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Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 297: In page 160, after line 13, to insert the following: “Amendment of Criminal Justice (Mutual Recognition of Custodial Sentences) Act 2023 222. Section 2(1) of the Criminal Justice (Mutual Recognition of Custodial Sentences) Act 2023 is amended, in the definition of “clinical director”, by the substitution of “Mental Health Act...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 298: 298.In page 160, after line 13, to insert the following: “Amendment of Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023 223. The Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023 is amended— (a) in section 2(1), by the substitution of the following definition for the definition of “Commission”: ...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: In two weeks' time.

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: Section 201 of the Bill, as initiated, provides for an amendment to the Non-Fatal Offences Against the Person Act 1997. This is now covered in section 212.

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 278: In page 160, after line 13, to insert the following: “PART 8 AMENDMENT OF ACT OF 2015 Amendment of section 2 of Act of 2015 203. Section 2 of the Act of 2015 is amended, in subsection (1)— (a) by the deletion of the definition of “Act of 2001”, and (b) by the insertion of the following definition: “ ‘Act of...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 279: In page 160, after line 13, to insert the following: “Amendment of section 85 of Act of 2015 204. Section 85 of the Act of 2015 is amended by the substitution of the following subsection for subsection (7): “(7) (a) Subject to subsections (1) to (5) and paragraphs (b) and (c) of this subsection, an advance healthcare directive shall, insofar...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 280: “Amendment of section 98 of Act of 2015 205. Section 98 of the Act of 2015 is amended, in subsection (1), by the substitution of “Part 5 of the Act of 2025” for “Part 3 of the Act of 2001”.”.

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 281: In page 160, after line 13, to insert the following: “Amendment of section 104 of Act of 2015 206. Section 104 of the Act of 2015 is amended— (a) by the deletion of the definition of “approved centre”, (b) in the definition of “clinical director”, by the substitution of “Act of 2025” for “Act of...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 282: In page 160, after line 13, to insert the following: “Amendment of section 106 of Act of 2015 207. Section 106 of the Act of 2015 is amended by the substitution of “a person who lacks capacity has a mental disorder that fulfils the criteria for involuntary admission, the procedures provided for under the Act of 2025 shall be followed as respects any...

Mental Health Bill 2024: Committee Stage (Resumed) (25 Jun 2025)

Mary Butler: I move amendment No. 282a: In page 160, after line 13, to insert the following: “Amendment of section 136 of Act of 2015 208. The Act of 2015 is amended by the substitution of the following section for section 136: “Involuntarily admitted persons whose treatment is regulated by Chapter 3 of Part 3 of Act of 2025 136. (1) Nothing in this Act authorises a person—...

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (25 Jun 2025)

Mary Butler: I thank Deputy Kenny for raising this serious with dermatology and other services in Sligo University Hospital. I will speak with the Minister for Health later this afternoon and get a written response to him. I am not over the detail of that. We will get him a response later today or early tomorrow morning.

Ceisteanna ar Pholasaí nó ar Reachtaíocht - Questions on Policy or Legislation (25 Jun 2025)

Mary Butler: I thank the Deputy for raising this really important issue of cancer care. While still too high, cancer mortality rates in Ireland are falling faster than the EU average, having fallen by 17% between 2011 and 2021 compared with the EU average of 12%. Five-year survival rates for patients have greatly improved since the first national cancer strategy. They are 65% for patients who received...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: I will provide a short example of how the step-down beds work. In University Hospital Waterford, we have 48 step-down beds in various nursing homes into Wexford, up to Clonmel and in the whole hinterland. As a result, we have had zero trolleys with the last four years because we have those step-down beds. They are absolutely crucial. A patient deemed discharged by the consultant who still...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: I thank the Deputy for her question. I will respond in reverse. I have not yet seen the feasibility study for the mother and baby unit at St. Vincent's hospital. There are two different thought processes in that regard. There was a perception that the new unit might be included in the new maternity hospital when it is built. However, I need a short-term solution in the meantime. We are...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: In respect of inpatient beds for CAMHS, there is capacity in the sector at the moment. Some beds are closed because we do not have enough nurses to staff them. Those beds are funded but there is a safe staffing issue. According to the most recent figures I have, which are for 17 June, the waiting list nationally to access CAMHS inpatient units was three. Of the available 51 inpatient...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: There is funding for staff. There have been closed beds at Lindara in Cherry Orchard for the past two years. I have engaged with the Psychiatric Nurses Association. Many of the staff who work in mental health in the inpatient units are newly qualified and young. It is a tough job. They are dealing with very ill people. I compliment the staff in the inpatient units. Many people do not...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: We all realise that emergency departments are not the ideal places for somebody in acute mental health distress. Some hospitals are able to provide alternatives. We are looking at investing more this year in crisis resolution teams in Solas cafés to support people so that the emergency department is not the first resort. We have supports open in Galway and Cork, with another to open...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: I thank the Deputy for his question about Kerry CAMHS and his co-operation and support for all the families who have been affected by this situation in Kerry over many years. We have had huge number of engagements. I will provide an update on the initial report in January 2022. There were 240 young people who did not receive the standard of care they should have from CAMHS. The HSE issued...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: I thank the Deputy for his question and for the way he put it because it is a very difficult situation. We are seeing increasing numbers of presentations of young people, people with dual addictions, such as drugs and alcohol, they might have a dual diagnosis, or they might be psychotic. Over the past five years we have been trying to grow community supports and we have been successful. ...

Select Committee on Health: Estimates for Public Services 2025
Vote 38 - Department of Health (Revised)
(25 Jun 2025)

Mary Butler: I have to step out to go to the Dáil. My apologies.

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