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Joint Oireachtas Committee on Health: General Scheme of the Health (Miscellaneous Provisions) Bill 2023: Discussion (8 Nov 2023)

Neasa Hourigan: As a legislator, when there is no punitive or follow-up power, one questions then the efficacy of the legislation. Is it something that the Department is exploring that there would be some follow-up? Pharma is a very profitable industry and I can only imagine that even fines would not be particularly useful.

Joint Oireachtas Committee on Health: General Scheme of the Health (Miscellaneous Provisions) Bill 2023: Discussion (8 Nov 2023)

Neasa Hourigan: Are there any examples within the EU that we can look to?

Joint Oireachtas Committee on Health: General Scheme of the Health (Miscellaneous Provisions) Bill 2023: Discussion (8 Nov 2023)

Neasa Hourigan: I thank Ms Seymour.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: As I have many questions, I ask the Chair to stop me if I keep going for too long. I have a number of areas to cover, but I want to start with the issue we have just been discussing. It strikes me that when we talk about mental health in this sector, we use a kind of shorthand. We are trying to deliver services to people who are dealing with something that has happened in their home...

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: I am not a medical professional, but as I understand it, Ms Marchelewska is saying that if someone who is already struggling experiences a difficulty finding a home or becomes sick, it can magnify those existing problems.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: It is a lack of trust in the State's ability to deal with them one-on-one.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: That brings me beautifully to my next question on how Departments talk to each other. All of the witnesses, in various guises, are in the business not only of providing services but also providing access to services for people who might not know how to access them. In my job, people may come in with a housing issue but may also have medical problems. Those two things do not always talk to...

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: But Dr. Mbugua feels that model works.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: Structurally, we need to realign to make it less painful.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: It is a really Irish thing to rely on networks that you know. I do that. However, structurally, anybody should be able to take your place.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: Let me ask a question from a cold, hard legislator's point of view. Ms Coyle talked about data, access to data and ethnic identifiers, which matters have come up at meetings of the health committee several times. In fairness, they have arisen at meetings of several committees I used to sit on. I am referring to the deficit in data collection. To someone like me, who would go to a...

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: I imagine a lot of the people in the situations we are talking about are wary of authority and giving extra information.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: The example Ms Windle has given there is terrible. This is something I have come across with constituents as well. In her experience, what is the average waiting time for a PPS number now? In the good old days it was three weeks and in the bad days it was months. Where are we now?

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: Wow. That is very difficult.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: We were given assurances recently that it would be faster.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: Nobody had told her.

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: I have one last question, I promise. Does the privatised nature of the provision model present barriers for any of the Doras's services? It is not directly provided by the State, there is a private factor involved and there is a private managing of sites; there is a private piece to it. It is a fairly open-ended question. Perhaps there are positives to it but does it present challenges as...

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: This is something we have gone through with the Dublin Regional Homeless Executive, DRHE, in Dublin a lot with the homelessness services. It is the basic minimum to ask and they did not do so either. If I wanted to volunteer – which I actually had to do – to teach an art class to older people in my community, I have to be Garda vetted. Ms Windle is telling me that-----

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: Not to underestimate the importance of the training on the extra things, but Garda vetting is a basic minimum-----

Committee on Mental Health: Mental Health Care for Migrants and Ethnic Minorities: Discussion (7 Nov 2023)

Neasa Hourigan: -----that somebody involved in a local football club has to do.

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