We have heard a lot in recent weeks about the amount of cutbacks since the election. I do not think there are any as harsh and miserly as those being implemented by the health board regarding cutting community-based services to the elderly. The savings being made are paltry. Much of the work is carried out by volunteers. If meals on wheels and other community-based support services to the elderly were staffed by the health board or the Department of Health and Children, it would cost a much greater amount compared with the volunteer service which operates at a fraction of the cost. These services are provided voluntarily by people and it serves as a bonding force in the community.
In April, the East Wall day care centre received a letter from the health board informing it there would be a reduction of €100 per month in the funding for meals on wheels from May 2003. The centre was informed that this money would be taken from its existing surplus. Prior to that, a bevy of administrators had examined the operation of the East Wall service and found that it had a deficit of €3,800. How can that possibly be taken from an existing surplus? The centre had told the health board of the difficulties it was experiencing in providing a five-day service because of the shortage of volunteers. At that time it asked for one key worker to be provided and the health board agreed to that request as long as the day care centre met the requirements of the health inspector – that it operate a five-day service and liaise with CERT for training. The centre met those requirements but the health board cut its miserly €1.27 per meal – one old pound – by €100 per month. To compound the situation, Dublin City Council imposed a commercial bin charge.
The same letter informed the centre that the current grant allocation for Iona parish will remain unchanged. Iona parish is one of the wealthiest parishes in Dublin Central and East Wall parish is a very deprived parish. How can a health board exercise its discretion regarding providing subsidies and grants to day care centres in this discriminatory fashion?
Cutbacks in funding by the Department of Health and Children are blamed for the cutbacks in the region of €20,000 to the meals on wheels service to the elderly in the north inner city area. I find it unbelievable that such a thing can happen in this day and age. The health board's administrators knew that the centre was in deficit and was operating thanks to voluntary effort, but it imposed a cutback of €100 per month to further reduce the funding available and then reneged on its promise to provide one full-time key worker to help out because of the shortage of volunteers.
Elderly people who are unable to cook for themselves and who are disabled will fill up the hospitals. This is an essential service and the Minister should ensure there is reasonable funding available.