Timmy Dooley (Fianna Fail)

I support the calls by Senators Brian Hayes and O'Toole for an intervention in respect of speech, language and occupational therapists. Senator Daly and I have raised this matter in the House previously in respect of the mid-west region and in particular, the inability of the local representatives of the Health Service Executive to employ therapists to deal with autism and other difficulties in the autism spectrum such as Asperger's syndrome. In addition to the difficulties identified by Senator Brian Hayes regarding post-graduate requirements, they also exist in respect of pay scales. The HSE is bound by pay scales, whereas third party contractors are not bound by the same regulations. Ultimately, the HSE buys the services from such third party contractors and pays a great deal more than would be the case were it to take such people into its own employment.

In conjunction with the points made by Senators Brian Hayes and O'Toole, Members must consider entry qualifications and could consider assistant posts. More importantly, pay scales must also be examined because at present, it is far more attractive for students who graduate from the very good courses run by the University of Limerick to enter private practice. Consequently they are not as interested in dealing with autism cases because of the complexities involved. Moreover, it is also more attractive for such students to travel for a year or two to places such as New Zealand and Australia.

Immediate intervention is needed. While it has been recognised that the Government has put money in place, unfortunately the bureaucracy within the HSE does not appear to appreciate children's urgent needs. Although a relatively good service is available for those aged zero to six, there is a major lack of facilities available to children aged between six and 18. Urgent action is required and I appeal to the Leader, as have the other Members, to try to bring about some level of clarity on the part of the HSE.