David Cullinane
Question:1071. Deputy David Cullinane asked the Minister for Health the estimated current and capital cost of 100 additional residential places for persons with a disability. [41739/21]
View answerDisability Services
Questions (1071, 1102)
David Cullinane
Question:1102. Deputy David Cullinane asked the Minister for Health the estimated capital and current cost of an additional disability services residential place. [41777/21]
View answerWritten answers
I propose to take Questions Nos. 1071 and 1102 together.
As this is a service matter, I have asked referred the question to the HSE and asked that they respond to the Deputy directly.
Disability Services
Questions (1072)
David Cullinane
Question:1072. Deputy David Cullinane asked the Minister for Health the estimated costs of moving 360 persons a year out of congregated settings; and the ancillary costs for care. [41740/21]
View answerWritten 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
Questions (1073)
David Cullinane
Question:1073. Deputy David Cullinane asked the Minister for Health the estimated cost of 100,000 personal assistant hours. [41741/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Service Executive
Questions (1074)
David Cullinane
Question:1074. Deputy David Cullinane asked the Minister for Health the estimated cost to expand current HSE personalised budget demonstration project pilots for persons with disabilities to each CHO for 90 persons (details supplied). [41742/21]
View answerWritten answers
The remit of the Task Force on Personalised Budgets[1] was to make recommendations on a cost-neutral approach on a personalised budget model that will provide individuals with disabilities more control and choice in accessing health funded personal social services. Different approaches to the provision of personalised budgets are currently being piloted, and any decision to extend personalised budgets to a greater number of individuals, and the form that would take, will depend on the outcomes from the pilot project underway across all CHO areas and its evaluation.
A purely cost-neutral approach would not involve additional expenditure in terms of the actual Personalised Budgets themselves. It is estimated that around 37,000 people receive either a residential or a day service, Personal Assistance or Home Support, at a cost of around €1.95bn. Providing 540 Personalised Budgets could involve the conversion of approximately 1.5% of that element of the Disability Services to Personalised Budgets, or a redeployment of around €30m of those funds. In a cost-neutral scenario, the ongoing costs of operating a Personalised Budget for the individual, such as dealing with matters like hiring, rosters, payroll administration, insurance, tax, and HR, would come from the individuals Personalised Budget.
However realistically any widescale deployment of Personalised Budgets would entail some overhead costs to the HSE in terms of staff to support applicants through the application process, use of a standardised Assessment Tool to assess the support needs of the individual, and transition and set-up costs to develop new systems. International experience, and Irish experience to date, suggests that many applicants may not proceed to a Personalised Budget, if they consider that the benefits of a personalised budget arrangement may be outweighed by factors like the ongoing administration involved for themselves in organising such arrangements. To reach 540 Personal Budgets in operation would involve processing significantly greater numbers of requests as a number of people may decide to opt out at various stages along the path.
Internationally, research across a number of jurisdictions suggests the uptake on Personalised Budgets is approximately 8%.
Pending the conclusion and evaluation of the existing Personalised Budgets pilot programme, it is not possible to say with any accuracy what the overhead costs of a more widespread provision of this option would be. However, it is likely to involve a national programme office, plus dedicated staffing in each CHO area to support applicants through the application and transition process and carry out needs assessments; licensing for a national standard assessment tool and software, and training in the use of same; support around unbundling of current funding; and communication support including a website, Easy to Read materials and ISL interpretation. Preliminary estimates suggest that such overhead costs could be of the order of €1.5m for a minimum national and local support service for supports to the applications process and making transitions to personal budgets, however the higher the volume of applications to reach a target 540 users, the higher those overheads would become.
[1] Towards Personalised Budgets for People with a Disability in Ireland – Report of the Taskforce on Personalised Budgets (2018)
Care Services
Questions (1075)
David Cullinane
Question:1075. Deputy David Cullinane asked the Minister for Health the estimated cost of doubling existing respite hours; and the number of hours or days and nights that this would provide. [41743/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
Care Services
Questions (1076)
David Cullinane
Question:1076. Deputy David Cullinane asked the Minister for Health the estimated cost of an additional respite hour, day and night, respectively. [41746/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
Care Services
Questions (1077)
David Cullinane
Question:1077. Deputy David Cullinane asked the Minister for Health the estimated capital cost of an additional respite house; the estimated cost of running it and the staffing requirements; and the number of hours or days and nights that an additional house would provide. [41747/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Care Services
Questions (1078)
David Cullinane
Question:1078. Deputy David Cullinane asked the Minister for Health the estimated cost to retain additional capacity for day services added for resumption of day services under Covid-19 restrictions and to fully staff this. [41748/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Care Services
Questions (1079)
David Cullinane
Question:1079. Deputy David Cullinane asked the Minister for Health the number of persons who avail on a 1, 2, 3, 4 and 5 day-a-week basis of day services at peak since 1 January 2019, respectively. [41749/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Care Services
Questions (1080)
David Cullinane
Question:1080. Deputy David Cullinane asked the Minister for Health the estimated cost to fully meet demand for day services on pre-pandemic levels. [41750/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Services Staff
Questions (1081)
David Cullinane
Question:1081. Deputy David Cullinane asked the Minister for Health the estimated cost of an additional dementia key worker. [41751/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Services Staff
Questions (1082)
David Cullinane
Question:1082. Deputy David Cullinane asked the Minister for Health the estimated cost of an additional dementia advisor. [41752/21]
View answerWritten answers
The estimated cost of a Dementia Advisor post, including pay and non-pay costs, is €64,753 per annum. In addition to these costs, it is reasonable to expect that there are other costs associated with the recruitment process which would be incurred by the employing agency, such as advertising, interview boards and possible travel expenses, which the HSE does not have sight of.
Health Services Staff
Questions (1083, 1095)
David Cullinane
Question:1083. Deputy David Cullinane asked the Minister for Health the estimated cost of recruiting an additional dementia coordinator. [41753/21]
View answerDavid Cullinane
Question:1095. Deputy David Cullinane asked the Minister for Health the estimated cost of 30 additional dementia advisors and key workers. [41766/21]
View answerWritten answers
I propose to take Questions Nos. 1083 and 1095 together.
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Service Executive
Questions (1084)
David Cullinane
Question:1084. Deputy David Cullinane asked the Minister for Health the estimated cost of a 1% and 5% increase to the day care services current and capital budgets. [41754/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Service Executive
Questions (1085)
David Cullinane
Question:1085. Deputy David Cullinane asked the Minister for Health the estimated cost of refurbishing day care service centres in need of works. [41755/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Service Executive
Questions (1086)
David Cullinane
Question:1086. Deputy David Cullinane asked the Minister for Health the estimated cost of a 1% and 10% increase to HSE expenditure on day services on pre-pandemic levels. [41756/21]
View answerWritten 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
Questions (1087)
David Cullinane
Question:1087. Deputy David Cullinane asked the Minister for Health the estimated cost to move 100 adults with a disability aged under 65 from a nursing home to assisted living; and the breakdown of ancillary costs. [41757/21]
View answerWritten answers
As this is a service matter, I have asked referred the question to the HSE and asked that they respond to the Deputy directly.
Health Services Staff
Questions (1088)
David Cullinane
Question:1088. Deputy David Cullinane asked the Minister for Health the estimated cost of 150 additional therapists for children’s disability network teams. [41758/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
Health Services Staff
Questions (1089)
David Cullinane
Question:1089. Deputy David Cullinane asked the Minister for Health the estimated cost of 50 additional physiotherapist posts. [41759/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
Health Services Staff
Questions (1090)
David Cullinane
Question:1090. Deputy David Cullinane asked the Minister for Health the estimated cost of 50 additional occupational therapist posts. [41760/21]
View answerWritten answers
As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.