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Nursing Homes

Dáil Éireann Debate, Tuesday - 13 June 2023

Tuesday, 13 June 2023

Questions (1185)

Sorca Clarke

Question:

1185. Deputy Sorca Clarke asked the Minister for Health the engagement his Department has had with an organisation (details supplied) the HSE and the National Treatment Purchase Fund in relation to the fair deal scheme as it applies to nursing homes. [27730/23]

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Written answers

I firmly believe that good communication must be at the heart of everything we do in the health service. I also believe that it is important that the HSE is made aware of all matters raised about its service, including all matters related to the operation and administration of the Nursing Home Support Scheme, as Under the Health Act 2004, the day-to-day operational responsibility for the management and delivery of health services is a matter for the HSE. In this regard the Department of Health engages with the HSE in a consistent, timely manner on all issues in respect of administrative, operational and policy-related decisions to ensure that Fair Deal functions optimally, as intended.

The Department of Health continues to engage with the NTPF to examine ways in which funding can be used to provide support to nursing homes. In addition, the NTPF will shortly be seeking up-to-date financial & operational information from nursing homes to inform further analysis and considerations of measures to support the sector. The NTPF have informed the Department that they have engaged with NHI on this matter.

The Department of Health and I have regular interaction with the NTPF. I recently met with the NTPF to discuss ways to support the sector, where necessary and appropriate, to complement the normal process of negotiating rate increases when contracts are renewed. As a result of this meeting nursing homes which had a scheduled renegotiation of their Deed of Agreement this year with the NTPF have seen a significant uplift. In addition, other options to support nursing homes are also being explored at the moment, such as to help with the often costly nature of compliance for nursing homes under necessary HIQA regulations.

The Department of Health published a review of the NTPF pricing system in June 2021 and continues to work on bringing forward the recommendations that emerged from this review. Officials from the Department of Health and the NTPF meet regularly to report on progress of the four recommendations and a steering group has been established to oversee delivery of those recommendations. There will be opportunities for NHI to engage formally with this steering group.

In addition, officials from the Department have had continuous and ongoing engagement with Nursing Homes Ireland (NHI). As a key stakeholder, it is important to maintain constructive engagements with this representative body as we continue to discuss matters relevant to the operation and funding of nursing homes and ongoing matters relating to the operation of, and proposed changes to, the Nursing Homes Support Scheme. Most recently officials met with NHI to review the publication of the PWC report Challenges for Nursing Homes in the Provision of Older Persons Care which was commissioned by NHI.

I also continue to engage with other representative bodies for private nursing homes.

It is important that lines of communication are maintained with all relevant stakeholders to ensure that nursing home care continues to be provided to older people that is accessible and affordable for everyone, and that people are cared for in the most appropriate settings whilst simultaneously maintaining comfort levels and standards of care.

Question No. 1186 answered with Question No. 1184.
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