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Vaccination Programme. (21 Nov 2007)

Mary Harney: Canada was one of the first countries to introduce such a programme. The programme in question has been extremely successful, although its nature is being changed somewhat. The Minister for Finance will be making budgetary announcements in two weeks and I hope provision will be made for the roll-out of cervical screening programmes in the resources made available by him to the Department of...

Vaccination Programme. (21 Nov 2007)

Mary Harney: We will spend over €15 billion this year and spent €14 billion last year. We will spend €1.2 billion more than last year. I do not regard that as a cutback. It is the duty of the HSE to remain within the budgetary allocation voted to it by the House out of taxpayers' money and be able to meet the demands on services——

Vaccination Programme. (21 Nov 2007)

Mary Harney: There has been a great deal of discussion regarding the report published last week by the OECD which indicated that spending in Ireland grew faster than in any other country.

Vaccination Programme. (21 Nov 2007)

Mary Harney: We are spending 8.9% of our national income, the average in the OECD, even though——

Vaccination Programme. (21 Nov 2007)

Mary Harney: It would be easy to roll out all these vaccines in Ireland. The cost of a vaccine is the smaller——

Vaccination Programme. (21 Nov 2007)

Mary Harney: We could also roll out the screening——

Vaccination Programme. (21 Nov 2007)

Mary Harney: The issue is that clinicians' and general practitioners' fees are substantially higher than in, for example, Northern Ireland, Britain or other jurisdictions. The cost relating to the vaccine is usually the smaller part of the overall figure.

Vaccination Programme. (21 Nov 2007)

Mary Harney: The same applies to screening in respect of the taking of smears, etc. All of these things are more expensive here

Vaccination Programme. (21 Nov 2007)

Mary Harney: They are more expensive, as the Deputy knows.

Care of the Elderly. (21 Nov 2007)

Mary Harney: It only becomes relevant when the house passes on. In other words, following the death of the loved one being cared for in a nursing home. The Deputy will be happy to hear that people will not be put out of their houses.

Care of the Elderly. (21 Nov 2007)

Mary Harney: Only if she were the carer.

Care of the Elderly. (21 Nov 2007)

Mary Harney: At present, people in this situation are obliged to sell their houses. People are not obliged to opt for this scheme, it is voluntary in nature.

National Cancer Strategy. (21 Nov 2007)

Mary Harney: I refer the Deputy to my reply to Question No. 44 of today.

National Cancer Strategy. (21 Nov 2007)

Mary Harney: A lot of work remains to be done. Professor Keane has set targets of completing 50% of the transition by the end of next year and 90% by the following year. That is an ambitious programme but I believe he will have buy-in from the clinical community. Those who have chosen to be specialists in cancer care want to work in centres where they can pursue their clinical passions with like-minded...

National Cancer Strategy. (21 Nov 2007)

Mary Harney: Yes. We would like the specialist breast cancer surgeons to move to the centres and Professor Keane will be engaging them in dialogue in that regard. I understand that significant enthusiasm and interest have been expressed. We want activity to move from the centres to the hospitals where cancer surgery comes into the centre. Many people in these eight hospitals could have their surgery...

National Cancer Strategy. (21 Nov 2007)

Mary Harney: I am not dealing with aspirations but with change and reform, which are what the transformation programme is about. When I hear Deputy Reilly's questions, I sometimes wonder if he favours or opposes reform or whether he sits on both sides of the fence.

National Cancer Strategy. (21 Nov 2007)

Mary Harney: The transport and accommodation issues are central to making this plan a reality. Appropriate accommodation is needed for those who must travel long distances from home for radiotherapy whereas surgery is a once-off experience. The idea is that both developments will take place at the same time. As the centres are built up, they will have considerable capacity and expertise. We are not...

National Cancer Strategy. (21 Nov 2007)

Mary Harney: The more appropriate term for the new centres is "specialist centres" because the use of the word "excellence" implies we do not have excellence. We have an excellent breast surgeon — Dr. O'Hanrahan — in Sligo General Hospital. All our national experts, from Professor Niall O'Higgins down, as well as a large body of international evidence — I understand 250 medical journals are...

National Cancer Strategy. (21 Nov 2007)

Mary Harney: I did not choose the locations for the centres. They were selected by experts, including the Irish Cancer Society, Europa Donna and a patient advocacy group active in this area. On Deputy Finian McGrath's question, the changes will begin to take effect at an early date. I hope, in the first instance, that we secure buy-in from the clinical community. While this will not be forthcoming...

National Cancer Strategy. (21 Nov 2007)

Mary Harney: I agree.

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