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Tuesday, 11 Jul 2023

Written Answers Nos. 799-813

Covid-19 Pandemic

Questions (799)

Neasa Hourigan

Question:

799. Deputy Neasa Hourigan asked the Minister for Health if he will bring the repeated failure on the part of Cork HSE mental health management to provide clarity in responses to numerous Parliamentary Questions on the alleged offering of first-dose Covid vaccines to non-patient-facing corporate staff, including management HSE staff, based in the Model Business Park, Cork in early January 2021, prior to the scheduling of vaccines for some of the most at-risk client and staff cohorts in congregated mental health settings, to the attention of the recently appointed HSE CEO; if the sequencing of vaccines by HSE managers to service-users and staff according to the agreed protocols will form part of the State's inquiry into its handling of the pandemic; and if he will make a statement on the matter. [34032/23]

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Written answers

It should be noted that the establishment of an inquiry or review into the State's response to the COVID-19 pandemic would be a matter for Government and as such it is best answered by the office of An Taoiseach.

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Waiting Lists

Questions (800)

Thomas Gould

Question:

800. Deputy Thomas Gould asked the Minister for Health the total number of people on the waiting list for ophthalmology in Cork, the average waiting time, in tabular form; and if he will make a statement on the matter. [34066/23]

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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.

Departmental Funding

Questions (801)

Thomas Gould

Question:

801. Deputy Thomas Gould asked the Minister for Health for an update on the provision of funding to the north inner city DATF. [34090/23]

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Written answers

The Department of Health provides €2.249m per annum to community-based drug and alcohol services under the remit of the North Inner City Drug and Alcohol Task Force.

In November 2021, the task force has informed local services that it is no longer in a position to function. This follows an impasse in the selection of an independent chairperson.

The Department has engaged with stakeholders in the north inner city to establish effective, inclusive, and transparent governance of the task force and of the funding that it allocates.

The Department has concluded a consultation process with members of the task force and other stakeholders on the next steps to re-establish the task force. This involved a series of meetings with public representatives, statutory and non-statutory members of the task force, frontline community and alcohol projects funded under the ambit of the task force, community and service user representatives, staff employed by the task force company and other stakeholders in the north inner city. I am committed to establishing effective, inclusive and transparent governance of the task force, informed by a review of developments to-date and the consultation process.

Medicinal Products

Questions (802)

Thomas Gould

Question:

802. Deputy Thomas Gould asked the Minister for Health the timeline for the provision of nurse prescribing of opioids. [34092/23]

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Written answers

I am very aware of the valuable role that nurses are playing in providing treatment interventions to clients with substance use issues. Their work forms an important element of the addiction services response to the problem of substance use in our society.

HSE Addiction services across the country employ nurses and a comprehensive governance structure for these staff is currently being put in place. This includes the recent appointment of a Director of Nursing for HSE Addiction services.

Nurses also have a key role to play in implementing the six strategic priorities identified in the midterm review of the national drug strategy.

The focus on Strategic Implementation Group 3 (SIG 3) is to develop integrated care pathways for high-risk drug users to achieve better health outcomes. The HSE's Director of Nursing sits on SIG 3 to provide advice on harm reduction responses and integrated pathways for high risk drug users. This ensures that the perspective of addiction nurses is kept to the fore in relation to strategic actions for this vulnerable cohort.

Based on the HSE’s response under strategic action 2.1.14, of the National Drug Strategy in examining potential mechanisms to increase access to Opioid Substitution Therapies I am satisfied that there is currently no objective need for the introduction of nurse prescribing of OST/OAT.

I have been assured that this matter will be kept under review by the HSE, informed by the needs of service users.

Healthcare Policy

Questions (803, 804)

Thomas Gould

Question:

803. Deputy Thomas Gould asked the Minister for Health the funding allocated in each of the past five years to address addiction issues for ethnic minorities, by year, in tabular form. [34093/23]

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Thomas Gould

Question:

804. Deputy Thomas Gould asked the Minister for Health the funding allocated in each of the past five years to address addiction issues for members of the LGBTQIA community, by year, in tabular form. [34094/23]

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Written answers

I propose to take Questions Nos. 803 and 804 together.

In 2021 the Department of Health announced a €2 million fund to enhance community-based drug and alcohol services. The Community Services Enhancement fund (CSEF) is part of the strategic priority to enhance access to and delivery of drug and alcohol services in the community in the national drugs strategy 2021-2025. Twenty-five percent of the funding allocations is ring-fenced to increase access to and the provision of drug and alcohol services for women, ethnic minorities and the LGBTI+ community. This acknowledges that women, ethnic minorities and the LGBTI+ community can face barriers in accessing drug and alcohol services.The level of funding provided to services is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Question No. 804 answered with Question No. 803.

Departmental Funding

Questions (805)

Thomas Gould

Question:

805. Deputy Thomas Gould asked the Minister for Health whether a funding stream is available for relevant organisations to celebrate Recovery Month. [34095/23]

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Written answers

My department does not provide specific funding for recovery month.

Over €136 million in labelled public expenditure is spent on drugs every year by my department. Much of this funding is channelled through the HSE to support the implementation of the national drug strategy.

Under the Health Act 2004, as amended, the HSE has responsibility for the provision of health and social personal services including addiction and recovery services.

The HSE either directly provides these services or arranges to have them provided on its behalf. Many organisations working in addiction recovery are funded by the HSE.

I welcome the fact that some organisations, during Recovery Month, are taking the opportunity to raise awareness of recovery and celebrate individuals from all walks of life who have managed to carry out a successful recovery.

Supporting recovery is key to the National Drug Strategy, which aims to minimise the harms caused by the use and misuse of substances and promote rehabilitation and recovery. Recovery is a personal journey, and rehabilitation a process, that supports and encourages the individual at each stage along the pathway to recovery.

I fully support a health-led approach to recovery and acknowledges that a successful outcome for every individual can look different.

Community Care

Questions (806)

Thomas Gould

Question:

806. Deputy Thomas Gould asked the Minister for Health the number of people availing of a community detox programme, by year for the past five years, in tabular form. [34096/23]

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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.

Legislative Process

Questions (807)

Thomas Gould

Question:

807. Deputy Thomas Gould asked the Minister for Health for an update on the full commencement of all of the sections of the Public Health (Alcohol) Act 2018. [34101/23]

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Written answers

The Public Health (Alcohol) Act was enacted 17 October 2018 and 27 of its 31 provisions have been commenced. The major provisions that have been commenced include the following:From 12 November 2019 the Act prohibited:

• Alcohol advertising in or on public service vehicles, at public transport stops or stations and within 200 m of a school, early years centre or a local authority playground. (Section 14)

• Alcohol advertising in a cinema except around films with an 18 classification or in a licensed premises in a cinema. (Section 20)

• Children’s clothing that promotes alcohol. (Section 17)

From 12 November 2020, in mixed retail outlets alcohol products and advertising are confined to one of the following:

• an area separated by a 1.2m high barrier, or

• units in which alcohol products are not visible up to 1.5m height, or

• up to three units that can be a maximum of 1m wide by 2.2m high.

In addition, alcohol products can be contained but not be visible in a unit behind the counter. (Section 22)

From 11 January 2021 the Public Health (Alcohol) Act 2018 (Sale and Supply of Alcohol Products) Regulations 2020 came into operation. The Regulations prohibit:

• the use of bonus or loyalty card points in relation to alcohol products;

• the sale of alcohol products at a reduced price when sold with another product or service; and

• the sale of alcohol products at a reduced price for a period of 3 days or less.

From 12 November 2021 the Act provided for:

• A prohibition on alcohol advertising on a sports area during a sporting event, at events aimed at children or at events in which the majority of participants or competitors are children. (Section 15)

• Alcohol sponsorship of events aimed at children, events which the majority of participants or competitors are children and events involving driving or racing motor vehicles is prohibited. (Section 16)

From 4 January 2022, minimum unit pricing, a prohibition on selling alcohol below a minimum unit price of 10c per gram of alcohol, came into operation. (Section 11)

From 24 November 2022, an applicant for an intoxicating liquor licence must notify the Environmental Health Service in advance of an application and the Environmental Health Service may appear and give evidence at the court hearing on an application. (Section 4)

Section 12 provides for health warnings on the labels of alcohol products. Under the Act, the labels of alcohol products must contain the energy value and grams of alcohol in the product, as well as a warning to inform the public of the danger of alcohol consumption, of the danger of alcohol consumption when pregnant and of the direct link between alcohol and fatal cancers. The labels will direct the consumer to the HSE website, www.askaboutalcohol.ie, for further information.

The Act provides that regulations must be made to specify the detail of the labelling requirement. Draft regulations were developed by the Minister for Health and submitted first to the European Commission for assessment and then to the World Trade Organisation (WTO). The standstill period required under the WTO process ended on 7 May 2023. The Minister for Health has now made those regulations and commenced section 12 of the Act. There is a three-year lead-in time built into the law in order to give businesses significant time to prepare for the change. The law will come into operation on 22 May 2026.

Sections of the Act yet to be commenced:

Section 13 of the Act regulates the content of advertisements for alcohol products and empowers the Minister to make regulations in relation to advertisements for alcohol products. Work on the drafting of the advertising Regulations is continuing in conjunction with the Office of Parliamentary Counsel. Once finalised, the draft Regulations will require submission to the EU Commission for assessment and once they have successfully completed that process, they will require notification under the WTO process.

Section 18 of the Act restricts advertisements in publications and can be commenced after section 13 has been commenced.

Section 19 on a Broadcast Watershed requires consultation with the Minister for Communications and the Broadcasting Authority of Ireland (now Coimisiún na Meán). The consultation is to ensure the effective and efficient enforcement of this measure. That consultation is ongoing and it is the intention of the Minister for Health that the Broadcast Watershed be commenced this year. There is a one year lead in time after commencement attached to section 19.

Section 21 of the Act provides for a review of certain sections of the Act and can be commenced when the sections subject to review have been commenced.

Healthcare Policy

Questions (808)

Thomas Gould

Question:

808. Deputy Thomas Gould asked the Minister for Health for an update on the new Action Plan under the National Drugs Strategy. [34102/23]

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Written answers

The Strategic Action Plan 2023-2024 was published on the 29th of June 2023.

The plan is based on the six strategic priorities identified following the mid-term review of the strategy in 2021. The priorities are designed to strengthen the health-led approach to drugs, reflect commitments in the Programme for Government and align with the EU Drugs Strategy & Action Plan. By having a few key strategic priorities, supported by relevant actions, we can provide greater coherence to the strategy and facilitate cross-pillar and cross-government coordination.

The six strategic priorities are as follows:

1. Strengthen the prevention of drug and alcohol use and the associated harms among children and young people;

2. Enhance access to and delivery of drug and alcohol services in the community;

3. Develop integrated care pathways for high-risk drug users to achieve better health outcomes;

4. Address the social determinants and consequences of drug use in disadvantaged communities;

5. Promote alternatives to coercive sanctions for drug-related offences;

6. Strengthen evidence-informed and outcomes-focused practice, services, policies and strategy implementation.

The Strategic Action Plan was developed by the six strategic implementation groups reporting to the National Oversight Committee. The membership of the groups comprised of representatives from Government departments and agencies, drug and alcohol taskforces and civil society, with an independent chairperson. The national oversight structures ensure that civil society has a strong voice in drugs policy and that community and voluntary groups are centrally involved in reducing drug-related harm

The strategic action plan has a total of 34 actions, with between four and eight actions aligned with each strategic priority. Progress on these actions will be reported to the National Oversight Committee on a quarterly basis.

Health Services

Questions (809)

Thomas Gould

Question:

809. Deputy Thomas Gould asked the Minister for Health the number of people who have used Keltoi, by month in 2023. [34103/23]

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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.

Health Services Staff

Questions (810)

Dara Calleary

Question:

810. Deputy Dara Calleary asked the Minister for Health if he is aware that Irish physiotherapists who achieved qualifications in EU countries such as the Netherlands are unable to register with CORU; if he is aware that in order to register with CORU such qualified persons require 210 hours in cardiorespiratory physiotherapy completed in an acute hospital setting in the Republic of Ireland; if he will acknowledge that attaining such placements is increasingly impossible for such persons; if he will outline any changes in policy that his Department is pursuing in an effort to rectify this issue; and if he will make a statement on the matter. [34106/23]

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Written answers

As the Deputy will be aware, CORU is Ireland's multi-profession health regulator with responsibility 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.

This involves an assessment which is undertaken on a case-by-case basis by academic and professional assessors which seeks to determine the alignment between an applicant’s qualification and the standards of proficiency required in Ireland. If deficiencies in the qualification are identified, an applicant’s post-qualification training and professional work experience will be considered. If deficits remain, an applicant will be offered a choice between compensation measures: a period of adaptation or an aptitude test.

In total CORU have received 27 applications for recognition of physiotherapy qualifications from applicants who have studied in the Netherlands since 2017. Of these, 18 applicants have had their qualifications recognised by the Physiotherapists Registration Board and have progressed to application for statutory registration by the Physiotherapists Registration Board at CORU.

The breakdown of applicants per year is as follows:

Year

Number of Applicants

2017

4

2018

2

2019

2

2020

4

2021

4

2022

1

2023

1

Total

18

Below is a table of applicants who were required to complete a compensation measure, of which 6 have successfully completed the period of adaptation and have moved onto registration.

Year

Compensation Measure

Recognised post Compensation Measure

2017

1

1

2018

1

0

2019

3

1

2020

2

2

2021

3

1

2022

4

1

2023

1

0

Total

15

6

If substantial deficits are identified against the standards of proficiency (i.e. the minimum standards required for entry to the register of physiotherapists) in any area (for example, cardiorespiratory), a compensation measure will be required. Hours required are decided by the Registration Board based on consideration of all relevant information, including the number of hours required for a professional to be competent to safely practice in that area.

This information is available publicly on the international qualifications section of the CORU website and any professional who wishes to complete or has completed a qualification outside the State should ensure they read the requirements for recognition to ensure they are aware of the standards of proficiency, and what standards they will need to meet if they wish to return to and work in the State.

Applicants who are required to undertake a compensation measure have the option to:

• Complete the period of adaptation required;

• Undertake an aptitude test to address the deficits identified;

• Appeal the Physiotherapist Registration Board Decision;

• Reapply for recognition with further information provided.

Whilst it is not within CORU’s remit to secure adaptation periods for applicants, CORU is in the process of developing an initiative with health care providers to develop supports for applicants undertaking adaptation periods. This initiative is in the final stages of development and CORU expect to commence this support for applicants in the coming months.

Nursing Homes

Questions (811)

Thomas Gould

Question:

811. Deputy Thomas Gould asked the Minister for Health the average wait time for the fair deal application processing in Cork currently. [34107/23]

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Written answers

As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Nursing Homes

Questions (812)

Thomas Gould

Question:

812. Deputy Thomas Gould asked the Minister for Health the number of staff currently employed in the fair deal section of Cork Kerry Community Healthcare by role, in tabular form. [34108/23]

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Written answers

As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Nursing Homes

Questions (813)

Thomas Gould

Question:

813. Deputy Thomas Gould asked the Minister for Health the number of applications received in Cork for the fair deal scheme by month to date in 2023. [34109/23]

View answer

Written answers

As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

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