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Joint Oireachtas Committee on Health: Challenges Facing Community-based Cancer Support Services: Discussion (29 May 2024)

Seán Crowe: I thank the witnesses for coming in. On behalf of the committee, I thank them and all their volunteers for the work they carry out day in, day out. I thank them for engaging with the committee on the challenges facing community-based cancer support services in the context of the national cancer strategy. As a committee, we will continue to monitor this matter and we will be doing a report....

Joint Oireachtas Committee on Health: Challenges Facing Community-based Cancer Support Services: Discussion (29 May 2024)

Seán Crowe: I thank Ms Fort for ending on that positive note.

Written Answers — Department of Children, Equality, Disability, Integration and Youth: Health Services (12 Jun 2024)

Seán Crowe: 118. To ask the Minister for Children, Equality, Disability, Integration and Youth the options available to the family of a person (details supplied) who requires urgent access to a dietician when there is currently none in post for the CHO7 area. [25650/24]

Written Answers — Department of Children, Equality, Disability, Integration and Youth: Health Services Staff (12 Jun 2024)

Seán Crowe: 134. To ask the Minister for Health if they are aware of the lack of dietitians in the CHO7 area; if they will make allowances under the ongoing recruitment embargo to fill specialist posts such as this, particularly where there are no posts filled; the alternatives available to individuals who require diagnosis and treatment by a dietitian in the CHO7 area; and if he will make a statement on...

Written Answers — Department of Health: Health Services (11 Jun 2024)

Seán Crowe: 712.To ask the Minister for Health the number of children accessing speech and language therapy in community healthcare organisation, CHO 7; the number of children awaiting assessment for therapy; the number of children who have been assessed and await therapy; and the average waiting time for both assessment and post-assessment access. [24806/24]

Written Answers — Department of Health: Health Services (11 Jun 2024)

Seán Crowe: 713.To ask the Minister for Health the number of adults accessing speech and language therapy in community healthcare organisation, CHO 7; the number of adults awaiting assessment for therapy; the number of adults who have been assessed and await therapy; and the average waiting time for both assessment and post-assessment access. [24807/24]

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: Apologies have been received from Senator Frances Black. I propose we go into private session to consider the business of the committee. Is that agreed? Agreed.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: Before we get to the main item on today's agenda, the minutes of the committee meeting on 11 June have been circulated to members for consideration. Are they agreed? Agreed. The purpose of the meeting today is to commence the pre-legislative scrutiny of the general scheme of the health (amendment) (licensing of professional home support providers) Bill 2024, which has been forwarded by...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: I will move straight to members and Senator Kyne will lead off.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: I thank the Senator. I think we all agree that if-----

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: Yes. It happens right across all parties and none.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: That is the important thing. Nobody actually hears about it. The frustrating thing is that you go to all the bother of putting legislation together and it just sits in limbo.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: On that note, there was reference in the opening statements to the number of people who are actually getting home care help and I think that needs to be acknowledged. As elected representatives, we tend to hear about those who are not getting the services, additional hours and so on. Those are probably some of the challenges. In her opening statement, Ms Larthwell stated that 54,000 people...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: It just struck me that it is a small sample. That is not a criticism of anyone. It was put out there and people may not have felt a need to respond or maybe they believed that it should have gone ahead. Question No. 4 in the survey referred to areas not covered by the regulation, of which under-18s were one. I would have thought there would be a larger response. Can Professor...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: One of the questions related to registered healthcare professionals, such as physiotherapists and so on. One of the concerns some members of the committee would have is that many of those who are engaged in healthcare professions might not necessarily be registered. We had people who were dealing with feet, for instance. There is no regulation there. There is no regulation in respect of...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: Okay. The geographical gaps in the system come up quite a bit. Could the witnesses outline some of the gaps? In their experience, what is the big challenge? It was said that regulation is needed. Why is that so? Where are the notable gaps? I presume it is in rural Ireland. We know that from the work of the committee on this. The witnesses might outline their views on that.

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: With some of the providers, particular in the private sector, there was more of a reliance on the likes of technology to keep in touch with those people, particularly in isolated areas and so on. That has been the pattern in other jurisdictions as well. I looked at one provider that was talking about using a smart television, phone or whatever to keep in touch with the individual who is...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: Again, I am not talking about having to check the smart TV, but as that technology develops, would the expertise be available within HIQA? If that is the way we are going to develop as a society, something like that would be needed. We mentioned the fact that where someone is going into a person's home, there has to be a level of trust and so on. On the standards of care and the survey on...

Joint Oireachtas Committee on Health: General Scheme of the Health (Amendment) (Licensing of Professional Home Support Providers) Bill 2024 (19 Jun 2024)

Seán Crowe: As elected representatives, it is common for us to hear stories of someone coming in and it is not the same care assistant every day. It is practically someone new every week. That may be a result of a strain on the service, but it is a big challenge. An individual may not have someone who can communicate with them, and it may be someone with a list of things regarding going for a walk or...

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