Dáil Éireann Debate, Tuesday - 27 July 2021
2347. Deputy Jennifer Carroll MacNeill asked the Minister for Health if consideration has been given to easing visitation restrictions in nursing homes given the removal of TAPS, the scale of full vaccination in this sector and easing of restrictions elsewhere; and if he will make a statement on the matter. [37456/21]
View answerThe Health Protection Surveillance Centre (HPSC) has recently published updated guidance on visiting in long-term residential care: COVID-19: Normalising Visiting in Long Term Residential Care Facilities (LTRCFs). This guidance came into effect on 19 July.
The public health advice is to restore visiting to near normal in terms of frequency of visits in those settings with a high level of vaccination of residents as quickly as possible, while also recognising the need to remain cautious as we continue to deal with the evolving risks associated with COVID-19.
The new guidance provides that:
- Providers should put in place the necessary measures to progress to more normalised visiting and visiting frequency as quickly as possible in line with public health guidance with no more than two visitors at any one time.
- Routine visiting will no longer need to be scheduled in advance.
- There is no requirement to have a list of nominated visitors.
- The duration of the visit should not be limited.
- Fewer restrictions will apply to residents going on outings or visits outside of the nursing home.
Notwithstanding the current positive epidemiological outlook and the cautious reopening of society, risks continue to remain and emergent risks such as variants of concern present ongoing challenges and the need for vigilance. Visiting arrangements should continue to take account of general public health advice and the necessary infection prevention and control measures, to reduce the risk of introduction and spread of COVID-19 and protect those living in our communities. This is particularly important in the context of the increasing prevalence of the more transmissible Delta variant. This new variant poses a significant risk, in particular to those who are not yet fully protected though vaccination.
Visitors are reminded of their responsibilities with regard to self-checks for COVID-19 in advance of visits, infection and prevention control and social interaction with all individuals, while in the nursing home.
The guidance will be kept under continuing review as new evidence and data emerges.
The substantial package of non-financial supports outlined below will continue to be provided for the time being:
- Provision of Personal Protective Equipment (PPE). The continued supply of PPE is a key support mechanism and will be provided in line with clinical and public health recommendations;
- The COVID-19 Response Teams established to support Public Health Outbreak teams covering all residential services as well as home support settings. All stakeholders, including the COVID-19 Nursing Homes Expert Panel, have highlighted the significant contribution these new teams have made to supporting nursing homes throughout the pandemic;
- The HSE Temporary Accommodation Scheme;
- HSE training and development resources, including the opening up of HSeLanD to private and voluntary providers.
- IPC support and advice;
- The substantial suite of publicly available guidance developed to support the sector.
