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Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: I wish the witnesses a good morning and thank them for their presentation. It raises a huge number of issues very pertinent to the pre-legislative scrutiny we are doing here and a number of those need to be pursued. The reference to the Home Care Coalition is an important one. Has that coalition had input into the preparation of the legislation?

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: I think we are all disappointed at the limitations of the legislation. We expected it to go a lot further and to fulfil the programme for Government commitment on a statutory right to home care. There is much confusion around that. It is referred to as the statutory scheme, but it is not the statutory right to home care. On that, and with respect to the coalition, is ALONE saying the...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: Okay. Mr. Moynihan also made reference to a Law Reform Commission report from 2011, which I was not aware of. That might be something we get a copy of as a committee to see what those recommendations are and he made the point they still hold. I want to get into some of the specifics of what Mr. Moynihan was saying there. He said, "Delivery of an equitable statutory scheme will not be...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: I think many of us share the concerns about the outsourcing of more and more of our social care services. It certainly raises big issues like the ones Mr. Moynihan has outlined. He also talked about the tender process as it operates at the moment militating against not-for-profit organisations. I am aware of that in a general sense and many smaller not-for-profit organisations that were...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: Is that the lack of certainty about it? The funding is similar to a private company as to a not-for-profit organisation, is it not?

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: There is more flexibility, I suppose, in a bigger, commercial company.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: All right. Ms Loughran mentioned the fact the HSE does not provide weekend or out-of-hours services. That is an incredible situation. At least that has been recognised with respect to hospital consultants, for example, and practically everybody else within the health service works 24-7 and is rostered in that way. The HSE not providing out-of-hours services opens the door for private...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: Yes. My time is nearly up. I have two points. The first is on what was said about basic tasks like cleaning and so on that are no longer carried out or funded. Again, has this been raised with the HSE? This is a fundamental point because it is key to many older people being able to stay in their own home if they can keep their home clean, do basic tidying and so on, but that is not...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: I am very conscious of big gaps in PHN services, both for older people and for babies and developmental tests. The HSE does not keep data on vacancies, which says a lot about the lack of priority given to that essential service. I have been chasing that for some time.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: It involves the Government.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024: Discussion (Resumed) (26 Jun 2024)

Róisín Shortall: It is €85 million.

An tOrd Gnó - Order of Business (2 Jul 2024)

Róisín Shortall: I thank the Ceann Comhairle, the Taoiseach and party leaders for their very kind good wishes for Deputy Catherine Murphy and me. We very much appreciate them. I want to return to an issue I raised with the Taoiseach last month, that is, changes in Revenue's rules about the taxation of GP income, which very much affect GP charities. I am thinking, in particular, of a charity run by Dr....

Written Answers — Department of Health: Covid-19 Pandemic (2 Jul 2024)

Róisín Shortall: 465. To ask the Minister for Health if his attention has been brought to the difficulties faced by many Long Covid patients in accessing Covid-19 booster vaccines, in particular a non-MRNA vaccine (details supplied); if he will engage with the HSE to ensure that there is a clearly documented process to signpost how Long Covid and immunocompromised patients can access the non-MRNA vaccine; and...

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: Chair, we are meant to be dealing with the Bill.

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: This is a Bill.

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: Can the Deputy speak to the Bill?

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: No, there is no few more minutes.

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: This has nothing to do with the legislation.

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: That is a cheap shot.

Health (Miscellaneous Provisions) (No. 2) Bill 2024: Report and Final Stages (3 Jul 2024)

Róisín Shortall: There has to be some level of order in a debate.

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