Dáil debates

Wednesday, 6 February 2019

Saincheisteanna Tráthúla - Topical Issue Debate

Respite Care Services Provision

1:50 pm

Photo of Jim DalyJim Daly (Cork South West, Fine Gael) | Oireachtas source

I thank Deputy Eugene Murphy for raising this issue. Many people with dementia are able to live long, fulfilling lives after their diagnosis, and fostering compassionate and inclusive communities can greatly improve the quality of life for persons with dementia and their families. It is Government policy that people should live and receive care in their own homes and communities for as long as possible.

To support future development of services and supports for people with dementia, the National Dementia Office and the Alzheimer's Society of Ireland undertook a joint project in 2016 and 2017 to map dementia-specific community-based services throughout the country. Information from the project is included in an online service finder on the Understand Together website so that people can find out what services are available in each county. In County Roscommon, the HSE provides a psychiatrist of later life, a memory clinic for diagnosis and clinical care, and a memory technology resource room which offers opportunities to learn about and be assessed for assistive technologies, while funding has also been allocated to the Alzheimer's Society of Ireland and Western Alzheimers for a community dementia support nurse and a dementia carers support group.

While there are gaps in access to services and a variation in what services are provided, efforts are ongoing to address this. The National Dementia Office has met senior HSE officials in each community healthcare organisation, CHO, area to highlight service gaps in each area and to provide guidance and support on dementia service planning and development throughout the country. A dementia needs framework has been developed to support existing services. On a national level, as part of the national dementia strategy implementation programme, a range of supports have been introduced to assist people with dementia and their families and carers. Dementia-specific intensive home care packages offer tailored home care to people with dementia with complex needs.

The primary care education, pathways and research project is training general practitioners, GPs, and primary care teams, giving them the skills to diagnose and manage dementia. In excess of €6.26 million has been secured from the Dormant Accounts Fund to offer a range of additional supports. These include diagnostic and post-diagnostic supports, a national dementia training programme for HSE home care staff, and a nationwide network of memory technology resource rooms. A carers' needs assessment will be rolled out in community healthcare west during 2019 and 2020.

In response to Deputy Murphy's specific query, community healthcare west recently met the voluntary provider seeking to provide this additional respite in Roscommon town to discuss the proposal of part of the annual service level agreement, SLA, process. All applications for section 39 grant aid funding will be considered and prioritised based on their application in accordance with the agreed community healthcare west criteria. This prioritisation will determine the allocation of available funding. Community healthcare west has advised that the SLA process is ongoing and will conclude by the end of the month.

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