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Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: On that point, perhaps when people have a diagnosis of cancer, rather than having to get a letter to say that they are terminally ill, if they got a letter to say that they are having ongoing treatment for a certain period of time that should be sufficient to trigger a medical card and not have to be at death's door before being allocated a medical card.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: The next section relates to social inclusion, which is referred to on page nine of the analysis of estimates. This refers mostly to substance misuse and the treatment of those with substance misuse issues. That is one of the metrics used here. I did have some input into looking at homelessness and drug addiction and the duel diagnosis of drug addiction and mental illness, and I understand...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Before we move on, it is important to acknowledge that drug addiction, as well as the illnesses associated with it, is a national issue. It is not one that affects Dublin, Cork, Limerick and Galway only. It is important to acknowledge the important work voluntary organisations do in that regard, particularly Simon which does fantastic work and is always crying out for funds. I am sure its...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: On out-of-hours services, difficulties are due to the declining number of GPs but also to their geographical spread. Some areas are reasonably well serviced by GPs and their out-of-hours services can manage. However, there are many areas where, owing to a lack of GPs and their distribution, out-of-hours services are struggling greatly.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Is that a compliment?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: I took no offence.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: I called Deputy Eugene Murphy.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: I thank the Minister. Referring back to having salaried or the direct employment of staff in general practice, if we are going to have salaried GPs, the support staff in those practices will have to be salaried and directly employed by the HSE. One of the strengths of general practice under the old contract - whatever the new contract will bring - has been the ability of those in general...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: We will move on to programme 3, services for older people, including long-term residential care. It has an allocation of €1.749 billion. It is broken down into two sections. Section A deals with long-term residential care, which has a vote of €940 million, and section B relates to services for older people, in respect of which there is an allocation of €810 million....

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Before we move on to the next programme, the Minister knows that two weeks ago the committee met the Cabinet Secretary for Health, Wellbeing and Sport in Scotland, Ms Shona Robison, MSP. Deputy Louise O'Reilly and I met her prior to the Minister's meeting with her. Even though it was a short conversation, she had very interesting things to talk about. One of the ways discharges are dealt...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: We will move on to programme No. 4 which concerns acute services and for which the Vote is €4,831 million. The section is broken down into three subsections - acute hospitals and the national clinical strategy programme, for which the Vote is €4,553 million; the national cancer control programme, for which the Vote is €101 million; and the National Ambulance Service, for...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Thank you, Minister. I have inadvertently overlooked Deputy Durkan.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Thank you for that. Next is programme 5. It refers to disability services. This has a Vote of €1.78 billion. It is referred to on page 19 of the analysis of the Revised Estimates. Does your question relate to that, Deputy Durkan?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: I will make a comment on that programme and then we can come back to you. At the committee meeting last week a dispute arose between Senator Dolan and the Minister of State, Deputy McGrath, in respect of the provision of personal assistant hours for people with disabilities. Last year, the target was 1.3 million hours and 1.5 million hours were delivered. This year, the target is 1.4...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Further to Deputy Murphy O'Mahony's comments on personalised budgets, how close are we to delivering on that?

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: We will move on to programme 6 on the mental health services. The Vote amounts to €907 million. The analysis is available on pages 21 and 22 of the Revised Estimates.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Yes.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Yes, if that is appropriate.

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: There is always a difficulty with the mental health programme. I seem to understand it every time it is explained to me but I never manage to explain it to somebody else. The mental health budget had an allocation of €35 million this year over last year. As much as €20 million is not maintained but kept back because it is allocated to the employment of additional staff, which...

Select Committee on Health: Estimates for Public Services 2017
Vote 38 - Health (Revised)
(2 Mar 2017)

Michael Harty: Does the Vote of €907 million for mental health include the additional money?

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