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Tuesday, 5 Nov 2019

Written Answers Nos. 708-727

Mental Health Services Staff

Ceisteanna (708)

Jan O'Sullivan

Ceist:

708. Deputy Jan O'Sullivan asked the Minister for Health when a consultant and supporting posts for mental health and intellectual disability which have been sanctioned for CHO3 will be filled; if the posts have been advertised both nationally and internationally; and if he will make a statement on the matter. [45426/19]

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.

Treatment Benefit Scheme Eligibility

Ceisteanna (709)

John McGuinness

Ceist:

709. Deputy John McGuinness asked the Minister for Health further to Parliamentary Question No. 795 of 6 September 2019, if an application under the treatment abroad scheme by a person (details supplied) will be reviewed; and if a positive result will be issued. [45429/19]

Amharc ar fhreagra

Freagraí scríofa

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

Medicinal Products Availability

Ceisteanna (710)

John McGuinness

Ceist:

710. Deputy John McGuinness asked the Minister for Health when cannabis medication in tablet form, epidiolex, will be made available here in view of the decision taken by the EU to sanction its use here on 23 September 2019; and if he will make a statement on the matter. [45430/19]

Amharc ar fhreagra

Freagraí scríofa

The HSE has statutory responsibility for medicine pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. The Act specifies the criteria for decisions on the reimbursement of medicines. The Minister for Health has no role in relation to reimbursement decisions.In line with the 2013 Act and the national framework agreed with industry, if a company would like a medicine to be reimbursed by the HSE, the company must submit an application to the HSE to have the new medicine added to the reimbursement list. Reimbursement is for licensed indications which have been granted market authorisation by the European Medicines Agency or the Health Products Regulatory Authority. Epidyolex received a marketing authorisation valid throughout the EU on 19th September 2019 (Agency Product Number EMEA/H/C/004675). It is a medicine used in addition to clobazam to treat patients from the age of two years who have Lennox-Gastaut syndrome or Dravet syndrome.

I am advised by the HSE that it has not received a formal application for pricing and reimbursement to date for the drug Epidyolex (Epidiolex in USA). If an application for reimbursement is received, it will be processed in line with the Health (Pricing and Supply of Medical Goods) Act 2013.

Hospital Appointments Status

Ceisteanna (711)

Michael Healy-Rae

Ceist:

711. Deputy Michael Healy-Rae asked the Minister for Health the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter. [45432/19]

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.

Hospital Appointments Status

Ceisteanna (712)

Michael Healy-Rae

Ceist:

712. Deputy Michael Healy-Rae asked the Minister for Health the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter. [45433/19]

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.

Hospital Appointments Status

Ceisteanna (713)

Michael Healy-Rae

Ceist:

713. Deputy Michael Healy-Rae asked the Minister for Health the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter. [45434/19]

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.

Hospital Appointments Status

Ceisteanna (714)

Michael Healy-Rae

Ceist:

714. Deputy Michael Healy-Rae asked the Minister for Health the status of a hospital appointment for a person (details supplied); and if he will make a statement on the matter. [45435/19]

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.

Psychological Services Waiting Lists

Ceisteanna (715, 719)

Catherine Murphy

Ceist:

715. Deputy Catherine Murphy asked the Minister for Health the number of young persons and teenagers awaiting psychologist intervention services in counties Wicklow, Dublin, Meath and Cork; the wait time for each district; the number of staff providing services by county in tabular form; and if he will make a statement on the matter. [45436/19]

Amharc ar fhreagra

Catherine Murphy

Ceist:

719. Deputy Catherine Murphy asked the Minister for Health the number of young persons and teenagers waiting to see a psychologist in counties Wicklow, Dublin, Meath and Cork; the wait time for each district; the number of staff providing services in tabular form; the number waiting more than 1, 6, 12 and 18 months, respectively by county; and if he will make a statement on the matter. [45448/19]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 715 and 719 together.

As these questions relate to service matters, I have arranged for them to be referred to the Health Service Executive (HSE) for direct reply.

Hospital Appointments Status

Ceisteanna (716)

Michael Healy-Rae

Ceist:

716. Deputy Michael Healy-Rae asked the Minister for Health the status of an appointment for a person (details supplied); and if he will make a statement on the matter. [45441/19]

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.

Hospital Appointments Status

Ceisteanna (717)

Michael Healy-Rae

Ceist:

717. Deputy Michael Healy-Rae asked the Minister for Health the status of an appointment for a person (details supplied); and if he will make a statement on the matter. [45442/19]

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.

Medical Aids and Appliances Applications

Ceisteanna (718)

Kevin O'Keeffe

Ceist:

718. Deputy Kevin O'Keeffe asked the Minister for Health if a person (details supplied) in County Cork can obtain assistance towards the cost of equipment. [45447/19]

Amharc ar fhreagra

Freagraí scríofa

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

Question No. 719 answered with Question No. 715.

Hospital Waiting Lists

Ceisteanna (720)

Michael Healy-Rae

Ceist:

720. Deputy Michael Healy-Rae asked the Minister for Health the status of a procedure for a person (details supplied); and if he will make a statement on the matter. [45488/19]

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.

Hospital Appointments Status

Ceisteanna (721)

Michael Healy-Rae

Ceist:

721. Deputy Michael Healy-Rae asked the Minister for Health the status of an appointment for a person (details supplied); and if he will make a statement on the matter. [45489/19]

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.

Medical Card Data

Ceisteanna (722)

Stephen Donnelly

Ceist:

722. Deputy Stephen Donnelly asked the Minister for Health the number of medical cards as of 31 October 2019; the number of general practitioner cards on the same date; and the number for each type of card issued on a discretionary basis on that date. [45510/19]

Amharc ar fhreagra

Freagraí scríofa

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

Nursing Homes Support Scheme Data

Ceisteanna (723)

Stephen Donnelly

Ceist:

723. Deputy Stephen Donnelly asked the Minister for Health the number of persons awaiting placement under the fair deal scheme at the end of October 2019 or the latest date available; the average waiting time; the number of persons awaiting placement under the scheme in each local health area in tabular form; and the length of time waiting. [45511/19]

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 Closures

Ceisteanna (724)

Stephen Donnelly

Ceist:

724. Deputy Stephen Donnelly asked the Minister for Health the number of beds and wards in public and voluntary acute hospitals that were closed on 31 October 2019 or the latest date on which data for validated bed closures at hospital and ward level are available in tabular form. [45512/19]

Amharc ar fhreagra

Freagraí scríofa

The Open Beds Report, published by my Department monthly, provides a summary of the average numbers of open inpatient beds and day beds/places in the acute hospital system based on data provided by the HSE. It can be found on the Department's website: https://health.gov.ie/publications/

According to provisional data received from the HSE Acute Business Information Unit, there were on average 11,008 inpatient beds and 2,268 day case beds/places available nationally in July 2019.

Information relating to closed beds is collated at a particular date in time. The number of beds closed can fluctuate greatly from day to day for a variety of reasons, including on-going refurbishment, maintenance work, and infection control measures.

With regard to the Deputy's specific question, I have asked the HSE to respond to the Deputy directly with the requested information.

Hospital Discharges

Ceisteanna (725)

Stephen Donnelly

Ceist:

725. Deputy Stephen Donnelly asked the Minister for Health the number of delayed discharges in each public and voluntary hospital at the end of October 2019; and the number to date in each in 2019, in tabular form. [45513/19]

Amharc ar fhreagra

Freagraí scríofa

Delayed transfers of care (previously referred to as delayed discharges) occur when patients have been deemed clinically fit for discharge from an acute bed but their discharge is delayed because they are waiting for some form of ongoing support or care following their discharge. There are many reasons for this, such as a patient undertaking the application process for NHSS, awaiting assessment for a home support package, homelessness, ward of court application, and the availability of resources.

When possible, the HSE will use transitional care to accommodate the patient during the period between discharge and the finalisation of new care arrangements, but there can often be a delay, especially in cases where the patient and family are coming to terms with the new circumstances.

This year, services are being stretched more than ever, with demand consistently outstripping supply, and we have seen an increase the number of delayed transfers of care. While the HSE maximises the use of resources, prioritising those requiring discharge from acute hospitals, there is a growing demand for egress support. In response, and in the context of planning and preparing for the challenges of the winter period, the Department and the HSE have been considering a comprehensive approach to the current the high-level of DTOCs. However, recognising the urgency of the situation, approval was provided to the HSE to begin actions immediately to the value of €5m in 2019. As part of these measures the HSE released a significant number of funding approvals within NHSS in September, and provided additional home care and transitional care beds.

With regard to the Deputy's specific question, I have asked the HSE to respond to the Deputy directly with the requested information.

Hospital Discharges

Ceisteanna (726)

Stephen Donnelly

Ceist:

726. Deputy Stephen Donnelly asked the Minister for Health the number of bed days lost in each public and voluntary hospital owing to delayed discharges between 1 January 2019 and 31 October 2019 or the latest date available in tabular form. [45514/19]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the HSE to respond to the Deputy directly.

Ambulance Service Response Times

Ceisteanna (727)

Stephen Donnelly

Ceist:

727. Deputy Stephen Donnelly asked the Minister for Health the percentage of clinical status 1 ECHO incidents responded to by a first responder in seven minutes and 59 seconds or less for each ambulance station in each month in 2019 to the end of October 2019 or latest date available; and the percentage of clinical status 1 DELTA incidents responded to by a patient carrying vehicle in seven minutes and 59 seconds or less in tabular form. [45515/19]

Amharc ar fhreagra

Freagraí scríofa

As this is a service issue, it has been referred to the Health Service Executive for attention and direct reply.

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