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Tuesday, 17 Oct 2017

Written Answers Nos. 331-350

Graduate Medicine Programme Fees

Ceisteanna (335)

Charlie McConalogue

Ceist:

335. Deputy Charlie McConalogue asked the Minister for Health if there are funds within his Department to assist a person (details supplied) who is attending college overseas in order to become a doctor; and if he will make a statement on the matter. [43615/17]

Amharc ar fhreagra

Freagraí scríofa

The funding of undergraduate medical education is a matter for the Department of Education and Skills.

The number of places currently funded is considered sufficient to supply the needs of the Irish health care system. With regard to the issues of recruitment and retention of graduating doctors, my Department is monitoring the implementation of the MacCraith Report recommendations, which deal with these topics.

The position is that there are no funds available, within my Department, to assist individuals acquire undergraduate medical degrees outside this State.

Hospital Waiting Lists

Ceisteanna (336)

Niamh Smyth

Ceist:

336. Deputy Niamh Smyth asked the Minister for Health the reason a person (details supplied) cannot be added to a hip operation waiting list while they lose weight; if there is a specific weight criterion for this procedure; and if he will make a statement on the matter. [43616/17]

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 National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care. This policy, which has been adopted by the HSE, sets out the processes that hospitals are to implement to manage waiting lists.

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

Disabilities Assessments

Ceisteanna (337)

Mick Wallace

Ceist:

337. Deputy Mick Wallace asked the Minister for Health the average waiting times to begin and complete, respectively, an assessment of need under the Disability Act 2005 after the date of application in each county in each of the years 2007 to 2016 and to date in 2017, in tabular form; and the number of whole-time equivalent assessment officers employed in each of the years since 2007 in each county, in tabular form. [43644/17]

Amharc ar fhreagra

Freagraí scríofa

The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives. This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality of opportunity and improving the quality of life for people with disabilities.

As the Deputy's question's relate to a service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Hospital Appointments Status

Ceisteanna (338)

Timmy Dooley

Ceist:

338. Deputy Timmy Dooley asked the Minister for Health when a person (details supplied) in County Clare will receive treatment; and if he will make a statement on the matter. [43654/17]

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 is a matter for the hospital to which the patient has been referred. Should a patient’s general practitioner consider the patient’s condition warrants and 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.

Departmental Funding

Ceisteanna (339)

Pat Deering

Ceist:

339. Deputy Pat Deering asked the Minister for Health the amount of funding per annum charities and Government agencies (details supplied) received for 2016 or the nearest available year; and if he will make a statement on the matter. [43659/17]

Amharc ar fhreagra

Freagraí scríofa

My Department administered a National Lottery Discretionary Fund up to and including 2016 from which once-off grants were paid to community and voluntary organisations providing a range of health related services. The 2016 National Lottery Fund provided a grant of €24,075 to the National Women's Council of Ireland (NWCI) to fund the World Congress on Women's Mental Health in March 2017. The other organisations named by the Deputy were not awarded National Lottery funding by my Department in 2016.

I have asked the Health Service Executive to reply directly to the Deputy regarding funding paid to the organisations named during 2016.

Neuro-Rehabilitation Policy

Ceisteanna (340)

Caoimhghín Ó Caoláin

Ceist:

340. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the status of the draft HSE rehabilitation medicine model of care; when it will be published; and if he will make a statement on the matter. [43686/17]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to service matters, I have arranged for the question to be referred out to the Health Service Executive for a direct reply to the Deputy.

Home Care Packages Provision

Ceisteanna (341)

Niamh Smyth

Ceist:

341. Deputy Niamh Smyth asked the Minister for Health the status of a home care package for a person (details supplied); the detail of this home care package; and if he will make a statement on the matter. [43687/17]

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 for direct reply to the Deputy.

Home Care Packages Data

Ceisteanna (342)

Billy Kelleher

Ceist:

342. Deputy Billy Kelleher asked the Minister for Health the number of home care packages and transitional care beds that will be provided by the €37 million funding announced in budget 2018. [43696/17]

Amharc ar fhreagra

Freagraí scríofa

Budget 2018 has provided additional resources for Services for Older People and we are in a position to strengthen supports, in particular to facilitate speedier discharge from acute hospitals this winter. Discussions are ongoing between the Department and the HSE in relation to the level and timing of home care packages and transitional care approvals that can be provided following last week's announcement.

Mental Health Services Funding

Ceisteanna (343)

Pat Buckley

Ceist:

343. Deputy Pat Buckley asked the Minister for Health the expenditure on mental health in 2017; the equivalent figures on a like-for-like basis in terms of services provided in each of the years from 2011 to 2016 taking into consideration reclassifications of expenditure between those dates. [43698/17]

Amharc ar fhreagra

Freagraí scríofa

The HSE Mental Health Services Division expects to spend its full allocation of €853 million in 2017.

Funding provided for Mental Health Services for each year for the period 2011 to 2016 are as follows:

Year

2011

2012

2013

2014

2015

2016

Allocation

712.0

711.0

737.0

766.0

791.8

826.6

Spend

 

 

709.0

735.8

785.4

825.0

Mental Health Services Funding

Ceisteanna (344)

Pat Buckley

Ceist:

344. Deputy Pat Buckley asked the Minister for Health the increased funding announced for mental health in line with the programme for Government commitment in each of the years 2012 to 2016 and to date in 2017; and the amount of that funding for each calendar year that was actually drawn down or spent on mental health services, in tabular form. [43699/17]

Amharc ar fhreagra

Freagraí scríofa

Funding provided for Mental Health Services for each year for the period 2012 to 2017 are as follows:

Year

2012

2013

2014

2015

2016

2017

Allocation

711.0

737.0

766.0

791.8

826.6

853.1

PFG & Pay Agreement

35.0

35.0

20.0

35.0

35.0

15 PFG & 9.6 Pay

Net Increase

 

26.0

29.0

25.8

34.8

26.5

Spend

 

709.0

735.8

785.4

825.0

853.1*

*projected

The HSE Mental Health Services Division expects to spend its full allocation of €853 million in 2017.

Mental Health Services Funding

Ceisteanna (345)

Pat Buckley

Ceist:

345. Deputy Pat Buckley asked the Minister for Health the amount the €35 million in additional funding for mental health announced in budget 2017 that was spent in the 2017 period; the amount that was included in the expenditure figure for 2017; the amount that was carried over into the budget 2018 figures announced recently; and if he will make a statement on the matter. [43700/17]

Amharc ar fhreagra

Freagraí scríofa

The HSE Mental Health Services Division expect to spend its full allocation of €853 million in 2017. Budget 2017 made allowance for an additional €35 million for services to be initiated in 2017 and continued in 2018. Recognising the time-frame required to initiate new developments, €15 million was provided as part of the overall 2017 Budget. This was in part due to the time lag of new staff taking up posts and the completion of preparations for the introduction and enhancement of key priorities as specified in the HSE's 2017 Service Plan.

Budget 2018 announced €35 million to further develop mental health services in 2018 and the Minister for Health has also committed an additional €55 million in funding for 2019. The €35 million increase is made up of the €20 million continuing cost in 2018 of developments initiated in 2017, combined with a further €15 million for further new developments.

Nursing Homes Support Scheme

Ceisteanna (346)

Seán Sherlock

Ceist:

346. Deputy Sean Sherlock asked the Minister for Health the nature of discussions between his Department or agencies under his remit with an organisation (details supplied) regarding the nursing home support scheme, particularly regarding the NTPF. [43705/17]

Amharc ar fhreagra

Freagraí scríofa

The Department of Health has met regularly with various stakeholders, including Nursing Homes Ireland. Meetings with NHI have discussed a wide range of issues including the review of the Nursing Homes Support Scheme, funding of Long Term Care, residential care standards, recruitment and workforce planning. NHI was also represented on previous Working Groups chaired by the Department which considered the Care and Welfare Regulations and Towards a Restraint Free Environment in Nursing Homes. In November 2016 NHI presented to the Interdepartmental Working Group established to oversee certain recommendations contained in the review of the Nursing Homes Support Scheme.

I have had three meetings with the NHI, the most recent of which took place in September 2017. A number of different issues were discussed, including nursing home charges, cost pressures, the recruitment and retention of health care assistants in the nursing home care sector and workforce planning and the implementation of the Nursing Homes Support Scheme review.

The NHSS is a system of financial support for those assessed as needing long-term nursing home care. Participants contribute to the cost of their care according to their means while the State pays the balance of the cost. Under law each private and voluntary nursing home must negotiate and agree a price for long-term residential care services with the National Treatment Purchase Fund (NTPF) should they wish to be an approved nursing home for the purposes of the Scheme.

The process of setting prices with individual private nursing homes is commonly referred to as the NTPF pricing mechanism. The National Treatment Purchase Fund has statutory independence in the performance of its function, and negotiates with each nursing home on an individual basis.

A Steering Committee was established to oversee and manage the pricing review. The Steering Committee is chaired by the NTPF and includes representatives from the Department of Health, the Department of Public Expenditure and Reform (DPER) and the NTPF. External consultants Deloitte and Prospectus were engaged by the NTPF in June 2016 to assist in its review of the pricing mechanism. Numerous stakeholders were engaged in this process, including NHI. Work in this area is ongoing and well advanced.

Hospital Staff Recruitment

Ceisteanna (347)

Seán Sherlock

Ceist:

347. Deputy Sean Sherlock asked the Minister for Health further to Parliamentary Question No. 760 of 21 March 2017, the progress made on the recruitment of an additional 4.5 whole-time equivalent sonographers at CUMH. [43707/17]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the HSE to respond to you directly.

Services for People with Disabilities

Ceisteanna (348)

Louise O'Reilly

Ceist:

348. Deputy Louise O'Reilly asked the Minister for Health if his attention has been drawn to the alarm among disabled persons and their families and carers in County Donegal, caused by the closure of the swimming pool at a location (details supplied); if the swimming pool will be reopened; and if he will make a statement on the matter. [43713/17]

Amharc ar fhreagra

Freagraí scríofa

The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives. This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality of opportunity and improving the quality of life for people with disabilities.

As the Deputy's question's relate to a service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Mental Health Services Funding

Ceisteanna (349)

James Browne

Ceist:

349. Deputy James Browne asked the Minister for Health the projected expenditure on mental health in 2017; and if he will make a statement on the matter. [43720/17]

Amharc ar fhreagra

Freagraí scríofa

The HSE Mental Health Services expect to spend their full allocation of €853 million in 2017. New developments have been initiated and will continue to be enhanced, along with existing services, in the coming years in line with the Programme for Government and recommendations from A Vision for Change.

Between 2012 and 2017 €140 million additional funding has been provided to the Mental Health Budget, with an addition of €59.1 million announced in Budget 2018, bringing increased investment by the Government to over €200 million, or 28%, since 2012. In addition, the Minister for Health has committed to a further €55 million to be made available for mental health services in 2019.

Mental Health Services Funding

Ceisteanna (350)

James Browne

Ceist:

350. Deputy James Browne asked the Minister for Health the amount of the additional €15 million for mental health in 2017 which will be spent in 2017; the specific initiatives it has funded; the number of additional positions it has provided in the mental health division; the use to which unspent funds will be diverted; and if he will make a statement on the matter. [43721/17]

Amharc ar fhreagra

Freagraí scríofa

The HSE Mental Health Services Division expects to spend its full allocation of €853 million in 2017. This includes the €15 million allocated to new developments, which have been initiated and will continue to be enhanced, along with existing services, in the coming years in line with the Programme for Government and recommendations from A Vision for Change.

Among the initiatives funded by the €15 million are Forensic Community In-Reach Teams, additional Nurse Undergraduate places, and the enhancement of both 7-day-a-week and Eating Disorder services.

The number of additional posts provided for in 2017 is 325.

Budget 2018 made allowance for an additional €59 million for Mental Health Services for 2018. This includes pay-related costs of €24 million, €20 million to further progress the new initiatives commenced in 2017, and the €15 million for new developments above.

This increase will result in a Mental Health Budget of €912.1 million, an increase of €200 million, or 28%, since 2012. In addition, the Minister for Health has committed to a further €55 million to be made available for mental health services in 2019.

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