Denis Naughten
Ceist:122 Deputy Denis Naughten asked the Minister for Health if he will revise the funding structure of community geriatric hospitals; and if he will make a statement on the matter. [29359/12]
Amharc ar fhreagraTuesday, 19 June 2012
Ceisteanna (36)
Freagraí scríofa
The introduction of the Nursing Homes Support Scheme,A Fair Deal,in October 2009 brought about a fundamental change in the way in which long-term nursing home care is funded and, consequently, the way in which nursing homes are funded. In the past, public nursing homes/community geriatric hospitals would have been allocated a lump sum annually by the HSE. However, the Nursing Homes Support Scheme provides financial support to the individuals that need long-term nursing home care, not to the facilities providing the care. The scheme is designed to ensure that money follows the patients, regardless of whether they choose public, private or voluntary nursing homes, and to ensure that these facilities are not being funded for empty beds.
Funding arrangements in relation to other services which may be provided in public nursing homes/community geriatric hospitals, e.g. short-term care for respite, rehabilitation, convalescence etc, remain unaffected by the Nursing Homes Support Scheme. When the Scheme was introduced, a commitment was made to review its operation after three years. The reason for allowing this period to elapse is to ensure that trends and statistics will be available in order to inform the work. The Terms of Reference for the review are: Taking account of Government policy, demographic trends and the fiscal situation—
1. To examine the on-going sustainability of the Nursing Homes Support Scheme,
2. To examine the overall cost of long-term residential care in public and private nursing homes and the effectiveness of the current methods of negotiating/setting prices,
3. Having regard to 1. and 2. above, to consider the balance of funding between long-term residential care and community based services, and
4. To make recommendations for the future operation and management of the scheme.
A call for submissions to inform the review was placed in national newspapers on the 14th June. The closing date for receipt of submissions is the 16th July. Thereafter, the Department of Health will be seeking tenders through the public procurement process for the carrying out of the review. This process takes approximately 4 months. It is anticipated that the review itself will take approximately three months to complete. It is expected that the review will commence in the last quarter of this year and be completed in early 2013.
As the Scheme is statutory based, the implementation of any recommendations arising from the review may require significant amendments to the Nursing Homes Support Scheme Act, 2009.