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Written Answers — Department of Health: Health Services (22 Jan 2013)

James Reilly: The Health Service Executive's National Service Plan 2013 (NSP 2013), approved by the Minister on the 9th January 2013, sets out the type and volume of services to be delivered by the Executive in 2013. The National Operational Plan is being developed to support the implementation of the NSP 2013. It is intended to finalise the HSE Operational Plan by mid February in parallel with the...

Written Answers — Department of Health: EU Directives (22 Jan 2013)

James Reilly: I propose to take Questions Nos. 599 and 611 together. S.I. No. 494 of 2004 European Communities (Organisation of Working Time) (Activities of Doctors in Training) Regulations 2004, which transposed the EU Working Time Directive for doctors in training, provides for: - A maximum 48 hour average working week; - 11 hours rest every 24 hours or equivalent compensatory rest before return to...

Written Answers — Department of Health: Health Service Executive Expenditure (22 Jan 2013)

James Reilly: The HSE National Service Plan 2013 provides for savings of €52 million as a result of such reduction in staff numbers. 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 and cost effective health system. Therefore, the HSE is using the provisions...

Written Answers — Department of Health: Health Services (22 Jan 2013)

James Reilly: I propose to take Questions Nos. 601 and 605 together. In relation to the particular queries raised by the Deputy, as these are service matters, I have asked the Health Service Executive to respond directly to the Deputy in these matters.

Written Answers — Department of Health: Nursing Home Services (22 Jan 2013)

James Reilly: As such financial arrangements are a matter for the HSE, they have been referred to the Executive for direct reply.

Written Answers — Department of Health: Hospital Waiting Lists (22 Jan 2013)

James Reilly: The initial focus for the Special Delivery Unit's Scheduled Care Team has been on waiting times for in-patient and daycase elective surgery. By the end of December 2012, the number of adults having to wait more than 9 months for inpatient and day case surgery was down to 86 from 3,706 in December 2011, a 98% decrease. The number of children waiting over 20 weeks for inpatient or daycase...

Written Answers — Department of Health: Health Service Staff (22 Jan 2013)

James Reilly: The HSE is proceeding with arrangements to commence the Graduate Nurse Placement Initiative. The recruitment process for Phase 1 for registered general nurses and covering the Acute Hospital setting and the Community commenced on 11th January, with the first of the appointments to be in place by the end of February 2013. On 16th January, the HSE announced that it had extended the scope of...

Written Answers — Department of Health: Accident and Emergency Services (22 Jan 2013)

James Reilly: The current statutory out-patient charge i.e. the A&E charge, is provided for by the Health (Out-Patient Charges) Regulations 1994 (as amended). e charge is currently €100 in respect of the first visit of any episode of care at a designated Accident and Emergency Department, subject to exemptions. e exemptions include medical card holders and those who have a letter of referral...

Written Answers — Department of Health: Hospital Services (22 Jan 2013)

James Reilly: The Health Service Executive (HSE) has published "Standards and Recommended Practices for Post Mortem Examination Services" and has circulated these to relevant hospital staff. e overall aim of the standards and recommended practices for post-mortem examinations is to drive high quality post-mortem examination services, which are based on current legal requirements and in keeping with best...

Written Answers — Department of Health: Hospital Staff (22 Jan 2013)

James Reilly: Subject to overall parameters set by Government, the Health Service Executive has the responsibility for determining the composition of its staffing complement. I have asked the Executive to compile the information requested by the Deputy and to reply to him directly.

Written Answers — Department of Health: Lourdes Hospital Redress Scheme (22 Jan 2013)

James Reilly: While I have had no recent contact with the organisation referred to by the Deputy, I have met them previously in relation to this sensitive issue. I envisage further consultation as the matter progresses. As the Deputy is aware, a commitment was made in the Programme for Government to seek a mechanism to compensate those women who were excluded on age grounds alone from the Lourdes...

Written Answers — Department of Health: Patient Transport (22 Jan 2013)

James Reilly: In general, patients are expected to make their own travel arrangements to and from hospital and OPD appointments, using private or scheduled public transport. The exceptions are for dialysis, cancer (radiotherapy and chemotherapy) and post-operative transplant patients where transport may be provided. In these cases, the patient's appointment or treatment should be directly related to the...

Written Answers — Department of Health: Hospital Services (22 Jan 2013)

James Reilly: The funding pressures now being experienced in the health services mean that the acute sector must reduce its costs in order to deliver the agreed level of activity within the resources available to it. This means that we must concentrate on maximising efficiency and getting the best possible services for patients from the budgets available to us. In relation to the specific queries raised...

Written Answers — Department of Health: Health Insurance Community Rating (22 Jan 2013)

James Reilly: The Government is committed to keeping down the cost of health insurance so that it is affordable for as many people as possible and remains committed to protecting community rating, whereby everyone pays the same price for the same health insurance product, irrespective of age or health status. The Programme for Government contains a commitment to put a permanent scheme of risk equalisation...

Written Answers — Department of Health: Health Insurance Cover (22 Jan 2013)

James Reilly: I propose to take Questions Nos. 628, 668 and 669 together. The Health Insurance (Amendment) Act 2012 was enacted last month. It delivers on the Government commitment to introduce a new Risk Equalisation Scheme from 1 January 2013. Under Section 11E of the Act, the Health Insurance Authority (HIA), as market regulator, is charged with evaluating and analysing all types of relevant...

Written Answers — Department of Health: Hospital Waiting Lists (22 Jan 2013)

James Reilly: In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.

Written Answers — Department of Health: Disability Support Service (22 Jan 2013)

James Reilly: This aims to increase the level of consistency and standardisation in the way both early intervention services and services for school-aged children with disabilities are delivered. A detailed action plan is being implemented with the following objectives: - One clear pathway to services for all children with disabilities according to need. - Resources used to the greatest benefit for all...

Written Answers — Department of Health: Primary Care Centres (22 Jan 2013)

James Reilly: Progress is being made in the delivery of primary care centres. Primary care infrastructure is being delivered using three mechanisms which are - public private partnership - operational lease and - direct build. With regard to the PPP process, the current position is that the HSE is engaging with the NDFA to progress the programme. The Executive is currently analysing the available sites...

Written Answers — Department of Health: Hospital Services (22 Jan 2013)

James Reilly: I propose to take Questions Nos. 634 and 654 to 656, inclusive, together. Recommendations on the formation of specific groups and arrangements for the management and governance of all groups have been drafted as part of a report on the establishment of hospital groups as a transition to hospital trusts. This report is based on a comprehensive consultation process, as well as a significant...

Written Answers — Department of Health: Vaccination Programme (22 Jan 2013)

James Reilly: I propose to take Questions Nos. 636 and 671 together. My priority is to ensure that children/adolescents affected by narcolepsy with symptom onset post pandemic vaccination are provided with services and supports to meet their health needs. The HSE and the Department of Education and Skills together provide a comprehensive range of services and supports to those affected. The Health...

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