Denis Naughten (Roscommon-South Leitrim, Fine Gael)
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Question 130: To ask the Minister for Health and Children the primary, community and continuing care here which are not in any circumstances paying enhanced nursing home subvention; and if she will make a statement on the matter. [14674/09]

Máire Hoctor (Tipperary North, Fianna Fail)
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As this is a service matter it has been referred to the Health Service Executive for direct reply.

Denis Naughten (Roscommon-South Leitrim, Fine Gael)
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Question 131: To ask the Minister for Health and Children if a review of nursing home subventions has taken place in view of the reduced value of capital assets; and if she will make a statement on the matter. [14675/09]

Máire Hoctor (Tipperary North, Fianna Fail)
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The Nursing Home Subvention Scheme is governed by the Health (Nursing Homes) (Amendment) Act 2007. The Health Service Executive (HSE) has also produced National Guidelines for the Standardised Implementation of the Nursing Home Subvention Scheme.

The legislation provides for an individual's means to be reviewed. In addition, the Guidelines state that an individual's means should be reviewed at least on an annual basis. This would take account of declines in the housing market as well as reduced levels of rental income. However, the Guidelines further state that reviews of means can be undertaken at any time, when the means of the client warrant a review.

Finally, the legislation also provides for certain decisions of the HSE, including the result of a review of an individual's means, to be appealed.