Written Answers Nos. 603-629
603. Deputy Neasa Hourigan asked the Minister for Health the precise obligations of the HSE in respect of residents of the Owenacurra Centre, Midleton in respect of the closure of that service, and the obligations of the Mental Health Commission as an oversight body; whether each entity has fulfilled their obligations to date; and if he will make a statement on the matter. [19465/23]
Amharc ar fhreagraIn response to the query raised by the Deputy about the Owenacurra Centre, Midleton, the Minister sought assurances from both the HSE and the Mental Health Commission that they had fulfilled their respective obligations.
The HSE provided the following assurances to the Minister as set out below:
“The HSE CKCH MHS deliver services in line with the requirements for compliance with the regulations as set out by the Mental Health Commission.
The role of the Mental Health Commission (MHC) is to regulate in-patient mental health services, protect the interests of people who are involuntarily admitted, and set standards for high quality and good practices across mental health services. Queries on whether the Mental Health Commission has fulfilled their obligations should be referred to them directly.
The Owenacurra Centre is a single storey mental health service that provides continuing care in an approved centre unit in Midleton in County Cork. The service is provided by CKCH Mental Health Services and it is registered with the Mental Health Commission to deliver an inpatient care service for up to 24 people for Long Stay Psychiatry of Later Life Mental Health Rehabilitation/Continuing Mental Health Care Rehabilitation. There are 6 people residing in the service at present.
Unfortunately, as CKCH Mental Health Services moved to the advanced planning phase for works to the Centre, serious concerns emerged that any level of refurbishment could not bring the building to the standards required. Advice from construction experts led the HSE to take the difficult but necessary decision to plan a close for the Centre, in a coordinated resident-centred way.
The HSE will provide a new 10-bed rehabilitative residential unit in Midleton town. This service will have 24 hour staffing, and will have a focus on support people to return to their homes and communities. A development team will be appointed to conduct an options appraisal, and engage with people using mental health services in the area. The Owenacurra site will be among the possible locations considered.
We have also purchased a property in Midleton which will be a community residence for Mental Health Services. The property will support 3 people from the Owenacurra Centre.
The Owenacurra day service has now reopened and at a new location in Pairc an Aonaigh housing estate in Midleton. The HSE are examining the best permanent location – this may be on the site of the existing Community Hospital where considerable redevelopment is underway.
The plan for residential mental health services in the East Cork area will ultimately deliver a modern service into the future and in line with government policy.
The process of finding the most appropriate alternative placements for residents and the remaining residents is ongoing. The HSE priority is to ensure that the most optimal placements are progressed.
The Multi-Disciplinary Team within the Owenacurra Centre continues to work with each resident and their families in this regard.
Meetings have been scheduled with families and residents to determine the will and preference of each resident and this includes ongoing engagements with all residents to offer support and assurances.
A series of assessments were completed for all residents prior to identification on their place of transfer and those residents who have moved did so on a phased basis following this detailed consultation and discussion process. All residents also have weekly access to a Peer Advocate from the Irish Advocacy Network .”
The Minister would like to remind the Deputy that the Mental Health Commission is an independent regulator established under the Mental Health Act 2001. The Commission has statutory responsibility for supporting and assisting in the development and improvement of mental health services. The Department receives regular inspection reports from the Commission in relation to approved centres, as well as annual thematic reviews. In response to the seeking of assurances by the Department in this regard, the Mental Health Commission assured the Minister that the Mental Health Commission has complied with all of its statutory obligations.
604. Deputy Neasa Hourigan asked the Minister for Health the number of people with severe and enduring mental health difficulties under the care of the Cobh/Glenville and Midleton/Youghal adult mental health teams who have been transferred to continuing care or high support hostels outside those HSE catchments since June 2021; the number of people in this cohort of service-users within those HSE catchments who have been transferred in the same time-frame to nursing-homes, either within those HSE catchments or outside them; and if he will make a statement on the matter. [19467/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
605. Deputy Cathal Crowe asked the Minister for Health if he will intervene and direct the HSE to recognise foetal alcohol spectrum disorder as a lifelong neurodevelopmental disability in its own right, to ensure that those who are affected by FASD can access the required medication under the long-term illness scheme (details supplied); and if he will make a statement on the matter. [19473/23]
Amharc ar fhreagraThe Long-Term Illness (LTI) Scheme was established under Section 59(3) of the Health Act 1970 (as amended). Regulations were made in 1971, 1973 and 1975, prescribing 16 illnesses covered by the Scheme. These are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in a person under 16); cystic fibrosis; multiple sclerosis; diabetes insipidus; muscular dystrophies; diabetes mellitus; parkinsonism; epilepsy; phenylketonuria; haemophilia; spina bifida; hydrocephalus; and conditions arising from the use of Thalidomide.
Under the LTI Scheme, patients receive drugs, medicines, and medical and surgical appliances directly related to the treatment of their illness, free of charge.
While there are no current plans to extend the list of illnesses covered, my Department is currently examining all of the issues around the scope of the Scheme. It is also important to remember that the LTI Scheme exists within a wider eligibility framework.
This Government has put a significant focus on improving access to and the affordability of healthcare services, advancing substantial policy, legislation and investment to deliver expanded eligibility.
In 2022, a range of measures were delivered including the abolition of public in-patient charges for children, reductions in the Drug Payment Scheme threshold to €80 per month, and the introduction of free contraception for women aged 17-25.
The significant investment in Budget 2023 will facilitate better access to affordable, high-quality healthcare for people at a time when the cost-of-living crisis is impacting on everyone.
In 2023 this will mean:
- an expansion of GP care without charges to people earning no more than the median household income,
- all public in-patient hospital charges abolished since 17 April 2023,
- an extension of free contraception to 26-year-old women since 1 January 2023, and further extension to 27-30 years old women from 1 September 2023.
These measures continue to create a health and social care service that offers affordable access to quality healthcare.
In addition, people who cannot, without undue hardship, arrange for the provision of medical services for themselves and their dependants may be eligible for a medical card.
In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE. Medical card eligibility is primarily based on an assessment of means and is not granted on the basis of any particular condition.In certain circumstances the HSE may exercise discretion and grant a medical card, even though an applicant exceeds the income guidelines, where he or she faces difficult financial circumstances, such as extra costs arising from illness. In circumstances where an applicant is still over the income limit for a medical card, they are then assessed for a GP visit card, which entitles the applicant to GP visits without charge.
Under the Drug Payment Scheme (DPS), no individual or family pays more than €80 a month towards the cost of approved prescribed medicines. The DPS is not means tested and is available to anyone ordinarily resident in Ireland. The DPS significantly reduces the cost burden for families and individuals with ongoing expenditure on medicines.
Individuals may also be entitled to claim tax relief on the cost of their medical expenses, including medicines prescribed by a doctor, dentist, or consultant. Relief is at the standard tax rate of 20%.
606. Deputy Neasa Hourigan asked the Minister for Health the HSE's plans to update its GMS contract policies around doctors providing locum services, particularly around hourly locum rates and doctors' eligibility to locum; and if he will make a statement on the matter. [19477/23]
Amharc ar fhreagraGPs are private practitioners, most of whom hold a GMS contract with the HSE for the provision of GP services to medical card and GP visit card holders. The GMS contract sets out a GP's requirements under their contract including the number of hours the GP is to make themselves available for consultations with eligible patients.
As private practitioners, the provision of GP locum services by GPs is a private matter between the GP and the contracting body concerned. GP out of hours cooperatives, which are largely private entities, recruit locum GPs to supplement the provision of out of hours services. The HSE also avails of locum GPs to provide continuity of care for patients following the retirement of a GP from the GMS scheme while a permanent GP is being recruited.
Under the GMS scheme, the HSE makes a contribution to eligible GMS GPs towards locum expenses for leave taking purposes. The contribution amount for maternity leave, and the contribution amount for paternity leave as well as the leave duration, was increased under the 2019 GP Agreement.
607. Deputy Neasa Hourigan asked the Minister for Health if he will outline the advice currently provided by his Department to maternity units on best practice inpatient partner supports nationwide; the oversight of those recommendations; and if he will make a statement on the matter. [19482/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
608. Deputy Neasa Hourigan asked the Minister for Health if he will provide a timeline on the reopening of the Midwest home birth scheme; and if he will make a statement on the matter. [19483/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
609. Deputy Neasa Hourigan asked the Minister for Health if he will provide an update on the progression and the timeline for the establishment of a Commission on Care; and if he will make a statement on the matter. [19484/23]
Amharc ar fhreagraThe Government is committed to supporting healthy and positive ageing as well as to ensuring that older persons can continue to live independently in their homes and communities for as long as possible. Acknowledging the disproportionately negative impact of the pandemic on older persons, the Programme for Government: Our Shared Future (2020) commits to the establishment of a commission on care that will ‘assess how we care for older people and examine alternatives to meet the diverse needs of our older citizens’, learning the lessons from COVID 19.
In 2022 preliminary desk research was undertaken within the Department of Health in preparation for the establishment of the commission on care. In 2023 the scoping and planning for the commission on care (inclusive of timelines), is being advanced as a priority.
610. Deputy Neasa Hourigan asked the Minister for Health if he will provide information on the commencement and funding of the Model of Care for Specialist Mental Health Services for Older People; and if he will make a statement on the matter. [19485/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
611. Deputy Neasa Hourigan asked the Minister for Health if he will outline data gathering undertaken from 2020-2023 inclusive on levels of mental health difficulties amongst older cohorts by either the HSE or his Department; the data gathering that is planned for 2023-2024; and if he will make data on this issue publicly available. [19486/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
612. Deputy Neasa Hourigan asked the Minister for Health if he will outline his work on the development of an Action Plan on Loneliness, committed to in the Programme for Government, the Roadmap for Social Inclusion and the Healthy Ireland Strategic Plan; if he will outline timelines for the publication of same; and if he will make a statement on the matter. [19487/23]
Amharc ar fhreagraThe Minister and the Department remain fully committed to delivering upon this important objective. Officials in the Department are actively examining how best to progress this Programme for Government Commitment and it is envisaged that an update on progress will be delivered to the Minister before the summer.
613. Deputy Neasa Hourigan asked the Minister for Health the funding allocated to the National Positive Ageing Strategy from 2016 to 2023, inclusive; if he will outline the targets that have completed, in tabular form; and if he will make a statement on the matter. [19488/23]
Amharc ar fhreagraWith the aim of supporting healthy, active, and autonomous ageing throughout the life course, the National Positive Ageing Strategy (2013) provides a framework for whole-of-government policy making and service delivery in partnership with the community and voluntary sector. Envisioning a society in which the equality, independence, participation, care, self-fulfilment, and dignity of older persons are pursued at all times, the Strategy aims to address the range of social, economic, and environmental factors that affect all citizens as they age.
The cost neutral National Positive Ageing Strategy does not contain specific actions. Rather it is a high-level strategic document that outlines a number of national goals, objectives, and action areas to provide direction in relation to the issues that need to be addressed to promote positive ageing. In 2016 arrangements to implement and monitor the implementation of the Strategy were approved by the Cabinet Committee on Social Policy and Public Service Reform. The Healthy and Positive Ageing Initiative (HaPAI)—a joint initiative between the Department of Health, the HSE Health and Well-being programme, and Atlantic Philanthropies—was established to implement the research objectives of the Strategy and develop the evidence-base for monitoring its implementation. The 2018 Positive Ageing Indicators Report is available at www.gov.ie/en/publication/0e84e9-positive-ageing-indicators-2018/.
More recently, the development of the cross-government Well-being Framework for Ireland and the roll-out of the Health System Performance Assessment (HSPA) Framework have significantly enhanced the evidence-base for the evaluation of the impact of Government policy on all age cohorts. These frameworks complement the rich seam of longitudinal data on older persons generated through the Irish Longitudinal Study on Ageing (TILDA) as well as the data on health of the general population collected annually through the Healthy Ireland Survey.
614. Deputy Róisín Shortall asked the Minister for Health if he will publish the review of Ireland's terminations of pregnancy law; the timeline he is working towards; if he will present the review to the Oireachtas Committee on Health; and if he will make a statement on the matter. [19489/23]
Amharc ar fhreagraThe Review of the operation of the Health(Regulation of Termination of Pregnancy) Act 2018 commenced in line with statutory and Government commitments in December 2021.
The purpose of the Review was to assess the effectiveness of the operation of the legislation.
The Review comprised two phases. The first phase of the Review was an evidence and information gathering exercise which consisted of a public consultation, and research into the operation of the Act from the perspectives of both services users and service providers.
The second phase of the Review was led by an independent chair, Ms Marie O’Shea, B.L. who assessed the extent to which the objectives of the 2018 Act have been achieved, analysing in that regard the findings of the three strands of information from the first phase. The Chair also drew on the findings of other relevant peer-reviewed research and consulted with stakeholders as necessary before providing conclusions.
I can confirm that I have received the final Report of the Review in recent weeks. I would like to take this opportunity to thank the independent Chair, Marie O’Shea, for her dedication and hard work in preparing this extensive Report. I would also like to acknowledge and thank the stakeholders, service providers, services users, and the public for their input into this important document.
I had a productive meeting with the Chair in relation to her recommendations and have also had discussions with clinicians leading out on service delivery. Having reviewed the Report in detail I believe it is a good Report, which makes a range of recommendations most of which are operational in nature, with some proposing legislative change.
This comprehensive document is currently being examined in my Department and it is intended that a memo will be brought to Government this week.
Subject to Government approval, I expect to be in a position to publish the Review shortly thereafter.
615. Deputy Michael Ring asked the Minister for Health when a surgical procedure will be rescheduled for a person (details supplied) given that the procedure has been cancelled on three occasions already which is causing undue distress; and if he will make a statement on the matter. [19515/23]
Amharc ar fhreagraI fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled, particularly for clinically urgent procedures. While every effort is made to avoid cancellation or postponement of planned procedures, the HSE has advised that planned procedures and operations can be postponed or cancelled for a variety of reasons including capacity issues due to increased scheduled and unscheduled care demand.
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.
Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.
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.
616. Deputy Alan Dillon asked the Minister for Health when a person (details supplied) will be called for a hip replacement; and if he will make a statement on the matter. [19549/23]
Amharc ar fhreagra617. Deputy Michael Creed asked the Minister for Health when a group of front-line healthcare workers (details supplied) will receive their Covid €1,000 payment; and if he will make a statement on the matter. [19550/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.
618. Deputy Bernard J. Durkan asked the Minister for Health if expenses for emergency dental care while abroad are recoupable in the case of a person (details supplied); and if he will make a statement on the matter. [19551/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
619. Deputy Fergus O'Dowd asked the Minister for Health the steps he has taken to amend defective legislation that denies children over the age of 16 years with a mental illness access to free medicine; and if he will make a statement on the matter. [19562/23]
Amharc ar fhreagra620. Deputy Fergus O'Dowd asked the Minister for Health the date by which he will bring in new legislation to regularise the legislative anomaly, revealed by the Attorney General, where minors between 16 and 18 years of age do not qualify for free medicine for mental illness; the current state of preparation of such legislation; and if he will make a statement on the matter. [19563/23]
Amharc ar fhreagra621. Deputy Fergus O'Dowd asked the Minister for Health the date by which he will bring in new legislation to regularise the legislative anomaly, revealed by the Attorney General, where people over 18 years of age do not qualify for free medicine for mental illness; the current state of preparation of such legislation; and if he will make a statement on the matter. [19564/23]
Amharc ar fhreagraI propose to take Questions Nos. 619 to 621, inclusive, together.
The Long-Term Illness (LTI) scheme was established under Section 59(3) of the Health Act 1970 (as amended). Regulations were made in 1971, 1973 and 1975, prescribing 16 illnesses covered by the scheme.
These are: acute leukaemia; mental handicap; cerebral palsy; mental illness (in a person under 16); cystic fibrosis; multiple sclerosis; diabetes insipidus; muscular dystrophies; diabetes mellitus; parkinsonism; epilepsy; phenylketonuria; haemophilia; spina bifida; hydrocephalus; and conditions arising from the use of Thalidomide.
Under the LTI Scheme, patients receive drugs, medicines, and medical and surgical appliances directly related to the treatment of their illness, free of charge.
Statutory Instrument No. 277 of 1971, put a limitation on Section 59(3) of the Health Act 1970, in respect of the provision of medicines to those suffering from mental illness:
"Arrangements for the supply of drugs and medicines to persons suffering from mental illness in pursuance of section 59 (3) of the Act shall be made only in respect of persons under the age of 16 years."
My Department is currently examining all of the issues around the scope of the Scheme, including this issue.
However, it is also important to remember that the LTI Scheme exists within a wider eligibility framework.
This Government has put a significant focus on improving access to and the affordability of healthcare services, advancing substantial policy, legislation and investment to deliver expanded eligibility.
In 2022, a range of measures were delivered including the abolition of public in-patient charges for children, reductions in the Drug Payment Scheme threshold to €80 per month, and the introduction of free contraception for women aged 17-25.
The significant investment in Budget 2023 will facilitate better access to affordable, high-quality healthcare for people at a time when the cost-of-living crisis is impacting on everyone.
In 2023 this will mean:
- an expansion of GP care without charges to people earning no more than the median household income,
- all public in-patient hospital charges abolished since 17 April 2023,
- an extension of free contraception to 26-year-old women since 1 January 2023, and further extension to 27-30 years old women from 1 September 2023.
These measures continue to create a health and social care service that offers affordable access to quality healthcare.
In addition, people who cannot, without undue hardship, arrange for the provision of medical services for themselves and their dependants may be eligible for a medical card.
In accordance with the provisions of the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE. Medical card eligibility is primarily based on an assessment of means and is not granted on the basis of any particular condition.
In certain circumstances the HSE may exercise discretion and grant a medical card, even though an applicant exceeds the income guidelines, where he or she faces difficult financial circumstances, such as extra costs arising from illness. In circumstances where an applicant is still over the income limit for a medical card, they are then assessed for a GP visit card, which entitles the applicant to GP visits without charge.
Under the Drug Payment Scheme (DPS), no individual or family pays more than €80 a month towards the cost of approved prescribed medicines.
The DPS is not means tested and is available to anyone ordinarily resident in Ireland. The DPS significantly reduces the cost burden for families and individuals with ongoing expenditure on medicines.
Individuals may also be entitled to claim tax relief on the cost of their medical expenses, including medicines prescribed by a doctor, dentist, or consultant. Relief is at the standard tax rate of 20%.
622. Deputy Fergus O'Dowd asked the Minister for Health the steps he and his Department have taken to address CAMHS waiting lists across the country given that figures from that the CAMHS waiting list almost doubled nationally between 2019 and 2022 from 2,327 in 2019 - the last year before the pandemic -compared to 4,293 in 2022; and if he will make a statement on the matter. [19565/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
623. Deputy Fergus O'Dowd asked the Minister for Health if he has sought an explanation/report from his Department and/or the HSE over the scenario where the CAMHS waiting list almost doubled nationally between 2019 and 2022 from 2,327 in 2019 - the last year before the pandemic - compared to 4,293 in 2022; and if he will make a statement on the matter. [19566/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
624. Deputy Fergus O'Dowd asked the Minister for Health the explanation his Department and/or the HSE have provided for the doubling of the CAMHS waiting nationally between 2019 and 2022 from 2,327 in 2019 - the last year before the pandemic - compared to 4,293 in 2022; and if he will make a statement on the matter. [19567/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
625. Deputy Sean Sherlock asked the Minister for Health the number of persons rejected for referral by child and adolescent mental health services by CHO and LHO; and the reasons for rejection, in tabular form, by gender and age. [19568/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
626. Deputy Verona Murphy asked the Minister for Health if employees of the Irish Wheelchair Association have been deemed eligible for the Covid-19 pandemic recognition payment; and if he will make a statement on the matter. [19569/23]
Amharc ar fhreagraLast year the Government announced a once-off, ex-gratia COVID-19 pandemic recognition payment for certain front-line public sector healthcare workers, to recognise their unique role during the pandemic. Eligibility criteria for the payment were set following significant consideration and consultation.
While the Department does not comment on individual cases, I can confirm that in order to receive the recognition payment, staff must have:
- Been in COVID vaccination cohorts 1 or 2, and
- Worked ordinarily onsite in a COVID-19 exposed healthcare environment, and
- Worked for at least 4 weeks in the 1/3/2020 – 30/6/2021 period, and
- Worked in a HSE/Section 38 organisation, or one of the following:
1. Private Sector Nursing Homes and Hospices (e.g. Private, Voluntary,Section 39 etc.);
2. Section 39 long-term residential care facilities for people with disabilities, working on-site;
3. Agency roles working in the HSE;
4. Health Care Support Assistants (also known as home help / home care / home support) contracted to the HSE;
5. Members of the Defence Forces redeployed to work in front-line Covid-19 exposed environments in the HSE;
6. Paramedic staff employed by Dublin Fire Brigade to deliver services on behalf of the HSE.
Only those staff who meet all of the above eligibility criteria are covered for this payment. I appreciate that many other workers, volunteers, and other citizens, provided important services during this most difficult time. While this is not questioned, it is important to recognise that this in itself is not sufficient to be considered eligible for this payment.
The Government appreciates that those organisations and staff who are not encompassed for this particular payment may feel disappointed. It was tough to draw a line on this matter, but the Government based its decision on the risks which eligible front-line workers faced, following careful consideration. While undoubtedly immense efforts have been made by other healthcare staff since the onset of this pandemic, it is right that the Government pursue this course to recognise those at greatest risk in the performance of their duties throughout the pandemic, including those who worked in the very acutely affected environments above.In recognition of the efforts of all workers, volunteers, and the general public during the COVID-19 pandemic, and in remembrance of people who lost their lives due to the COVID-19 pandemic, the Government announced a public holiday which took place on 18 March 2022. From February this year there is also a new permanent public holiday established to mark Imbolc/St Brigid’s Day.Finally I want to again express my sincere gratitude to all healthcare workers for their efforts during what has been a challenging period for our health services.
627. Deputy Seán Canney asked the Minister for Health the facilities that are in place to diabetes patients for the safe disposal of used needles; and if he will make a statement on the matter. [19573/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
628. Deputy Michael Healy-Rae asked the Minister for Health the position regarding a full-time cardiologist in University Hospital Kerry; when the matter will be rectified; and if he will make a statement on the matter. [19575/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.
629. Deputy Colm Burke asked the Minister for Health the number of prescriptions issued for oxycodone as part of a public drug scheme or in a HSE hospital, psychiatric facility or primary care setting and by a private GP from 2011 to date, in tabular form. [19580/23]
Amharc ar fhreagraAs this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.
