Oireachtas Joint and Select Committees

Wednesday, 22 November 2017

Joint Oireachtas Committee on Future of Mental Health Care

Funding and Budgeting of Mental Health Services: Health Service Executive

2:00 pm

Ms Yvonne O'Neill:

That is the type of process we are involved in annually to look at how we build our submission for funding to Government under the Estimates process. As such, we have direct engagement with our CHO mental health colleagues and talk through the specialties. For example, one might take the relocation and opening of the Linn Dara CAMHS acute unit. We engaged with our CHO colleagues to look at the cost of that service. They were able to say they could reasonably bring the beds to X if they could get funding for Y. We brought that to Government as part of the programme for Government funding process and are now able to allocate the full cost of the operation of the Linn Dara service within the CHO 7 budget. That is exactly as the Deputy has outlined and it is the process we fulfil each year as part of the annual Estimates and budget allocation process. As Ms. O'Connor outlined, it is also part of the performance reporting process. On top of the additional funding we secure for Linn Dara to allow it to be operational, we ask on a monthly basis if it is there yet. We know by development post, as Deputy Neville asked, what they have been allocated and whether those posts are in place. Where, for example, it has not been possible to recruit staff to those posts, they may be incurring overtime or special costs, as Senator Devine outlined. In that case, we will say that the funding can, in the interim, plug holes, to use the member's term. That is the type of application of funding. It is for direct mental health service provision and it is working with the CHOs and services to determine their priorities for that. The exact process Deputy Buckley outlined is the one we are involved in; annually in terms of service planning and budget allocation and monthly in respect of performance management.

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