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Tuesday, 21 Oct 2014

Written Answers Nos. 394-412

Medical Card Applications

Ceisteanna (394)

Barry Cowen

Ceist:

394. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly may expect a decision on an application for a medical card. [39951/14]

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.

Medical Card Applications

Ceisteanna (395)

Barry Cowen

Ceist:

395. Deputy Barry Cowen asked the Minister for Health when persons (details supplied) in County Offaly may expect a decision on an application for a medical card. [39952/14]

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.

Medical Card Applications

Ceisteanna (396)

Barry Cowen

Ceist:

396. Deputy Barry Cowen asked the Minister for Health when persons (details supplied) in County Westmeath may expect a decision on an application for a medical card. [39953/14]

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.

Medical Card Applications

Ceisteanna (397)

Barry Cowen

Ceist:

397. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly may expect a decision on an application for a medical card. [39954/14]

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.

Medical Card Applications

Ceisteanna (398)

Barry Cowen

Ceist:

398. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly concerned may expect a decision on an application for a medical card. [39955/14]

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.

Medical Card Applications

Ceisteanna (399)

Barry Cowen

Ceist:

399. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Meath concerned may expect a decision on an application for a medical card. [39956/14]

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.

Medical Card Applications

Ceisteanna (400)

Barry Cowen

Ceist:

400. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly concerned may expect a decision on an application for a medical card. [39957/14]

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.

Medical Card Applications

Ceisteanna (401)

Barry Cowen

Ceist:

401. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Laois concerned may expect a decision on an application for a medical card. [39958/14]

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.

Medical Card Applications

Ceisteanna (402)

Barry Cowen

Ceist:

402. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly concerned may expect a decision on an application for a medical card. [39959/14]

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.

Medical Card Applications

Ceisteanna (403)

Barry Cowen

Ceist:

403. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly concerned may expect a decision on an application for a medical card. [39960/14]

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.

Medical Card Applications

Ceisteanna (404)

Barry Cowen

Ceist:

404. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly concerned may expect a decision on an application for a medical card. [39961/14]

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 Appointment Status

Ceisteanna (405)

Barry Cowen

Ceist:

405. Deputy Barry Cowen asked the Minister for Health when a person (details supplied) in County Offaly may expect a hospital appointment. [39962/14]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, we have asked the HSE to reply directly to the Deputy.

Hospitals Policy

Ceisteanna (406)

Brian Stanley

Ceist:

406. Deputy Brian Stanley asked the Minister for Health when a decision will be made on the future of hospitals (details supplied) particularly in view of ongoing delays. [39972/14]

Amharc ar fhreagra

Freagraí scríofa

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

Health Services Staff Remuneration

Ceisteanna (407)

Clare Daly

Ceist:

407. Deputy Clare Daly asked the Minister for Health his views on concerns about organisations being funded by the Health Service Executive where the indications are that employees are on the top end of the incremental scale even though that is not the case in reality; and the reason for the discrepancy regarding same. [39975/14]

Amharc ar fhreagra

Freagraí scríofa

As I have no direct role in this matter, I have forwarded your question to the HSE for direct reply.

Cancer Incidence

Ceisteanna (408)

Caoimhghín Ó Caoláin

Ceist:

408. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the specific treatments and supports available for patients with lymphoedema; his views that the suite of treatment and supports compare poorly with neighbouring jurisdictions; his plans to improve awareness among medical professionals of this condition and for its treatment and the ongoing support of sufferers; and if he will make a statement on the matter. [39991/14]

Amharc ar fhreagra

Freagraí scríofa

The National Cancer Control Programme has set up a Working Group to provide evidence based advice, awareness and support on the prevention of lymphoedema following cancer treatment. It is envisaged that it will provide advice on how to minimise the progression to clinical lymphoedema and on cellulitis risks, recognition and management. This group comprises representatives of both the health sector and the voluntary sector.

Hospital Appointment Status

Ceisteanna (409)

Seán Fleming

Ceist:

409. Deputy Sean Fleming asked the Minister for Health when a person (details supplied) in County Kildare will receive their hip reconstruction operation; and if he will make a statement on the matter. [39994/14]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, we have asked the HSE to reply directly to the Deputy.

Autism Support Services

Ceisteanna (410)

Billy Kelleher

Ceist:

410. Deputy Billy Kelleher asked the Minister for Health if he will provide in tabular form the number of assessment of needs that have been carried out by county, on a yearly basis over the past three years; of those, the number who were diagnosed with autism; and if he will make a statement on the matter. [40005/14]

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.

Pharmacy Regulations

Ceisteanna (411, 412)

Thomas P. Broughan

Ceist:

411. Deputy Thomas P. Broughan asked the Minister for Health further to Parliamentary Question No. 427 of 12 November 2013, the sanctions in place for pharmacies which failed to record or properly record the running balance in respect of one or more schedule 2 controlled drugs in the CD register and for pharmacies which were found to have physical inventories which did not agree with the balance specified in the registers. [40006/14]

Amharc ar fhreagra

Thomas P. Broughan

Ceist:

412. Deputy Thomas P. Broughan asked the Minister for Health further to Parliamentary Question No. 427 of 12 November 2013, if he will provide up to date figures on the number of pharmacies dispensing methadone which have been inspected by the Pharmaceutical Society of Ireland in November and December 2013 and to date in 2014; and the number of those pharmacies inspected which had an incorrect register balance or no running balance. [40007/14]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 411 and 412 together.

The Misuse of Drugs Regulations 1988 (S.I. No 328 of 1988) requires pharmacies to maintain a controlled drugs (CD) Register in respect of all drugs listed in Schedule 2, including methadone. All entries must be recorded in a chronological sequence and in a manner which shows a running balance.

Inspections are carried out by the Pharmaceutical Society of Ireland (PSI) under Section 67 of the Pharmacy Act 2007 (the Act) to review compliance with the Act, regulations made thereunder and medicines legislation. The sale and supply of all Schedule 2 controlled drugs and the manner in which the CD Register is maintained are checked as part of these inspections. The Register is reviewed to see if running balances are properly maintained. The physical inventory of three controlled drug preparations is counted during each inspection. The physical tally is then checked against the balance indicated in the CD Register to see if they match. The manner in which the findings are reported does not differentiate the record keeping requirements observed for methadone from other Schedule 2 controlled drugs.

As part of the registration process for retail pharmacy businesses, pharmacy owners and Superintendent Pharmacists are required to notify the PSI if the pharmacy concerned is engaged in the sale or supply of methadone. As of 20th October 2014, records indicate that 797 pharmacies are engaged in the sale and supply of methadone. These figures are contingent on the accuracy of the information provided by the registrants.

From 1st November 2013 to the 20th October 2014, 546 pharmacy systems inspections were recorded in the PSI inspection database. These show that 84 pharmacies failed to record or properly record the running balance in respect of one or more Schedule 2 controlled drugs in the CD Register, and in 115 cases the physical inventory did not agree with the balance specified in the Registers.

Once an inspection is completed, a report is issued to the registrant. The report cites both compliances and non-compliances. The registrant is required to respond to the report within a given timeframe and to confirm that each of the non-compliances identified in the report has been addressed. As part of the response registrants review and investigate deficiencies and, where appropriate, provide evidence and explanations in respect of particular matters noted. In some cases they may provide evidence/documents in support of explanations furnished. In the majority of cases, these explanations lead to the closure of the matter. In certain cases, re-inspections are directed to confirm that matters have been addressed. In 2013, one report which identified non-compliances with controlled drugs legislation, together with other non-compliances, was referred to the complaints process operated under Part 6 of the Act.

Certain inspection reports are considered by the PSI Council under section 71 of the Act (in Part 7 of the Act, which refers to Powers of Investigation). Following the consideration of a report the PSI Council may direct the Registrar to:

- Take no action

- Make a complaint against a pharmacist/(s) or a pharmacy owner

- Take such other action as is considered appropriate. This includes initiating prosecutions, directing re-inspections, seeking undertakings, deferral of decision pending undertakings.

In 2013, 388 routine inspections were carried out. Approximately 10% of these reports were considered pursuant to section 71 of the Act. The following is an approximate breakdown of the actions taken further to consideration of these reports, (noting that these are global figures and do not relate exclusively to breaches of controlled drugs legislation):

- 67% - Decision to re-inspect the pharmacy/Deferral of Decision pending re-inspection

- 27% - Take no action

- 6% - Other (This includes 1 complaint which was made against a pharmacist).

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