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Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: There absolutely is. There is a very clear process if a dispute was to arise within the HSE or between the two Ministers as to who funds what, right all the way up to the Taoiseach.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: That is a very important question. Any of the children who would be coming through the PDS model and who would be on it would be seen as having complex multidisciplinary needs. The child referred back into primary care would be seen as needing a singular need, whether it be the speech and language need or the occupational therapy need. It would not be the need of a multidisciplinary piece,...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: Yes, it is quite clear cut.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: Absolutely.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: It is different from how I see it at the moment, where a service-level agreement would evolve out of that. In fact, if it has the capacity and is in a location that meets the needs of what is required then it would be to ensure that a service-level agreement would be put in place. The funding model will still always go through the HSE, but the delivery of service could be through another...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: Yes, if it has the capacity and meets the needs of the people in the community. It is all about a person-centred approach. We are moving to the Department of Children, Equality, Disability, Integration and Youth, where the person is at the centre and where we are aligned with the UN Convention on the Rights of Persons with Disabilities, UNCRPD. Therefore, it is meeting the needs of the...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: I thank the Deputy for the brilliant question. In a care setting that is predominantly female, it is an issue to think we do not fund, cover or back maternity leave. I do not find it acceptable. We would not do it in teaching and I do not know why we would not do it in disability and, most importantly, in the therapeutic delivery of care where early intervention is key. It is something I...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: It is being addressed anyway.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: I thank the Deputy raising that very important issue. I completely concur with her. If we do not have the data, how can we measure? I will bring her up to speed on two things. The contracts have been signed for a new ICT system for the progressing disability services, PDS, model. I am pushing this and want to see it done. I am assured that by quarter 1 of 2023, all the PDS systems...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: No, the Deputy could not.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: The Department of Children, Equality, Disability, Integration and Youth is heavily involved with the Department of Health on that. Yes, it is has been something I have focused on in the Department of Health and will continue that in the new Department. The data system is already in trial and being rolled out in the mid-west. That is how it is being tested and broken in to have full...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: It will be when the system is up and running. That is the whole idea. I see the number of parliamentary questions that come in and how long it takes to get responses to them. I believe in reporting in real time because that means parents have the power and they have the information. It also gives Departments the opportunity to support, fund and address the issues Deputy Durkan raised...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: Absolutely. That is our core plan.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: What the Deputy is seeing here is the transfer of matters relating to the Health Act 2005 to the Minister for Children, Equality, Disability, Integration and Youth. I take on board what the Deputy is saying. Whenever I talk about disability, I speak about it in the round. I agree with the Deputy that education, higher education and transport all have a role to play. There is not one...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: This is a transfer of functions from one Department to the other. I am already doing what the Deputy refers to with the reconfiguration of the transport committee, which I am chairing. I have brought in the Departments of Finance, Public Expenditure and Reform, Social Protection, Enterprise, Trade and Employment, and Education. They are all present. A person with a disability has the...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: We have two reporting mechanisms. The National Disability Authority reports on specific issues. The most recent report, which I hope will be published soon, relates to Irish Sign Language, which went in under the bonnet in every single Department across Government. That undoubtedly threw up challenges, but I am glad to say that they are being addressed. It is the same with the national...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: All Departments are participating fully. Perhaps some Departments are facing a steep challenge when it comes to disabilities and doing the whole equality piece. However, I believe in the buy-in from the Departments. Disability is front and centre across all Government Departments at the moment.

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: I thank the Deputy for that question. I thank the Minister for Housing, Local Government and Heritage, Deputy Darragh O'Brien, and the Minister of State, Deputy Peter Burke, for the disability housing strategy they recently launched. When we talk about housing, we should talk about universal design. A particular property should be suitable for a person with a disability, an older person or...

Select Committee on Health: Health (Miscellaneous Provisions) Bill 2022: Committee Stage (23 Feb 2022)

Anne Rabbitte: That is absolutely the case and that is where the consultation piece is now taking place with the Department of Housing, Local Government and Heritage for persons with disabilities. The Deputy is right. It is regrettable that in the past we or disability organisations bought properties that do not meet the needs of the individual but which were the only properties that were accessible. We...

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