Seanad debates

Wednesday, 14 February 2018

Commencement Matters

Mobility Allowance

10:30 am

Photo of John DolanJohn Dolan (Independent)
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I thank the Minister of State, Deputy Jim Daly, for coming before the House on this matter. This scheme was abandoned or abolished by a decision of the Government in February 2013. I am concerned it has taken so long to address it. I will focus on three areas. In recent weeks, there was a letter from the Minister of State, Deputy Finian McGrath's, private secretary following a presentation that he made to the Joint Committee on Public Petitions last October.

The point was made there that it is not possible to provide an estimate of how many persons would currently be eligible for the payment of the mobility allowance if the scheme had not closed. I find that amazing because I asked the Oireachtas Library and Research Service which contacted the HSE and I have come up with my own estimate. An estimate can be challenged but when one looks at the drop in the number of people in the scheme since it was closed and looks back at the pattern prior to that, I estimate probably up to 900 people have lost out over the past five years since the scheme was closed to new entrants. The Minister of State has been very strong about telling us that none of the people on the scheme has lost out and that they still have it but the people who would ordinarily have been coming onto the scheme, where others died or moved onto other things, have not been catered for. It is not acceptable by any means and the Department has not put enough effort into it.

At that committee meeting I asked when the Department had been first contacted by the Ombudsman. Deputy McGrath told that meeting in October that it had been in 2011 but a report undertaken by the Ombudsman includes several appendices. One, appendix 3 on page 31, is a letter from the chief investigator in the Office of the Ombudsman on 3 February 2009. There was a response to it three months later from the director of the disability and mental health division in the Department. Later that year, both the director general of the Office of the Ombudsman and, finally in November of that year, the Secretary General of Health became involved. Something is going wrong if a Minister of State at a committee does not know the basics of when the Department was communicated with in writing. On that occasion, I also asked why, in 2013, the Department did not put that scheme on a statutory footing. The response I received on 24 January 2018 was that it was not possible to place the then mobility allowance scheme on a statutory basis given the finding that the schemes were in breach of the Equal Status Act. If one reads the Equal Status Act 2000, on page 20, section 14 outlines certain measures and activities that are not prohibited. It simply states: "Nothing in this Act shall be construed as prohibiting (a) the taking of any action that is required by or under" and goes on to outline these, of which the first subsection is "(i) any enactment or order of a court."In 12 days time, it will be five years to the day since the Government abolished this scheme on equality grounds. A simple procedure could and should have been put in place to copper-fasten it as a statutory scheme pending the advice of the Ombudsman, which was to make sure that people over 65 were included - thankfully, people are living a lot longer now. That was not done. At the committee in October, Deputy Brendan Ryan asked the Minister whether there was any funding in this year's budget and he said there was not. We still do not have the legislation and I have no sense or hope that this legislation will actually go through this year. We will then be into the seventh year without dealing with something that was regarded as urgent while ordinary people around the country are losing out.

Photo of Jim DalyJim Daly (Cork South West, Fine Gael)
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I am happy to provide an update to the House on progress on the health (transport support) Bill since the closure of the mobility allowance and motorised transport grant schemes in 2013. In February 2013 the Government decided to close both the mobility allowance and the motorised transport grant schemes following reports of the Ombudsman in 2011 and 2012 regarding their legal status in the context of the Equal Status Acts. Since the closure of the mobility allowance scheme, the Government has directed that the Health Service Executive should continue to pay an equivalent monthly payment to the now 4,133 individuals, then 4,700, pending the establishment of a new transport support scheme.

A review group on transport supports for people with disabilities, which was chaired independently, was established in 2013. Membership of the review group comprised representatives of Government Departments, the National Disability Authority and stakeholder organisations, including the Irish Wheelchair Association, the Disability Federation of Ireland and the Centre for Independent Living, among others. Informed by the work of that group, the Government decided in May 2013 that new statutory provisions would be established to provide individual payments to people with severe disabilities who require additional income to address the cost of their mobility needs.

The Government also decided at that time that the details of the new statutory provisions should be worked out by an interdepartmental group to be chaired by the Department of the Taoiseach. The interdepartmental group comprised representatives of Departments and the National Disability Authority. On foot of the work of the interdepartmental group, the Government decided in November 2013 that the detailed preparatory work required for the scheme and associated legislation would be progressed by the Minister for Health in consultation with other relevant Ministers on a priority basis.

In line with the Government decision, the Department of Health has been working to develop legislative proposals for a new transport support scheme. The Senator will be aware that A Programme for a Partnership Government acknowledges the ongoing drafting of primary legislation for a new transport support scheme to assist those with a disability to meet their mobility costs. A general scheme and heads of Bill was completed in draft form and has been subject to detailed legal examination, given the complex legal issues which arose in the operation of previous arrangements. In December 2016, this draft general scheme and heads of Bill was circulated to other Departments and was the subject of consultation between officials in the Department of Health and the Department of Public Expenditure and Reform.

The House will appreciate that it has been necessary to estimate both the numbers likely to qualify for payment and the likely overall cost of the proposals. I can confirm that work on the policy proposals for a new scheme is at an advanced stage. The legislative proposals for the scheme seek to ensure the following: there is a firm statutory basis to the scheme’s operation; there is transparency and equity in the eligibility criteria attaching to the scheme; resources are targeted at those with the greatest needs; and the scheme is capable of being costed and is affordable on its introduction and on an ongoing basis. It is hoped to bring a revised general scheme and heads of Bill to Government shortly in seeking Government approval for the drafting of a Bill for the new transport support payment. The health (transport support) Bill is on the list of priority legislation for publication in the spring-summer session of 2018.

In the meantime, the Department of Health has maintained contact with the Ombudsman in regard to this matter and Department officials have recently met with officials from the Office of the Ombudsman. The Department has also had ongoing contact with the National Disability Authority on the issue.

Photo of John DolanJohn Dolan (Independent)
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Go raibh maith agat. We have heard about the work that went on throughout 2013, culminating in the interdepartmental group that was chaired by the Department of the Taoiseach coming to its conclusion in November of that year and the recommendations to the Department of Health. We move down a few lines in the Minister of State's statement and, next thing, we are in December 2016. He then goes on to state, "The House will appreciate that it has been necessary to estimate both the numbers likely to qualify for payment...". That is interesting, given it is part of the engagement between the Department of Health and the Department of Public Expenditure and Reform, and I am sure there would be tensions there. However, the reply from the Minister of State states they could not estimate how many people have lost out on the current scheme, when there are 35 to 40 years of trends available and they know the number is going down each year. I find it puzzling that the Department could not or would not tell us that real people have been losing out year by year on the current scheme. We are being told the Department of Health will provide comfort to the Department of Public Expenditure and Reform about the number of people who are likely to benefit from a scheme we have never seen and that has never been piloted.

This scheme was brought in back in 1979. At the time, we had never heard the language of "personalised budget", "money follows the person" and all of those things, but that is precisely what it was - a simply administered scheme that people had to apply for and which was means tested. Someone got money into their pocket and they could use a variety of different methodologies to make it work for them. It is absolutely crazy and ironic that a Government - this was done by the previous Administration and we have had another one for almost the last two years - would abolish a scheme that was about what we are now told is the new policy. That is exactly what this was doing for over three decades. There was a very simple device at the time, namely, to put a clause or section into some other piece of health legislation and copper-fasten that until the changes were made.

Photo of Jim DalyJim Daly (Cork South West, Fine Gael)
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I fully acknowledge there has been a protracted period since the problems with the mobility scheme were first highlighted. However, there has been an unusual degree of complexity attaching to the issues. When the draft general scheme is submitted to Government, it will be a matter for Government to determine the precise policy which should underpin the general scheme. The Members of the House will appreciate that we cannot pre-empt the outcome of the Government's considerations. Again, I appreciate the opportunity to update the House and to reaffirm the commitment of the Minister of State with responsibility for disabilities to the introduction of a new Bill as a priority. I want to again confirm that it is on the list of priority legislation for the spring-summer of 2018.