168. Deputy Clare Daly asked the Minister for Health the reason the National Cancer Screening Service awarded a contract to a company (details supplied) in 2010 that obliged or enabled the company to establish a laboratory here to read NCSS slides; and if he will make a statement on the matter. (Question 20519/18 asked on 10 May 2018 - Cancer Screening Programmes)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 168 to 170, inclusive, together.
This question relates to matters which are now the subject of a Scoping Inquiry. I announced the terms of reference of this Inquiry, following agreement by Government, on 8th May 2018. 
The Inquiry, led by Dr Gabriel Scally, will examine the facts, including details of the non-disclosure to patients relating to CervicalCheck clinical audits and the management and level of knowledge of var...

169. Deputy Clare Daly asked the Minister for Health the reason the National Cancer Screening Service awarded a second contract to a company (details supplied) in 2010 regarding a laboratory that did not as yet exist and which was unaccredited; and if he will make a statement on the matter. (Question 20520/18 asked on 10 May 2018 - Cancer Screening Programmes)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 168 to 170, inclusive, together.
This question relates to matters which are now the subject of a Scoping Inquiry. I announced the terms of reference of this Inquiry, following agreement by Government, on 8th May 2018. 
The Inquiry, led by Dr Gabriel Scally, will examine the facts, including details of the non-disclosure to patients relating to CervicalCheck clinical audits and the management and level of knowledge of var...

170. Deputy Clare Daly asked the Minister for Health the reason a company (details supplied) was allowed to test National Cancer Screening Service smears for over 18 months in the absence of accreditation contrary to recent assurances; and if he will make a statement on the matter. (Question 20521/18 asked on 10 May 2018 - Cancer Screening Programmes)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 168 to 170, inclusive, together.
This question relates to matters which are now the subject of a Scoping Inquiry. I announced the terms of reference of this Inquiry, following agreement by Government, on 8th May 2018. 
The Inquiry, led by Dr Gabriel Scally, will examine the facts, including details of the non-disclosure to patients relating to CervicalCheck clinical audits and the management and level of knowledge of var...

173. Deputy Clare Daly asked the Minister for Health if the urgent introduction of a no-fault vaccine payment scheme for persons debilitated by narcolepsy as a result of being vaccinated with the drug Pandemrix will be considered; and if he will make a statement on the matter. (Question 20525/18 asked on 10 May 2018 - Vaccination Programme)

Minister for Health (Deputy Simon Harris): The Programme for a Partnership Government includes a commitment to “… put in place a scheme, on a no-fault basis, that will respond to the needs of people with disability arising from vaccination.” The policy objectives in putting in place a scheme to meet the needs of people with disability arising from vaccination are to provide fair and just compensation for those who may have been injured by a vaccine, to reduce the costs to the State by providing ...

161. Deputy Clare Daly asked the Minister for Health the reason a person (details supplied) has been waiting since January 2018 for results of eye tests; and if he will make a statement on the matter. (Question 20209/18 asked on 09 May 2018 - Hospital Waiting Lists)

Minister for Health (Deputy Simon Harris): 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.
The National Waiting List Management Policy, a standardised approach to managing...

254. Deputy Clare Daly asked the Minister for Health the reason that no annual report has been published by CAMHS since 2013. (Question 19661/18 asked on 08 May 2018 - Child and Adult Mental Health Services Reports)

Minister of State at the Department of Health (Deputy Jim Daly): As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.
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140. Deputy Clare Daly asked the Minister for Health when he will bring legislation forward to provide for mandatory open disclosure (details supplied). (Question 19323/18 asked on 03 May 2018 - Medical Disclosure Code)

Minister for Health (Deputy Simon Harris): I am, and have always have been, fully committed to open disclosure. It is a patient’s right to be provided with honest, open and prompt communication about adverse events that may have caused them harm. This is underpinned in the Medical Practitioners Code of Conduct. 
I have been progressing for some time a number of policy and legislative provisions to ensure full implementation of open disclosure. Specifically, legislation, that is, the Civil Liab...

155. Deputy Clare Daly asked the Minister for Health his views on the delays for persons with multiple sclerosis to access life-changing medication; and if he will engage with an organisation (details supplied) to discuss the matter. (Question 19481/18 asked on 03 May 2018 - Medicinal Products Availability)

Minister for Health (Deputy Simon Harris): The HSE has statutory responsibility for medicine pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. The Act sets out criteria for decisions on reimbursement. As Minister for Health, I do not have any statutory power or function in relation to the reimbursement of medicines. 
In line with the 2013 Act, if a company would like a medicine to be reimbursed through the community drug schemes, i...

138. Deputy Clare Daly asked the Minister for Health if he will report on the work of the Farrelly commission with particular reference to the progress and expenditure to date; if interim reports will be published; the timeframe for completion; and if he will make a statement on the matter. (Question 19309/18 asked on 02 May 2018 - Commissions of Investigation)

Minister for Health (Deputy Simon Harris): The Commission of Investigation (certain matters relative to a disability service in the South East and related matters) (the Farrelly Commission) is an independent statutory Commission of Investigation. It commenced its investigations in May 2017 and its work is ongoing. The first phase of the Commission’s work is to investigate the role of public authorities in the care and protection of Grace, who resided with a former foster family in the South Ea...

305. Deputy Clare Daly asked the Minister for Health further to Parliamentary Question No. 785 of 17 April 2018, the number of the 44 approved neurologist posts that have been filled. (Question 19036/18 asked on 01 May 2018 - Hospital Consultant Recruitment)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 305 and 306 together.
As the Deputy is aware, the Model of Care for Neurology was launched by the Director General of the HSE in late 2016. This was developed by the HSE’s National Clinical Programme for Neurology in collaboration with consultants, nurses, health and social care professionals and patient support groups. It aims to address the need for strategic development of neurology services in the provision of bett...

306. Deputy Clare Daly asked the Minister for Health further to Parliamentary Question No. 785 of 17 April 2018, the investment committed for the diagnosis and treatment of neurology related conditions; and the percentage increase or decrease on investment this represents when compared to 2017. (Question 19037/18 asked on 01 May 2018 - Hospital Consultant Recruitment)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 305 and 306 together.
As the Deputy is aware, the Model of Care for Neurology was launched by the Director General of the HSE in late 2016. This was developed by the HSE’s National Clinical Programme for Neurology in collaboration with consultants, nurses, health and social care professionals and patient support groups. It aims to address the need for strategic development of neurology services in the provision of bett...

127. Deputy Clare Daly asked the Minister for Health the reason the national ambulance service is not implementing the recommendations of the national ambulance service capacity review; and if he will make a statement on the matter. (Question 18337/18 asked on 26 Apr 2018 - Ambulance Service)

Minister for Health (Deputy Simon Harris): As this is a service issue, I have asked the HSE to reply to you directly. 
 ...

348. Deputy Clare Daly asked the Minister for Health the number of births that took place in 2017 or the most recent year for which figures can be obtained in each of the three Dublin maternity hospitals; the number of delivery unit beds that were available for that year in each hospital; and the number of whole-time equivalent midwives employed for that year in each hospital. (Question 17449/18 asked on 24 Apr 2018 - Hospitals Data)

Minister for Health (Deputy Simon Harris): As the queries raised by the Deputy relate to service issues, I have asked the HSE to reply to the Deputy directly.
 ...

350. Deputy Clare Daly asked the Minister for Health the reason for excluding persons over 21 years of age with type 1 diabetes from accessing the FreeStyle Libre glucose monitor; and if he will make a statement on the matter. (Question 17455/18 asked on 24 Apr 2018 - Drugs Payment Scheme Coverage)

Minister for Health (Deputy Simon Harris): Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.
 ...

428. Deputy Clare Daly asked the Minister for Health if the sum of €6,600 paid to a person (details supplied) in respect of the Symphysiotomy and Pubiotomy Review - An Imaging Perspective, which was published as Appendix 1 to the Clark report, was additional to the sum of €58,950 which was paid to the person from 2014 to 2016 under the heading of clinical advice to the symphysiotomy payment scheme. (Question 18000/18 asked on 24 Apr 2018 - Symphysiotomy Reports)

Minister for Health (Deputy Simon Harris): The Surgical Symphysiotomy Ex-gratia Payment Scheme, which was approved by Government, concluded with the publication of the Report of its independent Assessor, Judge Maureen Harding Clark, on 22 November 2016.
Records of payments made relating to the Scheme show that, following instructions from Judge Clark, my Department arranged for total payments of €58,950, less statutory deductions, to be made to the person in question.  This amount included the €...

72. Deputy Clare Daly asked the Minister for Health the progress made towards securing consistent access to a drug (details supplied) for persons suffering with alpha-1 antitrypsin deficiency via its approval for reimbursement by the HSE. (Question 17008/18 asked on 19 Apr 2018 - Medicinal Products Availability)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 28 and 72 together.
The HSE has statutory responsibility for decisions on the pricing and reimbursement of medicines under the community drugs schemes, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. The HSE carefully considered the pricing and reimbursement of human alpha1-proteinase inhibitor (Respreeza). The manufacturer, CSL Behring, was notified in August 2017 that the HSE was unable...

84. Deputy Clare Daly asked the Minister for Health his plans to introduce a scheme put forward by a union (details supplied) by which women could access contraception directly from their community pharmacist without prescription and without charge regardless of eligibility in order to improve access to contraceptives. (Question 17009/18 asked on 19 Apr 2018 - Pharmacy Services)

Minister for Health (Deputy Simon Harris): My Department received a proposal from the Irish Pharmacy Union recently in relation to provision of contraception services through pharmacies. The proposal will be considered in due course.
 ...

256. Deputy Clare Daly asked the Minister for Health if he will engage with an organisation (details supplied) and the pharmaceutical industry to ensure new medicines are available to persons with MS; and if he will make a statement on the matter. (Question 17338/18 asked on 19 Apr 2018 - Medicinal Products Availability)

Minister for Health (Deputy Simon Harris): The HSE has statutory responsibility for medicine pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013.   As Minister for Health, I do not have any statutory power or function in relation to the reimbursement of medicines. The Act specifies the criteria for decisions on the reimbursement of medicines.
In line with the 2013 Act, if a company would like a medicine to be reimbursed by the HSE pu...

640. Deputy Clare Daly asked the Minister for Health if each of the 12 hospitals which had the a fetal monitor (details supplied) in use will be reviewed individually to ascertain if safety was compromised at units over the past nine years; and if so, the details of same (Question 14956/18 asked on 17 Apr 2018 - Hospital Equipment)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 640 and 641 together.
As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.
My Department was advised on the 26th January 2018 of a matter related to an Avalon fetal monitors. The HSE as a precautionary measure established a Risk Assessment Team to determine if the Avalon monitor posed a clinical risk in excess of other equivalent medical devices ...

641. Deputy Clare Daly asked the Minister for Health if documentary evidence is available in each of the years 2009 to 2017 and to date in 2018 in the12 hospitals which had a fetal monitor in use; if procedures (details supplied) were carried out; and if so, the details of same (Question 14957/18 asked on 17 Apr 2018 - Hospital Equipment)

Minister for Health (Deputy Simon Harris): I propose to take Questions Nos. 640 and 641 together.
As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.
My Department was advised on the 26th January 2018 of a matter related to an Avalon fetal monitors. The HSE as a precautionary measure established a Risk Assessment Team to determine if the Avalon monitor posed a clinical risk in excess of other equivalent medical devices ...

766. Deputy Clare Daly asked the Minister for Health the steps he will take to reduce the lead-in time for reimbursement of a new medicine by the HSE in order to ensure speedy access to new and effective treatments through a fair and sustainable system for persons who need them. (Question 15476/18 asked on 17 Apr 2018 - Medicinal Products Reimbursement)

Minister for Health (Deputy Simon Harris): The HSE has statutory responsibility for medicine pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013. The Act specifies the criteria for decisions on the reimbursement of medicines.
The 2013 Act does not give the Minister for Health any powers in this regard. The HSE does not require approval or consent from the Minister or Government when making a reimbursement decision.
HSE decisions on ...

785. Deputy Clare Daly asked the Minister for Health if his attention has been drawn to the fact that decades of underinvestment in neurological services has resulted in Ireland having the lowest ratio of consultant neurologists per head of population in the developed world and that while Ireland should have one neurologist for every 72,000 persons this is exceeded in each hospital group; his plans to address same; and the timeframe to achieve a one to 72,000 ratio of neurologists to population. (Question 15615/18 asked on 17 Apr 2018 - Hospital Consultant Recruitment)

Minister for Health (Deputy Simon Harris): The Model of Care for Neurology was launched by the Director General of the HSE in late 2016. This was developed by the HSE’s National Clinical Programme for Neurology in collaboration with consultants, nurses, health and social care professionals and patient support groups. It aims to address the need for strategic development of neurology services in the provision of better care for these patients. 
In relation to the particular queries raised, as t...

786. Deputy Clare Daly asked the Minister for Health his plans to create multidisciplinary centres to help in the management of neurological conditions such as Huntington’s disease and advanced Alzheimer’s; and the timeframe for same. (Question 15616/18 asked on 17 Apr 2018 - Services for People with Disabilities)

Minister of State at the Department of Health (Deputy Finian McGrath): The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives.  This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality ...

787. Deputy Clare Daly asked the Minister for Health further to Parliamentary Question No. 517 of 20 March 2018, the current position with the development of the neurolink service at St. Vincent’s University Hospital. (Question 15617/18 asked on 17 Apr 2018 - Hospital Services)

Minister for Health (Deputy Simon Harris): As the matter relates to a service issue it has been referred to the HSE for a direct response.
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788. Deputy Clare Daly asked the Minister for Health further to Parliamentary Question No. 517 of 20 March 2018, the stage of development of condition-specific OPD clinics; the geographical spread of the clinics; and the number of hospitals currently offering condition-specific OPD clinics. (Question 15618/18 asked on 17 Apr 2018 - Hospital Services)

Minister for Health (Deputy Simon Harris): As this is a service matter, I have asked the Health Service Executive to respond to you directly.
 ...