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Written Answers — Department of Health: Hospital Facilities (27 Nov 2012)

James Reilly: I propose to take Questions Nos. 703 and 704 together. In relation to these particular queries raised by the Deputy, as they are service matters, I have asked the Health Service Executive to respond to the Deputy directly in these matters.

Written Answers — Department of Health: Hospital Services (27 Nov 2012)

James Reilly: The HSE National Clinical Programme for Diabetes - which includes the care of children and adolescents with diabetes - was established within the Clinical Strategy and Programmes Directorate. The purpose of the Programme is to define the way diabetic Clinical Services should be delivered, resourced and measured; and a clinician has been appointed to lead on the development of the programme....

Written Answers — Department of Health: Health Services (27 Nov 2012)

James Reilly: In 2010 the National Strategy on Domestic, Sexual and Gender-based Violence was published. It aims to provide a framework for sustainable intervention to prevent and effectively respond to domestic, sexual and gender-based violence and is lead by Cosc which is the National Office for the Prevention of Domestic, Sexual and Gender-based Violence. The HSE subsequently published its own Policy...

Written Answers — Department of Health: Departmental Agencies (27 Nov 2012)

James Reilly: I wish to confirm that no new agencies have been established by my Department in 2012 and consequently there are no new employees as a result. Details in respect of the other bodies referred to by the Deputy, established between January and September 2012, are set out below. In most cases these types of bodies are established on a temporary basis and are usually staffed by existing employees...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: Go raibh maith agat. The principal objective of this Bill is the general statement of policy on the line of the health insurance Acts, including the amendments to be made by the provisions of this Bill. It is an aid to interpretation of the Acts. The health insurance Acts regulate how private health insurance is provided to ensure it is available to those who choose to purchase it on a...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I do not consider the amendment is appropriate to this Bill. I acknowledge the points made by the Deputy on IMPACT trade union's assessment of the Dutch system. Different people form different opinions. The Dutch system is quite fair and much of the complaint about it relates to increasing costs. However, the increase is due to an extension in what is covered, for example, dental work. I...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: If the Chairman has the time, I am happy to have a long discussion with Deputy Kelleher on how this will operate. A main point that must be taken on board is the failure of insurers to date to address the underlying costs in the provision of private health care. It is possible. Everyone in this room has anecdotal evidence of people approaching them about procedures mentioned on their VHI...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I commend the Deputy on his research. He has good facts about issues that need to be considered. The role of the clinical programmes in public hospitals has caught the eye of the VHI. I have asked Dr. Barry White to engage with the VHI in this regard. I have also asked Dr. Martin Connor to engage with it in terms of what we have been doing in the public sector that might inform it. For...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I want to record that I do not accept medical inflation of 9%. To paraphrase John Donne, nobody lives on an island entirely unto itself. When everything else is reducing in price the cost of medical care should be reducing also. In a more general sense, that is why we are trying to cut the cost of care as opposed to cutting the service.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I move amendment No. 2: In page 5, between lines 31 and 32, to insert the following: “ “ 'authorised officer' means a person appointed under section 18E to be an authorised officer;”.The definition of "net premium" is amended in respect of health insurance contracts elected on or after 1 January 2013. It is to take account of the part, if any, of the premium to be paid...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I appreciate the sentiment but if I explain the position the Deputy might be reassured. Unlike the previous risk equalisation scheme of 2003, which was mainly set out in regulations, the new scheme, including the rates for risk equalisation, credits and stamp duty levies, is strengthened in future by being set in primary legislation and the Houses will have ample opportunity to discuss the...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: Yes.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: It is currently going through the House.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: As I said, unlike previous equalisation schemes such as the one in 2003 which were mainly set out in regulations the new scheme, including the rates for risk equalisation credits and stamp duty levies, will be set in future in primary legislation. It is unnecessary to bring them in in draft form and then have them introduced through primary legislation.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: My advice is that this is unnecessary and would only complicate matters. Provisions exist to ensure the Oireachtas has a strong hand in these matters through the primary legislation. It is important to state it is not that the legislation is passed and that is it. Each time the primary legislation is changed, it must come back to the Oireachtas which must vote on it.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: I move amendment No. 4: In page 8, to delete lines 4 and 5 and substitute the following:" 'advanced cover' shall be construed in accordance with section 11E(4);".Amendments Nos. 4 and 7 propose the deletion of the definition of non-advanced and advanced products as defined in section 11E. Amendment No. 17 provides replacement definitions for them. Since I published the Bill, the Department...

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: The reality is that all the activity is covered in the public hospital, whether a bed, a day case or day surgery.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: To reflect what is in the marketplace. There are side-room fees in private hospitals whereas in public hospitals it is generally a bed.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: We are. This is the goal and part of the further policy to which I alluded with regard to reducing the cost of private health care.

Committee on Health and Children: Select Sub-Committee on Health: Health Insurance (Amendment) Bill 2012: Committee Stage (27 Nov 2012)

James Reilly: The amendment is to address the deficit the Deputy just highlighted and he is quite right.

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