireland, who represent people with intellectual disabilities and their families.

The guidance document seeks to support the safe return of services in the context of ongoing public health guidance. It also recognises that the impact of public health guidance will result in services being provided at a reduced level and will require changes in how people are supported, increased use of technology where appropriate and more use of outreach supports.

Day services will gradually resume during the month of August. Service providers are already working to get day services ready to reopen safely, and in line with public health guidance. Service providers will be in touch with all families and service users during the month of July to discuss when they may expect the resumption of their service and what that service will consist of.

I want to acknowledge the many challenges experienced by individuals and their families over this difficult time. Families across the country have had their routines upended due to the impact of COVID-19 and I hope that this will be the first step towards returning to some sense of normalcy.

The Guidance to support the Framework for Resumption of Adult Disability Day Services is available on the New Directions website: www.hse.ie/newdirections. The HSE have also issued monthly communications updates for service users and their families, the latest leaflet “Adult Disability Day Services and COVID-19 - What’s Happening? July 2020” is available at the above link.  

An information portal that will contain the dates on which the 966 disability day service locations will reopen around the country is being developed. After August 4th service users and families will be able to access this information on www.hse.ie/newdirections.

It has been recognised that additional costs may arise for service providers in providing safe services. To date, Government has approved COVID 19 Pandemic Health service funding of €2bn. The aim of this funding is to support investment necessary to address COVID 19, to mitigate risk of the spread of COVID 19 and to facilitate the provision of health and social care services against the backdrop of COVID 19. The HSE is in the process of reviewing and validating business cases from disability services providers for additional funding to support the reopening of services.

As the Deputy's question refers to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. 

Ophthalmology Services

Questions (1217)

Pauline Tully

Question:

1217. Deputy Pauline Tully asked the Minister for Health the number of persons on the waiting list for ophthalmology in counties Cavan and Monaghan; the average waiting time for appointment; and if he will make a statement on the matter. [20177/20]

View answer

Written answers

As this is a service matter it has been referred to the HSE for attention and direct reply to the Deputy.

Disability Services Data

Questions (1218)

Pauline Tully

Question:

1218. Deputy Pauline Tully asked the Minister for Health the number of persons in counties Cavan and Monaghan that are awaiting an appointment for early intervention by therapy; the number that are waiting less than 6, 6 to 12 and more than 12 months, respectively, in tabular form; and if he will make a statement on the matter. [20178/20]

View answer

Written answers

The recently published Programme for Government document "Our Shared Future" recognises the need to improve services for both children and adults with disabilities through better implementation and by working together across Government in a better way. 

The  Government commits to prioritising early diagnosis and access to services for children and ensuring that the most effective interventions are provided for each child, to guarantee the best outcomes.

As the Deputy's question relates to a service issue, it has been referred to the HSE for direct reply. 

Hospital Facilities

Questions (1219)

Denis Naughten

Question:

1219. Deputy Denis Naughten asked the Minister for Health the cost and timescale for fire safety works at the Sacred Heart Hospital, Roscommon; the provision being made for patients and staff for the duration of the works; and if he will make a statement on the matter. [20195/20]

View answer

Written answers

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

Disability Services Funding

Questions (1220)

Claire Kerrane

Question:

1220. Deputy Claire Kerrane asked the Minister for Health if a multiannual funding package will be introduced to address residential and respite waiting lists to assist those who qualify but cannot access care; and if he will make a statement on the matter. [20196/20]

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Written answers

Disability services focus on enabling people with disabilities to achieve their full potential, living ordinary lives in ordinary places, as independently as possible while ensuring that the voices of service users and their families are heard, and that they are fully involved in planning and improving services to meet their needs.  To support people with a disability, significant resources have been invested by the health sector in disability services over the past number of years.

The 2020 disability budget is €2054.5m. This represents an increase of €138.7m (7.2%) on the 2019 budget (€1915.8m). Additional funding in the 2020 budget is targeted as follows:

-  €16.0m for the full year impact of new service developments commenced in 2019;

-  €54.9m to maintain existing service levels and respond to demographic and other pressures;

-  €37.3m for pay rate funding;

-  €25.5m to enhance and expand existing services and for new service developments in 2020 comprising €6m for disability needs assessment, €12.5m for school leavers, €2m for the autism plan and €5m for enhanced support packages.

-  €1m to support the provision of an additional 40,000 personal assistance hours during 2020 and €4m to enable the provision of additional emergency residential placements over the course of the year.

While there is no qualifying criteria, Disability services are provided based on priority need. Residential services continued doing the outbreak of COVID 19, however, day and respite service did stop except for emergency situations. HSE is now working with service providers to reopen services in a safe manner.  Across the Disability Sector there is a commitment to continue the Reform of disability services (commenced in 2014) under a range of established programmes under Transforming Lives, including Progressing Disability Services for Children and Young People, New Direction Day Services and Time to Move on from Congregated Settings.

Separately, the Sláintecare Implementation Strategy also commits to reforming the funding system to support new models of care and drive value to make better use of resources across the health services.  Department of Health officials are currently examining the feasibility of introducing a multi-annual budgeting process including examination of international best practice in relation to the implementation of multi-annual budgeting in healthcare systems.

Disability Services Funding

Questions (1221)

Claire Kerrane

Question:

1221. Deputy Claire Kerrane asked the Minister for Health if a business case will be progressed for funding submitted by a service provider (details supplied); and if he will make a statement on the matter. [20197/20]

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.

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

Proposed Legislation

Questions (1222)

Denis Naughten

Question:

1222. Deputy Denis Naughten asked the Minister for Health when the Patient Safety (Notifiable Patient Safety Incidents) Bill 2019 and mandatory open disclosure will be enacted; and if he will make a statement on the matter. [20198/20]

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Written answers

The Patient Safety (Notifiable Patient Safety Incidents) Bill 2019 provides the legislative framework for a number of important patient safety issues, including the mandatory open disclosure of a list of notifiable patient safety incidents and the notification of same externally to the Health Information and Quality Authority, Chief Inspector of Social Services and the Mental Health Commission, as appropriate, to contribute to national learning and system-wide improvements. This mandatory requirement for open disclosure will ensure that patients and their families receive appropriate timely information in relation to an incident that may have occurred in relation to their care. 

The Patient Safety (Notifiable Patient Safety Incidents) Bill 2019 will also bring the private hospitals within the remit of the Health Act 2007. The relevant provisions extend the remit of the Health Information and Quality Authority, allowing it to set standards for the operation of private hospitals, to monitor compliance with them and to undertake inspections and investigations as required. The Bill also contains provisions to support clinical audit within the health service.

The Bill was introduced into Dáil Éireann on the 12 December 2019 and passed Second Stage in the Dáil and is due to go to Dáil Committee Stage.  The Bill is a Programme for Government commitment and it is my intention is to restore the Bill to the order paper.  Following Dáil Committee stage, the Bill will be progressed to Dáil Report Stage and will then go through all Stages in the  Seanad.

The Patient Safety (Notifiable Patient Safety Incidents) Bill 2019 is also part of the broader programme of legislative and policy initiatives to improve the ability of the health service to anticipate, identify, respond to patient safety issues and improve the quality and safety of health services for patients. Creating a culture of open disclosure and learning from the things that go wrong is the bedrock of making services safer.

Mental Health Services

Questions (1223)

Denis Naughten

Question:

1223. Deputy Denis Naughten asked the Minister for Health the status of each recommendation in the Roscommon mental health services report published in 2017; the reason for the delay in completing the implementation of this report; and if he will make a statement on the matter. [20199/20]

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.

Nursing Home Accommodation

Questions (1224)

Claire Kerrane

Question:

1224. Deputy Claire Kerrane asked the Minister for Health when a decision was made by the HSE to relocate residents from a nursing home (details supplied) to allow for works to be carried out; the consultation carried out with staff, residents and their families; the date the consultations commenced; if the HSE engaged with HIQA regarding alternative options on relocation; and if he will make a statement on the matter. [20202/20]

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.

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