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Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: The Minister might send me a detailed note. Obviously, that funding needs to be made permanent and part of the baseline because there is no point putting in an injection of short-term funding. While that would, of course, help in the short term and while we need to get treatment for as many children with scoliosis or spina bifida as possible, we cannot simply provide funding for one year...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I agree with that but I have two other questions I want to ask and I know that others may want to come back in again. This is a very important issue because dentists are leaving the scheme. Regardless of their motivations or of the rights and wrongs of the matter, they are voting with their feet and are leaving the scheme in big numbers. The consequence of this is people are not getting...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: Okay, but Deputy Donnelly is the Minister. We have had a session on this. I believe it was the middle of last year when we put a focus on the dental treatment service scheme. The Irish Dental Association and the HSE lead came before us. At that point, we were told this was a priority, but I have not seen any movement. What I am seeing is more dentists leaving the scheme. It is great the...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: This is not about that funding pot. That is a separate funding pot for a separate issue. This is about the dental treatment service scheme, DTSS, contract. Dentists are leaving and children cannot get access to services.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I know, but dentists are not in the scheme. That is the point.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I will address two more quick issues before finishing up, if I may. I spoke earlier about children waiting for access to speech and language therapy and occupational therapy. I am talking about children with special needs and disabilities. If we go back to the Disability Act 2005, there are two issues. There is the assessment of need on the one hand and the provision of services on the...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I think the answer is zero.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: This is one of the problems here. We have an Act which all of us signed and approved. It clearly sets out that a child is entitled to an assessment of need. Many children are not getting an assessment of need, as we know. AsIAm and other disability groups have published information on this. They have gone out to their members and done audits. A total of 79% of children who have an...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I have one more question.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I have one more question that I hope the Minister can respond to.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I want to come back very quickly on this.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: It is an important point I want to make.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: Very quickly, if I can come back on that. I have spoken to many parents in recent weeks. I have spoken to legal people taking court cases on the very assessments the Minister is speaking about. I have spoken to advocacy groups which are also raising concerns about the figure of 6,000 and what has happened. As the Minister knows, the Act provides for assessments of need. The Act clearly...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: The problem is the six-month statutory wait time does not apply to the more in-depth assessment. This is the problem. Quite rightly, many parents state we have a situation whereby we have set out in statute that the assessment has to identify whether the child has a disability, the extent and nature of the disability and the services the child would need because of the disability. The...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: The point is the six months only kicks in for the standard operating procedure. If children need to go on for a more in-depth assessment of need, the six-month period does not apply, or at least the HSE is not applying it. This is one of the problems here. Parents are now waiting. The initial screening or assessment of need for children with autism is 20 minutes. They are in and out and...

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: And he number of children who go for an initial assessment and who are referred for a more fulsome assessment.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: We cannot get those numbers.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I thank the Minister for that.

Select Committee on Health: Estimates for Public Services 2022
Vote 38 - Health (Revised)
(24 Feb 2022)

David Cullinane: I have one quick question. I received a parliamentary question response last week in regard to the number of people over 75 waiting for various types of healthcare. In January, we had just under 1,100 people over 75 waiting more than 24 hours on a hospital trolley or waiting for access to an emergency department. That is a lot of people over 75 in one month across acute hospitals waiting...

Ceisteanna ó Cheannairí - Leaders' Questions (23 Feb 2022)

David Cullinane: I hope she will be in your place soon enough.

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