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Tuesday, 3 Oct 2017

Written Answers Nos. 402-421

Nursing Staff Recruitment

Ceisteanna (402)

Louise O'Reilly

Ceist:

402. Deputy Louise O'Reilly asked the Minister for Health further to Question No. 398 of 26 September 2017, the reason his Department rejected the application from Letterkenny University Hospital for two advanced nurse practitioners with a role in respect of transition services to adult clinics and a second advanced nurse practitioner in adult services who would also develop a speciality in pump therapy for adults, as agreed in the meeting referred to; and if his attention has been drawn to the implications of delaying these appointments until 2018. [41600/17]

Amharc ar fhreagra

Freagraí scríofa

On 28 June, I met with the Donegal Branch of Diabetes Ireland, the HSE and the Saolta Healthcare Group to discuss the current challenges and future development of diabetes services in the Northwest. Following that meeting, officials of my Department requested the HSE to assess the scope to progress a number of action points in relation to the provision of services for paediatric and adult diabetes in County Donegal, including the progression of two Advanced Nurse Practitioners posts for Letterkenny University Hospital. I appreciate that some actions will be dependent on funding and will need to be considered once the Budget and National Service Plan for 2018 are finalised.

Nursing Staff Recruitment

Ceisteanna (403)

Thomas P. Broughan

Ceist:

403. Deputy Thomas P. Broughan asked the Minister for Health the number of nursing positions in Beaumont Hospital that will be offered to upcoming graduates; and if he will make a statement on the matter. [41606/17]

Amharc ar fhreagra

Freagraí scríofa

I can confirm that all 2017 nursing and midwifery graduates will be offered permanent contracts by the HSE. These offers will be subject to the usual recruitment requirements. Nursing and midwifery recruitment and retention is a priority for the Government and officials in my Department are liaising with the HSE on a weekly basis to review progress on the appointment of nursing graduates.

These contracts are being offered as part of the 2017 Nursing and Midwifery Agreement, reached with the INMO and SIPTU. This Agreement has a particular focus on addressing recruitment and retention of nursing and midwifery posts. It has committed to put in place an additional 1,224 nursing and midwifery posts across the public health service by the end of December 2017. Very extensive and detailed work has been sustained throughout 2017 to implement the Agreement.

Each Hospital or Community Healthcare Organisation is making offers to the 2017 nursing and midwifery graduates who undertake their clinical placement in their location. Every effort is being made to accommodate the graduate nurses and midwives in their preferred locations. Where a Hospital or CHO area is unable to offer places to all graduates, then the remaining graduates are offered places in the respective Hospital Group or an alternative CHO location, as appropriate.

I have asked the HSE to respond to the Deputy directly with the specific data sought in the question.

Respite Care Services Data

Ceisteanna (404, 405)

Thomas P. Broughan

Ceist:

404. Deputy Thomas P. Broughan asked the Minister for Health the number of persons waiting for an initial assessment for respite services in CHO area 9; the number of those persons who have been waiting for three months, three to six months, six to nine months, nine to 12 months, and for over 12 months for the assessment; and if he will make a statement on the matter. [41607/17]

Amharc ar fhreagra

Thomas P. Broughan

Ceist:

405. Deputy Thomas P. Broughan asked the Minister for Health the number of persons waiting for an initial assessment for day care services in CHO area 9; the number of those persons who have been waiting for three months, three to six months, six to nine months, nine to 12 months, and for over 12 months for the assessment; and if he will make a statement on the matter. [41608/17]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 404 and 405 together.

As these are a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Medical Aids and Appliances Provision

Ceisteanna (406)

Gino Kenny

Ceist:

406. Deputy Gino Kenny asked the Minister for Health his plans to make the FreeStyle Libre flash glucose monitoring system available to persons with type 1 diabetes in view of the fact it is now available to UK NHS patients; and if he will make a statement on the matter. [41617/17]

Amharc ar fhreagra

Freagraí scríofa

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Hospital Waiting Lists Data

Ceisteanna (407)

Louise O'Reilly

Ceist:

407. Deputy Louise O'Reilly asked the Minister for Health the number of elective surgeries, by type, on the elective waiting lists that have been cancelled in 2016 and to date in 2017, in tabular form; the reason the surgeries were cancelled; if it was due to a lack of ICU or ward beds and so on; and if he will make a statement on the matter. [41627/17]

Amharc ar fhreagra

Freagraí scríofa

I fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled.

Maintaining scheduled care access for all patients is a key priority for hospitals, and balancing this with emergency demand at times is challenging. However, all efforts are made by hospitals to limit cancellations particularly for clinically urgent procedures.

Cancellation of elective procedures can occur for a variety of exceptional reasons including cancellations because a bed or the clinical team are not available, cancellations by the patient or because the patient may not be fit for surgery at the time.

Based on data provided by the NTPF, collated from reports by hospitals, approximately 3,400 elective procedures, on average, are cancelled per month. However, this must be seen in context. In 2016, typically in a month, there were approximately 53,000 admissions to acute hospitals on a daycase and an inpatient basis.

It is essential that hospitals continue to improve how they manage, and balance, the demand for emergency care with the planning of elective procedures, to minimise the impact on patients. In addition, the HSE continues to improve its processes to minimise the number sessions lost when patients cancel or do not attend for their procedures.

The Department of Health has commenced a Health Service Capacity review in line with the Programme for Government commitment, the findings of which are due to be published before the end of the year.

In response to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.

Question No. 408 answered with Question No. 309.

Emergency Services

Ceisteanna (409)

Billy Kelleher

Ceist:

409. Deputy Billy Kelleher asked the Minister for Health if he will meet persons (details supplied) to discuss their recent experience with the emergency services; and if he will make a statement on the matter. [41715/17]

Amharc ar fhreagra

Freagraí scríofa

At the outset I would like to offer my sincerest condolences to the family involved in this case.

Due to a very busy schedule of Government and Departmental business, I regret that I am not in a position to accede to this request for a meeting. However, I have advised the family to contact the Director of the National Ambulance Service, which will be in a position to meet them to discuss their concerns.

Health Services Provision

Ceisteanna (410)

Kevin O'Keeffe

Ceist:

410. Deputy Kevin O'Keeffe asked the Minister for Health if an application will be expedited for a person (details supplied). [41716/17]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to an individual case, I have arranged for the question to be referred to the Health Service Executive, HSE, for direct reply to the Deputy.

Hospital Waiting Lists Data

Ceisteanna (411)

Peadar Tóibín

Ceist:

411. Deputy Peadar Tóibín asked the Minister for Health the number of persons on the Our Lady's Hospital, Navan, cardiac care waiting list; the average waiting time; and the longest time that a person must wait. [41729/17]

Amharc ar fhreagra

Freagraí scríofa

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

Long-Term Illness Scheme Coverage

Ceisteanna (412)

Fergus O'Dowd

Ceist:

412. Deputy Fergus O'Dowd asked the Minister for Health his plans to place the FreeStyle Libre flash glucose monitoring system for the treatment of diabetes on the long-term illness scheme; and if he will make a statement on the matter. [41731/17]

Amharc ar fhreagra

Freagraí scríofa

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Nursing Education

Ceisteanna (413)

Billy Kelleher

Ceist:

413. Deputy Billy Kelleher asked the Minister for Health if consideration has been given to introducing a postgraduate programme that would allow nurses from other fields to study and train to become general nurses helping to alleviate staffing issues; and if he will make a statement on the matter. [41732/17]

Amharc ar fhreagra

Freagraí scríofa

The review of the Undergraduate Nursing and Midwifery Degree Programme undertaken by the Department of Health in 2012 recommended, “Graduate entry programmes for those who have already attained degree level education in a relevant area” (Recommendation 3.3.3). The revised Standards and Requirements of the Nursing and Midwifery Board of Ireland (NMBI 2015) provide for shortened courses for graduate entry nurses with the proviso that relevant EU Directive and NMBI requirements for registration are met. I understand that currently no higher education institution has developed such a programme for approval by the NMBI.

Dental Services Provision

Ceisteanna (414)

Robert Troy

Ceist:

414. Deputy Robert Troy asked the Minister for Health if dental treatment will be carried out for a person (details supplied); and if he will make a statement on the matter. [41740/17]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Appointments Administration

Ceisteanna (415)

Billy Kelleher

Ceist:

415. Deputy Billy Kelleher asked the Minister for Health the consideration that has been given to the use of email, text and so on to notify persons of appointments in circumstances in which it is possible in an effort to reduce administration costs; and if he will make a statement on the matter. [41741/17]

Amharc ar fhreagra

Freagraí scríofa

In order to ensure that outpatient services and the time of clinical staff are used to best effect, it is important that the HSE progresses initiatives to reduce the number of people not presenting for outpatient appointments. Consequently, the HSE is investing in digital and technological systems to ensure that patients are appropriately reminded.

One of the solutions eHealth Ireland has proposed is to provide a standardised national patient reminder service using SMS or email. This solution has the potential to reduce the number of people who do not show up for appointments and, in addition, this allows current processes to be adapted and new procedures to be built to reallocate those appointments slots to other patients. This standardised national text reminder service project has already been initiated.

In addition, under the new Outpatient Reform Programme, the hospital system will be moving to advanced booking systems which will allow patients two choices of appointment time. This process has been shown internationally to dramatically reduce patient failure to attend.

These initiatives are being progressed in conjunction with the HSE's Outpatient Waiting List Action Plan 2017, which has commenced and is currently undergoing implementation.

Respite Care Services Funding

Ceisteanna (416)

Billy Kelleher

Ceist:

416. Deputy Billy Kelleher asked the Minister for Health if he will allocate in budget 2018 the required moneys for the provision of the pilot project for Prader-Willi syndrome providing respite; and if he will make a statement on the matter. [41743/17]

Amharc ar fhreagra

Freagraí scríofa

Earlier this year, I met with the Prader-Willi Syndrome Association of Ireland, PWSAI. The purpose of this meeting was for the PWSAI to outline the research findings of, “A Population-Based Profile of Prader-Willi Syndrome in Ireland", and to make a case for the delivery of respite services, specifically catering to the needs of Prader-Willi sufferers. The Health Service Executive, HSE, met the PSWAI representatives on 7 July 2017 and are committed to establishing a working group to look at the challenges of those suffering from Prader-Willi syndrome.

The Programme for Partnership Government states that the Government wishes to provide more accessible respite care to facilitate full support for people with a disability.

The HSE remains committed to working with all voluntary disability service providers to ensure that all of the resources available for specialist disability services, including respite services, are used in the most efficient and effective manner possible.

My Department is currently engaged in discussions with the HSE and the Department of Public Expenditure and Reform as part of the Estimates Process for Budget 2018. Pending the conclusion of these discussions, I am not in a position to comment on the level of funding that will be available in 2018 for disability services generally and specifically for respite care services.

Long-Term Illness Scheme Coverage

Ceisteanna (417)

Kevin O'Keeffe

Ceist:

417. Deputy Kevin O'Keeffe asked the Minister for Health when the FreeStyle Libre system will be made available under the long-term illness scheme for persons with diabetes; if availability will not be restricted to persons with type 1 diabetes such that the product will be made available to every person on multi-daily insulin injections based on clinical need; and if he will make a statement on the matter. [41746/17]

Amharc ar fhreagra

Freagraí scríofa

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Drug Treatment Programmes

Ceisteanna (418)

Thomas P. Broughan

Ceist:

418. Deputy Thomas P. Broughan asked the Minister for Health if necessary supports will be allocated to a drug rehabilitation and drugs prevention programme (details supplied) in Dublin. [41756/17]

Amharc ar fhreagra

Freagraí scríofa

With effect from 1 January 2014, operational and financial responsibility for the Kilbarrack Coast Community Programme was transferred to the Health Service Executive. Therefore, this service matter has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Hospitals Data

Ceisteanna (419)

Mary Butler

Ceist:

419. Deputy Mary Butler asked the Minister for Health the number of persons who required in-hospital treatment for diabetes-related foot complications and lower limb loss attending University Hospital Waterford over the past five years, in tabular form; and if he will make a statement on the matter. [41759/17]

Amharc ar fhreagra

Freagraí scríofa

In relation to the specific case raised, I have asked the HSE to respond to the Deputy directly.

Hospitals Data

Ceisteanna (420)

Mary Butler

Ceist:

420. Deputy Mary Butler asked the Minister for Health the number of persons who were referred to another hospital who required treatment for diabetes-related foot complications and lower limb loss attending University Hospital Waterford over the past five years, in tabular form; and if he will make a statement on the matter. [41760/17]

Amharc ar fhreagra

Freagraí scríofa

In relation to the specific case raised, I have asked the HSE to respond to the Deputy directly.

Medical Aids and Appliances Provision

Ceisteanna (421)

Michael Healy-Rae

Ceist:

421. Deputy Michael Healy-Rae asked the Minister for Health the reason the FreeStyle Libre blood monitor is not available through the medical card or long-term illness card in view of the fact that the NHS has recently made it available in the UK; and if he will make a statement on the matter. [41764/17]

Amharc ar fhreagra

Freagraí scríofa

Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

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