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Wednesday, 31 Mar 2021

Written Answers Nos. 1217-1235

Primary Medical Certificates

Questions (1217)

Pearse Doherty

Question:

1217. Deputy Pearse Doherty asked the Minister for Health when a medical assessment for a primary medical certificate will take place for a person (details supplied); and if he will make a statement on the matter. [17569/21]

View answer

Written answers

The Disabled Drivers and Disabled Passengers (Tax Concessions) Scheme is underpinned by statute and comes under the remit of the Department of Finance and the Revenue Commissioners.

The extent of the involvement of Health Service Executive (HSE) Community Medical Doctors in the Scheme relates to making a professional clinical determination as to whether an individual applicant meets the specified medical criteria for a Primary Medical Certificate, which is a requirement for the Scheme.

The Deputy may be aware that following a Supreme Court decision of June 2020, the assessment process for Primary Medical Certificates was suspended at the request of the Minister for Finance, Paschal Donohoe T.D. Following the approval of the Finance Act 2020 which provides for the medical criteria in primary legislation, the Minister for Health, Stephen Donnelly, T.D., issued an instruction to the HSE to recommence assessments from 1st January, 2021.

The ability to hold assessments has been impacted by, among other things, the public health restrictions in place to suppress and manage the spread of COVID-19. Unfortunately there are delays in the processing of assessments due to the involvement of the HSE Medical Doctors in the national COVID-19 response, which I know are causing undue strain on applicants.

I recently met with the HSE to discuss the issues around the delay in accessing Primary Medical Certificate assessments. The HSE has confirmed that it is continuing to monitor the situation in the context of resuming the range of services that are provided by Community Medical Doctors under the HSE Service Recovery and Restoration Plan, taking into account the pressures and challenges to the health services presented by COVID.

As the Deputy's question relates to a service matter, I have arranged for the question to be referred to the HSE for consideration and direct reply to the Deputy.

Vaccination Programme

Questions (1218, 1219, 1220)

Neale Richmond

Question:

1218. Deputy Neale Richmond asked the Minister for Health the number of no-shows that have occurred for Covid-19 vaccine appointments due to logistical errors such as double bookings; and if he will make a statement on the matter. [17571/21]

View answer

Neale Richmond

Question:

1219. Deputy Neale Richmond asked the Minister for Health the number of no-shows that have occurred for Covid-19 vaccine appointments since the beginning of the Covid-19 vaccine roll-out; and if he will make a statement on the matter. [17572/21]

View answer

Neale Richmond

Question:

1220. Deputy Neale Richmond asked the Minister for Health the number of no-shows that have occurred for Covid-19 vaccine appointments that have been cancelled since the beginning of the Covid-19 vaccine roll-out; and if he will make a statement on the matter. [17573/21]

View answer

Written answers

I propose to take Questions Nos. 1218 to 1220, inclusive, together.

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

Maternity Services

Questions (1221)

Catherine Murphy

Question:

1221. Deputy Catherine Murphy asked the Minister for Health the protocols for birth partners in respect of attending all stages of pregnancy including check-up appointments; and his plans to allow partners to attend all stages from 5 April 2021. [17574/21]

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.

Vaccination Programme

Questions (1222)

Chris Andrews

Question:

1222. Deputy Chris Andrews asked the Minister for Health if he will intervene in the case of a person (details supplied) and arrange for them to be given a Covid-19 vaccination as a matter of urgency. [17577/21]

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.

Vaccination Programme

Questions (1223)

John Lahart

Question:

1223. Deputy John Lahart asked the Minister for Health his plans to review the current position of cohort 7 persons aged 16 to 64 years who have an underlying condition that puts them at high risk of severe disease and death in the current vaccination strategy; the number of persons estimated to be in this group; and if he will make a statement on the matter. [17578/21]

View answer

Written answers

On the 23rd of February 2021, I announced an update to Ireland’s COVID-19 Vaccine Allocation Strategy.

In comprising the initial Vaccine Allocation Strategy, the NIAC listed several conditions associated with increased risk of severe disease and death. In the intervening period, national and international evidence has become available which has enabled a more detailed analysis of underlying conditions that may increase the risk of developing severe disease or death.

The NIAC has now been able to more comprehensively identify those medical conditions and to distinguish between those which place a person at very high or high risk of severe disease if they contract the virus. Medical conditions and the magnitude of the risk they pose will continue to be monitored and periodically reviewed.

The NIAC continues to monitor data around this disease and indeed emerging data on effectiveness of vaccines on a rolling basis. Further details are available at the following link:

https://www.gov.ie/en/press-release/b44b2-minister-donnelly-announces-update-to-vaccine-allocation-strategy/

The next cohort to be vaccinated (Cohort 4) are those aged 16-69 and at very high risk of severe illness and death. Vaccination of this group began in March.

It is important to emphasise that vaccination is only one part of our response to the prevention of COVID-19 infection. People who are vaccinated need to continue with all the public health measures that have been proven to reduce the risk of infection, i.e., limiting our social contacts, physical distancing, wearing a mask, hand hygiene, cough etiquette and avoiding non-essential travel until a sufficiently large proportion of the population are immune.

In relation to the number of persons in Cohort 7, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Vaccination Programme

Questions (1224)

Róisín Shortall

Question:

1224. Deputy Róisín Shortall asked the Minister for Health the reason 200 HSE staff were double booked for their vaccine at two locations (details supplied) on 23 March 2021; if double booking has occurred before; if so, the number of occasions; if it was a result of the IT system; and if he will make a statement on the matter. [17579/21]

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.

Vaccination Programme

Questions (1225)

Róisín Shortall

Question:

1225. Deputy Róisín Shortall asked the Minister for Health the vaccination cohort in which gardaí are included; if they are in cohort 13 or another cohort; the sequencing for cohort 13; and if he will make a statement on the matter. [17580/21]

View answer

Written answers

On the 23rd of February 2021, I announced an update to Ireland’s COVID-19 Vaccine Allocation Strategy.

In comprising the initial Vaccine Allocation Strategy, the NIAC listed several conditions associated with increased risk of severe disease and death. In the intervening period, national and international evidence has become available which has enabled a more detailed analysis of underlying conditions that may increase the risk of developing severe disease or death.

The NIAC has now been able to more comprehensively identify those medical conditions and to distinguish between those which place a person at very high or high risk of severe disease if they contract the virus. Medical conditions and the magnitude of the risk they pose will continue to be monitored and periodically reviewed.

The NIAC continues to monitor data around this disease and indeed emerging data on effectiveness of vaccines on a rolling basis. Further details are available at the following link:

https://www.gov.ie/en/press-release/b44b2-minister-donnelly-announces-update-to-vaccine-allocation-strategy/

The next cohort to be vaccinated (Cohort 4) are those aged 16-69 and at very high risk of severe illness and death. Vaccination of this group began in March.

The ongoing review process will continue to look at the other priority groups yet to be vaccinated, along with the competing needs of those working or living in high-risk situations, carers who deliver essential services to highly dependent individuals in the home setting, and those who are socially vulnerable/disadvantaged.

It is important to emphasise that vaccination is only one part of our response to the prevention of COVID-19 infection. People who are vaccinated need to continue with all the public health measures that have been proven to reduce the risk of infection, i.e., limiting our social contacts, physical distancing, wearing a mask, hand hygiene, cough etiquette and avoiding non-essential travel until a sufficiently large proportion of the population are immune.

Vaccination Programme

Questions (1226)

Paul McAuliffe

Question:

1226. Deputy Paul McAuliffe asked the Minister for Health when members of An Garda Síochána will be vaccinated; and if he will make a statement on the matter. [17582/21]

View answer

Written answers

The COVID-19 Vaccine Allocation Strategy sets out a provisional list of groups for vaccination. The Strategy was developed by the National Immunisation Advisory Committee (NIAC) and my Department, endorsed by the National Public Health Emergency Team (NPHET), and approved by Government on 8 December 2020.

On the 23rd of February, I announced an update to Ireland’s COVID-19 Vaccine Allocation Strategy. In comprising the initial Vaccine Allocation Strategy, the NIAC listed several conditions associated with increased risk of severe disease and death. In the intervening period, national and international evidence has become available which has enabled a more detailed analysis of underlying conditions that may increase the risk of developing severe disease or death. The NIAC has now been able to more comprehensively identify those medical conditions and to distinguish between those which place a person at very high or high risk of severe disease if they contract the virus. Medical conditions and the magnitude of the risk they pose will continue to be monitored and periodically reviewed.

On the 30th of March, the Government approved a further update to the COVID-19 Vaccination Allocation Strategy. Based on clinical, scientific and ethical frameworks produced by the National Immunisation Advisory Committee and my Department, following the vaccination of those most at risk, future groups will be vaccinated by age, in cohorts of 10 years (i.e., 64-55; 54-45, etc.).

The move to an age-based model better supports the programme objectives by:

- protecting those at highest risk of severe disease first, which benefits everyone most;

- facilitating planning and execution of the programme across the entire country;

- improving transparency and fairness.

Further details are available here:

https://www.gov.ie/en/press-release/93f8f-minister-donnelly-announces-update-to-irelands-vaccination-prioritisation-list/

Covid-19 Tests

Questions (1227)

Paul McAuliffe

Question:

1227. Deputy Paul McAuliffe asked the Minister for Health if he will consider putting a walk-in test centre in the Finglas-Ballymun and the Artane-Whitehall local electoral areas. [17583/21]

View answer

Written answers

As part of the HSE’s enhanced COVID-19 testing for local communities, from Thursday March 25th, five new ‘walk-in, no appointment necessary’ testing centres have been established to actively look for cases of COVID-19. These centres, which are opening in areas where the number of positive cases is particularly high, will allow people who do not have symptoms of COVID-19 to get a free test without having to contact their GP first. Around 20% of people with COVID-19 are asymptomatic.

The testing centres will be open from Thursday, 25 March to Wednesday, 31 March from 11am to 7pm. Social distancing measures will apply as people turn up for testing.

Testing people with no symptoms will help to find positive cases earlier, will help in breaking chains of transmission and will help us better understand how and why the virus is spreading quicker in certain areas.

The initial locations at Blanchardstown, Grangegorman, Irishtown, Tallaght and Tullamore have been decided based on local disease prevalence and public health director’s advice. The locations will change week-on-week.

Anybody may use this free, walk-in COVID-19 testing provided they:

- Are aged 16 years and over.

- Do not have symptoms of COVID-19 but would like to be tested.

- May not have their own GP (doctor)

- Live within 5k of the walk-in testing centre.

Those wishing to be tested should bring photo ID and provide a mobile phone number so the HSE can contact them with their results. Working with the National Ambulance Service, the HSE aims to carry out 300-500 COVID-19 tests per day at each walk-in centre. Any detected cases will be referred to contact tracing in the same way as detected cases that were referred through by a GP.

On an ongoing basis, NPHET considers and reviews, based on public health risk assessments, how best to target testing to detect, and mitigate the impact of, the virus across the population. This includes keeping Ireland’s national testing policy under continuing review.

Vaccination Programme

Questions (1228)

Paul McAuliffe

Question:

1228. Deputy Paul McAuliffe asked the Minister for Health when category 10 in the vaccine allocation groups will be defined; and if he will make a statement on the matter. [17584/21]

View answer

Written answers

The COVID-19 Vaccine Allocation Strategy sets out a provisional list of groups for vaccination. The Strategy was developed by the National Immunisation Advisory Committee (NIAC) and my Department, endorsed by the National Public Health Emergency Team (NPHET), and approved by Government on 8 December 2020.

On the 23rd of February, I announced an update to Ireland’s COVID-19 Vaccine Allocation Strategy. In comprising the initial Vaccine Allocation Strategy, the NIAC listed several conditions associated with increased risk of severe disease and death. In the intervening period, national and international evidence has become available which has enabled a more detailed analysis of underlying conditions that may increase the risk of developing severe disease or death. The NIAC has now been able to more comprehensively identify those medical conditions and to distinguish between those which place a person at very high or high risk of severe disease if they contract the virus. Medical conditions and the magnitude of the risk they pose will continue to be monitored and periodically reviewed.

On the 30th of March, the Government approved a further update to the COVID-19 Vaccination Allocation Strategy. Based on clinical, scientific and ethical frameworks produced by the National Immunisation Advisory Committee and my Department, following the vaccination of those most at risk, future groups will be vaccinated by age, in cohorts of 10 years (i.e., 64-55; 54-45, etc.).

The move to an age-based model better supports the programme objectives by:

- protecting those at highest risk of severe disease first, which benefits everyone most;

- facilitating planning and execution of the programme across the entire country;

- improving transparency and fairness.

Further details are available here:

https://www.gov.ie/en/press-release/93f8f-minister-donnelly-announces-update-to-irelands-vaccination-prioritisation-list/

Vaccination Programme

Questions (1229)

Éamon Ó Cuív

Question:

1229. Deputy Éamon Ó Cuív asked the Minister for Health if an arrangement has been arrived at with general practitioners to provide the Covid-19 vaccine to the persons under 65 years of age with underlying conditions in group 4(b); if not, when he plans to do so; and if he will make a statement on the matter. [17587/21]

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.

Vaccination Programme

Questions (1230)

Niamh Smyth

Question:

1230. Deputy Niamh Smyth asked the Minister for Health the reason a person (details supplied) has not received a Covid-19 vaccine. [17588/21]

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.

Maternity Services

Questions (1231)

Emer Higgins

Question:

1231. Deputy Emer Higgins asked the Minister for Health his plans to ensure that pregnant women can be joined by their partners during prenatal scans and childbirth; and if he will make a statement on the matter. [17590/21]

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.

Vaccination Programme

Questions (1232)

Patrick Costello

Question:

1232. Deputy Patrick Costello asked the Minister for Health the estimated impact of the ongoing delay on the Suez Canal on the supply of Covid-19 vaccines to Ireland. [17593/21]

View answer

Written answers

No delays with regard to deliveries of Covid-19 vaccines into Ireland have arisen as a consequence of the Suez Canal blockage.

Vaccination Programme

Questions (1233)

Gary Gannon

Question:

1233. Deputy Gary Gannon asked the Minister for Health if transient groups such as persons that are homeless will be prioritised for single dose vaccinations; and if he will make a statement on the matter. [17595/21]

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.

Vaccination Programme

Questions (1234)

Gary Gannon

Question:

1234. Deputy Gary Gannon asked the Minister for Health if his attention has been drawn to the recent administration of vaccinations by a hospital (details supplied) which disregarded prioritisation and sequencing guidelines; if there will be an investigation into the matter; and if he will make a statement on the matter. [17599/21]

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.

Primary Medical Certificates

Questions (1235)

Seán Sherlock

Question:

1235. Deputy Sean Sherlock asked the Minister for Health the status of a primary medical certificate application by a person (details supplied). [17606/21]

View answer

Written answers

The Disabled Drivers and Disabled Passengers (Tax Concessions) Scheme is underpinned by statute and comes under the remit of the Department of Finance and the Revenue Commissioners.

The extent of the involvement of Health Service Executive (HSE) Community Medical Doctors in the Scheme relates to making a professional clinical determination as to whether an individual applicant meets the specified medical criteria for a Primary Medical Certificate, which is a requirement for the Scheme.

The Deputy may be aware that following a Supreme Court decision of June 2020, the assessment process for Primary Medical Certificates was suspended at the request of the Minister for Finance, Paschal Donohoe T.D. Following the approval of the Finance Act 2020 which provides for the medical criteria in primary legislation, the Minister for Health, Stephen Donnelly, T.D., issued an instruction to the HSE to recommence assessments from 1st January, 2021.

The ability to hold assessments has been impacted by, among other things, the public health restrictions in place to suppress and manage the spread of COVID-19. Unfortunately there are delays in the processing of assessments due to the involvement of the HSE Medical Doctors in the national COVID-19 response, which I know are causing undue strain on applicants.

I recently met with the HSE to discuss the issues around the delay in accessing Primary Medical Certificate assessments. The HSE has confirmed that it is continuing to monitor the situation in the context of resuming the range of services that are provided by Community Medical Doctors under the HSE Service Recovery and Restoration Plan, taking into account the pressures and challenges to the health services presented by COVID.

As the Deputy's question relates to a service matter, I have arranged for the question to be referred to the HSE for consideration and direct reply to the Deputy.

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