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Written Answers — Cancer Screening Programme: Cancer Screening Programme (12 Mar 2008)

Mary Harney: BreastCheck commenced the screening process in the Western Region last May, with the provision of a mobile unit on the grounds of Roscommon County Hospital. I officially opened the BreastCheck static unit for the Western Region at University College Hospital Galway last December. An additional €26.7 million capital funding was provided for the construction of two new static units, eight...

Written Answers — Health Services: Health Services (12 Mar 2008)

Mary Harney: I propose to take Questions Nos. 180 to 182, inclusive, together. My Department is advised by the Health Service Executive that 44 additional staff have been recruited to date arising from the provision of additional revenue funding of €6.78m for the development of cystic fibrosis services. My Department has asked the Parliamentary Affairs Division of the Executive to reply directly to the...

Written Answers — Health Services: Health Services (12 Mar 2008)

Mary Harney: Operational responsibility for the management and delivery of health and personal social services was assigned to the Health Service Executive under the Health Act 2004 and funding for all health services has been provided as part of its overall vote. Therefore, the Executive is the appropriate body to consider the particular issues raised by the Deputy. My Department has requested the...

Written Answers — Medical Cards: Medical Cards (12 Mar 2008)

Mary Harney: At present, medical cards are granted primarily on the basis of means and individual circumstances. Under the Health Act, 2004, determination of eligibility for medical cards is the responsibility of the Health Service Executive. Persons aged seventy years and over are automatically entitled to a medical card, irrespective of means. Under Section 45 of the Health Act 1970, medical cards are...

Written Answers — Health Services: Health Services (12 Mar 2008)

Mary Harney: Operational responsibility for the management and delivery of health and personal social service was assigned to the Health Service Executive under the Health Act 2004 and funding for all health services has been provided as part of its overall vote. Therefore, the Executive is the appropriate body to consider the particular issue raised by the Deputy. My Department has requested the...

Written Answers — National Service Plan: National Service Plan (12 Mar 2008)

Mary Harney: Under Section 31 of the Health Act 2004, the Health Service Executive must prepare and submit its National Service Plan (NSP) for the coming year to the Minister for approval. The NSP must, amongst other things, indicate the type and volume of health and personal services to be provided by the Executive for the resources provided in its Vote. The National Service Plan is focused on providing...

Written Answers — Hospital Services: Hospital Services (12 Mar 2008)

Mary Harney: Operational responsibility for the management and delivery of health and personal social service was assigned to the Health Service Executive under the Health Act 2004 and funding for all health services has been provided as part of its overall vote. Therefore, the Executive is the appropriate body to consider the particular issues raised by the Deputy. My Department has requested the...

Written Answers — National Treatment Purchase Fund: National Treatment Purchase Fund (12 Mar 2008)

Mary Harney: As the Deputy's question relates to the operation of the National Treatment Purchase Fund, my Department has asked the Chief Executive of the Fund to reply directly to the Deputy in relation to the information requested.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: Yes. I am not aware of having received a letter which did not result in appropriate follow-up. If, however, somebody produces such a letter, I will put up my hands. A computer reminder is issued in the first instance. I also have such an electronic means of issuing reminders in my constituency office. While it is possible issues arise concerning the speed at which we respond from time to...

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: Professor Keane is assessing capacity in the eight centres. This is the area in which he has been allocated a sum of €5.8 million, two thirds of which will go to hospitals outside Dublin. None of the eight centres has the capacity and all of them need more specialists. The issue is not only one of providing additional money. This year an additional €35 million has been provided. It is...

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: Additional resources are available and we need to recruit more consultants. One of the reasons it has taken so long to reach agreement on the consultants' contract is the requirement to have a one-for-all approach to diagnosis and appropriate access for all patients.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: I am not capable or competent to decide whether the appropriate resources are in place in Limerick, Cork, Waterford or elsewhere. Professor Keane has been to all eight places and is carrying out an assessment and making the investment, which has amounted to €5.8 million to date. On the point raised by Deputy Reilly, I have spoken to Professor Keane. He has had discussions with Dr....

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: I am sorry, Deputy. It is not a question of negotiation. I know the Deputy is a former president of the Irish Medical Organisation but this is about best practice clinically.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: We have 2,500 general practitioners and 2,500 breast cancer cases a year. On average, therefore, they deal with one each. There are protocols internationally, well documented in Canada and elsewhere, of how general practitioners refer to surgeons and clinicians.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: Is the Deputy telling me the Irish College of General Practitioners will not agree to a new protocol?

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: I am sorry, Deputy.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: The Deputy should withdraw that. He probably wants people to be paid to do the new protocol.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: I spoke with the president of the Irish college last Thursday evening. They are hugely enthusiastic for this and will be hugely helpful to general practitioners.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: It is not a question of agreeing. I have no doubt that the Irish College of General Practitioners, as the professional development body for general practitioners, will not disagree with the implementation of best practice.

Cancer Services Reports: Motion (Resumed) (12 Mar 2008)

Mary Harney: Professor Keane will attend their annual meeting to meet more of them. The surgical teams in the eight centres are involved in this as well, including Professor Hill and others, and it has been implemented very successfully in other countries.

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