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Dáil Éireann díospóireacht -
Thursday, 27 Feb 2003

Vol. 562 No. 3

Written Answers - Services for People with Disabilities.

Jim O'Keeffe

Ceist:

192 Mr. J. O'Keeffe asked the Minister for Health and Children if identified and agreed care funding deficits will be paid as outlined in his Department's document, Widening the Partnership; and when section 65 agencies, which are paid via the health board such as Co-Action West Cork, will receive such funding. [6043/03]

In addition to providing funding in recent years to put in place new service developments to meet identified needs in relation to residential, respite, day and other support services, funding has also been provided by my Department to meet identified needs in existing services. These needs arise as a result of the changing profile of persons with an intellectual disability or those with autism in the services, and in particular the residential services, which has resulted in an increasing number of older and medically fragile persons. They would also relate to issues such as underfunding of base budgets, including the need to consolidate elements of services previously funded from sources such as fund-raising. My Department has sought over the years to address these issues as resources have permitted. It was agreed that this process should continue, albeit through new more appropriate mechanisms, as outlined in the reports "Enhancing the Partnership", which dealt with the framework supporting the transfer of responsibility for the funding of former direct funded intellectual disability service providers from my Department to the health boards and "Widening the Partnership" which dealt with the application of that framework to voluntary intellectual disability service providers, such as Co-Action West Cork, funded by the health boards.

Between 1998 and 2002, additional funding amounting to €27.2 million has been allocated to services to persons with an intellectual disability and those with autism to meet identified needs in existing services. The overall economic position in 2003 has had implications for all aspects of public investment, and this is reflected in the Estimates and budget adopted by the Government for 2003. Within this overall framework, however, some two-thirds of the additional funding available for non-capital investment in services has been allocated to the health services. This funding is being applied largely to maintaining existing levels of service across all service programmes including services for people with an intellectual disability.

Between 1997 and 2002, an extra €188 million revenue and €139 million capital funding has been provided, making a total additional investment of €327 million for the maintenance and development of services to persons with an intellectual disability and those with autism. In the current year, further additional funding of €13.3 million has been allocated to services for persons with an intellectual disability or autism to meet the full year cost of the 2002 developments and to further enhance the health related support services to children with an intellectual disability or autism. This funding brings the total extra investment in these services to €340 million over seven years. Of this total amount, over €200 million has been built into the ongoing budget base. This funding has brought about very significant and unprecedented developments in the services. Between 1997 and 2002, around 1,700 extra residential places have been provided, with most of these based in the community. This figure includes new residential respite places which were developed in 1997 and 1998. Between 1999 and 2002, about 465 dedicated respite places were also provided. In addition, the period from 1997 to 2002 saw the provision of around 2,950 new day places.
Despite this very significant investment over recent years, demographic factors are contributing to growing waiting lists for residential services in particular even though the number of people in receipt of services, including full time residential services, continues to increase. The increased birth rate in the 1960s and 1970s has resulted in large numbers of adults in their late 20s and early 30s requiring full-time residential services. In addition, people with an intellectual disability are living longer than previously, adding to the need for services compared to previous generations. This has also been the international experience in service provision to this population.
While it is regrettable that the level of investment in these services achieved in recent years could not be maintained in 2003, my Department will work closely with the health boards and other service providers in relation to service provision this year.
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