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Tuesday, 26 Jun 2018

Written Answers Nos. 361-380

Vaccination Programme Data

Ceisteanna (361)

Clare Daly

Ceist:

361. Deputy Clare Daly asked the Minister for Health the number of doses of the HPV vaccine administered here to date; and the number of cases of anaphylactic or anaphylactoid reactions reported to the Health Products regulatory Authority, HPRA, within the first three years of the vaccine being administered through the school system, that is between 1 September 2010 and 1 June 2013, before the number of vaccine doses per patient was reduced from three to two in 2014. [27638/18]

Amharc ar fhreagra

Freagraí scríofa

As information concerning the number of doses of HPV vaccine administered is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy. 

The information that the Deputy seeks concerning the number of cases of anaphylactic or anaphylactoid reactions is not readily available.  Therefore, I have asked the Health Products Regulatory Authority (HPRA) to investigate the matter and reply directly to the Deputy.

It is important to reiterate that the HPRA and the European Medicines Agency continually monitor adverse events to vaccination.  HPV is one of the most closely studied and monitored medicinal products.  The vast majority of reports received by the HPRA have been consistent with the expected pattern of short term adverse side effects for the vaccine, as described in the product information.  Mild and temporary reactions to any kind of vaccination are not unusual.

HIV-AIDS Programmes

Ceisteanna (362)

Alan Farrell

Ceist:

362. Deputy Alan Farrell asked the Minister for Health the status of the HSE review of the medication PrEP; when he expects this review to be concluded; the action he plans to take to introduce a PrEP programme under the HSE; the action he plans to take to work to reduce HIV rates here; and if he will make a statement on the matter. [27652/18]

Amharc ar fhreagra

Freagraí scríofa

As the question refers to service matters it has been referred to the HSE for their direct reply to the Deputy.

Hospital Services

Ceisteanna (363)

John Brassil

Ceist:

363. Deputy John Brassil asked the Minister for Health further to Parliamentary Question No. 320 of 22 May 2018, if he has received the report requested from the HSE regarding access to scans at University Hospital Kerry; if so, the outcome of the report; and if he will make a statement on the matter. [27653/18]

Amharc ar fhreagra

Freagraí scríofa

The HSE has reported to the Minister on the issues raised, advising that all safety incidents, both clinical and non-clinical, must be notified through the process outlined in the HSE’s Safety Incident Management Policy. It has advised that, while incident forms were received by the Risk Management Department at University Hospital Kerry (UHK) in relation to delayed scans, following investigation of each by the Risk Management Department, none were found to have caused any patient harm.  Therefore, none were brought to the attention of hospital management in UHK for actioning.

I have been further advised that management in UHK has been working with radiologists in the hospital to develop a pathway to assign patients for scans in a manner that is consistent with HSE protocols relating to fair and equitable access to treatment for public and private patients, based on patient acuity.

In addition, the HSE has advised that a transparent, fair and equitable pathway has also been developed for GP referrals for ultrasound scans, which are non-urgent/routine, and for urgent cases, which are dealt with through the Emergency Department or AMAU if required.

In relation to the prioritisation used when scheduling patients for appointments, the HSE has adopted a National Waiting List Management Policy, which sets out the processes that hospitals are to implement to manage waiting lists. This policy was 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. The HSE has confirmed that it is satisfied that patients are assigned for scans in UHK in a manner that is consistent with HSE protocols relating to fair and equitable access to treatment.

Child and Adolescent Mental Health Services Data

Ceisteanna (364)

Pearse Doherty

Ceist:

364. Deputy Pearse Doherty asked the Minister for Health the waiting lists for psychology services in County Donegal children and youth services, in tabular form; and if he will make a statement on the matter. [27665/18]

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.

Nursing Homes Support Scheme Payments

Ceisteanna (365)

Bernard Durkan

Ceist:

365. Deputy Bernard J. Durkan asked the Minister for Health the correct and appropriate level of nursing home contributions in the case of persons (details supplied); and if he will make a statement on the matter. [27666/18]

Amharc ar fhreagra

Freagraí scríofa

The Nursing Homes Support Scheme (NHSS), commonly referred to as Fair Deal, is a system of financial support for people who require long-term residential care. Participants contribute to the cost of their care according to their means while the State pays the balance of the cost.

In order to determine how much an applicant will contribute to the cost of their care, a financial assessment is carried out by the HSE which takes account of a person's income and assets. 

As per the Nursing Homes Support Scheme Act 2009, a participant in the Scheme can contact their local HSE Nursing Homes Support Scheme Office to request a review of the financial assessment, if twelve months have elapsed since the date of the initial financial assessment or the most recent review of that assessment.

A participant to the Scheme can also request a review, if to the satisfaction of the HSE, there has been a material change in the financial circumstances of the person since the financial assessment or the most recent review of that assessment.

In order to be helpful to the Deputy I can confirm the local HSE office can be contacted at 045-880 419 where they will be able to provide further clarity around this particular case.

Transport Support Scheme

Ceisteanna (366)

Jack Chambers

Ceist:

366. Deputy Jack Chambers asked the Minister for Health the status of the health (transport support) Bill; if there are supports in the interim for those who would benefit from the legislation but were not in receipt of the mobility allowance prior to its closure and are receiving no State supports; if consideration is being given in the proposed legislation to allow for scenarios in which a person who qualifies for the scheme but is unable to obtain a car loan from a financial lender to purchase a car could arrange for a payment through the transport support scheme to go directly to a car dealership; and if he will make a statement on the matter. [27668/18]

Amharc ar fhreagra

Freagraí scríofa

The Deputy will be familiar with the background to the closure of both the Mobility Allowance and Motorised Transport Grant schemes in February 2013. 

Since the closure of the Mobility Allowance, the Government has directed that the Health Service Executive should continue to pay an equivalent monthly payment of up to €208.50 per month to the 4,046 people in receipt of the Mobility Allowance, on an interim basis, pending the establishment of a new Transport Support Scheme.

With regard to the Motorised Transport Grant, this scheme operated as a means-tested grant to assist person with severe disabilities with the purchase or adaptation of a car, where that car was essential to retain employment.  The maximum Motorised Transport Grant, which was payable once in any three year period, was €5,020.  Following the closure of the scheme in February 2013, no further Motorised Transport Grants have been payable.

The Government decided that the detailed preparatory work required for a new Transport Support Scheme and associated statutory provisions should be progressed by the Minister for Health.  The Programme for a Partnership Government acknowledges the ongoing drafting of primary legislation for a new Transport Support Scheme, to assist those with a disability to meet their mobility costs.  The Health (Transport Support) Bill is on the list of priority legislation for publication in the Spring/Summer session 2018. 

My colleague, the Minister for Health and I recently brought a Memorandum to Government for proposals for a new Transport Support Payment Scheme.  Following consideration of the matter, it was decided to withdraw the Memorandum from the Cabinet agenda on 8 May last.  I intend to revert to Government with revised proposals to reflect the discussion at Cabinet, in due course.

While I cannot comment on the specific proposals under consideration, I can confirm that the proposals seek to ensure that:

- There is a firm statutory basis to the Scheme's operation;

- There is transparency and equity in the eligibility criteria attaching to the Scheme;

- Resources are targeted at those with the greatest needs; and

- The Scheme is capable of being costed and is affordable on its introduction and on an ongoing basis.

It is important to note that the Disabled Drivers and Disabled Passengers scheme, operated by the Revenue Commissioners, remains in place. This scheme provides VRT and VAT relief, an exemption from road tax and a fuel grant to drivers and passengers with a disability, who qualify under the relevant criteria set out in governing regulations made by the Minister for Finance.  Specifically adapted vehicles driven by persons with a disability are also exempt from payment of tolls on national roads and toll bridges.  Transport Infrastructure Ireland has responsibility for this particular scheme.

There are improvements in access to a range of transport support schemes available to persons with disabilities in the State and on-going work is being carried out by Government Departments, agencies and transport providers to further improve access to public transport services.  Under the National Disability Inclusion Strategy, the Department of Transport, Tourism and Sport has responsibility for the continued development of accessibility and availability of public transport for people with a disability.

Respite Care Services Provision

Ceisteanna (367)

Seán Fleming

Ceist:

367. Deputy Sean Fleming asked the Minister for Health if improved respite care will be granted at the weekend for a person (details supplied); and if he will make a statement on the matter. [27713/18]

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 relates to an individual case, 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 (368)

Maurice Quinlivan

Ceist:

368. Deputy Maurice Quinlivan asked the Minister for Health the status of a hospital procedure for a person (details supplied); when the procedure will be scheduled; and if he will make a statement on the matter. [27716/18]

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, since 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.

Services for People with Disabilities

Ceisteanna (369)

Pearse Doherty

Ceist:

369. Deputy Pearse Doherty asked the Minister for Health the reason the family of a service user (details supplied) of a facility which provides accommodation for adults with intellectual disabilities in County Donegal has been advised that, due to upcoming service disruptions at the unit, they will likely be necessitated to source alternative accommodation arrangements during certain periods; the alternative accommodation services that will be made available to all service users of the facility should the service disruptions occur; and if he will make a statement on the matter. [27717/18]

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 an individual case, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Questions Nos. 370 and 371 answered with Question No. 293.

Emergency Aeromedical Service

Ceisteanna (372)

Bernard Durkan

Ceist:

372. Deputy Bernard J. Durkan asked the Minister for Health the number of taskings the emergency aeromedical service has carried out since it was established; the types of taskings by county in tabular form; and if he will make a statement on the matter. [27788/18]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Consultant Recruitment

Ceisteanna (373)

Robert Troy

Ceist:

373. Deputy Robert Troy asked the Minister for Health the steps that have been taken to fill the post of consultant orthodontist in community healthcare organisation, CHO, area 8; the length of time the post has been vacant; the increased efforts being made to fill the post; the waiting times as a result of the vacancy in CHO area 8 in comparison with all other areas of the health service in tabular form; and if he will make a statement on the matter. [27796/18]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Appointments Status

Ceisteanna (374)

Robert Troy

Ceist:

374. Deputy Robert Troy asked the Minister for Health if an appointment for a person (details supplied) will be scheduled; and if he will make a statement on the matter. [27797/18]

Amharc ar fhreagra

Freagraí scríofa

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

Health Services Reports

Ceisteanna (375)

Eugene Murphy

Ceist:

375. Deputy Eugene Murphy asked the Minister for Health if the review of paediatric audiology services will be extended to other areas in which the audiologist at the centre of the review in counties Mayo and Roscommon worked; and if he will make a statement on the matter. [27798/18]

Amharc ar fhreagra

Freagraí scríofa

The Report of the look-back of paediatric services in Mayo and Roscommon provided between 2011 and 2015 represents a thorough analysis of the quality of service delivery in the area against standards for such services that were set out in the National Audiology Review Group Report (2011). Since 2011, the recommendations of this Report, including clinical governance and quality assurance processes, have been the benchmark for the quality of service delivery throughout the country.

The Report and accompanying communication from the HSE includes an apology for the failures identified and for the anxiety that this has caused to families and those who may have been harmed. The HSE has invited parents of the children to meet with a senior manager and a senior audiologist to discuss the findings of this report and be updated on their child’s care. 

All 49 children who needed follow up as a result of the look back process are either currently receiving, or have already received, the appropriate care they need.

The HSE is reviewing the employment history of the individual clinician who provided the service with a view to determining if any further action is required. This is being expedited as quickly as possible.

Foireann Roinne

Ceisteanna (376)

Aindrias Moynihan

Ceist:

376. D'fhiafraigh Deputy Aindrias Moynihan den Aire Sláinte an bhfuil oifigeach Gaeilge ceaptha dá Roinn; an post lánaimseartha atá ann nó an bhfuil dualgais bhreise ar an oifigeach Gaeilge; cén grád atá ag an oifigeach Gaeilge; an bhfuil sé nó sí ábalta a ghnó nó a gnó a dhéanamh trí Ghaeilge; agus an ndéanfaidh sé ráiteas ina thaobh. [27809/18]

Amharc ar fhreagra

Freagraí scríofa

Tá Oifigeach Gaeilge ar leibhéal an Phríomhoifigigh Chúnta fostaithe i mo Roinn. Oibríonn an tOifigeach sin san Aonad Acmhainní Daonna agus tá dualgais Acmhainní Daonna uirthi i dteannta na ndualgas atá uirthi mar Oifigeach Gaeilge. Is é ról an Oifigigh Ghaeilge a chinntiú go mbíonn baill foirne ar an eolas faoina gcuid oibleagáidí i ndáil le seirbhísí a sholáthar trí Ghaeilge faoi Acht na dTeangacha Oifigiúla 2003 agus a chinntiú go gcomhlíonann siad na hoibleagáidí sin. Níl aon cheanglas ann go seolfaí an gnó sin trí Ghaeilge.

Child and Adolescent Mental Health Services Staff

Ceisteanna (377)

Bríd Smith

Ceist:

377. Deputy Bríd Smith asked the Minister for Health his views on whether resignations (details supplied) were at least partly as a result of the lack of resources at primary care level and the resulting over burdening of secondary care CAMHS operating at less than a quarter of recommended resources for a safe service; if this is the case in other CAMHS nationwide; the advice he will give to consultant child psychiatrists operating in these circumstances; and if he will make a statement on the matter. [27821/18]

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.

Child and Adolescent Mental Health Services

Ceisteanna (378)

Bríd Smith

Ceist:

378. Deputy Bríd Smith asked the Minister for Health if his attention has been drawn to the lack of primary care resources for child and adolescents with mental health issues and that it is leading to a higher rate of referral to secondary care CAMHS of children who should have been seen in the first instance by primary care services; if his attention has been further drawn to the lack of psychology, social work, occupational therapy and non-medical speech and language therapy specialists as a recommended part of multidisciplinary teams in secondary care CAMHS; if his attention has been drawn to the concerns of a contingent over-reliance on medications to treat children with mental health issues as per the future of mental healthcare report; and if he will make a statement on the matter. [27822/18]

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.

Child and Adolescent Mental Health Services

Ceisteanna (379)

Bríd Smith

Ceist:

379. Deputy Bríd Smith asked the Minister for Health if he will provide the figures for the use of medication in treating children and adolescents with mental health difficulties; the number of children being medicated; the proportion of children attending CAMHS who are on medication; the type of medications used; the duration of treatment by CHO area in each year since 2008; and if he will make a statement on the matter. [27823/18]

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.

Child and Adolescent Mental Health Services Staff

Ceisteanna (380)

Bríd Smith

Ceist:

380. Deputy Bríd Smith asked the Minister for Health the staffing levels of CAMHS across the country by discipline and since 2008; if these figures can be compared to the recommendations in A Vision for Change; and if he will make a statement on the matter. [27824/18]

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.

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