Oireachtas Joint and Select Committees

Wednesday, 15 November 2023

Joint Oireachtas Committee on Disability Matters

Rights-Based Care for People with Disabilities: Discussion (Resumed)

Photo of Michael MoynihanMichael Moynihan (Cork North West, Fianna Fail) | Oireachtas source

A vote has been called in the Chamber and we have our last member, so the officials might come back to Deputy Murnane O'Connor on any outstanding points in writing.

Before we adjourn the meeting there are a couple of points I want to make. Has the HSE disability managers in each of the CHOs? Some people have said to me the disability manger post in one of CHOs is not filled at the moment. Is there an appointed disability manager in each of the CHOs? On the services, both Tusla and the HSE see the capacity within the system. Are they actively engaging with the service providers, the section 38 or 39 organisations in how to expand? Up to 2007 or 2008 there was a huge amount of residential facilities and units built or bought by section 38 and 39 organisations under the capital assistance programme from the Department. That has almost ceased to operate at the moment. That funding is there and is accessible. All of us public representatives daily meet people looking for residential care and experiencing different family challenges and the services are not there. That then comes to a crisis point where the care is no longer available and there is a crisis created.

We will have to conclude the meeting but I would appreciate an update from both Tusla and the HSE about their engagement with service providers in respect of engaging with them and asking them to go to look at the various schemes that are available to access funding for it. We need clarity on the issue of the disability managers in each of the HSE CHOs and we need uniformity of service. One service provider that is working with two CHOs says the attitude in one is completely different from the other. When it is looking for funding, it is easier to get it from one CHO than the other. That is not acceptable. I go back to the Mental Health Commission and CAMHS. What is the blockage here? I was led to believe at the start of the meeting that the legislation was in place for the commission to take over CAMHS and youth mental health services. Maybe this could be clarified.

Some people who have worked in the private sector as OTs and speech and language therapists, move to the HSE and then they leave-----

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