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Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: The HSE was engaged in a drive in respect of generic products. It had absolutely no difficulty with generics being prescribed.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: I am well aware of the position. I dispense products every month. I refer, for example, to Humira and Enbrel. I am aware of the biosimilars available at significantly less cost and I have yet to see a prescription for one.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: I do not want to be argumentative, but I am seeking solutions for specific families who have contacted me regarding specific drugs and it always comes down to cost. There are savings out there and we are not availing of them.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: I welcome that. I would love to see a budget for orphan drugs. I have asked, again on several occasions, for a specific breakdown and I keep getting the reply that there is nothing in the Act to differentiate orphan drugs from any other drug. That needs to be changed. That is why I have submitted a Bill to change the legislative position in order to allow for orphan drugs to be treated...

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: On Orkambi, I must give credit where it is due. Vertex are now looking to have the HSE model replicated in other countries, including Sweden, because they regard it as a good model, which has been successful and delivered value for money. It has been agreed that down the line, iterations of Orkambi will become available. However, was that a result of the unending political pressure and the...

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: That is 30%.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: There is 70% available.

Joint Oireachtas Committee on Health: Evaluating Orphan Drugs: Discussion (Resumed) (21 Nov 2018)

John Brassil: I will be brief as it has been a long session and I do not want or expect answers now. The witnesses may be able to respond in writing. As I said in my opening remarks, the committee stated that the 2013 Act needed to be reviewed. Clearly, the opening statement from the Department contravened that. I ask that the committee looks at that and furnishes a response. The Act still needs to be...

Written Answers — Department of Health: Primary Care Centres Provision (22 Nov 2018)

John Brassil: 132. To ask the Minister for Health further to Parliamentary Question No. 132 of 20 September 2018, if a reply has been received from the developer; if planning permission and legal agreements have commenced; and if he will make a statement on the matter. [48690/18]

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (27 Nov 2018)

John Brassil: I point out at the start that I have no vested interest in Irish Water. I do not have any contracts with it or carry out any work for it. My question is on the Glenderry water scheme which is in my parish of Ballyheigue. Irish Water is planning on closing it and switching over to the Ardfert central scheme which provides a far poorer quality of water. Will the Minister ask his officials to...

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (27 Nov 2018)

John Brassil: That was not-----

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (27 Nov 2018)

John Brassil: What about my question?

Saincheisteanna Tráthúla - Topical Issue Debate: Home Help Service (27 Nov 2018)

John Brassil: I thank the Office of the Ceann Comhairle for selecting this issue for debate. Had the HSE agreed and implemented what it said it would do there would be no need for me to raise this particular issue. I have discussed it with numerous staff in Kerry, and the issue relates in particular to the Cork and Kerry region where little or no progress has been made on implementation of the agreement....

Saincheisteanna Tráthúla - Topical Issue Debate: Home Help Service (27 Nov 2018)

John Brassil: The reply of the Minister of State is almost identical to the reply I received on 1 October but, unfortunately, no progress has been made. Hence the ballot for strike action took place. It is ironic that the last line of the Minister of State's reply states he has been advised there was a specific issue relating to CHO4, which is the Cork and Kerry area, and these issues have since been...

Written Answers — Department of Health: Hospital Procedures (27 Nov 2018)

John Brassil: 428. To ask the Minister for Health if he is satisfied the necessary provisions are available here, including doctors who have undergone specialist training, to allow full removal for all women affected by transvaginal mesh complications within a reasonable timeframe; when the chief medical officer's report will be available; if he will consider making the treatment abroad scheme available...

Written Answers — Department of Health: HSE Expenditure (27 Nov 2018)

John Brassil: 458. To ask the Minister for Health the expenditure on medicines and its percentage of the total health budget in each of the years 2013 to 2017 and to date in 2018, in tabular form; and if he will make a statement on the matter. [49514/18]

Written Answers — Department of Health: Medicinal Products Reimbursement (27 Nov 2018)

John Brassil: 459. To ask the Minister for Health the medicines that have been approved as cost effective by the National Centre for Pharmacoeconomics but have yet to be reimbursed by the HSE; and if he will make a statement on the matter. [49515/18]

Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation (28 Nov 2018)

John Brassil: With regard to promised legislation I want to bring the Taoiseach's attention to an issue on an insurance indemnity scheme for landowners who provide access to the MacGillycuddy's Reeks in Kerry and Mount Gable in Galway. Four years ago, working groups were established in both areas comprising the local authority, landowners, local development organisations and the Department. The key to...

Health (Regulation of Termination of Pregnancy) Bill 2018: Report Stage (Resumed) (29 Nov 2018)

John Brassil: I intend to make the majority of my contribution on the section which is related to conscientious objection, on which I have strong feelings. Subsection (7) of the amendment states: "A medical practitioner who contravenes subsection (1), (4), (5) or (6)shall be guilty of an offence." In a few days, I will contribute to the debate about the rights of medical practitioners, including doctors,...

Written Answers — Department of Public Expenditure and Reform: Legislative Measures (29 Nov 2018)

John Brassil: 79. To ask the Minister for Public Expenditure and Reform the progress to date on the Public Service Superannuation (Age of Retirement) Bill 2018; the date for implementation of this Bill; if employees that are forced to retire before this Bill is enacted will be given leeway to remain in employment; and if he will make a statement on the matter. [49886/18]

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