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Tuesday, 1 May 2018

Written Answers Nos. 249-262

Occupational Therapy Waiting Lists

Ceisteanna (249)

Seán Crowe

Ceist:

249. Deputy Seán Crowe asked the Minister for Health if a person (details supplied) was informed in 2016, by staff from Chamber House in Tallaght, that an appointment for speech and language therapy would be available in March 2018 and it may now take another year; when the child will receive supports that now include occupational therapy and behavioural therapy; the reason for the delay; and the steps being taken to resolve the delay for children in this catchment area with special needs. [18717/18]

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 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.

Hospital Beds Data

Ceisteanna (250)

Gerry Adams

Ceist:

250. Deputy Gerry Adams asked the Minister for Health the number of beds allocated in the National Rehabilitation Hospital for persons with an acquired brain injury for the past five years, in tabular form. [18720/18]

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 relates to a service issue, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Hospital Investigations

Ceisteanna (251)

Michael Fitzmaurice

Ceist:

251. Deputy Michael Fitzmaurice asked the Minister for Health the status of the Irish Medical Council's investigation into a person (details supplied); and if he will make a statement on the matter. [18737/18]

Amharc ar fhreagra

Freagraí scríofa

Under the Medical Practitioners Act 2007, the Medical Council is the statutory body charged with responsibility for the registration and regulation of medical practitioners in the State. Disciplinary matters concerning registered medical practitioners are entirely a matter for the Council. I have no role in relation to such matters, as I am precluded by section 9 of the Act from giving policy directions to the Council in relation to the performance of its functions in the area of complaints concerning registered medical practitioners.

I have been informed by the Medical Council that this matter is still under investigation. Accordingly, I am not in a position to comment.

Medical Negligence Cases

Ceisteanna (252)

Michael Fitzmaurice

Ceist:

252. Deputy Michael Fitzmaurice asked the Minister for Health his views on whether he has a duty of care with regard to a person (details supplied); his further views on whether there is an onus on him to obtain a resolution for the care of the person; and if he will make a statement on the matter. [18738/18]

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.

As this is a service issue, I have asked the HSE to reply directly to the Deputy.

Autism Incidence

Ceisteanna (253, 254)

Darragh O'Brien

Ceist:

253. Deputy Darragh O'Brien asked the Minister for Health the number of children up to 18 years of age who have been assessed and diagnosed with autism in north County Dublin; and if he will make a statement on the matter. [18745/18]

Amharc ar fhreagra

Darragh O'Brien

Ceist:

254. Deputy Darragh O'Brien asked the Minister for Health the number of children with autism up to 18 years of age who are receiving the relevant appropriate supports in north County Dublin; and if he will make a statement on the matter. [18746/18]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 253 and 254 together.

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 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.

Road Safety

Ceisteanna (255)

Peter Burke

Ceist:

255. Deputy Peter Burke asked the Minister for Health if he will request the HSE to review the traffic arrangements at a site (details supplied) under its control in view of the danger they pose to customers and residents of the area; and if he will make a statement on the matter. [18757/18]

Amharc ar fhreagra

Freagraí scríofa

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply.

Primary Care Centres Provision

Ceisteanna (256)

Joan Collins

Ceist:

256. Deputy Joan Collins asked the Minister for Health when a primary care unit proposed and agreed in Curlew Road, Drimnagh, Dublin 12 will be cleared by the HSE for funding to commence its build. [18768/18]

Amharc ar fhreagra

Freagraí scríofa

As the Health Service Executive is responsible for the delivery of health care infrastructure projects, the Executive has been requested to reply directly to the Deputy in relation to the development of a primary care centre in Drimnagh.

National Treatment Purchase Fund

Ceisteanna (257)

John Brassil

Ceist:

257. Deputy John Brassil asked the Minister for Health the way in which a person (details supplied) can avail of the National Treatment Purchase Fund for an ophthalmology procedure; and if he will make a statement on the matter. [18771/18]

Amharc ar fhreagra

Freagraí scríofa

Improving waiting times for hospital procedures is a key commitment in the Programme for Government and in 2018, €50 million was allocated to the NTPF to provide treatment for patients. The recently launched Inpatient/Day Case Action Plan outlines the combined impact of HSE and NTPF activity in 2018 to reduce the number of patients waiting for treatment to below 70,000 in 2018.

The action plan places a particular focus on cataract surgery and commits to offering treatment to all cataract patients who are clinically suitable for outsourcing and who have been waiting more than nine months for treatment.

In respect of the work of the NTPF, the NTPF authorises public hospitals to offer outsourced treatment to clinically suitable long waiting patients who are on an inpatient/day case waiting list for surgery, having been referred on to such a list following clinical assessment by a consultant/specialist at an outpatient clinic. The NTPF advise that they cannot discuss details of individual patients. NTPF authorisations are made in respect of the longest waiting patients first. In respect of Ophthalmology, the NTPF are currently authorising patients who will be nine months waiting by June 2018.

In all cases, the appropriate care pathway of an individual patient remains a decision for their treating clinician.

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

Nursing Homes Support Scheme Review

Ceisteanna (258)

Kevin O'Keeffe

Ceist:

258. Deputy Kevin O'Keeffe asked the Minister for Health the status of the fair deal nursing home scheme (details supplied) that is due to be amended. [18774/18]

Amharc ar fhreagra

Freagraí scríofa

My Department has been advancing work on this matter and having regard for this complex issue and for the sensitivities of the scheme I requested legal advice from the office of the Attorney General regarding potential changes to the legislation that will address this matter.

The Department has received this advice and is exploring the policy and legislative changes necessary and any potential impacts as a result of amending the scheme. A memo for Government on this issue will be brought forward shortly and subject to Government approval and the drafting process, I then hope to bring forward these legislative proposals thereafter.

Hospital Staff Data

Ceisteanna (259)

Stephen Donnelly

Ceist:

259. Deputy Stephen S. Donnelly asked the Minister for Health the estimated full-year cost of implementing the framework for safe nurse staffing and skill mix in all acute hospital settings; the number of additional whole-time equivalent nursing staff who would be required to implement the framework in all acute hospital settings; and the number of additional whole-time equivalent healthcare assistants required for same. [18776/18]

Amharc ar fhreagra

Freagraí scríofa

I was delighted to launch the final report on the ”Framework for safe Nurse staffing and Skill mix in General, Specialist Medical and Surgical care settings in acute Adult hospitals in Ireland" on 16 April 2018. This framework sets out for the first time a methodology for calculating the staffing requirement and skill mix needed in our specialist medical and surgical wards in adult hospitals.

The framework was developed based on international research, consultation with key stakeholders and was piloted in three hospitals. Results for the pilots showed significant benefits for both patients and staff. Benefits for patients included reduced length of stay, increased quality of care and increased satisfaction with the care received. Staff reported an increase in job satisfaction and reduced absenteeism with a corresponding reduction in agency costs.

The next step is to develop a national implementation plan for incremental roll out across our hospitals. While it will determine the whole time equivalent of nurses and care assistants required, the unique point about the framework is that it is underpinned by the assessment of individual patient need, monitoring patient outcomes, staff and patient experience as well as assessment of required nursing hours. Therefore accurate costings will only become available when the implementation plan is developed.

Medical Aids and Appliances Provision

Ceisteanna (260)

Noel Grealish

Ceist:

260. Deputy Noel Grealish asked the Minister for Health the reason for excluding persons over 21 years of age with type 1 diabetes from accessing FreeStyle Libre blood glucose monitors; and if he will make a statement on the matter. [18789/18]

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 Charges

Ceisteanna (261)

Róisín Shortall

Ceist:

261. Deputy Róisín Shortall asked the Minister for Health further to Parliamentary Questions Nos. 157 of 13 December 2017 and 121 of 24 January 2018, if his officials have examined the matter and provided him with advice following his receipt of the petition in favour of removing the inpatient day case charge imposed on haemochromatosis patients; if a decision will be made on the issue; and if he will make a statement on the matter. [18790/18]

Amharc ar fhreagra

Freagraí scríofa

My Department is currently considering the issue of the application of the public in-patient charge of €80 for venesection in acute hospitals as well as broader issues in relation to the treatment of patients with Hereditary Haemochromatosis. In this context, a meeting involving relevant personnel in the HSE and the Department of Health is being arranged.

Energy Schemes Data

Ceisteanna (262)

Timmy Dooley

Ceist:

262. Deputy Timmy Dooley asked the Minister for Health if his Department has undertaken an assessment of results arising for respiratory disease sufferers who have benefitted from the warmth and wellbeing scheme; and if he will make a statement on the matter. [18794/18]

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.

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