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Medical Cards

Dáil Éireann Debate, Thursday - 18 January 2024

Thursday, 18 January 2024

Questions (338)

Bernard Durkan

Question:

338. Deputy Bernard J. Durkan asked the Minister for Health the extent to which dental patients can have their requirements met and progressed as quickly as possible with particular reference to medical card holders; and if he will make a statement on the matter. [2335/24]

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Written answers

The Dental Treatment Services Scheme (DTSS) provides dental care, free of charge, to medical card holders aged 16 and over. Services available annually and on demand include an examination including preventative elements, two fillings, emergency extractions, and a scale and polish. More complex care, such as dentures, and a broader range of treatments for patients with additional needs and high-risk patients are available subject to the approval of the local HSE Principal Dental Surgeon.

Since May 1st 2022, there has been additional prevention treatments included and a 40-60% increase in fees paid to dentists across most treatment items. From January to October 2023, 142,450 additional treatments have been provided under the DTSS, with over 25,600 extra unique patients treated when compared with the same period in 2022. 

I am aware that there are some towns with no or limited DTSS dentists that have sufficient capacity to accept new patients. Where access to a dentist is difficult, local HSE services assist patients who make enquiries and make lists of DTSS contractors available to medical card holders. In exceptional circumstances, the HSE assists patients to access emergency dental treatment by directly contacting private contractors or arranging treatment to be provided by HSE-employed dentists.

The Government is committed to fundamentally reforming dental services, including the DTSS, through implementation of the National Oral Health Policy, Smile agus Sláinte. My Department is working closely with the HSE to ensure the establishment of focused structures to drive implementation of the Policy. The HSE has now appointed a Strategic Reform Lead to drive Policy implementation across the organisation and to move forward in 2024 with developing new services for both adults and children in line with the Policy. This will include work on planning new services for medical card holders.

While it will take a number of years to bring reform to complete fruition, there will be an early emphasis in implementation on addressing the current issues, including the reform of the provision of services for medical card holders.

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