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Wednesday, 17 Jan 2024

Written Answers Nos. 1613-1626

Healthcare Policy

Questions (1613)

Peadar Tóibín

Question:

1613. Deputy Peadar Tóibín asked the Minister for Health to provide the latest draft of the WHO pandemic preparedness treaty that the Government is dealing with; if the WHO pandemic preparedness treaty draft includes any loss of sovereignty to the Irish people; to detail the points of sovereignty that are likely to be ceded in the WHO pandemic preparedness treaty draft; and if it is the Government’s intention to sign the WHO pandemic preparedness treaty. [57229/23]

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Written answers

I thank the Deputy for his query in relation to the World Health Organization Pandemic Agreement (WHO CA+).

The COVID-19 pandemic demonstrated that the global status quo in terms of pandemic preparedness and response is not adequate and requires revision. It also demonstrated the cross border nature of a pandemic and that States need to work collaboratively in managing their response to such a threat. As such, Ireland strongly supports a multilateral approach to global health issues with the World Health Organization (WHO) in a central leadership role. 

On 1 December 2021, the members of the World Health Organization (WHO) reached consensus to begin the process of negotiating a convention, agreement, or other international instrument to strengthen pandemic prevention, preparedness and response, commonly known as the Pandemic Agreement. Ireland supports this WHO-led process to negotiate a binding legal instrument on pandemic preparedness and response, the aim of which is to protect public health and to help save lives in the event of future pandemics.

An Intergovernmental Negotiating Body (INB) was established and met for the first time on 24th February 2022. The INB has met seven times to date to progress work on the drafting of this agreement, with the most recent meeting taking place in December 2023. Following a progress report, which was delivered to the 76th World Health Assembly in May 2023, it is anticipated that the Pandemic Agreement will be adopted in May 2024.

In relation to the Deputy’s query regarding the latest draft of the WHO Pandemic Treaty, on 16th October 2023, the INB Bureau circulated a proposal for the ‘Draft Negotiating Text’ of the Agreement. This working draft of the Pandemic Agreement, the ‘Draft Negotiating Text’, is freely accessible through the website of the World Health Organization (A/INB/7/3). A copy of the text can be found at this link: who.int/gb/inb/pdf_files/inb7/A_INB7_3-en.pdf .  While this text has formed the basis for negotiation, it is anticipated that the INB Bureau will propose an updated text to the Drafting Group in the coming weeks.

Officials in my Department continue to lead on the coordination of Ireland’s position with respect to the negotiation of the WHO Pandemic Agreement, working closely with Ireland’s Permanent Representation to the UN in Geneva, and engaging with the relevant policy units in the Department of Health and other Government Departments and Agencies, as well as EU partners on this matter.

In relation to the Deputy’s query regarding the impact of the Pandemic Agreement on Irish sovereignty, officials in my department have noted increasing levels of mis- and disinformation circulating with respect to this topic. It is important to note that sovereignty stands as one of the key guiding principles of the proposed ‘Draft Negotiating Text’ of the Pandemic Agreement. Additionally, the powers of the WHO are confined to undertaking international health work and the organisation does not hold jurisdiction over national health work, which remains within the sovereign domain of each State, as does the right of a sovereign state to ratify, or not to ratify, the WHO Pandemic Agreement.

In relation to the Deputy’s question as to whether the Government intends to be a signatory to the WHO Pandemic Agreement, as the negotiation of the proposed instrument is still underway, it is not currently possible to determine the precise legal ramifications of this instrument, or what form the final instrument shall take. These negotiations are due to conclude in May 2024. Once concluded, the final draft of the WHO Pandemic Agreement will be presented to Cabinet for Government agreement before adoption.

As provided for in the Irish Constitution, the conclusion of an international agreement is an exercise of the executive power of the State in connection with its external relations and is therefore concluded by or on the authority of the Government. In practice this means that Government approval must be sought for the signature, ratification, or approval of every international agreement. The requirements of the Irish Constitution will, of course, be respected in Ireland’s position towards the negotiations and my Department will engage with the Office of the Attorney General in relation to any concerns that may arise in this regard.

Hospital Appointments Status

Questions (1614)

Bernard Durkan

Question:

1614. Deputy Bernard J. Durkan asked the Minister for Health when a hospital appointment and appropriate care will be provided in the case of a person (details supplied); and if he will make a statement on the matter. [57233/23]

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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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday 6th October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Hospital Waiting Lists

Questions (1615)

Niamh Smyth

Question:

1615. Deputy Niamh Smyth asked the Minister for Health the reason a person (details supplied) is waiting for an appointment for surgery in the Mater Hospital; and if he will make a statement on the matter. [57234/23]

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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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday 6th October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE.

Healthcare Policy

Questions (1616)

Pauline Tully

Question:

1616. Deputy Pauline Tully asked the Minister for Health if, in line with Action 87 of the Autism Committee’s Final Report, he has plans to introduce mandatory autism training for all health and social care workers in the Health Service Executive and in Section 38 and Section 39 organisations who provide services on behalf of the Health Service Executive; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57300/23]

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Written answers

As this Parliamentary Question relates to an operational issue, it is a matter for the HSE. However, members of the Oireachtas are advised that the HSE is currently not in a position to answer PQs due to industrial action. It is hoped that normal services will resume soon. In the meantime, this Department will continue to refer PQs to HSE for their direct reply as soon as possible

Healthcare Policy

Questions (1617)

Pauline Tully

Question:

1617. Deputy Pauline Tully asked the Minister for Health if, in line with Action 89 of the Autism Committee’s Final Report, he has plans to provide funding to health service providers (including general practice and dentistry) to make their services and built environment more autism-friendly; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57302/23]

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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.

Healthcare Policy

Questions (1618)

Pauline Tully

Question:

1618. Deputy Pauline Tully asked the Minister for Health if, in line with Action 90 of the Autism Committee’s Final Report, he has plans to formulate guidelines for autism-friendly service design and built environment design within health services, including general practice, physiotherapy, dentistry and mental health services; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57303/23]

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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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Healthcare Policy

Questions (1619)

Pauline Tully

Question:

1619. Deputy Pauline Tully asked the Minister for Health if, in line with Action 91 of the Autism Committee’s Final Report, he has plans to direct Child and Adolescent Mental Health Services to cease its practice of refusing to serve children on the basis of an autism diagnosis or a suspected autism diagnosis; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57304/23]

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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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Healthcare Policy

Questions (1620)

Pauline Tully

Question:

1620. Deputy Pauline Tully asked the Minister for Health if, in line with Action 92 of the Autism Committee’s Final Report, he has plans to initiate an independent review of CAMHS practices in respect of service provision to autistic children and investigate reports of discrimination against autistic children referred to CAMHS; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57305/23]

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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Healthcare Policy

Questions (1621)

Pauline Tully

Question:

1621. Deputy Pauline Tully asked the Minister for Health if, in line with Action 93 of the Autism Committee’s Final Report, he has plans to initiate meetings between CAMHS and disability services to establish how best to provide mental health services to autistic children, taking into account the current lack of capacity within CDNTs to provide multi-disciplinary supports including mental health interventions; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57306/23]

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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Healthcare Policy

Questions (1622)

Pauline Tully

Question:

1622. Deputy Pauline Tully asked the Minister for Health if, in line with Action 94 of the Autism Committee’s Final Report, he has plans to establish how best to create a pathway for autistic adults to access multi-disciplinary supports, including mental health interventions; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57307/23]

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.

As the Deputy may be aware, management and administrative grade staff in the Fórsa union in the HSE commenced industrial action on Friday, 6 October. As a consequence of this industrial action, members in these grades are not engaging with political forums or processes. As a result, the question asked by the Deputy may be delayed in receiving a response directly from the HSE. 

Healthcare Policy

Questions (1623)

Pauline Tully

Question:

1623. Deputy Pauline Tully asked the Minister for Health if, in line with Action 95 of the Autism Committee’s Final Report, he has plans to offer individual health plans to autistic people, including health check-ups, to ensure that they are supported in accessing health services; and the estimated first- and full-year cost, respectively, of implementing this proposal. [57308/23]

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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.

Question No. 1624 answered with Question No. 1580.

Health Services

Questions (1625)

Michael Ring

Question:

1625. Deputy Michael Ring asked the Minister for Health if discretionary funding will be provided for persons (details supplied); and if he will make a statement on the matter. [57385/23]

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Written answers

The Health Service Executive (HSE) has statutory responsibility for pricing and reimbursement decisions under the community drug schemes, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. Therefore, this matter has been referred to the HSE for attention and direct reply to the Deputy.

Departmental Data

Questions (1626)

Peadar Tóibín

Question:

1626. Deputy Peadar Tóibín asked the Minister for Health the number of unexplained deaths registered in each county in each of the past five years. [1006/24]

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Written answers

This PQ relates to operational matters and has been referred to the HSE for direct reply.

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