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Thursday, 10 May 2018

Written Answers Nos. 161-181

State Claims Agency

Ceisteanna (161)

Catherine Connolly

Ceist:

161. Deputy Catherine Connolly asked the Minister for Health the position in relation to the number of cases which have come under the remit of the State Claims Agency arising from the failure to inform women who had a smear test of the subsequent reinterpretation of their previous smear, or smears, as soon as this information came to hand; the number of proceedings initiated to date by those affected and-or their families; the number of cases already settled; the breakdown of those settlements; the damages agreed in each case; if exemplary damages were agreed in any case such as legal costs; if any of those settlements included a confidentiality clause; the status of outstanding proceedings; and if he will make a statement on the matter. [20746/18]

Amharc ar fhreagra

Freagraí scríofa

The State Claims Agency (SCA), which manages claims on behalf of the HSE, has not yet finalised its reply to the questions posed by the Deputy. It expects to provide the answers next week at which time I will forward the information to the Deputy.

Health Services

Ceisteanna (162)

Peter Fitzpatrick

Ceist:

162. Deputy Peter Fitzpatrick asked the Minister for Health the reason a person (details supplied) had to pay for a medical procedure; and if he will make a statement on the matter. [20512/18]

Amharc ar fhreagra

Freagraí scríofa

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

Nursing Home Beds Data

Ceisteanna (163, 164, 165)

Imelda Munster

Ceist:

163. Deputy Imelda Munster asked the Minister for Health the number of public nursing home beds available in County Louth prior to the establishment of HIQA in 2007. [20513/18]

Amharc ar fhreagra

Imelda Munster

Ceist:

164. Deputy Imelda Munster asked the Minister for Health the number of public nursing home beds available in County Louth excluding step down and transitional beds. [20514/18]

Amharc ar fhreagra

Imelda Munster

Ceist:

165. Deputy Imelda Munster asked the Minister for Health the number of public stepdown and transitional care beds available in County Louth; and the locations of same. [20515/18]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 163 to 165, inclusive, together.

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

Nursing Home Accommodation Provision

Ceisteanna (166)

Imelda Munster

Ceist:

166. Deputy Imelda Munster asked the Minister for Health the projected completion dates of planned projects for the provision of public nursing home beds; and the resulting numbers of new build nursing homes, new beds and the refurbishment of existing beds. [20516/18]

Amharc ar fhreagra

Freagraí scríofa

Public residential care units are an essential part of our healthcare infrastructure. They provide about 5,000 long stay beds, amounting to approximately 20% of the total stock of nursing home beds nationally. There are also about 2,000 short stay community public beds.

It is important that we maintain and upgrade our public bed stock and this is the aim of the Capital Investment Programme for Community Nursing Units. This provides the framework to allow for the replacement and refurbishment of 90 public community nursing units  across the country. 

The Health Service Capacity Review and the National Development Plan acknowledge the future need for additional capacity and it is expected that 4,500 additional short-term and long-term beds will be required provided across the public system in community nursing units and other step-down facilities.

Health capital projects and programmes, currently underway will continue, including planned investment in community nursing units. 

It is important to recognise that the National Development Plan is a long-term plan, which will roll out over ten years and includes provision for a large number of developments across the country.

As is to be expected with a ten-year plan, many proposals are at an early stage and,  as with all capital development proposals, will require further appraisal, planning, design and tender before a firm timeline or funding required can be established.

Appraisal and planning across all Community Healthcare Organisations in line with health strategies and demographic needs will inform the selection of projects for delivery of these new beds and additional capacity.

Hospital Services

Ceisteanna (167)

Imelda Munster

Ceist:

167. Deputy Imelda Munster asked the Minister for Health if funding has been allocated for the transfer of services from the Cottage Hospital, Drogheda to St. Mary's Hospital, Drogheda; and the funding allocated in this regard. [20517/18]

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.

Cancer Screening Programmes

Ceisteanna (168, 169, 170)

Clare Daly

Ceist:

168. Deputy Clare Daly asked the Minister for Health the reason the National Cancer Screening Service awarded a contract to a company (details supplied) in 2010 that obliged or enabled the company to establish a laboratory here to read NCSS slides; and if he will make a statement on the matter. [20519/18]

Amharc ar fhreagra

Clare Daly

Ceist:

169. Deputy Clare Daly asked the Minister for Health the reason the National Cancer Screening Service awarded a second contract to a company (details supplied) in 2010 regarding a laboratory that did not as yet exist and which was unaccredited; and if he will make a statement on the matter. [20520/18]

Amharc ar fhreagra

Clare Daly

Ceist:

170. Deputy Clare Daly asked the Minister for Health the reason a company (details supplied) was allowed to test National Cancer Screening Service smears for over 18 months in the absence of accreditation contrary to recent assurances; and if he will make a statement on the matter. [20521/18]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 168 to 170, inclusive, together.

This question relates to matters which are now the subject of a Scoping Inquiry. I announced the terms of reference of this Inquiry, following agreement by Government, on 8th May 2018.

The Inquiry, led by Dr Gabriel Scally, will examine the facts, including details of the non-disclosure to patients relating to CervicalCheck clinical audits and the management and level of knowledge of various parties including the HSE and the Department of Health. Dr Scally will report to me by the end of next month setting out his findings.

Hospital Appointments Status

Ceisteanna (171)

Pearse Doherty

Ceist:

171. Deputy Pearse Doherty asked the Minister for Health when a person (details supplied) in County Donegal can expect to receive an appointment for surgery at Beaumont Hospital; and if he will make a statement on the matter. [20522/18]

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.

Medical Card Applications

Ceisteanna (172)

Kevin O'Keeffe

Ceist:

172. Deputy Kevin O'Keeffe asked the Minister for Health if he will intervene with the HSE regarding a medical card renewal application in respect of a person (details supplied) in County Cork; if his attention has been drawn to the tedious process the person has been put through to have their medical card reinstated fully; if his attention has been further drawn to the fact that the HSE medical card section was advised on 2 May 2018 of this person's misdiagnosis; and if the matter will be expedited. [20523/18]

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.  However, I can confirm that in relation to the case raised by the Deputy, the HSE has informed that a medical card has now been issued to the person concerned.

I wish to note that I recognise the importance of having a medical card application process that is timely and more sensitive to people’s needs, especially arrangements relating to the issuing of medical cards on a discretionary basis.  There will of course be circumstances where the processing of applications may be delayed, which can be for a number of reasons, however I understand that the HSE has put in place a number of new measures which is orientated towards improving the efficiency and effectiveness of the medical card application process.  I am committed to ensuring that the medical card system is as responsive as possible to the circumstances of people with significant medical needs and I will keep the operational aspects under review.

Vaccination Programme

Ceisteanna (173)

Clare Daly

Ceist:

173. Deputy Clare Daly asked the Minister for Health if the urgent introduction of a no-fault vaccine payment scheme for persons debilitated by narcolepsy as a result of being vaccinated with the drug Pandemrix will be considered; and if he will make a statement on the matter. [20525/18]

Amharc ar fhreagra

Freagraí scríofa

The Programme for a Partnership Government includes a commitment to “… put in place a scheme, on a no-fault basis, that will respond to the needs of people with disability arising from vaccination.” The policy objectives in putting in place a scheme to meet the needs of people with disability arising from vaccination are to provide fair and just compensation for those who may have been injured by a vaccine, to reduce the costs to the State by providing an alternative to litigation and to maintaining public confidence in immunisation. This matter is under consideration by the Department with a view to developing a proposal regarding a vaccine damage scheme based on evidence concerning, vaccine damage schemes, legal advices and consultation with other Government bodies.

The Department of Health, the HSE, and the Department of Education and Skills continue to work together to provide a wide range of services and supports for those who have received a diagnosis of narcolepsy following administration of the H1N1 pandemic vaccine.  These supports include discretionary medical cards, reimbursement of expenses associated with diagnosis and treatment, home tuition and learning supports.  The HSE's Advocacy Unit acts as liaison with service and support providers and other Government Departments to facilitate access to required services.

Health Services

Ceisteanna (174)

Louise O'Reilly

Ceist:

174. Deputy Louise O'Reilly asked the Minister for Health the estimated cost to implement the recommendation by the national stroke programme as part of the phased introduction of early supported discharge for a further nine teams to be established over a three-year period; and if he will make a statement on the matter. [20547/18]

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.

Hospital Accommodation Provision

Ceisteanna (175)

Louise O'Reilly

Ceist:

175. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of increasing the number of stroke unit beds to meet the predicted increase in stroke numbers; the further cost of bringing stroke units to quality standards; and if he will make a statement on the matter. [20548/18]

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.

HIQA Reports

Ceisteanna (176)

Louise O'Reilly

Ceist:

176. Deputy Louise O'Reilly asked the Minister for Health the actions being taken to advance the recommendations of the HIQA health technology assessment of mechanical thrombectomy; if the costs contained in the health technology assessment, HTA, in terms of the five-year budget impact of developing a national service are the same; if not, the details in this regard; and if he will make a statement on the matter. [20549/18]

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.

Hospital Services

Ceisteanna (177)

Louise O'Reilly

Ceist:

177. Deputy Louise O'Reilly asked the Minister for Health the costs associated with the need to address infrastructural and equipment issues in relation to the provision of thrombectomy services in Beaumont Hospital; the level of capital expenditure required to replace the existing angiography suite and to open a second angiography suite; and if he will make a statement on the matter. [20550/18]

Amharc ar fhreagra

Freagraí scríofa

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

Health Services

Ceisteanna (178)

Louise O'Reilly

Ceist:

178. Deputy Louise O'Reilly asked the Minister for Health the costs associated with the need to address the geographical gap in heart failure services in the South/South West hospital group area; and if he will make a statement on the matter. [20551/18]

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.

Hospitals Data

Ceisteanna (179)

Louise O'Reilly

Ceist:

179. Deputy Louise O'Reilly asked the Minister for Health the staffing and configuration deficits in each of the early supported discharge teams; the additional funding that is needed to address same; and if he will make a statement on the matter. [20552/18]

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.

Hospitals Data

Ceisteanna (180)

Louise O'Reilly

Ceist:

180. Deputy Louise O'Reilly asked the Minister for Health the number of persons across each operating site who have been discharged home via early supported discharge for stroke patients since the first early supported discharge, ESD, roll-out in 2011; the percentage of this category compared with total stroke discharges; and if he will make a statement on the matter. [20553/18]

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.

Hospitals Data

Ceisteanna (181)

Louise O'Reilly

Ceist:

181. Deputy Louise O'Reilly asked the Minister for Health the position regarding the roll-out of the new early supported discharge teams as part of the national stroke programme; the details of the staffing team for each, inclusive of grade; the cost of same; the timescale for the roll-out of these programmes; and if he will make a statement on the matter. [20554/18]

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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