319. Deputy Billy Kelleher asked the Minister for Health the chronic disease management programmes that were introduced in 2013; and if he will make a statement on the matter. (Question 54763/13 asked on 19 Dec 2013 - Disease Management)

Minister of State at the Department of Health (Deputy Alex White): The HSE is engaged in an ongoing process to develop chronic disease management programmes across the spectrum of services from prevention to sustaining services, including specific additional investment in diabetes services for the promotion of integrated care.
The National Clinical Programme for Chronic Disease Prevention has been established to ensure all national clinical programmes, including primary care, incorporate relevan...

320. Deputy Billy Kelleher asked the Minister for Health the numbers of health care professionals working in primary care as of 1 January 2013; the most up-to-date numbers for them; and if he will make a statement on the matter. (Question 54764/13 asked on 19 Dec 2013 - Health Services Staff Data)

Minister for Health (Deputy James Reilly): The number of staff (WTE excluding career breaks) working in the primary care area of the public health service, broken down by staff category, at 31 December 2012 and at 31 October 2013 is set out in the following table:
 Staff Category 31/12/2012 31/10/2013 General Support Staff 318.41 313.87 Health & Social Care Professionals 1920.16 2004.67 Management & Admin 2788.67 2688.14 Medical & Dental 852.50 865.83 Nursing 1782.16 2228.78 ...

321. Deputy Billy Kelleher asked the Minister for Health when the Department’s programme management office was established; and if he will make a statement on the matter. (Question 54766/13 asked on 19 Dec 2013 - Health Services Reform)

Minister for Health (Deputy James Reilly): A governance framework has been put in place for the Health Reform Programme to coordinate implementation in a planned, coherent manner. The governance arrangements, as promised in Future Health, include a Programme Management Office (PMO) and a Health Reform Programme Board, in the Department of Health and a Systems Reform Group in the HSE. The Programme Board is chaired by the Secretary General of the Department of Health, and includes senior managers...

322. Deputy Billy Kelleher asked the Minister for Health when the new patient safety agency will be established on an administrative basis; and if he will make a statement on the matter. (Question 54767/13 asked on 19 Dec 2013 - Patient Safety Agency Establishment)

Minister for Health (Deputy James Reilly): My Department is liaising with the Health Service Executive on the details surrounding the establishment of the Patient Safety Agency to ensure an identifiable and distinct leadership responsibility for patient safety and quality at national level having regard to the need for a robust quality and safety function within the new delivery structures of the Reform Programme.
Discussions are continuing with the HSE on establishing the PSA initially on an ad...

323. Deputy Billy Kelleher asked the Minister for Health when the patient safety agency’s work with the Health Service Executive and the State Claims Agency to develop a risk-based approach to provision of indemnity to services and professionals was completed; and if he will make a statement on the matter. (Question 54768/13 asked on 19 Dec 2013 - Patient Safety Agency Establishment)

Minister for Health (Deputy James Reilly): The Patient Safety Agency (PSA) is not yet in place, but its establishment is a priority and is provided for in the work programme of the HSE in its Service Plan for 2014. Discussions are continuing with the HSE on establishing the PSA initially on an administrative basis within the HSE structures in 2014. This will allow the PSA to become an identifiable entity within the HSE and facilitate a smooth transition of certain functions undertaken by the HS...

324. Deputy Billy Kelleher asked the Minister for Health the date in 2014 that the age range extension of BreastCheck to include 65 to 69 year old women will commence; and if he will make a statement on the matter. (Question 54769/13 asked on 19 Dec 2013 - Cancer Screening Programmes)

Minister for Health (Deputy James Reilly): The BreastCheck Programme provides free mammograms to all women aged 50-64. A priority of the BreastCheck Programme at present is to maximise national uptake in the 50-64 year age cohort. It also aims to extend the upper age range to include the 65-69 age cohort as soon as possible in line with available resources.
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325. Deputy Billy Kelleher asked the Minister for Health the findings and recommendations of the review conducted by the Department in conjunction with the Health Service Executive of corporate functions and resources staff and budget of the various corporate, support and shared services as they exist in the HSE; and if he will make a statement on the matter. (Question 54770/13 asked on 19 Dec 2013 - HSE Governance)

Minister for Health (Deputy James Reilly): The review of corporate functions and resources, staff and budget of the various corporate/support/shared services as they currently exist within the HSE is ongoing. This review must be undertaken in parallel with the establishment of the revised organisational structure and governance arrangements in the HSE, and is due to be completed in 2014.
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326. Deputy Billy Kelleher asked the Minister for Health if funding for the health service will be provided through the Vote from the first quarter of 2014; and if he will make a statement on the matter. (Question 54771/13 asked on 19 Dec 2013 - Departmental Funding)

Minister for Health (Deputy James Reilly): Funding of the health service in 2014 will be through Vote 38 (Health) and Vote 39 (Health Service Executive). The Deputy will be aware that as part of the reconfiguration of health services, the Vote of the HSE will be disestablished and funding for services will be provided through the Vote of the Office of the Minister for Health. The Health Service Executive (Financial Matters) Bill was submitted to Government on Tuesday 17th. The Bill provides for ...

327. Deputy Billy Kelleher asked the Minister for Health when the Department will address the regulatory status of the VHI in line with the European Court of Justice ruling; and if he will make a statement on the matter. (Question 54772/13 asked on 19 Dec 2013 - Health Insurance Regulation)

Minister for Health (Deputy James Reilly): The Government agreed in December 2011 to address the European Court of Justice ruling of September 2011 and to work with the VHI in its application process for authorisation by the Central Bank of Ireland (CBI), subject to further Government consideration of any application for authorisation. Officials from my Department, the VHI and the CBI continue to engage regularly to progress the application. My Department is also in regular contact with the EU...

328. Deputy Billy Kelleher asked the Minister for Health the way the Department has developed programme-based budgeting in 2013; and if he will make a statement on the matter. (Question 54773/13 asked on 19 Dec 2013 - Departmental Funding)

Minister for Health (Deputy James Reilly): Successful transformation of our health services requires a corresponding transformation of the existing funding model. The first stage in transforming this funding model is to clarify funding streams through the creation of directorates and corresponding programme based budgets. In Vote terms, programme based budgets have already been established for the Primary Care Reimbursement Service and NHSS - Fair Deal. During 2013, due to the imminent establi...

329. Deputy Billy Kelleher asked the Minister for Health if he will detail in tabular form the recommendations contained in the 2012 reviews of financial management systems in the Irish health service; the progress made in implementing these recommendations; and if he will make a statement on the matter. (Question 54774/13 asked on 19 Dec 2013 - Health Services Reports)

Minister for Health (Deputy James Reilly): A Review of Financial Management Systems in the Irish Health Service, commonly known as the Ogden Report, was undertaken in 2012.
The review was commissioned by the Secretary General of the Department of Health. Its overall intention was to review the state of the financial management system in place in the health sector in Ireland at the time in the context of the serious overruns projected to occur in 2012, the continuation of a challenging financial ...

330. Deputy Billy Kelleher asked the Minister for Health when the single assessment tool for older people services was rolled out; and if he will make a statement on the matter. (Question 54775/13 asked on 19 Dec 2013 - Nursing Homes Support Scheme Oversight)

Minister of State at the Department of Health (Deputy Kathleen Lynch): I propose to take Questions Nos. 330 and 331 together.
The first phase of implementation of the Single Assessment Tool (SAT) will commence in 2014 with a minimum of 50% of all new entries to the Nursing Homes Support Scheme, Home Care Package and Home Help Schemes assessed by the SAT in the last quarter of 2014, with full implementation of SAT by the end of 2015.
Work on the review of the Nursing Home Support Scheme is on-goi...

331. Deputy Billy Kelleher asked the Minister for Health if he will provide the findings of the review of the fair deal scheme to assess its applicability to other sectors such as the disability and mental health residential sectors; and if he will make a statement on the matter. (Question 54776/13 asked on 19 Dec 2013 - Nursing Homes Support Scheme Oversight)

Minister of State at the Department of Health (Deputy Kathleen Lynch): I propose to take Questions Nos. 330 and 331 together.
The first phase of implementation of the Single Assessment Tool (SAT) will commence in 2014 with a minimum of 50% of all new entries to the Nursing Homes Support Scheme, Home Care Package and Home Help Schemes assessed by the SAT in the last quarter of 2014, with full implementation of SAT by the end of 2015.
Work on the review of the Nursing Home Support Scheme is on-goi...

332. Deputy Billy Kelleher asked the Minister for Health if he will provide details of the prospective funding model for palliative care; and if he will make a statement on the matter. (Question 54777/13 asked on 19 Dec 2013 - Palliative Care Services)

Minister of State at the Department of Health (Deputy Kathleen Lynch): In line with recommendations contained in Future Health - A Strategic Framework for Reform of the Health Service 2012 - 2015,the HSE is currently working on a Prospective Funding Model for Palliative Care which will assist in integrating and accounting for palliative care across all funding streams and delivery models. 
An Expert Group on Prospective Funding in Palliative Care was established in May 2012, to produce a report ...

333. Deputy Billy Kelleher asked the Minister for Health with regard to the move towards a person-centred model of services and supports for disability services, when the initiation of demonstration projects as proof of concept commenced; and if he will make a statement on the matter. (Question 54778/13 asked on 19 Dec 2013 - Disabilities Services Funding)

Minister of State at the Department of Health (Deputy Kathleen Lynch): The Value for Money and Policy Review of Disability Services (VFM Review) which I published in 2012 envisaged that migration to the person centred model would be by means of demonstration projects, developed as proof of concept, and run in parallel with current services, following which their suitability for wider application would be evaluated.
The Health Service Executive (HSE) and disability agencies are already working on...

1. Deputy Billy Kelleher asked the Minister for Health when the Health Service Executive service plan 2014 is to be published; the reason it remained unpublished eight weeks after budget 2014; if there are any substantial changes with regard to the composition of the €666 million savings target set out in budget 2014; and if he will make a statement on the matter. (Question 54386/13 asked on 18 Dec 2013 - HSE National Service Plan)

Deputy Caoimhghín Ó Caoláin: I seek clarification regarding a notification we received indicating that Questions Nos. 1 and 2 had been grouped.
 ...

4. Deputy Billy Kelleher asked the Minister for Health the way in which community mental health services will be developed in 2014; the new funding being provided for same; the number of new posts this will support; and if he will make a statement on the matter. (Question 54387/13 asked on 18 Dec 2013 - Mental Health Services Provision)

Deputy Billy Kelleher: The Minister of State, Deputy Kathleen Lynch, spoke about mental health services recently in the Seanad. There is no doubt that this area has been the Cinderella of the health system for many years. There is a commitment to A Vision for Change, but what is needed now is the financial commitment to implement it. While the Minister of State has made valiant efforts, she is not receiving a great deal of support from some of her colleagues in this area. We must have clarit...

7. Deputy Billy Kelleher asked the Minister for Health the action he will take to reverse the 18.6% year-on-year increase in day case and inpatient waiting lists; and if he will make a statement on the matter. (Question 54086/13 asked on 18 Dec 2013 - Hospital Waiting Lists)

Deputy Billy Kelleher: What action will the Minister take to reverse the 18% increase year-on-year in inpatient waiting lists? The Minister has laid a heavy emphasis, and staked his career, on driving down waiting lists. This waiting list, however, is going in the wrong direction. What specific measures will be included in the HSE service plan, which is being announced elsewhere at the moment, to address and arrest the increase in those waiting lists?
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14. Deputy Billy Kelleher asked the Minister for Health the number of primary care centres that are to be developed under PPP criteria; and if he will make a statement on the matter. (Question 54082/13 asked on 18 Dec 2013 - Primary Care Centres Provision)

Minister of State at the Department of Health (Deputy Alex White): In relation to the potential Primary Care Centres to be delivered under the Public Private Partnership (PPP) Programme, the National Development Finance Agency (NDFA) published a Prior Information Notice (PIN) on Friday 15th November 2013 in the Official Journal of the European Union (“OJEU”) through the eTenders Public Procurement portal which can be viewed on the www.etenders.gov.ie website.
Of the 35 primary care centre locat...

24. Deputy Billy Kelleher asked the Minister for Health the action being taken to ensure that older persons in residential settings have access to essential therapies; and if he will make a statement on the matter. (Question 54085/13 asked on 18 Dec 2013 - Nursing Home Services)

Minister of State at the Department of Health (Deputy Kathleen Lynch): Under the Nursing Homes Support Scheme, services and supports which are common to the vast majority of nursing home residents are included in the cost of care. These are:
- nursing and personal care appropriate to the level of care needs of the person;
- bed and board;
- basic aids and appliances necessary to assist a person with the activities of daily living; and
- laundry service.
Goods and services that are already availa...

25. Deputy Billy Kelleher asked the Minister for Health the strategies in place to enhance palliative care; and if he will make a statement on the matter. (Question 54084/13 asked on 18 Dec 2013 - Palliative Care Services)

Minister of State at the Department of Health (Deputy Kathleen Lynch): National policy on Palliative Care is contained in the Report of the National Advisory Committee on Palliative Care(2001) and the HSE 5 year / Medium Term Framework for Palliative Care Services (2009 – 2013) and (in relation to children) Palliative Care for Children with Life-limiting Conditions in Ireland - A National Policy. Palliative Care is moving beyond the traditional life limiting area of cancer to address other non-m...

28. Deputy Billy Kelleher asked the Minister for Health the average increase in general practitioner workload he anticipates from the introduction of free GP care for under 6’s; and if he will make a statement on the matter. (Question 54083/13 asked on 18 Dec 2013 - General Practitioner Services)

Minister of State at the Department of Health (Deputy Alex White): The Government is committed to introducing, on a phased basis, a universal GP service within its term of office, as set out in the Programme for Government and the Future Health strategy framework. 
As announced in the Budget, it has been decided to commence the roll-out of a universal GP service by providing all children aged 5 and under with access to a GP service without fees. The implementation of this measure will require p...

53. Deputy Billy Kelleher asked the Tánaiste and Minister for Foreign Affairs and Trade the names and amount by which each Programme Manager/Special Advisor in his Department has exceed the relevant pay guidelines as laid down; and if he will make a statement on the matter. (Question 54752/13 asked on 18 Dec 2013 - Ministerial Advisers Remuneration)

Tánaiste and Minister for Foreign Affairs and Trade (Deputy Eamon Gilmore): The Guidelines on Ministerial Appointments issued in March 2011 state that Special Advisers are to be placed on the Principal Officer (standard) scale: €75,674 - €92,550. Appointments will be on the first point of the scale, except where the Minister for Public Expenditure and Reform sanctions a higher salary rate. I have four Special Advisers in my Department. Salary details for each of them are set out in the followi...

86. Deputy Billy Kelleher asked the Minister for Finance the names and amount by which each programme manager-special adviser in his Department has exceeded the relevant pay guidelines as laid down; and if he will make a statement on the matter. (Question 54751/13 asked on 18 Dec 2013 - Ministerial Advisers Remuneration)

Minister for Finance (Deputy Michael Noonan): Neither of the two special advisors appointed to my Department have salaries that exceed the relevant pay guidelines. Their salaries are in line with guidelines issued by the Department of Public Expenditure and Reform on the appointment of Ministerial staff. 
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108. Deputy Billy Kelleher asked the Minister for Education and Skills the names and amount by which each programme manager-special adviser in his Department has exceed the relevant pay guidelines as laid down; and if he will make a statement on the matter. (Question 54749/13 asked on 18 Dec 2013 - Ministerial Advisers Remuneration)

Minister for Education and Skills (Deputy Ruairí Quinn): The information requested by the Deputy is contained in the following tabular statement. Mr. John Walshe and Ms. Deirdre Grant are paid within the approved Principal Officers’ payscale as provided for in the guidelines for such appointments as published by the Department of Finance on the 24th, March 2011. As their income was greater than the minimum of the PO payscale prior to their appointment, officials at my Department wrote to the ...