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Written Answers — Department of Health: Disability Services (28 Sep 2022)

Neasa Hourigan: 256. To ask the Minister for Health the progress made in establishing dedicated community neurorehabilitation teams for each CHO, as outlined in the National Strategy & Policy for the Provision of Neuro-Rehabilitation Services in Ireland report; and if he will make a statement on the matter. [47465/22]

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: I thank the Chair. I find the general discussion quite opaque in terms of what is happening following on from that conversation. I will focus on three key roles that I am interested in. I will stay on the children's disability network teams, CDNTs, for a moment, and the issue of health and social care workers. I am trying to understand who is responsible for what I guess in these three...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Of those 91 are there any gold plate fully staffed CDNTs in the country?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: So, the rota is fully staffed.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: I take that point. In March the Oireachtas Joint Committee on Children, Equality, Disability, Integration and Youth was told that none of them is at full staff complement. Is there any one that we can say now out of those 91 is fully staffed?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Okay.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Fair enough and I have recently met some groups, particularly Families Unite for Services and Support, FUSS, in Cork who very articulately, in collaboration with Inclusion Ireland, have talked about the more than 50% of children who are waiting on speech and language therapy. Is there a prioritisation in CDNTs where, when they are understaffed, they prioritise filling particular roles that...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: I am sorry to cut across Mr. MCallion. Would he say that it is fair, in terms of the conversation we have been having in this country about recruitment and retention, that where ratios are low or people are under particular pressure that it is actually a self-fulfilling prophesy? Staff will move out of work models that are simply understaffed or not working. We will double down on that...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Fairly quickly because I have two more issues that I wish to get to.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Is the HSE sitting down with families at the moment? Is there a model for forums to sit down with them?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Just to be clear, are there outcomes? When the HSE sits down with a family or a group of families and they say this is not working, what is the follow-up?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Does it move up the system in terms of resource allocation?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Is there a formal model for that from the family forums? Can the HSE provide that to the committee?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: I want to move on to access to echocardiograms. I am sure the witnesses are all aware of the Croí report put out in the last two weeks, which showed that 80% of public hospitals do not offer a direct line from a GP to an echocardiogram, so people have to wait for six to 12 months, if they are lucky, to be referred to a cardiologist in a public outpatient clinic. This obviously puts...

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Yes, there is a pilot.

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Excuse me, who is that contracted to?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: Private hospitals?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: The HSE has the model but what is the timeline?

Joint Oireachtas Committee on Health: Sláintecare Implementation: Discussion (Resumed) (28 Sep 2022)

Neasa Hourigan: I would love more detail. The work that Croí did is excellent because it had a lot of consultants collaborating with it on this. To be clear, there is an issue around the training of cardiac physiologists. I have very little time so I might add this to my third question, which is really for the Department. My third question is around the training of educational counselling psychology...

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