Dáil Éireann Debate, Tuesday - 6 November 2018
583. Deputy Caoimhghín Ó Caoláin asked the Minister for Health the steps he has taken to give effect to the call included in a broader motion on disabilities that sought the withdrawal of the in loco parentis rule and that was adopted unopposed by the Dáil Éireann on 27 March 2018; and if he will make a statement on the matter. [45027/18]
Amharc ar fhreagraWhen considering the loco parentis rule, it must be recognised that Paediatric Homecare Packages (PHCPs) are clinical care nursing packages designed for children with complex medical conditions and who have significant healthcare needs. As PHCPs are a clinical rather than respite support, nurses delivering care do not assume sole responsibility for a child in the home. It is also the case that the loco parentis provision is necessary in case of an acute emergency such as respiratory arrest, de-cannulation of a tracheostomy or status epilepticus.
Nonetheless, I am very aware of the issues raised regarding the operation of the loco parentis rule and have asked my officials to engage with the HSE to ensure that concerns around the operation of this provision and its potential impact on parents are considered as part of the Quality Assurance Process for PHCPs.
I understand that the HSE has developed an extensive suite of new policy and practice documents which will provide a framework for the care of children with complex needs in the community. In developing this new approach, the HSE has listened to parents, taken advice from Royal College of Nursing in Britain and consulted with specialists in Ireland. I am informed that the HSE hopes to be able to publish the suite of documentation before the end of the year.
