Brian Cowen (Laois-Offaly, Fianna Fail)

In the vast majority of cases we are discussing HSE-provided services. A total of 55,000 home helps are run by the HSE. Where home care packages have been adverted to there is also an involvement by the HSE in terms of procurement issues etc. I contend that in the vast majority of these cases the level of complaint thus far is such that given the range of activities and the fact that €200 million more is being spent in this area than was the case even a few years ago, even in the present circumstances, it is an indication of the need for the flexible response and the service in place. There is a spectrum of need which varies from place to place and from individual to individual.

In setting up or preparing for a statutory framework we must ensure this ethos is maintained. This has been the means by which a quality care system has been provided thus far. Keeping it close to the community, close to the family and people who live nearby and who know the individuals concerned is a significant advantage in ensuring that the system works. Were there a different system with people leaving from places of employment to go out and do these tasks in another way we would not have as successful a scheme as we do. I have no wish to be misrepresented in this regard. We are all aware from our personal experience and we want to see the dignity of people maintained and that people are properly looked after. One case is one case too many but the vast majority of cases are handled in a discreet, proper and professional way. Where there are complaints, they too can be accommodated. Let us not suggest this is a systemic problem, although I agree a review should be carried out to determine the extent of the lack of professionalism which was evident in the cases highlighted last night. It is in everyone's interest to do that. That is being undertaken and local managers have been instructed and directed to do that. It is a good practical response to last night's programme because certain people must go out and check that people are being looked after properly. If some have started well but are now providing care in a way that is not acceptable, that has become complacent or routine or whatever the issues are, it must be identified at this point. A complete review gives us the prospect of doing this.

See this speech in context