Richard Bruton (Dublin North Central, Fine Gael)
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Question 212: To ask the Tánaiste and Minister for Health and Children the reason chiropody is excluded from medical card cover; the cost of extending the medical card to cover this service; and if she will introduce a plan to extend such cover. [21794/06]

Mary Harney (Dublin Mid West, Progressive Democrats)
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There is no statutory obligation on the Health Service Executive (HSE) to provide chiropody services to GMS patients; however in practice arrangements are made to provide these services. Before the establishment of the HSE the nature of the arrangements for chiropody and the level of service provided was a matter for individual health boards and so a degree of variation in practice developed over time. Priority is usually given to certain groups of people, including people who are medical card holders aged 65 years and over. In several regions the service is provided by private chiropodists by arrangement with the HSE. My Department requested the HSE to review the fee arrangements in place for the provision of chiropody services and this process is well underway.

My Department is currently preparing legislation to clarify and update existing legislation on eligibility for health and personal social services. The Bill will define specific health and personal services more clearly; define who should be eligible for what services; set out clear criteria for eligibility; establish when and in what circumstances charges may be made and provide for an appeals framework.