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Written Answers — Department of Health: Medical Aids and Appliances Provision (6 Mar 2019)

Seán Sherlock: 210. To ask the Minister for Health if a person (details supplied) in County Kildare is entitled to assistance with hearing aids. [11216/19]

Written Answers — Department of Health: Hospital Procedures (6 Mar 2019)

Seán Sherlock: 211. To ask the Minister for Health the waiting list time for persons awaiting a procedure (details supplied) by county; and the age, gender and length of time they have been waiting for surgery in tabular form. [11217/19]

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I hope the Chairman will forgive me if my question does not relate directly to the subhead. The additional increase of 4%, giving a total net increase of 8%, is welcome. My question relates to the sanctioning by Tusla of privately provided services for families such as occupational or speech and language therapy. My understanding is Tusla has put in place a new central procurement process...

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I must be very careful about the language I use. If I refer to seeking court direction, whether one interprets that as challenging------

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I am referring to a court determining the continuity of those services. A child may have access to certain services but Tusla may intervene and decide to seek a direction from a court in that regard. Such court hearings would involve solicitors' fees having to be paid by both sides. I am seeking to determine whether Tusla is going to court on a case-by-case basis to determine the...

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: Why would-----

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I am raising a potential delaying tactic in the provision of a service for a child. I am trying to couch my language but perhaps I ought to be more direct.

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I am trying to give the Minister every opportunity to clarify the situation. Allow me to be blunt. If a service is sanctioned for a child but the professional with the requisite skills to provide the service is not paid for that in a timely manner because he or she is a private provider, that is a serious issue for the service in general. If Tusla is now seeking court directions, I...

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: Yes. Why is there no local agency to fulfil that need with the requisite professionals who are well able to provide the service?

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I also raised the issue of cost. That is the reason for this meeting.

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: Why would the Child and Family Agency seek to go to court to determine the continuity of a service?

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: On the law of averages, if that is being done in the case of one child, it is happening systematically. I am asking whether it is happening systematically. I am trying to shed some light on that.

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I appreciate that.

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: My question is simple: is Tusla centralising procurement services for the provision of occupational therapy and speech and language therapy? Must speech and language therapists now tender to provide services?

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: The provision of the child and adolescent mental health services, CAMHS, is an in-house service------

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: To be clear, CAMHS is an in-house service with professional staff. From time to time or systematically - again, that must be clarified - it will procure services, but the procurement process seems to be centralised in Dublin. I seek enlightenment from the Minister as to what is the process. If it impacts on the delivery of services to the child, we need closer scrutiny of that and what...

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I thought I was clear about that. It comes back to cost. If one is talking about a cost reduction or a cost efficiency in the provision of services and if one is tendering for the provision of services in Cork through a process carried out in Dublin, I am modest enough to say that I do not understand the process. I am not afraid to ask a seemingly stupid question. It is unclear to me...

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: I appreciate the Minister's response on bringing Tusla before the committee, but I am asking the Department and the Minister-----

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: The Minister will correct me if I am wrong. Am I wrong? Am I misinterpreting the system? The Minister will tell me if I am.

Select Committee on Children and Youth Affairs: Estimates for Public Service 2019
Vote 40 - Children and Youth Affairs (Revised)
(6 Mar 2019)

Seán Sherlock: The Minister needs to be clear with us on whether this happens or not.

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