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Tuesday, 16 Jun 2020

Written Answers Nos. 663-687

Covid-19 Pandemic

Ceisteanna (663, 711)

Cian O'Callaghan

Ceist:

663. Deputy Cian O'Callaghan asked the Minister for Health the person or bodies some others are referred to in the public health advice for passengers coming here from overseas to self-isolate for 14 days on arrival into the State, with exemptions for set categories of persons including supply chain workers and some others; if airline staff are included in the exemption; if they are required to self-isolate for 14 days; and if he will make a statement on the matter. [11306/20]

Amharc ar fhreagra

Holly Cairns

Ceist:

711. Deputy Holly Cairns asked the Minister for Health the procedures being put in place at airports, ports and other places of entry to ensure persons travelling will self-isolate for the appropriate period of time. [11540/20]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 663 and 711 together.

The measures taken are underpinned by a clear public health rationale.

As the number of indigenous cases here declines and Ireland eases some restrictions, the relative importance of the risk of importation of cases from overseas increases. Ultimately, the progress towards suppression of community transmission which has been achieved and which should allow for greater resumption of social and economic life in Ireland could be endangered.

The public health advice for passengers arriving into the State from overseas is to self-isolate for 14 days. I would ask that all persons arriving into the State follow this advice, and indeed all public health advice, as closely as they can. Persons arriving from Northern Ireland, international transport workers, including airline and maritime workers, and supply chain workers are not asked to self-isolate.

Information for those who are self-isolating and for people living with those who are self-isolating is published by the HSE on www.hse.ie. Information resources on self-isolation are also available on the website of the HSPC, and these have been translated into a number of languages.

My Department engages directly by email with families and businesses who have queries about public health advice.

Separately, since 28 May, it is a legal requirement for passengers arriving from overseas to complete a COVID-19 Passenger Locator Form. The information on the form may be used to assist our contact tracing teams.

Health Screening Programmes

Ceisteanna (664)

Cian O'Callaghan

Ceist:

664. Deputy Cian O'Callaghan asked the Minister for Health when the cervical cancer screening programme will be reopened and the services made available to the public; and if he will make a statement on the matter. [11307/20]

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.

Home Help Service

Ceisteanna (665)

Paul McAuliffe

Ceist:

665. Deputy Paul McAuliffe asked the Minister for Health if a home help application by a person (details supplied) will be examined. [11316/20]

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.

Infectious Diseases

Ceisteanna (666)

John Lahart

Ceist:

666. Deputy John Lahart asked the Minister for Health if there have been cases of tuberculosis in private or State-run nursing homes. [11351/20]

Amharc ar fhreagra

Freagraí scríofa

In relation to any potential cases of tuberculosis in private or State-run nursing homes I have asked the Health Service Executive to reply directly to the Deputy.

Disability Support Services

Ceisteanna (667)

Martin Heydon

Ceist:

667. Deputy Martin Heydon asked the Minister for Health if he has considered the position of school leavers with intellectual disabilities who have lost out on a large part of their final year in special schools and are now facing an uncertain future in view of the fact internships and placements which would often be available to them after school have not yet been organised due to Covid-19 lockdown restrictions; and if he will make a statement on the matter. [11353/20]

Amharc ar fhreagra

Freagraí scríofa

As part of the overall effort to contain the spread of COVID-19 and in line with public health advice, day service locations have been closed since March. However priority service users have been identified in each CHO, and individualised supports continue to be provided to many people in alternative models particularly for these individuals with higher support needs, through alternative means such as via online support and/or regular telephone contact with families. Health and social care responses to the current public health emergency are under continuing review, including specific measures such as these to support vulnerable people. 

The resumption of adult day services is currently being considered by my Department and the HSE as part of broader planning to prepare for the resumption of non-COVID-19 community and social care services in the current environment, and in line with public health guidance. My Department and the HSE has established a Joint Working Group to develop a plan for Community Capacity.

The HSE is finalising plans to re-establish vital non-covid supports and services. This includes very careful and detailed work on the part of the Disability Sector with national guidance and will result in directing how all funded agencies can deliver services on a medium to long-term basis. Community Healthcare Organisations and Section 38/39 agencies continue to work together at a regional level in order to plan and co-ordinate efforts. Considering the very serious nature of this pandemic and the vulnerability of people with disabilities as a care group, any plans to safely commence all disability services and supports must comply with guidance developed by the National Public Surveillance Centre  in the HSE.

The HSE has now developed a number of important guidance documents to assist disability services: the Framework for Resumption of Adult Day Services and Reshaping Disability Services From 2020 & Beyond. The HSE and disability service providers, where identified, will continue to communicate with school leavers and their families to plan and organise for a transition to day services in line with public health guidance. 

These documents are available at the website linked below.  

https://www.hse.ie/eng/services/news/newsfeatures/covid19-updates/partner-resources/

Health Screening Programmes

Ceisteanna (668)

Brendan Smith

Ceist:

668. Deputy Brendan Smith asked the Minister for Health the time frame for the commencement of cancer screening programmes; and if he will make a statement on the matter. [11354/20]

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.

Disability Services Funding

Ceisteanna (669)

Brendan Smith

Ceist:

669. Deputy Brendan Smith asked the Minister for Health if additional funding will be provided in 2020 for a training centre (details supplied) in view of increasing demand for places; and if he will make a statement on the matter. [11355/20]

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.

Disability Services Funding

Ceisteanna (670)

Mattie McGrath

Ceist:

670. Deputy Mattie McGrath asked the Minister for Health if funding will be made available to allow a facility (details supplied) to run a summer camp for children with special needs in Clonmel, County Tipperary, in summer 2020; and if he will make a statement on the matter. [11358/20]

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.

Patient Transport

Ceisteanna (671)

Jennifer Whitmore

Ceist:

671. Deputy Jennifer Whitmore asked the Minister for Health the way in which persons living in County Wicklow who have hospital appointments after 1 p.m., at which time the hospital travel scheme ends, are expected to travel with limited public transport available and family assistance might not be available also; and if he will make a statement on the matter. [11372/20]

Amharc ar fhreagra

Freagraí scríofa

As this question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply.

Covid-19 Pandemic

Ceisteanna (672)

Jennifer Whitmore

Ceist:

672. Deputy Jennifer Whitmore asked the Minister for Health the way in which access to sexual and reproductive healthcare including cervical screening, STI testing and treatment, abortion and contraceptive services have been impacted by the Covid-19 pandemic; and if he will make a statement on the matter. [11373/20]

Amharc ar fhreagra

Freagraí scríofa

As these are operational matters I have referred the Deputy's question to the Health Service Executive for attention and direct reply.

A Vision for Change

Ceisteanna (673)

Jennifer Whitmore

Ceist:

673. Deputy Jennifer Whitmore asked the Minister for Health if the revised national mental health policy, A Vision for Change, will be published; and if he will make a statement on the matter. [11374/20]

Amharc ar fhreagra

Freagraí scríofa

Ireland’s new mental health policy Sharing the Vision – a Mental Health Policy for Everyone 2020-2030 has been approved by Government and is due to be published on Wednesday 17 June. This policy was developed following a process of research into international innovation and best practice in mental health and an extensive national consultation of over 1,000 service users, family members, friends and carers and other stakeholders. Sharing the Vision comes at a time when Covid-19 has impacted so negatively on the nation’s mental health. It advocates protecting health and wellbeing, getting appropriate care quickly and seeks that services provided are quality assured and safe.

Covid-19 Pandemic

Ceisteanna (674)

Charlie McConalogue

Ceist:

674. Deputy Charlie McConalogue asked the Minister for Health when practising reflexologists can commence work (details supplied); and if he will make a statement on the matter. [11378/20]

Amharc ar fhreagra

Freagraí scríofa

On 8 June 2020, new regulations signed by the Minister for Health came into operation. These Regulations, the Health Act 1947 (Section 31A - Temporary Restrictions) (COVID-19) (No. 2) Regulations 2020 (SI No. 206 of 2020), apply from 8 June 2020 until 29 June 2020.

The Regulations provide that the occupier, the manager, or any other person in charge, shall take all reasonable steps to ensure that members of the public are not permitted, or otherwise granted, access to a premises or to a part of such premises, where a relevant business or service is carried on or otherwise provided.  "Relevant business or service" is defined in Schedule 2 to the S.I. and includes services provided on a commercial basis, other than where such services are provided by a physiotherapist or by a registered medical practitioner, including massage services. Such services are, therefore, not permitted at this time.

It should also be noted that reflexologists are not registered health professionals within the meaning of section 3 of the Health and Social Care Professionals Act 2005 (No. 27 of 2005).

Question No. 675 answered with Question No. 514.
Question No. 676 answered with Question No. 557.

Covid-19 Tests

Ceisteanna (677)

Norma Foley

Ceist:

677. Deputy Norma Foley asked the Minister for Health if persons can apply to have an antibody test to confirm definitively if they have had Covid-19. [11389/20]

Amharc ar fhreagra

Freagraí scríofa

The ECDC has advised that immunoassays detecting specific antibodies against SARS-CoV-2 (COVID-19) will play an important role in the future for epidemiological surveillance, evaluation of immunity and the outcome of future vaccination studies. However, the reliability of serological tests remains a major issue as does the interpretation of what immunity means and how long it might last. These remain active research questions.

The ECDC have reported that over 60 rapid SARS-CoV-2 antibody tests have been CE marked to date, and many more continue to be placed on the market. Prior to the introduction of new serological assays [antibody tests] clinical validation studies are required to confirm that test performance can be replicated in the context in which the test is intended to be used.

Following a request from the National Public Health Emergency Team (NPHET) the HSE and Health Protection Surveillance Centre (HPSC) are proceeding with plans to undertake a national population sero-prevalence study. This work is being carried out jointly by HPSC and NVRL, in collaboration with the Central Statistics Office and Department of Health.

This first use of antibody testing, as has occurred in other countries, will be to estimate the prevalence of immunity in the general population by conducting a population based sero-prevalence survey to measure the prevalence of antibodies to SARS-CoV-2 virus in a representative  sample of the Irish population in two geographically defined areas. Ethics approval for the study was granted by the National Research Ethics Committee for COVID-19 on 4 June. All persons aged 12-69 years living in Ireland can be randomly selected to participate. Those randomly selected, who consent to participate, will complete a questionnaire and have a blood sample taken.

Samples will be analysed at the National Virus Reference Laboratory (NVRL) for the detection of antibodies to the virus. For those who do not speak English, arrangements will be in place to enable them to participate via translated material and interpreters. Those who need assistance to support decision making will be provided with these supports, on request. The study will commence on 15 June, with results being available toward the end of August.

Respite Care Services

Ceisteanna (678)

Martin Kenny

Ceist:

678. Deputy Martin Kenny asked the Minister for Health when respite care and services will resume for families who have children and adults with disabilities and have received no respite since early March 2020 due to the Covid-19 pandemic; and if he will make a statement on the matter. [11393/20]

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

Covid-19 Pandemic

Ceisteanna (679)

Fergus O'Dowd

Ceist:

679. Deputy Fergus O'Dowd asked the Minister for Health if a reply will issue to correspondence received from a person (details supplied) relating to guidelines for hair salons that will be reopening from 20 July 2020; and if he will make a statement on the matter. [11401/20]

Amharc ar fhreagra

Freagraí scríofa

The Government’s Roadmap for Reopening Society & Business, published on 1 May 2020, sets out an indicative path to the easing of COVID 19 restrictions and other actions in order to facilitate the reopening of Ireland’s society and economy in a phased manner. Phase 1 was introduced on 18 May 2020 and the Government confirmed the move to Phase 2 of the Roadmap for Reopening Society & Business from Monday, 8 June 2020. Information and advice about the restrictions that have been eased as part of Phase 2 and the measures that are now in place are available on the Government website at http://www.gov.ie/phase2. 

The Roadmap specifies that decisions in relation to which actions will be taken and which public health measures might be lifted will be made in accordance with the Framework for Future Decision-Making which is as follows:

1. Before each Government consideration of the easing of restrictions, the Department of Health will provide a report to the Government regarding the following on/off trigger criteria:

- The latest data regarding the progression of the disease, 

- The capacity and resilience of the health service in terms of hospital and ICU occupancy,

- The capacity of the programme of sampling, testing and contact tracing,

- The ability to shield and care for at risk groups,

- An assessment of the risk of secondary morbidity and mortality as a consequence of the restrictions.

2. It will also provide risk-based public health advice on what measures could be modified in the next period.

3. The Government would then consider what restrictions could be lifted, having regard to the advice of the Department of Health as well as other social and economic considerations, e.g. the potential for increased employment, relative benefits for citizens and businesses, improving national morale and wellbeing etc.

4. It is acknowledged that there is also an ongoing possibility that restrictions could be re-imposed and this process will be carried out on an ongoing basis once every 3 weeks.

As is clear from the framework described above, it is the Government rather than the Minister or Department of Health that will decide on any modifications to the current public health measures in place and those decisions will be informed by the status of the on/off trigger criteria and the public health advice received at the time that a decision is being made. The decisions of the Government are published and the guidance in operation at a point in time are available on the Government website at http://www.gov.ie/

I would like to draw the Deputy's attention to the Health Act 1947 (Section 31A - Temporary Restrictions) (Covid-19) (No. 2) Regulations 2020 (SI No. 206 of 2020) signed by me, which came into operation on 8 June 2020 until 29 June 2020. The new Regulations provide for the unwinding of certain restrictions provided for in the earlier Regulations and also provide for continued restrictions for some business and services.

The services mentioned by the Deputy are addressed within the Regulations. The purpose of this regulatory approach to the implementation of the public health framework is to inform a slow, gradual, step-wise and incremental reduction of the current public health social distancing measures, in a risk-based, fair and proportionate way with a view to effectively suppressing the spread of COVID-19 disease while enabling the gradual return of social and economic activity. The Government, informed by the public health advice provided by the Department of Health, has decided to take a gradual re-opening of society and the economy as risks to human health and life caused by COVID-19 remain and lifting the measures in place carries considerable great uncertainty and risk.

The Government also agreed to bring forward actions in the remaining phases of the Roadmap and plan for four phases rather than the five originally indicated. Work is underway to consider how best to achieve this aim and more information will be made available in the coming weeks. This work, once completed will form part of the Government's considerations.

Health and Social Care Professionals

Ceisteanna (680, 681, 682, 700, 701)

Catherine Connolly

Ceist:

680. Deputy Catherine Connolly asked the Minister for Health when the statutory registration of psychotherapists and counsellors pursuant to S.I. No. 21 of 2019 of the Health and Social Care Professionals Act 2005 (Section 28A) (Counsellors and Psychotherapists Registration Board) Regulations 2019 will commence; the body charged with such registration; and if he will make a statement on the matter. [11416/20]

Amharc ar fhreagra

Catherine Connolly

Ceist:

681. Deputy Catherine Connolly asked the Minister for Health the number of psychotherapists and or counsellors registered pursuant to S.I. No. 21 of 2019 of the Health and Social Care Professionals Act 2005 (Section 28A) (Counsellors and Psychotherapists Registration Board) Regulations 2019; and if he will make a statement on the matter. [11417/20]

Amharc ar fhreagra

Catherine Connolly

Ceist:

682. Deputy Catherine Connolly asked the Minister for Health if he is satisfied that CORU is adequately funded to undertake its function as the body required to undertake the statutory registration of psychotherapists and counsellors under the Health and Social Care Professionals Act 2005 (as amended); and if he will make a statement on the matter. [11418/20]

Amharc ar fhreagra

Louise O'Reilly

Ceist:

700. Deputy Louise O'Reilly asked the Minister for Health his plans to fast track the statutory registration of counsellors and psychotherapists in line with the long-standing recommendations of A Vision for Change; and if he will make a statement on the matter. [11483/20]

Amharc ar fhreagra

Louise O'Reilly

Ceist:

701. Deputy Louise O'Reilly asked the Minister for Health if he will make the necessary resources available to CORU to carry out the registration of counsellors and psychotherapists within a shorter time period than expected; and if he will make a statement on the matter. [11484/20]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 680 to 682, inclusive, 700 and 701 together.

The Health and Social Care Professionals Act 2005 (the Act) provides for the protection of the public by promoting high standards of professional conduct and professional education, training and competence through statutory registration of health and social care professions designated under the Act.

A profession for regulation is either designated in the Act, or can be designated by means of an Order made by the Minister for Health under the Act where, after a consultation process, the Minister considers that it is appropriate and in the public interest that the profession be so designated.  Arising from such a consultation process, I decided for the purpose of regulation to designate two distinct professions, counsellors and psychotherapists, each with its register, under one registration board.  Regulations to designate the two professions under the Act and to establish the Counsellors and Psychotherapists Registration Board were made in 2018.  SI No 21 of 2019 of the Health and Social Care Professionals Act 2005 (Section 28A) (Counsellors and Psychotherapists Registration Board) Regulations 2019 prescribes the number of persons from the designated professions of counsellor and the designated profession of psychotherapist to be appointed to the Registration Board. The Registration Board was duly appointed in February 2019 and held its inaugural meeting in May 2019.

While the Board has begun working towards regulation of these professions, a substantial body of work requires to be undertaken before a register may be opened.  The work of this Board is significantly more challenging than for registration boards for some of the more established professions, owing to the different and complexity of entry paths into the counsellor and psychotherapist professions, variety of titles used, and the variety and number of courses and course providers.  In order to support this and other important work being undertaken by CORU, my Department has allocated additional funding of over €900,000 to the regulator in 2020.

Health Screening Programmes

Ceisteanna (683)

Catherine Connolly

Ceist:

683. Deputy Catherine Connolly asked the Minister for Health when breast and CervicalCheck screening services will be reinstated; the length of time for which they have been suspended; if the risk assessment conducted by the HSE on the postponement of these checks has been completed; if so, the findings; when the report will be published; and if he will make a statement on the matter. [11419/20]

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.

Question No. 684 answered with Question No. 554.

General Practitioner Services

Ceisteanna (685)

Catherine Connolly

Ceist:

685. Deputy Catherine Connolly asked the Minister for Health the estimated cost in 2021 of increasing the annual general practitioner training intake to 305 in 2021; and if he will make a statement on the matter. [11421/20]

Amharc ar fhreagra

Freagraí scríofa

As GP training is currently the responsibility of the Health Service Executive, I have arranged for this question to be referred to the Executive for direct reply to the Deputy.

Vaccination Programme

Ceisteanna (686)

Catherine Connolly

Ceist:

686. Deputy Catherine Connolly asked the Minister for Health the cost of all vaccines; the vaccines included under the childhood vaccination programmes; the vaccines included under medical programmes; the cost of vaccines that require payment; and if he will make a statement on the matter. [11422/20]

Amharc ar fhreagra

Freagraí scríofa

As this PQ refers to service issues, I have referred it to the Health Service Executive for attention and direct reply to the Deputy.

Medical Cards

Ceisteanna (687)

Christopher O'Sullivan

Ceist:

687. Deputy Christopher O'Sullivan asked the Minister for Health if he has considered extending the carer’s general practitioner visit card to carers in receipt of the carer support grant; and if he will make a statement on the matter. [11446/20]

Amharc ar fhreagra

Freagraí scríofa

Since 1 September 2018 all those in receipt of either a full or half-rate Carer's Allowance or Carer's Benefit are automatically eligible for a GP visit card. It is noted that many persons in receipt of the Carer's Support Grant will qualify for a GP visit card as the Carer's Support Grant is paid automatically to persons in receipt of Carer's Allowance or Carer's Benefit.

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