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Tuesday, 23 May 2023

Written Answers Nos. 708-723

Early Childhood Care and Education

Questions (708)

Cormac Devlin

Question:

708. Deputy Cormac Devlin asked the Minister for Children, Equality, Disability, Integration and Youth his views on the complaints process for parents of children who are refused a place in the early childhood care and education programme based on additional needs; the body that deals with these complaints specifically on discrimination based on additional needs of the child; if he or his Department has discussed this issue with the Department of Health as there is some crossover with Tusla; and if he will make a statement on the matter. [24944/23]

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Written answers

The ECCE programme is free to all children within the eligible age range regardless of need or background.

Services are private enterprises who may hold differing admissions policies. If there is a concern that the local service's decision to refuse a place in contravention of the Equal Status Acts, then the Workplace Relations Commission (WRC) is the independent, statutory body established to hear complaints in relation to employment, equality and equal status legislation.

Information on any individual's rights and entitlements under the Equal Status Acts, which prohibit discrimination and harassment on specified grounds in the access to and supply of goods and services, including information on the procedures for submission of complaints under these Acts, is available from the Irish Human Rights and Equality Commission.

The Commission's ‘Your Rights’ information service is available at Your Rights, IHREC, 16–22 Green Street, Dublin 7, D07 CR20 or by phone at 01-8589601 / LoCall 1890 245545, or by email at YourRights@ihrec.ie.  

If any individual has a complaint in this regard, information on how to refer a complaint to the WRC is available at www.workplacerelations.ie.

If any family of a child with additional needs is experiencing challenges in accessing places, then the family's best route is to contact their local city or county childcare committee funded by my Department. Contact information for the relevant local committee is available at www.myccc.ie.

The CCC will advise both the parents and providers and mediate issues of concern. The service provider will also be advised of supports under the Access and Inclusion Model (AIM) funded by my Department to assist with providing an inclusive and accessible service for children in the ECCE programme.

The goal of AIM is to create a more inclusive environment in pre-schools, so all children, regardless of ability, can benefit from quality early learning and care. The model achieves this by providing universal supports to pre-school settings, and targeted supports, which focus on the needs of the individual child, without requiring a diagnosis of disability

Mother and Baby Homes

Questions (709, 710)

Kathleen Funchion

Question:

709. Deputy Kathleen Funchion asked the Minister for Children, Equality, Disability, Integration and Youth the estimated cost of a one-off payment of €10,000, €15,000 or €20,000 to the approximately 4,800 boarded-out children as part of the mother and baby homes institutional payment scheme, in tabular form; and if he will make a statement on the matter. [24953/23]

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Kathleen Funchion

Question:

710. Deputy Kathleen Funchion asked the Minister for Children, Equality, Disability, Integration and Youth the total estimated cost of including all 24,000 mother and baby homes survivors currently excluded from the mother and baby homes payment scheme. [24954/23]

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Written answers

I propose to take Questions Nos. 709 and 710 together.

The Mother and Baby Institutions Payment Scheme will provide financial payments to an estimated 34,000 people, some 19,000 of whom will also benefit from an enhanced medical card or health support payment. These benefits are in recognition of experiences while resident in Mother and Baby and County Home Institutions. The overall cost of the Payment Scheme is estimated at €800 million.

The Government proposals for the Payment Scheme were developed following deliberations on the very complex issues in question. They were informed by a consultation process undertaken with survivors, as well as a report and proposals from an Interdepartmental Group (IDG). Government ultimately decided on proposals which were, in overall terms, broader than those proposed by the IDG and the recommendations from the Commission of Investigation.

Chapter 5 of the Interdepartmental Group Report, available on my Department's website, provides a series of costings for different scenarios. Tables 10 and 10(a) are of direct relevance to this question. Table 10 outlines an estimated cost of €1.1 billion to provide financial payments to all mothers and children regardless of time spent (58,000 people) plus an enhanced medical card to those who spent 6 months or more in an institution (19,000). Table 10(a) outlines an estimated cost of €1.6 billion to provide a financial payment and an enhanced medical card to all 58,000 survivors.

With regard to the cost of providing lump sum payments to people who were boarded out as children, the question may be inadvertently missing some detail, because, as asked, it warrants calculations of €48 million, €72 million and €96 million in turn.

However, it should be noted that while it is estimated that 4,800 children were boarded out from Mother and Baby and County Home Institutions, children were boarded out from other institutions also and in other circumstances including from their own families, as they were longer able to look after them. It is acknowledged that harm experienced by many children who were boarded out was particularly egregious. However, in many cases, children were looked after well by loving foster families and were regarded as a son or daughter, in some cases inheriting the family farm.

Therefore, providing redress for the circumstances of boarding out would require an individualised assessment. This is not the approach being taken to the Mother and Baby Institutions Payment Scheme. This Scheme will provide a general payment, rising based on time spent in an institution, with eligibility determined based on residence in an institution, verified in the majority of cases by institutional records. Applicants will not be required to bring forward evidence of abuse.

Finally, the Payment Scheme represents one element of a comprehensive package of support measures agreed by the Government as part of the Action Plan for Survivors and Former Residents of Mother and Baby and County Home Institutions. More specifically, in relation to people who were boarded out as children, €330,000 has been made available to Barnardos to provide a dedicated counselling service.

Question No. 710 answered with Question No. 709.

Family Resource Centres

Questions (711)

Kathleen Funchion

Question:

711. Deputy Kathleen Funchion asked the Minister for Children, Equality, Disability, Integration and Youth the estimated cost of raising funding by 20% across the State to family resource centres. [24955/23]

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Written answers

Tusla, the Child and Family Agency, administers the Family Resource Centre Programme, which provides funding support to 121 Family Resource Centres across the country. Tusla's financial support is provided by way of a contribution towards the running costs of the centres. Tusla does not provide capital funding to the Family Resource Centre Programme.

Currently, Tusla's annual core funding to these 121 Family Resource Centres, amounts to approximately €18m. For this to increase by 20% would cost an additional €3.6m annually.

The commissioning of Family Resource Centres is an operational matter for Tusla. Tusla's area managers engage in the commissioning process, and participate in meetings and discussions with community and voluntary agencies. Family Resource Centre funding is agreed annually, through Service Level Agreements with Tusla's commissioning team. Tusla continues to work hard in developing an effective, supportive and efficient relationship with all Family Resource Centres.

Other Government bodies and State agencies also provide substantial funding to Family Resource Centres, to deliver services on their behalf. Tusla also provides additional, specific supports to Family Resource Centres, for example through funding aimed at supporting FRCs to deliver services in response to pressures arising from Covid-19 or in its supporting children and families arriving in Ireland from Ukraine. In recent years, Tusla has also secured €1m in Dormant Accounts funding (2020-2022) for Family Resource Centres, and similar funding levels are being provided in 2023 from my Department.

Tusla continues to work with Family Resource Centres and other community-based family support organisations, to best meet the needs of vulnerable children, families and communities.

Early Childhood Care and Education

Questions (712)

Kathleen Funchion

Question:

712. Deputy Kathleen Funchion asked the Minister for Children, Equality, Disability, Integration and Youth the estimated first- and full-year cost of increasing the ECCE capitation grant by 10%; and if he will make a statement on the matter. [24957/23]

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Written answers

The ECCE scheme is a universal programme which provides 2 years of free preschool to children in the eligible age range of 2 years and 8 months to 5 years and 6 months. My Department funds private early learning and care service providers to provide the ECCE programme at a standard rate of €69 per week per child attending the ECCE programme.

Under the new Core Funding scheme, where a service employs an early years graduate as the ECCE room lead, a higher rate of at least €78.75 per child per week will be available to the service.

To calculate the first year cost, officials in my Department used the ECCE allocation for August 2023 to December 2023 which is €107 million. Using this allocation the estimated first year cost of increasing ECCE capitation by 10% would be €10.7 million.

In calculating the full year cost, officials in my Department used the total budget allocation for the ECCE scheme for 2023 which is a total of €264.6 million. Using this allocation the estimated full year cost of increasing ECCE capitation by 10% would be €26.46 million.

It is important to note that these estimates does not account for change in usage resulting from this proposed subsidy increase. Any changes to subsidies may create a change in behaviours, for example, an increase in the number of services offering the scheme or families availing of ECCE for the first time.

Childcare Services

Questions (713)

Kathleen Funchion

Question:

713. Deputy Kathleen Funchion asked the Minister for Children, Equality, Disability, Integration and Youth the estimated first- and full-year cost of increasing the affordable childcare subsidy for children under three years of age by €1 per hour; and if he will make a statement on the matter. [24958/23]

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Written answers

It is assumed the Deputy is referring to an increase in the income assessed rates for under 3 year olds under the National Childcare Scheme (NCS). Income Assessed Subsidies are available to families with children aged between 24 weeks and 15 years. This subsidy is means tested and is calculated based on individual circumstances. The rate varies depending on the level of family income, the child’s age and educational stage, and the number of children in the family.

Currently the maximum income assessed subsidy for children age 24 weeks to 12 months is €5.10 per hour and for children age 12 months to 35 months it is €4.35 per hour.

At Budget time I allocated a total of €358 million under the National Childcare Scheme (NCS) for 2023. This figure is based on an additional €121 million being made available as a result of the estimated full year costs of a number of amendments to the Scheme:

• The removal of the practice of deducting hours spent in school pre-school or school from overall NCS hours reward as of May 2022.

• The increase in the upper age eligibility for the NCS universal subsidy from 3 years to all children under 15 years as of August 2022.

• An increase in the NCS minimum subsidy from €0.50 to €1.40 as of 2 January 2023.

Given the recent nature of these changes, full year data is not available on claimants under the Scheme on which to provide an exact cost for the Deputy's proposed change.

Using the ESRI SWITCH model, my officials have been able to simulate a €1 increase in the maximum income assessed subsidy for under 3s to generate a percentage increase in the full year costs of NCS. These changes are then applied to the current expenditure estimates for 2023.

The proposed changes are estimated to result in a 3 per cent increase in the cost of the scheme, which based on the allocation of €358 million for the scheme would mean an additional cost of €11 million per annum.

These estimates come with a number of caveats. Firstly, the ultimate impact of the changes from Budget 23 are yet to fully realised and as such extensions to the scheme are based on estimates. In addition, these costing are on the basis of a static system; that is, the model assumes that the level of usage of eligible early learning and childcare remains static. Any changes to subsidies may create a change in behaviours in families, for example, women returning to workforce and using formal early and childcare for the first time

Emergency Accommodation

Questions (714)

Michael Ring

Question:

714. Deputy Michael Ring asked the Minister for Children, Equality, Disability, Integration and Youth when payment for accommodation will issue to a provider (details supplied) given that it is several months overdue and they simply cannot continue providing this accommodation unless they receive payment; how the interest compensation for late payments is calculated in this case; and if he will make a statement on the matter. [24989/23]

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Written answers

My Department is prioritising making more timely payments of valid invoices, including providing more resources to address any issues, and outsourcing of elements of the process to speed up processing and to respond to supplier calls.

With regard to the service provider referred to, I am advised by my officials that the outstanding invoices for February and March as referred to in the Details Supplied have been processed with payment expected to issue in the coming fortnight subject to final checks. With regard to the third invoice mentioned, my officials will be engaging with the provider in the coming days to supply the details required to submit a valid invoice and this should ensure that the invoice can be processed and paid without further delay.

I am further advised that payment of invoices by my Department is governed by the Prompt Payment of Accounts Act, 1997 as amended by the Statutory Instrument 580 of 2012, which took effect on 16 March 2013 and transposes EU Directive 2011/7/EU on Combating Late Payment in Commercial Transactions. As such prompt payment interest is payable and has been paid as necessary to providers by my Department.

My Department will continue to press on to eliminate the payments backlog while ensuring appropriate governance is in place to safeguard the proper spending of Exchequer funding.

School Staff

Questions (715)

Holly Cairns

Question:

715. Deputy Holly Cairns asked the Minister for Children, Equality, Disability, Integration and Youth if he will provide an update on an occupational therapist assigned to a school (details supplied) who was supposed to begin work on 1 May 2023; and if he will make a statement on the matter. [25011/23]

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Written answers

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

Emergency Accommodation

Questions (716)

Richard Bruton

Question:

716. Deputy Richard Bruton asked the Minister for Health if there are impediments to former nursing homes which are no longer in use being considered for emergency accommodation; and if he will make a statement on the matter. [24847/23]

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Written answers

The Department of Health takes the closures of nursing homes very seriously. The closure of nursing homes can put pressure on other local health and social care facilities. It is vital that the welfare of residents is ensured. There a number of reasons for nursing home closures each year including retirement, non-compliance with HIQA regulations, financial viability and, in some cases, recognition that the premises would not be compliant with revised regulations.

Given the challenges currently being faced in the nursing home sector, Minister Donnelly and I agreed with the Minister for Children, Equality, Disability, Integration and Youth, Minister Roderic O'Gorman TD, to change the procurement guidelines around accommodation for persons under temporary protection in order to remove from consideration active nursing homes that were still registered operators with HIQA on or after the date of 1 September 2022.

The intention behind this position is to avoid unintentionally incentivising active nursing homes to leave the market. Former nursing homes that had already ceased operation and were deregistered prior to this date would not be affected if they wished to enter into contracts as accommodation providers.

This brings active nursing homes into the same category as other types of property that have been determined to be unsuitable as accommodation for Beneficiaries of Temporary Protection, including:

• Housing set aside for social housing,

• Accommodation planned for use by other arms of Government,

• Student accommodation during academic terms.

Neither the Department of Health nor Minister Donnelly and I has a direct role in the procurement process or the approval of any individual accommodation centres for use by displaced persons.

Minister Donnelly and I are both committed to continuing, constructive cross-Government engagement to address the health and social care needs of Beneficiaries of Temporary Protection as well as the identification of appropriate sites for that might be used for accommodation.

Given the changing situation with regard to accommodation for persons under temporary protection, the Department of Health is reviewing the policy agreed with the Department of Children, Equality, Disability, Integration and Youth, with a view to providing longer-term certainty to the nursing home sector and potential providers of temporary accommodation services. The review is imminent.

Hospital Services

Questions (717, 718, 719)

Alan Dillon

Question:

717. Deputy Alan Dillon asked the Minister for Health when respite services at a hospital (details supplied) will be fully opened; and if he will make a statement on the matter. [24014/23]

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Alan Dillon

Question:

718. Deputy Alan Dillon asked the Minister for Health the future plans in place to increase bed capacity and resources for respite services in Mayo; and if he will make a statement on the matter. [24015/23]

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Alan Dillon

Question:

719. Deputy Alan Dillon asked the Minister for Health the plans in place to open respite beds (details supplied); and if he will make a statement on the matter. [24016/23]

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Written answers

I propose to take Questions Nos. 717, 718 and 719 together.

As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Question No. 718 answered with Question No. 717.
Question No. 719 answered with Question No. 717.

Home Care Packages

Questions (720)

Eoin Ó Broin

Question:

720. Deputy Eoin Ó Broin asked the Minister for Health if he will provide an update on the tender for the home care sector; and if there is a timeframe available as to when the process will be completed. [24020/23]

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Written answers

As these are operational matters, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Freedom of Information

Questions (721)

Kathleen Funchion

Question:

721. Deputy Kathleen Funchion asked the Minister for Health if he will assist a person (details supplied) to access their medical files at St. Vincent’s Hospital, Dublin. [24027/23]

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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 (722)

Michael Healy-Rae

Question:

722. Deputy Michael Healy-Rae asked the Minister for Health if he will expedite an appointment for a person (details supplied); and if he will make a statement on the matter. [24064/23]

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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 Services

Questions (723)

Michael Ring

Question:

723. Deputy Michael Ring asked the Minister for Health the reason the HSE has not implemented recommendations (details supplied) in a hospital; and if he will make a statement on the matter. [24070/23]

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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.

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