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Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: However, everything has to come back to the HSE because it holds the legislative requirement to ensure that we sign off on everything. We can do it one way and not the other. I think there was a question about the Departments playing their role.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: Squeezing money, I hope, from them.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I thank the Deputy for discussing that point. I will share openly with him that I chair our workforce planning and what he said is really important to me. We are trying to increase the number of places. To be fair to the Minister, Deputy Donohoe, and the previous Minister, Deputy Harris, they were really good at increasing places. The point is that if we do not capture them when they are...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: Let me reassure the Deputy, who knows me quite well, that there are no games on the side of the House and none in the Department of Children, Equality, Disability, Integration and Youth. To be very fair to the team here, to Mr. Colm Ó Conaill, the assistant secretary, and to the Minister, Deputy O'Gorman. We want nothing more than a functioning system. To be very fair to Mr. Ó...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: No.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I thank Deputy Murnane O'Connor. She asked about action plan reporting and monitoring progress to date. The action plan will be monitored by an independent monitoring group, drawing on the membership of the disability stakeholder strategic advisory group and chaired by me. The group will meet twice a year to ensure that we are delivering what is set out in the action plan. The latter...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: It has.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: For those waiting the longest, the HSE will go out to the private market to secure assessment for them. This will be done very clearly through the assessment officer so there is no interference with the process. A child waiting two and a half years or three years will be assessed. It will be those waiting the longest who will get the opportunity to access assessment. We will start in a...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: The reason is that some therapists choose to work for the private sector on a Saturday.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: This is what is going on.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I am not critical of this.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: For fear I would get into trouble, everybody is entitled to their choice.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I know that I can do it because I did it four years ago. It can be done again. It is about using the same structured approach to do it, working with what we have in-house, taking overtime opportunities and outsourcing work to drive down waiting lists.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I have the Deputy's figures in front of me. In CHO 3, a total of 336 young people are waiting more than three months. That is how many applications are overdue for completion as of the end of quarter 1. I do not have the breakdown for County Clare, but that is how may are overdue for assessments in CHO 3. The reimbursement piece is not actually a reimbursement piece but is about...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I thank the Deputy and without getting into any specifics, it is within the gift of every CDNT manager and every CHO disability manager to decide how to operate and manage their assessment of needs process. They get a budget and they know themselves if they have the capacity within their teams. If they do not have the capacity within their teams, they know how they can procure services...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I am saved.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I thank the Cathaoirleach for his openness at all times, and for the way in which he treats me and my officials when we come in here, letting the conversation flow. It is greatly appreciated. One of the points he made relates to residential places. There is a review of high-cost placements under way. The spending review for services is being led by Ms Loughman and is a valuable piece of...

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: I will stop then.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: That is okay.

Joint Oireachtas Committee on Disability Matters: United Nations Convention on the Rights of Persons with Disabilities: Department of Children, Equality, Disability, Integration and Youth (10 Jul 2024)

Anne Rabbitte: Let us be clear. In 2020, I cleared a list of 6,700 in a 12-month period. This was for completion of a full assessment of needs within the 36-hour period. We cleared the list then. That was during Covid times when therapists could not go into schools or meet families. It was all online. There were some lessons from this whereby we were able to do some of it online. There was a hold-up...

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