The statistical information sought by the Deputy is set out in the tabular statement which I am circulating in the Official Report.
Under the 1970 Health Act, medical cards are issued to persons who, in the opinion of the chief executive officer of the appropriate health board, are unable without undue hardship to arrange general practitioner medical and surgical services for themselves and their dependants. While annual income is of obvious relevance, other factors such as family size, capital available and so on must also be taken into account. Income guidelines are available to assist chief executive officers in the determination of a person's eligibility but these guidelines are not statutorily binding and, even though a person's income exceeds the guidelines, that person may still be awarded a medical card if the chief executive officer feels that this is necessary in the light of the individual's circumstances.
In view of the discretionary powers of the chief executive officers to issue medical cards, I am satisfied that no one is denied essential health services due to inability to pay.
I have already announced that a statutory medical card appeals system is being introduced. When this system is in place any person who feels aggrieved in relation to a decision not to grant a medical card can have the problem addressed under the appeals procedures. Regulations are also being made to provide that a person who would otherwise be eligible for a medical card cannot lose this entitlement solely as a result of availing of the family income supplement and the social employment scheme.
No. of persons covered by medical cards.
|
1989
|
1990
|
|
Persons covered
|
% Population
|
Persons covered
|
% Population
|
National
|
1,256,818
|
35.76
|
1,221,284
|
34.86
|
Southern Health Board
|
180,112
|
33.55
|
172,629
|
32.15
|