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Tuesday, 27 Jul 2021

Written Answers Nos. 2779-2802

Hospital Facilities

Questions (2780)

Noel Grealish

Question:

2780. Deputy Noel Grealish asked the Minister for Health when construction of the two new operating theatres at Merlin Park Hospital, Galway is completed, if the full capacity of staff will be available including consultant anaesthetists, nursing staff and elective beds to ensure that the new operating theatres can operate at full capacity and address the long waiting lists for orthopaedic surgery; when the new operative theatres will be operating at full capacity; and if he will make a statement on the matter. [39119/21]

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Written answers

The two orthopaedic theatres under construction at Merlin Park University Hospital Galway are replacement theatres and are due for completion by the end of the year. They are expected to be equipped and in operation early in 2022. Some extra staff are being sought to facilitate an increase in the number of sessions per week that will be undertaken in the theatres.

Departmental Schemes

Questions (2781)

Patricia Ryan

Question:

2781. Deputy Patricia Ryan asked the Minister for Health when the promised replacement schemes for the mobility allowance and the motorised transport grant will be delivered; and if he will make a statement on the matter. [38900/21]

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Written answers

By way of background, two schemes, the Mobility Allowance and Motorised Transport Grant, were put in place in 1979 and 1968 respectively, for operation by the Health Service Executive (HSE) at a time when there was limited availability of accessible public transport. The Government decided to close these administrative schemes in 2013, on foot of the reports of the Ombudsman in 2011 and 2012 regarding the legal status of both Schemes in the context of the Equal Status Acts.

In 2013, the Government also decided to continue payment of the monthly Mobility Allowance on an interim basis, to those who were in receipt of the Mobility Allowance at the time that the Scheme closed. Of the 4,700 individuals in receipt of the Mobility Allowance (€9 million per annum) when the Scheme closed in 2013, there are 3,532 people in receipt of the interim payments at March, 2021.

At the whole of Government level, the National Disability Inclusion Strategy 2017-2021 sets the overall framework for the equal participation of people with disabilities in society. Monitoring of the implementation of the Strategy is being overseen by the National Disability Inclusion Strategy Steering Group which comprises key Government Departments, the National Disability Authority and the Disability Stakeholders Group.

Under the Strategy, the Department of Transport, has responsibility for the continued development of accessibility and availability of accessible public transport and is committed to the continued development of accessible public transport in recognition of the importance of such services to the lives of people with disabilities.

Work is ongoing on the policy proposals for the provision of transport supports for people with disabilities. I intend to revert to Government with proposals in due course. Recent developments which will impact on the policy options include the following:

- The ongoing progress by the Department of Transport in providing accessible public transport nationally and that Department's public consultation, to review active travel and public transport policy, including accessible public transport;

- The Cost of Disability Study currently underway which was commissioned by the Department of Employment Affairs and Social Protection as part of Budget 2019. The research, when complete, will inform policy direction in relation to the provision of adequate supports to meet the needs of people with disabilities, including transport costs;

- The Working Group established the Strategy by the Department of Justice and Equality to lead a review of all Government funded transport and mobility schemes for people with disabilities; and

- The review of the Disabled Drivers and Passengers (Tax Concessions) Scheme by the Department of Finance.

Other transport supports available to persons with disabilities in the State include the Free Travel Scheme operated by the Department of Employment Affairs and Social Protection; the Revenue Commissioners Disabled Drivers and Passengers (Tax Concessions) Scheme; and measures funded under the Department of Rural and Community Development CLÁR Programme, including "Mobility Care Transport", to provide grants to voluntary organisations providing transport for people with significant mobility issues.

Covid-19 Pandemic

Questions (2782)

Fergus O'Dowd

Question:

2782. Deputy Fergus O'Dowd asked the Minister for Health his views on and if he will respond to proposals raised in correspondence by a group (details supplied); and if he will make a statement on the matter. [39154/21]

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Written answers

The COVID-19 pandemic has led to an unprecedented challenge across our health services and none more so than in our nursing homes. The pandemic has been a hugely difficult time for all residents, relatives, and staff of nursing homes. While it is undoubtedly important that we learn from our responses to the pandemic, it must be recognised that the pandemic has not concluded. At this time, a priority focus of Government remains the ongoing management of the COVID-19 response.

Although significant progress has been made in relation to the roll-out of the vaccination programme and the current situation in nursing homes is broadly stable, the prevalence of the more transmissible Delta variant is rapidly increasing in Ireland. This poses a significant risk, particularly to those who are not yet fully protected though vaccination, which must be managed.

It is also important to recognise that learning from the early stages of the pandemic has been integral to the Government’s responses as the pandemic has progressed. The COVID-19 Nursing Homes Expert Panel considered lessons learned from the initial wave of the pandemic in developing recommendations that focus on immediate, short-term actions required for the response to COVID-19 as well as on long-term actions required to effect the strategic reform of nursing home systems, operation, policy, and legislation.

Continuing the approach of the Expert Panel, the HSE will undertake a detailed analysis of the management and outcomes that occurred during COVID-19 pandemic, with lessons for causal factors and preparedness for infection prevention and control, in line with recommendation theme 6 of the Expert Panel’s report.

The blend of operational data from the frontline, voluntary surveys’ findings and key stakeholder feedback also continuously provide insight into the current status of the nursing home sector's response to COVID-19.

The ongoing learning from the pandemic, including consideration of new evidence and information that emerges nationally and internationally, is critical to the Government’s continued response to the pandemic as it evolves.

I wish to advise that a reply will issue to the correspondence referred to by the Deputy in due course.

Health Services

Questions (2783)

Steven Matthews

Question:

2783. Deputy Steven Matthews asked the Minister for Health the position regarding the multidisciplinary team for adolescent trans healthcare; if he will provide an outline regarding the process of it being established; and if he will make a statement on the matter. [39155/21]

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Written answers

As this Parliamentary Question relates to operational issues, it is a matter for the HSE.

However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Legislative Measures

Questions (2784)

Thomas Gould

Question:

2784. Deputy Thomas Gould asked the Minister for Health the status of the drafting of the public health (tobacco and nicotine inhaling products) Bill. [39156/21]

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Written answers

A first draft of the Public Health (Tobacco and Nicotine Inhaling Products) Bill is awaited from the Office of Parliamentary Counsel. The General Scheme of the Bill was referred to the Oireachtas Committee on Health for pre-legislative scrutiny following approval by Government in October 2019. A date for pre-legislative scrutiny is still to be confirmed.

Healthcare Policy

Questions (2785, 2791)

Niall Collins

Question:

2785. Deputy Niall Collins asked the Minister for Health the date on which the free general practitioner care for under 8s will commence; and if he will make a statement on the matter. [39157/21]

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Rose Conway-Walsh

Question:

2791. Deputy Rose Conway-Walsh asked the Minister for Health when the extension of the under 6s general practitioner visit card to under 8s will be implemented; and if he will make a statement on the matter. [39180/21]

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Written answers

I propose to take Questions Nos. 2785 and 2791 together.

The Government is committed to increasing access to GP care without charges for children, an important healthcare measure that will remove a potentially prohibitive cost barrier to accessing GP care and will help to improve children’s health as they develop. At present all children under six years of age are eligible for a GP visit card and therefore GP care without charges.

The Health (General Practitioner Service and Alteration of Criteria for Eligibility) Act 2020 provides, amongst other things, for the phased expansion of GP care without fees to all children aged 12 years and under. The initial stage of this phased expansion will be the provision of GP care without fees to all children aged between 6 and 8.

The appropriate date for commencing the expansion remains under consideration in light of COVID-19 and the additional pressures the expansion might place on general practice in that context. This date will be determined following consultation with the IMO. It is important to ensure that any additional pressures placed on general practice will not limit its capacity to meet the needs of all patients in the community.

Question No. 2786 answered with Question No. 2601.

Nursing Homes

Questions (2787)

Seán Sherlock

Question:

2787. Deputy Sean Sherlock asked the Minister for Health his plans to cease all activities at a home (details supplied); and if he will make a statement on the matter. [39160/21]

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Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Health Services

Questions (2788)

Thomas Gould

Question:

2788. Deputy Thomas Gould asked the Minister for Health the status of the reopening of the HSE Keltoi Rehabilitation Unit; and if he will make a statement on the matter. [39161/21]

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Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE.

Members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point .

I can provide the Deputy with the most recent information provided by the HSE in relation to Keltoi Residential Unit on the 05th May 2021.

Keltoi Residential Unit previously provided residential rehabilitation program to service users as follow on to participants completing a residential detox program. As part of the HSE response to Covid-19 services provided by Keltoi were suspended so that the facility could be used as part of our critical response to the challenge of Covid-19 in our area.

The facility in Keltoi provides a specific Social Inclusion response to the management of Covid-19 in the area that cannot be met within other services that have been set up by the HSE. The requirement for the use of Keltoi as Covid-19 response will be continually reviewed but it is anticipated that Keltoi would be required for the foreseeable future.

The HSE had previously moved the aftercare programme to our Stanhope Centre in Dublin 7 rather than in Keltoi. This programme has continued to operate delivered by Keltoi counselling staff who are based in the Stanhope Centre since the residential programme closed through online sessions. Staff from Keltoi triaged all aftercare clients and provided 1 to 1 counselling by telephone / online and online group work for others that were in aftercare so as service users were still provided therapeutic support. Also additional health and social supports, including consultant psychiatrist support have continued to be provided as required.

The closure of Keltoi has reduced an average 52 treatment beds per year and HSE has purchased extra capacity in other Tier 4 services for addiction service users to accommodate the above shortfall across the Dublin region.

Health Services

Questions (2789)

Thomas Gould

Question:

2789. Deputy Thomas Gould asked the Minister for Health his views on the need for secular residential rehabilitation and detox facilities. [39162/21]

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Written answers

The national health policy in relation to addiction is set out in Reducing Harm, Supporting Recovery; A health led response to drug and alcohol use in Ireland 2017 -2025.

Under the Health Act 2004, as amended, the HSE is responsible for the provision of health and personal social services including addiction services. The HSE either providers these services directly or contracts to have them provided on its behalf.

Organisations which provide addiction services and are funded by the HSE are required to meet minimum standards in the delivery of services across a range of criteria which form the basis of any service level agreement.

The Department has no jurisdiction over agencies that provide private addiction treatment services. There is currently no provision in legislation for the regulation or inspection of residential treatment or rehabilitation centres specialising in addiction.

I am committed to ensuring there is transparent monitoring and oversight of publicly funded drug and alcohol treatment services.

Health Services

Questions (2790)

Thomas Gould

Question:

2790. Deputy Thomas Gould asked the Minister for Health his plans to recognise and support persons in recovery from addiction. [39163/21]

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Written answers

The national drug strategy, Reducing Harm, Supporting Recovery, sets out government policy on drug and alcohol use for the period 2017 to 2025. The strategy provides an integrated public health approach to drug and alcohol use, focused on reducing the harms for individuals, families and communities and promoting rehabilitation and recovery.

The strategy commits to supporting people with substance misuse issues on their journey to recovery.

A number of important measures have been introduced to improve access to drug and alcohol services. In 2020 these measures included;

(a) the recruitment of four drug and alcohol liaison midwives to support pregnant women,

(b) the commencement of a residential treatment services for women with children in the mid-west and south regions, and

(c) the commencement of a community-based alcohol treatment service in Galway.

The full year costs of implementing these measures are €2.1m in 2021.

I announced new funding of €4.1m for the following drug and alcohol services in Budget 2021:

- €1m to develop targeted drug and alcohol initiatives through the network of drug and alcohol task forces. The allocation of this funding will be Informed by the outcome of the midterm review of Reducing Harm Supporting Recovery, and emerging trends and priorities.

- €2m to increase residential treatment services for people with severe drug and alcohol dependency across the country, including a step-up stabilisation facility in CHOs Cork/Kerry, Mid-West and South East and a low threshold programme in Dublin North East Inner City

- €700,000 to expand community and family support services, including initiatives in Donegal/Leitrim/Sligo, Louth/Meath, Cork/Kerry, and Dublin North Inner City

- €400,000 for harm reduction initiatives, including pilot drug monitoring at festivals and the night-time economy, expanded access to the drugs and alcohol helpline and increased provision of naloxone

A further €4.2 million will be provided in 2021 for the continued treatment of an additional 700 clients on opioid substitution treatment (OST), who were given access to OST in 2020 under the Covid-19 contingency plan for people who use drugs.

Question No. 2791 answered with Question No. 2785.

Health Services Staff

Questions (2792)

Thomas Gould

Question:

2792. Deputy Thomas Gould asked the Minister for Health the number of drug and alcohol taskforce chairpersons who are direct employees of the HSE by taskforce in tabular form. [39186/21]

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Written answers

The Local and Regional Drugs Task Force Handbook sets out the role, responsibilities and appointment process of a Task Force Chairperson.

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Question No. 2793 answered with Question No. 1424.

General Practitioner Services

Questions (2794)

Louise O'Reilly

Question:

2794. Deputy Louise O'Reilly asked the Minister for Health if his attention has been drawn to the waiting lists for access to general practitioner services in Balbriggan, County Dublin; if his attention has been further drawn to the lengthy wait for those who are registered with a general practitioner to access appointments; if there are plans to provide additional general practitioner services to alleviate this chronic backlog; and if he will make a statement on the matter. [39203/21]

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Written answers

The Government is aware of the workforce issues currently facing general practice, including the limited access to GP services in certain areas, and has implemented a number of measures to improve recruitment and retention in general practice.

These include changes to the entry provisions to the GMS scheme to accommodate more flexible/shared GMS GP contracts, and to the retirement provisions for GPs under the GMS scheme, allowing GPs to hold GMS contracts until their 72nd birthday. Enhanced supports for rural GP practices have also been introduced.

The 2019 Agreement on GP contractual reforms will see the Government increase investment in general practice by approximately 40% (€210 million) between 2019 and 2023, providing for significant increases in capitation fees for GPs who participate in the reform programme and the introduction of new fees and subsidies for additional services such as the chronic disease programme. The Agreement provides for increased support for GPs working in rural practices and for those in disadvantaged urban areas, and for improvements to maternity and paternity leave arrangements.

The number of GPs entering training has been increased steadily over the previous years, rising from 120 in 2009 to 213 in 2020. Following the transfer of responsibility for training General Practitioners from the HSE to the Irish College of General Practitioners, the number of GPs entering training has further increased this year to 233.

These measures will see an increase in the number of GPs working in the State, improving access to GP services for patients throughout the country.

Question No. 2795 answered with Question No. 2265.

Health Services

Questions (2796)

Violet-Anne Wynne

Question:

2796. Deputy Violet-Anne Wynne asked the Minister for Health when the primary care, disability service and school inclusion waiting lists that were referred to recently in Dáil Éireann are set to be finalised; and if he will make a statement on the matter. [39212/21]

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Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Hospital Facilities

Questions (2797)

Violet-Anne Wynne

Question:

2797. Deputy Violet-Anne Wynne asked the Minister for Health if the recent HIQA recommendation that all elderly residents should have a personal space of 7.4 m2 around their bed will result in the loss of any bed and therefore reduced capacity at a hospital St. Joseph's Hospital, Ennis; the possible repercussion for care centres nationwide implementing this recommendation; and if he will make a statement on the matter. [39213/21]

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Written answers

The provision of residential care is part of a range of measures aimed at meeting the needs of older people who require additional supports.

The safety and quality of care provided to people living in nursing homes is of the greatest importance. To that end, the Department of Health continues to work closely with the Health Information and Quality Authority (HIQA) and nursing home providers to ensure that the highest standards continue to be met.

The regulation referred to states that "On and from 1st January 2022, a bedroom in a designated centre which was carrying on the business of a designated centre on or before 1st July 2009 or a part of a designated centre where such business was carried on before that date shall have an area of not less than 7.4 square metres of floor space, which area shall include the space occupied by a bed".

This regulation means that providers must provide a minimum of 7.4 square metres per resident in a bedroom, rather than requiring 7.4 square metres between residents.

?The HSE's National Service Plan 2021 contains a number of measures designed to mitigate the risk of a reduction of capacity in some nursing homes arising from both regulatory compliance and from infection and prevention control measures in place arising from COVID-19. These include funding for an additional 1,250 community beds to reduce the number of older people in long stay residential care through purposing existing or developing additional rehabilitation and intermediate care beds, expanding reablement and outreach services and by significantly increasing home support hours.

With regards to the community nursing unit referred to by the Deputy, as this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Covid-19 Pandemic

Questions (2798, 2800, 2816, 2912)

Thomas Gould

Question:

2798. Deputy Thomas Gould asked the Minister for Health the position of soft play centres in the Covid-19 reopening pathways. [39222/21]

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Seán Canney

Question:

2800. Deputy Seán Canney asked the Minister for Health when play activity centres will be allowed to reopen given operators of such centres require clarity urgently on their plan for reopening; and if he will make a statement on the matter. [39225/21]

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Denis Naughten

Question:

2816. Deputy Denis Naughten asked the Minister for Health the plans he has for the reopening of indoor play facilities; and if he will make a statement on the matter. [39241/21]

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David Cullinane

Question:

2912. Deputy David Cullinane asked the Minister for Health if his Department has consulted with other Departments or with the indoor leisure sector to proactively set guidelines for the safe reopening of the sector, for example, play centres once NPHET advises it is safe to resume these activities; and if he will make a statement on the matter. [39633/21]

View answer

Written answers

I propose to take Questions Nos. 2798, 2800, 2816 and 2912 together.

As the Deputies will be aware, on 29 June, Government announced the next phase of reopening the economy and society in line with Recovery and Resilience: The Path Ahead.

While significant progress is being made in relation to the roll-out of our vaccination programme and the position had been broadly stable over the earlier part of June, the prevalence of the more transmissible Delta variant is rapidly increasing in Ireland and this poses a significant risk, in particular to those who are not yet fully vaccinated. For this reason, a number of higher risk indoor activities will not recommence as planned on 5 July, pending the implementation of a system to verify vaccination or immunity status.

Unfortunately, due to current uncertainties with regard to the Delta variant there is not yet an indication of when indoor play activity centres or soft play centres will reopen. The epidemiological situation will be monitored on an ongoing basis and the level of restrictions will be kept under review by Government.

There is a range of guidance for businesses including the Work Safely Protocol (www.gov.ie/en/publication/bb7fd-work-safely-protocol/) and extensive guidance from the HPSC available online: www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/employersemployeesguidance/.

Significant and sustained progress has been made on suppressing the virus over recent months due to the huge effort of people across the country. By working together, we have saved lives and limited the impact of the disease on society in Ireland. To protect the gains of recent months we must continue to practice basic preventative behaviours and to follow public health guidelines.

Disability Services

Questions (2799)

Willie O'Dea

Question:

2799. Deputy Willie O'Dea asked the Minister for Health if he will consider providing funding for a group (details supplied) that has been providing services to autistic children in Limerick for the past four years; and if he will make a statement on the matter. [39224/21]

View answer

Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

Question No. 2800 answered with Question No. 2798.

Vaccination Programme

Questions (2801)

Seán Canney

Question:

2801. Deputy Seán Canney asked the Minister for Health when a vaccine (details supplied) will be approved for use in Ireland which is approved by the WHO; and if he will make a statement on the matter. [39226/21]

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Written answers

Ireland is participating in an EU Procurement process with a view to accessing a portfolio of candidate vaccines against COVID-19 which are being negotiated with vaccine manufacturers by the Commission acting on behalf of Member States. Emergency Support Instrument (ESI) funding has been leveraged by the Commission to facilitate its negotiations with vaccine manufacturers, including with regard to production costs and securing a reduced per dose cost for Member States.

This process has provided Ireland with access to vaccines (at a reduced cost) that it would find it difficult to access otherwise within a year after the declaration of a Public Health Emergency of International Concern by the WHO. Four of the vaccines in the EU portfolio have already been awarded Conditional Marketing Authorisation (CMA) by the Commission.

Ireland supports efforts made by the Commission to safeguard the production and delivery of doses of vaccine in the quantities agreed with vaccine suppliers and to ensure that up-front funding provided through ESI has been properly used.

COVID-19 vaccines can only be approved and used if they comply with all the requirements of quality, safety and efficacy set out in the EU pharmaceutical legislation. No vaccine will be used until market authorisation from the European Medicines Agency (EMA) is obtained and any authorised vaccine will be subject to ongoing monitoring in Ireland by the Health Product Regulatory Authority (HPRA).

The delivery of vaccines under APAs that the Commission has negotiated on behalf of Member States are predicated upon a CMA being obtained from the Commission (on the basis of a positive recommendation being awarded by the EMA).

The awarding of a CMA provides a high level of assurance that a vaccine has undergone rigorous testing and has met the requirements of the independent regulatory process as regards demonstrating its quality, safety and efficacy.

The Sinopharm vaccine has not been awarded a CMA to date.

Disabilities Assessments

Questions (2802)

Thomas Gould

Question:

2802. Deputy Thomas Gould asked the Minister for Health if his attention has been drawn to the fact that the change in structure of children’s disability services in Cork has meant no new services are currently being offered to children. [39227/21]

View answer

Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently unable to access the information to answer Parliamentary Questions due to the recent cyber-attack, which has required a temporary shut-down of HSE IT systems. The disruption to service is on-going, and the HSE is working hard to restore its IT capacity and resume normal services. Members of the Oireachtas will be advised as soon as the HSE is again in a position to provide responses to PQs and are encouraged to resubmit their Parliamentary Questions at that point.

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