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Tuesday, 8 Feb 2022

Written Answers Nos. 791-810

Dental Services

Questions (791)

Fergus O'Dowd

Question:

791. Deputy Fergus O'Dowd asked the Minister for Health the number of dental practitioners participating in the dental treatment services scheme in January 2021 and in January 2022, by county in tabular form; the total waiting list of patients by each county in January 2021 and January 2022; the category of each such patient including special needs patients and children and high risk categories; the emergency waiting list for the scheme by category and waiting time by month for January 2021 and January 2022; the number of dentists and other staff employed directly by the HSE in each such county for January 2021 and January 2022 in the provision of the dental treatment services scheme in January; and if he will make a statement on the matter. [6653/22]

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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 (792)

Fergus O'Dowd

Question:

792. Deputy Fergus O'Dowd asked the Minister for Health the podiatric waiting list by location and waiting time by month in counties Louth and Meath in January 2021 and January 2022; the number of HSE podiatric clinics by location; the number of staff employed; the number of vacancies for podiatrists by location; when it is expected these vacancies will be filled; and if he will make a statement on the matter. [6654/22]

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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.

Mental Health Services

Questions (793)

Mark Ward

Question:

793. Deputy Mark Ward asked the Minister for Health the number of children with mental health conditions that were placed in paediatric facilities in 2019, 2020 and 2021, in tabular form; and if he will make a statement on the matter. [6661/22]

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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.

Health Services Staff

Questions (794)

Mark Ward

Question:

794. Deputy Mark Ward asked the Minister for Health his plans to make it easier for trainee counselling and educational psychologists to become fully qualified; and if he will make a statement on the matter. [6662/22]

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Written answers

In February 2019, HSE Community Operations convened a Project Team, chaired by Dr Cathal Morgan, to consider the preparation of a workforce plan for psychological services in the HSE, including an examination of the current framework for training psychologists for the health service, and the type, and skill-mix, required for the future.

The work of the Project Team has been informed by a thorough stakeholder consultation process but, unfortunately, due to the COVID-19 pandemic, the work of the Project Team was delayed.

The Report of the National Psychology Project Team – Establishment of a National Psychology Placement Office and Workforce Planning was completed in January 2021.

In line with its Terms of Reference, the Project Team Report sets out proposals to establish a national psychology placement function within the HSE and outlines considerations for a workforce plan for psychological services in the HSE. A recommendation in relation to consideration of funding of counselling psychologists along the same lines as clinical psychologists was also included.

Currently, clinical psychologists in training are funded for 60% of course fees and are employed as trainee psychologists for the duration of their training. This is unlike any of the other health and social care professionals.

Implementation of the report’s recommendations and the creation of a National Psychology Placement Office is a matter for the HSE to progress in the context of available resources.

The establishment of the Psychology Assistant post on a permanent basis also marks a significant achievement in promoting enhanced access to vital primary care psychology supports.

Mental Health Services

Questions (795)

Mark Ward

Question:

795. Deputy Mark Ward asked the Minister for Health the services there are for children who are on the ASD spectrum that also have mental health difficulties; and if he will make a statement on the matter. [6663/22]

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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.

Mental Health Services

Questions (796)

Mark Ward

Question:

796. Deputy Mark Ward asked the Minister for Health the number of children that are on the ASD spectrum that also have mental health difficulties that have been referred to CAMHS; the number that were deemed an inappropriate referral in 2019, 2020 and 2021, in tabular form; and if he will make a statement on the matter. [6664/22]

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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.

Healthcare Infrastructure Provision

Questions (797)

Gerald Nash

Question:

797. Deputy Ged Nash asked the Minister for Health when the St. Mary’s Hospital, Boyne View House, Dublin Road, Drogheda redevelopment project will be completed; the number of beds that will be available in the redeveloped facility; the overall cost of the project; and if he will make a statement on the matter. [6665/22]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Healthcare Infrastructure Provision

Questions (798)

Gerald Nash

Question:

798. Deputy Ged Nash asked the Minister for Health the status of a project (details supplied); the range of services that will be available when the facility opens; when the facility will become operational; the total capital cost of the project; the precise catchment area that will be served by the services at the facility; and if he will make a statement on the matter. [6666/22]

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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.

Ambulance Service

Questions (799)

Gerald Nash

Question:

799. Deputy Ged Nash asked the Minister for Health if he will report on the National Ambulance Service base for the Drogheda area; if a site has been identified for such a facility; and if he will make a statement on the matter. [6667/22]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Healthcare Infrastructure Provision

Questions (800)

Gerald Nash

Question:

800. Deputy Ged Nash asked the Minister for Health when the St. Joseph’s, Ardee, County Louth redevelopment project will be completed; the number of beds that will be available in the redeveloped facility; the overall cost of the project; and if he will make a statement on the matter. [6668/22]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Covid-19 Tests

Questions (801)

John Lahart

Question:

801. Deputy John Lahart asked the Minister for Health if he will provide assurances that there is a plan and pathway in place for cancer patients who are immunocompromised to access rapid PCR tests and results; and if he will also provide a commitment that there is a supply of Covid-19 treatments available to patients who are not inpatients in acute settings. [6677/22]

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Written answers

People experiencing symptoms of COVID-19 continue to be advised to self-isolate and to seek a test from the HSE. People with underlying conditions that put them at higher risk of severe disease are also advised to contact their GP. Detailed public health advice relating to COVID-19, including testing and tracing, is available on the HSE website at www2.hse.ie/conditions/covid19/symptoms/overview/.

Testing and contact has been a key component of the Government’s response to the pandemic. Under the guidance of the National Public Health Emergency Team, the HSE has developed a comprehensive and reliable testing and tracing system which has capacity to respond to significant demand.

The role of testing and contact tracing, as part of the wider public health response, has been under ongoing review throughout the pandemic and will continue to be reviewed and amended in line with the epidemiological profile of the disease, its impact on healthcare utilisation and outcomes, the vaccination status of the population and ECDC guidance. Consideration is also being given to the future role of testing and tracing particularly as the need evolves to move from extensive case finding and tracing of infection aimed at reducing transmission, to one primarily focused on mitigation of the severe impacts of COVID-19, particularly for those most vulnerable to the effects of the disease and for those with risk factors for severe disease who may benefit from specific interventions.

In relation to COVID-19 treatments, the HSE has established a Therapeutics Operational Group which has been working to develop the arrangements for provision of these treatments to the right patients, and work is ongoing to establish and develop the most efficient pathways to identify those patients who may benefit from their use. It is important to note that these treatments are not for widespread use, and the benefit will be limited to particular cohorts of high-risk vulnerable patients.

Most people can treat the symptoms of COVID-19 at home. However, people who have concerns relating to underlying conditions that put them at higher risk of severe disease are advised to discuss these matters with their treating physician.

Mental Health Policy

Questions (802)

Ivana Bacik

Question:

802. Deputy Ivana Bacik asked the Minister for Health if specific plans are in place to address generalised anxiety among teenagers arising from pandemic-related stress. [6704/22]

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Written answers

Supporting positive mental health and wellbeing is a priority for me, and the Government. This is particularly important during the current pandemic. Covid-19 has presented significant challenges for people’s mental health, including increased stress, anxiety and fear. While there is no doubt that Covid-19 has posed significant challenges, including isolation, bereavement, anxiety and loss of income and work for many, we do not yet fully understand the full impact of Covid-19 on mental health, the extent of subsequent supports that may be required or how this may affect longer term demand for services. However, a negative mental health outcome for our population from this pandemic is not inevitable if we set about responding to the challenge in a cohesive manner.

The Government and HSE continue to provide high quality mental health services to children and young people, including enhancing supports in response to the challenges posed by Covid-19. Further developments in child and youth mental health, including improved access and reducing waiting lists, continues in line with our national mental health policy Sharing the Vision and annual HSE National Service Plans.

Budget 2022 provided unprecedented funding of €1.149 billion for HSE Mental Health, an increase of €47 million on 2021. This includes funding for two CAMHS telehubs and €6 million to expand the capacity of community mental health teams, with a particular emphasis on CAMHS. National clinical programmes (including in the area of eating disorders) continue to be invested in, many of which are available to children and young people.

2022 funding includes €10 million for initiatives aimed at increasing mental health supports in response to the pandemic including enhanced signposting and access to existing mental health services and supports, initiatives for children, young people and students, and additional psychosocial responses, recognising that people will require varying levels of support.

A further €10 million is available in once off, additional funding to improve the experiences of individuals, including children and young people accessing specialist mental health services, in addition to community and voluntary mental supports. This includes €1 million for MyMind to deliver approximately 16,500 free of charge talking therapy sessions, to people impacted negatively by the COVID-19 pandemic. Under 18s can access the sessions with parental supervision. €1 million will be distributed by Mental Health Ireland through their extensive network of grassroots mental health organisations, including child and youth groups, in local communities nationwide.

The HSE has a range of proactive responses for any rise in mental health service need, including online and other telehealth psychosocial supports. The Department of Health and HSE continue to plan for any increase in demand as it arises.

Significant additional funding has been provided to the HSE throughout the pandemic for mental health promotion and well-being campaigns and enhanced online supports to improve population health outcomes. Telehealth services are fully established including YourMentalHealth.ie, which offers a wealth of information on mental health supports and coping with difficult situations during Covid-19; the information line 1800 111 888, and online supports provided to children and young people through the crisis textline, 50808; MyMind; Turn2Me; Jigsaw and many others.

The HSE are developing greater use of digital technology to improve flexibility between blended and traditional care options. This includes for example three new CAMHS tele-hubs nationally.

The HSE Psychosocial Framework, published in January 2021, builds on a range of supports introduced in response to Covid-19, including self- help and psychological first aid supports for staff. The Framework acknowledges the impact of the pandemic on mental health in all areas of society.

Since launching in September a €4 million initiative to reduce the number of children and young people under 18 waiting over 12 months to access primary care psychology services has enabled more than 1,600 young people to access treatment than otherwise would have done.

The specialist CAMHS service has continued to operate at over 90% capacity of pre-Covid levels. In CAMHS, there are two types of referrals; an urgent referral and a routine referral. Every effort is made to prioritise urgent referrals so that young people with high risk presentations are seen as soon as possible and this is often within 24 to 48 hours.

There are also the Government's well-being campaigns, including Keep Well to promote physical and mental well in the safest possible ways.

Medicinal Products

Questions (803)

Paul Murphy

Question:

803. Deputy Paul Murphy asked the Minister for Health if his attention has been drawn to the case of a person (details supplied); and if he will request his Department to pay for the drug and deliver the required treatment to them in view of the circumstances. [6728/22]

View answer

Written answers

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Hospital Appointments Status

Questions (804)

Jackie Cahill

Question:

804. Deputy Jackie Cahill asked the Minister for Health when a person (details supplied) will receive an urgent operation; and if he will make a statement on the matter. [6738/22]

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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.

Covid-19 Pandemic Supports

Questions (805)

Michael Fitzmaurice

Question:

805. Deputy Michael Fitzmaurice asked the Minister for Health if the €1,000 pandemic bonus will be paid to healthcare assistants who are employed by private providers but who work in the homes of HSE clients as part of a home care package; and if he will make a statement on the matter. [6741/22]

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Written answers

Firstly I would like to extend my sincere gratitude to all healthcare workers for their efforts during this most challenging period.

In recognition of the efforts of the general public, volunteers and all workers during the COVID-19 pandemic and in remembrance of people who lost their lives due to the COVID-19 pandemic, on Wednesday 19 January, the Government announced a once-off public holiday will take place on Friday 18 March 2022.

The Government also announced COVID-19 recognition payment for frontline public sector healthcare workers, to recognise their unique role during the pandemic. The payment of €1,000 will not be subject to income tax, USC, or PRSI. The measure will be ring fenced to staff ordinarily onsite in COVID-19 exposed healthcare environments within the period between 1 March 2020 and 30 June 2021.

Those public sector frontline healthcare workers eligible for the payment will be directly employed public health sector staff working in clinical settings. A pro-rata arrangement will apply for eligible part time staff / equivalents and supernumerary students who were required to perform training in clinical sites.

The Department of Health will also introduce a measure for making a similar payment to staff in private sector nursing homes and hospices that were affected by Covid-19.

I would like to assure the Deputy that work is underway to ensure fairness in the application of this measure as the Government intended.

The cost of providing a recognition payment of €1,000 to all eligible public servants working in the health and ambulance services depends on the number of staff who are eligible for the payment. If there were 100,000 WTE deemed eligible, the estimated cost would be approximately €100 million. This figure of 100,000 WTE represents approximately 75% of the HSE/Section 38 workforce and would be the minimum expected to be eligible for this recognition payment.

Similarly, the cost of providing an equivalent recognition payment to relevant staff in private sector nursing homes and hospices affected by Covid-19 depends on the number of staff deemed eligible for the payment. The estimated cost set out above does not include the cost in respect of nursing homes and Defence Forces staff. This measure, including costings, will be progressed by the Department of Health.

The Department and the HSE are currently engaging in finalising arrangements to give effect to the Government announcement concerning the Recognition Payment. Full particulars, eligibility and terms and conditions that apply to this payment shall be made available shortly. It is important that this measure is applied fairly as intended and I welcome the work that is ongoing to ensure this is so.

Covid-19 Pandemic Supports

Questions (806)

Sorca Clarke

Question:

806. Deputy Sorca Clarke asked the Minister for Health if the HSE staff redeployed to Covid-19 community assessment hubs for the first five months of the pandemic will be eligible for the €1,000 bonus proposed for frontline healthcare staff; and if he will make a statement on the matter. [6761/22]

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Written answers

Firstly I would like to extend my sincere gratitude to all healthcare workers for their efforts during this most challenging period.

In recognition of the efforts of the general public, volunteers and all workers during the COVID-19 pandemic and in remembrance of people who lost their lives due to the COVID-19 pandemic, on Wednesday 19 January, the Government announced a once-off public holiday will take place on Friday 18 March 2022.

The Government also announced COVID-19 recognition payment for frontline public sector healthcare workers, to recognise their unique role during the pandemic. The payment of €1,000 will not be subject to income tax, USC, or PRSI. The measure will be ring fenced to staff ordinarily onsite in COVID-19 exposed healthcare environments within the period between 1 March 2020 and 30 June 2021.

Those public sector frontline healthcare workers eligible for the payment will be directly employed public health sector staff working in clinical settings. A pro-rata arrangement will apply for eligible part time staff / equivalents and supernumerary students who were required to perform training in clinical sites.

The Department of Health will also introduce a measure for making a similar payment to staff in private sector nursing homes and hospices that were affected by Covid-19.

I would like to assure the Deputy that work is underway to ensure fairness in the application of this measure as the Government intended.

The cost of providing a recognition payment of €1,000 to all eligible public servants working in the health and ambulance services depends on the number of staff who are eligible for the payment. If there were 100,000 WTE deemed eligible, the estimated cost would be approximately €100 million. This figure of 100,000 WTE represents approximately 75% of the HSE/Section 38 workforce and would be the minimum expected to be eligible for this recognition payment.

Similarly, the cost of providing an equivalent recognition payment to relevant staff in private sector nursing homes and hospices affected by Covid-19 depends on the number of staff deemed eligible for the payment. The estimated cost set out above does not include the cost in respect of nursing homes and Defence Forces staff. This measure will exclude all private sector health workers except those working in nursing homes and hospices affected by Covid-19. This measure, including costings, will be progressed by the Department of Health.

The Department and the HSE are currently engaging in finalising arrangements to give effect to the Government announcement concerning the Recognition Payment. Full particulars, eligibility and terms and conditions that apply to this payment shall be made available shortly. It is important that this measure is applied fairly as intended and I welcome the work that is ongoing to ensure this is so.

Question No. 807 answered with Question No. 729.

Agriculture Schemes

Questions (808)

Niamh Smyth

Question:

808. Deputy Niamh Smyth asked the Minister for Agriculture, Food and the Marine if an appeal by a person (details supplied) will be reviewed; and if he will make a statement on the matter. [5817/22]

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Written answers

I inform the Deputy that the Agriculture Appeals Office operates independently of my Department.

I have been informed that an appeal was received by the Agriculture Appeals Office from the person named in October 2021. Following receipt of the appeal, the Agriculture Appeals Office wrote to the person named to request further documentation in order to progress the appeal.

Once the documentation has been received, the appeal will be progressed as promptly as possible.

Agriculture Schemes

Questions (809)

Niamh Smyth

Question:

809. Deputy Niamh Smyth asked the Minister for Agriculture, Food and the Marine the number of farm appeals that have been lodged and are awaiting decision; the average waiting time for such appeals; and if he will make a statement on the matter. [5818/22]

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Written answers

I inform the Deputy that the Agriculture Appeals Office operates independently of my Department. The Office has responsibility for agriculture appeals and also provides administrative and secretariat support to the Forestry Appeals Committee (FAC) which was established in February 2018. In addition to their agriculture appeal functions, Appeals Officers are also appointed as members of the FAC.

The Agriculture Appeals Office publishes an Annual Report each year which includes statistical information on all appeals. The reports can be found at the following link: www.agriappeals.gov.ie/publications/annualreports/.

I have been advised that the records of the Agriculture Appeals Office indicate the number of agriculture appeals received in 2021 was 809. I am informed that there are currently 755 open agriculture appeals. The number of appeals received has increased in the past two years from 570 in 2019 to 760 in 2020 and 809 in 2021. In addition, the number of forestry appeals increased in 2019 and 2020 and this had a significant impact on the resources of the Appeals Office.

The Agriculture Appeals Office has set itself a target of three months for closure of an appeal from the time of receipt of the Department file documents. Certain circumstances may result in appeals not being completed within that target time frame. In addition to the impact of COVID-19 and Forestry Appeals commitments, the reasons for appeals being closed outside the three months period varies and can include delays in agreeing dates for oral hearings with all parties, complexity of cases, legal issues, time taken by appellants and/or the Department to revert with additional information requested, and resource capacity.

During 2021, there was an increased demand on resources due to the backlog of Forestry appeals, which I am informed has since been resolved. COVID restrictions also contributed to delays as oral hearings could not be held during certain periods within the year, and a high level of postponements at short notice due to close contacts and other COVID related matters. As published in the 2020 Annual Report of the Appeals Office, the average time taken to close an appeal was 103 days from date of receipt of the Department file, for appeals received in 2020.

The statistics in relation to 2021 are not yet available but will be published in the 2021 Annual Report later this year. I understand that the Appeals Office expects the situation with regard to time taken to complete appeals to regularise during 2022 with the relaxation of the COVID restrictions and a reduction in the number forestry appeals which frees up more resources to deal with agriculture appeals.

Forestry Sector

Questions (810)

Richard Boyd Barrett

Question:

810. Deputy Richard Boyd Barrett asked the Minister for Agriculture, Food and the Marine the number of Coillte road licences issued on the forestry licensing dashboard in week three of January 2022; and if he will make a statement on the matter. [5857/22]

View answer

Written answers

Forest road applications are received and decided daily. Applications received from Coillte are treated the same as applications from private individuals.

For week ending 21st January, my Department issued 29 forest road licences, 19 of these were from Coillte and the remaining 10 were private applicants. However, the following week ending 28th January, 11 road licences were issued to private applicants and four were issued to Coillte.

For the month of January, 76 forest road licences issued, 36 to private applicants and 40 to Coillte.

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