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Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (23 Oct 2014)

Kathleen Lynch: One must engage in negotiations, so this is what we will do. I have heard the arguments relating to St. Hilda's Services and I visited that facility recently. It deals with people with a range of abilities and disabilities and we must ensure that service continues to be provided. All I can say to Deputy Troy is we have got what we have got. Our budget is approximately €1.5 billion...

Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (23 Oct 2014)

Kathleen Lynch: I answered that question, though perhaps not in the fashion sought by Deputy Troy. There will be interaction with St. Hilda's Services. I understood the question perfectly and I hope questions from St. Hilda's Services can be answered within the process.

Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (23 Oct 2014)

Kathleen Lynch: The questions posed by Deputy Ó Caoláin and Senator van Turnhout are related. I have learned in the past number of years that the structure relating to and the way in which a service is delivered are as important as the service itself. Volumes of staff can be brought into a service but if they are not operating within a robust structure and if there is not a good team-building...

Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (23 Oct 2014)

Kathleen Lynch: This will not be the last time the Senator and I discuss this issue, and she is aware that we have put a national co-ordinator in place for child and adolescent mental health services. We took the latter step on foot of additional information and I am of the view that it will pay dividends. Most people might not consider this to be a front-line post but I am of the view that it is vitally...

Topical Issue Debate: Neuro-Rehabilitation Services Provision (4 Nov 2014)

Kathleen Lynch: I thank the Deputy for raising this issue. I am glad to be here as I have a particular interest in this area due to family circumstances. Since the introduction in 2010 of the national cardiovascular health policy, significant improvements have been made with regard to access to acute treatments for coronary heart disease, as well as the development of stroke units. Key elements of stroke...

Topical Issue Debate: Neuro-Rehabilitation Services Provision (4 Nov 2014)

Kathleen Lynch: I could not agree more with the Deputy. The joining up of posts we are putting into the community provides that sort of interconnection between primary teams and community intervention teams. I have first-hand experience showing that when strokes are treated quickly and in the correct location, the outcome can be as though the stroke had never occurred. It is incredible. I credit the last...

Topical Issue Debate: Home Care Packages (4 Nov 2014)

Kathleen Lynch: The Deputy has known me long enough. I am always loath to direct people to do something unless I consider there is belligerence there and do not think there is in these cases. However, I will undertake to examine the matter and make inquiries about what can be done concerning the three children the Deputy has mentioned. We must remember that they are children. I am pleased to take this...

Topical Issue Debate: Home Care Packages (4 Nov 2014)

Kathleen Lynch: The Deputy should not say that.

Topical Issue Debate: Home Care Packages (4 Nov 2014)

Kathleen Lynch: There is no disagreement. The ideal is a seamless service that is not interrupted just because the child reaches a particular chronological milestone. Circumstances might not permit it but the ideal is that the nurses providing the home care will continue to do so. That is the argument I will make and I am sure I will be told there are 100 reasons that it cannot happen. Others who deliver...

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: I have distributed a note which will tell Members everything they need to know. The Government did not cap the fund referred to by Deputy Mattie McGrath. Fianna Fáil did so and he was a member of that party.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: No; Fianna Fáil capped the fund and he was a member of the party.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: The Deputy agreed to it.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: He was warned about it. As people listen to the Deputy, we can answer him.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: Deputy Dennis Naughten must have got hold of the plan, because everything he suggests needs to be done.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: The €25 million in question is ring-fenced. I agree with Deputy John O'Mahony's comments; it would be unsatisfactory for the process to run to six months. The only way people would wait until March of next year after having applied now would be if we did nothing. It will happen if we do nothing, but that is not what we will do. We are committed to acting; it is not as if this issue...

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: The Deputy will do anything to get elected.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: There was a recent Topical Issue dealing with stroke care. The stroke programme is being rolled out. We reduced the percentage of people moving from acute hospitals to nursing homes from 17.3% in 2009 to 14.5% in 2012. The percentage of patients discharged directly home has increased from 49.4% to 51.5%.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: The neurological strategy is being rolled out. The one point on which I do not agree with the Deputy concerns the €23 million to which he referred. We must ensure older people have a choice in where they stay. A great number have expressed a preference to stay at home or, failing that, in their own communities. The figure of €23 million relates to this. I wish to inform...

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: The fund should be increased, although not necessarily by taking money from the fair deal scheme, as it stands.

Topical Issue Debate: Nursing Homes Support Scheme Administration (4 Nov 2014)

Kathleen Lynch: We should increase the fund for home help and enhanced home care packages.

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