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Tuesday, 12 Jul 2022

Written Answers Nos. 936-955

Hospital Staff

Questions (936)

Alan Dillon

Question:

936. Deputy Alan Dillon asked the Minister for Health his views on the serious consequences and impact to Mayo University Hospital of the loss of training accreditation from a professional body (details supplied) with the withdrawal of college trainees on 1 July 2023; if HSE national funding for four new consultant anaesthesiology posts to allow the recommended on-call rota cover of two consultants and two non-consultant hospital doctors is not approved before 1 September 2022; the way that he intends to resolve this matter with the HSE; and if he will make a statement on the matter. [37637/22]

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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.

Hospital Staff

Questions (937)

Alan Dillon

Question:

937. Deputy Alan Dillon asked the Minister for Health if the HSE will provide the reason that funding was approved for Sligo University Hospital and Letterkenny University Hospital for additional consultant anaesthesiology posts; and the reason that it is acceptable for Mayo University Hospital to become an outlier in a group (details supplied) with the delay in approval of a business case to similar posts to address clinical deficiencies and comply with national standards. [37638/22]

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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.

Medical Cards

Questions (938)

Aindrias Moynihan

Question:

938. Deputy Aindrias Moynihan asked the Minister for Health his views on increasing the means test criteria on medical card applications given the current rising cost of living and the difficulties that low to mid-income families are currently experiencing; and if he will make a statement on the matter. [37650/22]

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Written answers

Eligibility for a Medical Card is primarily based on a financial assessment which is conducted by the HSE in accordance with the Health Act 1970 (as amended). The HSE assesses each medical card application on a qualifying financial threshold. This is the amount of money that an individual can earn a week and still qualify for a card. It is specific to the individual’s own financial circumstances.

Persons aged 69 and under are assessed under the general means tested medical card thresholds which are based on an applicant’s household income after tax and the deduction of PRSI and the Universal Social Charge. Certain expenses are also taken into account, i.e. mortgage payments, which help to increase the amount a person can earn and still qualify for a medical card.

Persons aged 70 or older are assessed under the over 70s medical card income thresholds which are based on gross income. It should be noted that in November 2020, the weekly gross medical card income thresholds for those aged 70 and over were increased to €550 per week for a single person and €1050 for a couple. This increase helps to ensure that a greater proportion of those aged 70 and over qualify for a medical card.

I wish to assure the Deputy that the current medical card income thresholds are kept under regular review and any changes that may be required are considered in the context of Government policy, the annual budgetary estimates process and other issues which may be relevant.

Hospital Appointments Status

Questions (939)

Michael Healy-Rae

Question:

939. Deputy Michael Healy-Rae asked the Minister for Health if a hospital appointment will be expedited for a person (details supplied); and if he will make a statement on the matter. [37669/22]

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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.

Hospital Staff

Questions (940)

David Cullinane

Question:

940. Deputy David Cullinane asked the Minister for Health the number of medical intern posts made available for 2022/2023; the number of posts filled; the number of posts unfilled; his plans to fill any outstanding unfilled posts; and if he will make a statement on the matter. [37682/22]

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Written answers

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.

Primary Care Centres

Questions (941)

Catherine Connolly

Question:

941. Deputy Catherine Connolly asked the Minister for Health further to Parliamentary Question No. 77 of 26 May 2022, the status of the proposed primary care centre for Galway west; if a planning permission application has been lodged to date, as per the expected timeline of Q3 2022; and if he will make a statement on the matter. [37690/22]

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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.

Primary Care Centres

Questions (942)

Catherine Connolly

Question:

942. Deputy Catherine Connolly asked the Minister for Health further to Parliamentary Question No. 230 of 25 May 2022, the status of the delivery of a primary care centre on Inishbofin; for details of any engagement his Department or the HSE has had to date in 2022 with the Department of Media, Tourism, Culture, Arts, Gaeltacht and Sport as well as Galway County Council with a view to progressing the purchase of the site; and if he will make a statement on the matter. [37691/22]

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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.

Care of the Elderly

Questions (943)

Catherine Connolly

Question:

943. Deputy Catherine Connolly asked the Minister for Health the number of respite beds currently provided in the Merlin Park older peoples short stay unit; the timeline for when admissions to the unit will increase to the promised thirteen-bed capacity; and if he will make a statement on the matter. [37692/22]

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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.

Hospital Services

Questions (944)

Catherine Connolly

Question:

944. Deputy Catherine Connolly asked the Minister for Health if his attention has been drawn to the Iris Clinic initiative by the National Maternity Hospital, which provides much-needed support to patients with hyperemesis gravidarum; his plans to roll-out similar initiatives in other hospitals in Ireland; the analysis that his Department has carried out into the level of unmet need as regards targeted supports for patients with hyperemesis gravidarum; and if he will make a statement on the matter. [37693/22]

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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.

Question No. 945 answered with Question No. 775.

Hospital Waiting Lists

Questions (946, 947, 948, 949, 950)

Aindrias Moynihan

Question:

946. Deputy Aindrias Moynihan asked the Minister for Health the average processing times for those on the urgent list awaiting treatment for orthopaedic services in the South West Hospital Group in each of the years 2019 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37709/22]

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Aindrias Moynihan

Question:

947. Deputy Aindrias Moynihan asked the Minister for Health the average processing times for those on the routine list awaiting treatment from orthopaedic services in the South West Hospital Group in each of the years 2019 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37710/22]

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Aindrias Moynihan

Question:

948. Deputy Aindrias Moynihan asked the Minister for Health the average processing times for those on the urgent list awaiting cataract treatment in the South West Hospital Group in each of the years 2019 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37711/22]

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Aindrias Moynihan

Question:

949. Deputy Aindrias Moynihan asked the Minister for Health the average processing times for those on the routine list awaiting cataract treatment in the South West Hospital Group in each of the years 2019 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37712/22]

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Aindrias Moynihan

Question:

950. Deputy Aindrias Moynihan asked the Minister for Health the average processing times for those on the urgent list awaiting treatment from gynaecology services in the South West Hospital Group in each of the years 2019 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37713/22]

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Written answers

I propose to take Questions Nos. 946 to 950, inclusive, together.

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Omicron variants.

The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

The 2022 Waiting List Action Plan, which was launched on the 25th of February, allocates €350 million to the HSE and NTPF to reduce waiting lists. Under this plan the Department, HSE, and NTPF will deliver urgent additional capacity for the treatment of patients, as well as investing in longer term reforms to bring sustained reductions in waiting lists.

The plan builds on the successes of the short-term 2021 plan that ran from September to December last year. The 2021 plan was developed by the Department of Health, the HSE and the NTPF and was driven and overseen by a senior governance group co-chaired by the Secretary General of the Department of Health and the CEO of the HSE and met fortnightly.

This rigorous level of governance and scrutiny of waiting lists has continued into this year with the oversight group evolving into the Waiting List Task Force. The Task Force will meet regularly to drive progress of the 2022 plan.

This is the first stage of an ambitious multi-annual waiting list programme, which is currently under development in the Department of Health. Between them, these plans will work to support short, medium, and long term initiatives to reduce waiting times and provide the activity needed in years to come.

The NTPF only collects data on patients currently on the waiting list. The time to treatment of patients who have already received their care is not collected. As a result, the health system does not have the data necessary to calculate true average wait times.

In relation to the particular query raised by the Deputy, the attached document, provided to my Department by the National Treatment Purchase Fund (NTPF), outlines the number of patients on a waiting list for an inpatient or day case procedure in the South/South West Hospital group for Orthopaedic, Gynaecology and Cataract treatment by routine/urgent and by time band in each of the years 2019 to 2021 and to date in 2022.

Scheduled Appointments

Question No. 947 answered with Question No. 946.
Question No. 948 answered with Question No. 946.
Question No. 949 answered with Question No. 946.
Question No. 950 answered with Question No. 946.

Home Care Packages

Questions (951)

Aindrias Moynihan

Question:

951. Deputy Aindrias Moynihan asked the Minister for Health if his attention has been drawn to the difficulties of those in need of homecare packages; if his attention has further been drawn to the difficulties many have in sourcing these packages and that many of the packages granted are for less hours than would be appropriate to the need; if his attention has been further drawn to the fact this shortfall in hours is being decided on the basis of resources available rather than on the need; and if he will make a statement on the matter. [37715/22]

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Written answers

The overall Budget for Home Support is over €670 million. This includes the €150 million I secured in Budget 2021 to progress the development of a reformed model of service delivery to underpin the statutory scheme for the financing and regulation of home-support services and to provide 5 million additional hours of home support.

In 2021 some 20.4 million hours was provided to over 55,000 people. This is about 2.9 million more hours compared to 2020, an increase of 17%. In 2022, our aim is to provide 23.67 million hours of home support.

At the end of May preliminary data shows that 55,392 people were receiving home support and over 8.7 million hours has been delivered year to date. The preliminary data also shows significant inroads have been achieved in reducing waiting lists for funding approval for new or additional service from over 7,800 in January 2020 to 348 in May 2022. This reduction has been achieved through a combination of validation of the waiting list and availability of additional funding to address those waiting. However, there can be a lag between funding approval and the actual delivery of home support hours. Certain geographical areas that are experiencing increased pressures due to staff availability are particularly affected.

At the end of May provisional information shows that there were 4,720 people assessed and approved for Home Support but were awaiting a carer to be assigned. In January 2020, there was about 1,300 people in this category. Despite the increase, it is important to note that the total number of people waiting for home support across both categories has reduced from over 9,000 at the start of 2020 to 5,068 at the end of May 2022.

The number of home support hours in communities is increasing, in line with enhanced investment. Delivering this enhanced capacity requires substantial recruitment. This has been affected due to the strategic workforce challenges in the sector.

I have established an Advisory Group to identify the specific obstacles to recruiting carers. The Group is committed to providing me with a set of recommendations by September.

The HSE continues to advertise for Health Care Assistants. In my ongoing engagements with the Chief Officers I have recommended that they consider a renewed focus in advertising these positions locally.

Eating Disorders

Questions (952)

Aindrias Moynihan

Question:

952. Deputy Aindrias Moynihan asked the Minister for Health if he has satisfied himself with the level of mental health supports that are in place for persons with eating disorders in County Cork; and if he will make a statement on the matter. [37716/22]

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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.

Hospital Appointments Status

Questions (953)

Pádraig O'Sullivan

Question:

953. Deputy Pádraig O'Sullivan asked the Minister for Health when a person (details supplied) will receive an appointment for a procedure; and if he will make a statement on the matter. [37760/22]

View answer

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 (954, 955)

Mark Ward

Question:

954. Deputy Mark Ward asked the Minister for Health the total number of approved centres registered by the mental health commission; the number of centres that were removed from the register; the reason for same by CHO area in each of the years 2002 to 2021 and to date in 2022, in tabular form; and if he will make a statement on the matter. [37761/22]

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Mark Ward

Question:

955. Deputy Mark Ward asked the Minister for Health if an approved centre that was removed from the register by the mental health commission can still provide inpatient services; and if he will make a statement on the matter. [37762/22]

View answer

Written answers

I propose to take Questions Nos. 954 and 955 together.

Under the Mental Health Act 2001, the Mental Health Commission is responsible for regulation of all mental health approved centres in the state. Attached is a list approved centres registered and deregistered from 1 November 2006 to date, as this was when Part 5, Section 64 of the Mental Health Act 2001 (the 2001 Act) was commenced.

Information for the period 1 January 2002 to 31 October 2006 was published in the Annual Report of the Inspector of Mental Hospitals. The information will take a little time to extract, however this will be sent on as soon as possible.

Approved centres can only operate if they are registered in accordance with the arrangements set out in Part 5 of the 2001 Act. Section 63 of the 2001 act prohibits the operation of unregistered centres.

Year

Total Registered Services

Closed Services

2006

58

0

2007

62

1

2008

64

0

2009

66

1

2010

68

2

2011

64

8

2012

63

5

2013

63

2

2014

61

3

2015

61

3

2016

64

2

2017

64

1

2018

65

2

2019

65

0

2020

66

5

2021

67

1

2022

67

0

Question No. 955 answered with Question No. 954.
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