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Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: -----examples to show how the scheme will work. It is available on the website but I shall organise to have it forwarded to the Senator. Anybody under the present subvention scheme who wishes to remain in that scheme can do so. People who are in a public facility at present do not have to sign up to the fair deal.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: I believe I answered Senator Norris's question regarding the independence of the various assessments. They will be undertaken by health care professionals. There is a common summary assessment record. The schedule even sets out a set of rules governing financial assessment. In addition, the reviews must be carried out on the same basis as the original assessments. As I said, it is a very...

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Amendments Nos. 20 and 21 both propose a different approach to that currently provided for within the Bill with regard to the cap on the principal residence. Amendment No. 20 states that the percentage of the family home to be repaid to the State should not exceed 15%. However, the amendment does not specify the market value on which this percentage is based. It could be equally argued...

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Amendment No. 22 obliges the courts to have regard to the wishes of the person who is the subject of the application when appointing a care representative. The care representative has a limited function under section 21 which extends only to matters relating to ancillary State support and the creation of a charge. However, the Senator's proposal represents a further safeguard for the person...

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: To cease the payment.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Under the current subvention scheme, they must give notice within 48 hours. Giving them a three-day period actually provides a longer period.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: I thank the Senator. I will take that.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: It is in sections 40 and 41.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: I understand the intent of this amendment is to provide for situations where a person is in nursing home care but could return to their community if sufficient community based supports and services were in place. It stipulates that a review would be carried out every six months and no later than every 12 months to ascertain whether the person could move back to a community based setting. I...

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: I said the review will be carried out no later than every 12 months and will work. If a review is carried out and a person needs a higher dependency unit that will be provided.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Amendment No. 32 limits the power to charge people in acute beds who are no longer in need of acute care to situations where there is an appropriate facility or service that could treat the individual. The amendment is legally ambiguous as the interpretation of an appropriate facility or service could vary in the opinion of the HSE and the person or the person's family. For example, if a...

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Existing residents can stay as they are under the subvention, if they so wish. The Minister has given a commitment that no one will be made worse off. People already in public nursing homes can stay there in the same system they are currently. New admissions to public nursing homes will be different. Was that the question the Senator asked?

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Not within the fair deal scheme.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: The system will now be fairer across the board, in so far as nursing home costs will be made fairer and the inspection of nursing homes will take place by HIQA. The NTPF will bring fairer costs to nursing homes but there are no plans to increase the subvention.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: They have the option to remain in it and the Minister has given a commitment that no one will be made worse off. I cannot give the Senator any other commitment on subvention levels.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: This section has been inserted to provide existing residents with a choice. Residents may choose to remain as they are or to opt into the fair deal scheme.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: The intention is to make the system fairer for everybody.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: People can apply to switch to the fair deal at any time. The option is theirs, it is a choice.

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: It is in section 39(1)(b).

Seanad: Nursing Homes Support Scheme Bill 2008: Committee Stage (Resumed) (17 Jun 2009)

Áine Brady: Yes.

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