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Dáil Éireann díospóireacht -
Tuesday, 8 Apr 2008

Vol. 651 No. 2

Adjournment Debate.

Special Educational Needs.

I thank the Ceann Comhairle for the opportunity to raise this issue. I note that the Minister of State with responsibility for this area is not here. I hope there is a good reason for this and it is not part of the ongoing policy of Ministers to ignore issues raised on the Adjournment.

The Páistí le Chéile project is an inter-agency pilot initiative run through Roscommon County Childcare Committee. It has been funded by the Department of Justice, Equality and Law Reform since March 2006 and this funding will continue up to June of this year. The objective of Páistí le Chéile is to enhance the level and quality of access for children with special needs to mainstream child care services within the county. The project works collaboratively with parents, pre-school practitioners, the HSE, the Brothers of Charity services and other voluntary organisations within the county. The four main objectives of the project are the provision of support workers to children with special needs and-or disabilities so that they can attend pre-schools; the provision of disability-related training to pre-school workers and parents; the development of protocols for inter-agency working; and the development of an information resource pack on disability and child care services.

This innovative pilot project provides individualised support to 19 children, enabling them to attend and be included in their local pre-schools. Without this service, these children with learning difficulties would have to rely on the current non-existent HSE service and would, in the long term, put significant demand on the HSE paramedical specialties. In County Roscommon, there is a large waiting list and no availability of such specialists. There would also be significant additional demands in terms of the support needed for these children within the mainstream educational system. We are talking about children with a learning difficulty but not those who would fit into the category of intellectual disability. These children are already provided for by the Brothers of Charity and funding is available for them.

This project represents a win-win situation. From a purely financial perspective, it would save significant current spending on such children in our overstretched health and education systems. From a personal perspective, the programme has had a dramatic effect in helping the children involved to meet their developmental milestones. The Páistí le Chéile project has provided training for up to 158 pre-school practitioners in disability awareness, behavioural support, child development and communication, including sign language.

When I raised this issue with the Minister of State with responsibility for children through a parliamentary question on 11 March, he washed his hands of the issue, stating that Roscommon County Childcare Committee had received funding of €295,000 for 2008 and would have to find the money from its existing budget. This is totally unacceptable. As the Minister of State knows, Roscommon County Childcare Committee submitted a case for the Páistí le Chéile project as part of its actions for 2008, with a budget of €51,000 to continue the programme to the end of 2008. The child care committee was asked by the Minister of State to remain within its indicative budget for 2008 so it has no option but to remove the funding sought for the Páistí le Chéile project. However, the yearly budget currently received by the child care committee only covers salaries, with a small amount remaining for specific actions identified in the strategic child care plan. That money would not provide for the continuation of the project. It is well known to the Minister that the funding is not there within the existing budget as that money is already committed.

The cost of continuing this project for a full academic year is approximately €150,000 and inquiries are already being received for September of this year. There is at present a waiting list of 12 children who have applied for support, and more referrals are anticipated. The evaluation currently being submitted to the Minister of State with responsibility for children clearly shows the success of this pilot project. If the child care budget is not the appropriate avenue, the Minister of State has two other possible sources of funding, through either the Department of Health and Children or the Department of Education and Science, within his control and he should use one of those to fund and mainstream this valuable project.

I apologise on behalf of the Minister of State with responsibility for children, Deputy Brendan Smith, who is unavoidably absent as he had another engagement outside the city in an area under his responsibility. He asked me to convey his apologies to Deputy Naughten.

To respond to the Deputy, it is necessary first to give a brief explanation of the equal opportunities child care programme and the national child care investment programme, for which the Minister for Health and Children is responsible. The programme for Government and the progress of the Equal Opportunities Childcare Programme 2000-06, EOCP, and the National Childcare Investment Programme 2006-10, NCIP, represent confirmation of the Government's commitment to developing child care services to support the child care needs of the parents of Ireland. The EOCP, which has now concluded, had both an equal opportunities and a social inclusion perspective and aimed to increase the supply of centre-based child care places by 55%, or an additional 31,300 places, by the end of the programme. This target was exceeded, with some 39,000 additional places created by the programme.

In order to build on the success of the EOCP, the Government introduced the NCIP to cover the period 2006 to 2010. This programme will build on the success of the EOCP and incorporates a number of key objectives. It will increase the supply and quality of early childhood care and education services across the board. It will support families in breaking the cycle of disadvantage and provide a co-ordinated approach to the delivery of child care that is centred on the needs of the child. The decision of the Government to create a major new investment programme immediately, rather than waiting until the previous programme had expired, is evidence of the Government's commitment to drive progress in the child care field.

The NCIP has a funding allocation of €575 million and aims to create an additional 50,000 child care places. It is expected that approximately 22,000 of these places will be in the private sector and 28,000 in the community and not-for-profit sector. A total of 20% of the overall places will be for children in the three to four year age group and will provide an early childhood care and education focus. When considered with the other child care measures introduced by this Government, such as increases in paid and unpaid maternity leave and the introduction of the early childhood supplement, now worth €1,100 per year per child under six, and tax relief for childminders, no one can doubt that the Government is giving this issue the priority it deserves.

I turn now to the matter in question this evening.

The Páistí le Chéile project in County Roscommon was a pilot——

A very successful pilot.

——funded by the Department of Justice, Equality and Law Reform under the enhancing disabilities services programme. The Office of the Minister for Children provides funding on an annual basis to support activities set out in the action plans of the 33 city and county child care committees. The total funding provided to the 33 committees to support their action plan activities this year amounts to €13.3 million, which represents an increase of more than 7%.

In 2008, funding amounting to €295,360 has been approved for the Roscommon county child care committee to enhance quality in child care in the county.

But nothing for Páistí le Chéile.

On a per capita basis, this is one of the highest allocations in the country. Many child care services throughout Roscommon have benefited from grant assistance under both programmes. To date, funding of more than €10 million has been approved for child care in Roscommon under both child care programmes. Funding provided under the EOCP supported the provision of 579 new child care places and also supported 376 existing places in the county up until the end of 2007.

The Equal Opportunities Childcare Programme 2000-06 was central to the development of child care in Ireland. The Government expects that the National Childcare Investment Programme 2006-10 will be equally effective. The substantial investment provided under these programmes demonstrates the Government's commitment to the ongoing development of child care.

Hospital Services.

The background to this matter concerns whether there is a level below which guarantees concerning health will be made to Irish citizens. Professor Drumm seems to be operating a system which is based entirely on a business model. He says he must function within an allocation and, in order to meet it, will let staff go if necessary. What happened in Galway is a dramatic anticipation of that. For example, this morning the number of patients awaiting admission to the emergency department at University College Hospital Galway hit an all-time high with 40 patients on trolleys. Six of those had intravenous infusions and had to be treated in the public waiting room of the accident and emergency unit.

I support the statement issued earlier today by the Irish Nurses Organisation, which made the point that yesterday two nurses were expected to assess 96 patients who checked in between 1 p.m. and 8 p.m. Who is responsible for this situation? Is it Professor Drumm, the Minister, the HSE or the Department of Health and Children? Whoever it is, they are responsible for allowing health care to sink to a level at which professional standards cannot be sustained. This is a most serious matter. University College Hospital Galway simply ran out of space.

I recall that a former Attorney General ruled that the Minister is responsible for the minimum care of every citizen. It is not a delegable responsibility, so she must answer for this. In my view, Professor Drumm is not free to operate the model he is currently operating, which includes 40 patients on trolleys in Galway. Shamefully, in many cases, there are no cubicles for patients who are accommodated on trolleys, and no space for them in the hospital corridors. Therefore, there is no privacy or any concept of a minimum level of dignity. In addition, nurses are being asked to compromise their professional standards. To its credit, the INO says it cannot stand over the quality of care it delivers to patients in such circumstances. The INO further states that such things are happening daily in our hospitals.

Over a long period, I have received unsolicited e-mails from the HSE telling me about the number of people waiting in accident and emergency units practically all over the country. I do not want to receive such e-mails, but I do want to know who is guaranteeing the minimum standards in situations such as the one I have described. Will the Minister accept responsibility? Will she intervene through the Department under the HSE, not only regarding accident and emergency units but also concerning respite care and home helps? The Government will be held accountable in this House to provide a basic, minimum service. Those affected in Galway were very patient yesterday. Most of those who witnessed what took place accepted that there had been breaches of the Health and Safety Authority's guidelines. They also accepted that the staff were doing their best. They are hard workers but should not be put in such a position. At midday today, after I had submitted this matter for discussion on the Adjournment, there were 25 patients awaiting admission at the accident and emergency unit in Galway.

Professor Drumm should get out of the way if he is obstructing decent standards in hospitals. The Minister has a constitutional and legal responsibility to this House. She never got the right to transfer and delegate responsibility for basic minimum health standards to anybody else.

I am taking this matter on behalf of the Minister for Health and Children, Deputy Mary Harney. She has asked me to apologise to Deputy Michael D. Higgins as she is unable to attend the House at this time.

The Health Service Executive has advised that University College Hospital Galway has been extremely busy over the past 24 hours or so. Deputy Higgins has provided information to the House in this respect. The HSE has also advised that the hospital put in place a contingency plan to address these pressures in order to ensure that all patients are accommodated today and that no patient is required to wait more than 24 hours for admission.

The HSE has also advised that it has made significant progress at University College Hospital Galway by improving the discharge planning process and increasing the uptake on day care in line with the findings of the bed utilisation review commissioned by the HSE.

That is just a load of old rubbish.

In addition, as part of the developments to improve accident and emergency services, a 13-bed medical unit is under construction at the hospital, which is expected to be completed towards the end of this year. Improving the delivery of accident and emergency services continues to be a top priority for the Government and the Health Service Executive.

When did that start?

At national level, significant additional resources have been provided to address the problems which manifest in emergency departments.

The Minister of State should set it to music.

Among the developments which have taken place are additional public and private long-stay beds, additional home care packages and home-help hours.

They have been cut.

The developments also include major capital developments in emergency departments, the provision of acute medical assessment units, a hospital-in-the-home service in the greater Dublin area, rapid assessment clinics to support the catchment population of the Mater Hospital, and an expansion of the GP out-of-hours services in north Dublin.

In terms of waiting times, a revised target of 12 hours waiting, from decision to admit, was introduced in October last year. This built on an initial maximum target waiting time of 24 hours. The HSE has advised that the majority of patients in the accident and emergency unit at University College Hospital Galway have been admitted within 12 hours since the 12-hour target was introduced. The HSE is also committed to monitoring and reporting on the total length of time patients spend in emergency departments, irrespective of whether they are admitted. A number of hospitals have commenced reporting this information and the HSE expects to be in a position to publish data on up to 18 hospitals in the next few months.

This is just self-justifying rubbish.

The HSE is also working closely with those hospitals that are experiencing difficulties in meeting waiting time targets. The focus is on improving and streamlining hospital processes and patient pathways to ensure that care is provided in a more timely, appropriate and efficient manner.

Targeted initiatives include setting up consultant-led clinical decision units and acute short stay units with a dedicated number of beds and integrated discharge planning implemented on a seven-day basis, including nurse facilitated discharges.

I think this is an internal memo.

We are used to getting them as we get nothing else.

Other targeted initiatives include updating the bed management system and processes with a focus on improved discharge planning, reducing inappropriate referrals from GPs to emergency departments, reducing admissions with the duty medical registrar deciding on admissions, standardising assessment processes and enhancing diagnostic capacity.

The initiatives I have described are designed to free up capacity during 2008 to allow for more timely admissions to emergency departments and further movement towards a lower target of six hours waiting time from the decision to admit.

This is the aspiration and we hope to achieve it. I note the very strong case Deputy Higgins has made regarding the number of patients on trolleys in University College Hospital, Galway, and the number of nurses who deal with the waiting patients. I do not doubt his assertion that two nurses deal with 96 patients. I will bring his strongly held views to both the Minister and the Health Service Executive shortly. I am anxious to ensure this situation is resolved.

I thank the Minister of State.

Electricity Generation.

I wish to share time with Deputy Seymour Crawford.

On 6 February the Minister announced he was commissioning an independent study on the national transmission line infrastructure. Subsequently, his Department set a deadline of 29 February for the receipt of tenders from potential consultants and announced 7 March as the deadline for receipt of submissions from interested parties to the consultants. The Department's offer for tenders indicated that 40 days would be allowed for completion of the study and that it would be completed by the end of May.

We are now at 8 April and it has taken until today for the Minister to officially announce the name of the consultants who will carry out this extremely important study. It has taken the Minister and his Department two months to come up with a name and that is an unacceptable delay for the people I represent.

If I had not pressed for this adjournment matter this evening, would the Minister have continued to put the announcement on the long finger? I note that the consultants appointed are Ecofys from the Netherlands, assisted by Golder Associates from Canada. These companies are well respected in their fields and I wish to put on the record that they are collaborating closely as joint venture partners in a number of other countries. Ecofys operates in the area of wind power generation and Golder Associates in engineering and environmental works. Neither company, however, has expertise in the construction and management of overground or underground high power electricity lines.

Ecofys acted as consultants on a major section of the all-island grid study commissioned by, and recently completed for, the Department. Given the study's recommendation that more than 600 km of the high power lines of the grid will have to be strengthened, as EirGrid now proposes in the north east, it could be perceived that the independence and impartiality of Ecofys to carry out this study on the underground versus overground issue is compromised. On the face of the known facts, there is a conflict of interest.

I have a number of questions to ask the Minister. Will he accept that the appointment of Ecofys, assisted by Golder Associates, means the study will lack the necessary expertise and experience to do a proper job? Ecofys worked on the final report of the all-island grid study, which is the basis on which EirGrid is proceeding with its pylons proposal. Therefore, one would have to question the independence and impartiality of Ecofys to carry out this study. I note that the Minister is citing early June as the date for completion of the study but this is a ludicrously tight deadline for completion of this massive, complex undertaking. More than 500 members of the public and interested parties sent submissions to the Minister's Department for consideration by the consultants. Would the Minister agree that to even read those 500 submissions properly would take up to early June?

There is still time for the Minister to get this right as it is better to get it done right than to get it done quickly. Too much is at stake here for the people of Meath, Cavan and Monaghan. The Minister must re-advertise for a properly qualified firm of international consultants to carry out this study and he must allow far more than 40 days for its completion. Until it is completed, the Minister must instruct EirGrid not to proceed with any further planning or preparation on this project.

Two months ago we discussed this matter with the Minister and for four weeks the people of Meath, Cavan and Monaghan came here and felt they would be part of this process. To read of it in a newspaper two weeks ago was an insult to all of those involved and to the work of this House. It is wrong that it was necessary to force the Minister to make a statement today. It is unacceptable that stakeholders were not consulted and I call on the Minister of State at the Department of Communications, Energy and Natural Resources, Deputy Tony Killeen, to ask the Minister to contact the north-east pylon pressure group and EirGrid to have them engage in discussions in the same room. This matter should not be allowed to drag on for eight to ten years but it seems that may happen.

I thank my colleague Deputy Shane McEntee for allowing me part of his time to speak on this extremely important issue. As one who was involved in debate with the Minister for Communications, Energy and Natural Resources, Deputy Eamon Ryan, I am disappointed that no consultation took place between the north-east pylon pressure group and the Minister before the consultancy group was announced.

The campaign group is a very reasonable and pragmatic collection of people who are genuinely concerned about their futures and the futures of their family members, who will have to live near or adjacent to the proposed line through counties Meath, Cavan and Monaghan into Northern Ireland as a cross-Border interconnector.

I understood that independent consultants that had no previous involvement with EirGrid would be appointed, however it seems that the very company appointed by the Minister has had clear involvement in the recent study carried out on behalf of the Government, the all-island grid study. This is the very study that recommended more than 600 km of high grid power lines. They have already decided that the lines should go over ground. It would seem at this stage, if these are the facts, that there would clearly be a conflict of interest. It is very difficult to understand how a company such as this could in 40 days deal with all the submissions supplied to it, never mind carry out a detailed study of what it would actually cost to put the cable underground.

Even at this late stage I call on the Minister, together with his officials, to meet the people representing the owners of the land and property in Cavan, Monaghan and Meath before this study goes ahead. Clearly if this is not done other studies will be carried out, legal cases will ensue and the much needed cross-Border link will be delayed.

The Minister, Deputy Ryan, made a breakthrough when he said he would introduce an independent study. It is now up to him to meet the people concerned in the north-east pylon pressure group and EirGrid and find an amicable solution. I urge the Minister to deal with this matter in the manner he dealt with us in the committee. I believe he can find a reasonable solution but this approach will not solve the problem.

My colleague, the Minister for Communications, Energy and Natural Resources, Deputy Ryan, announced earlier today that he has appointed international consultants Ecofys to undertake the independent study on the comparative merits of overhead electricity transmission lines versus underground cables. The consultants were appointed following a tender process launched on 29 February on the Government's eTenders website. Ecofys, which is based in the Netherlands, with offices in 12 different countries worldwide, specialises in energy saving and renewable energy solutions.

Ecofys will also utilise the services of Golder Associates, a global group of consulting companies specialising in ground engineering and environmental services. Golder has provided environmental consultancy services for a range of electricity generation and transmission related projects in Ireland and the UK.

The planning, development and routing of transmission line infrastructure is a matter for EirGrid, which is a wholly State-owned company. EirGrid has responsibility for operating the electricity transmission system in Ireland, including the wholesale electricity trading system. It delivers connections, transmission and market services to generators, suppliers and customers, using the high voltage electricity system. It is also responsible for planning the construction of high voltage transmission lines.

In the course of EirGrid's pre-planning public consultations on proposed routes for the North-South and Meath-Cavan transmission lines, concerns were expressed locally about the impacts of overhead transmission lines. Noting that these concerns are likely to be common to all transmission line projects, and in order to provide clarity on issues in relation to overhead versus underground transmission lines, the Minister, Deputy Ryan, decided that the Department would commission an independent national study on this issue. In doing so, he was also taking account of the views of Deputies from all sides of the House.

The aim of the study is to provide further clarity and information on all of the issues in relation to underground cables and overhead lines. In so doing, we can help inform decisions on all current and future transmission line projects. As part of its ongoing transmission development plan, and in line with the Government's energy policy White Paper, EirGrid is currently planning the construction and reinforcement of a number of transmission lines.

The recently published all-island grid study also estimated the transmission infrastructure investments needed to accommodate increasing levels of renewable electricity and affirmed that up to 42% renewable energy is potentially feasible, requiring over 600 km of additional transmission lines. EirGrid is also finalising a long-term grid development strategy to 2025 which will set out plans for the next two decades.

The Ecofys study is to be conducted on a national basis. Its purpose is to provide the best available professional advice on the relative merits of constructing and operating overhead transmission lines compared to underground cables. It will have regard to technical characteristics, reliability, operation and maintenance factors, environmental impact, possible health issues and cost.

The consultants have been specifically asked to provide professional advice covering a review of electrical power transmission technologies currently in use for transmission of electricity of 110 kV and above. They will examine the factual position regarding current practice for constructing transmission lines worldwide, including circumstances in which lines are constructed as underground cables. They will also assess the relative technical performance of overhead lines and underground cables. Technical considerations include losses, reliability, quality, security of supply and electromagnetic field generation. The study will compare relative capital costs, total life cycle costs, annualised operation and maintenance costs, and impact on unit electricity prices of both options. It will also examine the construction times and consequential impacts on security of supply of both options.

The consultants will also assess in detail the comparative environmental impacts of both options. They will examine possible impacts on land use, geology and soils, and water resources. In addition, they will assess visual impact, effects on ecology and nature conservation and on air quality. They have also been asked to consider impacts on traffic, noise levels, tourism and communities.

In tandem with the tender process, the Department placed advertisements in nine national newspapers requesting submissions from the public on the issue. Over 500 submissions were received by the closing date of 7 March. The consultants have been furnished with these submissions and will consider points raised in their analysis of the merits or otherwise of underground and overground options. The consultants will also be available to meet with the Joint Committee on Communications, Energy and Natural Resources, to discuss the details of the report, once published.

We expect that the report will be finalised by early June. The timeframe for completion is in line with the tender specification.

The Dáil adjourned at 9.05 p.m. until 10.30 a.m. on Wednesday, 9 April 2008.
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