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Written Answers — Department of Health: Care Services (28 Jan 2014)

James Reilly: I have been advised by the HSE that the person concerned is not an employee of the Executive and is in fact an employee of Raheny Home Help, a voluntary organisation. In these circumstances the issue raised by the Deputy, the need for the level five qualification, is a 'conditions of employment' matter between Raheny Home Help and the person concerned.

Written Answers — Department of Health: Vaccination Programme (28 Jan 2014)

James Reilly: I note with optimism that early indications from scientific and medical research into narcolepsy suggest that the prognosis for children may be better that previously indicated and that they should, with appropriate medication and supports, be able to reach their potential. The HSE and the Department of Education and Skills continue to provide a range of services and supports to...

Written Answers — Department of Health: Ambulance Service Provision (28 Jan 2014)

James Reilly: I propose to take Questions Nos. 778 to 784, inclusive, together. In relation to the detailed information requested by the Deputy, as these are service matters, I have asked the Health Service Executive to respond to him directly.

Written Answers — Department of Health: Ambulance Service Provision (28 Jan 2014)

James Reilly: I propose to take Questions Nos. 785 to 788, inclusive, together. Management of the ambulance fleet is a service matter. Therefore your question has been referred to the Health Service Executive for direct reply.

Written Answers — Department of Health: Appointments to State Boards (28 Jan 2014)

James Reilly: In line with Government Decision S180/20/10/1424 of 2011, relating to the advertising for expressions of interest in vacancies on State Boards, my Department, in conjunction with the Public Appointments Service, currently advertises for board vacancies as they arise, where I, as Minister for Health, have nominating rights. Appointments may not necessarily be from the applications received...

Written Answers — Department of Health: Consultancy Contracts Data (28 Jan 2014)

James Reilly: The information requested by the Deputy is not readily available within my Department. The information will be compiled and forwarded to the Deputy as soon as possible.

Written Answers — Department of Health: Consultancy Contracts Data (28 Jan 2014)

James Reilly: Having clarified the timeframe of the request with the Deputy, the information requested is not immediately available within my Department. The information is being compiled and will be forwarded to the Deputy as soon as possible.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: I am very pleased to have the opportunity to address the select committee on the Revised Estimates for 2014 for my Department - Vote 38 - and the Health Service Executive - Vote 39. Copies of the Revised Estimates and briefing documents on the two Votes by subhead have been provided for Deputies. As they are aware, the annual Estimates are being reconfigured along programme lines to ensure...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: I can do it at the end.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: I am more than happy to oblige. Deputy Kelleher asked me when the transfer of the Vote will take place. The legislation has been published and it will take place on 1 January 2015. He mentioned the response times of ambulances and pre-hospital emergency care. The national ambulance service provides pre-hospital emergency care and non-emergency patient transport. It has approximately...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: They may be saying that to the Chairman, but I am telling him the facts. All situations are different, but what is on offer is very attractive. If we extend GP care across the sector, we will be looking for a new GP contract focused more on prevention and chronic illness care than the current contract. Many of the procedures currently carried out in hospitals could be carried out in...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: With regard to consultants, it has always been the case that there are some geographical locations where it is difficult to fill consultant posts. Some specialties are difficult to fill and it is the same with nurses. At the moment we have an active campaign to recruit theatre nurses and intensive care nurses. We are told it is all related to salary, but nothing could be further from the...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: I think that was the last point Deputy Kelleher raised, and we will see him later, no doubt. I want to put on record our gratitude to the men and women who work in our health service. They are working in a different way under a lot of pressure. We are trying to change the system to allow them to work in a way that allows more people to be seen more quickly and to improve outcomes for...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: I would appreciate that because it is not our intention that people in those circumstances, unless they have an astonishing income, should lose their medical card. Some people have huge incomes, notwithstanding the fact that they have tremendous difficulties to bear in life.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: The point is-----

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: If he has no income of his own it is not comprehensible to me how it could happen, we will have to look at that and I will be very happy to do so.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: This scheme was always based on financial hardship and discretion was shown when people had complicated, multiple medical conditions resulting in financial hardship. The resolution to all this is to introduce free GP care for everybody and address the needs of people who have disabilities or lifelong conditions and meet those needs outside a medical card. It is often to do with appliances...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: The Deputy has made his point and making it ten times will not change it. Deputy McLellan talked about job cuts. People are leaving the service. In some instances they are not being replaced, in others they are. Last year we employed approximately 700 nurses. The moratorium is being done in a flexible way. We must change the skills mix. I have said it many times. We have consultants...

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: They will become available in two days, on Thursday, 30 January.

Committee on Health and Children: Select Sub-Committee on Health: Estimates for Public Services 2014
Vote 38 - Department of Health (Revised)
Vote 39 - Health Service Executive (Revised)
(28 Jan 2014)

James Reilly: The investigation into section 38 organisations is nearly complete. We wrote to section 39 organisations some weeks ago. It may take some time as there are 2,600 organisations in total but we focused on the 360 odd that are in receipt of €250,000 or more from taxpayers' money.

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