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Gnáthamharc

Tuesday, 22 May 2018

Written Answers Nos. 422-440

Health Services Expenditure

Ceisteanna (422, 423)

James Browne

Ceist:

422. Deputy James Browne asked the Minister for Health the amount the HSE has spent on treatment received by persons under 18 years of age in each country outside Ireland in each of the past four years in tabular form; and if he will make a statement on the matter. [22553/18]

Amharc ar fhreagra

James Browne

Ceist:

423. Deputy James Browne asked the Minister for Health the amount the HSE has spent providing care here for children transferred here under the care of jurisdictions outside Ireland in each of the past four years in tabular form; and if he will make a statement on the matter. [22554/18]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 422 and 423 together.

As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy

Disability Services Provision

Ceisteanna (424)

Barry Cowen

Ceist:

424. Deputy Barry Cowen asked the Minister for Health when the person (details supplied) can expect an appointment for admission to the National Rehabilitation Hospital, Dún Laoghaire, County Dublin. [22556/18]

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.

Home Help Service Provision

Ceisteanna (425)

Bernard Durkan

Ceist:

425. Deputy Bernard J. Durkan asked the Minister for Health if home help hours will be accommodated in the case of a person (details supplied); and if he will make a statement on the matter. [22557/18]

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.

Health Services Provision

Ceisteanna (426)

Kevin O'Keeffe

Ceist:

426. Deputy Kevin O'Keeffe asked the Minister for Health the status of an assessment for a person (details supplied). [22558/18]

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 Beds Data

Ceisteanna (427)

Róisín Shortall

Ceist:

427. Deputy Róisín Shortall asked the Minister for Health the number of public inpatient beds for children under 18 years of age by location; and the way in which this capacity compares with demand. [22565/18]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Admissions

Ceisteanna (428)

Róisín Shortall

Ceist:

428. Deputy Róisín Shortall asked the Minister for Health the number and percentage of children under 18 years of age who were admitted to adult inpatient units in each of the past five years [22566/18]

Amharc ar fhreagra

Freagraí scríofa

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

Respite Care Services Provision

Ceisteanna (429)

Margaret Murphy O'Mahony

Ceist:

429. Deputy Margaret Murphy O'Mahony asked the Minister for Health if all beds are now occupied at Bandon Community Hospital; if a date has been agreed for the commencement of respite services; and if he will make a statement on the matter. [22579/18]

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.

Health Services Provision

Ceisteanna (430)

Margaret Murphy O'Mahony

Ceist:

430. Deputy Margaret Murphy O'Mahony asked the Minister for Health the reason patients from the Castletownbere area of west County Cork are discharged from hospitals in Cork to convalesce in Clonakilty as opposed to the hospital in Castletownbere; and if he will make a statement on the matter. [22582/18]

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.

Respite Care Services Provision

Ceisteanna (431)

Seán Fleming

Ceist:

431. Deputy Sean Fleming asked the Minister for Health when respite will be granted to persons (details supplied); and if he will make a statement on the matter. [22584/18]

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.

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.

As the Deputy's question relate 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 Appointments Status

Ceisteanna (432)

Mary Butler

Ceist:

432. Deputy Mary Butler asked the Minister for Health when a person (details supplied) will be called for an appointment at Beaumont Hospital, Dublin; if the matter can be expedited; and if he will make a statement on the matter. [22586/18]

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.

Disabilities Assessments

Ceisteanna (433)

Niamh Smyth

Ceist:

433. Deputy Niamh Smyth asked the Minister for Health if an appointment for a child (details supplied) who was placed on the priority list for assessment and diagnosis in September 2017 will be expedited; and if he will make a statement on the matter. [22594/18]

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.

Narcolepsy Issues

Ceisteanna (434)

Robert Troy

Ceist:

434. Deputy Robert Troy asked the Minister for Health if he has met a group (details supplied); and if he will make a statement on the matter. [22607/18]

Amharc ar fhreagra

Freagraí scríofa

I met with representatives from SOUND in March 2017 as part of ongoing engagement. The HSE’s Advocacy Unit acts as liaison with service and support providers and other Government Departments to facilitate access to required services. It is in regular contact with individuals affected and regularly meets with representatives of the SOUND. Regional co-ordinators have been appointed to assist individuals by providing advice, information and access to local services.

 The Department of Health, the Health Service Executive (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 pandemic influenza vaccine. These include discretionary medical cards, reimbursement of expenses associated with diagnosis and treatment, home tuition and learning supports.

The ex-gratia health supports include clinical care pathways to ensure access to diagnosis and treatment, multi-disciplinary assessments led by clinical experts, counselling services for both the individuals and their families, discretionary medical cards for those who have been diagnosed have been provided to allow unlimited access to GP care and any prescribed medication, ex-gratia reimbursement of vouched expenses incurred in the process of diagnosis and treatment, including travel expenses for attending medical appointments; physiotherapy, occupational therapy assessments, dental  assessments and dietary services all on a needs basis.  

Work has commenced on the Centre of Excellence for Narcolepsy based in St James's Hospital which will cater for all people diagnosed with narcolepsy, including those diagnosed with narcolepsy after receiving pandemic influenza vaccine. This service will combine a new patient referral system with access to expert consultant and advanced nursing expertise for clinical diagnosis, access to the latest neurophysiological diagnostic techniques with overnight and daytime monitoring for both in-patients and outpatients, laboratory testing, brain imaging and genetic testing. The HSE will continue to pay for access to the services, such as dietician and psychology services, that would have been provided in the Centre of Excellence from private providers to so that none of the affected individuals miss out on receiving these supports.

Respite Care Services Provision

Ceisteanna (435)

Michael McGrath

Ceist:

435. Deputy Michael McGrath asked the Minister for Health when a person (details supplied) in County Cork last received respite; when respite will be provided again; and if he will make a statement on the matter. [22608/18]

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 Waiting Lists

Ceisteanna (436)

Michael Healy-Rae

Ceist:

436. Deputy Michael Healy-Rae asked the Minister for Health if an appointment for a person (details supplied) will be expedited; and if he will make a statement on the matter. [22632/18]

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.

Home Help Service Provision

Ceisteanna (437)

Michael Healy-Rae

Ceist:

437. Deputy Michael Healy-Rae asked the Minister for Health if home help for a person (details supplied) will be expedited; and if he will make a statement on the matter. [22633/18]

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 Charges

Ceisteanna (438)

Robert Troy

Ceist:

438. Deputy Robert Troy asked the Minister for Health if a private care hospital bill will be cancelled in the case of a person (details supplied); and if he will make a statement on the matter. [22636/18]

Amharc ar fhreagra

Freagraí scríofa

All persons ordinarily resident in Ireland are entitled to receive public in-patient services in public hospitals, subject to applicable statutory public in-patient charges. However, for a specified episode of in-patient services, where a person does not avail of, or waives his/her right to public in-patient services, but instead avails of private in-patient services for example private consultant services, he/she shall not have eligibility for public in-patient services for that episode of in-patient care.

Where a patient has opted to be treated as a private patient in a public hospital, and has advised the hospital's Admissions staff that he/she has private health insurance, the patient will be asked to sign the relevant private health insurer Hospital Claim Form and a Private Insurance Patient form. This ensures that all charges related to the provision of private in-patient services for that episode of care are submitted to the patient's private health insurer for payment. When choosing to be treated privately, it is important that persons are satisfied as to their level of insurance cover.

Patients opting to be treated privately have chosen to pay the consultant and the hospital in respect of the services that each provides. Under the Health Act 1970 (as amended), the HSE is required to levy statutory private in-charges on all patients opting to receive private in-patient services. There is no provision in the legislation to waive these charges.

Cancer Services Provision

Ceisteanna (439)

Brendan Howlin

Ceist:

439. Deputy Brendan Howlin asked the Minister for Health the wait time for urgent assessment in the cancer clinic at University Hospital Galway; if his attention has been drawn to the fact that some patients have been forced to seek private consultations due to the inordinate delay in assessing their conditions; and if he will make a statement on the matter. [22640/18]

Amharc ar fhreagra

Freagraí scríofa

Rapid Access Clinics for breast, lung and prostate cancer have been established in each of the eight designated cancer centres. The Symptomatic Breast Disease and Rapid Access Prostate clinics in University Hospital Galway have exceeded the target Key Performance Indicators for access in the first 3 months of this year. Efforts are ongoing to improve performance in the Rapid Access Lung Clinic, which is slightly below target.

Performance in University Hospital Galway for the year-to-date (Jan-Mar 2018) is set out as follows.

Clinic

Target

YTD

Symptomatic Breast Disease Clinic

95% of referrals triaged as urgent to be seen within 10   working days.

96.8%

Rapid Access Lung Clinic

95% of referrals to be offered an appointment within 10   working days.

90.2%

Rapid Access Prostate Clinic

90% of referrals to be offered an appointment within 20   working days.

97.6%

Health Services

Ceisteanna (440)

Eugene Murphy

Ceist:

440. Deputy Eugene Murphy asked the Minister for Health if the reason Roscommon HSE eye clinic is unable to carry out field eye tests due to having no lenses for the machine used for this test will be investigated; and if he will make a statement on the matter. [22641/18]

Amharc ar fhreagra

Freagraí scríofa

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

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