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Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: I thank the delegates for their presentation. I apologise for not being here for it but I was in the Dáil dealing with a nursing home issue with the Minister. I thank the delegates for the work they are doing in this area. They referred to the appointment of a large number of specialist nurses over the coming years. I am wondering whether they are happy that we have training...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: I understand the budget provides for an additional 23 staff. What has happened since the budget announcement as regards their appointment?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Ms Rogers has a very good knowledge of what is happening in this area. Is she satisfied that there is a sufficient number of people with the qualifications to apply for the posts?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Another point concerns the presentations that are made. Everyone considers the cost of hiring someone but no one really considers the savings. Those behind the multiple sclerosis programme launched in the past few months say their net cost is around €880,000 but that the total savings amount to about €19 million. Do we do enough to circulate that information? We focus very...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Yes.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Reference was made earlier to someone having a fall and the sheer cost of dealing with an injury, be it to a hip or another part.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: On rehabilitation, I am not sure whether the delegates are aware that two floors of the new hospital built in Mallow have 40 rooms whose focus is rehabilitation. I am not sure if there has been any discussion with the NAI about that.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Is the NAI not involved in that? Has it not been advised of what is-----

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: I had one person with Huntington's disease and he was in the hospital for at least four months longer than he needed to be, and likewise with someone with other medical issues. It is so difficult to get them out because there is no back-up support in the community then.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: On services in the community, if you take someone who has transferred to a nursing home, for instance, do we have that connectivity with the nursing homes as regards rehabilitation as well? One of the concerns I have relates to the likes of that person who has Huntington's disease. He has gone to a nursing home but I am not sure whether there are sufficient structures in place to get him...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: When we are talking about neurorehabilitation, is there not a need to build on that link with our community facilities?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: I mention the community approach and one of the problems I am finding with it is that it is a Monday to Friday approach. There is a need to also develop a service that is available at weekends. I am not talking about a full service but some service should be available at weekends because if somebody has a difficulty during a weekend the next step is to go straight into the accident and...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: I refer to the five-year programme for neurorehabilitation in the community. Is there a sufficient commitment by the HSE and the Department to implement it and deliver on it or is there too much pressure? There is huge pressure on our hospital system and then on the other hand - and I raised this in the Dáil with the Minister this morning - I am trying to get people out of hospital at...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: Regarding funding and the difficulty in persuading the HSE to come on board, is this being put under the disability area as opposed to community care funding? Would there be a difference if a new programme of enhanced community care was developed rather than it being put under the disability area? What is the thinking on that?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: We are really talking about enhanced community care. I am wondering about it being compartmentalised, meaning there is a certain amount of funding for that section and a certain amount of funding for the other. Can that whole process and the thinking around it be improved?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Colm Burke: The Neurological Alliance of Ireland comprises 30 organisations and brings many people together, whereas in the HSE each individual area very much operates separately, which causes its own problems. Is there a lesson to be learned from the fact that the Neurological Alliance of Ireland can get everyone to work together for a better service for everyone in the community with a particular...

Ceisteanna Eile - Other Questions: Defence Forces (16 May 2023)

Colm Burke: I very much welcome what the Tánaiste has outlined with regard to projects that are up and running at the moment, particularly for Haulbowline and Collins Barracks in my constituency. I know the Tánaiste has set out what is planned for Collins Barracks and what is going ahead but is that going to be added to over the next number of years? Is there a plan to add to that? It is a...

Ceisteanna Eile - Other Questions: Defence Forces (16 May 2023)

Colm Burke: 10. To ask the Taoiseach and Minister for Defence if his Department has set out a five year-plan to acquire or build apartments or houses that would accommodate members of the Defence Forces; and if he will make a statement on the matter. [21031/23]

Ceisteanna Eile - Other Questions: Defence Forces (16 May 2023)

Colm Burke: The Minister mentioned the availability of 4,500 bed places. I wonder how many of those are currently occupied because in many cases, as he outlined earlier, accommodation was left not maintained over the years and not improved and brought up to modern-day standards. In my question, I asked had the Department put in place a five-year plan setting out clear goals annually for the next...

Ceisteanna Eile - Other Questions: Defence Forces (16 May 2023)

Colm Burke: Could I ask-----

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