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Dáil Éireann díospóireacht -
Wednesday, 20 Jul 2016

Vol. 919 No. 1

Health (Amendment) Bill 2016 [Seanad]: Committee and Remaining Stages

SECTION 1
Question proposed: "That section 1 stand part of the Bill."

Since being elected to this House, I and the other representatives from Kerry have highlighted our dissatisfaction with home help provision for elderly people in our county, which is unacceptable. We raised the issue many times in the discussions on the programme for Government, on the Order of Business and at other times here, but nothing has changed in Kerry with regard to improving home help services.

This Government will be judged on its ability to make a difference to the people we represent. I believe that the people who need home help are not getting a sufficient number of hours. I know of many cases where the husband and the wife are trying to stay in their home but they are not getting a sufficient number of home help hours. A half hour in the morning and a half hour in the evening for five days is not sufficient in terms of helping people to get out of bed, give them a meal or whatever. Very little can be done in that short time. The home helps are wonderful people and they stay longer than they are paid to do. I am aware of an elderly couple that is using the pension of one of them to provide a home help. That is not acceptable.

Very few people get a home help on a weekend. That is not acceptable. They do not get a home help on bank holidays. I mentioned previously that home help was taken from people on Christmas Day, St. Stephen's Day and New Year's Day. That is a time of peace and goodwill when we are all supposed to look after each other, but especially elderly people. That is the service our State is providing.

It appears to me that there is no accountability in this area. The HSE is not accountable to the Minister for Health, but the buck should stop with the Minister. If we raise an issue in this House the Minister should address it and see how it can be improved. If we do not help our elderly people to stay in their homes for as long as they possibly can, we are not doing our duty. Kerry has been badly let down with regard to the provision of a sufficient number of home help hours. I ask that this matter be addressed.

On another issue, Deer Lodge is a new facility that was built 12 months ago at great expense in St. Margaret's Road, Killarney, to deal with people with mental health problems, but the door has not been opened yet. That brand new facility has been lying idle for 12 months. I want the Minister to make a statement on when he will open the doors of that facility. Our county is riddled with suicides, and I am not saying that facility will stop suicides from happening in our county, but it is not acceptable that its doors are not yet open.

As an elected representative, I promised many people that we would do our level best to ensure the facility would be up and running. The facility was completed in June of last year and was supposed to open in July of last year but the doors and gates are closed and it has not yet opened. I want the Minister for Health, Deputy Harris, or the Minister of State, Deputy McGrath, to make a statement on when it will be opened. That is the question we are being asked day in, day out.

Another serious problem is manifesting itself regularly. Consider a person who has had a heart attack and goes to Cork University Hospital in the hope of having a triple or quadruple bypass. I have a constituent who was waiting for three weeks and who had to return home many times during those three weeks because when he went to the hospital, there was no bed available and the operation was cancelled. Imagine the stress and trauma that family had to endure wondering if he would get another heart attack. The operation was cancelled several times. That was not fair on the family, the patient or the patient's poor wife who could hardly sleep for those three weeks all because a bed was not available to cater for that patient following the operation. Those matters need to be addressed.

Members elected to this Chamber highlight these concerns but nothing is happening. The Minister needs to make a statement on what he will do about these serious matters. I am not alone in raising these issues but I ask that they be addressed and that the Minister makes a statement on them.

I thank Deputy Danny Healy-Rae and I appreciate very much that he stayed within the confines of section 1 of the Bill.

I do not have the advantage of having the Bill in front of me but I refer to two points the Minister of State made in response to queries I raised in my Second Stage contribution. When he said that all centres had been visited by April 2016, does the word "visited" equate with the word "inspection"? I note the nod of his advisers that that is the case. The information I have been given is that the process is not complete and I will go back to check that detail. I was trying to establish that there were no semantics regarding the words "visit" and "inspection", etc., and that we had absolute clarity that none of the entities to which I referred have not had an inspection by HIQA. Will the Minister of State clarify that? I will seek to confirm this with HIQA.

My second point relates to the list to which I referred. In his reply, the Minister of State said that there was no list but went on to advise that there was a list. In regard to the 165, or whatever the number the Minister of State referred to, is it the case that within that figure, it is now known that a particular number will not cross the line within the two year extension for HIQA to progress the issue of registration? Will the Minister of State confirm that a number of facilities will not cross the line? Therefore, as I said earlier, we are allowing a situation where people who cannot speak for themselves and people with intellectual disability of varying degrees are being retained and kept in substandard circumstances that have no believed prospect of improving within the extended time provided for by this legislation. That is a very worrying point. Does the Minister of State have anything further to say regarding that matter or, more importantly, is there is something he can do about it?

Deputy Danny Healy-Rae has been raising the issues of home help in Kerry and the Deer Lodge services for people with mental illness for many weeks. An extra €12 million was returned to the fund for the Vision for Change for mental health services. Surely, this would be an opportunity. Deputy Danny Healy-Rae also spoke about the issue of waiting for heart operations in Cork University Hospital. I will bring that issue back to the Minister for Health as it is not under my brief.

In regard to HIQA, as far as I know, the word "visited" in this context means "inspected". I assure Deputy Ó Caoláin that I was not playing word games. When I said all centres will have been visited at least once by 2016, I interpreted that to mean HIQA visiting, monitoring and inspecting the facilities. I will ensure that all the centres are inspected to ensure safety and high quality of standards.

In regard to the figure of 165, I think I misread that. What I meant was that the €20 million which is being spent in different centres throughout the State was being used to take 165 people out of congregated settings and to put them into smaller community-based housing and service schemes. The figure of 165 refers to the particular people involved in those arrangements. I appreciate the Deputy's point but it is important to remember that in the first round of funding, we have prioritised the disability residential services and congregated settings that are in the worst condition. We felt it was important to start with those. However, it is not acceptable to have people still living in them. Part of my project over the next year or two years is to deal with these issues and ensure quality services for people.

We are doing much catching up on investment in services after the past seven or eight years and I accept the points made earlier. I thank Deputies for their support for the Bill. I understand they have concerns, which are shared by many of us, but we will do our best to deliver quality services for all people with physical and intellectual disabilities.

Question put and agreed to.
Section 2 agreed to.
Title agreed to.
Bill reported without amendment, received for final consideration and passed.

A message will be sent to the Seanad acquainting it accordingly.

Sitting suspended at 11.10 a.m. and resumed at 12 noon.
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