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Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: The purpose of the meeting is to gather some insights into the operation of our national oral health policy. We had a meeting on this matter on 15 May where we heard from the Irish Dental Association and the faculty of dentistry at the Royal College of Surgeons Ireland, RCSI. This morning we have the opportunity to hear the views of officials from the Department of Health and the Health...

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: I now call Professor Brian O'Connell from the oral health policy academic reference group.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: We will now open the meeting to members. Deputy John Brassil is substituting for Deputy Stephen Donnelly.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: This refers to an issue relating to the mid-Leinster area where orthodontic services were discontinued and there was a sense that some children had suffered as a consequence. The health committee, under a previous Government, held meetings on this. I believe it was in 2005. Two experts from the UK looked at the evidence and those two experts have called for their review to be published....

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Does Mr. Goodman wish to add a comment?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Yes, there will. I thank Deputy O'Reilly and I call Deputy Durkan.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Does Dr. Green wish to respond?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: We have probably dealt with that previously, unless there are short additional comments to make.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Before I bring in Deputy Cullinane, I have a few questions for the Department and the HSE. What percentage of dentists who are working in private practice or the community hold a contract to supply public services under PRSI and other contracts? Is there any move to reverse the FEMPI cuts for dentists? In recent months we have had a move to restore funding for general practice, but I do...

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: When RCSI representatives appeared before the committee last month they made the point that only two dental specialties are recognised by the Dental Council of Ireland, whereas 13 are recognised by the equivalent body in England. Will that be addressed in the oral health policy?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: How many dentists are there altogether?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Some 1,300 hold a contract.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: What were the changes?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: I thank Dr. Kavanagh. Before asking the rest of my questions, I will give Deputy Cullinane the opportunity to ask some short, succinct questions before he leaves because he has been very patient.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: To go back to what Deputy Cullinane was saying, there is significant dissatisfaction among the public, including parents of children who have to wait for a prolonged period. Quite often, there is no knowing when one will be seen. A person is put on a waiting list but he or she has no idea whether he or she will be seen in one year, two years, three years or five years. That creates great...

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: To go back to one of my original questions, what is the position on the funding of the implementation of this policy? I had a question on the reversal of the financial emergency measures in the public interest, FEMPI, cuts.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: In the context of the €80 million, what is the cost of providing dental services now?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: Are the delegates talking about an additional €80 million to develop the service and policy?

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: So that is an increase of over 100%.

Joint Oireachtas Committee on Health: National Oral Health Policy: Discussion (Resumed) (26 Jun 2019)

Michael Harty: What legislation is required to implement the policy? How far advanced is that legislation?

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