Seán Canney (Galway East, Independent)

I thank the Senator for raising this issue. It is something we all need to be aware exists. A lot of us do not know about it.

The boarding-out scheme offers an alternative care option for older people who are no longer able to live independently in their own homes and wish to remain in their communities where they may otherwise be accommodated in residential care. The boarding-out scheme currently operates across three former community health organisation areas, namely, CHO 1, CHO 2, and CHO 8. The HSE has reported that there are only eight service providers operating the scheme across the country, with approximately 39 people availing of this service.

The most recent review of the scheme was completed by the HSE in 2017, which concluded that there was merit to further review of the scheme and its utility and viability, in rural areas in particular. The HSE review also noted possible challenges to the expansion of the scheme, particularly the current funding model. The review also noted that consideration should be given to the impact on the welfare of residents that might arise from the lack of requirements in relation to specific training or qualifications needed to be able to deliver the scheme.

The Minister of State with responsibility for older people and housing has requested that officials in the Department of Health consider this model of care and the regulations for this scheme as well as the rate of pay.The Minister of State, Deputy O'Donnell, has also requested that they consider the implications of the rising costs for operations associated with running these types of accommodations. The Department is aware of the challenges being faced by operators currently providing boarding-out services and acknowledges the inflationary cost pressures associated with the service, particularly with regard to heating costs. Additionally, it is the Minister's view that consideration must be given to modernising the scheme. For some people with limited care needs, this scheme can represent a cost-effective alternative to residential care services, as the Senator said. A potential expansion of the scheme merits consideration and further exploration, particularly in rural communities.