Maureen O'Sullivan (Dublin Central, Independent) | Oireachtas source

There is a danger of shooting the messenger because I must acknowledge that reply was very disappointing. To go back to the review and how long it is taking, it is acknowledged that it is significantly overdue but we are not too sure why it is taking so long. The report is close to completion but we still do not have a date as to when the review will be available.

What must also be considered is that we need a system whereby when a satisfactory rate is struck, it will be proofed against inflation in relevant areas of cost for a number of years. We hope inflation will decrease as well as increase but that proofing must be included also. There are concerns about the appeals mechanism and this needs particular consideration. With regard to the price review, is there professional and independent costing and other technical and relevant expertise?

In the context of staffing, the Minister of State's reply stated it must be proved there is a genuine labour shortage and it is not due to other factors. I have given the facts about the work and the rate that can be paid when going through an agency. How can agencies offer so much when the funding is from the State? This is leading to shortages in the private and voluntary sector. Somebody has to join up the dots and look at the matter in a much more holistic way. Earlier, I spoke to my colleague, Deputy Pringle, and he told me there is a very good system in Donegal where there is close co-operation between hospitals and community nursing homes but there is a fear this could be subject to change.

The voluntary and private sectors are providing much-needed care for long-term residents in particular. We must acknowledge that there is an increasing demand for the service. We want to keep people in the community but it will not be possible for everybody. Further closures will have serious consequences so these issues must be addressed. I could not get over the difference between the average public and private rates, which ranges from a difference of 40% to 163%. This needs to be looked at as well as the other issues I have raised.

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