Dáil debates

Wednesday, 4 July 2018

Ceisteanna - Questions (Resumed)

Cabinet Committee Meetings

1:40 pm

Photo of Micheál MartinMicheál Martin (Cork South Central, Fianna Fail) | Oireachtas source

A defining feature of Fine Gael's management of the Department of Health has been major Supplementary Estimates announced late in the year. This has been going on for a number of years. After a series of years in which the Supplementary Estimates related only to additional measures announced during the year, we now see permanent use of them to fund core health services. This is not about additional measures or whatever but the funding of core services. This has been accompanied by Ministers and Taoisigh denying overruns until late in the year and also refusing to explain whether the under-provision for services was a political decision or an administrative error. In today's newspapers it is reported that the health budget is again over allocation by €167 million and that the final annual figure is likely to be much higher than that. No explanation has been provided as to what is involved and it appears that we are likely to get another demonstration of the Taoiseach and his Ministers shaking their heads as if it has nothing to do with them. Can the Taoiseach give an assurance that during the preparation of this year's budget, there was no interference by any member of Cabinet in the service plan costings provided by the Health Service Executive? What is the current projection for the likely full year costs in health?

The Taoiseach referenced disability. The Government is not performing on disability in respect of access to services for children, particularly the various therapies I outlined yesterday such as physiotherapy, speech and language therapy and occupational therapy as well as respite services and residential care. In the whole row about decongregation, many people with disabilities are being left behind. I get somewhat annoyed when people declare that we have ratified the UN declaration in respect of disability. It means absolutely nothing on the ground when vast sections of the Education for Persons with Special Educational Needs Act 2004 have not been implemented. The Taoiseach wrote to me following my raising of the matter on the Order of Business last week. It really puts a focus on the absence of delivery for children with special needs.

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