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Wednesday, 10 May 2023

Written Answers Nos. 155-174

Disability Services

Questions (155)

Pauline Tully

Question:

155. Deputy Pauline Tully asked the Minister for Children, Equality, Disability, Integration and Youth if he will report on HSE funding for adult transition supports for young adolescents transitioning from post-primary or special schools into disability day services; the funding allocated for this to each CHO area in 2018, 2019, 2020, 2021 and 2022, in tabular form; the number of young adolescents in each CHO area to transition from post-primary or special schools into disability day services in the corresponding timeframe, in tabular form; if he will provide more information on the way this funding is allocated between different CHOs; and if he will make a statement on the matter. [21977/23]

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Written answers

As this question refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly, as soon as possible. 

Disability Services

Questions (156, 157)

Cathal Crowe

Question:

156. Deputy Cathal Crowe asked the Minister for Children, Equality, Disability, Integration and Youth the number of vacant posts or new appointments waiting to be filled in the midwest disability team providing services to children living in County Clare in 2022 and 2023. [22049/23]

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Cathal Crowe

Question:

157. Deputy Cathal Crowe asked the Minister for Children, Equality, Disability, Integration and Youth the number of vacant posts by discipline in the midwest disability team, in tabular form; the status of the recruitment for these vacant posts; and the efforts being made to fill these posts. [22050/23]

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Written answers

I propose to take Questions Nos. 156 and 157 together.

As this refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly, as soon as possible.

Question No. 157 answered with Question No. 156.

Child and Family Agency

Questions (158, 160, 161)

Patricia Ryan

Question:

158. Deputy Patricia Ryan asked the Minister for Children, Equality, Disability, Integration and Youth if he will challenge the Department of Public Expenditure, National Development Plan Delivery and Reform’s decision to freeze Tusla funding at to community and voluntary organisations at 18% below 2009 levels, thus reducing their ability to provide essential services to vulnerable children and families in south Kildare and countrywide; and if he will make a statement on the matter. [22114/23]

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Patricia Ryan

Question:

160. Deputy Patricia Ryan asked the Minister for Children, Equality, Disability, Integration and Youth the engagement he and his party have had with Tusla, the Department of Public Expenditure, National Development Plan Delivery and Reform and other relevant stakeholders returning funding to community and voluntary organisations, whose current funding is still below 18% 2009 levels; and if he will make a statement on the matter. [22116/23]

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Patricia Ryan

Question:

161. Deputy Patricia Ryan asked the Minister for Children, Equality, Disability, Integration and Youth the engagement with Tusla and the Department of Public Expenditure, National Development Plan Delivery and Reform regarding a commitment to minimum 4% year-on-year funding increases to community and voluntary services to bring their services up to the level required to cope with demand; and if he will make a statement on the matter. [22117/23]

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Written answers

I propose to take Questions Nos. 158, 160 and 161 together.

Thank you Deputy for your questions. This is an important topic and impacts many services being provided on behalf of the State.

It is important to recognise, the work that the many and varied bodies you refer to provide, is vital to many families and vulnerable people. I greatly appreciate the work of these community NGOs, often described as Section 56 organisations in a Tusla context.

The table below indicates the changes in overall funding from Tusla to these bodies. You can see that funding has been increasing in recent years. In addition, it should be noted that other Government bodies can also provide significant funding to deliver services on their behalf. For example, during 2020 for a subset of section 56 organisations, more than half of the funding for the Family Resource Centres came from non-Tusla sources such as Local Authorities, ETBs, the HSE, Pobal or the Department of Social Protection.

Section 56 (14) of the Child and Family Agency Act, 2013 is clear that Tusla's arrangements with such providers do "not give rise to an employment relationship between a service provider, its employees or agents on the one hand and [Tusla] on the other'. None of these staff are employees of the State and their concern for pay rates would best be addressed with their employers.

Tusla Broader NGO sector funding 2017-2022

Section 56 Organisations

2017

2018

2019

2020

2021

2022

€m

€m

€m

€m

€m

€m

Sections 56-Section 59 Arrangements

105.8

115.4

123.2

131.3

141.4

149.4

Schools Completion Programme

24.0

23.9

25.4

24.1

25.9

31.2

Family Resource Centres

15.6

17.5

18.5

19.5

20.3

21.2

Family Support Service Counselling

6.2

6.4

6.4

6.8

6.8

6.6

Total

151.7

163.3

173.5

181.6

194.4

208.5

Year on Year % increase

8%

6%

5%

7%

7%

In 2022, all Section 56 organisations funded by Tusla were awarded an additional 4% increase to their core funding (Sustainability Funding). I am aware that these NGOs often provide significant levels of assistance on the ground in communities who are welcoming Ukrainian people and I have asked Tusla to continue to support Family Resource Centres and other NGOs in those efforts. My Department has provided specific additional funding to allow this support to be provided.

We are aware that organisations funded under Section 56 of the Child and Family Agency, Act 2013, are struggling to recruit and retain staff, this is mirrored in many of the caring and public facing professions across the State. There is a concern that if the sustainability of funding for the Community sector is not addressed, there is a risk that valuable services may be lost. Currently services provided by Community organisations represent some of the most cost-effective services in the areas that Tusla provides services. The sustainability of the sector who deliver valuable services through their staff on our behalf is a concern for both the Department and Tusla. In addition, this issue impacts a number of other Departments.

A spending review of Tusla-funded family support services is in its final stages. A summary of the review was published in December 2022 and two detailed chapters are expected in the near future. This review will help inform future priorities for investment in these services.

I will continue to engage with Tusla, and community NGOs on the key issue of their funding and sustainability of the valuable services they provide to our communities. I will be considering Tusla's provision of Family support services in my Performance Framework for Tusla for the period 2024-2026.

In the meantime, Tusla continues to work with community-based family support organisations to best meet the needs of vulnerable children, families and communities.

Mental Health Services

Questions (159)

Patricia Ryan

Question:

159. Deputy Patricia Ryan asked the Minister for Children, Equality, Disability, Integration and Youth with regard to the serious mental health issues facing young people today and the significant benefits of the counselling that Youth Services provides, if he and his Department will consider further investments in the provision of a unified counselling system for local youth services; and if he will make a statement on the matter. [22115/23]

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Written answers

While youth mental health is the policy responsibility of the Minister for Health, the youth sector has an important role to play in fostering wellbeing and building resilience. Young people need a safe, supportive community environment in order to promote their wellbeing and to fulfil their potential.

Funding for youth organisations does not provide for intensive or long term services offered to young people with acute needs, nor is it intended to take the place of HSE or Tusla counselling services. Nevertheless, youth mental health is a multi-faceted issue that calls for a broad response.

It is understood that developing social and emotional capabilities supports the achievement of positive life outcomes, including educational attainment, employment, health and mental well-being. Funding to youth organisations, for example under UBU Your Place Your Space, supports social and personal development of a young person’s resilience, confidence, agency, determination and emotional intelligence. The importance of clear referral pathways across and between services is to be encouraged, in particular improved linkages between youth services and mental health service providers.

It should be noted that Tusla, the Child and Family Agency provides funding to counselling services, through a network of community-based counselling service providers and Family Resource Centres that offer a range of types of counselling/psychotherapy and support.

Mental health and mental well-being was identified as a particular challenge for young people, especially after the Covid 19 restrictions. This is being taken into consideration in the development of the new policy framework for children and young people which is due to be launched by my Department in the coming months.

My Department, in conjunction with colleagues in the respective Department's and agencies, will continue to support efforts in addressing this crucial issue in a strategic and collaborative manner.

Question No. 160 answered with Question No. 158.
Question No. 161 answered with Question No. 158.

Voluntary Sector

Questions (162)

Patricia Ryan

Question:

162. Deputy Patricia Ryan asked the Minister for Children, Equality, Disability, Integration and Youth the engagement he and his Department have had with community and voluntary organisations in Kildare with regard to funding increases to address heightened demand for their services due to Kildare experiencing the highest rate of population increase in the State, and with the highest percentage of young people per capita; and if he will make a statement on the matter. [22119/23]

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Written answers

In relation to youth services and young people, my Department maintains close contact with 30 national youth organisations which it funds under the Youth Service Grant Scheme. My officials and I meet formally with these organisations twice a year to share knowledge and information on developments or challenges in the youth sector. This provides a forum for organisations to give information on national issues but also identify specific locations that require additional focus. A number of these national organisations provide a range of youth services in the Kildare area.

My Department provides funding to all 16 Education and Training Boards (including Kildare/Wicklow ETB) to support youth services in their area. Youth Officers are supported to provide an important function for my Department in the co-ordination and administration of youth services at local level. My officials hold quarterly meetings with representatives of the ETBs. These meetings assist my Department in identifying service needs and emerging issues, particularly for vulnerable young people.

Currently the ETBs are engaged in drawing together information and evidence regarding the needs and issues affecting young persons that would be appropriate for responses through youth work related services. These needs assessments have regard to a number of factors, including population growth where CSO and Census data are available.

Officials from my Department also meet with various youth organisations on an individual basis when the need arises, in regular formal meetings with individual organisations, or as a group, and by maintaining informal contacts.

I remain highly committed to supporting this important sector, which has enormous value both to the many young people involved and from a broader social and economic viewpoint.

Question No. 163 answered with Question No. 153.

Pension Provisions

Questions (164)

Michael Healy-Rae

Question:

164. Deputy Michael Healy-Rae asked the Minister for Health the status of a HSE pension for a person (details supplied); and if he will make a statement on the matter. [21875/23]

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Written answers

As this is an administrative matter for the Health Service Executive, the HSE has been requested to respond directly to the Deputy.

Mental Health Services

Questions (165)

Bernard Durkan

Question:

165. Deputy Bernard J. Durkan asked the Minister for Health when appropriate urgent assistance will be provided to a person (details supplied); and if he will make a statement on the matter. [21879/23]

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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.

Departmental Policies

Questions (166)

Duncan Smith

Question:

166. Deputy Duncan Smith asked the Minister for Health if he will provide a report on how Irish patients can access every European Reference Network for Rare Diseases; if Ireland is a full member of each ERN; if not, the steps that need to be taken to get access for Ireland to these networks; the timeline for these actions; and if he will make a statement on the matter. [21881/23]

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Written answers

Health systems in the European Union aim to provide high-quality, cost-effective care. This is particularly difficult however, in cases of rare or low-prevalence complex diseases which affect the daily lives of around 6% of the Irish population.

European Reference Networks (ERNs) are virtual networks involving healthcare providers across Europe established in line with Article 12 of EC Directive 2011/24/EU (Cross-Border Care Directive). They aim to facilitate discussion on complex or rare diseases and conditions that require highly specialised treatment, and concentrated knowledge and resources.

Last year the HSE was nominated as the National Competent Authority in an EU Joint Action of European Reference Networks for Rare Diseases, which enables greater coordination and sharing of best practices in key areas such as genetic testing.

As a result of this collaboration, we have entered in 18 European Reference Networks (ERNs) on Rare Diseases out of 24. These ERNs include representation from five academic hospitals and three universities and is coordinated by the National Rare Diseases Office. This represents a significant achievement by the health service, to drive innovation, training and clinical research for highly specialised care. Through the European Reference Networks, the National Rare Diseases Office is leading out on the development of optimal care pathways across a range of rare diseases.

The first ERNs were launched in 2017, involving more than 900 highly-specialised healthcare units from over 300 hospitals in 26 EU countries.  Following a call of interest in 2016 Ireland joined 3 ERNs as full members in 2017, (ERN Blood-Net, ERN Skin and ERN VASCERN). A second call was opened in 2018 and invitations for Irish Centres of Expertise to join were sent to all HSE Group CEOs and Clinical Leads.  A further 15 Irish consortia composed of at least 40 centres of expertise, led from 5 major academic HSE teaching hospitals received full ERN approval in December 2021  following external review by an EC DG-Sante appointed accreditation body (www.gov.ie/en/press-release/fb5a2-minister-donnelly-welcomes-approval-for-irish-hospitals-to-join-european-reference-networks-on-rare-diseases/).

If Ireland wishes to join the remaining 6 ERNs, the opportunity will arise with the next ERN call for applications where Irish Clinical Leads may apply as appropriate.

ERNs are not directly accessible to individual patients. However, with a patient's consent, a patient’s information can be referred to the relevant ERN member in their country by their healthcare provider. With ERNs, patients with rare and complex conditions will be able to benefit from the best treatment and advice available in the EU for their specific condition. Their doctors will have access to a highly specialised pool of colleagues from all over Europe. ERN coordinators convene virtual advisory panels of medical specialists across different disciplines, using a dedicated IT platform, Client Patient Management System (CPMS) and telemedicine tools.

Pension Provisions

Questions (167)

Seán Sherlock

Question:

167. Deputy Sean Sherlock asked the Minister for Health if he will investigate a matter concerning the HSE pension of a person (details supplied). [21886/23]

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Written answers

As this is an administrative matter for the Health Service Executive, the HSE has been requested to respond directly to the Deputy.

Medicinal Products

Questions (168)

Michael Ring

Question:

168. Deputy Michael Ring asked the Minister for Health the reason that a person (details supplied) in County Mayo only received a partial refund under the drug payment scheme; if he will provide a breakdown as to how the partial refund amount was reached, in tabular form; and if he will make a statement on the matter. [21900/23]

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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 Appointments Status

Questions (169)

Niamh Smyth

Question:

169. Deputy Niamh Smyth asked the Minister for Health if a person (details supplied) can get an appointment in Drogheda Hospital as soon as possible; and if he will make a statement on the matter. [21913/23]

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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 (170)

Willie O'Dea

Question:

170. Deputy Willie O'Dea asked the Minister for Health when a full-time paediatric neurologist will be appointed at UHL; and if he will make a statement on the matter. [21914/23]

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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.

Covid-19 Pandemic

Questions (171)

Holly Cairns

Question:

171. Deputy Holly Cairns asked the Minister for Health if he will ensure that healthcare workers in Section 39 organisations who worked in primary care in Covid-19 exposed healthcare environments with people with disabilities are made eligible for the pandemic special recognition payment; and if he will make a statement on the matter. [21922/23]

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Written answers

Last year the Government announced a once-off, ex-gratia COVID-19 pandemic recognition payment for certain frontline public sector healthcare workers, to recognise their unique role during the pandemic. Eligibility criteria for the payment were set following significant consideration and consultation.

While the Department does not comment on individual cases, I can confirm that in order to receive the recognition payment, staff must have:

• Been in COVID vaccination cohorts 1 or 2, and

• Worked ordinarily onsite in a COVID-19 exposed healthcare environment, and

• Worked for at least 4 weeks in the 1/3/2020 – 30/6/2021 period, and

• Worked in a HSE/Section 38 organisation, or one of the following:

Private Sector Nursing Homes and Hospices (e.g. Private, Voluntary,Section 39 etc.);

Section 39 long-term residential care facilities for people with disabilities, working on-site;

Agency roles working in the HSE;

Health Care Support Assistants (also known as home help / home care / home support) contracted to the HSE;

Members of the Defence Forces redeployed to work in frontline Covid-19 exposed environments in the HSE;

Paramedic staff employed by Dublin Fire Brigade to deliver services on behalf of the HSE.

Only those staff who meet all of the above eligibility criteria are covered for this payment. I appreciate that many other workers, volunteers, and other citizens, provided important services during this most difficult time. While this is not questioned, it is important to recognise that this in itself is not sufficient to be considered eligible for this payment.

 The Government appreciates that those organisations and staff who are not encompassed for this particular payment may feel disappointed. It was tough to draw a line on this matter, but the Government based its decision on the risks which eligible frontline workers faced, following careful consideration. While undoubtedly immense efforts have been made by other healthcare staff since the onset of this pandemic, it is right that the Government pursue this course to recognise those at greatest risk in the performance of their duties throughout the pandemic, including those who worked in the very acutely affected environments above.

In recognition of the efforts of all workers, volunteers, and the general public during the COVID-19 pandemic, and in remembrance of people who lost their lives due to the COVID-19 pandemic, the Government announced a public holiday which took place on 18 March 2022. As of February this year there is also a new permanent public holiday established to mark Imbolc/St Brigid’s Day.

Finally I want to again express my sincere gratitude to all healthcare workers for their efforts during what has been a challenging period for our health services.

Departmental Data

Questions (172)

Carol Nolan

Question:

172. Deputy Carol Nolan asked the Minister for Health to provide, in tabular form, the number of second consultation claims were made in 2021 via the primary care reimbursement scheme for termination of pregnancy in the respective years 2019, 2020, and 2021; and if he will make a statement on the matter. [21931/23]

View answer

Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Abortion Services

Questions (173)

Carol Nolan

Question:

173. Deputy Carol Nolan asked the Minister for Health to provide the total number of surgical abortions carried out in the State, in tabular form, in the respective years 2019, 2020, and 2021; and if he will make a statement on the matter. [21932/23]

View answer

Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Abortion Services

Questions (174)

Carol Nolan

Question:

174. Deputy Carol Nolan asked the Minister for Health whether the supplementary note accompanying the notification report on termination pregnancy in 2021 which indicated that 6,700 second consultation claims were made via the PCRS was limited to abortions provided by GPs/community providers or whether it included surgical abortions performed in hospital settings; and if he will make a statement on the matter. [21933/23]

View answer

Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

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