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Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: It has to go through a recognised provider.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: Yes.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: For each individual person, yes.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: Are providers tempted to cherrypick? Private providers may choose to provide care in concentrated urban areas and leave the rural areas to the non-profit providers who have greater difficulty because there may be greater travel times. The private providers can cherrypick in concentrated population area.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: Should the easy and difficult cases be distributed equally rather than leave the not-for-profit organisations to pick up the geographically difficult cases and the private providers to choose the easier cases?

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: What criteria do a provider use to make a decision in two minutes?

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: What happens when a person lives in a rural county? Is the location of the client a critical factor in deciding whether a provider accepts a package?

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: The following was stated in the presentation by Family Carers Ireland, "We believe that this would be best done by formalising lead responsibility for home care with the family". Is that what Ms Duffy is speaking about? Does she mean negotiating with the family member on how best to give flexible homecare support?

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: The issue addressed in Sláintecare is trying to bring home the message that the invisible becomes visible when there is a lack of home care, support or community structures. They become visible very quickly in our hospital system when there is a lack of home support. I think that is a key message of Sláintecare.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: I overlooked Mr. Dunne before Deputy Durkan spoke.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: I refer to a point Mr. Dunne made on the lack of consistency of services across CHO groups and that it can vary substantially from one CHO group to another. If and when we introduce a statutory system, will that bring consistency to the provision of home care?

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: Before we finish that point, I refer to Sláintecare. There is a proposal that the hospital groups and the CHOs would become an entity-----

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: It is proposed that there would be a budget within that entity.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: A person in one section could decide to cut home care hours because its budget is at an end but the hospital consultant will say that cannot be done because the trolley count in his or her hospital would go up as a result of people not being supported at home. Conversations such as that will happen within those organisations which will hopefully limit the extremes of budgetary cutting.

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: If statutory home care is introduced-----

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: My apologies, when statutory home care is introduced, there is an expectation that this will come at no cost but obviously will be a cost to the client. I have heard people speak of it being a free service but it cannot be a free service. What is the estimated ratio in terms of cost-sharing? Obviously, the client will have to make a contribution and the State will make a contribution....

Joint Oireachtas Committee on Health: Home Care Services: Discussion (12 Dec 2018)

Michael Harty: On behalf of the committee I thank Mr. John Dunne and Ms Clare Duffy from Family Carers Ireland, Ms Audry Deane from Age Action Ireland, Mr. Joseph Musgrave and Mr. Ed Crotty from Home and Community Care Ireland, and Mr. Liam O’Sullivan, Mr. Pat McLoughlin and Ms Joan Carthy from Care Alliance Ireland. We may return to this topic at a future date.

Written Answers — Department of Health: Charitable and Voluntary Organisations (13 Dec 2018)

Michael Harty: 109. To ask the Minister for Health when the independent review group formed in July 2017 and chaired by a person (details supplied) will publish its findings. [52509/18]

Select Committee on Health: Business of Select Committee (13 Dec 2018)

Michael Harty: We are in public session. As we do not have a quorum due to votes taking place in the Dáil, I propose that the select committee reconvenes at 3 p.m.

Select Committee on Health: Health Insurance (Amendment) Bill 2018: Committee Stage (13 Dec 2018)

Michael Harty: The purpose of the Bill is to amendment the Health Insurance Bill 1994 to specify the amount of premium to be the risk equalisation fund in respect of certain classes of insured persons from 1 April 2019; to make certain other amendments to that Act; to amend the Voluntary Health Insurance (Amendment) Act 1996. I welcome the Minister of State, Deputy Finian McGrath, and his officials and...

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