I propose to take Questions Nos. 61, 87, 130 and 147 together.
In November 1997, the Eastern Health Board developed a refugee medical centre as an integral part of the refugee unit on the campus of St. James's Hospital. The centre provides screening for refugees-asylum seekers presenting at the centre of both tuberculosis and hepatitis B and updating immunisations where appropriate.
The Eastern Health Board has special arrangements with six local general practitioners who provide interim medical services for refugees/ asylum seekers on arrival until such time as they are provided with a medical card and a choice of doctor and chemist. Special payment arrangements are made with the six doctors concerned and in fact one of the doctors utilises facilities in the refugee medical centre which the Eastern Health Board fully supports. Staff in the screening service work very closely with the general practitioners.
On the provision of a centre to provide specifically for the needs of refugee victims of torture, I understand there are differing views among specialists in this field on the need for the establishment of such a centre. However, there is agreement on the need to develop a psychological/ counselling service for refugees which would be associated with the health screening service outlined above with referral to the mental health services where appropriate. In this connection, I have made additional resources available to the Eastern Health Board this year to enable such a service to be established.