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Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Róisín Shortall: There are no-----

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Róisín Shortall: Okay, fine. Both organisations stress the importance of prevention. I admitted recently that we as a committee have not spent an awful lot of time on prevention. It is probably because of the fact there is crisis in so many aspects of the health service and we tend to deal with the crisis stuff rather than the longer-term stuff that could make a real difference. We also discussed...

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Róisín Shortall: On that last point, I remember that last year Croí demonstrated having a cardiac physiologist in and how, with just a laptop, that person could be a gatekeeper for a lot of services or preventative work. Is anything being done about the lack of physiologists? Is anybody taking that up at ministerial level? Maybe it is the Minister, Deputy Harris, who-----

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Róisín Shortall: Okay, but is the key issue that there are not enough places at third level? I would like to get to the bottom of this.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Róisín Shortall: There is the individual and then there is also the family and the impact on them.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: The witnesses are very welcome. I thank them for the incredible work they are doing. The survey is very useful. It is from the coalface and it provides a very clear analysis of the situation and what needs to be done to rectify it. The Department and the HSE should be indebted to them for coming up with that data. The findings are also absolutely in line with those of the Mental Health...

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: I take it Families for Reform of CAMHS agrees with that number one priority.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: Ms Ní Ghiolla Mhairtín drew attention to the issue of children with autism and their exclusion from CAMHS. When the group raised that with the HSE and the Department, what was their response to that issue? It seems to be an issue that could be corrected. It would seem it is a policy issue.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: I thank the witnesses very much.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: I think that is very clear and something the committee can pursue actively. I agree with earlier speakers that we will now take this on as an urgent issue. It is one thing to be sympathetic with a group but Families for Reform of CAMHS is speaking to people who can do something about it. What in the view of Families for Reform of CAMHS are the main obstacles to reform at this point?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: I have a few more issues to raise if the witnesses do not mind. It has been a long morning and they are probably keen to call it a day. On the last point about being warned about not giving out about CAMHS and the effect that might have on recruitment, that kind of secrecy is an old ploy to keep people quiet and also underlines the need for outside regulation by the Mental Health...

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: Okay.

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: My final question is on the recommendation that was made for out-of-hours services running seven days a week. That was a recommendation from the 2019 HSE service plan. We know there are not alternative options for people other than, in the main, going to EDs, which are totally inappropriate. Has there been any extension at all of hours or days of working within CAMHS?

Joint Oireachtas Committee on Health: Child and Adolescent Mental Health Services: Families for Reform of CAMHS (17 Jan 2024)

Róisín Shortall: I thank the witnesses very much.

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Appointments Status (18 Jan 2024)

Róisín Shortall: And the city apparently.

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Nursing Homes (18 Jan 2024)

Róisín Shortall: 4. To ask the Minister for Health to respond to the recent ERSI report on the changes and challenges facing the Irish long-term residential care sector since Covid-19; his views on the consolidation of nursing home ownership, with 14 operators controlling 40% of all beds, and the increasing monetisation of elder care; and if he will make a statement on the matter. [2279/24]

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Nursing Homes (18 Jan 2024)

Róisín Shortall: I am raising the issue of the recent ESRI report that made fairly damning findings about what is happening in the area of residential care for older people. We have seen the rapid closure of small, community-based nursing homes and a trend towards much bigger and much more commercial nursing homes, which is certainly not in the interests of older people. What is the Minister of State's...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Nursing Homes (18 Jan 2024)

Róisín Shortall: With all due respect to the Minister of State, I asked for her response and she described the report. She said we have often have had conversations across the floor. That is the problem. All we have is talk from her. There has been no action. Residential care is not the first choice of many older people. What we should be doing, of course, is expanding other options. In May 2020, at...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Nursing Homes (18 Jan 2024)

Róisín Shortall: In 2020, the then Minister for Health also made the point that the current model was not fit for purpose. We had two senior people in the middle of Covid saying we had to move away from the model of big nursing homes. I cannot see that the Minister of State has done anything of substance on that. I point to the fact that she continues to allow a situation where nursing home care is...

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