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Wednesday, 4 May 2022

Written Answers Nos. 451-463

Health Services

Ceisteanna (451)

Claire Kerrane

Ceist:

451. Deputy Claire Kerrane asked the Minister for Health the number of HSE needle exchanges and their operating hours in 2022, in tabular form. [21839/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Medical Aids and Appliances

Ceisteanna (452)

Claire Kerrane

Ceist:

452. Deputy Claire Kerrane asked the Minister for Health the number of bone anchor hearing aids fitted in 2020, 2021 and to date in 2022 in Roscommon University Hospital.; and if he will make a statement on the matter. [21840/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible. 

Medical Qualifications

Ceisteanna (453)

Mark Ward

Ceist:

453. Deputy Mark Ward asked the Minister for Health if he will provide a update on the Health and Social Care Professionals Council to regulate counselling and psychotherapy; and if he will make a statement on the matter. [21847/22]

Amharc ar fhreagra

Freagraí scríofa

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 & competence through the statutory registration of health and social care professions designated under the Act.

Regulations under SI No. 170 of 2018 were made by my predecessor in 2018. The effect of these regulations is to designate the professions of counsellor and psychotherapist under the Act and to establish one registration board for both professions. Members were appointed to the Counsellors and Psychotherapists Registration Board in February 2019, and they held their inaugural meeting in May 2019.

The work of a registration board includes consideration of the titles to be protected and the minimum qualifications to be required of existing practitioners and the qualifications that will be required for future graduates. The work of the Counsellors and Psychotherapists Registration Board is significantly more challenging than it is for registration boards for some of the more established professions owing to the different and complex pathways into these professions, the variety of titles used, and the variety and number of courses and course providers. This work is ongoing.

I hope that this information is of assistance to you. 

Mortality Rates

Ceisteanna (454)

Marian Harkin

Ceist:

454. Deputy Marian Harkin asked the Minister for Health if any analysis has been undertaken to explain the significant increase in deaths in Ireland in the period from July to September 2021 (details supplied); and if he will make a statement on the matter. [21853/22]

Amharc ar fhreagra

Freagraí scríofa

The data referred to were sourced from the Central Statistics Office (CSO) quarterly Vital Statistics release for Quarter 3 2021 (issued on 16 March 2022).  The CSO’s quarterly Vital Statistics releases report on births, deaths and marriages registered in Ireland within a quarter.  It is important to note that this data refers to the quarter in which the event was registered with the General Register Office (GRO), and this may not be the same quarter in which the event occurred. Therefore, not all deaths registered within a quarter would have occurred in the same quarter.  Legally in Ireland a period of three months is allowed to register a death.

On 14 May 2021, the Health Service Executive (HSE) IT systems suffered a major ransomware attack.  As a result of this, civil registrations with the GRO (including death registrations) could not be processed for a period of approximately five to six weeks.  This resulted in a significant reduction in registrations recorded in Quarter 2 2021 (April-June).  The CSO’s Vital Statistics release for Quarter 2 2021 (issued 26 November 2021) reported that the number of births registered in Quarter 2 decreased by 1,976 (14.6%) compared to the same period in 2020 and that the number of deaths registered decreased by 1,882 (21.9%).

The backlog of civil registrations created by the cyber-attack disruption resulted in some registrations which should have occurred in Quarter 2 being delayed to Quarter 3 2021 (and given the significance of the disruption, may also impact on registrations recorded for Quarter 4 when that data is reported). The CSO’s Vital Statistics release for Quarter 3 reported that the number of births registered increased by 2,270 (15.7%) compared to the same period in 2020 and the number of deaths registered increased by 1,054 (14.8%).   

Total deaths registered in Ireland in Quarter 2 and Quarter 3 2021 combined (14,865) was 5.3% lower than the same period in 2020 (15,693) and almost the same as the number of deaths registered in Quarter 2 and Quarter 3 of 2019 (14,877).

In response to a query on this issue, the CSO has stated that ‘On 14 May 2021, the Health Service Executive (HSE) of Ireland suffered a major ransom ware cyber-attack which caused all of its IT systems nationwide to be shut down. The General Register Office (GRO) is the central repository for records relating to births, stillbirths, adoptions, marriages, civil partnerships and deaths in Ireland. The GRO systems were also affected by this cyber-attack and consequently, the availability to register life events such as births, deaths and marriages was severely restricted and unavailable for a period of time. As a result, the number of births, deaths and marriages registered in Q2 2021 was lower than what it otherwise would have been had such a cyber-attack not occurred. This unavailability in Q2 2021, ceteris paribus, resulted in a spillover of registrations for such life events in Q3 2021.’

The significant delay caused in civil registrations due to the impact of the cyber-attack was debated in the Oireachtas on a number of occasions during 2021 (primarily in relation to birth registrations).

Due to the impact of the cyber-attack on registration of deaths, analysis of mortality in 2021 will need to be based on data on deaths by date of occurrence. The CSO publishes annual data on deaths by date of occurrence.  The latest data available at present is for 2020, however when 2021 data is published this will be analysed by the Department of Health.

Data and trends in mortality in Ireland, including the direct and indirect impacts of COVID-19, are closely monitored by the Department of Health including analysis of excess mortality.  Excess mortality is an epidemiological indicator which can provide information on the burden of mortality potentially related to the COVID-19 pandemic. Several studies examining excess mortality in Ireland in the context of the COVID-19 pandemic have been published since 2020.

A number of analyses of excess mortality have indicated that Ireland appears to have experienced lower excess mortality during the COVID-19 pandemic than many other countries in Europe and globally.

- An April 2022 analysis by HIQA (Descriptive analysis of COVID-19 epidemiological indicators and associated contextual factors in European countries) estimated that there were 2,019 excess deaths in Ireland between 2 March 2020 and 28 November 2021. The excess deaths occurred during a seven-week period from late March to mid-May 2020 and an eight-week period from early January to late February 2021. The two distinct peaks in excess mortality experienced by Ireland broadly corresponded with the peaks observed for recorded COVID-19 deaths. Throughout the study period, there was substantial variability in the magnitude and duration of peaks in excess mortality across European countries. Between mid- and late-2021, the excess mortality in Ireland was observed to be amongst the lowest in Europe. The analysis of excess mortality contained in the report was based on the data and approaches of EuroMOMO (a European mortality monitoring activity), which provides a long-standing and robust approach to the measurement of excess mortality.

- A study published in the Lancet in March 2022 (Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21) indicated that rates varied substantially in western Europe, with estimated rates in some countries almost as high as those for countries in other global regions. Ireland was among several European countries (including Iceland, Norway, and Cyprus) which had some of the lowest rates in the world, at less than 50 excess deaths per 100,000 population. Based on the Lancet publication, which does include a number of methodological caveats, Ireland had the third lowest estimated excess mortality rate amongst western European countries for the relevant study period (1 January 2020 to 31 December 2021).

- A number of factors may have contributed to lower excess mortality in Ireland, which include, but are not limited to, timely and appropriate institution of population-level public health protective measures, effective communication and buy-in of individuals to non-pharmaceutical interventions, the prioritised roll out, and uptake, of vaccination amongst those in the population most vulnerable to severe outcomes from COVID-19, as well as, potentially, demographic differences, such as the younger population in Ireland compared to other European countries.

The Department of Health and its agencies will continue to closely monitor data in relation to mortality and excess mortality in Ireland.  The Department also engages with international organisations in their ongoing analysis of the direct and indirect impacts of the COVID-19 pandemic on population health, including mortality. 

Disability Services

Ceisteanna (455)

Richard Boyd Barrett

Ceist:

455. Deputy Richard Boyd Barrett asked the Minister for Health if he will address the lack of services provided to a child (details supplied); and if he will make a statement on the matter. [21854/22]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Funding

Ceisteanna (456)

Sorca Clarke

Ceist:

456. Deputy Sorca Clarke asked the Minister for Health if funding will be made available to an organisation (details supplied) in relation to the provision of one-to-one services for a person [21870/22]

Amharc ar fhreagra

Freagraí scríofa

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

Home Care Packages

Ceisteanna (457)

Seán Haughey

Ceist:

457. Deputy Seán Haughey asked the Minister for Health his plans for the provision of home-care services; if a new tender will issue to provide these services in the coming weeks; if community and voluntary providers will be given sufficient details and notice to allow them submit tenders; if the community dimension of home care can be safeguarded in this process; and if he will make a statement on the matter. [21876/22]

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.

Health Services

Ceisteanna (458)

Cathal Crowe

Ceist:

458. Deputy Cathal Crowe asked the Minister for Health when the Health Service Executive as per a promise they made earlier in 2022 will pay for the roll-out of active neuro in community health organisation, CHO, 3 to cater for patients with neurological conditions, in particular those with multiple sclerosis. [21883/22]

Amharc ar fhreagra

Freagraí scríofa

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

Hospital Charges

Ceisteanna (459)

David Cullinane

Ceist:

459. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at the National Rehabilitation Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21899/22]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to a service issue, it has been referred to the HSE for direct reply. 

Hospital Charges

Ceisteanna (460)

David Cullinane

Ceist:

460. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at the Rotunda Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21900/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Charges

Ceisteanna (461, 465)

David Cullinane

Ceist:

461. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at the Mater Misericordiae University Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21901/22]

Amharc ar fhreagra

David Cullinane

Ceist:

465. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at the Mater Misericordiae University Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21905/22]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 461 and 465 together.

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Charges

Ceisteanna (462)

David Cullinane

Ceist:

462. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at Beaumont Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21902/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Charges

Ceisteanna (463)

David Cullinane

Ceist:

463. Deputy David Cullinane asked the Minister for Health the total amount charged for parking at Tallaght University Hospital in 2018, 2019, 2020 and 2021; the total revenue generated by parking charges; the net revenue generated for the hospital by parking charges; and if he will make a statement on the matter. [21903/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

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