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Child Abuse.

Dáil Éireann Debate, Tuesday - 16 December 2008

Tuesday, 16 December 2008

Ceisteanna (13)

Alan Shatter

Ceist:

71 Deputy Alan Shatter asked the Minister for Health and Children the procedures in place in her Department to monitor, on an ongoing basis, the number of children who are the subject of reports to the Health Service Executive of either abuse or neglect and to monitor the timeframe involved in the commencement of an investigation and assessment of such reports; the progress reported to her in the implementation of the HSE National Service Plan 2008 which commits the HSE to collate reports on child care services in each administrative area; the number of notifications of child abuse or neglect to the HSE in respect of which there are children on waiting lists for full assessments; the average time spent on a waiting list for assessment following such notification; and the action she proposes to take to address the difficulties in this area and to ensure children are properly protected. [45581/08]

Amharc ar fhreagra

Freagraí ó Béal (21 píosaí cainte)

Since the inception of the Office of the Minister for Children and Youth Affairs, OMCYA, a key emphasis has been placed on improving the availability and quality of management information. Key components of this information management include the annual review of adequacy of children and family services, prepared annually by the HSE under section 8 of the Child Care Act 1991, and the monthly service plan monitoring reports submitted to the Department of Health and Children. The section 8 reports now include the data previously collected in the analysis of child care interim data set. The further development of this information strategy is set to continue with the completion and roll-out of the joint OMCYA-HSE knowledge management policy, which has been a key element of recent discussions between myself and senior management in the HSE.

As regards the specific areas of information mentioned by the Deputy, information currently available in this area of child welfare and protection is collated and submitted as part of the previously mentioned section 8 annual reviews. Owing to the need to put in place a new reporting structure and methodology to reflect the new unitary structure following the establishment of the HSE, reports in respect of 2005 and 2006 were delayed but have now been published. I am informed by the HSE that the 2007 report is nearing completion and that thereafter, reports will follow in a timely fashion. These annual reviews include, inter alia, details of reported child protection cases and outcomes, broken down into each of the four primary, community and continuing care, PCCC, regions. Under current systems in place in the HSE, there is a time lag in the availability of information requested by the Deputy. It is imperative that such information be available on demand and for this reason I have requested the HSE to prioritise the necessary development and implementation plans so as to have this information readily available for service delivery and monitoring purposes.

In addition to this annual report, the HSE National Service Plan 2008 committed the HSE to developing, from the second quarter of 2008, a mechanism for collecting quarterly information from each administrative area on the following indicators: the number of notifications made of child abuse or neglect, the number of assessments conducted following notifications, the number of children on waiting lists for assessments following notification of child abuse or neglect and the average time spent on a waiting list for assessment following notification of child abuse or neglect.

Reporting against this measure is based on the phased implementation of standardised business process currently taking place through the HSE's child care information system project. I have been informed by the HSE that the first of the standardised business processes required for reporting against these measures were agreed and piloted during 2008 and will be implemented during 2009. At a recent meeting with HSE managers I was also informed that the HSE is seeking to provide additional resources to the standardised business process project. This should enable the HSE to provide my office with timely information relating to all of the areas mentioned by the Deputy.

Will the Minister of State confirm that the information on which his Department relies for an overview of child protection services is, essentially, the information contained in the 2006 report, which was only published last October? Does he agree it is an understatement to say there is a time lag in information and that it is scandalously unacceptable that the report for 2007 has not yet been published, two and a half weeks before we enter 2009? Will the Minister of State confirm that as Minister with responsibility for children he does not know how many files are currently on the shelves of offices of the HSE, detailing reports of children at risk of abuse or neglect, due to be allocated for full assessment to a social worker but which have not yet been allocated? Will he confirm there are many hundreds of such cases?

Since I came into this office, the 2005 and 2006 figures have been received. I have also received information on the 2007 interim data set and the section 8 reports arising from it. I have a commitment from the HSE that it will have the information published before the end of this year, which means the next few days. Furthermore, the HSE has committed to having the 2008 figures by April or May of 2009. The time lag referred to in my earlier response is a legacy or carryover from the old health boards and the difficulty presented in gathering the information.

We are moving towards a knowledge management strategy so we can standardise issues such as referrals and so we can, at any time, provide ourselves with an X-ray of what is happening on a contemporaneous basis, rather than having to hang around to collate the figures as we have done for so long. Therefore, we are making incremental progress on the issue, but I do not claim it is perfect. We do not have the up-to-date figures I would like to have, but over the past six months I have met the HSE on a monthly basis. One of the key issues has been to get on top of this issue so that we will be able to make proper assessments of where gaps and duplications exist in order to apply resources properly in this important area.

Would the Minister of State agree that for the eleven and a half years of Fianna Fáil in Government we have had a Minister with responsibility for children? Would he agree it is outrageous and scandalous that four years after the formation of the HSE he, who is supposed to have an overview of our children's services, is as he put it hanging around to find out how it is operating and cannot tell the House definitively how many cases of children reported to be at risk are currently awaiting full assessment by the HSE? Does he agree he is incapable of monitoring what is happening in our child protection services?

Can the Minister of State explain what happened to the child protection notification system, which was supposed to have been put in place some years ago and in respect of which there were various IT difficulties? What was the cost of that system? What were the IT difficulties? What work has been done to get the system up and running. By what definite date will the Department have any guaranteed contemporaneous information available to it on the working of our child protection services?

I have information from the HSE service plan in terms of its monthly monitoring reports, the latest of which is for October 2008. Obviously, the information that comes with the section 8 reports is more detailed and focused on the specifics. With regard to the IT projects, we are making significant progress. There are different IT systems in different areas, again a legacy and hangover from the health boards.

A four-year legacy now.

We are making significant progress on this and hope, in the HSE service plan for 2009, to ensure it is a priority and that we can deliver it. With regard to contemporaneous delivery and when it will happen, we already piloted the standardisation of the business process and therefore we will know the initial referral figures and the assessment figures at the same time. We undertook to do that through the service plan.

I raise a point of order. I asked a specific question about the cost to this State of the child care notification system and the IT system——-

The Deputy knows that is not a point of order.

——that I understand is not working and has cost millions of euro.

The Deputy will not ignore the Chair.

I asked this today in a direct question and as a legitimate supplementary question. I previously asked the Minister of State about the matter in a written question some weeks ago and was told that he would inquire about it, that he did not know the answer. I believe there is a defective system——

This is not a point of order, as the Deputy knows. We must move on to other questions.

——that has cost the taxpayer millions of euro. Why is the Government covering this up?

I will take Question No. 72.

Why is the Government covering up what is taking place with regard to this system?

The Deputy has had a good innings.

Or does the Minister simply not know?

The Deputy will not continue to ignore the Chair.

The taxpayer is entitled to know. Child protection agencies are entitled to know why this system is not up and running and how much has been wasted. Public money has been wasted and the Government is covering it up.

The Deputy rose on a point of order that patently is not a point of order.

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