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Seanad Éireann díospóireacht -
Tuesday, 5 Jul 2016

Vol. 246 No. 10

Commencement Matters

Agriculture Scheme Administration

I acknowledge the presence of the new Minister of State at the Department of Agriculture, Food and the Marine, Deputy Andrew Doyle, and congratulate him on his appointment.

I had the honour of serving with him on the last Joint Committee on Agriculture, Food and the Marine, of which he was the Chairman during the last Dáil and Seanad terms. He did an excellent job and I have no doubt that bringing his knowledge and professionalism to his new role, he will perform excellently as Minister of State also. I wish him well in Agriculture House with his colleagues and the new senior Minister there.

The issue I raise relates to the sheep sector, with which the Minister of State will be very familiar, coming from County Wicklow which has a large sheep population. There is a large sheep population in the Republic and, in fact, there are more sheep than people living here. We are highly dependent on the sheep sector as part of the Food Wise 2025 strategy, as well as agrifood and live exports. It is an important part of the farm fabric, particularly in the west where the land is more marginal and sheep farmers struggle to make ends meet. The margins in sheep farming tend to be low. I was heartened by the commitment in the programme for Government to provide approximately €25 million for a sheep premium scheme such as the old headage scheme. I welcome this. The reason I table this Commencement matter is to give the Minister of State an opportunity to outline the stage it is at. Obviously, it will take a budgetary commitment in budget 2017 which will be announced later this year to make provision for it. How will the funding be ringfenced? Will it be a flat rate premium per ewe? Without pre-empting the outcome of any consultation, what is anticipated?

It is important to consult the sector. While there are the main farming organisations, there are also organisations which are newly established such as the Irish Natura and Hill Farmers Association which have made a number of specific recommendations on young farmers and the equalisation of payments. Is it envisaged that there will be consultation with such organisations? There are the larger farm organisations, with which it is also important to consult. I call on the Minister of State to ensure that if a payment is made available, it will not discriminate against or in favour of lowland or upland sheep farmers. There should be some flat-rate payment. As there are additional constraints on farming on marginal and hill land, will anything be taken into consideration in that regard? Will there be anything for younger farmers to ensure they will not be precluded from obtaining the payment for all of their flocks? These are issues that will be delved into as the year goes on. Nevertheless, I have tabled the matter at this early stage to provide the Minister a State with an opportunity to ensure wide-ranging consultation will take place.

This is the first opportunity I have had to address the Upper House. I am delighted to do so on a subject in which I have some interest, indeed a vested interest as a flock owner. I am very pleased also that a former colleague on the Joint Committee on Agriculture, Food and the Marine has raised the matter. On the committee we proved beyond doubt that it was possible to work constructively across party and non-party lines for the betterment of the sector. I will set out the official reply which gives a broad outline. In the follow-up contribution I can discuss the issue of a flat rate premium and so on.

The programme for Government commits to the provision of €25 million for the support of the sheep sector in budget 2017. This provision recognises the commitment of the Government to the development of the sheepmeat sector which is an important element of the national economy. The sector generated an output value of €320 million and exports in excess of €230 million in 2015. It also makes a vital contribution to the economy by supporting 34,000 farm families directly, as well as by providing several thousand jobs indirectly in rural areas.

This commitment is also additional to the support provided through the green low-carbon agri-environment scheme, GLAS; the areas of natural constraint scheme and the targeted agricultural modernisation schemes, TAMS. The inclusion of a TAMS measure to support sheep fencing was recently announced. This approval which followed lengthy discussions between the Department and the European Commission will provide a significant boost for sheep farmers, especially young farmers who wish to commence sheep production by providing them with the means to invest significantly in the necessary infrastructure for their holdings. The supports provided through these measures are a recognition of the critical importance of the sheep sector which makes a vital contribution to the economic viability rural areas through farming, processing and marketing, as well as playing a central role in shaping the landscape, both in more intensive farming areas and in areas where more marginal land dominates. The scheme has the potential to deliver targeted support to an important sector of agriculture. It is my objective that the scheme will deliver a long-term cumulative benefit to the sheep sector.

Support from the Department for the vital work of Teagasc and Sheep Ireland is critically important. Developing new and more lucrative markets is also a key challenge. In this regard, my Department works to develop market opportunities by opening new markets and supports the work of Bord Bia in the promotion of sheepmeat in domestic and EU markets. My Department has been engaged in consultations with farm bodies to inform its work on the detail of the new sheep scheme. I took note of the Senator’s point about the smaller representative organisations which have been in contact. Any such scheme will have to be approved by the European Commission under the rural development programme. It must meet the exacting requirements of the rural development regulations in compensating farmers for any actions undertaken on the basis of costs incurred or income forgone. Furthermore, in any rural development scheme, actions taken by farmers must go beyond the normal standards of husbandry practice before they can be considered as an eligible cost incurred by a farmer. The challenge will be to develop a simple and practical scheme which makes a real contribution to the development of the sector, while meeting all of the EU requirements. There is also an obligation on us to ensure any scheme that provides for support for sheep farmers is targeted at improving on-farm practices which will have lasting and cumulative benefits for sheep farmers and the national flock.

I am also aware of the need to ensure the scheme is made available to as many sheep farmers as possible. In that context, it is important that the different systems of production of both lowland sheep farmers and hill sheep farmers be taken into account in any such scheme.

On the basis of the engagement with farm bodies to date, there is a reasonable degree of consensus that Article 33 of the rural development regulation which provides for support for animal welfare measures is the most appropriate vehicle for supporting the sector in this instance. I am particularly anxious to ensure the scheme will include measures suitable for the differing production systems in both hill and lowland flocks.

At this stage, the Department has had an initial meeting with the European Commission and is working through the detail of the proposed scheme. The examination of the proposals by the Commission will be forensic, focusing on ensuring compliance with the relevant regulations, additionality and value for money. As a result of these discussions, departmental officials are working intensively on ensuring any scheme will meet the requirements of the Commission. It is expected there will be further ongoing and detailed communication with the Commission on the scheme’s details.

The scheme will also have to be presented to the monitoring committee of Ireland’s rural development programme prior to final submission to the European Commission. My focus is on delivering a scheme which can maximise the number of participants and deliver tangible benefits to the sheep sector in its impact as regards on-farm practices. The scheme has the potential to deliver targeted support to an important sector of agriculture. It is my objective to design and implement a scheme that will deliver a long-term cumulative benefit to the sheep sector. It is important the measures be tangible and give a real benefit, while the scheme is kept as simple as possible. The allocation of €25 million can cover a flat rate, if it is the preferred option, without having it either frontloaded or capped at €200 or €250 per head.

The budget allows for it to cover all breeding sheep in the system.

I thank the Minister of State for his comprehensive reply and agree with everything he said. Value for money should be to the fore. When seeking efficiencies under a scheme and making sure the available money reaches the recipient, flat-rate payments are probably the easiest to administer and, I presume, most farmers would avail of them and find them beneficial. Using such payments would also reduce paperwork costs and the administrative burden on farmers.

With regard to development markets, when Bord Bia or departmental officials participate on trade missions, they will identify traceability as a key issue, particularly for the United States. The dreaded tagging has not been discussed, but it will be in the mix at some stage. There have been submissions on the issue. The focus is on animal welfare. I know from experience that a lame animal does not put on flesh and, therefore, does not make a farmer money. A simple measure can be taken to address that issue. Fencing provides access for young farmers to the scheme because they may be starting out with an underdeveloped property or a greenfield site that was not used for sheep farming previously. One can never have enough good fencing on a sheep farm. It is the key to grass management and good neighbours. These issues need to be focused on to generate a tangible benefit.

Water and Sewerage Schemes Provision

I welcome the Minister of State. It is with disbelief I raise the issue of the delay in delivery of new rural group water schemes. Counties Mayo and Galway are particularly affected. When I was a Member of the Lower House, I had cause to raise this issue on numerous occasions and had hoped I was making progress as I went along. Notwithstanding this, 235 houses in far flung areas such as Aghaloonteen, Massbrook, Tonacrick, Kilmurry, Downpatrick, Fermoyle and Carracastle have a water supply that is not fit for human consumption or any other use. Householders are crying out for assistance from the State. They live in disadvantaged rural areas which previously came under the CLÁR scheme that was abolished in 2010. They had hoped to receive financial assistance under the scheme to help them with the construction of new group water schemes. To date, unfortunately, nothing has happened.

A commitment was given by the previous Government. For several years Mayo County Council received €200,000 annually to progress some of the schemes. The major problem is it costs a great deal per household to deliver a scheme because of the topography and ground conditions compared to an area where ground conditions are more favourable. Last year new rules were devised following much deliberation by the national rural group water committee and €400,000 was allocated to Mayo County Council. Not one red cent of the annual allocations has been spent. Last year the issue was supposed to have been resolved through a new process - the rural water multi-annual programme. However, I recently learned that this issue which comes under measure 3 of the rural water multi-annual programme is before an expert panel again. I also understand from the local authority that whereas in previous years it would have received funding by now under the rural water programme, it has only received a small portion this year, which is funding private companies on contracts to design, build and operate schemes.

They have not received all the other funding to help group water schemes cleanse water to ensure it is up to date - that is aside from new group water schemes, the category about which I am particularly concerned. The local authority needs to spend from an overdraft and does not have the funding.

The people have been let down. Hard working committees in disadvantaged areas have gone out and collected money, not to pay for the water but to pay for the provision of pipe work and retain consultants. Those involved in these schemes have spent hundreds of thousands of euro and not been reimbursed.

With domestic households on group water schemes paying directly to Mayo County Council, the problem now arises that other people are not paying for their water. They are looking at what is happening nationally and the lack of delivery on the ground to households that are very willing to pay for their water. They understand pipes do not just appear in the ground and that getting quality water is not just a case of putting out a bucket and getting water from the sky. These are practical people who have been greatly let down. As somebody who has represented them, I feel very let down, given the lack of action.

What is to happen now? People are demoralised. The water quality is very bad. I am not talking about cryptosporidium or anything like that but about iron oxides through the water. When the tap is turned on, what comes out is red; it is not possible to wash clothes in it. Elderly people, people who are sick and people with children are affected. With all the controversy over the chairman designate, Mr. Joe O'Toole, I wonder if anybody is thinking about the people mentioned. Why is nobody marching on the streets for them? This has been ongoing for years.

I understand we came through difficult economic times, but people were led to believe something was being progressed, yet last year the water services section of Mayo County Council went through the motions - the council did not think it was going through the motions - with those involved in two schemes, in Aghaloonteen and Massbrook, thinking they would be top of the list and that each year we would see progress. However, nothing has happened. All of the work done last year has gone by the wayside. I hope the Minister of State can give me some good news.

I thank the Senator for raising the issue. It is clear that excellent work is done by group water schemes. There has been pent-up demand for some years due to the lack of investment owing to economic circumstances. I hope we are now in a better place to try to tackle this issue and we hope to get the money to them to be spent more quickly. I am speaking on behalf of the Minister, Deputy Simon Coveney. I am well aware of the excellent work done by the group water schemes and the enormous commitment of local communities in setting up group water schemes. There is pent-up demand that needs to be addressed and we need to find ways to channel the money to them.

Since 2000, my Department has, under its rural water programme, provided over €810 million towards the capital cost of providing and improving group water schemes. Financial assistance, in the form of subsidies, has also been provided towards the subsequent running and operational costs of these schemes in providing water for domestic use. Nevertheless, further work is required and there is a need for continuing investment in the group water scheme sector so as to ensure the drinking water provided complies with the standards set at both EU and national level.

I appreciate that there are particular difficulties in setting up some new group water schemes where the financial viability of a scheme is questionable, with schemes in the previous CLÁR-funded areas being a case in point. Earlier this year a new multi-annual approach to the funding of group water schemes for 2016 and beyond under the rural water programme was introduced. This will lead to the development of appropriate prioritised lists of schemes for funding both in 2016 and in future years. One of the measures included in the programme will support social and economic development and living standards in towns and villages and their hinterlands by providing new group water schemes in areas where a public scheme and private wells are not a viable option. This measure is aimed at providing assistance towards some of the schemes the Senator mentioned. The Minister intends to make a decision on the future funding of these and other schemes shortly.

Arising from the Government’s commitment to suspend domestic water charges for a period of nine months and to restore group water scheme subsidy levels to those that pertained prior to the introduction of charges so as to ensure equity of treatment with households on public water supplies, the subsidies for those in group water schemes will be restored to their pre-2015 levels.

This is being implemented from 1 July 2016 and it will be for the period from then until 31 March 2017 so as to coincide with the suspension of water charges. These subsidies benefit those domestic consumers on group water schemes with financial assistance towards their running costs.

While this may not be the answer the Senator wants, there will be a decision quite soon.

I appreciate the Minister of State's reply, but, in fairness, this was to have been resolved last year. It is evident there is a problem when €400,000 was allocated last year and €200,000 in previous years, but not one cent of it was spent on these new rural group water schemes. A lot of work was done to bring into being the two schemes I mentioned, but it has all fallen by the wayside and another panel has now been put in place. I do not know how to explain it. I know that the Department deals with a spectrum of group water schemes and that different measures are being delivered under the rural water programme. However, these new group water schemes have not been looked after and another expert panel is now looking into the matter.

The Minister of State has said the Minister intends to make a decision, but it does not seem that much is happening. I also question why the local authorities have not received their funding and why they are on overdrafts, trying to provide basic supports and services to these new rural group water schemes.

On another point, how will capital projects be funded for rural group water schemes? Will they continue to be State-funded or it is envisaged that Irish Water will get involved at some stage? With regard to domestic water charges in these areas, will Irish Water or the county council collect the charges?

Water supply and water quality are issues dear to the heart of the Minister, Deputy Simon Coveney, and ones on which he will take action. As the Senator knows, he is not a Minister who sits around waiting for decisions. He is only in the job less than two months and has made it very clear that he will make announcements in the very near future on these schemes and that this issue will be dealt with. The schemes will not be left waiting and it will be clear exactly what will happen.

On the future of group water schemes, the Senator will have seen that the expert commission on water services includes an expert on group water schemes who has done great work in this area for many years. I am pleased to say the advice of the people involved in this area will be very clearly heard. Again, it was at the Minister's request that this person be on the commission. I hope many of the Senator's concerns will be dealt with in the future and the particular schemes she has mentioned will be addressed shortly in the announcements by the Minister.

Charities Regulation

It is good to see the Minister for Justice and Equality, Deputy Frances Fitzgerald, in the House. The charities legislation has had an outrageous historical journey and this has been ongoing since the mid-1990s. The Department of Justice and Equality sat on it for years; it next arrived at other Departments and it then came back to the Department of Justice and Equality. The Bill has been around since the 2000s and has been a very long time in gestation. It was passed nearly ten years ago, but it was not implemented. I have always felt, certainly in the last five years when I was here in the Seanad, that when we enact legislation, there is a presumption that once it appears on the Statute Book, it will at least become effective. In this case, large and vital sections of the Bill remain inactive and important powers are denied.

I do not want to go into the background of Console. It is possibly the worst of all scandals because in an organisation such as Console it murders hope in the people who placed such hope in it. Of course, it is the people at the head of it, not those who work in it, who murder that hope and abandon the sense of the humane in themselves.

Recent scandals in the charity sector have been allowed to snowball because the essential legislative sections have been left uncommenced and under-resourced.

Part 4 is the most important. Was it about resources? The official explanation was that insufficient resources were given to the regulator. He was understaffed and, therefore, without power. If that is the case, perhaps we might allow charities to pay a very small levy to fund the regulatory activity? If one transfers, as we did, all the functions of the Attorney General to the Charities Regulatory Authority, one must also transfer all the machinery and powers.

The Minister intends to commence Part 4 in September, namely, the regulator's investigative powers to seize documents, enter premises, suspend trustees and have what we would call a full set of teeth when needed, in order that reputational damage, like what happened with Console, will not occur again. Will the Minister outline what additional resources she intends to put in place in order that the regulator will have all that he needs? Will the Minister indicate why Part 4 cannot be commenced before the recess? Why must we wait until September since it is already in place? Why must we always wait for a massive problem to arise before we do something about it? In more instances than one, it is too late. It is too late for the greed of some, which we have witnessed, and for the fractured fragility of the victims. Will the Minister, please, answer these questions? The regulator needs the powers now, as well as the additional resources. What are the additional resources? I want to have confidence in respect of the additional resources, but I also want to have confidence in the explanation as to why Part 4 cannot be commenced now rather than in September.

I thank the Minister very much for taking the time to be here.

I thank the Senator for raising this important issue. Needless to say, I am deeply concerned by the recent revelations about Console. I know that people rely heavily on its services and I am pleased that the HSE is ensuring a continuity of its services in the first instance. It is essential, as the Senator said, that all organisations funded by the State are regulated and managed in an appropriate manner. Likewise, all moneys donated by the public must be managed appropriately and in line with good corporate governance. Anything less is a betrayal of the goodwill of thousands of people around the country and the taxpayer. I use the word "betrayal" because people's trust has been betrayed. The unwritten agreement between the charity and the people that the people's money will be efficiently and appropriately used has been broken. The betrayal also reaches to the collective trust charities place in one another to uphold good governance, standards and public confidence in the sector. The details the Senator has outlined are particularly disturbing.

For the Government's part, it is essential that we progress the regulatory reforms we proposed in recent years. As Senators are aware, Part 4 of Charities Act 2009 deals specifically with the charity regulator's investigatory and enforcement functions. Pending the commencement of Part 4, the regulator has put in place - I worked with him last year on this issue - an interim process for the handling of concerns received about suspected abuse of charitable status or fraud in charities. However, having had discussions with the regulator and my officials, I can confirm to the Senator that I am signing the necessary statutory instrument to commence Part 4 to take effect from 5 September 2016.

The Senator asked about the delay. This commencement date is to allow for the recruitment in the coming weeks of the necessary staff to support these important functions. I am also examining the legislation to see if there is any other provision. I think the Senator mentioned section 17. I am examining that section to see if it can be brought into effect quickly also.

The establishment of the Charities Regulatory Authority was one of my priorities when I first became Minister for Justice and Equality. Shortly after becoming Minister, it was established as an independent agency on 16 October 2014 under the provisions of the Charities Act.

To go back on the history, the Senator is right that the Act was introduced by the Fianna Fáil-Green Party Government. It provided for the regulator. Its establishment was delayed because of the economic situation for quite a number of years. However, the previous Government and I, as Minister, were determined to establish the regulator to restore confidence in the charity sector after a number of other controversies. I wish to make the following point as it is very important we all appreciate this, as I am sure Senators do, but regulating a large, previously unregulated sector is a challenge.

The scale of the job, about which I will provide some facts, is not to be underestimated. However, there has been significant progress.

As the Senator will be aware, the aim of the charities regulator is to provide for better regulation of charitable organisations through a framework of registration, regulation and support. This is intended to enhance public confidence in the vast majority of charities that do immense and essential work. The regulator has a wide range of functions which we could not introduce all at the same time. It had to be done on a phased basis, beginning with the compilation of the new statutory register of charities. That was a development of the regulator. Some 8,000 charities were registered with the Revenue Commissioners and they were transferred to the charities regulator immediately once it started as the registering authority. In addition, any of the charities that had not registered with the Revenue Commissioners had to apply directly to the regulator. Much time was spent last year encouraging charities to register and making sure that they did so. The take-up was very slow at the beginning but another 1,500 applications came in following the work done by the regulator to make sure that charities registered. It was necessary to register 3,600 schools that are also registered for charitable status. A huge amount of work has, therefore, been done already. Investigations cannot begin until registration is in place and until the charities around the country are known. The regulator has developed an online system for organisations to apply for inclusion on the register of charities and for information to go out to the charity sector on its obligations and duties under the new regime.

The Senator will recognise that there is quite a bit of work to be done, given the number of charities in the country. There are more than 12,500 charitable organisations. The regulator has received approximately 300 concerns over 132 entities, the majority of which are charities. These concerns cover the entire scale, from issues to do with an organisation's purpose to the quality of service provided to a passing comment about somebody not agreeing with the goal of the charity. Often concerns raised with the charities regulator are matters to be pursued by other bodies also. These concerns relate to about 1% of the total number of charities in the country.

Many charities are companies limited by guarantee. These are subject to the provisions of company law and are generally required under the Companies Acts to provide certain information to the Companies Registration Office. There are, therefore, quite a number of bodies that have responsibility for charities and how they are run. In addition, for example, if there is criminal activity such as fraud, that is a breach of the criminal law and could and would potentially be investigated by An Garda Síochána. Where there is fraudulent activity, there is clearly a role for An Garda Síochána. We have seen a lot of co-operation between the necessary bodies in recent times.

The Senator asked about resources. Significant additional resources - a budget allocation of €2.665 million, representing an 88% increase over 2015 - was given by my Department for 2016. That includes additional funding of €1.25 million, which is supporting expansion in the level of staffing and other resources and these are all the building blocks we need to have in place to ensure compliance. I reassure the House that I recognise the urgency of making sure the Charities Regulatory Authority is up and running with all its functions and the resources it needs.

I draw the attention of Senators to a quotation from Mr. Seán Moynihan of Alone:

When people choose to support a charity they do so because they are inspired by the work it does. People are moved by stories that reach into their hearts and connect with them emotionally ... However, we also know that we need to link these stories to comprehensive information about where your money goes, the number of people we support and the manner in which we support them. All charities should be judged on their impact and effectiveness, not just on an emotive story; we must value those that have quality standards, are accountable and transparent.

Recent controversies give real pause for thought about the current charity landscape in Ireland. For example, are clients best served by having large numbers of charities to choose from, each providing similar services and each expected to operate on the basis, obviously, of proper corporate governance structures?

The country needs a conversation on these issues and how we can best support the ongoing development and regulation of the charity sector. We want to tap into the vast resources and expertise that are available, as well as people's willingness to volunteer, but that needs to be managed. When it is not managed properly, major issues arise with trust in the sector.

Charities receive significant State funding and it is upsetting that people, including the thousands of good people who work in and contribute to the vital services provided by the charity sector, are being let down by poor governance standards in parts of it. This undermines confidence in a sector that relies on good will.

I will prioritise the role of the charities regulator and ensure it has adequate powers and resources to sustain and promote the thousands of charities around the country. With the announcement of Part 4 commencing in September, today marks another step forward in the better governance of the sector, but I emphasise the scale of the challenge facing the regulator, given the number of charities and the fact that they have not previously been regulated to any degree.

I thank the Tánaiste for attending and assuring me that Part 4 will be commenced on 5 September. The challenge is significant, but there is also a challenge to the Government not to delay or shelve. The 8,000 charities and 12,500 organisations are performing a public service and the Government rightly backs them; it is up to it, therefore, to protect the money that it and the ordinary person on the street give them. Any undermining of charities should be regulated against.

The regulator should not have to beg for regulation or resources; they should be available. The Tánaiste might address my point, one that may be creative, to the effect that all charities should pay a small levy to go towards an office that the Tánaiste rightly stated would be large, as is the case in many sectors. This has grown into a large sector.

I accept the Tánaiste's response. I would have liked these measures earlier, but I understand that would not have been as easy. This may be a lesson that leaving regulations on shelves for too long can have terrible ramifications for the ordinary person on the street.

The approach of the Charities Regulatory Authority, in the first instance was to encourage charities to register, not to erect barriers such as costs. There is a role for the Government to play, but the charity sector has an important role and obligation to promote and operate to the highest ethical and governance standards.

Hospital Accommodation Provision

I welcome the Minister of State and thank him for taking this debate on Our Lady's Hospital, Cashel.

In 1996 an agreement was signed with the South Eastern Health Board by those concerned at the hospitals in Cashel and Clonmel to move services from the former to the latter. In return, the three-storey Cashel hospital would be upgraded through the provision of 25 specialist and geriatric beds, 15 nursing home and convalescent beds, 20 beds for general practitioner, GP, assessment and rehabilitation and five palliative care beds, a total of 65.

One of the people involved at the time, Councillor Tom Wood, from Cashel, is still trying to get beds into the hospital in Cashel. We will roll the clock forward to the last Government's term of office. Two phases of refurbishment of the building of Our Lady's Hospital were undertaken. One was a new reconstruction at a total cost of €10.15 million and the second phase was the main building, which I am discussing, on which €12.6 million was spent. The final services were transferred to Clonmel in 2007. These were the acute services and at that time the commitments were reinforced again. However, in January 2015 there were still no step-down beds opened in Cashel by the HSE.

This issue has been raised regularly. In 2015 the then Minister of State at the Department of Agriculture, Food and the Marine, former Deputy Tom Hayes, announced 21 step-down beds to relieve the chronic overcrowding in Clonmel, which has been ongoing for the past few years. It is now 5 July 2016 and there are still no step-down beds in Cashel, after a total of almost €23 million of taxpayers' money being spent on Cashel hospital for what is operating there and on the main building. There is no return by way of beds for the public and those who are distressed by overcrowding in Clonmel. It is time to raise this question again and seek a response from the Minister which, I hope, will stand.

This matter was brought to the attention of the new Minister for Health by Tipperary County Council in the months since his appointment to office. The Minister was invited to attend the hospital, but the reply the council received, on 20 June 2016, was that the Minister was too busy to visit the hospital. However, as he has been visiting other hospitals across the country, I cannot understand why some representative at ministerial level would not visit the hospital to see the great job that was done for the amount of money spent, yet the hospital remains without the beds, despite the chronic situation continuing in Clonmel.

I thank the Senator for raising this matter. I also congratulate him on his election to the Seanad. I am aware of his background of dealing with major concerns in recent years, particularly health and disability issues.

With regard to South Tipperary General Hospital, Clonmel, I understand the increasing demand on the emergency department and the increasing numbers of patients requiring admission have resulted in delays for patients accessing inpatient beds within the current available capacity. There have been persistent monthly increases in emergency department attendances at the hospital this year compared to the same period in 2015. Such increases are broadly in line with the national experience. The Department of Health has been assured, however, that, with a view to improving the current situation, the South-South West Hospital Group and South Tipperary General Hospital are strengthening the management structures in the hospital, expanding capacity, improving infrastructure, reviewing processes and intensifying relationships with their community and primary care colleagues. We must focus on these issues for a start. Management at the general hospital has advised that it does not require transitional care beds at Our Lady's Hospital, Cashel.

As the Senator is aware, a wide range of HSE services are provided across the campus at Our Lady's Hospital. These include the minor injury unit, primary care services, a leg ulcer wound clinic, radiology and ultrasound services. Additional services provided on the hospital campus are services for older people, disability and intellectual disability services and mental health services.

A proposal to reorganise the provision of services from St. Patrick's Hospital, also in Cashel, to Our Lady's Hospital was included in the HSE 2013 service plan in order to address the environmental and infrastructural issues at St. Patrick's Hospital. A unit on the Our Lady's Hospital campus has been upgraded to meet national standards and it is the HSE's intention to transfer residents from St. Patrick's Hospital to the new St. Clare's ward. This will accommodate 11 elderly mentally infirm residents.

The HSE's six-year capital plan for the period 2016 to 2021 includes plans to replace the current St. Patrick's Hospital with a new 100-bed community nursing unit. It is envisaged at this time that Our Lady's Hospital will be utilised to provide interim accommodation pending the construction of the replacement for St. Patrick's Hospital. It is important that we recognise that overcrowding is not just a problem for emergency departments alone to solve. The response has to be multifaceted and health system-wide. For that reason, A Programme for a Partnership Government has prioritised a number of initiatives which will reduce the numbers of patient attendances at emergency departments by developing alternative services, including primary care; increasing hospital capacity; supporting timely patient discharge from hospital; and improving the ability of the health system to respond to surges in demand for emergency care.

The Minister recently announced funding of €40 million for a new winter initiative to plan for the next two winters. This is a key provision in any health strategy. The initiative will seek to support actions to improve patient flow through hospitals and optimum discharge planning. South Tipperary General Hospital will be considered in the context of the winter initiative. It will also be included in the national bed capacity review which was committed to in A Programme for a Partnership Government.

With respect to the Senator's frustration at the fact that the provision of 65 beds was mentioned in 1996, I will also raise that matter with the senior Minister. The current position is unacceptable. The Senator said the matter had been mentioned again in January 2015. He also highlighted the fact that €23 million had already been spent. I will convey his strong message on the issues raised to the Minister.

The Minister of State's response was very well crafted by whoever wrote it. I compliment the person concerned, but most of the response dealt with St. Patrick's Hospital in Cashel. I visited that hospital every Sunday for a long time when my grandfather was in it and during that time it was known as the Old County Home. However, it is Our Lady's Hospital, not St. Patrick's Hospital, that we discussing. I cannot understand how €23 million was spent at Our Lady's Hospital, €12 million of it on a new main building, and how it was then left standing idle. South Tipperary General Hospital in Clonmel is not and has not been able to cope. On checking the Official Report I found part of this structured response to parliamentary questions tabled on this issue in recent years. There is not enough capacity in South Tipperary General Hospital. Another hospital is waiting to be filled. Somebody needs to get the finger out and put patients into it, given that there is overcrowding in Clonmel. I thank the Minister of State for coming into the House to take this matter.

I accept the Senator's point and agree with him that the real issue does not concern St. Patrick's Hospital but Our Lady's Hospital. It is a key priority for me. I also accept the Senator's point that there is not enough capacity in the hospital in Clonmel. We have to deal with that issue. During the talks that took place in agreeing to A Programme for a Partnership Government we constantly discussed the urgent need to provide more beds in the health system. The Senator will have noted that an extra €500 million will be provided for health services this year, but we need to deliver services to local communities in local hospitals such as Our Lady's Hospital. I will convey all of the Senator's concerns and views to the Minister, Deputy Simon Harris, and give a commitment to push these matters.

Sitting suspended at 3.30 p.m. and resumed at 3.35 p.m.
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