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Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I thank everyone for being here. The European Drug Report 2024 shows that Ireland's drug death rate is four times the European average and the highest per capita frequency of drug deaths. This is a shocking figure and demonstrates the complete failure of the Government's drugs strategy and how it is working to reduce harm. These figures outline how serious a problem we have in this State...

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Would it be safe to say Ireland still has extraordinarily high levels?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: How far-----

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: When will that happen?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Does the HSE have figures or targets for nurse prescribing it wants to reach?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Is there a target?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Why not?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Are we looking at them making a decision in three or six months about what targets they need to achieve and laying out a plan?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I thank Dr. Keenan. The national oversight committee has been charged with overseeing the implementation of the drugs strategy. I understand there are strategic implementation groups, SIGs, for each of the six strategic priorities outlined in the opening statement. Where are the minutes for these meetings published?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I understand that and I read the opening statement from the Department of Health but are the minutes of each of those meetings published?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I do not doubt that. I am looking for the minutes of those meetings because they should be available to the public.

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I thank Ms McArdle. With regard to methadone as was discussed earlier, maybe the Department of Health or the HSE can answer. People who were given methadone died because they had heart conditions. There seems to be a disconnect between the doctor who prescribes methadone and the family doctor. I know of a tragic case where a young man of 21 years of age with a heart condition who had been...

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Dr. Keenan made the point that is only for high prescriptions of methadone. This person was on the lowest level of methadone that can be prescribed and died after one prescription. That procedure is not fit for purpose. Will the HSE look at it again? At the time, the doctor cited GDPR. When doctors prescribing methadone can ring the patients' doctors to ask what medication they are on,...

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Last week, the citizens' assembly appeared before us. One of the recommendations concerns funding for drug services, recovery services, community services and education. Unless the funding, resources and services are in place, we cannot deliver a new drugs strategy. The sector is chronically underfunded. The Government has failed to support services like drug and alcohol task forces for...

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: My apologies for interrupting but I wish to correct something. We have figures about people trying to access detox, rehab beds and residential beds. There is a significant shortage there so for it is not correct to say there is none. These are figures I received from the Department or Minister. We need a massive roll-out of beds in that sector. People have to pay a fee to access...

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I am sorry, but I am just conscious of time. How does that tie into Keltoi not being open and when----

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Has that decision not been made?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: Have resources been looked for or have they been denied?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: I am looking for honest answers here. Is the reason Keltoi is not open that the Government has not given the funding to open it?

Committee on Drugs Use: Drug Use Policy: HSE, Department of Justice and Department of Health (20 Jun 2024)

Thomas Gould: When?

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