Written answers

Tuesday, 12 December 2006

Department of Health and Children

Services for People with Disabilities

11:00 am

Photo of Paul KehoePaul Kehoe (Wexford, Fine Gael)
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Question 308: To ask the Minister for Health and Children if her attention has been drawn to the fact that patients living in centres for people with an intellectual disability are charged for personal items of clothing and for social outings; if she has satisfied herself that such patients are being charged; and the costs of administering such a scheme. [42885/06]

Tim O'Malley (Limerick East, Progressive Democrats)
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The charging for long stay care under the Health (Amendment) Act, 2005 is being implemented by way of the Health (Charges for In-Patient Services) Regulations 2005. These Regulations were signed on 14 June 2005 and reinstated charges for in-patient services and provided for the levying of a charge in respect of the maintenance of persons in receipt of in-patient services. The Regulations were prepared following extensive consultation with the HSE and others.

Section 53 of the Health Act, 1970, as amended by the Health (Amendment) Act, 2005 provides, inter alia, for the levying of a charge where in-patient services have been provided for a period of not less than 30 days or for periods aggregating not less than 30 days within the previous 12 months.

The Regulations, in keeping with Section 53 of the Health Act, 1970, as amended, have provided for two different classes of persons on whom charges can be levied.

Class 1 refers to people in receipt of in-patient services on premises where nursing care is provided on a 24 hour basis on those premises. In this case, a weekly charge can be levied of €120 or the weekly income of that person less €35 or 80% of the weekly income of that person, whichever is the least.

Class 2 refers to people in receipt of in-patient services on premises where nursing care is not provided on a 24 hour basis on those premises. In this situation, a weekly charge can be levied of €90, or the weekly income of that person less €55 or 60% of the weekly income of that person, whichever is the least.

In this regard, charging of patients in long-term care commenced on 14 July 2005, which was after the expiration of 30 days after the Regulations were signed.

These regulations provide for the maximum charge to be levied on either class of person. The actual charge will vary from person to person depending on individual circumstances and under the legislation the Health Service Executive can waive or reduce the charges to avoid undue financial hardship.

The Deputy's question also relates to the management and delivery of health and personal social services, which are the responsibility of the Health Service Executive under the Health Act 2004. Accordingly, my Department has requested the Parliamentary Affairs Division of the Executive to arrange to have this matter investigated and to have a reply issued directly to the Deputy.

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