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Written Answers — Department of Health: Speech and Language Therapy (25 Sep 2013)

James Reilly: The particular issue raised by the Deputy is a service matter for the Health Service Executive. Accordingly I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Written Answers — Department of Health: National Lottery Funding Applications (25 Sep 2013)

James Reilly: I propose to take Questions Nos. 188 and 189 together. Over 500 applications for funding from my Department's 2013 National lottery allocation were received during the week ending 30th August, the closing date for applications. These applications are currently being assessed. An application from the organisation referred to by the Deputy is one of a number currently under consideration....

Written Answers — Department of Health: Hospital Staff Issues (25 Sep 2013)

James Reilly: As this is a service matter, I have asked the HSE to respond directly to the Deputy.

Written Answers — Department of Health: Hospital Staff Recruitment (25 Sep 2013)

James Reilly: As this is an operational matter, I have asked the Health Service Executive to reply directly to the Deputy with the information sought.

Written Answers — Department of Health: Special Educational Needs Services Provision (25 Sep 2013)

James Reilly: The particular issue raised by the Deputy is a service matter for the Health Service Executive. Accordingly I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Written Answers — Department of Health: Disease Management (25 Sep 2013)

James Reilly: The immunisation programme in Ireland is based on the advice of the National Immunisation Advisory Committee (NIAC). NIAC is a committee of the Royal College of Physicians of Ireland comprising experts in a number of specialties including infectious diseases, paediatrics and public health. The committee's recommendations are informed by public health advice, international best practice and by...

Written Answers — Department of Health: Non-Consultant Hospital Doctors Working Conditions (25 Sep 2013)

James Reilly: I am committed to ensuring that non-consultant hospital doctors (NCHDs) have safe working conditions and to achieving compliance with the European Working Time Directive (EWTD) by 2014. This is in the interest of doctors themselves and the patients under their care. I welcome the decision of the IMO earlier this week to suspend its threat of industrial action by NCHDs. The IMO met health...

Written Answers — Department of Health: Hospital Waiting Lists (25 Sep 2013)

James Reilly: The management of inpatient and daycase waiting lists for patients awaiting public health care is based on the principle that after urgent and cancer patients are treated, then clinically assessed routine patients should be seen in chronological order (i.e. longest waiter first). Should the patient's general practitioner consider that the patient's condition warrants an earlier appointment,...

Written Answers — Department of Health: Hospital Complaints Procedures (25 Sep 2013)

James Reilly: With regard to specific complaints in relation to experiences of individuals in our hospitals, there is a formal complaints policy, entitled "Your Service Your Say", details of which are on the HSE website In accordance with this procedure, a complaint must be made in the first instance to the hospital in which the incident causing the complaint occurred. If an individual is not...

Ceisteanna - Questions - Priority Questions: Symphysiotomy Survivors (26 Sep 2013)

James Reilly: I met the support groups representing the women who have been affected and afflicted by symphysiotomy on 1 August 2013 and informed them that a decision has not yet been made by Government on how to achieve closure on the issue. I proposed at that meeting that I would appoint a judge to engage with the women affected by symphysiotomy in order to explore all relevant issues. At the...

Ceisteanna - Questions - Priority Questions: Symphysiotomy Survivors (26 Sep 2013)

James Reilly: I hope the Leas-Cheann Comhairle will afford to me a similar amount of additional time as that which he afforded to the Deputy. I wish to make it absolutely clear that we want to bring closure in respect of this issue for the women concerned who suffered as a consequence of the procedure involved. Long after the use of this procedure had been discontinued elsewhere, it continued to be...

Ceisteanna - Questions - Priority Questions: Symphysiotomy Survivors (26 Sep 2013)

James Reilly: I beg the Leas-Cheann Comhairle's indulgence, particularly as he was kind enough to offer some extra time to my colleague opposite. I wish to ensure that we will bring closure for the women in respect of this matter while ensuring that they endure the least possible amount of additional pain. I have asked the Attorney General to approach a judge on the matter and discussions are in train in...

Ceisteanna - Questions - Priority Questions: Symphysiotomy Survivors (26 Sep 2013)

James Reilly: In response to the Deputy's final point, I can categorically state that this is not the Department's approach and it is certainly not my approach nor that of my Government colleagues. I want to bring closure in respect of this matter. This is one of a myriad of legacy issues left behind by previous Governments and by Ministers who presided over the Department over which I now preside. We...

Ceisteanna - Questions - Priority Questions: Non-Consultant Hospital Doctors Recruitment (26 Sep 2013)

James Reilly: Ireland must have sustainable arrangements to train and develop the medical workforce we need to provide safe and effective services to our population. For that reason, I am committed to retaining in our health service doctors who are educated and trained in Ireland. I intend to do this by providing them with clear career pathways and appropriate working conditions. I think the lack of...

Ceisteanna - Questions - Priority Questions: Non-Consultant Hospital Doctors Recruitment (26 Sep 2013)

James Reilly: In the past, everybody always looked to quantums of money and numbers of people. A change in the way we work is what is really required as we reform our health service. It should not be a question of asking people who are already working hard to work harder. It should be a question of asking them to work differently. I asked the HSE today why some model 4 hospitals - the big hospitals -...

Ceisteanna - Questions - Priority Questions: Non-Consultant Hospital Doctors Recruitment (26 Sep 2013)

James Reilly: Of course education is a matter for the Minister for Education and Skills. While no system is perfect, the leaving certificate is about the most transparent and fair system we have. I have already placed on the record my distaste for the health professions admission test. Its introduction has led to the development of a new industry that involves educating people in how to pass the test....

Ceisteanna - Questions - Priority Questions: Non-Consultant Hospital Doctors Recruitment (26 Sep 2013)

James Reilly: No, I did not say that. I want to shorten their training. I do not see why one can become a fully trained specialist in Australia in six years and yet it takes, on average, 12 years here. That is not acceptable and is not fair on people. It strikes me that we have many people who are very experienced at a lower grade doing an awful lot of the work when they should already be in that...

Other Questions: Non-Consultant Hospital Doctors Working Conditions (26 Sep 2013)

James Reilly: I propose to take Questions Nos. 6, 7, 37, 58 and 265 together by agreement. These questions point in the same direction. As I said, Ireland must have sustainable arrangements to train and develop the medical workforce we need to provide safe and effective services to the population. I am committed to retaining our doctors. I find it disturbing that we train some of the brightest and best...

Other Questions: Non-Consultant Hospital Doctors Working Conditions (26 Sep 2013)

James Reilly: We are still very much in that process because the answer to the question is contingent upon implementing the reforms. Going back to the key principle of our health policy, it relates to ensuring the patient is seen at the lowest level of complexity that is safe, timely, efficient and as near home as possible. That means we do not want consultants looking after patients who could be looked...

Other Questions: Non-Consultant Hospital Doctors Working Conditions (26 Sep 2013)

James Reilly: As the Deputy points out, I share his concern and it is something I am determined to address. I am looking to NCHDs themselves in respect of the work being done by Professor MacCraith. I want to provide a safe place for them to speak. They are afraid to speak out because they will not get a good reference towards their next job. That goes on, and it is wrong. I refer to pay rates. Let...

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