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Tuesday, 15 Oct 2013

Written Answers Nos. 408-423

Ambulance Service Provision

Ceisteanna (408, 409, 410)

Pearse Doherty

Ceist:

408. Deputy Pearse Doherty asked the Minister for Health if he will provide an update on plans to open two ambulance control centres at Tallaght and Ballyshannon; the staff complement that will be required; the way this will affect staff currently working in the system, including agency staff; the date on which both centres will open and be fully operational; if additional posts will be advertised and the number, grade and timeframe for these; and if he will make a statement on the matter. [43215/13]

Amharc ar fhreagra

Pearse Doherty

Ceist:

409. Deputy Pearse Doherty asked the Minister for Health the consideration that will be given to the efficiencies of taking on the existing contract staff to operate the new ambulance control centre. [43216/13]

Amharc ar fhreagra

Pearse Doherty

Ceist:

410. Deputy Pearse Doherty asked the Minister for Health the reassurances he can give the contract staff currently employed as emergency call takers in Townsend Street that their contract will be not be ended in a sudden or unfair way. [43217/13]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 408 to 410, inclusive, together.

The National Ambulance Service (NAS) control centre reconfiguration project is reducing the number of control centres to one national system over two sites, while making a significant investment in new voice, data and mapping technologies. This will allow the NAS to deploy emergency resources more effectively and efficiently, on a regional and national basis rather than within small geographic areas.

The reconfiguration of existing ambulance control centres is consistent with international best practice and endorsed by HIQA as the most appropriate approach to improve the quality of services to patients. The project is also a key element of Future Health: A Strategic Framework for Health Reform in Ireland 2012-2015.

The National Operations Centre will be located in Tallaght and Ballyshannon, for operational redundancy. Full commissioning, with the consolidation of all NAS control centres, should be completed by the end of 2014 and will include the National Aeromedical Coordination Centre, currently in Tullamore.

In relation to the specific queries raised, as these are service matters I have asked the HSE to respond directly to the Deputy.

Medical Qualifications Issues

Ceisteanna (411)

Dan Neville

Ceist:

411. Deputy Dan Neville asked the Minister for Health if the delay in validating radiographers who did their training in the UK will be dealt with as a matter of urgency (details supplied). [43218/13]

Amharc ar fhreagra

Freagraí scríofa

At present there is no system of statutory registration for radiographers in Ireland. The Health and Social Care Professionals Council which was established in March 2007 provides for statutory registration of twelve separate health and social care professions including radiographers. The Radiographers Registration Board has been established and is expected to open its register shortly.

One aspect of statutory registration is the possession of an “approved qualification”. In the absence of statutory registration, persons are free to work in the private health sector in Ireland without having their qualifications recognised. However, persons wishing to work in the publicly-funded health sector in Ireland who have obtained their qualifications outside the State must apply to have their professional qualifications recognised under Directive 2005/36/EC. Such qualifications are assessed for their equivalence to the Irish entry-level qualifications required to work in the public health sector.

The Directive provides for mutual recognition of qualifications for certain professions. In the case of the health and social care professions, including radiography, the Directive does not provide for automatic recognition of professional qualifications obtained in another Member State. It provides for an assessment, on a case-by-case basis, of the formal qualifications and professional experience of an applicant against the qualifications required to practise in the host member state, i.e. Ireland.

Because of the time-consuming nature of the case-by-case assessment, the Directive sets out timescales for the recognition process. It provides that applications must be acknowledged within one month and the applicant informed of any missing document. A final decision must be communicated to the applicant within 4 months of submission of a complete application. My Department's website advises that persons should not seek employment in their professional capacity in the public health sector unless and until their qualifications have been recognised.

In the case of the applicant to whom the Deputy refers, an incomplete application was initially received on 31 July 2013 and the complete application was received and acknowledged on 5 September 2013. Accordingly, a decision on her application is due by 5 January 2014 which is fully compliant with the Directive's timescales. I appreciate that the Deputy and the applicant would wish that a decision on her application be made sooner. However, the Directive requires that applications are considered on a case-by-case basis to provide for the assessment of both formal training and professional experience against Irish standards which, although time-consuming, is necessary to protect the public. There is also a high volume of applications in the process at any given time.

It is important that persons who propose to obtain their professional training abroad with a view to returning to Ireland to seek employment are aware of the requirements of the Directive which provides a mechanism for persons to have their non-Irish professional qualifications recognised here.

Mobility Allowance Eligibility

Ceisteanna (412)

Pearse Doherty

Ceist:

412. Deputy Pearse Doherty asked the Minister for Health if he will provide an update on the mobility allowance and the motorised transport grant in view of the project review group interim report; the recommendations in the report; if he will provide an update on plans to replace these schemes; and if he will make a statement on the matter. [43228/13]

Amharc ar fhreagra

Freagraí scríofa

The Government decided in June last that new statutory provisions should be established to provide individual payments to people with severe disabilities who require additional income to address the costs of their mobility needs. An inter-departmental group, chaired by the Department of the Taoiseach, is working to develop detailed proposals for the operation of a new statutory scheme and is due to report back to Government in October.

The Government also decided in June that payments should temporarily continue to be made by the Health Service Executive to those persons currently in receipt of the Mobility Allowance for a further number of months, pending the commencement of new statutory provisions, on the basis that this would prevent hardship, and, on an interim basis, alleviate stress, anxiety and uncertainty among a vulnerable group in society.

The Government is very conscious of the needs of people with a disability who have relied on the Mobility Allowance and Motorised Transport Grant to support their independence and will take all of this into consideration when making a decision on future arrangements.

Obesity Strategy

Ceisteanna (413)

Caoimhghín Ó Caoláin

Ceist:

413. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the numbers of obesity related deaths here in 2010, 2011, 2012 and to date in 2013; the funding provided for the weight management clinic at Loughlinstown Hospital for the same period; his plans to address the obesity epidemic in this State; and if he will make a statement on the matter. [43230/13]

Amharc ar fhreagra

Freagraí scríofa

It is known that obesity contributes to deaths from a range of diseases such as hypertension, type 2 diabetes, angina and heart attack. It is not, however, currently possible based on official statistics, to estimate what portion of these deaths may be directly attributable to obesity.

Funding provided for the Weight Management Clinic at St. Columcille’s Hospital, Loughlinstown is taken from its yearly budget allocation. The Weight Management Clinic has a full multi-disciplinary team (MDT) and all necessary equipment.

While acknowledging a definite clinical need exists for those with chronic obesity, bariatric surgery is only required for the minority of obese patients (2% of the population). The vast majority of these patients require clinical treatment that is both hospital and community based as indicated by the HSE-ICGP Weight Management Treatment Algorithm, the clinical care pathway utilised by health-care professionals. Early detection and treatment are key. We now have indicative evidence to show that we are halting the incidence of overweight and obesity and that future work will seek to reverse the trend. My Special Action Group on Obesity (SAGO), with whom I meet regularly, is progressing the obesity prevention agenda. Some of the measures and initiatives to help reverse the growing prevalence of obesity in the Irish population include Calorie posting and publication of the Healthy Eating Guidelines to inform people about the food and drink choices required for a healthy lifestyle and set out in plain and simple language the food servings the Irish population need to consume to maintain health and well-being. SAGO has recently established a sub-committee to investigate and develop a range of options to support healthy eating. The Department of Health has worked with the Broadcasting Authority of Ireland, with regard to the marketing of food and drink to children towards a new Children’s Code up to 18 years, to restrict marketing of high fat, high salt and high sugar foods and drinks up to 7pm. Treatment algorithms inform primary care staff of the steps to be taken with regard to managing obesity. Both ‘adult’ and ‘child’ algorithms have been agreed with health care professionals and are now available.

A key feature of the development of Healthy Ireland was engagement and collaboration across Government Departments. Such collaboration will continue to be a significant feature of the implementation strategy, which is now focused on, among other things, the development of an outcomes framework and a National Physical Activity Plan.

Speech and Language Therapy

Ceisteanna (414)

Simon Harris

Ceist:

414. Deputy Simon Harris asked the Minister for Health if his attention has been drawn to the large number of vacant speech and language posts in the Health Service Executive in an area (details supplied) in County Wicklow; the plans he has in place to rectify this matter and the very detrimental effect that it is having on children in need of speech and language therapy; and if he will make a statement on the matter. [43233/13]

Amharc ar fhreagra

Freagraí scríofa

The particular issue raised by the Deputy is a service matter for the Health Service Executive. Accordingly I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Medical Card Delays

Ceisteanna (415)

John Browne

Ceist:

415. Deputy John Browne asked the Minister for Health the reasons for the delay in approving a medical application in respect of a person (details supplied) in County Kilkenny; and if he will make a statement on the matter. [43241/13]

Amharc ar fhreagra

Freagraí scríofa

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has issued to Oireachtas members.

Hospital Charges

Ceisteanna (416)

Róisín Shortall

Ceist:

416. Deputy Róisín Shortall asked the Minister for Health the reason a public patient (details supplied) in Dublin 9 was charged the €75 bed levy despite their surgery being cancelled after admittance; and if he will make a statement on the matter. [43259/13]

Amharc ar fhreagra

Freagraí scríofa

The public in-patient charge (€75 per day subject to a maximum of €750 in any period of 12 consecutive months) is provided for by the Health (In-Patient Charges) Regulations 1987 (as amended), made under Section 53 of the Health Act 1970 (as amended). Under the regulations, medical card holders are exempted from these charges.

I have referred the individual case raised by the Deputy to the Health Service Executive for investigation and direct reply to the Deputy.

Medical Card Applications

Ceisteanna (417)

Michael Healy-Rae

Ceist:

417. Deputy Michael Healy-Rae asked the Minister for Health the position regarding a medical card application in respect of a person (details supplied); and if he will make a statement on the matter. [43262/13]

Amharc ar fhreagra

Freagraí scríofa

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has issued to Oireachtas members.

Vaccination Programme

Ceisteanna (418)

Michael Healy-Rae

Ceist:

418. Deputy Michael Healy-Rae asked the Minister for Health if he will introduce a new vaccine against meningitis B, Bexsero, which was licensed by the European Commission in January 2013, and has been a breakthrough to potentially save thousands of lives; and if he will make a statement on the matter. [43277/13]

Amharc ar fhreagra

Freagraí scríofa

The immunisation programme in Ireland is based on the advice of the National Immunisation Advisory Committee (NIAC). The NIAC is a committee of the Royal College of Physicians of Ireland comprising of experts in a number of specialties including infectious diseases, paediatrics and public health. The committee's recommendations are informed by public health advice, international best practice and by the National Centre for Pharmacoeconomics (NCPE).

A Health Technology Assessment which includes a cost benefit analysis is carried out prior to any new vaccine being considered. This has a vital role in ensuring that care technologies, including vaccines, are used in a manner appropriate to their ability to maximise health gain and achieve value for money.

There are currently no plans to introduce Meningococcal group B (Meningitis B) vaccine in Ireland. However should the NIAC advice recommend its inclusion into the primary childhood immunisation programme in Ireland, my Department, in association with the Health Service Executive National Immunisation Office will examine the issue.

Sick Pay Scheme Expenditure

Ceisteanna (419)

Michael McCarthy

Ceist:

419. Deputy Michael McCarthy asked the Minister for Health the position regarding sick leave payments in respect of a person (details supplied) in County Cork. [43281/13]

Amharc ar fhreagra

Freagraí scríofa

As this is an operational matter it has been referred to the Health Service Executive for direct reply.

Health Services Provision

Ceisteanna (420)

Emmet Stagg

Ceist:

420. Deputy Emmet Stagg asked the Minister for Health if he will introduce a grant scheme for the provision of defibrillators in primary and secondary schools throughout the country and in public buildings, community centres and so on. [43304/13]

Amharc ar fhreagra

Freagraí scríofa

The Second Stage of the Public Access to Defibrillators Bill, which sets out the requirement to provide defibrillators in a range of settings and for events which have a regular attendance in excess of 100 persons per day, was passed in the Seanad in June 2013. Approval was granted for the Health Information and Quality Authority (HIQA) to undertake a Health Technology Assessment (HTA) of a public access defibrillator programme for Ireland. This HTA, when completed, will determine the implementation of the defibrillator programme for Ireland.

Nursing Home Services

Ceisteanna (421)

Jonathan O'Brien

Ceist:

421. Deputy Jonathan O'Brien asked the Minister for Health if he will provide information regarding the Leinster Private Nursing Home in Pembroke Street Dublin 2, a private nursing home which operated on Pembroke Street in the 1960s and 1970s; if the Eastern Health Board took over the said private nursing home; the year in which it was taken over; and if he will provide details of its purchase by the health authority. [43316/13]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter it has been referred to the Parliamentary Affairs Division of the Health Service Executive for attention and direct reply to the Deputy.

Water Fluoridation

Ceisteanna (422, 423)

Brian Stanley

Ceist:

422. Deputy Brian Stanley asked the Minister for Health if his Department ever made a complete analysis of the chemical used for water fluoridation; if he will make all the findings available to this Deputy; and if his Department ever submitted each contaminant to a 95% upper confidence level analysis. [43381/13]

Amharc ar fhreagra

Brian Stanley

Ceist:

423. Deputy Brian Stanley asked the Minister for Health if his Department ever changed their supplier of fluoride; and if so, the reason there was a new supplier sought. [43382/13]

Amharc ar fhreagra

Freagraí scríofa

The HSE takes samples for the analysis of hydrofluorosilicic acid (HFSA), the chemical used for water fluoridation and all its concentrations. The analysis of these samples is undertaken by the Public Analyst's Laboratory Dublin. The level of heavy metal contaminants has been well below the Limit of Quantitation so the issue of compliance of a heavy metal result (+/- a confidence interval) with the specification has not arisen. Reports of these analyses are available on request from the HSE.

Since the introduction of water fluoridation in the 1960s there have been changes in suppliers of fluoride to health authorities in accordance with the relevant procurement procedures. Chemifloc Ltd. is the company currently contracted by the HSE for the supply and delivery of HFSA for the purpose of water fluoridation.

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