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Written Answers — General Practitioner Services: General Practitioner Services (25 Nov 2008)

Mary Harney: The number of General Practitioners (GPs) who are in active practice is about 2,500. This equates to approximately 0.5 GPs per 1000 of the population, a ratio that is low by comparison with other EU and OECD countries. I recognise there is a need to increase the number of GPs to take account of the projected growth in population, the ageing of the population and the ageing of the GP...

Written Answers — Hospital Services: Hospital Services (25 Nov 2008)

Mary Harney: Operational responsibility for the management and delivery of health and personal social services is a matter for the Health Service Executive and funding for all health services has been provided as part of its overall Vote. Therefore, the Executive is the appropriate body to consider the particular issue raised by the Deputy. My Department has requested the Parliamentary Affairs Division...

Written Answers — Proposed Legislation: Proposed Legislation (25 Nov 2008)

Mary Harney: On 21st October 2008, the Government announced its intention to pursue appropriate amendments to Section 4 of the Competition Act 2002 to enable the representative body of GPs, the Irish Medical Organisation, to represent its members in negotiations with the Health Service Executive and the Department of Health and Children in respect of the services provided to the public health service in a...

Written Answers — Medical Cards: Medical Cards (25 Nov 2008)

Mary Harney: I propose to take Questions Nos. 109 and 122 together. A capitation rate of €640 per annum is currently paid to GPs for the provision of service under the GMS contract for each person who qualifies for a medical card for the first time, on the basis of being aged 70 years and over in the community. In respect of persons aged 70 years and over in the community who had at some time...

Written Answers — Medicinal Products: Medicinal Products (25 Nov 2008)

Mary Harney: The Medical Products (Control of Placing on the Market) Regulations, 2007 (SI No. 540 of 2007) requires that all medicinal products (drugs) must be authorised by the Irish Medicines Board prior to being placed on the market in Ireland. During the assessment of a medicinal product, the IMB determines the appropriate classification and route of sale. Medicinal products that, if used...

Written Answers — Hospital Staff: Hospital Staff (25 Nov 2008)

Mary Harney: Operational responsibility for the management and delivery of health and personal social services was assigned to the Health Service Executive under the Health Act 2004 and funding for all health services has been provided as part of its overall vote. Therefore, the Executive is the appropriate body to consider the particular issue raised by the Deputy. My Department has requested the...

Written Answers — Long-Term Illness Scheme: Long-Term Illness Scheme (25 Nov 2008)

Mary Harney: Under the 1970 Health Act, the Health Service Executive may arrange for the supply, without charge, of medicines and medical and surgical appliances to people with specified conditions, for the treatment of that condition, through the Long Term Illness Scheme (LTI). The LTI does not cover GP fees or hospital co-payments. The conditions are: mental handicap, mental illness (for people under...

Written Answers — National Treatment Purchase Fund: National Treatment Purchase Fund (25 Nov 2008)

Mary Harney: The National Treatment Purchase Fund (NTPF) has assured me of its commitment to ensuring value for money so that as many patients as possible are treated from the funding allocated to it. To this end the NTPF compares the prices which it pays with treatment costs in public hospitals and, where known, the prices being paid by health insurers to private hospitals. The financial statements of...

Written Answers — Hospital Services: Hospital Services (25 Nov 2008)

Mary Harney: The Health Service Executive commissioned Horwath Consultants in association with Teamwork Management Services in February 2007 to examine the arrangements for the provision of acute hospital services in the Mid West with a view to identifying the best configuration of such services in the region including arrangements for A&E, critical care, acute medicine and surgery, together with...

Written Answers — Hospitals Building Programme: Hospitals Building Programme (25 Nov 2008)

Mary Harney: The report of a consultancy firm, commissioned by the HSE to carry out an independent study on a possible location for a new Regional Hospital in the North East, was considered by the Board of the HSE last April. The contents of the report were noted by the Board. No decision has been taken to date by the Government or by the HSE on the location of the new hospital. The HSE has advised...

Written Answers — Health Services: Health Services (25 Nov 2008)

Mary Harney: In 2006 and 2007, additional revenue funding of €6.78 million (€4.78m in 2006, €2m in 2007) was provided to the Health Service Executive (HSE) to develop services for people with cystic fibrosis. The Department is advised that 44 additional staff dealing with cystic fibrosis have been appointed to date across a number of hospitals, including St Vincent's, Beaumont, Temple Street,...

Written Answers — Departmental Capital Projects: Departmental Capital Projects (25 Nov 2008)

Mary Harney: The revised health sector capital funding provision for the remainder of the National Development Plan 2007-2013 was indicated in the 2009 Estimates for Public Services and Summary Public Capital Programme which was published in October. The process of reviewing and agreeing plans for capital expenditure over this period, including all necessary communication between officials of my...

Written Answers — Nursing Education: Nursing Education (25 Nov 2008)

Mary Harney: The O.E.C.D. Public Management Reviews: IRELAND — Towards an Integrated Public Service (2008) in its case study: Reconfiguration of the Health Services notes— "One statistical characteristic of Ireland is its very large number of practising nurses (15.2 per 1,000), which is twice the OECD average, just below Norway (15.4) but much higher than UK (9.1) or France (7.7). The number of...

Written Answers — National Drugs Strategy: National Drugs Strategy (25 Nov 2008)

Mary Harney: The Deputy's question relates to the management and delivery of health and personal social services, which are the responsibility of the Health Service Executive under the Health Act 2004. Accordingly, my Department has requested the Parliamentary Affairs Division of the Executive to arrange to have this matter investigated and to have a reply issued directly to the Deputy.

Written Answers — Medical Cards: Medical Cards (25 Nov 2008)

Mary Harney: I propose to take Questions Nos. 131 and 210 together. The Government's proposal, to be effected in legislation, is that automatic entitlement to a medical card for persons aged 70 and over will end on 31st December 2008, and with effect from 1st January 2009, the income thresholds for entitlement to a medical card for those aged 70 and over will be €700 (gross) per week for a single person...

Written Answers — Infectious Diseases: Infectious Diseases (25 Nov 2008)

Mary Harney: The monitoring and control of Health Care Associated Infections (HCAIs) is and continues to be a priority for this Government and the Health Service Executive (HSE). Operational responsibility for the management and delivery of health and personal social services was assigned to the Health Service Executive under the Health Act 2004 and funding for all health services is provided in its...

Written Answers — General Medical Services Scheme: General Medical Services Scheme (25 Nov 2008)

Mary Harney: The cost of supplying prescribed medicines under the GMS Scheme (ingredient costs, pharmacy fees and VAT) was €1,048 million in 2007, an increase of 11.5% from 2006. The number of items prescribed under the GMS scheme increased from 40.5 million in 2006 to 44.4 million in 2007 (an increase of 9%). The average cost per item increased from €20.80 in 2006 to €23.27 in 2007 (an increase...

Written Answers — Hospital Services: Hospital Services (25 Nov 2008)

Mary Harney: Cavan General Hospital experienced a significant rise in the level of medical attendances at the Emergency Department over the weekend commencing 14th November, with an increase of over 40% in the admission rate. This resulted in 45 patients awaiting admission by Monday 17th November. A contingency plan was activated to ensure that all patients were managed and treated. As part of the...

Written Answers — National Cancer Control Programme: National Cancer Control Programme (25 Nov 2008)

Mary Harney: Additional funding of €15 million has been allocated to the Health Service Executive (HSE) National Cancer Control Programme for 2009. During 2009 the Programme will continue with the centralisation of cancer services in the eight designated cancer centres. This will include further transfer of breast cancer services to the eight cancer centres. The Programme also intends to focus on a...

Written Answers — Health Reports: Health Reports (25 Nov 2008)

Mary Harney: The report to which the Deputy refers is the joint Institute of Public Health/Combat Poverty Agency publication "Tackling Health Inequalities: An-All Ireland Approach to Social Determinants" which was published on 28 August 2008. The report examines the influence of social, economic and environmental factors on health, such as poor housing, nutrition and education, across the island of...

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