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Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: There is no qualitative data.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: How the system is operating is very unsatisfactory. The witnesses referred to the HSE interim model of care, which has been in place since September 2021. One would hope that a great deal has been learned about long Covid since then. Why is the HSE still operating an interim model? Is work on developing a permanent model under way?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: I am sorry, but I am asking about a permanent model. Is work on one under way?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: When?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: Regarding funding, there was a sentence in the opening statement that I did not quite follow. Dr. Ní Bhriain stated: "Initial funding of €2.2 million was agreed for the first year of implementation ... with an overall cost of €6.6 million per annum." Is that an estimate or is the HSE getting €6.6 million?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: This year, there is funding of €6.6 million.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: It is difficult to reconcile that with the fact that there are approximately 32 hours of clinic time being provided in total. Why are the hours so limited when there is what would seem to be fairly reasonable funding of €6.6 million?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: I am sorry, but will Dr. Ní Bhriain explain to us where that funding is going?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: The clinics are open for two and a half to four hours per week. That is limited. For funding of this level, I would have thought there would be more patient-facing time.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: Will the witnesses provide a breakdown of how the €6.6 million is spent, please?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: I do not mean now, but could they provide us with a note on the breakdown?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: I would expect that data to be provided to us, which has not happened.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: It would be interesting if we could get that information. It has not been provided yet. The plan was for eight post-acute clinics and six long Covid clinics. A number of the clinics are a combination, but I believe the total comes to just 12. We have not reached 14 yet. Is that right?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: Has the programme applied for those resources?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: But the programme has the funding.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: "FADA" stands for "Follow-up After Disease Acquisition". Does that mean the HSE recognises long Covid as a disease?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: To some extent, we discussed the criteria for categorising something as a disease, but I take it that the HSE recognises it as a disease, given that the word is in the name of the programme.

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: The final question is on children with long Covid. What service provision is made in that regard?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: Is that for adolescents as opposed to all children?

Joint Oireachtas Committee on Health: Delivery of Health Services for Patients with Long Covid: Discussion (17 Apr 2024)

Róisín Shortall: But no service for children below 13 years of age.

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