Phil Prendergast (Labour)

I have similar questions. Who will arbitrate on the individuals who wish to make a case if they are included or excluded and if the charge does not apply to them? Who will decide on this? Will it be such a person's medical doctor, a community welfare officer or a doctor at the Department's expense? How does the current system of payment operate and how will it incorporate the new charges in a seamless way without additional charges or staff costs? When the HSE tried to apply the PPARS system, it could not accommodate all the various grades, types and rates of payment for people. What sort of refinement of the system will allow this to be imposed seamlessly and to accommodate increases in future? How will that operate?