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Written Answers — Department of Health: Hospitals Policy (25 Jun 2013)

James Reilly: The Report on the establishment of Hospital Groups which I launched on 14 May is the most radical and most fundamental modernisation of our health system infrastructure since the State’s foundation. To achieve the most effective high quality outcomes for patients in the most cost efficient manner possible, the reform of the structures and governance for the delivery of hospital...

Written Answers — Department of Health: Health Reports (25 Jun 2013)

James Reilly: I propose to take Questions Nos. 86 and 124 together. Since the publication of the Coroner's Inquest recommendations on 19th April last and the HSE's Report recommendations published on 13th June last, considerable work continues in addressing both reports' recommendations. A number of the Coroner's recommendations relevant to University College Hospital Galway (UCHG) were already being...

Written Answers — Department of Health: Hospital Services (25 Jun 2013)

James Reilly: The implementation of the National Stroke Programme, since 2010 to date, has resulted in improved services for all stroke patients. One of the programmes early targets was to provide a national 24/7 stroke thrombolysis service and increase the rate of safe thrombolysis from a baseline of 1% (The Irish National Audit of Stroke May 2008), to 7% by the end of 2012. The national stroke...

Written Answers — Department of Health: Hospital Staff Issues (25 Jun 2013)

James Reilly: I propose to take Questions Nos. 95 and 112 together. The Government has decided that the numbers employed across the public service must be reduced in order to meet its fiscal and budgetary targets. In order to mitigate the impact on frontline services of the reduction in employment numbers, the priority is to reform how health services are delivered in order to ensure a more productive...

Written Answers — Department of Health: Hospital Trusts (25 Jun 2013)

James Reilly: The Report on the establishment of Hospital Groups which I launched on 14 May is the most radical and most fundamental modernisation of our health system infrastructure since the State’s foundation. To achieve the most effective high quality outcomes for patients in the most cost efficient manner possible, the reform of the structures and governance for the delivery of hospital...

Written Answers — Department of Health: Diabetes Strategy (25 Jun 2013)

James Reilly: I propose to take Questions Nos. 97 and 133 together. The National Integrated Care Diabetes Programme is being implemented on a phased basis. The programme will improve patient access and manage patient care in an integrated manner across service settings, resulting in better outcomes, enhanced clinical decision making and the most effective use of resources. The Government has approved...

Written Answers — Department of Health: Hospitals Policy (25 Jun 2013)

James Reilly: The Report on the establishment of Hospital Groups which I launched on the 14th May is the most radical and most fundamental modernisation of our health system infrastructure since the State’s foundation. To achieve the most effective high quality outcomes for patients in the most cost efficient manner possible, the reform of the structures and governance for the delivery of hospital...

Written Answers — Department of Health: Departmental Expenditure (25 Jun 2013)

James Reilly: At the end of May the Department of Health is reporting an underspend of €15m on a gross expenditure basis on its Vote (Vote 38), €11m of which is attributed to current expenditure. The underspend is primarily owing to timing issues in a number of subheads. For instance, there has been less funding than anticipated drawn by some of the directly funded health agencies and there...

Written Answers — Department of Health: Universal Health Insurance Provision (25 Jun 2013)

James Reilly: The Government is embarking on a major reform programme for the health system, the aim of which is to deliver a single-tier health service, supported by universal health insurance (UHI), where access is based on need, not on income. Under UHI, everyone will be insured and will have equal access to a standard package of primary and acute hospital services, including acute mental health...

Written Answers — Department of Health: Maternal Deaths (25 Jun 2013)

James Reilly: Statistics on causes of death are based on civil registration and compiled internationally by the World Health Organisation. In the most recent World Health Statistics Annual Report (2012), Ireland had the 13th lowest rate of maternal mortality out of 178 countries reporting data. It is generally recognised internationally that official vital statistics can result in an underestimate of...

Written Answers — Department of Health: Health Screening Programmes (25 Jun 2013)

James Reilly: The HSE commenced the national diabetic retinopathy screening programme (Diabetic RetinaScreen) in February 2013. Diabetic Retinopathy is the most common diabetic eye disease and the leading cause of blindness among working age Irish adults. Approximately 10 per cent of the Irish diabetic population has sight-threatening Diabetic Retinopathy and around 90 per cent of this group will...

Written Answers — Department of Health: Graduate Nursing Scheme Issues (25 Jun 2013)

James Reilly: A major objective of this scheme was to put in place more cost-effective service delivery arrangements, having regard to the high rates of expenditure on agency staffing and overtime. The scheme also enables recently-qualified nurses and midwives to gain a variety of front-line service experience and to further develop specific professional skills. As the Deputy will be aware, the nursing...

Written Answers — Department of Health: Air Ambulance Service Provision (25 Jun 2013)

James Reilly: The twelve month emergency aeromedical support (EAS) service pilot has now been completed. The EAS pilot is currently being reviewed and that assessment is expected to be completed shortly. In relation to the continuation of the service, I have agreed with my colleague, the Minister for Defence, to an extension of aeromedical support by the Air Corps to the EAS service for a period of up...

Written Answers — Department of Health: Hospital Services (25 Jun 2013)

James Reilly: I propose to take Questions Nos. 105 and 114 together. The Framework for Smaller Hospitals lists the services that are appropriate to a smaller hospital. The future growth in healthcare will be in the services such as ambulatory care (including chronic disease management and day surgery), diagnostics and rehabilitation which will be based in smaller hospitals. As a result of these...

Written Answers — Department of Health: Hospital Staff Issues (25 Jun 2013)

James Reilly: The HSE is actively managing the recruitment process for the next rotation of Non-Consultant Hospital Doctors in order to ensure that as many as possible are recruited and that all critical service needs are met. A number of separate recruitment processes are currently underway including: - Filling by the Postgraduate Training Bodies of posts on training schemes; - HSE Centralised...

Written Answers — Department of Health: Hospital Waiting Lists (25 Jun 2013)

James Reilly: For 2013, the maximum waiting time targets are less than eight months for adults, less than 20 weeks for children and less than 13 weeks for routine GI endoscopy. The latest available figures at 2 May 2013 show: - A total of 39,064 (88% of total) adults waiting less than 8 months - 5,392 adults waiting longer than eight months - 3,725 adults waiting longer than nine months - 717 adults...

Written Answers — Department of Health: Suicide Prevention (25 Jun 2013)

James Reilly: My Department has a National Lottery discretionary fund in place which provides once-off grants to community groups and organisations providing a range of health related services. The assessment of applications is made on the basis that these grants are intended to be discretionary 'once off ' funding and are not intended to fund ongoing services. Once an application has been received and...

Written Answers — Department of Health: Patient Safety Authority (25 Jun 2013)

James Reilly: My Department is examining the appropriate structures for the responsibilities that might be assigned to the Patient Safety Agency (PSA). The role and inter-relationship of the PSA with the reforming health system needs to be carefully designed and developed. My Department is liaising with the Health Service Executive on the details surrounding the establishment of the PSA to ensure an...

Written Answers — Department of Health: Diabetes Strategy (25 Jun 2013)

James Reilly: As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Written Answers — Department of Health: Obesity Strategy (25 Jun 2013)

James Reilly: As Minister for Health, I have made overweight and obesity a public health priority and have established a Special Action Group on Obesity (SAGO) with whom I meet regularly to progress the obesity agenda. The range of measures being implemented by my Department seek to promote a healthy lifestyle, to encourage adults and children to make healthier food choices and to become more active. ...

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