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Tuesday, 9 Jun 2015

Written Answers Nos. 858-878

Services for People with Disabilities

Ceisteanna (858)

Pearse Doherty

Ceist:

858. Deputy Pearse Doherty asked the Minister for Health his plans to relocate a Health Service Executive managed training service centre for people with disabilities (details supplied) in County Donegal; if a review has taken place to examine potential alternative accommodation for the service; if he will give details of all alternative accommodation and premises which have been considered as part of any such review process to relocate this service; if he will give further details of all proposals being considered for the future operation of the service; if, as part of these proposals, there are any plans to relocate the centre's current service users to other existing day service centres; and if he will make a statement on the matter. [22279/15]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, he can contact my Private Office and they will follow the matter up with the HSE.

Autism Support Services

Ceisteanna (859)

Sandra McLellan

Ceist:

859. Deputy Sandra McLellan asked the Minister for Health his views on the minimum age requirements at which a child may receive a diagnosis of autism; and if he will make a statement on the matter. [22283/15]

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. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Health Services Provision

Ceisteanna (860)

Sandra McLellan

Ceist:

860. Deputy Sandra McLellan asked the Minister for Health when a child (details supplied) in County Cork will receive an appointment for a assessment through the early intervention services; and if he will make a statement on the matter. [22285/15]

Amharc ar fhreagra

Freagraí scríofa

As the issue raised by the Deputy relates to an individual case, this is a service matter for the Health Service Executive. I have asked the HSE to look into the particular matter raised and to reply directly to the Deputy. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Hospital Appointments Delays

Ceisteanna (861)

Colm Keaveney

Ceist:

861. Deputy Colm Keaveney asked the Minister for Health when a person (details supplied) in County Galway who has been awaiting an urgent MRI scan, vital to monitor a brain tumour, since November 2013 when they were informed that the waiting period would be six months, will receive an appointment for this scan; and if he will make a statement on the matter. [22291/15]

Amharc ar fhreagra

Freagraí scríofa

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The scheduling of appointments for patients is a matter for the hospital to which the patient has been referred. Should a patient's general practitioner consider that the patient's condition warrants an earlier appointment, he or she should take the matter up with the consultant and the hospital involved. In relation to the specific case raised, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Medicinal Products Expenditure

Ceisteanna (862)

Gerry Adams

Ceist:

862. Deputy Gerry Adams asked the Minister for Health the amount spent each year by the Health Service Executive on the treatment of fibromyalgia with Lyrica, Cymbalta and Amitriptyline; and if he will make a statement on the matter. [22296/15]

Amharc ar fhreagra

Freagraí scríofa

As all three of the drugs named - Lyrica, Cymbalta, and Amitriptyline (Elavil) - have multiple indications and uses, it is not possible to provide a figure for the amount spent each year by the Health Service Executive on the reimbursement of these drugs for a specific condition, i.e. fibromyalgia.

Treatment Abroad Scheme

Ceisteanna (863)

Michael McGrath

Ceist:

863. Deputy Michael McGrath asked the Minister for Health if he will intervene to ensure that financial support is provided to a person (details supplied) in County Cork who requires to travel to the UK on a regular basis in view of the lack of a facility here; and if he will make a statement on the matter. [22347/15]

Amharc ar fhreagra

Freagraí scríofa

The HSE operates the Treatment Abroad Scheme for people entitled to treatment in another EU/EEA member state or Switzerland under EU Regulation (EC) No. 883/2004, as per the procedures set out in EU Regulations (EC) No. 987/2009, and in accordance with Department of Health Guidelines. Patients have the ability to apply to the HSE Treatment Abroad Scheme seeking access to public healthcare outside the state through model form E112. The application requires the patient's Irish based public referring hospital consultant, following clinical assessment, to certify, among other things, that the treatment is medically necessary and will meet the patient’s needs. The treatment must not be available within the State or not available within a time normally necessary for obtaining it.

The Treatment Abroad Scheme does not provide for Travel and Subsistence expenses for patients or their relatives travelling abroad to avail of approved treatments. However the HSE, subject to available funding, under the Treatment Abroad Scheme Travel Policy, may provide assistance towards reasonable economic air or sea travel fares for patients, and a travelling companion where appropriate or where the referring consultant identifies a necessity. Expenses other than air/sea fares are not admissible. However, patients who experience difficulty funding any additional costs may apply to the Department of Social Protection for assistance as an exceptional needs payment.

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible. If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

Drug Treatment Programmes

Ceisteanna (864, 865)

Mary Lou McDonald

Ceist:

864. Deputy Mary Lou McDonald asked the Minister for Health the reason a treatment facility (details supplied) in Dublin 7 is temporarily closing down; how long it is planned that this facility will remain closed; the date it will reopen; and his plans in the interim for patients waiting to access this facility. [22359/15]

Amharc ar fhreagra

Mary Lou McDonald

Ceist:

865. Deputy Mary Lou McDonald asked the Minister for Health the number of patients on the waiting list for a treatment facility (details supplied) in Dublin 7. [22360/15]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 864 and 865 together.

The provision of services to prevent and treat addiction to alcohol is the responsibility of the Health Service Executive and as such, I have referred this question to the Health Service Executive for attention and direct reply. If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

As the Deputy may recall, on 3 February 2015, the Government approved the General Scheme of a Public Health (Alcohol) Bill. The aim is to reduce alcohol consumption to the OECD average by 2020 (i.e. 9.1 litres of pure alcohol per capita) and the harms caused by alcohol. The Bill is part of a suite of measures agreed by the Government in 2013 on foot of the recommendations in the Steering Group Report on a National Substance Misuse Strategy. The other measures (eg for the HSE, professional bodies etc) set out in the Steering Group Report on a National Substance Misuse Strategy, were endorsed by Government and are to be progressed by the relevant departments and organisations. The HSE has responsibility for implementing a number of recommendations and some of these measures are reflected in the HSE Service Plan for 2015. The remit of the Drugs Task Forces was extended to include the problem of alcohol misuse last year, in view of the key role they play in co-ordinating the response to substance misuse at local level.

Primary Care Centres Provision

Ceisteanna (866)

Brendan Smith

Ceist:

866. Deputy Brendan Smith asked the Minister for Health the position regarding the proposal to provide a new health facility at a location (details supplied) in County Cavan; and if he will make a statement on the matter. [22363/15]

Amharc ar fhreagra

Freagraí scríofa

The HSE has responsibility for the provision, maintenance and operation of Primary Care Centres. Therefore, this matter has been referred to the HSE for attention and direct reply to the Deputy. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Medical Aids and Appliances Provision

Ceisteanna (867)

Dan Neville

Ceist:

867. Deputy Dan Neville asked the Minister for Health the position regarding provision of an electric wheelchair in respect of a person (details supplied) in County Limerick; and if he will make a statement on the matter. [22383/15]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy. If the Deputy has not received a reply from the HSE within 15 working days, he can contact my Private Office and they will follow the matter up with the HSE.

Health Care Professionals

Ceisteanna (868)

Dan Neville

Ceist:

868. Deputy Dan Neville asked the Minister for Health the position regarding the establishing of regulation boards in professions provided in section 26(1) of the Health and Social Care Professionals Act 2005. [22387/15]

Amharc ar fhreagra

Freagraí scríofa

The position regarding the establishment of registration boards under Section 26(1) of the Health and Social Care Professionals Act 2005 (as amended) is as follows:

A total of eight registration boards have been established to date; six are currently operating for the original designated professions of dietitian, occupational therapist, physiotherapist, radiographer, social worker and speech and language therapist. A seventh, the Social Care Workers Registration Board, was recently set up and its inaugural meeting took place on 25 May 2015. The eighth, the Optical Registration Board, was established earlier this year to regulate the professions of optometrist and dispensing optician. These optical professions, currently regulated under the Opticians Act 1956, will be regulated later this year under the 2005 Act on foot of the Health (Miscellaneous Provisions) Act 2014. This implements a Government Decision on the rationalisation of State Agencies and brings to 14 the number of professions designated for regulation by the Health and Social Care Professionals Council.

Registration boards are yet to be established for the remaining five designated professions of clinical biochemist, medical scientist, orthoptist, podiatrist and psychologist. It is hoped to have these registration boards established by the end of 2016.

Hospital Services

Ceisteanna (869)

Thomas P. Broughan

Ceist:

869. Deputy Thomas P. Broughan asked the Minister for Health to provide an update on the recent decision regarding the moving of complex surgeries from the Midland Regional Hospital, Portlaoise, and the curtailing of emergency services at the facility; the reason this decision was made; why it was decided that patients currently in the facility do not need to be transferred; and if he will make a statement on the matter. [22422/15]

Amharc ar fhreagra

Freagraí scríofa

The HSE has advised that complex surgery (bowel surgery) in Midland Regional Hospital Portlaoise will be transferred to St. James's Hospital or Tullamore as the volumes are too low to maintain the requisite expertise of clinical staff. This will result in the discontinuation of undifferentiated surgical cases that present at the hospital's Emergency Department.

This work is being done to strengthen services in Portlaoise Hospital from a patient safety and quality perspective and to ensure that services currently provided by the hospital that are not viable are discontinued and that services that are viable, are safe and adequately resourced. This is also in keeping with the recommendations of the HIQA Report into services at the hospital.

I wish to assure the Deputy that I am committed to securing and further developing the role of Portlaoise Hospital as a constituent hospital within the Dublin Midlands Hospital Group. Any change to its services will be undertaken in a planned and orderly manner and will take account of existing patient flows, demands in other hospitals and the need to develop particular services at Portlaoise in the context of overall service reorganisation in the Dublin Midlands Hospital Group. The HSE has made it clear that maternity, acute medical and paediatric services will continue, and that elective day surgery is likely to be expanded. Patient safety and outcome must come first and following concerns raised by HIQA over the potentially unsafe low volume of complex operations carried out at the hospital, the Hospital Group has decided to move complex surgery to bigger centres.

I am confident that these changes will improve services for patients at Portlaoise Hospital.

Drug Treatment Programmes Places

Ceisteanna (870)

Thomas P. Broughan

Ceist:

870. Deputy Thomas P. Broughan asked the Minister for Health the number of persons on methadone maintenance programmes in each of the community care areas for 2013, 2014 and to date in 2015; and if he will make a statement on the matter. [22423/15]

Amharc ar fhreagra

Freagraí scríofa

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

Care of the Elderly Provision

Ceisteanna (871, 872)

Dominic Hannigan

Ceist:

871. Deputy Dominic Hannigan asked the Minister for Health if the Health Service Executive can provide figures for 2009, 2010, 2011, 2012, 2013, 2014 and to date in 2015 of carers it has employed in Meath; and if he will make a statement on the matter. [22432/15]

Amharc ar fhreagra

Dominic Hannigan

Ceist:

872. Deputy Dominic Hannigan asked the Minister for Health if the Health Service Executive can provide figures for 2009, 2010, 2011, 2012, 2013, 2014 and to date in 2015 of agency carers it has employed in Meath; and if he will make a statement on the matter. [22433/15]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 871 and 872 together.

I have asked the HSE to respond to the Deputy directly on these matters. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Medical Card Administration

Ceisteanna (873)

Caoimhghín Ó Caoláin

Ceist:

873. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if it is possible to amend the medical card guidelines to enable significant credit union repayment in such situations as house renovations, to be deemed as an allowable expense; and if he will make a statement on the matter. [22434/15]

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.

If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

Medical Card Applications

Ceisteanna (874)

Bernard Durkan

Ceist:

874. Deputy Bernard J. Durkan asked the Minister for Health the current position in relation to application for Medical Card in the case of persons (details supplied) in County Kildare; and if he will make a statement on the matter. [22438/15]

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.

If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

EU Regulations

Ceisteanna (875)

Caoimhghín Ó Caoláin

Ceist:

875. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if the European Union involves itself in setting hospital standards and regulations across Europe. [22439/15]

Amharc ar fhreagra

Freagraí scríofa

The scope for EU action in health policy is set in Article 168 of the Treaty on the Functioning of the European Union. The overriding principle is that human health is well protected and accounted for in the development of all EU policies and activities.

The Treaty also makes clear that the EU shall fully respect the responsibility of individual Member States to define their health policies and organise and deliver their health services and medical care, including any resources assigned to them.

The EU mostly complements and supports the work that goes on in individual Member States on issues where coordination cooperation and exchange of information, knowledge and best practice is the best way forward. For example, under the EU Commission’s Directorate General for Health and Food Safety (DG SANTE), the Patient Safety and Quality of Care Expert Group supports and guides Member States in developing their respective patient safety agendas, including the prevention and control of healthcare associated infections. The Group, which also comprises relevant stakeholders (professional associations at European level and interested agencies) is working to develop a framework for a sustainable EU collaboration on patient safety and quality of care in order to advance the overall patient safety agenda. It also supports a Patient Safety Joint Action initiative which has worked across Member States to develop practical work packages to support healthcare across the Community.

Primary Care Services Provision

Ceisteanna (876)

Caoimhghín Ó Caoláin

Ceist:

876. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the percentage of the overall health budget spent on primary care in this State; his views on how this compares with similar jurisdictions; and if he will make a statement on the matter. [22441/15]

Amharc ar fhreagra

Freagraí scríofa

The HSE's National Service Plan for 2015 shows a net budget allocation of €12,131 million. Some €3,311.8 million of this is allocated for Primary Care, of which €726 million covers Primary Care pay/non-pay and €2,485.8 million covers expenditure by the Primary Care Reimbursement Service. This represents approximately 27% of the overall net health budget.

Currently there is no direct international comparison for Primary Care expenditure. From 2016, there will be a legal obligation on all EU Member States to provide data for the System of Health Accounts. While the System of Health Accounts will not mention primary care specifically, it will be possible to compare expenditure by type of provider, such as providers of ambulatory healthcare or type of function, e.g. pharmaceuticals.

It will be mid to late 2016 before the 2014 data for EU Member States is available.

General Practitioner Training

Ceisteanna (877)

Caoimhghín Ó Caoláin

Ceist:

877. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the number of general practitioners who are currently in training; and if he will make a statement on the matter. [22442/15]

Amharc ar fhreagra

Freagraí scríofa

From 1 July 2010, the number of GP training places increased from 120 to 157 per annum. There are 14 GP training programmes in operation around the country. Currently all GP training programmes are of four years duration and all trainees are required to complete two years in a hospital setting and two years in general practice with a GP trainer.

As the total number of GPs in training can vary slightly from time to time due to maternity leave, illness, etc., the Health Service Executive (HSE) has been asked to respond directly to the Deputy on this matter. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Hospital Investigations

Ceisteanna (878)

Billy Timmins

Ceist:

878. Deputy Billy Timmins asked the Minister for Health if he will outline the details of an incident that occurred in St. Vincent's Hospital, Dublin 4 (details supplied); and the steps that have been taken as a result of the incident. [22453/15]

Amharc ar fhreagra

Freagraí scríofa

The HSE has confirmed that an incident took place between two patients recently and that it is carrying out a full review into the incident. As this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

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