Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Seanad Éireann díospóireacht -
Wednesday, 30 Nov 2011

Vol. 211 No. 15

Adjournment Matters

Health Services

I welcome the Minister of State to the House. This matter relates to the acute coronary syndrome programme and I have a map for the information of the House. I spoke on Monday to a cardiologist in Letterkenny General Hospital and he asked me to raise the matter. The programme was launched in April and looks to roll out facilities for coronary procedures. With the publication of the programme, every county has been identified except for Donegal, and the cardiologist asked why the HSE would leave out one county from the programme. For any health authority to initiate a programme for the country and leave out one county is beyond me.

When the cardiologist asked for clarification, the answer he got from a member of the HSE was that Derry might be able to look after Donegal. The health system in Derry will look after its own people, and if Donegal sought support from Derry, the county would rely on the Northern Ireland health service. There is nothing wrong with that service but Donegal would lose control. I know from personal experience that the county has its share of coronary incidents, although according to the cardiologist there are fewer heart attacks and more interventions if a problem is picked up at an earlier stage. The facilities in Letterkenny are capable of stent insertions and angiograms but there is no support for angioplasty. The expertise exists and funds are being raised with this in mind.

The health service and professionals in Letterkenny are perplexed as to why Donegal is not involved in this programme. It might be the usual case that Donegal is forgotten but this time it is identified as being forgotten on the map. The cardiologist and cardiac unit in Letterkenny are well regarded in Donegal and are dealing with as many cases as the professionals in other areas of the country. Nevertheless, if somebody needs a stent that person must go to Galway, Dublin or beyond. The HSE has suggested that the Northern Ireland health service could look after coronary patients in Donegal. I would not say it is a disgrace but it is a position that Donegal people should not be put into. Coronary care has become one of the areas of medicine that is developing. It has developed from bypass operations to stent insertion to early intervention for coronary issues. We must extend the funding and recognition for the acute coronary syndrome programme, which was promoted earlier in the year to include Donegal. Someone in the Health Service Executive has decided that Donegal does not exist when it comes to coronary care. To be facetious, reading the document would give one a heart attack.

I thank the Senator for raising the matter on the Adjournment. In June 2010, Changing Cardiovascular Health: Cardiovascular Health Policy 2010-2019, was launched. This policy established a framework for the prevention, detection and treatment of cardiovascular diseases, which seeks to ensure an integrated and quality assured approach in their management, to reduce the burden of these conditions. The policy proposes that cardiac and stroke services be reconfigured on a network basis at hospital and emergency care level. Each network will provide specialist services by a blend of hospitals designated as local-general and regional-comprehensive centres. An improved ambulance service will ensure that 80% of patients will be brought directly to the appropriate centre for initial treatment within the accepted critical timeframe.

Central to the network concept is the principle that every hospital delivers a range of cardiovascular services either on site or in formal partnership with others. Acute and national specialty services will be provided in a smaller number of comprehensive centres to ensure the high volume, 24-7 throughput that is required to support rapid, responsive and accessible quality care. Non-acute and outpatient services are core aspects of cardiac care. They will be provided at local and regional levels. The HSE's national acute coronary syndrome programme was designed to rationalise and streamline treatment of all patients with varying forms of acute coronary syndrome, and to develop standardised pre-hospital protocols for response, triage, treatment and transport of patients with these syndromes.

From the outset it was accepted that because of the geographical spread not all patients would receive identical treatment but that they would all be again treated according to a national protocol depending on symptoms and location. It is recognised internationally that STEMIs, that is, ST elevation and myocardial infarction, or full blown heart attacks, are best treated in a primary percutaneous coronary intervention, PPCI, centre where the patient can be taken to a cardiac catheter laboratory and the blocked vessel opened. A PPCI centre is a major cardiology centre that has as minimum two cardiac catheter laboratories — I am sure I am saying that wrong — at least five interventional cardiologists and 24-7 on-call staff, including medics, nursing, technical and radiography. Given current resources these centres are being placed in Galway, Dublin and Cork. Centres with existing cardiac catheter laboratories such as Limerick and Waterford should be able to deal with "walk-in" STEMIs and depending on staffing and expertise possibly deliver a 9 a.m. to 5 p.m., five day week treatment for STEMIs. Out of hours, the ambulance service, being trained to make an early diagnosis of STEMI, will transfer STEMI patients to a primary PCI centre that is on call 24-7. The accepted maximum transfer time of a STEMI patient to a PPCI centre is 90 minutes. If the ambulance service cannot deliver within this time then the patient should receive either out-of-hospital thrombolysis, clot-breaking drugs, or be taken to the nearest emergency department where this treatment can be administered. Following that, the patient should then be transported to a PPCI centre. It is accepted that the majority of the patients in the north west are outside the 90 minute transfer time to a PPCI centre in either Galway or Dublin. The small number of patients presenting there with STEMIs therefore should have thrombolysis and following that be transferred for intervention in a PPCI centre. The national protocol will ensure that this occurs in a timely and efficient manner. The most important development in this area in the north west would be the opening of a fixed cardiac catheter laboratory in either Sligo or Letterkenny which would allow diagnostic angiography of patients with stable angina or angiography in non-STEMI and unstable patients to be carried out. This would greatly reduce the burden on the ambulance service in transferring these patients out of the area.

Furthermore, with the development of on-site interventional cardiology expertise, it would be possible to provide on-site treatment of non-STEMI patients and walk-in STEMI patients to be dealt with on a 9 a.m. to 5 p.m., five days per week basis. The acute coronary syndrome programme and the HSE are reviewing innovative proposals in this area and, again, the development of a fixed cardiac catheter laboratory in the north west would greatly improve diagnosis and appropriate management of patients with coronary artery disease in the area. As in the case of all emergency or urgent care, speedy access to appropriate services is key to successful implementation of the cardiovascular health policy. The HSE is already working to develop further the provision of rapid, effective pre-hospital emergency ambulance services, including trained paramedics; emergency medical technicians — advanced, or EMTAs, who can treat patients immediately at the site of an incident. This includes giving thrombolysis clot-busting drugs to patients who have suffered a heart attack. Possible co-operation between cardiology facilities in Northern Ireland and the north west are being explored, which simply makes the point the Senator made in the first place.

The Minister of State touched on the problem. The solution is a fixed cardiac catheter laboratory, or cath lab. According to the experts in Letterkenny, they have the funding. They fund-raised for the laboratory and they can get the equipment. What they need is the go-ahead from the HSE. They have the expertise and they have two cardiologists who can carry out the stenting procedures. A mobile angiograph unit comes every Thursday to Letterkenny to do that job but the insertion of stents must be carried out in either Galway or Dublin which involves an ambulance service and post-op and pre-op facilities, as I experienced myself. I ask the Minister to try to get the cath lab set up in Letterkenny. It will not cost the HSE any money because the funding has been raised by charities for the unit.

The type of co-operation between fund-raising which is the voluntary element of it and the HSE is something we will have to take into account. I agree with all the arguments the Senator made in his initial contribution. I will most definitely take them to the Minister for Health when I speak to him tomorrow. We need to work together to ensure that the service, which can be a life-saver, will be provided.

Maoiniú Údarás na Gaeltachta

Baineann an cheist atá árdaithe agamsa le buiséad Fiontair Éireann, Enterprise Ireland. Tháinig sé chun solais inné nach raibh an buiséad a bhí ag Fiontar Éireann caite agus go raibh €12 milliún fanta anois. Ímíonn sé ó chiall, nuair atáimid i ngéarchéim airgeadais agus muid ag caint ar phoist a bheith le cruthú, go bhfuil a leithéidí Fiontraíocht Éireann gan buiséad a bheith caite aige agus €12 milliún fágtha aige ag deireach na bliana.

Tar éis chomh dona agus atá sé sin, rinneadh cinneadh go roinnfí an t-airgead sin idir €2 mhilliún do SFADCO agus €10 milliún don IDA. Níl aon locht agam ar SAFDCO nó ar an IDA agus tá na poist ins na ceantair sin an-tábhachtach. Ach baineann an cheist atá árdaithe agam le hÚdarás na Gaeltachta. Tá ganntanas mór i mbuiséad caipitil Údarás na Gaeltachta agus tá poist ag teastáil san Ghaeltacht.

Rinne Indecon tuarascáil maidir le hÚdarás na Gaeltachta. Tá an buiséad caipitil a bhi ag an údarás le haghaidh fostaíochta a chruthú imithe síos le cúig bliana ó €26.5 milliún go dtí €6 mhilliún. De réir Indecon, tá gá le €12.5 gach bliain díreach le haghaidh na post atá ann a chaomhnú agus an méid céanna a chruthú. Ní féidir na poist atá san Ghaeltacht fiú a chaomhnú ar an €6 mhillliún atá á fháil ag an údarás. Cén fáth nár tugadh cuid den €12.5 milliún sin do Údaras na Gaeltachta le go bhféadfaí na poist atá sa Ghaeltacht a chaomhnú agus breis fostaíochta a chruthú?

Ó shin, tháinig sé chun solais nach €12.5 milliún ach €21.5 milliún a bhí fágtha ag Fiontraíocht Éireann ag deireadh na bliana. Is cosúil go bhfuil €10 milliún den airgead sin á úsaid le haghaidh an punann maoine, property portfolio, atá ag an IDA a choinneáil agus a tharrtháil. Ní airgead é seo a bhí ceaptha le caitheamh ar chúrsaí maoine ach ar fhostaíocht a chruthú.

Céard atá déanta ag muintir na Gaeltachta ar an Rialtas nach bhfuil sé ag seasamh linn nó ag tacú linn le haghaidh post a choinneáil agus poist nua a chruthú? Tá an-amhras ar mhuintir na Gaeltachta nach bhfuil suim dá laghad ag an Rialtas faoi láthair, idir Fhine Gael agus an Lucht Oibre, ar céard atá ag tarlú sa Ghaeltacht. Tá sé sin soiléir ón gcinneadh atá déanta ag an Rialtas maidir le hÚdarás na Gaeltachta. Teastaíonn uainn glór láidir a bheith againn ag Bord an Rialtais chun seasamh suas dúinn agus, nuair atá airgead á dháileadh thart ar nós an €21.5 milliún seo, go ndéarfadh duine éigin go bhfuil sé thar am airgead a thabhairt do Údarás na Gaeltachta leis an jab atá dlite dó a dhéanamh agus á dhéanamh i gceart.

Bheinn fíor-bhuíoch don Aire Stáit más féidir léi míniú a thabhairt dúinn ar cén fáth go bhfuil an leatrom seo á dhéanamh ar phobal na Gaeltachta agus nach bhfuil an tacaíocht cuí á thabhairt maidir le cruthú fostaíochta sa Ghaeltacht.

I thank the Senator for raising this matter and giving me the opportunity to lay out the Government's position on investment in employment and enterprise in the Gaeltacht through Údarás na Gaeltachta.

I understand the challenges and obstacles facing Údarás na Gaeltachta in this difficult economic climate. Undoubtedly, the national and world economic crisis is creating difficulties for companies in the Gaeltacht and this, in turn, is having a negative impact on employment in the Gaeltacht.

Údarás na Gaeltachta has a capital budget of around €13 million this year to help create and sustain employment in the Gaeltacht. That capital budget comprises €6 million from the Exchequer and €7 million from Údarás na Gaeltachta's own resources. It is worth noting that the last Government reduced Údarás na Gaeltachta's capital allocation from the Exchequer from €27 million in 2006 to €18 million in 2010 and imposed another, even more significant, reduction to €6 million in 2011.

Decisions regarding funding for Údarás na Gaeltachta from the Exchequer in 2012 and thereafter will be made on foot of the decisions arising from the comprehensive review of expenditure being undertaken by the Department of Public Expenditure and Reform in the context of the Estimates process. It is important to recognise the work being carried out by Údarás in creating and sustaining employment in the Gaeltacht.

At the end of 2010, more than 7,000 people were employed full time in client companies of Údarás. While that is a reduction on previous years, the creation of 704 new jobs in Údarás client companies in 2010 is a sign of hope for the future. Employment figures from Údarás na Gaeltachta show its client companies which are involved in the export market performed well, which is consistent with the national trend. In addition to Údarás na Gaeltachta's own support programmes, aspects of the jobs initiative announced by the Government this year will also benefit the activities of Údarás na Gaeltachta in Gaeltacht areas.

The results of various studies show the positive impact Údarás na Gaeltachta has on economic, social and cultural outputs in the Gaeltacht. For example, the annual business survey of economic impact carried out by Forfás in 2010 showed that sales from client companies of Údarás na Gaeltachta were worth around €750 million and that €354 million of those sales were associated with the export market. The survey also demonstrated that 41% of Údarás na Gaeltachta's client companies are involved in research and development activities. Other studies carried out by Indecon for Údarás na Gaeltachta in 2010 support these results. For example, the productivity of Údarás na Gaeltachta's client companies is worth around €1.5 billion to the Gaeltacht when direct and indirect outputs are taken into account. These client companies support more than 7,000 full-time jobs in the Gaeltacht and that figure rises to 14,000 when indirect outputs are taken into consideration. Údarás na Gaeltachta client companies contribute more than €312 million to Ireland's gross domestic product and €42 million is provided to the Exchequer in direct tax payments by client companies of Údarás na Gaeltachta. A joint investment programme between Údarás na Gaeltachta and the Arts Council has created 475 jobs in the arts sector in the Gaeltacht, generating added value of about €25 million for the Gaeltacht.

As stated in the programme for Government, the Government is committed to supporting the 20-year strategy for the Irish language and to implementing the achievable goals contained therein. I am delighted the Cabinet committee on the Irish language and the Gaeltacht has been re-established by the Government under the chairmanship of the Taoiseach. Following discussions by the Cabinet committee, the Government made the following specific policy decisions on 31 May 2011 with regard to Údarás na Gaeltachta. Údarás na Gaeltachta will be responsible for the implementation of the strategy in the Gaeltacht and the status quo shall remain with regard to the current functions of Údarás na Gaeltachta in general, including its enterprise functions. This will be subject to statutory provision being made to enable the Minister of Arts, Heritage and the Gaeltacht to direct Údarás na Gaeltachta to focus its limited resources towards particular enterprise sectors and subject to the development of a mechanism to enable Údarás na Gaeltachta to co-operate with other enterprise agencies, particularly in the case of significant Gaeltacht projects with high potential.

These Government decisions will be given statutory effect, as appropriate, under the Gaeltacht Bill. The draft heads of the Gaeltacht Bill have been drafted by the Department of Arts, Heritage and the Gaeltacht and are due to be presented to Government shortly. The Bill is expected to be published in 2012, in accordance with the Government's legislative programme.

It is also worth noting that a high-level working group dealing with enterprise investment in the Gaeltacht has been established between the Departments of Arts, Heritage and the Gaeltacht, Public Expenditure and Reform, and Jobs, Enterprise and Innovation. This high-level working group of senior officials is working on developing a mechanism to enable Údarás na Gaeltachta to co-operate with Enterprise Ireland and the IDA with regard to significant Gaeltacht projects with high potential.

The policy decisions made by the Government in the case of Údarás na Gaeltachta clearly indicate that the Government is committed to the development of the Gaeltacht and to attracting enterprise investment in order to create and sustain employment in the Gaeltacht. It is also clear that Údarás na Gaeltachta will continue to play a central role in the development of the Gaeltacht.

Despite the current economic crisis, the Government will undoubtedly make every effort to ensure adequate provision by the Exchequer for Údarás na Gaeltachta in the future to enable it to carry out its functions effectively with regard to the development of the Gaeltacht.

Again, I thank the Senator.

The question I asked was does the Minister intend getting extra money to invest in employment in the Gaeltacht. I extrapolate from the very wordy answer given by the Minister of State that the answer is "No". The Údarás budget for last year was €6 million and the budget for this year is €6 million.

Where did the magic €7 million from Údarás na Gaeltachta's own funds come from? Údarás has been saying it has not had the money. I question the figure quoted by the Minister of State. I also question the sincerity of her answer. Every other decision being made by the Government would contradict what the Minister of State has said.

The facts are within the answer. When Údarás na Gaeltachta seeks Government funding, whether from this, the previous or the next Government, it must produce accounts. We must accept that the facts are as presented in the answer.

The innovation of having Údarás na Gaeltachta, the IDA and all other enterprise agencies working together must have a benefit. At a time when we do not have any additional money, that sort of co-operation is important. There is substantial investment and substantial assets within the Gaeltacht which support many people who, in turn, support families. Making that continue and expand is what the Government needs to be about. We do not have additional money but——

It is a shame part of the €21.5 million was not made available to Údarás.

Disability Services

I wish to share a minute of my time with Senator Mulcahy. Given that Senator Leyden was so exercised on this topic this morning on the Order of Business, I would have given him a minute also. However, regrettably he is not here to hear the Minister of State.

Senator Conway should not refer to the Senator unless he is present in the Chamber.

As the Minister of State knows, People with Disabilities in Ireland, PwDI, is the body that nominated me to contest the Seanad elections and I was very happy to receive that nomination. I understand funding has been completely withdrawn from the PwDI organisation. This organisation came into being as a result of the recommendations of the commission for the status of people with disabilities and provided a consultancy role and engaged in projects. I have three key questions for the Minister of State, who is doing a good job in terms of disability and has grasped the nettle, something that did not happen until now.

Why was the funding withdrawn given that this was a national organisation with networks in practically every county? I suspect I know the reason for it, but I would like to hear the details. More importantly, did the Minister of State consider amalgamating PwDI with another organisation? There is a proliferation of organisations within the disability industry, but perhaps there was a role for PwDI to engage with other organisations on an amalgamated basis to provide a one-stop shop for advocacy for people with disabilities. Had that been considered, the cost base might have been significantly reduced. Will the Minister of State explain the thinking in that regard?

What structures does the Minister of State now propose to put in place to ensure that the end-user has a representational voice where it matters, within Government? It was a key recommendation of the commission for the status of people with disabilities that there would be a forum where the end-user's voice would be heard. I have no doubt the Minister of State has some ideas in this regard and we will work with her on those. I would like to hear those ideas here. Something has been removed and it must be replaced. My colleague has expertise in this area and I will give way to him now to make his points.

I welcome the Minister of State back to the House. I support the sentiments expressed by my colleague. We have many members of the PwDI organisation in Clare and in my town of Shannon and my primary concern is for them and that they should be communicated with on the issue of other consultative groups through which they can now feed their opinions.

A few months back, the Minister of State was in the House taking part in a discussion on a value for money report on disability organisations. I presume this is part of that audit. When will she be able to provide us with a report on the full audit of the organisations? I would welcome that in the House, as would those of us who have a major role in the disability sector. It is important that wherever funding is withdrawn from organisations, the income and expenditure accounts of those organisations are placed on the record so that people can form an opinion as to why the organisations in question had to be examined and the issues dealt with. People might find then that many of the administration and management costs of these organisations are, to make an understatement, a bit on the excessive side.

In this case, I am concerned for the members of the PwDI and suggest that information should be provided to them as to how they can now make their input. I would like to have some information in this regard for the locality in Clare where there are proactive members. They have obviously been taken aback by the removal of the structure they had.

I acknowledge the incredible network of people around the country that has been involved with PwDI. These people were very anxious to be part of a voluntary movement that gave a voice to people with disabilities. It is important when a decision like this is taken that the facts are given. That is why I am here tonight.

I thank the Senators for giving me this opportunity to explain the reasons it is necessary to cease funding to PwDI from 2012 and to elaborate on the alternative proposals that have been introduced that will ensure the voice and perspective of people with disabilities will continue to be heard in a more focused and cost effective way. People with Disabilities in Ireland Limited, PwDl, was set up in 2000. It is the successor organisation to the Irish Council of People with Disabilities and the Department of Justice and Equality is its sole funding source. It has a staff of eight in its headquarters in Dublin, two of whom are seconded from the Department of Justice and Equality. Staff under the CEO range from CO to HEO level. There are 21 regional networks around the country, with one in most counties, except for Kilkenny, Dublin, Longford, and Wicklow. The Cavan network started up very recently. The regional networks are made up from volunteers and have at least ten members in each. They are funded from PwDI headquarters on projects they complete for people with disabilities

There are a number of NGOs in the disability sector. However, due to initiatives since 2000, in particular, the new disability advocacy service being funded by the Department of Social Protection since January 2011, there is a huge overlap with the advocacy service provided by PwDI. The overheads to run this organisation were using up the majority of the allocation. The headquarters had administration costs relating to rental, light, heat and salaries, including board expenses. The networks have their own administration costs too, including travel and subsistence. I gave my approval in late September 2011 for officials in the Department to carry out a review of expenditure relating to PwDI to ascertain whether people with disabilities were getting value for money from the PwDI allocation.

The first thing that is striking is that the organisation has been unable to spend its allocation in recent years. In 2010 PwDI was allocated a budget of €1,465,000. The total request for drawdown of that fund was only €895,290. This is only 61% of the allocation. In 2011 the allocation was cut by 39% to €900,000 and towards the end of September 2011, the total drawdown of that fund is only €577,104 or 64%. It is unlikely that the organisation would have been able to spend the remaining €332,896 or 36% by the end of the year. The review showed that in 2010, headquarters allocated 28% of the budget to the networks, leaving €650,436 or 72% to be spent on headquarters. It is very striking how this €650,436 was spent. The bulk of the money, €540,906 or 83% was spent on overheads. A further €51,106 or 8% was spent on travel and subsistence, including board expenses. This left only €58,424 or 9% to be spent on projects for people with disabilities. When we compare 2011 with 2010, we can see that the percentages being spent on travel and subsistence, 9%, and overheads, 89%, are up on last year. The figure for overheads could have been much worse only for the fact that they were reduced by 10% due to the CEO getting rent abatement in 2011.

What is really striking is the percentage spent directly on projects for people with disabilities, which is 2% or €5,952. This means that 98% of all the money spent by headquarters was spent on overheads and travel and subsistence, including board fees.

Looking at the total amount spent by the networks directly on projects for people with disabilities, in 2010 the figure was €81,523 against its total allocation of €231,761. The percentage spent directly on projects for people with disabilities was just 35%. In the same period, the total amount spent on travel and subsistence by the networks was €66,718, or 29% of the total spend. The total amount spent on overheads was €83,519, or 36% of the total spend. This means that for every €100 of Exchequer funding spent in 2010, the networks spent €65 on overheads and travel and subsistence.

The trend in 2011 shows a slight improvement on that in 2010. This is down to a rigorous implementation of governance procedures by the Department and the headquarters of People with Disabilities Ireland and a small reduction in overheads due to the implementation this year of some of the recommendations made in previous value for money reports. However, the percentage of the total spend on projects for people with disabilities is still only 43%, with 57% going on overheads and travel and subsistence. It is unlikely that People with Disabilities Ireland will spend all of its allocation this year since it had only spent 64% of its allocation to the end of September. This means that for every €100 of Exchequer funding spent in 2011, the networks spent €57 on overheads, travel and subsistence.

Looking at the figures for 2010 and comparing them with those in for 2011, the following statistics come to light. Some networks have not spent any of their allocations in either year. One could assume that these networks are not active in reality. Five networks, although they have spent nothing on projects in 2011, have spent all of their allocations on either overheads or travel and subsistence or both. There are only five networks which have spent more on projects in 2011 than on overheads and travel and subsistence combined. Some 14 networks have spent the greater part of their allocations on items other than projects. Two networks have spent 100% of their allocations on travel and subsistence, while one has spent its entire allocation on overheads. Only two networks have spent more than 80% on projects.

To complete the review, People with Disabilities Ireland was asked for a document showing how it would spend its budget for next year, assuming it was allocated the same amount as in 2011, that is, €900,000. The conclusion that can be drawn from this document is that it is almost impossible for the organisation to reduce its overheads by any further significant amount. I know that the chief executive officer was instrumental in achieving cost reductions in as many areas as possible in the past two years, including on premises, insurance, audit accountancy, legal, etc., but one reaches a point where further reductions cannot be achieved.

Working on the basis that People with Disabilities Ireland would spend all of its allocation in 2012, which given its history is unlikely, it proposed in its submission to give the networks €302,000, or 33% of the total spend. This means that headquarters plans to spend 67% on overheads, including on premises, staff wages and travel and subsistence. We know from the 2010 full year statistics that the networks spend approximately 35% of their allocations on projects for people with disabilities. This would amount to a figure of approximately €105,700. Therefore, one can conclude that People with Disabilities Ireland proposes that for every €100 spent by the networks in 2012, only €35 will go on projects for people with disabilities and the percentage is going down.

Taking into consideration the overheads of headquarters, the proposed percentage figure for spending on projects by People with Disabilities Ireland as an organisation in 2012 is 11.7%. This means that People with Disabilities Ireland proposes that for every €100 of Exchequer funding spent in 2012, only €11 will be spent on projects for people with disabilities. This figure is slightly down from actual spend for the full year in 2010 when €15 out of every €100 was spent on projects for people with disabilities.

It can be seen that the money being spent directly on projects for people with disabilities has been decreasing steadily in recent years. When the total allocation over the three years is taken into consideration against the money spent in 2010-11 or proposed to be spent in 2012, the percentage spend on projects for people with disabilities averages at around 9% to 10%.

Since the Department of Justice and Equality is the sole funder of People with Disabilities Ireland, it is expected that it will have to cease operations in 2012. There will be redundancy implications for six of the staff working in head office. From the analysis given, it is obvious that this waste of Exchequer funds cannot be allowed to continue. It has been decided that funding to People with Disabilities Ireland must cease at the end of 2011. I thank the members of People with Disabilities Ireland and the staff for their efforts during the years, but in common with all aspects of Government spending, everything must be examined with a view to preserving in so far as possible front-line services.

It is my wish to ensure people with disabilities benefit directly from any moneys allocated to the sector. With this in mind, I am overseeing the finalisation of a major value for money and policy review of disability services in the Department of Health to ensure existing funds allocated for people with disabilities is spent to best effect.

I am also interested in hearing what people with disabilities have to say on issues affecting them. I have just set up and I am personally chairing a new national disability strategy implementation group to develop and progress the strategy. We had our first meeting today and it was most interesting. For the first time ever, people with disabilities told us what they wanted and how they wished their lives to progress. The new group will include representatives from a number of disability stakeholder organisations and also a number of people with disabilities who will be able to bring their lived experience directly to bear on this very important work. This will ensure the voice and perspective of people with disabilities will continue to be heard in a more focused and cost effective way.

The new disability advocacy service, being funded by the Department of Social Protection since January, provides trained advocates who bring about positive change for people with disabilities in supporting them to access social welfare, housing and improved living conditions. They help people to reintegrate into the community on leaving a residential institution and link them with local support services. They also have a policy remit in that they have a policy formulation function in this area.

The Government must ensure that in 2012 and continuing thereafter funding will be allocated for the maximum provision of services for people with disabilities, having regard to overall resource constraints which affect all sectors at this time. No Minister likes to withdraw funding entirely from any organisation, but it is incumbent on us all to ensure that where we spend substantial sums of money, people with disabilities benefit directly.

I thank the Minister of State for her very comprehensive reply which included detailed facts and figures. It is very difficult to argue with facts and figures. The reason I tabled this matter for discussion on the Adjournment was to elicit them. The €900,000 should remain within the disability sector, but obviously it should be spent properly to ensure the end-user benefits. There are probably another 100 organisations which could, to say the least, do with a value for money review. What are the Minister of State's plans for the money? Will it be returned to the public purse or will it be redirected towards another organisation or organisations to help end-users?

Public moneys are not in the gift of anyone who has been elected. The money has been given back to the Department of Justice and Equality, but I am in discussions with it about putting in place a framework to allow people with disabilities, locally, regionally and nationally, to have their voices heard. I am not certain how we will do this, but we have one or two proposals to consider. Genio, the organisation to which I keep referring, has proposed putting in place a mechanism to allow people's voices to be heard locally and regionally before being transmitted into the national arena. According to Genio, this specific operation can be done for only a little money. For People with Disabilities Ireland it is not just a question of listening to the end user or the person with a disability. Rather, small projects in an area are meant to enhance the lives of people with a disability, for example, information campaigns, campaigns to remove the stigma of disability, sports, ramps, etc. This requirement is best served by local authorities. The city and county managers sit on the new national disability strategy group and will play a pivotal role.

Hearing the voice of people with a disability will require a different type of vehicle. We must examine the aspects of the current model, be it partnerships, local authorities' disability officers or so forth. We are involved in a process of determining how to engage that voice, as it can be done more effectively.

The Seanad adjourned at 8.10 p.m. until 10.30 a.m. on Thursday, 1 December 2011.
Barr
Roinn