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Wednesday, 9 Feb 2022

Written Answers Nos. 138-152

Mental Health Services

Questions (138)

Richard Boyd Barrett

Question:

138. Deputy Richard Boyd Barrett asked the Minister for Health if his attention has been drawn to the fact that families of persons with dementia have been informed that day services provided at a facility (details supplied) are due to be cut from three days to two days per week; the reason this is the case, rather than increase the number of persons permitted to attend three days per week to the pre-pandemic level of 24, the HSE is insisting on retaining the reduced number which was introduced in July 2021 in keeping with public health guidelines (details supplied); and if he will make a statement on the matter. [6851/22]

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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

Disabilities Assessments

Questions (139)

Paul McAuliffe

Question:

139. Deputy Paul McAuliffe asked the Minister for Health the status of progress to date in lowering the waiting times for assessment of needs in Dublin 9 and 11; and if he will make a statement on the matter. [6856/22]

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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.

Home Help Service

Questions (140)

Pádraig O'Sullivan

Question:

140. Deputy Pádraig O'Sullivan asked the Minister for Health if assistance will be provided in expediting the provision of a HSE service for a person (details supplied) who has been approved for the service; and if he will make a statement on the matter. [6860/22]

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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.

General Practitioner Services

Questions (141)

Niamh Smyth

Question:

141. Deputy Niamh Smyth asked the Minister for Health the reason that a service (details supplied) will not see children; and if he will make a statement on the matter. [6865/22]

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Written answers

The HSE advises parents and guardians to contact their GP or GP Out-of-Hours service if their child is unwell and they are worried about them.

Assessments are performed over the phone to determine if a patient needs to attend the surgery or Out-of-Hours treatment centre. When assessing patients, the GP or nurse will arrange for either a telephone or face-to-face consultation, or refer the patient to their nearest ED based on their clinical judgement.

GP practices and GP out-of-hour services co-operatives are private entities. Where a patient, or a parent on behalf of a child patient, is unhappy with or wishes to discuss the decision to provide a consultation or to refer the patient to the emergency department, the matter should be raised directly with the GP practice or out-of-hour services co-operative concerned.

Covid-19 Pandemic Supports

Questions (142)

Joan Collins

Question:

142. Deputy Joan Collins asked the Minister for Health if workers (details supplied) will be included in the Covid recognition payment. [6867/22]

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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.

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.

I am also mindful of other workers who played their own part during this difficult period in sustaining other services but did not work in such exposed areas. It is tough to draw a line on this matter, but the Government based its decision on the risks which frontline healthcare workers faced.

Covid-19 Pandemic

Questions (143)

Willie O'Dea

Question:

143. Deputy Willie O'Dea asked the Minister for Health his plans to reduce the extremely long waiting times persons are enduring in order to receive assistance from the EU Digital COVID Certificate helpline; and if he will make a statement on the matter. [6901/22]

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Written answers

The EU Digital Covid Certificate service centre was set up in July 2021 to facilitate the distribution of EU Digital Covid Certificates. Booster certificates began issuing from the 6th of January 2022 and this saw a huge increase in demand on the service centre.

Prior to the issuance of booster certificates, the Service Centre was receiving between 500 and 600 calls per day. This figure rose to a peak demand of around 4,500 calls and around 2,000 chats per day in mid-January. The increased demand and the average wait time being experienced by callers resulted in extra agents being trained and added to the service centre, increasing the number of agents from 38 to 56. Additional resources were also added to the HSE data quality team to support the resolution of complex cases.

Since the end of January, call demand and wait times have decreased with approximately 2,000 calls per day and 1,800 chats at present and an average of between 50 minutes and 1 hour and 10 minutes wait time. Other service channels outside of calls are also open to persons seeking assistance including a self-service portal and Live Chat.

Given that the bulk of booster certificates have now been issued by email and post and that there is no longer a requirement to use the EU Digital Covid Certificate for domestic purposes, it is anticipated that wait times will be further reduced.

Health Services

Questions (144)

Niamh Smyth

Question:

144. Deputy Niamh Smyth asked the Minister for Health if the funding allocated to a hospice (details supplied) will cover the full planning and development costs; the length of time it will take to complete this phase; the next steps in this process; and if he will make a statement on the matter. [6903/22]

View answer

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.

Hospital Staff

Questions (145)

Niamh Smyth

Question:

145. Deputy Niamh Smyth asked the Minister for Health the number of vacancies unfilled or filled on a temporary basis in Cavan General Hospital; and the details of each by categories (details supplied). [6906/22]

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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.

Home Care Packages

Questions (146)

Pádraig O'Sullivan

Question:

146. Deputy Pádraig O'Sullivan asked the Minister for Health the breakdown of the HSE budget spend on home help and carers in CHO4; the breakdown of the spend on private agencies and outsourcing of home support services; and if he will make a statement on the matter. [6907/22]

View answer

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.

Covid-19 Tests

Questions (147)

Niamh Smyth

Question:

147. Deputy Niamh Smyth asked the Minister for Health the long-term plan regarding the testing centres in counties Cavan and Monaghan (details supplied); if it is envisaged to have one centre between two counties going forward; if they will be closed; if so, when; and if he will make a statement on the matter. [6912/22]

View answer

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.

Covid-19 Pandemic Supports

Questions (148)

Bríd Smith

Question:

148. Deputy Bríd Smith asked the Minister for Health if workers at an organisation (details supplied) will be included in the Covid recognition payment given that they meet the criteria being reviewed by his Department in view of an email from the HSE; and if he will make a statement on the matter. [6913/22]

View answer

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.

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.

I am also mindful of other workers who played their own part during this difficult period in sustaining other services but did not work in such exposed areas. It is tough to draw a line on this matter, but the Government based its decision on the risks which frontline healthcare workers faced.

Disability Services

Questions (149)

Seán Sherlock

Question:

149. Deputy Sean Sherlock asked the Minister for Health when a child (details supplied) will be seen for therapy. [6915/22]

View answer

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 (150)

Bernard Durkan

Question:

150. Deputy Bernard J. Durkan asked the Minister for Health when appropriate treatment via mental health services will be provided in the case of a person (details supplied); and if he will make a statement on the matter. [6916/22]

View answer

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.

Thalidomide Victims Compensation

Questions (151)

Seán Canney

Question:

151. Deputy Seán Canney asked the Minister for Health if he will ensure that full medical cards are provided to persons that have suffered from thalidomide irrespective of their means; and if he will make a statement on the matter. [6918/22]

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Written answers

The Deputy may be aware that following an Irish Government decision in January 1975, the Government granted an ex-gratia sum equivalent to 4 times the German lump-sum and an ex-gratia monthly allowance for life equal to the German monthly allowance, to each of the Irish children found to have thalidomide related injuries. There are currently 29 Irish people in receipt of ex-gratia monthly payments from the Department of Health.

In addition to the initial lump-sum and monthly payments for life, the supports provided by the Irish State to each Irish survivor include a medical card on an administrative basis regardless of means, which includes access to a full range of primary care, hospital and personal social services, provision of appliances, artificial limbs, equipment and housing adaptations. There is a designated senior manager in the Health Service Executive who liaises with Irish thalidomide survivors and assists them to access supports towards their ongoing health and personal social service needs.

Work is underway in the Department to bring forward Heads of a Bill to provide these health and personal social supports on a statutory basis to Irish thalidomide survivors.

It is important to note that the German Contergan Foundation has confirmed that since 2013 it is accepting applications from individuals for compensation for thalidomide related injury. It is open to any Irish person to apply to the Foundation for assessment of their disability as being attributable to thalidomide. Any Irish person who establishes that their injury is attributable to thalidomide will be offered appropriate supports by the Irish Government, commensurate with those currently provided to Irish thalidomide survivors.

Disability Services

Questions (152)

Duncan Smith

Question:

152. Deputy Duncan Smith asked the Minister for Health the services that will be included as special disability community-based services which will be transferred to the Minister for Children, Equality, Disability, Integration and Youth; the mainstream health services that will be delivered to persons with disabilities under his Department as per the health (miscellaneous provisions) Bill; and if he will make a statement on the matter. [6920/22]

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Written answers

About one in seven people in Ireland, circa 650,000, self-reported as having a disability in Census 2016. In line with the ‘mainstream first’ approach of the Disability Act 2005, over 90% of people with a disability are supported through general community health and social services. Health Service Executive funded specialist community-based disability services are delivered to about 56,000 people or 9% of those with a disability. Policy functions and funding responsibility relating to specialist community-based disability services will transfer to the Minister for Children, Equality, Disability, Integration and Youth, and the responsibility for the delivery of these services will be retained within the Health Service Executive. The changed arrangements will not affect access to and delivery of specialist disability services on the ground. However, the assignment of policy and funding responsibility for disability services will enable a particular Ministerial focus on this area, in the context of the UN Convention on the Rights of Persons with Disabilities, for which the Department of Children, Equality, Disability, Integration and Youth co-ordinates the national response.

Specialist community-based disability services include the services provided by, or on behalf of, the HSE to children and adults with physical, sensory, intellectual disability and/or autism, including:

- Specialist children’s and adults’ multi-disciplinary supports

- Day services

- Respite services

- Personal Assistant and Home Support Services and

- Residential services

Mental health services are remaining under the auspices of my Department.

The Health (Miscellaneous Provisions) Bill will be published shortly. The transfer of functions will be provided for by way of secondary legislation under the Ministers and Secretaries (Amendment) Act 1939, and statutory instruments have been drafted to effect the transfer. The Bill is a technical Bill assigning appropriate governance and oversight powers to the Minister for Children, Equality, Disability, Integration and Youth in respect of the policy areas transferring.

Where practicable and appropriate, under the Disability Act 2005 (Section 26) persons with a disability will continue to access mainstream services such as GP, dental services and acute hospital services, while people with complex needs who so require will continue to be supported through specialist community-based disability supports and services. Policy and political responsibility for mainstream health services (including those delivered to people with disabilities) and for mental health services, will continue to lie with my Department.

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