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Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: That was a jump of 400 in one month alone.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (26 May 2020)

Colm Burke: Finally, I wish to ask about the forum, which is an issue I raised in the Seanad. Who should be on the forum that Nursing Homes Ireland believes should be set up? Mr. Taylor might also come in on that.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: Deputy Doherty has already started.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I thank the witnesses for coming here today and for being available to answer the questions we are putting to them. On the 584 centres that HIQA inspect, my understanding is that 80% of those are private and the other 20% are public. Of the 20% that is public, are they community hospitals and mental health facilities? Perhaps we could get a breakdown of how that is made up and the numbers...

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: A list of public and private nursing homes was given to the Department. Can we have the breakdown of public and private?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I want to ask about the HSE and congregated settings. We had a number of incidents and deaths in a number of facilities like Portlaoise, Phoenix Park and the community hospital in west Cork. I have spoken to people who worked in those facilities. For instance, I know that there were no changing facilities for staff in some of those facilities and there were six patients per ward. Surely...

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: Remedial works, in some cases, were not taken until after people had died in the facilities. Does Mr. Walsh agree with that?

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: With the ones identified as very high risk, I know that no action was taken with at least two of them, even though they would have been high risk because there were at least six patients per ward. No action was taken until it was identified that patients were positive.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I am talking about in one case, for instance, a simple one of changing facilities for staff.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I am aware of it.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I understand that in more than one place, no remedial action was taken until after people were identified as positive and in some cases until after people had died in the particular facility.

Special Committee on Covid-19 Response: Congregated Settings: Nursing Homes (Resumed) (26 May 2020)

Colm Burke: I thank Mr. Walsh.

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: I thank all the witnesses for coming in and all the people working in the direct provision centres and in their administration. Ms Buckley referred to about 8,000 residents currently in direct provision. In how many cases are decisions on applications pending? Of those cases, how many judicial review procedures are in place? Can we have an idea of those figures?

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: My next question is about people who have a particular medical problem such that they are required to attend hospital regularly for medical review. Is there a process in place for moving them to safer accommodation? If so, are there many people in respect of whom the Department has had to use that process in order to be sure? I raise this question because where the virus has been...

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: If in a centre there are people with a particular medical condition other than coronavirus, is there a process in place for moving them into a safer location in order that they are not at risk, particularly given that they are likely to be attending hospital for medical review?

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: What kind of numbers are we talking about in the case of those with particular medical conditions outside of coronavirus?

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: I fully accept that.

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: In the case where a person is pregnant and is attending hospital clinics, what is the accommodation provision for such a person, in particular in a specific place where coronavirus has been identified?

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: Ms Buckley referred to the case in Cahersiveen. My understanding is that that person was not moved, in fact, attended clinics for care and was returned to the centre.

Special Committee on Covid-19 Response: Congregated Settings: Direct Provision Centres (26 May 2020)

Colm Burke: But she was attending a hospital from the centre.

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