155. Deputy Richard Boyd Barrett asked the Minister for Health the procedure a person should go through if they require surgery in another country; the way in which they receive a referral for the surgery; and if he will make a statement on the matter. (Question 44347/17 asked on 19 Oct 2017 - Cross-Border Health Services Provision)

Minister for Health (Deputy Simon Harris): The Directive on Patients’ Rights in Cross Border Healthcare provides rules for the reimbursements to patients of the cost of receiving treatment abroad, where the patient would be entitled to such treatment in their home Member State, and supplements the rights that patients already have at EU level. Public patients may access the healthcare they require in either the public or private healthcare system of another Member State under the Cross-Border Di...

160. Deputy Tony McLoughlin asked the Minister for Health the number of intestinal failure syndrome patients who are in the care of the HSE or who were in the care of the HSE at the end of 2016; his views on the incidence and prevalence of intestinal failure syndrome here compared with its incidence and prevalence in other countries in western Europe; his or the HSE’s plans for the establishment of a specialist service here; if his Department or the HSE observes potential clinical or logistical and efficiency benefits that would be achieved for persons and for the HSE through the establishment of a tertiary referral centre for persons who develop severe intestinal failure and a single specialist unit to manage adult intestinal failure patients who receive out of hospital parenteral nutrition; and if he will make a statement on the matter. (Question 44365/17 asked on 19 Oct 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): I am aware that a business case for the establishment of a dedicated centre for Intestinal Failure was prepared by St James’s Hospital. Any proposals for the funding for the centre for Intestinal failure in St. James’s, including children with intestinal failure transitioning from the national paediatric unit at Our Lady’s Children’s Hospital Crumlin, will have to be considered as part of the Dublin Midland Hospital Group’s overall priorities and with r...

162. Deputy Louise O’Reilly asked the Minister for Health the reason a person (details supplied) has been refused repayment for hospital services availed of in May and June 2017 in Northern Ireland under the cross border directive. (Question 44409/17 asked on 19 Oct 2017 - Cross-Border Health Services Provision)

Minister for Health (Deputy Simon Harris): The Health Service Executive operates the EU Directive on Patients’ Rights in Cross Border Healthcare in Ireland. In line with practice in other EU Member States, the HSE, through the National Contact Point (NCP) office, provides information for patients on the Cross-Border Directive on its website - www.hse.ie/eng/services/list/1/schemes/cbd/ - and also by phone, 056 778 4551. The principal function of the NCP (which is the mechanism specified under th...

53. Deputy James Browne asked the Minister for Children and Youth Affairs if her Department has established a working group involving the HSE, the Department of Health and Tusla to co-ordinate a focus for the State’s provision of mental health services for young persons; and if she will make a statement on the matter. (Question 43657/17 asked on 17 Oct 2017 - Mental Health Services Provision)

Minister for Children and Youth Affairs (Deputy Katherine Zappone): I am happy to inform the Deputy that my Department is at present advancing this matter. I and my officials have met with Minister Daly and we are both agreed to review the co-ordination and provision of psychological supports between TUSLA and the HSE, including specialist Child and Adolescent Mental Health Services (CAMHS) provided by the HSE. 
The work of this group will focus on identifying a clearer continuum of provision f...

101. Deputy Mary Lou McDonald asked the Minister for Health his plans to proceed with changes to the national policy for post mastectomy patients; and his further plans to increase the proposed value of post surgery vouchers to reflect the true cost to persons of products such as prosthesis and bras for women recovering from a mastectomy. (Question 43221/17 asked on 12 Oct 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy. 
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139. Deputy Joan Collins asked the Minister for Health if he will examine the case of a person (details supplied). (Question 43121/17 asked on 11 Oct 2017 - Health Services Provision)

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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281. Deputy David Cullinane asked the Minister for Health his plans to reopen Clashmore health centre, County Waterford; and if he will make a statement on the matter. (Question 42482/17 asked on 10 Oct 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): As the HSE has responsibility for the provision, along with the maintenance and operation of Primary Care Centres and other Primary Care facilities, the Executive has been asked to reply directly to the Deputy.
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369. Deputy Fiona O’Loughlin asked the Minister for Health when he expects the day care centre in Drogheda Street, Monasterevin, County Kildare, to be open; and the services that will be provided there. (Question 42831/17 asked on 10 Oct 2017 - Health Services Provision)

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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433. Deputy Pearse Doherty asked the Minister for Health if a step down bed at a community hospital will be made available for a person (details supplied) in County Donegal subsequent to discharge from Letterkenny University Hospital; and if he will make a statement on the matter. (Question 42304/17 asked on 10 Oct 2017 - Health Services Provision)

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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135. Deputy Niamh Smyth asked the Minister for Health if an appointment for a person (details supplied) will be expedited; if his attention has been drawn to the fact that the family are in the process of seeking medical attention in Northern Ireland; and if he will make a statement on the matter. (Question 42049/17 asked on 04 Oct 2017 - Health Services Provision)

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.
 In relation to the particular query raised, as this is a service matter, I have ...

150. Deputy Anne Rabbitte asked the Minister for Health the additional clinics in place to deal with the waiting list in south County Galway in view of the difficulty in recruiting a community ophthalmologist to ensure that children are seen in a timely manner, taking cognisance of clinical need and clinical urgency, in each of the years 2014 to 2016 and to date in 2017; and the number on the waiting list for three, six, nine, 12, 18 and 24 months, respectively. (Question 42098/17 asked on 04 Oct 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy. 
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319. Deputy Alan Kelly asked the Minister for Health when the post of director of nursing in child and adolescence in a mental health service in Cork city will be filled in view of the fact that it has been vacant for over a month and no process has commenced to fill it; the reason for the delay; and if he will make a statement on the matter. (Question 41374/17 asked on 03 Oct 2017 - Mental Health Services Provision)

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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364. Deputy Fiona O’Loughlin asked the Minister for Health the status of the case of a person (details supplied) trying to access child and adolescent mental health services, CAMHS; and if he will make a statement on the matter. (Question 41474/17 asked on 03 Oct 2017 - Mental Health Services Provision)

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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384. Deputy Fiona O’Loughlin asked the Minister for Health the status of an application by a person (details supplied); and if he will make a statement on the matter. (Question 41551/17 asked on 03 Oct 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): As this is a service matter, it has been referred to the Health Service Executive for direct reply to the Deputy.
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410. Deputy Kevin O’Keeffe asked the Minister for Health if an application will be expedited for a person (details supplied). (Question 41716/17 asked on 03 Oct 2017 - Health Services Provision)

Minister of State at the Department of Health (Deputy Finian McGrath): As the Deputy’s question relates to an individual case, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.
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444. Deputy James Browne asked the Minister for Health if the inpatient unit at Linn Dara, Cherry Orchard, Dublin 10, which was partially closed in May 2017, has been fully reopened. (Question 41914/17 asked on 03 Oct 2017 - Mental Health Services Provision)

Minister of State at the Department of Health (Deputy Jim Daly): Around late May/early June last, due to staffing difficulties, some beds in Linn Dara could not take new admissions. This, unfortunately, left Linn Dara with just half of its 22 bed complement operational. For those discharged for clinical reasons, the HSE provided dedicated follow-on supports from the community-based CAMHS service, where deemed necessary. The Executive has also made available the CAMHS Day Service, as appropriate...

445. Deputy James Browne asked the Minister for Health if the staffing shortage at the Linn Dara, Cherry Orchard, Dublin 10, unit inpatient facilities has been addressed. (Question 41915/17 asked on 03 Oct 2017 - Mental Health Services Provision)

Minister of State at the Department of Health (Deputy Jim Daly): Around late May/early June last, due to staffing difficulties, some beds in Linn Dara could not take new admissions. This, unfortunately, left Linn Dara with just half of its 22 bed complement operational. For those discharged for clinical reasons, the HSE provided where deemed necessary dedicated follow-on supports from the community-based CAMHS service. The Executive also made available the CAMHS Day Service, as appropriate in i...

4. Deputy Bríd Smith asked the Minister for Health when the closed beds in the Linn Dara facility in Cherry Orchard will be reopened; and if he will make a statement on the matter. (Question 41005/17 asked on 28 Sep 2017 - Mental Health Services Provision)

Deputy Bríd Smith: In June, we lost half of the beds in the child and adolescent mental health services unit in Linn Dara in Cherry Orchard. At the time it was promised that they would be reopened in September. Half of the complement of psychiatric nurses was missing. Can the Minister of State enlighten us on what is happening with Linn Dara? Will the facility be fully staffed and opened in full?
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9. Deputy Catherine Connolly asked the Minister for Health further to Question No. 468 of 20 September 2017, if he will clarify the proposal to locate the community mental health team base at a site at Dangan, Galway; the status of the proposal; the timeframe for the opening and operation of the facility; and if he will make a statement on the matter. (Question 40768/17 asked on 28 Sep 2017 - Mental Health Services Provision)

Deputy Catherine Connolly: What is the status of the proposal to locate the community mental health team base at a site at Dangan, Galway? I understand from a local radio interview that it will now not proceed. I hope the Minister of State can tell me that is not correct. What is the status of that given the commitment under A Vision for Change?
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192. Deputy Pat Buckley asked the Minister for Health the progress in developing a pathway to the development of a 24/7 crisis intervention model. (Question 41142/17 asked on 28 Sep 2017 - Mental Health Services Provision)

Minister of State at the Department of Health (Deputy Jim Daly): The HSE is currently providing a 24-hour service through its Acute Units located in General Hospitals for people requiring urgent mental health assessment and treatment . Work is ongoing to expand upon the services available in the community to ensure a 7-day a week service. 
Based on an extensive data collection process, areas have been identified that would require additional resources to achieve 7/7 cover. Engagement with local...

207. Deputy Bernard J. Durkan asked the Minister for Health the extent to which a streamlined support service exists throughout the public hospital sector to ensure that consultants have the opportunity to carry out the maximum number of procedures that lack of ancillary facilities such as theatre staff, equipment and theatre space remains available and does not impede progress in this area; and if he will make a statement on the matter. (Question 41180/17 asked on 28 Sep 2017 - Health Services Provision)

Minister for Health (Deputy Simon Harris): To assist it in delivering on its commitments, the HSE has revised and enhanced its Performance and Accountability Framework for 2017. The Framework sets out how the HSE including the national divisions, the hospital groups and individual managers will be held to account for their performance. 
It makes explicit the responsibilities of health service managers in the four equally important domains of performance which are: access to services; the quali...

261. Deputy Billy Kelleher asked the Minister for Health if a social worker will be assigned to a person (details supplied); the efforts being made to secure housing for this person; and if he will make a statement on the matter. (Question 40143/17 asked on 26 Sep 2017 - Health Services Provision)

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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325. Deputy Louise O’Reilly asked the Minister for Health if persons entitled to public patient healthcare here will receive correspondence from the HSE with information regarding the cross border healthcare directive upon joining a hospital waiting list (Question 40397/17 asked on 26 Sep 2017 - Cross-Border Health Services Provision)

Minister for Health (Deputy Simon Harris): Under the terms of the European Union (Application of Patients’ Rights in Cross Border Healthcare) Regulations 2014, the Health Service Executive has responsibility for providing information to enable patients resident in the State to exercise their rights in relation to access to healthcare in other Member States. I have asked the HSE to examine this matter and to reply to the Deputy as soon as possible. 
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337. Deputy Martin Kenny asked the Minister for Health the status of CAMHS services in Sligo region CHO1; and if he will make a statement on the matter. (Question 40472/17 asked on 26 Sep 2017 - Mental Health Services Provision)

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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136. Deputy Jackie Cahill asked the Minister for Health the funding which is potentially available to a centre (details supplied) to replace the bus it uses to transport 90 persons that use the service in view of the fact that the current bus it is using is inappropriate and no longer fit for purpose; and if he will make a statement on the matter. (Question 39935/17 asked on 21 Sep 2017 - Health Services Provision)

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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