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Hospital Charges.

Dáil Éireann Debate, Wednesday - 15 December 2004

Wednesday, 15 December 2004

Ceisteanna (19)

Paul Connaughton

Ceist:

30 Mr. Connaughton asked the Minister for Social and Family Affairs if his attention has been drawn to the report, Sick Children, Money Worries, published in June 2004 by Children in Hospital Ireland; his views on the proposal to establish a non-means tested scheme, that is, the assistance for hospitalised children scheme, to provide up to €40 per day in cases in which the hospitalisation of a child is prolonged or repeated so as to help cover costs; and if he will make a statement on the matter. [33501/04]

Amharc ar fhreagra

Freagraí ó Béal (5 píosaí cainte)

I am aware of the report referred to by the Deputy. I am particularly interested in the survey of 110 parents on the costs of having a child in hospital. The report found that almost all lower income families surveyed were under financial strain because of the hospitalisation of their child and half of the parents in the higher income group experienced financial strain.

The report makes a range of recommendations including, for example, assistance with travel expenses and parking fees and the introduction of a specific scheme of assistance for parents whose children experience long or frequent spells in hospital. While my Department does not operate any specific scheme of financial assistance for parents in these circumstances, I acknowledge that there is an income maintenance issue which needs to be examined further. A possible source of such assistance at present would be by way of an exceptional needs payment through the supplementary welfare allowance scheme. These payments can be made to help meet essential once-off exceptional expenditure which a person could not reasonably be expected to meet out of their weekly income. My officials are undertaking a review of this scheme, phase two of which is due to be completed by the end of 2005. I have asked that this report be examined further in that context and I am also arranging to invite the report's authors to meet Department officials to discuss the findings. In addition, I will discuss the matter with my colleague, the Minister for Health and Children.

I thank the Minister for his response and I support him in any action he takes on the matter. Is the Minister also aware that according to the report, only five of the parents surveyed said that they received any help from community welfare officers? Could the Minister do anything to make that area more flexible in the short term? Does the Minister agree that the role of his Department is to alleviate hardship, financial hardship in particular, especially among low income families? Does the Minister agree that it is bad enough to have a child regularly sick in hospital without having to incur what in many cases can be financial hardship involving travel, overnight stays, paying for food and so on?

I am happy to suggest to community welfare officers that they might be helpful in this area. I will draw to their attention what we have been saying on both sides of the House. I said in my reply that an exceptional needs payment might be possible. It is up to a community welfare officer to take a view. We will see what can be done about a broader scheme but, clearly, many issues are involved. I have invited the authors of the report to meet Department officials and I look forward to the outcome of that discussion to see what is practicable.

Has the Minister's Department a role in terms of capital expenditure in this area? I cite the example of the Knights of Columbanus who have built accommodation in connection with Cork University Hospital to allow for the accommodation of the family members of medium and long-term patients. They eventually got funding, but it is uncertain whether such funding should come through the Department of Health and Children or the Department of the Environment, Heritage and Local Government. Given that it involves family support in the long run, perhaps this might be a role for the Department of Social and Family Affairs.

I take the broad point the Deputy makes, but we are referring here to a particular report, which makes a number or recommendations, all of them in the current area, so far as I can determine. These include a recognised scheme of assistance towards non-medical costs of hospitalisation on a non-means tested basis, personal medical card in respect of any child covered by a domiciliary care allowance and free parking for parents of children hospitalised for long or multiple periods and so on. It lays down what the possible criteria might be for the future and the particular thresholds which could trigger this type of assistance, for example, serious ongoing medical conditions, distance from a child's home etc., with no means test required. The report did not explore the area of capital to any great extent. When the authors present the report to the Department, I shall ensure that this is discussed with them to see what is envisaged in that area.

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