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Wednesday, 17 Jan 2024

Written Answers Nos. 1788-1802

Tobacco Control Measures

Questions (1788, 1789)

Violet-Anne Wynne

Question:

1788. Deputy Violet-Anne Wynne asked the Minister for Health if he is aware that e-cigarette and vaping products are currently being sold across a very wide range of retail settings in Ireland; if he intends using the licensing provisions in the new Public Health (tobacco and nicotine inhaling products) Bill 2023 to restrict the sales of these products to specialist vape stores and only those retailers that currently sell tobacco and alcohol products which are regulated; and if he will make a statement on the matter. [1853/24]

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Violet-Anne Wynne

Question:

1789. Deputy Violet-Anne Wynne asked the Minister for Health if he is aware that e-cigarette and vaping products that do not meet Irish product standards are widely available; if he will make it a condition for the licensing of retail outlets under the new licensing system provided for in the Public Health (tobacco and nicotine inhaling products) Bill 2023 that they can only sell e-cigarettes and vaping products that are fully compliant with the standards for these products in force in Ireland, and what enforcement measures he is planning in this regard; and if he will make a statement on the matter. [1854/24]

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Written answers

I propose to take Questions Nos. 1788 and 1789 together.

I am aware that e-cigarette and vaping products are currently being sold across a very wide range of retail settings in Ireland.  When the relevant sections of the Public Health (Tobacco Products and Nicotine Inhaling Products) Act 2023 are commenced, the sale of these products will be restricted to holders of licences who will have to apply for a licence each year. 

Section 11 of the Act provides that an application will be accompanied by the prescribed fee, a tax clearance certificate and a declaration signed by the applicant or officer of the company that the applicant has complied with tobacco control legislation.  A person under 18 will not be able to apply for a licence and in order to ensure that tobacco products or nicotine inhaling products are no longer sold in temporary or moveable premises, a licence will not be issued for a period of time shorter than one year or for temporary or moveable premises other than a commercial passenger ship. 

An application for a licence can be refused if the application is not made in accordance with section 12, if the applicant has been convicted of two or more serious or category A offences in tobacco control or the HSE believes that any information provided as part of an application is false or misleading.  A licence may be revoked if the licensee has been convicted of two or more serious or Category A offences within the meaning of section 28 of the Act, the licensee no longer holds a tax clearance certificate which is in force, or the HSE believes that the licensee provided it with false or misleading information when making the application.  Section 39  of the Act also provides for minimum suspension period for licences to sell tobacco products and nicotine inhaling products.  These are designed to ensure that the penalties for offences under tobacco control law are effective, proportionate and dissuasive.  Suspension periods will depend on the seriousness of the offence committed, whether it is a serious offence and it is take on summary prosecution or on indictment.  

The new licencing system will make enforcement of tobacco control more efficient as there will be a complete and up to date register of all tobacco and nicotine inhaling products retailers immediately available to the enforcement authority and the number of retail outlets selling these products is likely to reduce.

Question No. 1789 answered with Question No. 1788.

Tobacco Control Measures

Questions (1790)

Violet-Anne Wynne

Question:

1790. Deputy Violet-Anne Wynne asked the Minister for Health if he is aware of the wide availability of e-cigarette and vaping products that do not meet standards for these products, and which some estimates put at between 20% to 25% of the market; what actions he and other agencies of the State are taking to combat this and to ensure that only e-cigarettes and vaping products that meet Irish regulatory standards can be sold here; and if he will make a statement on the matter. [1855/24]

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Written answers

As this is an enforcement matter I have asked the relevant authority, the Environmental Health Service of the Health Service Executive, to respond directly to the Deputy as soon as possible.

Medicinal Products

Questions (1791)

Denis Naughten

Question:

1791. Deputy Denis Naughten asked the Minister for Health when adjuvant abemaciclib will be approved to reduce the risk of breast cancer for patients; and if he will make a statement on the matter. [1861/24]

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Written answers

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for decisions on the pricing and reimbursement of medicines; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Assisted Human Reproduction

Questions (1792)

Denis Naughten

Question:

1792. Deputy Denis Naughten asked the Minister for Health if he will provide an update on the Health (Assisted Human Reproduction) Bill 2022, particularly in relation to international surrogacy; and if he will make a statement on the matter. [1862/24]

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Written answers

As the Deputy will be aware, the Health (Assisted Human Reproduction) Bill 2022 was introduced to, and passed Second Stage in, the Dáil in March 2022 and has been referred to the Select Committee on Health for Third Stage. The focus of this Bill is on the regulation, for the first time in this country, of a wide range of assisted human reproduction (AHR) practices undertaken within the jurisdiction.

The Bill as published provided for domestic altruistic surrogacy but does not contain provisions to regulate surrogacy arrangements undertaken in other jurisdictions. However, on foot of Government approval of a proposal from Minister McEntee, Minister O’Gorman and myself, the Special Oireachtas Joint Committee on International Surrogacy was formally established in February 2022.

Following the publication of the Committee’s Final Report in July 2022, through a structured and collaborative engagement process, the three relevant Departments (Departments of Health, Justice, and Children, Equality, Disability, Integration and Youth) reviewed the Report’s recommendations along with other relevant matters. This project culminated with the approval by Cabinet in mid-December 2022 of a policy approach in respect of both the regulation of international surrogacy and the recognition of certain past surrogacy arrangements (domestic and international) as well as outline draft legislative proposals.

Subsequent to the completion of the formal drafting process of the new surrogacy provisions by the Office of the Parliamentary Counsel, in conjunction with the three relevant Departments, a Memorandum for Government was submitted by the three Ministers concerned. On 12th December 2023, the Government approved this Memorandum and the finalised proposed Committee Stage Amendments (CSAs) to the Bill will now be considered by the Select Committee on Health. These proposed CSAs include new provisions in respect of the regulation of international surrogacy agreements and the recognition of certain past surrogacy arrangements.

I am pleased to report that Committee Stage is scheduled to commence on 24th January 2024 and I wish to reiterate my commitment to ensuring both that the goal of providing for a route to formal recognition by the State of past surrogacy arrangements or surrogacy arrangements in other jurisdictions is achieved and that a robust regulatory framework for AHR more broadly is put in place, as quickly as possible.

Hospital Transfers

Questions (1793)

Pádraig Mac Lochlainn

Question:

1793. Deputy Pádraig Mac Lochlainn asked the Minister for Health if an urgent transfer can be arranged for a person (details supplied) in County Mayo to the National Rehabilitation Hospital in Dún Laoghaire; and if he will make a statement on the matter. [1864/24]

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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.

Medicinal Products

Questions (1794)

Darren O'Rourke

Question:

1794. Deputy Darren O'Rourke asked the Minister for Health if the decision to refuse a person (details supplied) in County Meath reimbursement for an increased dose of ustekinumab/stelara can be reviewed in light of the recommendation from their consultant and noted response to treatment; and if he will make a statement on the matter. [1865/24]

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Written answers

As this refers to an individual case, I have referred this matter to the HSE for their attention and direct reply to the Deputy.

Traveller Community

Questions (1795)

Sean Fleming

Question:

1795. Deputy Sean Fleming asked the Minister for Health to outline the situation in relation to funding for a project (details supplied); and if he will make a statement on the matter. [1867/24]

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Written answers

As this relates to the funding of a local project, I am referring to the HSE for direct response. 

Home Care Packages

Questions (1796)

Jim O'Callaghan

Question:

1796. Deputy Jim O'Callaghan asked the Minister for Health the number of homecare support hours for older people provided in each LHO area in 2023, in tabular from; and if he will make a statement on the matter. [1871/24]

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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.

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

Gender Recognition

Questions (1797)

Patrick Costello

Question:

1797. Deputy Patrick Costello asked the Minister for Health if he will instruct HIQA to carry out research relating to gender affirming care in Ireland comparing it to international best practice as the body previously did for long-Covid; and if he will make a statement on the matter. [1872/24]

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Written answers

The Government is committed to the development by the HSE of a well-governed and patient-centered health care service for adults and children in the transgender community, in line with the Programme for Government.  

The HSE National Quality and Patient Safety Directorate has reviewed the interim Cass report and how it applies to clinical pathways in Ireland. The Department welcomed this review of the interim Cass report, and has considered its implications. The Department also understands that based on the recommendations of this report, the HSE has identified the need to develop an updated and integrated Model of Care for transgender services in Ireland, which will be informed by the best evidence-based clinical care for individuals who express gender incongruence or dysphoria. 

The HSE is establishing a team to lead the development an updated model of care for the treatment of gender dysphoria. As an initial step, the HSE has advertised for the post of Clinical Lead for Transgender Services, who will develop the Model of Care and Implementation Plan for Transgender Care. This position has been offered to an applicant. 

The HSE will consult with a wide range of stakeholders in the development of the new model of care, including those who use the services and advocacy groups.

The HSE is also working to identify an alternative pathway for children/young people experiencing protracted waiting times. Discussions are underway with the paediatric endocrinology service at Children's Health Ireland and also with a psychology service to work on an interim solution until a full dedicated multidisciplinary service is established. In treating children and young people, any decision is a clinical matter for the treating clinician, their patient and family.

I welcome the development of a model of care which will deliver a high quality seamless and integrated service for people with gender identity issues, in line with the Programme for Government.

Home Care Packages

Questions (1798)

Pearse Doherty

Question:

1798. Deputy Pearse Doherty asked the Minister for Health if the HSE will provide home support for a person (details supplied) in County Donegal; and if he will make a statement on the matter. [1873/24]

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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.

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

Disease Management

Questions (1799)

Réada Cronin

Question:

1799. Deputy Réada Cronin asked the Minister for Health his Department’s plans to provide essential colonoscopy examinations for persons with Crohn’s disease (details supplied); and if he will make a statement on the matter. [1897/24]

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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

Questions (1800)

Sean Fleming

Question:

1800. Deputy Sean Fleming asked the Minister for Health when a person (details supplied) will receive required medical treatment; and if he will make a statement on the matter. [1914/24]

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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.

Home Care Packages

Questions (1801)

Bernard Durkan

Question:

1801. Deputy Bernard J. Durkan asked the Minister for Health if every effort will be made to put in place the nine additional homecare package hours allocated to a person (details supplied); and if he will make a statement on the matter. [1925/24]

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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.

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

Health Services

Questions (1802)

Anne Rabbitte

Question:

1802. Deputy Anne Rabbitte asked the Minister for Health the status of the complaint lodged (details supplied); the options open to a person in such cases; and if he will make a statement on the matter. [1948/24]

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Written answers

I would like to highlight the options open to individuals and their families to make a complaint about care they have received in the public health system. Under Part 9 of the Health Act 2004 a patient has the right to complain about any action of the HSE or a service provider that they believe was not fair or had an adverse effect on them. The HSE has appointed designated Complaints Officers to ensure the effective management of complaints throughout their relevant areas of responsibility. Further information is available at www.hse.ie/yoursay or via telephone on LoCall number: 1890 424 555. If a patient is still unhappy with the outcome of this process, you can request an independent review of the complaint from the Office of the Ombudsman.   

I would also like to highlight the Patient Advocacy Service. This service is aimed at supporting patients who wish to make a complaint about care received in a public hospital. The service offers a confidential helpline with experienced advocates on-hand to provide information and support to patients who want to make a formal complaint to the HSE about the care they experienced. The Patient Advocacy Service has a team of patient advocacy officers, advocacy team leads and a service manager providing information and support to patients across Ireland by phone, email and through online information and in person. Further information on the service can be found by ringing 0818 – 293 003 between 10am and 4pm, Monday to Friday or by visiting www.patientadvocacyservice.ie   

In this regard I have arranged for the individual's correspondence to be referred to the HSE and this will then be forwarded to Saolta Hospital Group for investigation and direct reply to the individual.  

Members of the Oireachtas are advised that at this time, 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.

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