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Tuesday, 1 May 2018

Written Answers Nos. 263-276

Medical Inquiries

Ceisteanna (263)

Noel Grealish

Ceist:

263. Deputy Noel Grealish asked the Minister for Health the outcome of reviews and investigations by organisations (details supplied) and the measures that were put in place to ensure a similar situation does not recur; if the surgery required by the person will be expedited in view of their experience with the initial surgery; and if he will make a statement on the matter. [18817/18]

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.

As the Saolta University Healthcare Group comes under the remit of the Health Service Executive (HSE), I have referred this to the HSE for direct reply to the Deputy.

Medical Aids and Appliances Provision

Ceisteanna (264)

Michael Healy-Rae

Ceist:

264. Deputy Michael Healy-Rae asked the Minister for Health if the HSE will fund a hoist for a person (details supplied); and if he will make a statement on the matter. [18823/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter it has been referred to the HSE for direct reply to the Deputy.

Mental Health Services Provision

Ceisteanna (265)

Seamus Healy

Ceist:

265. Deputy Seamus Healy asked the Minister for Health the status of the reopening of acute inpatient psychiatric beds in County Tipperary; and if he will make a statement on the matter. [18835/18]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Appointments Administration

Ceisteanna (266)

Lisa Chambers

Ceist:

266. Deputy Lisa Chambers asked the Minister for Health the reason a person (details supplied) has not received an appointment at Mayo University Hospital since being referred in 2007 for a hearing aid and further treatment; when the person will receive an appointment; and if he will make a statement on the matter. [18840/18]

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.

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 the Deputy directly.

Nursing Staff Recruitment

Ceisteanna (267)

Martin Ferris

Ceist:

267. Deputy Martin Ferris asked the Minister for Health when the HSE plans to advertise the vacant position of public health nurse for Causeway, County Kerry; and if there are other areas in County Kerry without a dedicated public health nurse. [18848/18]

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.

Hospital Beds Data

Ceisteanna (268)

Louise O'Reilly

Ceist:

268. Deputy Louise O'Reilly asked the Minister for Health the bed capacity at each community hospital in each of the years 2011 to 2017 and to date in 2018; the number of bed closures which have occurred at each of these facilities during this period; the reason for each such closure; the average percentage occupancy rate experienced at each of these facilities during this period in tabular form; and if he will make a statement on the matter. [18851/18]

Amharc ar fhreagra

Freagraí scríofa

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

Disability Services Provision

Ceisteanna (269)

Lisa Chambers

Ceist:

269. Deputy Lisa Chambers asked the Minister for Health further to Parliamentary Question No. 243 of 24 October 2017, the progress that has been made in the provision of accommodation, services and a care package for a person (details supplied) in view of the fact that accommodation offered to date is not suitable for the person's needs; the timeframe for the provision of the care package; the details of the emergency funding planning meetings on this matter in the past six months; and if he will make a statement on the matter. [18852/18]

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 Staff Data

Ceisteanna (270)

Micheál Martin

Ceist:

270. Deputy Micheál Martin asked the Minister for Health the number and type of administrative posts in each of the seven hospital groups; the details of the grades of each hospital group; the estimated or actual cost for each hospital group for these administrative grades; and if he will make a statement on the matter. [18853/18]

Amharc ar fhreagra

Freagraí scríofa

I have asked the HSE to respond to you directly on this matter.

Electronic Cigarettes

Ceisteanna (271)

Micheál Martin

Ceist:

271. Deputy Micheál Martin asked the Minister for Health if his Department or the HSE are monitoring the use of e-cigarettes or vaporisers; his views on the increased number of outlets selling these products; if there are restrictions on advertising same; and if he will make a statement on the matter. [18856/18]

Amharc ar fhreagra

Freagraí scríofa

I have no plans to introduce legislation prohibiting the use of e-cigarettes in public places.

The introduction of workplace smoking ban was based on clear and unequivocal evidence that second hand smoke is harmful to non-smokers. That evidence base does not exist for the aerosol generated from e-cigarettes. However, individual organisations/companies are free to introduce an e-cigarette free policy if they so choose.

The European Union (Manufacture, Presentation and Sale of Tobacco and Related Products) Regulations 2016 (SI No. 271 of 2016) does not place restrictions on the number of retail outlets selling these products. It does however, set the requirements for e-cigarettes and refill containers which include quality and safety, labelling and advertising.

The Government approved the drafting of the General Scheme of a Bill to provide for the introduction of a licensing system and other measures in relation to tobacco products and electronic non-medicinal nicotine delivery systems (NMNDS), including e-cigarettes. The proposed legislation will introduce an annual licensing system for the sale of electronic cigarettes and other non-medicinal nicotine delivery systems. The legislation will also prohibit the sale of NMNDS by persons under 18 years of age and to persons under 18 years of age. The drafting of the General scheme is ongoing.

My Department will continue to monitor the emerging research on these products so as to inform decisions around any future additional regulation in this area.

Hospital Facilities

Ceisteanna (272)

Micheál Martin

Ceist:

272. Deputy Micheál Martin asked the Minister for Health the status of the cystic fibrosis unit in Beaumont Hospital; and if he will make a statement on the matter. [18858/18]

Amharc ar fhreagra

Freagraí scríofa

The Programme for Partnership Government contains a Government commitment regarding the development of a dedicated Cystic Fibrosis (CF) Unit in Beaumont Hospital, to be progressed in the context of a CF Model of Care.

This CF Unit capital project will thus be underpinned by the “Model of Care for People with Cystic Fibrosis in Ireland” which is being developed by the National Clinical Programme for Cystic Fibrosis (NCPCF). The Model of Care will set out standards and requirements for the physical and human resources to be provided for treatment of cystic fibrosis patients from a national perspective.

The Department of Public Expenditure and Reform governs the processes surrounding the development of healthcare projects by way of guidelines, principally the Public Spending Code. Further rigour is demanded by, and set out in, relevant EU Directives. All proposed projects must be submitted to the HSE’s Capital and Property Steering Committee for approval and prioritisation prior to inclusion in its multi-annual Capital Plans.

In terms of the progression of the CF Unit capital project I am happy to confirm that it has been included in the National Planning Framework under Project Ireland 2040, as well as being recommended for inclusion in the capital plan by the HSE National Capital Steering Committee.

Hospital Staff Data

Ceisteanna (273)

Micheál Martin

Ceist:

273. Deputy Micheál Martin asked the Minister for Health the number of vacant registrar posts in each acute hospital in Cork city and county; and if he will make a statement on the matter. [18859/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive (HSE) to directly respond to the Deputy as soon as possible.

Hospital Staff Data

Ceisteanna (274)

Micheál Martin

Ceist:

274. Deputy Micheál Martin asked the Minister for Health the number of vacant non-consultant hospital doctor or NCHD posts in each acute hospital in Cork city and county; and if he will make a statement on the matter. [18860/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive (HSE) to respond to you directly as soon as possible.

Consultancy Contracts Data

Ceisteanna (275)

Louise O'Reilly

Ceist:

275. Deputy Louise O'Reilly asked the Minister for Health the amount spent by the HSE and his Department on reports by external companies in each of the years from 2011 to 2017, and to date in 2018, by report; the cost of each report; and if he will make a statement on the matter. [18868/18]

Amharc ar fhreagra

Freagraí scríofa

The Department does not collect data in a manner which would allow the Deputy’s question to be answered in full. Published reports for the years in question are available on the Department’s website at:

health.gov.ie/publications-research/publications/.

Presented in the table are details from the Department's A7 expenditure for consultant reports commissioned by the Department from March 2011 to December 2016 together with associated costs. Details on expenditure for 2017 and to date in 2018 will be collated and forwarded to the Deputy when available. I have referred the question to the HSE for direct reply to the Deputy in relation to its expenditure.

It is the policy in my Department only to engage the services of external consultants where it is felt to be appropriate and cost-effective, taking account of Government decisions and policy including procurement protocols on the matter. Should the Deputy have a particular report for which details are required please provide details to my office and I will ensure that the matter is investigated further.

Year

Consultants

Report

Cost to Dec 2016

2016

RPS Consulting Engineers Ltd

Report on the findings of the public consultation of the new National Drugs Strategy

€ 11,826

2016

Trutz Haase – Social & Economic Consultant

Provision of a performance Measurement Framework for Drug and Alcohol Task Forces

€ 39,360

2016

Stirling University

Research Project to track exposure to alcohol promotion during Euro 2016 for audiences in the UK and Ireland

€ 0

2016

KPMG

Working Better Together – findings of consultation process on HSE performance/dialogue/performance management.

€ 14,145

2016

Institute of Public Administration

Working Better Together – findings of consultation process on business planning and risk management

€ 21,525

2016

Alpha Healthcare Ltd

Working Better Together – findings of Project group consultation and engagement processes

€ 31,817

2016

The Performance Partnership

Working Better Together Department of Health Learning and Development Strategy including approaches to coaching and mentoring.

€ 24,650

2016

Skills for Health

National evaluation of nursing and midwifery key performance indicators.

€ 20,122

2016

Research Matters

Report on the Newborn Screening Archive Forum (27 October 2016)

€ 12,116

2016

UCC

Research on Teaching of evidence based practice in Ireland

€ 6,174

2016

Centre for Effectiveness Services

Training and resources in Implementation Science for National Clinical Guidelines

€ 6,225

2016

UCD

Prevalence of pain and constipation in patients attending Cancer Centres in Ireland: a national survey

€ 2,000

2016

Milliman

Report on incorporating DRGs into the Irish Risk Equalisation Scheme

€ 39,497

2016

University College Cork

Baseline research to inform update of NCEC NCG No. 2 and No. 3

€ 4,711

2016

DCU

Development of a framework for patient and public involvement in NCEC’s Clinical effectiveness process

€ 8,000

2015

UCC,UCD, NUIG

Publication of a policy on future community nursing and midwifery, public health nursing and related support grades within the context of health reform

€ 24,533

2015

DCU

Patient Engagement in the governance and development of national clinical effectiveness processes

€ 34,743

2015

Prospectus

Consultation and report to inform the development of a policy on Trauma System for Ireland

€ 23,990

2015

Amarach Research

Alcohol Labelling Research

€ 150,368

2015

NUIG

Suite of Literature Reviews to support National Clinical Guidelines

€ 159,645

2015

UCC

Clinical Guideline 2 (NEWS Update, NCG No. 1)

€ 22,743

2015

ICF Consulting Services/DKM Economic Consultants

An assessment of the economic costs of smoking in Ireland

€ 49,799

2015

Prospectus

Code of Conduct for Health and Social Service Providers

€ 86,138

2015

UCD

Provision of an Evidence Review to inform Future Specialist and Advanced Nursing Practice

€ 11,119

2015

UCD

Clinical Handover Guideline

€ 86,292

2015

DCU

Management of the Acute Adult Asthma Patient – provision of research

€ 9,973

2015

DCU

Paediatric Early Warning Score – Pre-implementation research

€ 23,978

2015

INDECON Economic Consultants

Analysis of potential measures to encourage the provision of Primary Care facilities

€ 143,485

2015

DKM Economic Consultants

Analysis of potential measures to encourage the provision of Nursing Homes and Community Nursing Unit facilities

€ 144,586

2014

DCU School of Nursing

Report to support the Taskforce on Staffing and Skill mix for nursing

€ 7,418

2014

DCU School of Nursing

Literature Review and Nursing Workforce Evaluation to Support the Taskforce on Staffing and Skill Mix

€ 19,845

2014

Crowe Horwath

Thematic Analysis of Submissions in response to a Public Consultation on the White Paper for Universal Health Insurance

€ 39,176

2014

NUI Galway

Systematic literature review Maternity Early Warning Score

€ 23,935

2014

DCU

Systematic literature review Paediatric Early Warning Score

€ 20,095

2014

UCC

Systematic literature review Clinical Practice Guidance

€ 20,712

2014

Sinéad Shannon

Review of the international evidence and literature on selection criteria for the Outcomes Framework

€ 5,000

2013

Prospectus Strategy Consultants

Review of staffing Resources and Organisational Structure of the Department of Health

€ 72,940

2013

Deloitte and Touche Consultants Ltd

Review of the Nursing Homes Support Scheme

€ 61,800

2013

Matheson Ormsby Prentice

Legal Research and advisory services on the design and implementation of an insurance based health system providing universal coverage in Ireland

€ 123,000

2013

Prof Oonagh Walsh

Report on symphysiotomy in Ireland, 1944-1984

€ 49,500

2013

Ernst & Young

Reports relating to the development of the Programme Management Office (cost includes a range of consultancy services)

€ 79,212

2013

Dr. Sinead Hanafin & Associates

Review of the Traveller Health Advisory Committee

€ 6,150

2013

Prospectus

Overview of the development of the Health & Wellbeing Programme

€ 15,156

2013

Research Matters

Provision of Research Management Services

€ 74,490

2013

Institute of Public Health

Analysis re Consultation (Tobacco Products Directive)

€ 5,000

2013

Professor Hammond

Research on Standardised Packaging- Irish Context

€ 5,000

2013

CJP Consultants

Preparation of report on the efficacy of minimum pricing and other public policies for alcohol.

€ 31,488

2013

Advertising Standards Authority of Ireland

Annual Report of the Alcohol Marketing Communications Monitoring Body(AMCMB)

€ 21,115

2012

McGee Pharma International

Labelling of Medicinal Products in both Irish and English

€ 13,644

2012

Goodbody Stockbrokers and Matheson Ormsby Prentice Solicitors

Further Analysis of Options in relation to the restructuring of the Irish Private Health Insurance Market

€ 62,349

2012

Department of Public Expenditure and Reform with the assistance of PwC

Review of the Department of Health's Parliamentary and Legislative Processes

€ 18,020

2012

Department of Public Expenditure and Reform

A survey of experience and qualifications in the Department of Health

None

2012

Michael Collins Associates

Supplementary Report and Addendum on Cost Comparison for the Dolphin Review Group

€ 12,423

2012

John Martin

Further assessment of planning issues in relation to proposed sites for the Dolphin Review Group

€ 6,000

2012

Simon Clear

Further assessment of planning issues in relation to proposed sites for the Dolphin Review Group

€ 9,475

2012

The Department of Epidemiology and Public Health, UCC, in conjunction with the Centre for Health Policy and Management, TCD.

The Efficiency Review of the BreastCheck Screening Programme

€ 71,270

2012

Mr. Gerard Mullaly

Reforming Chronic Care: Financing and Delivering Integrated Chronic Care

€ 5,227

2012

Mr. Gerard Mullaly

The Integrated Continuing Care System (ICCS): Reforming Elderly Care in Ireland

€ 7,558

2012

Matheson Ormsby Prentice

Options Appraisal of multi-payer universal health insurance models: Preliminary advice

€ 6,150

2012

Department of Health/SIRA Consulting

Report on the baseline measurement of the administrative burden from the Department of Health (as part of a cross Departmental project coordinated by Department of Jobs, Enterprise and Innovation)

€ 14,000

2011

Goodbody Stockbrokers and Matteson Ormsby Prentice Solicitors

Commissioned to undertake are review of the Irish Private Health Insurance Market in relation to the options which may exist for re-balancing

€ 300,080

Hospital Beds Data

Ceisteanna (276)

Louise O'Reilly

Ceist:

276. Deputy Louise O'Reilly asked the Minister for Health further to Parliamentary Question No. 402 of 24 April 2018, the number of the 200 additional beds opened in winter 2017-18 that will remain open indefinitely; and if he will make a statement on the matter. [18869/18]

Amharc ar fhreagra

Freagraí scríofa

Under the Winter Initiative, 208 beds have opened so far this winter at the following sites:

- St. Vincent's Hospital (22 beds);

- Our Lady of Lourdes Hospital, Drogheda (29 beds):

- University Hospital Limerick (17 beds);

- University Hospital Galway (28 beds);

- University Hospital Waterford (18);

- Beaumont Hospital Dublin (20);

- St. James'/St. Luke's (23);

- The Mater Hospital Dublin (24 beds);

- Naas Hospital (11);

- Cork University Hospital (2 critical care beds); and

- St. Luke's Kilkenny (14).

The HSE has informed my Department that these beds are due to remain open over the course of the full year in 2018, depending on operational requirements.

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