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Thursday, 15 Dec 2022

Written Answers Nos. 361-373

Hospital Waiting Lists

Ceisteanna (361)

Jim O'Callaghan

Ceist:

361. Deputy Jim O'Callaghan asked the Minister for Health the number of spinal fusion patients currently waiting less than four months for treatment for both Our Lady's Children's Hospital, Crumlin and Temple Street Children's University Hospital for the end of November 2022 or the latest date available; the number waiting four to eight months and more than eight months; and if he will provide the same information for other spinal patients in tabular form. [63049/22]

Amharc ar fhreagra

Freagraí scríofa

I sincerely regret that children can experience a long waiting time for scoliosis treatment and remain conscious of the burden that this places on them and their families.

Earlier this year I approved a €19 million ambitious plan from Children’s Health Ireland to reduce the number of children waiting for spinal orthopaedic procedures (scoliosis/spina bifida) by the year end.

This funding will provide additional theatre access at Temple Street and Crumlin, diagnostic MRI capacity and enable further activity and paediatric theatre lists at Cappagh Hospital or Cappagh Kids.

The additional activity is targeted at reducing the number of children waiting long periods for orthopaedic procedures (including scoliosis and spina bifida), and long waiting times have come down since January 2022; for those waiting for a spinal fusion there has been a 44% reduction in those waiting over 12 months and a 24% reduction in those waiting over 4 months.

However, despite undertaking a record number of spinal procedures, corresponding reductions in the waiting list have been offset by a significant increase in demand and referrals compared to previous years with a 30% increase in additions to the spinal surgery list compared to 2021. Furthermore, unfortunately some of the additional investment in beds, MRI and theatre capacity will not come on stream until Q1 2023, having been delayed due to building and installation challenges. CHI has also experienced delays in recruiting the highly specialised staff required.

In October due to an unprecedented increase in demand through ED’s and Urgent Care Centres and the resulting pressure on its hospitals capacity, CHI has had to reduce planned elective and routine inpatient admissions and this will continue over the winter period.

Ultimately, safeguarding and maintaining the highest possible levels of quality and child safety is the absolute priority for Children’s Health Ireland.

There will be further investment in 2023, targeted at scoliosis surgery. Total funding of €443 million is being allocated to tackle Waiting Lists, which includes €123 million in recurrent funding and will encompass priority areas such as Spina Bifida and Scoliosis.

In relation to the specific query raised, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Health Strategies

Ceisteanna (362)

Brendan Smith

Ceist:

362. Deputy Brendan Smith asked the Minister for Health the initiatives that will be undertaken within a health care programme in 2023 (details supplied); and if he will make a statement on the matter. [63050/22]

Amharc ar fhreagra

Freagraí scríofa

At county level, the Healthy Ireland Programme provides funding to Local Authorities and Children and Young People’s Services Committees (CYPSC). The Healthy Ireland Programme does not directly fund voluntary agencies at county level, funding is allocated via the Local Community Development Committees of each Local Authority or by the CYPSC to locally identified actions.Several schemes will be available at county level from the Healthy Ireland Programme in 2023, these include:- Healthy Ireland Round 4- Sláintecare Healthy Communities Seed Funding- Period Poverty Pilot Scheme- Children and Young Persons Services Committees

The Healthy Ireland Fund, Round 4, commenced in June 2022 and will run until 2025. An allocation of €75,000 has been provided to each Local Authority for 2023. A process is currently underway for each Local Authority to interrogate locally available data and information and to identify up to two priorities from the Healthy Ireland Outcomes Framework. Following this process, they will be submitting proposals to address these outcomes at the end of January 2023 to Pobal for assessment. It is anticipated that this process will also assist in the identification of objectives for the Local Economic and Community Plan for each county.

To facilitate the identification process and the implementation of actions, the Healthy Ireland Programme has provided funding to each Local Authority for a Healthy City/County Coordinator at Grade VI since June 2022. Training and support is being provided to each Local Authority by a national office which is located in Waterford County Council.

The Sláintecare Healthy Communities Programme has been operationalised in 19 communities via 14 Local Authorities, including: Cavan County Council, Cork City Council, Donegal County Council, Dublin City Council, Kildare County Council, Limerick City and County Council, Longford County Council, Mayo County Council, South Dublin County Council, Tipperary County Council, Waterford City & County Council, Westmeath County Council, Wexford County Council and Wicklow County Council. The Healthy Ireland Programme has provided €75,000 in seed funding for 2023 for use in each area to address health inequalities. Each area has governance arrangements via the Local Community Development Committee to identify and approve funding for locally identified actions.

Healthy Ireland has also funded 26 Local Authorities to progress period poverty mitigation projects. The importance of these efforts is underscored by the recent publication of the Healthy Ireland Survey, 2022, which found that 24% of women (and 35% of 15-24 year-olds) have experienced at least one indicator of period poverty; 6% of people report issues with the affordability of wider hygiene products and 51% of women are limited on occasion from participation in daily activities by period symptoms. In addition to period poverty mitigation efforts at local level, implementation of the Women’s Health Action Plan is delivering treatment for period symptoms, through expansion of gynaecology and menopause clinics, more avenues for endometriosis treatment and through the expansion of the free contraception scheme (hormonal contraception can also be used to ameliorate period symptoms).

The Healthy Ireland Programme provides match funding together with the Department of Department of Children, Equality, Disability, Integration and Youth annually to Tusla, which is distributed via the 27 CYPSC. The Healthy Ireland Programme will provide €650,000 to Tusla for distribution for health and well-being activity in 2023.

The Healthy Ireland vision is where everyone can enjoy physical and mental health and well-being to their full potential, where well-being is valued and supported at every level of society and is everyone’s responsibility. In addressing the determinants of health, it is important to acknowledge that the important determinants of health that could effect the change necessary for a substantial improvement in health all lie outside the health sector. In particular, Local Authorities have a central role in the provision of services and supports that are available locally that create the conditions for good health, including: arts and culture, business and economy, community, emergency, environment, finance, heritage and conservation, housing, leisure and recreation, libraries, planning and building, roads and transport and water, all of which have a profound impact on health and well-being. It is for this reason that the Healthy Ireland Programme has prioritised the provision of funding through the local authorities and other local statutory structures.

Abortion Services

Ceisteanna (363)

Ivana Bacik

Ceist:

363. Deputy Ivana Bacik asked the Minister for Health if the independent evaluation of the experiences of abortion service providers by Manchester Metropolitan University will be published by the end of the year. [63057/22]

Amharc ar fhreagra

Freagraí scríofa

The Minister for Health commenced the Review of the operation Health (Regulation of Termination of Pregnancy) Act 2018 in line with statutory and Government commitments. The Review is assessing the effectiveness of the operation of the legislation and will be conducted in a fair and transparent manner.

The Review is being led by an independent Chair Marie O’Shea and comprises of 2 main phases. As part of the first phase of the review, information, and evidence on the operation of the Act has been collected from women who use the service, and from health professionals that provide the service; the views of the public were also sought.

A very substantial amount of work has been completed and very informative data collected that is feeding into the Review.

As the review is reaching its final stages unfortunately there has been a slight set back on the completion date due to the Chair being unwell in November. The Chair is also awaiting key research from a study, CORALE, being carried out at Trinity College Dublin, that is examining Section 22 of the Act regarding conscientious objection. This research is underway, with input from lawyers, hospital doctors, GPs and strategic managers. The data will inform the Review. However, this data will not be available until January 2023. The opinion of the Chair is that this data is vitally important, given that it will assist in understanding how section 22 is operating.

The Review will be made available to the Minister no later than the 7th February 2023.

Question No. 364 answered with Question No. 321.

Home Care Packages

Ceisteanna (365)

Cormac Devlin

Ceist:

365. Deputy Cormac Devlin asked the Minister for Health the number of home care support hours for older persons being provided in each LHO area to date in 2022; the way that this compares to each LHO in 2020; and if he will make a statement on the matter. [63063/22]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Legal Cases

Ceisteanna (366, 367)

Catherine Murphy

Ceist:

366. Deputy Catherine Murphy asked the Minister for Health the amount paid in legal costs to each of the top ten legal firms representing plaintiffs in medical negligence cases in 2021; the number of cases that payments relate to in tabular form; and if he will make a statement on the matter. [63065/22]

Amharc ar fhreagra

Catherine Murphy

Ceist:

367. Deputy Catherine Murphy asked the Minister for Health the amount paid out in legal costs to each of the top ten named legal firms representing the agency in medical negligence cases in 2021; the number of cases that payments relate to in tabular form; and if he will make a statement on the matter. [63066/22]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 366 and 367 together.

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims on behalf of Delegated State Authorities including the Health Service Executive. I have been informed by the SCA that the information contained in this report has been extracted from the National Incident Management System (NIMS). Medical negligence claims are identified on NIMS through the Incident / Hazard Category of Clinical Care.

Plaintiff legal costs relate to the payment made to the Plaintiff’s legal team i.e. Solicitors and Counsel and are also inclusive of expert fees which are discharged by the Plaintiff’s solicitor. These expert fees may relate to actuarial, engineering, medical, witness fees etc.

Agency Legal costs relate to fees to solicitors engaged by the Agency. The legal costs sums include VAT.

- Table 1 shows the top 10 named Legal firms representing plaintiff legal costs made in relation to Clinical Care claims in 2021 with highest paid totals.

- Table 2 shows the top 10 named Legal firms representing the State Claims Agency by solicitor fees made in relation to Clinical Care claims in 2021 with highest paid totals.

- This report is correct as of 30/11/2022.

Question 1: Top 10 Legal Firms by Plaintiff Legal Costs paid in 2021

Payee

Amount Paid

Number of Claims

Cian O'Carroll Solicitors

€4,750,273

24

Michael Boylan Litigation Law Firm

€4,153,546

18

Augustus Cullen Law Solicitors

€2,190,146

19

Cantillons Solicitors

€2,015,707

12

Callan Tansey Solicitors

€1,984,130

22

Damien Tansey Solicitors

€1,696,834

13

C.M. Haughey Solicitors

€1,661,250

5

McMahon Goldrick Solicitors

€1,351,970

3

M.M. Halley & Son Solicitors

€1,251,319

6

Table 1: Top 10 Legal firms representing Plaintiffs by total costs paid and number of claims involved in payments for 2021

Question 2: Top 10 Legal Firms by Agency Solicitor Legal Costs paid in 2021

Payee

Amount Paid

Number of Claims

Hayes Solicitors

€4,631,975

248

Mason Hayes & Curran Solicitors

€3,844,287

148

Ronan Daly Jermyn Solicitors

€3,137,370

106

Comyn Kelleher Tobin

€2,714,254

97

Doyle Solicitors

€952,109

42

BLM

€651,129

77

V.P. McMullin

€616,384

18

Hegarty & Armstrong Solicitors

€431,034

27

Arthur Cox

€294,753

9

Table 2: Top 10 Legal firms representing the State Claims Agency by total costs paid and number of claims involved in payments for 2021

Definitions:

- National Incident Management System (NIMS): Incidents (which include claims) are reported using the “National Incident Management System”. This is hosted by the State Claims Agency (SCA) for the HSE, other Healthcare enterprises and State Authorities. An incident can be a harmful Incident (Adverse Event), no harm incident, near miss, dangerous occurrence (reportable circumstance) or complaint.

- Agency Solicitor Fees: Fees paid to solicitors engaged by the Agency.

- Claim: A claim refers to notification of intention to seek compensation for personal injury and/or property damage where it is alleged the State was negligent. The application may be in the form of a letter of claim, an InjuriesBoard.ie application, or a written/oral request.

- Plaintiff Legal Costs: Plaintiff legal costs relate to the payment made to the Plaintiff’s legal team i.e. Solicitors and Counsel and are also inclusive of expert fees which are discharged by the Plaintiff’s solicitor. These expert fees may relate to actuarial, engineering, medical, witness fees etc.

Question No. 367 answered with Question No. 366.

State Claims Agency

Ceisteanna (368)

Catherine Murphy

Ceist:

368. Deputy Catherine Murphy asked the Minister for Health the number of claims ongoing by the State Claims Agency in relation to late diagnosis and missed diagnosis in relation to failings in the CervicalCheck screening programme; the number of cases settled; the total amount paid out in claims to date; and the legal costs of the cases to date. [63067/22]

Amharc ar fhreagra

Freagraí scríofa

The State Claims Agency (SCA) has a statutory remit to manage personal injury claims on behalf of Delegated State Authorities including the Health Service Executive. The SCA have informed me that the information below has been extracted from the National Incident Management System (NIMS).

The criteria used by the SCA relate to claims on NIMS in relation to Cervical Check. Data is as of 12th December 2022.

The State Claims Agency (SCA) has received 378 CervicalCheck claims as of the 12th December 2022 including psychological claims brought by family members. In relation to the 378 claims received, 156 have been concluded.

The SCA cannot give a definite figure for CervicalCheck cases settled given the nature of the cases, some may be resolved by the laboratory and the SCA may not be privy to the outcome. Claims can be concluded by a number of means; including case settled, court award, indemnity received (from codefendant or third party), claim discontinued or statute barred, and claim intimated but not pursued.

It should be noted that almost all of the claims have been settled by the laboratories involved in the individual claims and, accordingly, the Agency does not, in all instances, have details of settlement payments made by those laboratories. This applies equally to the associated legal costs.

Legal costs amounting to €4,761,602 have been paid in respect of CervicalCheck claims to date. These legal costs include fees paid to mediation services, which is consistent with the SCA’s policy of using mediation wherever possible to resolve these claims in a non-adversarial manner. These legal fees also include matters not relating to the areas in which the State has already accepted liability.

Definitions:

- National Incident Management System (NIMS): Incidents (which include claims) are reported using the “National Incident Management System”. This is hosted by the State Claims Agency (SCA) for the HSE, other Healthcare enterprises and State Authorities. An incident can be a harmful Incident (Adverse Event), no harm incident, near miss, dangerous occurrence (reportable circumstance) or complaint.

- Claim: A claim refers to notification of intention to seek compensation for personal injury and/or property damage where it is alleged the State was negligent. The application may be in the form of a letter of claim, an InjuriesBoard.ie application, or a written/oral request.

Hospital Equipment

Ceisteanna (369)

Verona Murphy

Ceist:

369. Deputy Verona Murphy asked the Minister for Health the status of the delivery of the public MRI scanner at Wexford General Hospital; the expected timeframe for delivery of the scanner; and if he will make a statement on the matter. [63069/22]

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

Ceisteanna (370)

Róisín Shortall

Ceist:

370. Deputy Róisín Shortall asked the Minister for Health if his attention has been drawn to the Scoping Report on Training, Recruitment and Retention of Social Workers in Ireland undertaken by an organisation (details supplied); his views on same; and if he will make a statement on the matter. [63070/22]

Amharc ar fhreagra

Freagraí scríofa

I welcome the recent publication by the Irish Association of Social Workers of its new report, Training, Recruitment and Retaining Social Workers in Ireland: A Scoping Exercise to Assess and Respond to Significant Challenges. 

I also acknowledge the invaluable work carried out by our health and social care workers in providing health services to patients, notwithstanding the recruitment and retention challenges that are being experienced by health services globally.

Addressing the training, recruitment and retention of health and social care workers in Ireland and adopting a cross-sectoral approach to provide strategic direction in relation to workforce planning continues to be a top priority for me as Minister for Health, and for the Government.

This report draws attention to the challenges facing social work professionals in particular, and the importance of strategic workforce planning.

As the Deputy is aware, the Department of Health is receiving technical support under the European Commission Technical Support Instrument (TSI) 2021 to develop a Health and Social Care Workforce Planning Strategy and Workforce Planning Projection Model based on international best practice.

The ultimate objective of this project is the development of scenario-based projections of health and social care workforce supply and demand which will inform a strategy, action plan, and set of recommendations for ongoing strategic health and social care workforce planning.

A key outcome of the project is that the Irish authorities will have the necessary tools, processes, and technical capacity to produce rolling health and social care workforce planning action plans and implement targeted policy measures for health and social care workforce reform.

The Development of this Strategy is being informed by engagement with a diverse range of stakeholders across health and education sectors including the HSE, Higher Education Authority, Tusla, Government Departments, Regulators, Professional Training Bodies.  The project will be completed in Q3 2023.

This timely report will contribute to this work and I look forward to reviewing the report in more detail.

Departmental Policies

Ceisteanna (371)

Róisín Shortall

Ceist:

371. Deputy Róisín Shortall asked the Minister for Health further to Parliamentary Question 156 of 7 December 2022, the rationale for referencing a study (details supplied) in his previous answer regarding nurse prescribing of opioid substitution therapy, in view of the objectives of that study which did not include an exploration of the viability of nurse prescribing; if this study formed the basis for his decision not to progress nurse prescribing; if not, if he will outline his other reasons; and if he will make a statement on the matter. [63072/22]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy is aware, the HSE were tasked, as lead agency, under strategic action 2.1.14 of the National Drug Strategy to examine potential mechanisms to increase access to Opioid Substitution Therapies (OSTs) such as the expansion of GP prescribing, nurse led prescribing and the provision of OSTs in community-based settings. The HSE has provided me with a comprehensive report on the activities it has taken to advance this action. I am happy to share this document with the Deputy.

In view of the above the HSE has advised that the introduction of nurse prescribing of OST/OAT is not a priority at this time. I have accepted this advice.

I have been assured that this matter will be kept under review by the HSE, informed by the needs of service users.

I hope this clarifies the position of the Department of Health on nurse prescribing of OST.

HSE Response

Primary Care Centres

Ceisteanna (372)

Róisín Shortall

Ceist:

372. Deputy Róisín Shortall asked the Minister for Health if he will provide an update on the primary care centre for Finglas, Dublin 11; the current timeline; and if he will make a statement on the matter. [63074/22]

Amharc ar fhreagra

Freagraí scríofa

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Health Services Waiting Lists

Ceisteanna (373)

Róisín Shortall

Ceist:

373. Deputy Róisín Shortall asked the Minister for Health the number of persons on a waiting list for speech and language therapy by CHO, age category and time waiting in tabular form. [63075/22]

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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