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Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: I will try to keep to the time. I want to ask a number of questions but I will first follow up on some of the answers to Deputy Shortall's questions. A visual representation of the governance structure for the Kerry-Cork CAMHS would be incredibly useful. I definitely need that because I am also completely confused. Who does the patient safety adviser work under? Who is the line manager?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Does their role compromise a patient safety adviser for mental health or do they cover other areas also?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Is that everything from children's physical health right up to mental health - the whole gamut?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: It has been described to us that there are meetings every four months. I presume the cases and the service are reviewed every four months. Is that correct? Does the patient safety adviser attend those meetings?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: I do not mean to cut across Mr. Fitzgerald. Are they in the room or not?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: I am not a medical professional, so I am trying to understand what happens at this four-monthly review. It seems that the failure here is a governance issue. I presume care plans and patients' particular needs are on the table. If there is a shortfall in oversight or staffing, the patient safety adviser is not in the room to say the service is severely lacking. Is that fair to say?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: To clarify, the meetings are discussing capital investment and issues such as staffing. Was there no discussion at those meetings of specific concerns around service provision to specific patients?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Okay. One recommendation has come from a number of bodies. I want to be clear about the review and audit that is happening now, and the actions being taken following this report. Are they a one-off and a one-time review? I am asking in the context of certain medical bodies asking for the set-up of regular reviews to service.

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Sorry, just to be clear, at present it is a one-off, but the HSE is open to the idea that it would continue. I am considering the College of Psychiatrists of Ireland, which has asked a number of times for the establishment of regular reviews of the system.

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: I will return to the issue of how the teams are run. I cannot remember who said this during Deputy Shortall's session. One of the phrases used was the consultant is the de facto team leader but various specialists and disciplines are line-managed by discipline. The social worker reports to the social work team and the occupational therapist, OT, reports to that team. When it comes to an...

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Would it be fair to say that, practically, consultants run the team?

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: The reason I ask that is this is a joint committee with the Oireachtas Joint Sub-Committee on Mental Health. One of the things we have been doing on the mental health committee is pre-legislative scrutiny on the health amendment Bill. A few weeks ago, I was struck by the opening statement from the Irish Medical Organisation on the role of the consultant in multidisciplinary teams....

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Somebody was acting in that role.

Joint Oireachtas Committee on Health: South Kerry Child and Adolescent Mental Health Services: HSE (2 Mar 2022)

Neasa Hourigan: Okay. I am out of time.

Joint Oireachtas Committee on Health: General Scheme of the Public Health (Tobacco and Nicotine Inhaling Products) Bill: Discussion (Resumed) (1 Mar 2022)

Neasa Hourigan: Do they prescribe it?

Joint Oireachtas Committee on Health: General Scheme of the Public Health (Tobacco and Nicotine Inhaling Products) Bill: Discussion (Resumed) (1 Mar 2022)

Neasa Hourigan: Mr Dunne's products do.

Joint Oireachtas Committee on Health: General Scheme of the Public Health (Tobacco and Nicotine Inhaling Products) Bill: Discussion (Resumed) (1 Mar 2022)

Neasa Hourigan: He sees it as vaping in the long term. Mr. O'Boyle does not see vaping as a transition product to not being addicted to nicotine.

Joint Oireachtas Committee on Health: General Scheme of the Public Health (Tobacco and Nicotine Inhaling Products) Bill: Discussion (Resumed) (1 Mar 2022)

Neasa Hourigan: I do not know if the witnesses saw the previous session.

Joint Oireachtas Committee on Transport, Tourism and Sport: Urban Area Speed Limits and Road Safety Strategy: Discussion (1 Mar 2022)

Neasa Hourigan: How much does the authority spend on hi-vis gear for schools?

Written Answers — Department of Communications, Climate Action and Environment: Energy Conservation (8 Mar 2022)

Neasa Hourigan: 136. To ask the Minister for Communications, Climate Action and Environment further to Parliamentary Question No. 65 of 29 September 2021, the date by which a nationally accredited insulation product will be available for use in homes that were built before 1940; and if he will make a statement on the matter. [12394/22]

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