Oireachtas Joint and Select Committees

Wednesday, 29 May 2019

Joint Oireachtas Committee on Health

Developments in Mental Health Services: Discussion

Ms Kate Frowein:

On inspection, the inspectors are required to look at all regulations, codes of practice and statutory rules. We have a very comprehensive data set spanning across a number of years that allows us to take a risk-based or intelligence-led approach to identifying concerns. Across most of the areas there is improvement. As Dr. Finnerty has said, it is slow and modest improvement. There are some areas, however, where improvement is lacking. That would be in areas such as unsuitable or unsafe premises or cleanliness of the premises. There could be issues around privacy, medication - which is still low - and staffing and staff training in particular. We continue to have concerns around those areas. As my colleague Ms Smyth has pointed out, we do see high compliance in some parts of the country and in some sectors. There is no explanation as to why in some areas or in some CHOs compliance should be so much lower when it is the same provider.