Mr. Tadhg Daly:

-----but the Dementia Services Information and Development Centre. It also states, curiously, that HSE facilities which receive the highest payments because they are said to be accommodating those with the highest needs are more restrictive. We see this on an ongoing basis. Likewise, the review of the fair deal scheme's pricing methodology referred to this approach lacking logic, being ad hoc and only applying to the private sector. When it was introduced in 2009, the aim of the fair deal scheme was to ensure equity and fairness for all residents and providers. Instead, the disparity with what the HSE pays for its own facilities has grown since. It is putting significant pressure on our sustainability. This has been verified independently by HIQA which has outlined that five nursing homes closed voluntarily in 2017.