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Wednesday, 3 Nov 2021

Written Answers Nos. 153-165

Covid-19 Tests

Questions (153)

Mattie McGrath

Question:

153. Deputy Mattie McGrath asked the Minister for Health when antigen testing will be rolled out as an option for access to indoor dining and indoor events; the reason for delays in implementing antigen testing; the efforts that were made to be prepared for the scenario when Covid-19 restrictions have been extended; if his attention has been drawn to the concerns of an organisation (details supplied) in relation to the lack of antigen testing and the serious human rights and equality concerns that this presents; and if he will make a statement on the matter. [53471/21]

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Written answers

The current high level of COVID-19 infection and the dominance of the significantly more transmissible Delta variant poses a very substantial threat, particularly to those who are not fully protected through vaccination. Public health advice remains that those who are not fully vaccinated should avoid congregated indoor settings for their own and others safety.

As the Deputy will be aware, given the prevailing epidemiological situation, the Government decided last month to extend arrangements in relation to proof of immunity for access to hospitality and other sectors. The National Public Health Emergency Team did give some consideration to the issues arising for those people that can’t receive a COVID-19 vaccine for medical reasons as part of its discussions on the 18th October 2021 on the continuing response to COVID-19 and the extension of Covid Pass arrangements. The matter is being given further consideration.

As the Deputy will also be aware, given the infectious nature of this virus and the emergence of variants, the trajectory of COVID-19 has been and continues to be uncertain and difficult to predict. This has also been the experience internationally. The National Public Health Emergency Team monitors the epidemiological situation closely and keeps all evidence and advice under continuing review.

Health Services

Questions (154)

Neale Richmond

Question:

154. Deputy Neale Richmond asked the Minister for Health the status of the latest meeting of the post-implementation surveillance monitoring group regarding the donation of blood from men who have sex with men; and if he will make a statement on the matter. [53485/21]

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Written answers

The Blood Donation Deferral Surveillance Group was established to assess the impact, if any, on the incidence of transfusion transmitted infections, following the change to MSM and STI donor deferral policies in 2017.

The Group includes representatives from the Irish Blood Transfusion Service, Health Protection Surveillance Centre, Public Health England and NHS Blood and Transplant (NHSBT).

The Group met in September 2021. The Group considered trends in notifications of HIV & STI in Ireland from 2015-2019, the findings of a 12-year review (2008-2020) by the IBTS of blood donors with confirmed HIV and syphilis infections, and the UK experience of changes in deferral policy.

The Group agreed that there was no evidence of an adverse impact arising from the 2017 change in deferral policies, including the change in MSM deferral policy from a lifetime ban to a 12 month deferral (from last sexual encounter with a man).

The work of the Group will contribute to the evidence base that can inform future decisions in relation to blood donor deferral policies.

Medical Cards

Questions (155)

Colm Burke

Question:

155. Deputy Colm Burke asked the Minister for Health the estimated cost of introducing an automatic entitlement to a medical card for all persons over 70 years of age; and if he will make a statement on the matter. [53489/21]

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Written answers

In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the Health Service Executive (HSE). The HSE issues income guidelines to assist in determining entitlement to medical cards/GP visit cards. Persons aged 70 or older are assessed under the over 70s medical card income thresholds which are based on gross income. On November 1, 2020 the weekly gross medical card income thresholds for those aged 70 and over was increased to €550 per week for a single person and €1050 for a couple.

The high level cost of removing the over 70s medical card income thresholds and thus introducing automatic medical card eligibility for all persons aged 70 and over is estimated to be in excess of €200m. This is based on approximately 138,000 additional persons qualifying for the medical card,(i.e. the number of non-medical card holders currently aged 70 and over) by the average cost of the medical card which is offset by the current cost of a GP visit card which all person aged 70 and over are automatically eligible for. However, a more detailed examination of this measure supported by a robust costing analysis would be required to provide a more accurate estimation.

Medical Cards

Questions (156)

Colm Burke

Question:

156. Deputy Colm Burke asked the Minister for Health the estimated cost of reducing the weekly gross income limit for the over 70s medical card for single persons and couples by €50, €100, €150 and €200, respectively; and if he will make a statement on the matter. [53490/21]

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Written answers

In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the Health Service Executive (HSE). The HSE issues income guidelines to assist in determining entitlement to medical cards/GP visit cards. Persons aged 70 or older are assessed under the over 70s medical card income thresholds which are based on gross income. Any revision to the income thresholds has regard for Government policy, increases in the Consumer Price Index and other issues which may be relevant.

With regard to the estimated cost of reducing the weekly gross income thresholds for medical cards for persons aged 70 and over, this information is not readily available at this time. However to ensure the medical card system is responsive and sensitive to people's needs, it should be noted that my Department keeps medical card issues such as existing income thresholds under regular review.

Furthermore, it should be noted that on November 1, 2020 the weekly gross medical card income thresholds for those aged 70 and over was increased to €550 per week for a single person and €1050 for a couple, ensuring that a greater proportion of those aged 70 and over now qualify for a medical card.

Nursing Homes

Questions (157)

Neale Richmond

Question:

157. Deputy Neale Richmond asked the Minister for Health if he plans to exempt rental income generated from family homes from contributions to the fair deal scheme; if so, the timeframe for a decision; and if he will make a statement on the matter. [53491/21]

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Written answers

The Nursing Homes Support Scheme (Amendment) Act 2021, which was signed into law on 22 July, introduced further safeguards into the NHSS to further protect the viability and sustainability of family farms and businesses. It also includes an amendment in relation to applying the 3-year cap to the proceeds of sale of a house while a resident is in long-term care. This addresses the first relevant commitment in the Housing for All Strategy (action 19.7). This removed a disincentive against the sale of properties that might otherwise remain vacant.

As well as introducing the change above, the Department of Health has also agreed to action 19.8 in the Housing for All Strategy to develop a mechanism in relation to the rental of vacant properties "in a way that is targeted, equitable, evidence-based and provides appropriate safeguards for vulnerable older people". It is important to note that complex policy questions remain in meeting these criteria and there are high risks associated with unintended consequences.

The NHSS is a complex €1.4 billion Scheme that relies on €350m of contributions from over 22,000 residents. It is important to ensure that the costs, benefits, and unintended consequences of any policy changes are fully understood and resolved before they are put in place. There is no existing exemption of rental or similar income from assessment within the Nursing Homes Support Scheme and due care needs to be taken to ensure that any future changes are appropriate; to protect and meet the needs of residents while also making provision for those in need of housing.

The Department of Health and other government departments continue to collaborate on this policy, including the identification of the number of houses that may be brought into use and the costs associated with the policy options available to address this action, with a view to introducing legislation as soon as possible once this analysis and policy development is complete.

Hospital Appointments Status

Questions (158)

Michael Healy-Rae

Question:

158. Deputy Michael Healy-Rae asked the Minister for Health if an appointment will be expedited for a person (details supplied); and if he will make a statement on the matter. [53492/21]

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Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Mental Health Services

Questions (159)

Mattie McGrath

Question:

159. Deputy Mattie McGrath asked the Minister for Health the status of the mental health crisis house in Clonmel, County Tipperary; and if he will make a statement on the matter. [53549/21]

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Written answers

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

Covid-19 Pandemic

Questions (160)

Mattie McGrath

Question:

160. Deputy Mattie McGrath asked the Minister for Health if data pertaining to the number of hospital-acquired Covid-19 infections and the number who are in hospital for medical issues other than Covid-19 but who subsequently test positive for Covid-19 can be published weekly; if not, the reason; if this data is available; and if he will make a statement on the matter. [53550/21]

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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.

State Claims Agency

Questions (161)

Alan Kelly

Question:

161. Deputy Alan Kelly asked the Minister for Health the total amounts paid by the State Claims Agency to claimants for every maternity hospital in the State in each of the years 2016 to 2021 inclusive in tabular form. [53561/21]

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Written answers

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims on behalf of Delegated State Authorities including the Health Service Executive.

The information requested by the Deputy is not readily available. However, I have asked the State Claims Agency to provide this, and I understand that it will be collated shortly. I will respond directly to the Deputy on receipt of this.

Hospital Services

Questions (162)

Johnny Guirke

Question:

162. Deputy Johnny Guirke asked the Minister for Health the reason that the cardiac rehabilitation service in Our Lady’s hospital Navan, County Meath has remained suspended since January 2021; the schedule for the recommencement of this essential service; and if he will make a statement on the matter. [53563/21]

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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.

Health Services

Questions (163)

Éamon Ó Cuív

Question:

163. Deputy Éamon Ó Cuív asked the Minister for Health if he plans to change the rules regarding blood transfusions from actively gay and bisexual men in this State to be in line with other jurisdictions from which Ireland imports blood, including Northern Ireland; the reason for this anomaly; and if he will make a statement on the matter. [53564/21]

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Written answers

The remit of the Irish Blood Transfusion Service (IBTS) is to provide a safe, reliable and robust blood service to the Irish health system. A major objective of the IBTS is to ensure that it always has the necessary programmes and procedures in place to protect both the recipients and the donors of blood and blood products. The IBTS constantly keeps all deferral policies under active review, in the light of scientific evidence, emerging infections and international evidence, to ensure the ongoing safety of blood and the products derived from it.

The IBTS established an independent Advisory Committee for Social Behaviours Review to review the evidence base for donor selection, deferral and exclusion in Ireland in relation to social behaviours that may increase the risk of acquiring specific blood-borne infections.

The IBTS has advised my Department that the Advisory Committee has completed its work and submitted its recommendations to the IBTS Medical and Scientific Committee and IBTS Board. My Department has not yet received a copy of the Advisory Committee's Report. However, the work of the Advisory Committee is the subject of consideration between my Department and the IBTS and a meeting will shortly be arranged to discuss the detail of the Report.

Hospital Appointments Status

Questions (164)

Michael Healy-Rae

Question:

164. Deputy Michael Healy-Rae asked the Minister for Health the steps that can be taken to assist a person (details supplied); and if he will make a statement on the matter. [53609/21]

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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 (165)

Róisín Shortall

Question:

165. Deputy Róisín Shortall asked the Minister for Health the details of plans to roll-out booster Covid-19 vaccines in respect of the order of the priority groups to receive same; the arrangements for administering vaccinations, that is, the role to be played by general practitioners, pharmacists and vaccination centres; and if he will make a statement on the matter. [53615/21]

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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.

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