Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Tuesday, 18 Oct 2022

Written Answers Nos. 711-730

Healthcare Policy

Ceisteanna (711)

Mary Lou McDonald

Ceist:

711. Deputy Mary Lou McDonald asked the Minister for Health if he will clarify the way in which existing commitments such as publication of the Action Plan on foot of the Disability Capacity Review and the establishment of a Workforce Planning Group and Strategy for Disability will be progressed in relation to disability now that the transfer of disability functions from his Department to the Department of Children, Equality, Disability, Integration and Youth has been delayed; and if he will make a statement on the matter. [51291/22]

Amharc ar fhreagra

Freagraí scríofa

Health Service Executive funded specialist community-based disability services are delivered to about 56,000 people or 9% of those with a disability. Policy functions and funding responsibility relating to specialist community-based disability services (SCBDS) will transfer to the Minister for Children, Equality, Disability, Integration and Youth (MCEDIY), and the responsibility for the delivery of these services will be retained within the Health Service Executive.

The Department of Health is committed to commencing the transfer as soon as possible.

While details pertaining to the transfer are being finalised, commitments currently residing with the Minister for Health, such as the Disability Action Plan, will be progressed as normal in the Department of Health until such time as the transfer of specialist disability function to Department of Children, Equality, Disability, Integration and Youth in concluded. Following the of the transfer of functions, overall responsibility for workforce planning in health services will remain within the purview of the Department of Health, with appropriate co-operation and input from myself and the Department of Children, Equality, Integration and Youth with regard to disability services.

Disability Services

Ceisteanna (712)

Mary Lou McDonald

Ceist:

712. Deputy Mary Lou McDonald asked the Minister for Health the way in which his Department will interact with the Minister for Children, Equality, Disability, Integration and Youth in relation to psychosocial disabilities once the transfer of disability functions is complete; and if he will make a statement on the matter. [51292/22]

Amharc ar fhreagra

Freagraí scríofa

Health Service Executive funded specialist community-based disability services are delivered to about 56,000 people or 9% of those with a disability. Policy functions and funding responsibility relating to specialist community-based disability services will transfer to the Minister for Children, Equality, Disability, Integration and Youth (MCEDIY), and the responsibility for the delivery of these services will be retained within the Health Service Executive.

The Department of Health is committed to commencing the transfer as soon as possible.

The HSE provides specialist community-based disability services through a suite of interventions including early intervention, multi-disciplinary therapies, habilitation, rehabilitation and behaviour support, staffed supported housing, respite/short breaks to support carers, day services and support for community engagement, personal assistance, home help and assistive technology. Access to disability support services is based on need, not on a specific diagnosis.

There will no change in service provision or delivery for those in receipt or seeking to access HSE Disability Services once the transfer of functions takes place.

Housing Policy

Ceisteanna (713)

Matt Shanahan

Ceist:

713. Deputy Matt Shanahan asked the Minister for Health when a change, subject to a recent Regional Group Private Members’ motion that houses within the fair deal scheme could be made available to the rental market without impact to the cost of the scheme for those in residential accommodation, will come into effect; and if he will make a statement on the matter. [51293/22]

Amharc ar fhreagra

Freagraí scríofa

The Government has approved a policy change to the Nursing Homes Support Scheme, also known as “Fair Deal”, to remove a disincentive for participants in the Scheme to rent out their principal residence after they have entered long term residential care. The rate of assessment for rental income from all principal residences will be reduced from 80% to 40%. This will be reviewed after six months of operation, with the potential for further amendment after that point. This policy change addresses the commitments made under Housing For All Action 19.8.The change was made through Committee-Stage amendment to the Regulation of Providers of Building Works and Building Control (Amendment) Bill 2022. The Bill was approved by the Oireachtas on 30th June and signed into law by President Higgins in July. It is expected that the necessary administrative and operational changes will soon be in place and the amendment will become fully operational shortly thereafter.

Hospital Staff

Ceisteanna (714)

Aengus Ó Snodaigh

Ceist:

714. Deputy Aengus Ó Snodaigh asked the Minister for Health the number of endometrioses specialists who are employed in the Coombe Hospital endometriosis clinic; the number of clinical nurses who are employed in the clinic; the number of endometriologists who are employed in this clinic; and if his attention has been drawn to the number of women who travel each year to Romania to have endometriosis-related surgery. [51298/22]

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 Services

Ceisteanna (715)

Aengus Ó Snodaigh

Ceist:

715. Deputy Aengus Ó Snodaigh asked the Minister for Health if the Coombe Hospital endometriosis clinic can receive electronic results of MRI scans from outside hospitals and clinics, including a particular clinic (details supplied). [51299/22]

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.

Health Service Executive

Ceisteanna (716)

Alan Kelly

Ceist:

716. Deputy Alan Kelly asked the Minister for Health the dates and attendees of any meetings which HSE officials had with any Oireachtas Members from the mid-west, counties Tipperary, Limerick or Clare from 1 January 2022 to 10 October 2022, in chronological order by date, Oireachtas Member attendees, HSE officials and topic of meeting. [51300/22]

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.

Healthcare Policy

Ceisteanna (717)

Bernard Durkan

Ceist:

717. Deputy Bernard J. Durkan asked the Minister for Health if Ireland will be participating in the European Union joint action on diabetes and cardiovascular disease initiative; and if he will make a statement on the matter. [51309/22]

Amharc ar fhreagra

Freagraí scríofa

The EU4Health Programme mandates a wide range of support to health policies and actions. The EU4Health annual work plans are structured around four overarching strands – crisis preparedness, health promotion & disease prevention, health systems & healthcare workforce, and digital – with a cross-cutting priority on cancer. My Department participates actively in the EU4Health Steering Group and Programme Committee and, together with its aegis bodies including the Health Service Executive and Health Research Board, works to bring possible support measures under EU4Health to the attention of health authorities and eligible stakeholders.

Participation in the 2022 EU4Health Programme joint action on diabetes and cardiovascular disease initiative is currently under consideration by officials in my department.

Health Service Executive

Ceisteanna (718)

Noel Grealish

Ceist:

718. Deputy Noel Grealish asked the Minister for Health if the HSE has plans to set targets for green procurement in 2022 and in 2023; and if he will make a statement on the matter. [51321/22]

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.

Health Services Staff

Ceisteanna (719)

Bríd Smith

Ceist:

719. Deputy Bríd Smith asked the Minister for Health further to Parliamentary Question No. 391 of 6 October 2022, the reason that the Government is funding one cohort of trainees but not another, even though both are eligible for the same posts in child disability and psychology services post-qualification; the rationale behind this decision; and if he will make a statement on the matter. [51327/22]

Amharc ar fhreagra

Freagraí scríofa

As indicated in my response to the Deputy's question of 6 October last, a total of over €1.2 billion for Mental Health was provided in Budget 2023. This significant investment will enable continued improvement for the HSE Mental Health care programme over next year.

As I also indicated in my reply, €750,000 was provided in Budget 2023 to allow the HSE to support counselling psychology training places. This funding demonstrates the Government’s commitment to strengthen access to psychology training. This is a new and specific initiative, prioritised by the HSE to enhance mental health care overall. As happens each year following the Budget, detailed discussions are progressing between the Department and HSE to improve Mental Health care arising from Budget 2023 and in the context of preparing the HSE Service Plan for next year.

I re-iterate my understanding that the Minister for Education and her Department very much value the work of all educational psychologists across the education system and that they are working intensively to find a positive resolution for the issue of fees for trainee educational psychologists.

The Department of Health will continue to work collaboratively with the Department of Education and other Government Departments as required on wider workforce planning issues for health and social care professionals, including on future planning in terms of psychology education, training, and placement. This approach will, separately, support the implementation of Sharing the Vision.

The Deputy may wish to ask the views of the Minister for Education with regard to funding for the area of Educational Child Psychologists, which is under her remit.

Medical Cards

Ceisteanna (720)

Paul McAuliffe

Ceist:

720. Deputy Paul McAuliffe asked the Minister for Health if he will provide an update on the application by a doctor (details supplied) to be added to the medical card list. [51348/22]

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.

Healthcare Policy

Ceisteanna (721)

Louise O'Reilly

Ceist:

721. Deputy Louise O'Reilly asked the Minister for Health further to Parliamentary Question No. 840 of 5 July 2022, if he will give a date for when the evaluation of the obesity policy and action plan undertaken by University College Cork will be published; when his Department will respond to the evaluation; and if he will make a statement on the matter. [51360/22]

Amharc ar fhreagra

Freagraí scríofa

A Healthy Weight for Ireland, the Obesity Policy and Action Plan (OPAP), was launched in September 2016 under the auspices of the Healthy Ireland Framework (Healthy Ireland: A Framework for Improved Health and Wellbeing 2013-2025). It was developed in recognition of the growing need for a co-ordinated policy response to the increasing problem of obesity in Ireland and the increasing burden placed on individuals and society.

OPAP covers a 10-year period up to 2025 and aims to reverse obesity trends, prevent health complications and reduce the overall burden for individuals, families, the health system, and the wider society and economy. It recognises that obesity is a complex, multi-faceted problem and needs a multi-pronged solution, with every sector of society playing its part. Childhood obesity is a key priority under OPAP, as is reducing the inequalities seen in obesity rates, where children (and adults) from lower socioeconomic groups have higher levels of obesity.

Implementation of the OPAP is overseen by a cross-sectoral and cross-Departmental group, the Obesity Policy Implementation Oversight Group (OPIOG) chaired by the Department of Health and established in October 2017.

An independent evaluation and evidence review was carried out in 2020/2021 by the School of Public Health, UCC, covering the period 2016 to 2021. A review of the OPAP is currently underway which examines key actions as set out in the Ten Steps in the OPAP, considers the results of the independent Evaluation and Evidence Review conducted by the School of Public Health, UCC (2022) and reviews further implementation of OPAP since the period covered by the UCC work. This Review is nearing completion and is expected to be finalised and published in the coming weeks. The evaluation and evidence review carried out by UCC will be published alongside the OPAP Review.

Departmental Reviews

Ceisteanna (722)

Louise O'Reilly

Ceist:

722. Deputy Louise O'Reilly asked the Minister for Health if he will provide an update on the work being undertaken by his Department in relation to the restructuring of the NIAC in order to facilitate its continuing work and examining improved structural options for the committee, as per the deficiencies identified in the briefing that he received upon entering office; and if he will make a statement on the matter. [51361/22]

Amharc ar fhreagra

Freagraí scríofa

The National Immunisation Advisory Committee (NIAC) is an independent voluntary committee, comprised of expert members, set up by the Royal College of Physicians of Ireland (RCPI) at the request of the Department of Health and hosted by the RCPI. The NIAC makes recommendations on immunisation policy to my Department. Its recommendations are based on the prevalence of the relevant disease in Ireland and international best practice in relation to immunisation. It continues to revise these recommendations to allow for the introduction of new vaccines in Ireland and to keep abreast of changes in the patterns of disease. The NIAC has played an integral role during the COVID-19 pandemic by providing robust, evidenced based advice to my Department which has informed and supported decision making in relation to the use of COVID-19 vaccines in Ireland.It is important that we have an effective, fit for purpose, transparent and accountable immunisation advisory function in Ireland. With this in mind, my Department has been examining options for a more sustainable model with appropriate governance structures in place. The Department will be engaging with the NIAC shortly with a view to progressing this work. This will ensure the continued success of existing and future immunisation programmes in Ireland.

Departmental Data

Ceisteanna (723)

Cormac Devlin

Ceist:

723. Deputy Cormac Devlin asked the Minister for Health if he will provide an update on plans to support women who were impacted by mesh implants; and if he will make a statement on the matter. [51387/22]

Amharc ar fhreagra

Freagraí scríofa

In respect of the service provisions and supports in place to support women experiencing mesh related complications, multidisciplinary specialist services for women suffering from mesh complications are available via the HSE National Mesh Complications Service, based at Cork University Hospital (CUMH) and the National Maternity Hospital (NMH) Dublin. This service has been operational since 1st September 2021. The HSE published a detailed Implementation Plan to progress the recommendations outlined in the Chief Medical Officer’s report on the Use of Uro-Gynaecological Mesh in Surgical Procedures.

The National Women and Infants Health Programme continue to lead on this work for the HSE and I am referring the question to the HSE for direct reply on this matter.

Departmental Reviews

Ceisteanna (724)

Róisín Shortall

Ceist:

724. Deputy Róisín Shortall asked the Minister for Health if he will provide a timeline that the working interdepartmental group established to review the report of the Special Oireachtas Joint Committee on International Surrogacy is working towards in completing its work; when he expects the Health (Assisted Human Reproduction) Bill 2022 will reach Committee stage; and if he will make a statement on the matter. [51391/22]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy will be aware, the Health (Assisted Human Reproduction) Bill 2022 passed Second Stage in the Dáil on March 23rd 2022 and has been referred to the Select Committee on Health for Third Stage.

This legislation encompasses the regulation, for the first time in this country, of a wide range of assisted human reproduction (AHR) practices, including domestic altruistic surrogacy. The published Bill does not contain provisions to regulate surrogacy arrangements undertaken in other jurisdictions. International surrogacy raises complex ethical questions concerning areas of law that intersect across the remits of several Government Departments and require detailed examination.

Following the publication of the Final Report of the Special Oireachtas Joint Committee on International Surrogacy, an Inter-Departmental Group was established to review the Report’s recommendations, along with other relevant matters, with the aim of determining an agreed policy position and suitable next steps, in the form of a unified Policy Paper and appropriate legislative proposals. I await the completion of this Group’s work within the coming weeks.

Any policy and legislative proposals that may arise following the completion of the Departments’ examination of the Committee’s recommendations will require consideration and approval by Government. However, the clear intention of the Group, and Minister McEntee, Minister O’Gorman and myself, is that the appropriate vehicle for accommodating legislative proposals in respect of international surrogacy – which will need to be formally drafted by the Office of the Parliamentary Counsel – will be through the insertion of relevant provisions into the Health (Assisted Human Reproduction) Bill 2022 at Committee Stage.

At this juncture, I cannot provide a definitive timeline as to when Committee Stage will be scheduled. Nevertheless, I can assure the Deputy that I wish to progress this much-needed and long-awaited piece of historic legislation as quickly as possible to ensure that a robust regulatory framework for AHR is in place.

General Practitioner Services

Ceisteanna (725)

Chris Andrews

Ceist:

725. Deputy Chris Andrews asked the Minister for Health if a person (details supplied) whose key worker submitted an urgent request to the HSE for them to be assigned a GP could be assigned to one as a matter of urgency. [51396/22]

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 Staff

Ceisteanna (726)

David Cullinane

Ceist:

726. Deputy David Cullinane asked the Minister for Health the number of full-time nurses in St. Joseph's Hospital, Dublin 5 in each of the years of 2020, 2021 and to date in 2022, in tabular form; and if this number will be further increased. [51404/22]

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 Waiting Lists

Ceisteanna (727)

David Cullinane

Ceist:

727. Deputy David Cullinane asked the Minister for Health the average waiting times for radiology reporting across all hospitals in the Saolta University Hospital care group for September 2020, 2021 and 2022, in tabular form. [51405/22]

Amharc ar fhreagra

Freagraí scríofa

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Staff

Ceisteanna (728)

David Cullinane

Ceist:

728. Deputy David Cullinane asked the Minister for Health the number of vacant consultant posts by speciality currently at Mayo University Hospital; and when these vacancies will be filled in tabular form. [51406/22]

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 Services

Ceisteanna (729)

David Cullinane

Ceist:

729. Deputy David Cullinane asked the Minister for Health if he will provide a breakdown of the amount of theatre time available in public hospitals by hospital group and hospital in tabular form. [51407/22]

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 Waiting Lists

Ceisteanna (730)

David Cullinane

Ceist:

730. Deputy David Cullinane asked the Minister for Health if he will provide a breakdown of the number of children on waiting lists for grommet insertions in CHO6 by wait times (details supplied). [51408/22]

Amharc ar fhreagra

Freagraí scríofa

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals are still impacted by operational challenges arising from the pandemic.

The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

The 2022 Waiting List Action Plan allocates €350 million to the HSE and NTPF to reduce waiting lists. Under this plan the Department, HSE, and NTPF will deliver urgent additional capacity for the treatment of patients, as well as investing in longer term reforms to bring sustained reductions in waiting lists.

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Barr
Roinn