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Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: It also relates to the broader resourcing of the services because people need to be seen if the treatments they need are to be identified. We are still seeing really long waiting lists for neurology services. More than 23,000 people are still on neurology those lists. People are waiting longer between appointments and struggling to gain access to a specialist nurse....

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: That is a really good and critical point to raise. The Irish Neurology Nursing Forum, an association of specialist nurses in neurology formed last October, is working together with those behind the national clinical programme for neurology towards an education pathway for nurses entering or currently in neurology nursing to develop, in collaboration with third level...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: We understand the letters of appointment went to the hospitals this week. The letters could go only when it was in black and white in the service plan that the posts were available. The letters went to the hospitals this week to notify them that they could start recruitment for the posts, but as the Deputy's colleague said this morning, it will now be a challenge to...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: Dr. Coote has spoken from the perspective of an allied health professional. In respect of nursing, we would certainly echo her comments. Given that there has been such a dearth, there has been a build-up of people with a specialist interest in neurology who were not able to move into posts. We certainly feel there is a pool of people.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: There is a critical need for an inpatient rehabilitation service in the south. It goes back to our concern at the delays in implementing the neurorehabilitation strategy and we have not seen that momentum on putting an inpatient service in place. We are talking about the community rehabilitation teams but it is all part of the same strategy, including putting those...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: We are on the steering group for the national neurorehabilitation strategy and we are not aware that those proposals have come to the table as yet. We can come back to the Deputy with any information we have on that.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: That is where these teams would come in.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: We are using the figures from the neurorehabilitation implementation framework that show that if you put the nine teams in place you would save 42,000 bed days and get people out of hospitals. It is exactly the type of intervention the Deputy is talking about. It is putting services into the community that get people out hospital.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: The Wasted Lives report was in the news just earlier this week, reiterating that because of the lack of those services in the community, we have that high proportion of people under 65 living in nursing homes. A high proportion of those would have neurological conditions.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: It is a very good example. Neurology and neurorehabilitation are part of a pathway. These are often people with lifelong conditions so they are seen in neurology services, they are seen for their diagnosis and their acute treatment, but then they need to be discharged out to the communities where they live. If one does not have multidisciplinary care available in the...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: I thank the Deputy for raising the situation in CHOs 6 and 7. The funding has been available for those teams since November 2020. Serious questions need to be asked as to why recruitment has not even started for those teams at this stage. We hope that those timelines are adhered to and that those teams will be up and running by the end of the year. It would be critical...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: The committee has a unique opportunity next week with the appearance of the CEO of the HSE to ask exactly that question. What is the issue with the governance model? Why can the same governance model not be rolled out across the teams? He needs to account for the delay there.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: It would be important to explore the issues with the governance model and what can be done to resolve them. Most critically, we need a timeframe for this. Will that timeframe be adhered to in order to have those teams up and running by the end of the year?

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: The map is stark, but it is realistic. It indicates where the teams are and where they are not. We need greater urgency on this. We have reiterated that neurorehabilitation is in crisis. We have people who missed out on neurorehabilitation during the Covid pandemic. Sufferers of long Covid need neurorehabilitation. We need the timely establishment of these teams...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: There is a saving of three bed days on average if a patient is discharged to a community rehabilitation team, which is an immediate saving.

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: I reiterate our request for funding to be allocated in this year's budget to enable the establishment of teams in CHO 5, CHO 8 and CHO 9 where there has been no allocation to date. The HSE should take priority action to establish teams without delay in CHOs where funding has been made available - CHO 6 and CHO 7 as well as the newly funded CHO 4 and CHO 2. I ask for...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: It is important to reiterate how many other initiatives are dependent on having effective rehabilitation services. The national trauma programme is critically dependent on proper neurorehabilitation services being in place. We cannot have world-class trauma care like that which is being put in place without having continuing neurorehabilitation. Wherever it sits in the...

Joint Oireachtas Committee on Health: Access to Community Neurological Rehabilitation Teams: Discussion (17 May 2023)

Ms Magdalen Rogers: The 30-plus voluntary organisations that make up the Neurological Alliance of Ireland have a unique insight into the overall needs of the person from day one through their lifetime of living with a neurological condition. It should not matter where you live in the country or what area of the HSE funds the service, it should be available equally to all people no matter...

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