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Legislative Measures

Dáil Éireann Debate, Thursday - 9 September 2021

Thursday, 9 September 2021

Questions (1387, 1388)

David Cullinane

Question:

1387. Deputy David Cullinane asked the Minister for Health the status of and his plans regarding the statutory homecare bill; and if he will make a statement on the matter. [42723/21]

View answer

David Cullinane

Question:

1388. Deputy David Cullinane asked the Minister for Health the status of his Department’s review of and plans regarding the deferred private members’ professional homecare bill; and if he will make a statement on the matter. [42724/21]

View answer

Written answers

I propose to take Questions Nos. 1387 and 1388 together.

Enabling people with care-needs to continue to live independently at home for as long as possible is a priority for the Government. To advance this, the Government is committed to establishing a new, statutory scheme for the financing and regulation of home-support services, which the Department of Health is currently developing.

Work is on-going within the Department to determine the optimal approach to the development of the new scheme within the broader context of the Sláintecare reforms. This work encompasses the development of the regulatory framework for the new scheme; the examination of the options for the financing model for the scheme; and the development of a reformed model of service-delivery.

With the aim of ensuring that all service-users are provided with a standard, high-quality level of care which is safe, effective, and person-centred, it is envisaged that the regulatory framework will comprise (i) primary legislation for the licensing of public and private home support providers; (ii) minimum requirements (regulations); and HIQA National Standards for Home Support Services.

On 27 April 2021, Government gave approval to draft a General Scheme and Heads of a Bill to establish a licensing framework for home support providers. This is being progressed by the Department with a view to bringing it through the Houses of the Oireachtas at the earliest opportunity. It is expected that the primary legislation will give the Minister for Health the power to make regulations in respect of minimum requirements which will form the criteria against which a provider’s eligibility to hold a licence will be determined.

In parallel to this, work is ongoing in relation to the development of a reformed model of service delivery for home support. Within this context, funding was secured in 2021 for the HSE to progress the roll-out of interRAI as the standard assessment tool for care-needs in the community; the pilot of a reformed model of service-delivery for home-support; and the establishment of a National Office for Home Support Services.

Mobilisation of the pilot of a reformed model of service-delivery is expected to commence in September, supported by the National Office. The pilot will deliver an additional 230,000 hours of home-support in four community healthcare network (CHN) sites over a six-month period. In addition, approximately 130 posts have been funded for the national rollout of the interRAI Ireland system, which the home-support pilot will test as the standard assessment tool for care-needs.

The Sláintecare Implementation Strategy and Action Plan 2021–2023 commits to the advancement of the development of the new home-support scheme in 2021 and to the commencement of its implementation in 2022. While the new home-support scheme is under development, the Government is prioritising improving access to home-support services. As part of Budget 2021, funding for an additional 5 million hours of home-support was provided. This increased investment will contribute to meeting the Programme for Government commitment to providing equitable access to home-support services.

Question No. 1388 answered with Question No. 1387.
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