Dáil debates

Wednesday, 7 July 2010

Other Questions

Defence Forces Recruitment

3:00 pm

Photo of P J SheehanP J Sheehan (Cork South West, Fine Gael)
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Question 27: To ask the Minister for Defence the number of staff appointments recommended in Defence Forces medical service review that have been made to date; scheduled be by September 2010; timeframe which time he expects full implementation this review; and if will make a statement on matter. [29978/10]

Photo of Joe McHughJoe McHugh (Donegal North East, Fine Gael)
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Question 35: To ask the Minister for Defence when the central medical unit recommended by PA Consulting Group review of services will be formally established; and if he make a statement on matter. [29912/10]

Photo of Michael D HigginsMichael D Higgins (Galway West, Labour)
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Question 56: To ask the Minister for Defence the progress made regarding commitment given in renewed Programme for Government to develop role and contribution of Medical Corps expand its capacity deliver a range medical facilities on UN mandated missions [30170/10]

Photo of Tony KilleenTony Killeen (Clare, Fianna Fail)
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The PA Consulting Group report assessed the current arrangements for the provision of medical services and proposed a model for future delivery of those services. It recommended a programme of major change and working groups have been set up to progress the various projects identified. These continue to meet regularly and all have submitted reports.

The line officer, in the rank of colonel, to command the new centralised medical unit for the medical corps took up duty on 14 June 2010. He has the responsibility of implementing the model for the future medical service. PA did not identify structures, numbers and processes within the centralised command structure in detail.

The organisation and establishment working group was asked to recommend a structure to include staff appointments for the future medical service. It has now completed its final report, which has been submitted to the steering group for consideration and approval. Final reports from three of the working groups - training and education, financial arrangements and outsourcing, and organisation and establishment - have now been completed. The final report of the future medical information system working group will be completed in the next two weeks and, along with the other three final reports, will be considered by the steering group, with a decision expected by the end of this month. The clinical review working group is not due to submit its final report until 30 September 2010; however, monthly reports are being submitted in the interim. It is only following completion of this phase that full implementation of the PA recommendations can be achieved.

The process for implementation also requires that there must be consultation with the representative associations regarding any change within the scope of representation. It is expected that there will be substantial progress before the end of the year in implementing recommendations.

The development of the medical corps forms part of the agreed programme for Government. This includes the expansion of the capacity of the medical corps to deliver a range of medical facilities on UN-mandated missions. I am committed to providing a sustainable medical service to meet the needs of the Defence Forces both at home and abroad. The structure and systems recommended by PA have been designed to meet the demands and needs of the modern Defence Forces at home and overseas. I assure the House that Defence Forces personnel requiring medical treatment are getting the care they need.

Photo of David StantonDavid Stanton (Cork East, Fine Gael)
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Will there be one centralised medical command structure, as recommended, when all these reviews are completed? In addition, will there be a shift towards illness prevention and health promotion in the new structure?

Photo of Tony KilleenTony Killeen (Clare, Fianna Fail)
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Illness prevention and health promotion are dealt with quite positively in the Defence Forces. By definition, all members are within a particular age cohort - from late teens or early 20s to mid-50s - and are in good health when they join, based on medical checks. Thus, their requirements in the health area are quite different from those of the population at large. One of these is preparation for overseas service. I do not have any particular concerns in this regard.

As I mentioned, I am waiting for the fourth working group report, and the steering group has been meeting regularly, updating its information on the basis of recommendations. It has been a slow and somewhat fraught process. However, in the end, particularly after the last report is received in September, we will move towards a much better quality of service, perhaps along the lines the Deputy intends.

Photo of Brian O'SheaBrian O'Shea (Waterford, Labour)
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Since 1 January this year, how many people have left the medical corps for any reason? Has there been any new recruitment? Pending the implementation of the new structure, is the old structure becoming much less effective than it was? What has been happening in this regard?

Photo of Tony KilleenTony Killeen (Clare, Fianna Fail)
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I am pretty sure some people have left. I will obtain the exact numbers for the Deputy. Some have also been recruited during that period. It is an unusual medical area which is quite attractive to some, in terms of recruitment, and entirely unattractive to others. Recruitment is not as straightforward as one might expect.

Photo of David StantonDavid Stanton (Cork East, Fine Gael)
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What is the level of illness and injury in the Defence Forces?

Photo of Tony KilleenTony Killeen (Clare, Fianna Fail)
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Off the top of my head I could not say, a Leas-Cheann Comhairle, but I will try to find out, although it will be difficult to obtain detailed information. When it is available I will send it to the Deputy.