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Written Answers — Department of Health: Health Services Provision (31 Mar 2021)

Colm Burke: 888. To ask the Minister for Health the current position in respect of the five-year delay for orthodontic treatment in Cork city and county; if some of the work will be transferred out to private practitioners in order to reduce waiting times for this treatment; and if he will make a statement on the matter. [16430/21]

Written Answers — Department of Health: Health Services Provision (31 Mar 2021)

Colm Burke: 889. To ask the Minister for Health the reason there is a different approach in the Cork region compared to the Kerry region in respect of orthodontic treatment (details supplied); and if he will make a statement on the matter. [16431/21]

Written Answers — Department of Health: Health Services Provision (31 Mar 2021)

Colm Burke: 890. To ask the Minister for Health if persons waiting for over two years for orthodontic treatment as is the case in Cork city and county can apply for this treatment under the Treatment Purchase Fund; and if he will make a statement on the matter. [16432/21]

Written Answers — Department of Agriculture, Food and the Marine: Felling Licences (31 Mar 2021)

Colm Burke: 1261. To ask the Minister for Agriculture, Food and the Marine the number of tree felling licence applications for County Cork which were pending as of 1 September 2020; the number that have been granted since that date; the number in which an objection has been lodged and in which his Department has not granted the aforementioned licences; and if he will make a statement on the matter. [16706/21]

Written Answers — Department of Agriculture, Food and the Marine: Felling Licences (31 Mar 2021)

Colm Burke: 1262. To ask the Minister for Agriculture, Food and the Marine the number of tree felling licence in County Cork in each of the years 2017 to 2020, the number that were granted in each year; the number of applications which are still awaiting a decision by his Department; and if he will make a statement on the matter. [16707/21]

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: I thank Mr. McMahon for his presentation. I would like some clarification. When Mr. McMahon says that the Department is using test cases and a decision is made on a test case, how many people could that test case affect? If it is a substantial number, is it available to that group for one person to go forward to the court, for instance? On test cases, there was recently a case in the High...

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: Would Mr. McMahon not accept what I am saying? If there is a group of 100 people, I accept fully what Mr. McMahon is saying that they cannot take a class action, but there is nothing preventing all 100 from filing a High Court writ. It is not the way I would like to go if there was a better appeals process, which obviously needs to be done by way of legislation. There is nothing preventing...

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: I fully accept that one cannot take a class action. I gave the example of the leaving certificate grading system where quite a number of people issued High Court writs but only one case went forward. In the scenario that Mr. McMahon is talking about, there is nothing preventing a group from issuing individual High Court appeals itself and for one person to then go forward to court with the...

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: I have been involved where that has arisen. In one case, more than €400 million had to be refunded to people. There was a large group of people involved in that. It works.

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: What appeals process does Mr. McMahon suggest should be put in place to deal with this issue?

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: Would Mr. McMahon support legislation to that effect?

Public Accounts Committee: Bogus Self-Employment: Discussion (30 Mar 2021)

Colm Burke: Would Mr. McMahon accept that the process for an appeal to the Circuit Court was set up by way of legislation?

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: I thank the witnesses for their presentations and for dealing with the questions raised. I want to deal with an aspect I am concerned about, which is orthodontic treatment for people aged under 18 in Cork. We have a four to five year waiting list. In fact, the most recent letter I received from the HSE was to the effect that the people being treated at present have been on the list since...

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: I do not understand why there is a different set of rules in one county compared with another county. Will Dr. Green provide a written response in this regard? I have put down questions to the Minister on the matter and am awaiting a reply. I would like a detailed response, with particular reference to why somebody in Cork who is on the list since 2016 is only now getting treated.

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: How it is proposed to deal with the waiting list of five years in Cork? We do not have enough orthodontists employed in the public service to deal with it but there are people working in the private sector who could provide the service. What do the Department and the HSE propose to do with this list? Is it a case of waiting until it gets to six, seven or eight years? When will action be...

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: Can Dr. Green give a timescale for getting the waiting list down? If people do not take up the offer of the HSE work, how do the Department and the HSE propose then to deal with it?

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: Mr. Ryan referred in his presentation to an allocation of €3.269 billion in budget 2021 for the PCRS. What is the breakdown of that sum in terms of the amount going to pharmaceuticals and hospitals?

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: I understand that a large quantity of orphan drugs are being brought in and there is a special fund for that purpose. Overall, however, the cost being incurred by hospitals for medication is significant. What kind of progress is being made in achieving cost efficiency in that area?

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: Can we have a breakdown of those savings figures?

Joint Oireachtas Committee on Health: Operation of the Medical Card Scheme: Discussion (30 Mar 2021)

Colm Burke: Will Mr. Ryan also provide a breakdown of the allocation of €3.269 billion to which he referred?

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