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Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: I welcome the witnesses. It is disappointing that the Minister for Health, Deputy Stephen Donnelly, did not see fit to attend. While no one can doubt the Minister of State's commitment, given the scale of the issue involved and the failure to progress disability services, the least families would expect is the presence of the Cabinet Minister. The evidence is overwhelming that progressing...

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: It is for the HSE. As regards staffing, it is obvious that there is a self-perpetuating issue. Under-resourced teams lead to over-stretched staff who believe they are not providing the care they wish to provide, feel they are being ethically compromised within their job and are limited in the work they can do with children. They migrate to other countries or go into private practice just...

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: They will be in place by the end of the year.

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Will the HSE commit to meeting parents' groups that have formed their own version of this in the interim? The end of the year is a long time away.

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: In some cases, there have been no meetings with management. Can I get a commitment that in CHO 4, for example, there will be engagement by management with the parents there because they have been repeatedly trying to get a meeting?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: I thank Mr. O'Regan.

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: I asked a specific question on that issue. That makes sense. The policy goes out and each CHO then implements it and there may not be uniform implementation of that. Has there been constructive engagement from all primary care in each CHO?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Is it uniform? Is there any oversight of it?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Is it being monitored and tracked? How is it going? As we all know it is not going well, what is being done to identify those gaps and the different approaches in CHOs to ensure a more uniform approach or the right approach?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: The one size does not fit all in every CHO.

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: What is the oversight? What is the monitoring of how it is going?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: I also have questions. On that specific point, if there is oversight of the national access policy, how is it going? If this basic policy is not working effectively, which very often it is not, what is being done to monitor and address that? Standardising will not necessarily work with the different needs of individuals.

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Despite the lengthy reply, I did not get a proper answer on the basic national access policy. How is primary care engaging with it? How is it being tracked and monitored? It would be helpful to get an answer to that. How many of the CDNTs are fully staffed now? We know that three and a half months ago none of them were fully staffed, not mention the question of retention of student...

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Are the solutions proposed by the Minister of State going ahead?

Joint Committee On Children, Equality, Disability, Integration And Youth: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Are there timeframes for them?

Joint Oireachtas Committee on Disability Matters: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: I welcome the witnesses. It is disappointing that the Minister for Health, Deputy Stephen Donnelly, did not see fit to attend. While no one can doubt the Minister of State's commitment, given the scale of the issue involved and the failure to progress disability services, the least families would expect is the presence of the Cabinet Minister. The evidence is overwhelming that progressing...

Joint Oireachtas Committee on Disability Matters: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: It is for the HSE. As regards staffing, it is obvious that there is a self-perpetuating issue. Under-resourced teams lead to over-stretched staff who believe they are not providing the care they wish to provide, feel they are being ethically compromised within their job and are limited in the work they can do with children. They migrate to other countries or go into private practice just...

Joint Oireachtas Committee on Disability Matters: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: They will be in place by the end of the year.

Joint Oireachtas Committee on Disability Matters: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: Will the HSE commit to meeting parents' groups that have formed their own version of this in the interim? The end of the year is a long time away.

Joint Oireachtas Committee on Disability Matters: Joint Meeting with Joint Committee on Children, Equality, Disability, Integration and Youth
Progressing Disability Services: Discussion
(2 Jun 2022)

Holly Cairns: In some cases, there have been no meetings with management. Can I get a commitment that in CHO 4, for example, there will be engagement by management with the parents there because they have been repeatedly trying to get a meeting?

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