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Written Answers — Health Services: Health Services (30 Jun 2011)

James Reilly: The working group is made up of a multi-disciplinary team with representation from a number of Nursing and Allied Health Professionals, Podiatrists, GPs etc. The Diabetes Federation of Ireland is also a member of this working group. The National Diabetes Working group is working through a number of key objectives, including the implementation of projects such as Diabetes Retinopathy...

Written Answers — Health Insurance: Health Insurance (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 192 and 193 together. As Minister for Health, I have overall responsibility for policy in relation to health insurance. In particular I have responsibility for governance issues relating to the VHI, including such matters as Board appointments and the receipt of its annual report and accounts. While owned by the State, VHI is a not-for-profit company...

Written Answers — Hospitals Building Programme: Hospitals Building Programme (30 Jun 2011)

James Reilly: The Report of the independent review of the location of the National Children's Hospital, which I announced on 12 May 2011, is expected very soon. This Review will examine the cost issues involved and will consider the location from a clinical perspective in the light of the financial analysis. When the expert report is received I will carefully consider the next steps in building the...

Written Answers — Departmental Bodies: Departmental Bodies (30 Jun 2011)

James Reilly: The role and responsibilities of the Health Information and Quality Authority (HIQA) have increased in recent years and its financial allocation and staffing complement have increased in parallel. My Department is in regular contact with HIQA in relation to its resource requirements. HIQA is currently recruiting additional inspection and administrative staff. HIQA's staff complement...

Written Answers — Hospital Expenditure: Hospital Expenditure (30 Jun 2011)

James Reilly: According to the Performance Management Report for April, which is the latest set of figures available to me, the overall deficit in the hospital system is €99m. The overall deficit for the HSE is €184m. This poses a serious budget challenge to public hospitals and the wider health system. It is clear that if existing spending trends remain unchecked there would be a significant...

Written Answers — Hospital Staff: Hospital Staff (30 Jun 2011)

James Reilly: Currently there are approximately 4,490 junior hospital doctors available for duty in various public hospitals as against a target of 4,638 NCHD posts. Approximately 475 NCHD posts both in structured training schemes and in non-training settings will need to be filled on a rotational basis in July 2011. Given that a recruitment process is still ongoing and its outcome as yet unknown, it is...

Written Answers — Hospital Staff: Hospital Staff (30 Jun 2011)

James Reilly: The scope of the Question as posed by the Deputy is such that the information required to respond cannot be collated in the time available. However, if the Deputy wishes to identify particular grades of staff in relation to which he has concerns I will arrange to have the issue investigated as a matter of urgency.

Written Answers — Hospital Staff: Hospital Staff (30 Jun 2011)

James Reilly: There are no medical consultants undergoing training in their designated specialty in this jurisdiction. Consultants must already have completed their specialist training before being appointed to a designated specialty. Non-consultant hospital doctors are doctors in training who, on satisfactory completion of specialist training by one of the postgraduate training bodies approved by the...

Written Answers — Hospital Acquired Infections: Hospital Acquired Infections (30 Jun 2011)

James Reilly: Healthcare Associated Infections (HCAIs) continue to be a challenge for healthcare systems worldwide. Ireland is not unique in this regard and tackling HCAIs, including MRSA, continues to be a priority for the Government and for the Health Service Executive (HSE). A National Infection Control Action Plan, launched by the HSE in 2007, aims to reduce HCAIs by 20%, MRSA infection by 30% and...

Written Answers — Medical Training: Medical Training (30 Jun 2011)

James Reilly: In relation to doctors the Medical Practitioners Act 2007 assigns the following specific functions to the Health Service Executive (HSE): - promote the development of specialist medical education and training; co-ordinate such developments in co-operation with the Medical Council and the relevant training bodies; undertake appropriate workforce planning for the purpose of meeting...

Written Answers — Health Services: Health Services (30 Jun 2011)

James Reilly: As this is a service matter it has been referred to the Health Service Executive for direct reply. Meanwhile, I wish to advise the Deputy that there are currently 57.76 (w.t.e.) consultants in geriatric medicine employed in the public health service.

Written Answers — Hospital Staff: Hospital Staff (30 Jun 2011)

James Reilly: The HSE has not indicated to me any specific difficulties with regard to Naas General Hospital. However, I am very conscious of concerns in relation to some hospitals in advance of the next rotation of Non-Consultant Hospitals Doctors (NCHDs). The shortage of suitable NCHDs is an issue worldwide. The HSE has taken a range of actions to address NCHD vacancies to ensure that any resulting...

Hospital Services (30 Jun 2011)

James Reilly: People know my view on the National Treatment Purchase Fund. I must seriously contest the Deputy's contention that it provides value for money and works very well. The fund has delivered a certain level of relief to the system. However, we must consider the fact that €300 million was spent by the National Treatment Purchase Fund over three years. Last year it spent a total of €90...

Diabetes Services (30 Jun 2011)

James Reilly: The HSE's national clinical programme for diabetes, which includes the care of children and adolescents with diabetes, has estimated that there are between 3,000 and 4,000 children and young adults with diabetes in this country. It was established by the HSE in 2010 with the express aim of defining the way diabetic clinical services should be delivered, resourced and measured. One of the...

Diabetes Services (30 Jun 2011)

James Reilly: I thank the Deputy for raising this issue and I hear her concerns loud and clear. Many people have the same concern. In my response I indicated that in the next couple of weeks a meeting will be held between the clinical leads for diabetes and paediatrics to assess the current services across the country and, most importantly, to agree a standard model of care. Without going into too much...

HSE Rental Property (30 Jun 2011)

James Reilly: I presume that the premises referred to is located at Shamrock Plaza, Carlow. If so, then there appears to be considerable confusion with regard to the use of the premises and the services to be provided. The facilities at the nearby Sacred Heart District Hospital and St Dympna's Hospital are not suitable for the provision of primary care services. The new primary care centre for Carlow...

HSE Rental Property (30 Jun 2011)

James Reilly: I apologise because I do not have an answer to the Deputy's question. I hear his concerns, particularly with regard to accessibility to the site. I will not comment on the other contention at this time, but I will check out the duration of the contract. I will also ask for a report on accessibility to the site and its appropriateness and will check what other sites might be available in...

HSE Rental Property (30 Jun 2011)

James Reilly: Very briefly-----

HSE Rental Property (30 Jun 2011)

James Reilly: I will check.

Hospital Services (30 Jun 2011)

James Reilly: I propose to take Questions Nos. 7 and 26 together. As Minister for Health, I will not stand over unsafe practice in any setting nor will I allow patients lives to be put at risk. However, it is not my policy to close small hospitals or to diminish them in any way. My priority is to ensure safe, high-quality care for patients, provided in the most appropriate location. The circumstances in...

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