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Written Answers — Department of Health: Hospital Services (8 Oct 2014)

Leo Varadkar: In relation to the specific queries raised by the Deputy, as these are service matters they have been referred to the HSE for direct reply.

Written Answers — Department of Health: Hospital Services (8 Oct 2014)

Leo Varadkar: As this is a service matter, I have asked the HSE to respond directly to the Deputy.

Written Answers — Department of Health: Hospital Services (8 Oct 2014)

Leo Varadkar: As this is a service matter, I have asked the HSE to respond directly to the Deputy.

Written Answers — Department of Health: Hospital Services (8 Oct 2014)

Leo Varadkar: As this is a service matter, I have asked the HSE to respond directly to the Deputy.

Written Answers — Department of Health: Health Services Provision (8 Oct 2014)

Leo Varadkar: I propose to take Questions Nos. 141 to 144, inclusive, together. I am aware of the findings of The Irish Heart Foundation Report "Towards Earlier Discharge, Better Outcomes, Lower Cost: Stroke Rehabilitation in Ireland," and am asking that the H.S.E. provide a further response to the Deputy in relation to the specific recommendations contained therein.

Written Answers — Department of Health: Health Services Provision (8 Oct 2014)

Leo Varadkar: The HSE support services available in any area can be identified on the HSE website . Officials from the Department have been in contact with the Deputy's office to see if there are any particular support services he is interested in. If the Deputy can provide further information regarding particular service requirements, I will ask the HSE to investigate further.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: The existing arrangements on the level of contributions that are payable are being retained so all existing long-stay charges exemptions will apply to the new contribution regime. For those not exempted, there will be a continuing requirement to pay an appropriate and affordable maintenance-related contribution in line with current long-stay charges. The maximum contribution level will...

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: It could do. While it is not automatic, it could be raised. However, the people who are paying 80% of their non-contributory pension are people who are in 24-hour accommodation.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: We have had no discussions about that.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: It is the same issue so I will add no further comment.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: Section 44 provides for an enhancement of the HSE waiver powers to the benefit of service users by extending these grounds to cover the extent to which the person concerned provides for his or her own maintenance or accommodation, or both, and reflects a key element of the definitional change proposed under section 42. If the section were deleted, the present position would prevail, namely,...

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: I thank my officials for their work on this Bill, as well as the committee members and the clerk and his staff for progressing so efficiently. Obviously, I will take into account anything that has been said in advance of Report Stage.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: On the wider point made by the Deputy, there is no denying that services are under a lot of pressure. We have fewer staff working in the health service than in recent years and I am not going to pretend that this is not the case. It applies not only to nursing homes but across the board. However, that is a separate matter from this legislation which does not relate to the fair deal scheme...

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: The amount will be set by the HSE.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: It will be set by me in regulations on their advice but can be reviewed. To ensure there will be no confusion, I do not want this to be mixed up with the nursing homes support scheme and the fair deal scheme. That is not what this is about. The contributions people will make which most of them already make are contributions to the cost of food and utilities. They do not make a...

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: I had not heard that before but it is a good point. I will take a look at it. Part of the charge to attend the accident and emergency department is to encourage people to attend their GP first, which many people do but some do not. One could argue that if somebody goes to a community pharmacist, public health nurse or a physician before being referred to the accident and emergency...

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: It is comprised of 13 members with a lay majority.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: No. It is not prescribed in legislation.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: Some members are elected, which could create a problem.

Committee on Health and Children: Select Sub-Committee on Health: Health (Miscellaneous Provisions) Bill 2014: Committee Stage (7 Oct 2014)

Leo Varadkar: That is for candidates rather than elected people.

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