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Home Care Packages

Dáil Éireann Debate, Thursday - 24 March 2022

Thursday, 24 March 2022

Ceisteanna (381)

Claire Kerrane

Ceist:

381. Deputy Claire Kerrane asked the Minister for Health the status of the plans to regulate the home care sector; and if he will make a statement on the matter. [15607/22]

Amharc ar fhreagra

Freagraí scríofa

The Programme for Government agreed in 2020 commits the government to ‘Introduce a statutory scheme to support people to live in their own homes, which will provide equitable access to high-quality, regulated home care’.

Consequently, work is on-going within the Department of Health to progress the development of the new statutory scheme for the financing and regulation of home-support services. Taking place within the broader context of the Sláintecare reforms, this work encompasses the development of the regulatory framework for the new scheme; the examination of the options for the financing model for the scheme; and the development of a reformed model of service-delivery.

In relation to the regulatory framework, Government gave approval to draft a General Scheme and Heads of a Bill to establish a licensing framework for homecare and support providers in April 2021. The framework will comprise: (i) primary legislation for the licensing of public and private home-support providers; (ii) minimum requirements (i.e., regulations); and (iii) HIQA National Standards for Home Support Services. It is expected that the primary legislation will give the Minister for Health the power to make regulations in respect of minimum requirements which will form the criteria against which a provider’s eligibility to hold a licence will be determined. A regulatory impact analysis will be undertaken by the Department in 2022 to ensure effectiveness and mitigate risks.

The regulations being drawn up by the Department and the standards being drafted by the HIQA both take cognisance of the diverse and often complex needs of those who require homecare and support. The aim is to ensure that service-users are safe-guarded and protected, and a responsive, person-centred, quality-driven home-support service is provided. This is central to the Sláintecare objective of providing ‘right care, in the right place at the right time’.

The development of regulations and quality standards are at an advanced level. HIQA ran a public scoping consultation in September to inform the development of National Standards for Home Support Services. HIQA has convened an Advisory Group, with representation from the Department of Health, to assist in the process of developing the Draft National Standards.

In collaboration with HIQA and in consultation with the Health Service Executive and other key informants, the Department developed draft regulations and a targeted stakeholder consultation was undertaken in January 2022. Evaluating the feedback of this consultation is informing amendments in the draft regulations in advance of a public consultation planned in Q2 2022.

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