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Other Questions: Health Insurance Data (18 Dec 2013)

James Reilly: There have been several reports on the VHI, many of them done by the Department’s actuarial advisers, Milliman. These are the reports the VHI and the Department would take up. I have seen the Matheson report too. The risk equalisation scheme is working. It seeks to compensate insurers for the cost of older policyholders who tend to be sicker and use health services more. We have...

Other Questions: Health Insurance Data (18 Dec 2013)

James Reilly: The suggestion of forcing through regulation that a certain number of people of a particular age group must be insured would raise all sorts of problems with competition law. In any event, the carrot is always better than the stick. The VHI is positive about the risk equalisation scheme while the other insurers are negative. If they were so concerned about the tariffs applied in the...

Other Questions: Proposed Legislation (18 Dec 2013)

James Reilly: It is a terrible tragedy for any couple which finds the chances of survival for their baby are not realistic. The diagnosis of a fatal foetal abnormality has to be one of the worst pieces of news that any pregnant mother can get. However, termination of pregnancy in Ireland is permitted only in very limited circumstances, that is, only if it is established, as a matter of probability, that...

Other Questions: Proposed Legislation (18 Dec 2013)

James Reilly: I do not wish to be specious, but Europe did not tell us to change the law; Europe pointed out to us that we needed to clarify the law for women and for the practitioners who provide them the service. That was the purpose of the Protection of Life during Pregnancy Act 2013. The best advice available to me on this issue, which is a very sensitive, sad and tragic situation, is that it would...

Other Questions: Proposed Legislation (18 Dec 2013)

James Reilly: I understand the Deputy's concerns. I met with the group representing women whose pregnancies have been found likely not to result in a baby that can survive. It is a very difficult issue and we will continue to meet with them to find the best solutions that we can under the current legislation.

Other Questions: Proposed Legislation (18 Dec 2013)

James Reilly: The Bill has not been commenced yet. The panels have been formed by the HSE and I hope to be able to do so by the end of the week.

Written Answers — Department of Health: Medical Negligence Claims (18 Dec 2013)

James Reilly: On 26 November Government approved the appointment of retired Circuit Court Judge Yvonne Murphy to assist in setting out a possible course of action in relation to women who have undergone surgical symphysiotomies. Judge Murphy has been asked to meet a number of key interested parties, particularly the support groups for the women, and also the State Claims Agency, and the insurers. ...

Written Answers — Department of Health: Health Services Allowances (18 Dec 2013)

James Reilly: I propose to take Questions Nos. 12 and 31 together. As the Deputy is aware, the HSE's internal audit report on remuneration in health service providers funded under Section 38 of the Health Act 2004 has found that there are a variety of unapproved payments being made to senior managers. Staff of these organisations are public servants and are subject to Government pay policy. The HSE...

Written Answers — Department of Health: Health Services Allowances (18 Dec 2013)

James Reilly: In late 2011 the HSE identified an urgent need to put in place appropriate management arrangements for the Galway and Roscommon hospitals, in view of the need to address critical service difficulties that had been identified in the hospitals concerned. Serious problems of a long standing nature had been identified in managing scheduled and unscheduled care. Similar difficulties had arisen...

Written Answers — Department of Health: Health Services Expenditure (18 Dec 2013)

James Reilly: I propose to take Questions Nos. 16, 252 and 253 together. There is a determination by both my Department and the HSE to ensure budgets and savings are tightly monitored throughout 2014. The health service is operating in a very challenging environment given the increasing demand due to demographic pressures; the need to ensure patient safety as a priority at all times; and the very...

Written Answers — Department of Health: HSE Investigations (18 Dec 2013)

James Reilly: I have initiated this process arising from the HIQA report into Tallaght. I requested that the HSE conduct an Internal Audit of all Section 38 funding recipients. As a result of this audit and as has been reported extensively, a considerable number of funding recipients have been found to be in breach of Government pay policy with regard to the remuneration of senior staff. I have no...

Written Answers — Department of Health: Traveller Community (18 Dec 2013)

James Reilly: Healthy Ireland, A Framework for Improved Health and Wellbeing 2013-2025 is the national framework for action to improve the health and wellbeing of the country over the coming generation. Healthy Ireland includes a high-level goal to reduce the health inequalities experienced by many people in Ireland, including Travellers. The All Ireland Traveller Health Study (AITHS) found that...

Written Answers — Department of Health: Magdalen Laundries Issues (18 Dec 2013)

James Reilly: I propose to take Questions Nos. 19 and 38 together. The Government has accepted in principle the recommendations of Judge Quirke on the establishment of an ex gratia Scheme and related matters for the benefit of those women who were admitted to and worked in the Magdalen Laundries. The Government furthermore decided that the Minister for Justice and Equality would bring forward in one Bill,...

Written Answers — Department of Health: National Stroke Programme (18 Dec 2013)

James Reilly: Improvements in Stroke services were envisioned in the “Changing Cardiovascular Health: Cardiovascular Health Policy 2010 -2019” which was launched in 2010. The policy establishes a framework for the prevention, detection and treatment of cardiovascular diseases, including stroke, which seeks to ensure an integrated and quality assured approach in their management, so as to...

Written Answers — Department of Health: Organ Donation (18 Dec 2013)

James Reilly: My Department undertook a public consultation between 19 July and 20 September this year on the practical aspects of introducing an opt-out system of consent for organ donation. A total of 57 submissions were received and an overview of these submissions is available on my Department's website www.doh.ie. My Department, in conjunction with the HSE's National Organ Donation and Transplantation...

Written Answers — Department of Health: Hospice Services (18 Dec 2013)

James Reilly: Cappagh National Orthopaedic Hospital has a total of seven operating theatres. The number of theatres in use on any given day varies depending on the number of consultants available and the clinical case load mix on the day. Staffing restricts the maximum number of concurrent theatres in use at any given time to five. It should be noted that, as set out in the published HSE September 2013...

Written Answers — Department of Health: Health Services Allowances (18 Dec 2013)

James Reilly: As the Deputy is aware, the HSE's internal audit report on remuneration in health service providers funded under Section 38 of the Health Act 2004 has found that there are a variety of unapproved payments being made to senior managers. 2004. Staff of these organisations are public servants and are subject to Government pay policy. Employees of Section 39 organisations are not public...

Written Answers — Department of Health: Health Services Allowances (18 Dec 2013)

James Reilly: As the Deputy is aware, the HSE's internal audit report on remuneration in health service providers funded under Section 38 of the Health Act 2004 has found that there are a variety of unapproved payments being made to senior managers. 2004. Staff of these organisations are public servants and are subject to Government pay policy. The HSE has a team of senior managers following up with...

Written Answers — Department of Health: Narcolepsy Issues (18 Dec 2013)

James Reilly: I propose to take Questions Nos. 33 and 256 together. I wish to take this opportunity to express my sympathy and concern for the children and adults diagnosed with narcolepsy following pandemic vaccination and indeed their families who are also affected by this. My priority has always been that my Department, the HSE and other Government Departments work together to provide appropriate...

Written Answers — Department of Health: Maternal Mortality (18 Dec 2013)

James Reilly: I propose to take Questions Nos. 34 and 35 together. The Confidential Maternal Death Enquiry in Ireland report (2009-2011) confirms that the number of maternal mortalities in Ireland is small. While the Report does not specify ethnicity, 10 of the 25 deaths reported in the three year period were women not born in Ireland. There was no evidence of clustering of cases in any one hospital. A...

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