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Wednesday, 18 Jan 2023

Written Answers Nos. 1249-1269

Dental Services

Questions (1250)

Seán Canney

Question:

1250. Deputy Seán Canney asked the Minister for Health the number of dental practices in County Galway which have ceased providing medical card services to persons with disabilities in the past five years; the medical card dental services that are currently available to adult persons with disabilities; the provisions in place for those whose local dentist withdraws from the provision of medical card services; and if he will make a statement on the matter. [63546/22]

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Written answers

The Dental Treatment Services Scheme (DTSS) provides dental care, free of charge, to medical card holders aged 16 and over. Services available annually and on demand include an examination including preventative elements, two fillings, emergency extractions, and a scale and polish. Since May 1st 2022, there has been additional prevention treatments included and a 40-60% increase in fees across most treatment items. More complex care, such as dentures, is also available. Patients with additional needs can access a broader range of treatments.

The DTSS is a “choice of dentist” scheme which does not require the patient to register with a particular dentist and enables medical card holders, including those with additional needs, to attend any DTSS contractor directly without recourse to the HSE. Where access to a dentist is difficult, local HSE services assist patients who make enquires and make lists of DTSS contractors available to medical card holders. In exceptional circumstances, the HSE directly assists patients to access emergency dental treatment by contacting private contractors or arranging treatment through HSE-employed dentists.

Adults with additional needs who cannot receive care in a general dental practice setting may need special care services provided via the HSE Public Dental Services. A general dental practitioner or a GP can refer a patient to the HSE for receipt of special care services. A patient or caregiver can also make contact with the HSE directly. These patients who have additional needs are given an oral health examination and have their treatment provided using additional supports where necessary. Supports to care include Relative Analgesia, IV sedation and Dental General Anaesthetic.

I have asked the HSE to reply to the Deputy directly with the service-related information sought.

Dental Services

Questions (1251)

Seán Canney

Question:

1251. Deputy Seán Canney asked the Minister for Health the number of dental practices in County Galway which have ceased providing medical card services in the past five years; the medical card dental services that are currently available to medical card users; the provisions in place for those whose local dentist withdraws from the provision of medical card services; and if he will make a statement on the matter. [63547/22]

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Written answers

The Dental Treatment Services Scheme (DTSS) provides dental care, free of charge, to medical card holders aged 16 and over. Services available annually and on demand include an examination including preventative elements, two fillings, emergency extractions, and a scale and polish. Since May 1st 2022, there has been additional prevention treatments included and a 40-60% increase in fees across most treatment items. More complex care, such as dentures, and a broader range of treatments for patients with additional needs and high-risk patients are also available. 

The DTSS is a “choice of dentist” scheme which does not require the patient to register with a particular dentist and enables medical card holders to attend any DTSS contractor directly without recourse to the HSE. Where access to a dentist is difficult, local HSE services assist patients who make enquires and make lists of DTSS contractors available to medical card holders. In exceptional circumstances the HSE directly assists patients to access emergency dental treatment by contacting private contractors or arranging treatment through HSE-employed dentists.

I am aware that there are some towns with no or very few DTSS dentists that have sufficient capacity to accept new patients. For this reason, €5 million of additional funding has been allocated through Budget 2023 on a one-off basis to support the HSE Public Dental Service to provide care this year, including through a HSE ‘safety- net’ service for adult medical card holders who are in need of emergency care and are still struggling to access a local dentist.

I have asked the HSE to reply to the Deputy directly with the service-related information sought.

Primary Care Services

Questions (1252)

Niamh Smyth

Question:

1252. Deputy Niamh Smyth asked the Minister for Health the reason that a child (details supplied) was moved from Meath primary care unit to Louth primary care unit; and if he will make a statement on the matter. [63548/22]

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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.

Disability Services

Questions (1253)

Niamh Smyth

Question:

1253. Deputy Niamh Smyth asked the Minister for Health the reason that a child (details supplied) has not received any appointments in the past three years for their autism; and if he will make a statement on the matter. [63549/22]

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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 (1254)

Pa Daly

Question:

1254. Deputy Pa Daly asked the Minister for Health when families affected as part of the south Kerry CAMHS review and identified as being a family that will receive redress, will receive payment from the scheme; and if he will make a statement on the matter. [63573/22]

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Written answers

In April last, the Government approved a Compensation Scheme for individuals identified as affected by the Maskey Report. This Scheme is being administered by the State Claims Agency (SCA). Such a compensation scheme was called for by many mental health advocates, including families in South Kerry.

The Scheme is designed to provide full compensation in line with a court ruling but without the stress for families of court proceedings.  As was also indicated at the launch of the Scheme, families needed to engage a solicitor to apply on their behalf. This was done via the HSE, who then notified the SCA which took over and managed the whole process. The HSE continues to provide care or other appropriate supports to those affected by the Maskey Report. This involves engagement with families locally, including the Kerry CAMHS Family Support Group . The Executive established a Clinical Liaison Support Team based in Killarney to offer the necessary key worker/case manager contact to those affected and to consult with them around the clinical and other supports available to them and to ensure they receive such supports in a timely manner. Those affected can also contact the HSE on the South Kerry CAMHS Lookback Review information line 1800 742 800 for information

As the SCA is an independent agency in terms of its role and responsibilities, the Department of Health and HSE are not placed to provide the Deputy with the specific information around process and update regarding scheduled payments. This information should instead be sought from the SCA.

Mental Health Services

Questions (1255)

Pa Daly

Question:

1255. Deputy Pa Daly asked the Minister for Health when families affected as part of the south Kerry CAMHS review and identified as being a family that will receive redress, will receive detailed communications regarding the implementation of the scheme; and if he will make a statement on the matter. [63574/22]

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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.

Disabilities Assessments

Questions (1256)

Mattie McGrath

Question:

1256. Deputy Mattie McGrath asked the Minister for Health the number of children who received a preliminary team assessment in place of a full assessment of needs; of those who received a PTA which was found to not satisfy the statutory right to an assessment of needs; the number of children who have subsequently received a full assessment of needs; the number who have been offered a full assessment of needs; if he will provide a breakdown of the number of children who received a PTA by CHO area; the number who have been offered a full AON by CHO; the number who have received a full AON by CHO; and if he will make a statement on the matter. [63577/22]

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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.

Disability Services

Questions (1257)

Eoin Ó Broin

Question:

1257. Deputy Eoin Ó Broin asked the Minister for Health if the HSE will reconsider the request to transfer the care of a person (details supplied) to an alternative team in an area in order for the person to access required disability services. [63580/22]

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Written answers

As the Deputy's question relates to a service matter, it has been referred to the HSE for direct reply.

Disability Services

Questions (1258)

Eoin Ó Broin

Question:

1258. Deputy Eoin Ó Broin asked the Minister for Health if the HSE will reconsider the request to transfer the care of a person (details supplied) to an alternative team in an area in order for the person to access required disability services. [63581/22]

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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.

Disability Services

Questions (1259)

Eoin Ó Broin

Question:

1259. Deputy Eoin Ó Broin asked the Minister for Health if the HSE will reconsider the request to transfer the care of a person (details supplied) to an alternative team in an area in order for the person to access required disability services. [63582/22]

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.

Disability Services

Questions (1260)

Eoin Ó Broin

Question:

1260. Deputy Eoin Ó Broin asked the Minister for Health if the HSE will reconsider the request to transfer the care of a person (details supplied) to an alternative team in an area in order for the person to access required disability services. [63583/22]

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.

Disability Services

Questions (1261)

Eoin Ó Broin

Question:

1261. Deputy Eoin Ó Broin asked the Minister for Health if the care of a person (details supplied) in relation to a particular disability service will be transferred to a team in an area in order to enable the person to access the required service. [63584/22]

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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.

Healthcare Policy

Questions (1262)

Michael Lowry

Question:

1262. Deputy Michael Lowry asked the Minister for Health if women who have hyperemesis gravidarum and are prescribed Cariban by their general practitioner which will be funded from 1 January 2023, will receive Cariban free of charge, as per the funding for women's health initiatives in 2023; and if he will make a statement on the matter. [63585/22]

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Written answers

As part of Budget 2023, I announced €32.2 million in funding for Women’s Health Initiatives in 2023, to include dedicated funding for Cariban® (doxylamine/pyridoxine). Cariban® is an Exempt Medicinal Product i.e. not licensed with the Health Products Regulatory Authority (HPRA) in Ireland. Following the recommendations of the HSE Medicines Management Programme, this product will be made available on an individual patient basis for those patients who meet the criteria under Community Drug Schemes (GMS, DPS) from January 2023 where Consultant Obstetrician initiated. 

Under Community Drug Schemes, Exempt Medicinal Products must be Consultant initiated.  However, whilst the original prescriber is a Consultant and specialist in the relevant field, the HSE will accept a GP prescription further to the initial hospital prescription for approved patients.

General Practitioner Services

Questions (1263)

Steven Matthews

Question:

1263. Deputy Steven Matthews asked the Minister for Health the position regarding the former health centre in Delgany, County Wicklow; if it is proposed to sell the building; if any meetings have been held with Wicklow County Council with regards to the acquisition of the building by the local authority; and if he will make a statement on the matter. [63590/22]

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Written answers

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

Covid-19 Pandemic Supports

Questions (1264)

Cathal Crowe

Question:

1264. Deputy Cathal Crowe asked the Minister for Health when Section 38 health workers who are due their pandemic bonus payment can expect to receive same. [63611/22]

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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.

Medical Qualifications

Questions (1265)

Réada Cronin

Question:

1265. Deputy Réada Cronin asked the Minister for Health the steps that his Department will take to address the fact that applications to CORU for registration by key healthcare workers are taking three years to process (details supplied); the reason that CORU will not provide updates on the status of such applications; and if he will make a statement on the matter. [63612/22]

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Written answers

CORU is Ireland's multi-profession health regulator responsible for regulating health and social care professionals. CORU’s role is to protect the public by regulating the health and social care professions designated under the Health and Social Care Professionals Act 2005 (as amended), including setting the standards that health and social care professionals must meet to be eligible for registration and maintaining registers of persons who meet those standards  There are two forms of application to CORU: applications for the recognition of qualifications received outside the State and applications for registration.

Professional qualifications awarded outside the State are assessed through a process of “recognition” which involves expert assessment of a qualification’s alignment with the standards of proficiency required in Ireland, and assessment of professional experience and lifelong learning where required.  Where a health and social care professional qualifies outside the State and applies to register in Ireland, they must apply for the recognition of their qualification. EU/EEA applicants have the right to have their qualifications assessed in accordance with the Health and Social Care Professionals Act 2005 and Directive 2005/36/EC on the Recognition of Professional Qualifications and the European Union (Recognition of Professional Qualifications) Regulations 2017 (SI No 8 of 2017).

At present, the average processing time for applications for recognition is 69 days, while applications for registration are processed in 9.6 weeks on average. I met with the Chairperson and CEO of CORU last year and raised the issue of timeframes for the recognition of qualifications and registration applications. Following our discussion, several measures have been initiated by CORU aimed at further reducing timeframes.

Until last year applicants were required to complete the recognition process before initiating the registration process unless they had confirmed job offers. All applicants are now invited to initiate an application for registration as soon as they have submitted a complete application file to the recognition department. This will have the effect of reducing the period of time required to both complete the recognition and registration process.

This is part of a suite of innovations that have been initiated following my discussions with CORU. Further steps underway include:

- Full transfer to an online application system

- Increased frequency of regulatory decision making (Registration Board meetings)

- Assignment of additional temporary staff resources

- Recruitment of additional expert assessors in ‘under pressure’ professions

- Development of a Voice over IP (VoIP) solution to improve communications with applicants.

When a new register opens, professionals who have been working within that profession for a specific period of time can apply for registration under grandparenting rules, which provide a two-year window from the opening of a register for applicants to make an application.  

CORU is committed to delivering the highest level of customer service to all registrants and potential registrants, including providing prompt and efficient service and clear and accurate updates on applicants when requested. The Registration team at CORU are available to provide any additional information or clarification required on individual applications and may be contacted at registration@coru.ie.

Medical Cards

Questions (1266)

Kathleen Funchion

Question:

1266. Deputy Kathleen Funchion asked the Minister for Health if terminal cancer patients are automatically entitled to a medical card and free medical treatment for their cancer care. [63613/22]

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Written answers

Under the Health Act 1970, eligibility for a medical card is based primarily on means and does not provide for automatic eligibility based on having a particular disease or illness.   

That said, it is vitally important we do as much as possible to support people with difficult illnesses such as cancer, including where appropriate through the provision of a medical card. 

Where individuals might be in excess of the medical card income guidelines, every effort is made by the HSE to support applicants by taking full account of the difficult circumstances, such as extra costs arising from an illness. In such circumstances, the HSE may exercise discretion and grant a medical card.  

The HSE also has a compassionate system in place for the provision of medical cards where persons are in need of urgent ongoing medical care or when a patient is receiving end of life treatment – that is when patients’ unfortunately have a prognosis of less than 12 months. I am informed that generally, such medical cards are active on the system within 24 hours of the HSE National Medical Card Unit receiving a medical report and completed application form from a healthcare professional.  

In addition, since March 2021, persons who have been certified by their treating Consultant as having a prognosis of 24 months or less are now also awarded a medical card on an administrative basis. This measure delivered the Programme for Government commitment to extend eligibility for medical cards to persons with a terminal illness and work is continuing on developing a legislative framework to underpin this administrative scheme.  

What is very important to highlight to the Deputy is that medical cards awarded on either end of life or terminal illness grounds are never re-assessed by the HSE thereby providing reassurance and comfort to patients and their families.  

Separately, I can advise the Deputy that, since 2015, medical cards are awarded without the need of a financial assessment to all children under 18 years of age with a diagnosis of cancer.   

Further information can be found on the HSE’s website at: www2.hse.ie/services/schemes-allowances/medical-cards/other-types-of-medical-card/emergency-medical-cards/

Health Services Staff

Questions (1267)

Johnny Guirke

Question:

1267. Deputy Johnny Guirke asked the Minister for Health when the promised community neuro-rehabilitation teams for each CHO area, currently only two out of nine initiated, which will allow persons living with acquired conditions such as stroke and brain injury to leave hospitals more quickly to continue their recovery at home, reducing the need for longer term care, will be in place, particularly in CHO 8; and if he will make a statement on the matter. [63620/22]

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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 Strategies

Questions (1268)

Mary Lou McDonald

Question:

1268. Deputy Mary Lou McDonald asked the Minister for Health the progress he has made in the establishment of a national hearing plan, as recommended by the World Health Organization. [63626/22]

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Written answers

The World Health Organization’s World Report on Hearing published in March 2021 recommends, among other things, that governments develop a comprehensive people-centred hearing care plan within their national health care plan.

The National Audiology Review Group (NARG) Report, published by the Health Service Executive (HSE) in 2011, identified shortcomings in audiology services including access issues, poor information, inadequate staffing, and unacceptable waiting times and made recommendations to address these issues.

While many of these recommendations have been implemented, including the rollout of a National Audiology Clinical Management system for community and acute services, there is still much work to do in relation to the community audiology waiting lists. These have been exacerbated by the COVID-19 pandemic and the HSE is actively looking at all options to increase activity and minimise patient wait times nationally.

My Department is also engaging with the HSE on plans to further progress audiology services in Ireland. This includes consideration of whether a national hearing plan is needed to address the hearing needs of the Irish population.

Disability Services

Questions (1269)

Colm Burke

Question:

1269. Deputy Colm Burke asked the Minister for Health if he will provide a timeframe for the addition of adult ADHD services in HSE area CHO 4; and if he will make a statement on the matter. [63631/22]

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.

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