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Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 338. To ask the Minister for Health what action his Department is taking to address home support waiting lists in CHO 4; and if he will make a statement on the matter. [6000/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 339. To ask the Minister for Health what action his Department is taking to recruit more home care workers in CHO 4; and if he will make a statement on the matter. [6001/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 340. To ask the Minister for Health the total number of people in CHO4 currently waiting for home support; the current average length of time between approval of home support and commencement of home support; and if he will make a statement on the matter. [6002/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 341. To ask the Minister for Health what percentage of home support assessments in CHO4 were carried out using interRAI assessment in 2023; what progress has been made to date on rolling out the interRAI assessment tool in CHO4; and if he will make a statement on the matter. [6003/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 342. To ask the Minister for Health how clients on waiting lists are prioritised for home support in CHO4; and how the waiting list is managed locally in CHO4; and if he will make a statement on the matter. [6004/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 343. To ask the Minister for Health the total number of consumer directed home support (CDHS) home care packages currently being delivered in CHO4; if clients on home support waiting lists are being informed about CDHS; and if he will make a statement on the matter. [6005/24]

Written Answers — Department of Health: Home Care Packages (8 Feb 2024)

Colm Burke: 344. To ask the Minister for Health if consideration would be given to increase the number of hours delivered by private and non-profit home care providers in CHO4 in order to alleviate the home support waiting list; and if he will make a statement on the matter. [6006/24]

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: I thank the witnesses for their presentations this morning and for all the work they are doing in this area, which is challenging. We talk about family carers and the need for them to receive support. One of the problems that has arisen, in particular as it has got more difficult since Covid, is with them getting a break, in other words, two weeks of respite care. What information are the...

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: I am aware there is a challenge. Are there particular areas in the country where there is a greater challenge?

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: Does Ms Whelan accept that it is an important part of-----

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: What changes would the witnesses make for the people who are providing home care? For instance, I have an issue at the moment where a lady is spending four to five hours every day with her elderly mother and her carer's allowance, even though it was only €130 a week, has been withdrawn. I do not understand why it has been withdrawn. We are dealing with an appeal at the moment. I...

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: Staffing is an issue in home care. How would Mr. Dunne challenge that? In the south-south west area, 1,800 people providing home care were employed by the HSE. After Covid was over, it dropped by 400 and the HSE has had a challenge in trying to replace that 400. What do we need to do to make it attractive to get people into providing home care?

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: Which areas could be improved?

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: If you were to compare someone in a nursing home at the moment costing on average - and I am taking the very average across the country - about €1,100 per bed, per week with home care, you are talking about nowhere near that figure. You are probably talking about €250 or maybe €300 per week, even when there is someone doing three hours a day for a week.

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: We are having a greater demand in the sense that if you look at the changing age profile of the population-----

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: -----it is a challenge that we now have to start planning for. We should have started earlier.

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: That is fine. To go back to the issue of Covid, one of the issues I am finding at present is that quite a lot of people living on their own, who stopped contact with many people during the pandemic, seem to have still maintained that routine. It is one of the things I am a little frightened about, especially for those people who do not have any immediate family. Many of them are in their...

Joint Oireachtas Committee on Health: Health Needs of Persons with Dementia and the Services Available: Discussion (7 Feb 2024)

Colm Burke: There are still some people who were not necessarily going to the centres before and now it may be the only opportunity for them to get out there, but they may still be reluctant to leave the routine they got into during Covid.

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