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Ceisteanna - Questions: Disability Services (16 Feb 2023)

David Cullinane: The disability capacity review set out the need for €750 million of investment over ten years. The problem is that two years on, there is still no implementation plan and certainly still no funding plan. As the Minister of State will recognise, we need to support complete decongregation of people with intellectual disabilities into more appropriate facilities, which is part of the...

Ceisteanna - Questions: Disability Services (16 Feb 2023)

David Cullinane: I recognise that additional funding has been made available for disability services over the last number of years. Unfortunately, a lot of the additional funding - we had the same debate in the area of mental health - is eaten up by existing levels of service, which means that it does not provide additional capacity. I accept that additional capacity has been put in place, but it is nowhere...

Ceisteanna - Questions: Home Care Packages (16 Feb 2023)

David Cullinane: Gabhaim buíochas leis an Cathaoirleach Gníomhach. I want to see the statutory home care scheme put in place as quickly as possible. That is one of the things we must do to reduce pressure on emergency departments and hospitals, as the Minister of State knows. In addition to the issues she identified, such as regulation and other measures that need to be put in place to make this...

Ceisteanna - Questions: Home Care Packages (16 Feb 2023)

David Cullinane: What we do not want is to provide a statutory scheme where there is an entitlement but people cannot access it. Capacity, therefore, is going to be the biggest issue and that means more staff and resourcing of both public and private providers to deliver the service.

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Waiting Lists (16 Feb 2023)

David Cullinane: Why are the other hospitals not doing it?

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Waiting Lists (16 Feb 2023)

David Cullinane: 85. To ask the Minister for Health if he will publish a multi-annual capacity and wait time reduction plan to tackle overcrowding, cancellations, extreme patient experience times in emergency departments and hospital waiting lists; if he will include measures to expand primary and community care in such a plan to aid admission avoidance and rapid discharge; and if he will make a statement on...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Waiting Lists (16 Feb 2023)

David Cullinane: This question is on hospital overcrowding and waiting lists. For some time I have been asking for the publication of a multi-annual capacity and waiting list reduction plan. We need to tackle overcrowding in hospitals, cancellations and extreme patient wait times in accident and emergency departments. The figures for December, November and October were particularly high and I will get to...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Waiting Lists (16 Feb 2023)

David Cullinane: Short-term waiting lists were never going to work and I have said for some time that winter plans are simply window dressing. They were also never going to work and the winter plan failed spectacularly this year. The Minister’s short-term waiting list plan for the year gone promised to take 132,000 people off waiting lists but it only took 10,000 people off waiting lists. The target...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Hospital Waiting Lists (16 Feb 2023)

David Cullinane: We need more capacity but the problem is that in the budget just gone, apart from beds that were not delivered from the previous budget, there were no additional inpatient beds provided. What additional beds will be put in this year to ensure that next year those hospitals will have the capacity? The reality is that beyond what was previously committed to, none will be added. On...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Disability Services (16 Feb 2023)

David Cullinane: 83. To ask the Minister for Health if he will put in place a redress scheme for residents of long-term residential disability services who were wrongfully charged for their care; and if he will make a statement on the matter. [7552/23]

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Disability Services (16 Feb 2023)

David Cullinane: The first question relates to residents of long-term residential disability services who were wrongfully charged for their care. This is part of the long-stay care issue that was at the heart of a number of memos which were published in the Irish Daily Maila number of weeks ago and have been discussed at the Committee of Public Accounts and the Oireachtas Joint Committee on Health. What...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Disability Services (16 Feb 2023)

David Cullinane: The 2011 memo which was published identified 9,000 people with disabilities who may also have been wrongly charged with an estimated liability of €350 million. Yesterday at the Oireachtas Joint Committee on Health, the Secretary General of the Department of Health said he has seen a database that underpins the figure of €350 million, which he believes may be too high as not all...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Disability Services (16 Feb 2023)

David Cullinane: It needs to be done very quickly. I have seen the 2011 memo which is quite explicit in stating that there are other residents in similar homes who would have a similar if not identical entitlement to the 512 people in those three homes. I accept that the potential liability of €350 million as stated in the memo is a worst-case scenario; it is just an estimation. However, it is very...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I, too, remember Vicky Phelan and all the other women who, unfortunately, are not with us today and their families. The 221+ group has done a phenomenal piece of work over recent years in campaigning on a range of issues, and this is one of those core issues for the group. I commend each and every one of them and all those with whom I have engaged on their courage and the respect and...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I support those sentiments. I accept that the offer the Minister made was made in good faith, but he should accept that Dr. Scally's report was published a long time ago. The most recent report was a progress report. It was an implementation report so it was a scorecard essentially on what was done and what was not done. There was sufficient time for the Government to have dealt with this...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I support the amendment. This section is problematic. This goes back to what I said earlier about Dr. Scally's report, which is this is one of the areas he is most certainly not satisfied that enough has been done. He specifically cited this part of the Act as problematic. A number of high-profile cases have come before the High Court in recent weeks, regarding mistakes and errors that...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: On that basis I will withdraw the amendment.

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I move amendment No. 16: In page 12, between lines 33 and 34, to insert the following: “(2)(a) A health services provider shall ensure and make every effort to ensure that the patient and relevant person are informed as to the potential for engaging and sourcing a patient advocate. (b) A health services provider shall ensure a relevant patient is aware of the Patient Advocacy...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: It remains to be seen how these amendments will work out in practice, but the substantive amendment in this grouping, which is amendment No. 26, seems limited in subsection (10) to long-stay residential facilities. Again, one of the issues HIQA raised with me was that this does not cover patient safety incidents in centres for people with disabilities, for example, or in other healthcare...

Patient Safety (Notifiable Patient Safety Incidents) Bill 2019: Report Stage (Resumed) (15 Feb 2023)

David Cullinane: I move amendment No. 15: In page 10, after line 38, to insert the following: “Report on Operation and Scope of the Act by the Patient Safety Council 4.(1) The Patient Safety Council, so established by the Minister for Health, shall furnish to the Minister a report, subject to subsection (2), within the first 3 months of each year. (2) The Report of the Patient Safety Council...

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