Written answers

Thursday, 21 July 2011

Department of Health

Consultancy Contracts

7:00 pm

Photo of Joe McHughJoe McHugh (Donegal North East, Fine Gael)
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Question 706: To ask the Minister for Health if he will provide a report of the number consultancy reports commissioned by his Department between 1997 and January 2011; the cost of commissioning each report; if he will provide information on the implementation of recommendations set out in each report; and if he will make a statement on the matter. [22601/11]

Photo of James ReillyJames Reilly (Dublin North, Fine Gael)
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1During the period specified by the Deputy a total of 266 reports have been commissioned by my Department. This spans a thirteen year period of widespread reform, huge technological advances, service expansion and fundamental change in our health system. The names and cost of these reports are set out in the tables below. The Deputy will appreciate that it would not be possible, given the large number of reports in question, to list all of the recommendations arising from these reports which are or have been implemented.

Health is an extremely complex environment involving a broad spectrum of primary and acute care services for the entire population, ranging from services for children and families, services for older people, mental health services and disability services. The nature, cost and burgeoning demand for services require that a strong emphasis be placed on the evidence base for policy and resource usage.

Many of the reports can be traced back to the development of services for cancer, cardiovascular health, health promotion and the subsequent evaluation of these strategies. A number of the reports deal with complex and ethical issues, for example, the Commission on Assisted Human Reproduction and the Green Paper on Abortion.

A strong feature of a number of the reports related to engagement in widespread public consultation. National and international expert advice are critical and vital components in the development of health strategy.

Reports have also been commissioned in the area of standards in health care. It is often argued that we don't give sufficient attention and prominence to the development and articulation of standards or best practice in the area of health and personal social services. Medical error is a feature of medical systems world-wide and Ireland is no exception. The reports of Independent Inquiries form an important part of the body of knowledge which reflects a responsive and accountable health system. Examples of these include the Tribunal of Inquiry into the Infection with HIV and Hepatitis C of Persons with Haemophilia and Related Matters and the Fitzgerald and Doherty reports into cancer misdiagnosis. Such Inquiries serve the public interest and ensure that we take appropriate corrective action to learn from experience and address the systems failures.

The commissioning of external reports is very much part of a modern and effective administrative system and helps to inform the development of policy, regulation and legislation for the health sector as well as serving the public interest. There is, and will continue to be, a need for objective, independent and expert review and evaluation of health services and health outcomes into the future.

Reports Commissioned in 1997

Name of ReportCost
Adding Years to Life and Life to Years: a health promotion strategy for older people€10,000
European Home and Leisure Accident Surveillance SystemNil
Long Stay Activity Statistics 1996Nil
Report on the setting up of a national bone and related tissue service€2,663

Reports Commissioned in 1998

Name of ReportCost
European Home and Leisure Accident Surveillance SystemNil
Epidemiological Trends in the Transmission of HIV 1992-1998€3,809
Long Stay Activity Statistics 1996Nil
Record Management Strategy€36,346
Report of the Forum on Medical ManpowerNil
Report of the Commission on Nursing: a Blueprint for the Future€737,186
Review of the Health Amendment Act, 1991€62,052
Workplace Health Promotion: Healthy Bodies, Healthy Work€13,000

Reports Commissioned in 1999

Name of ReportCost
A review of Oral Health Promotion/Education activity in the Republic of Ireland€21,607
An Evaluation of the Delivery and Monitoring of Water Fluoridation in Ireland€53,963
Annual Report of the Inspector of Mental Hospitals for 1999€10,000
Building Healthier Hearts€10,100
Consumer survey relating to qualitative information on the important influences on demand for Health Insurance€12,633
Drafting of a National Traveller Health Strategy€17,755
Evaluation of Fissure Sealing and the Targeted Approach€63,482
Evaluation of Oral Health Research in Ireland€51,424
Fluoride Intake in Infants€113,922
Fluorosis in 5 year olds€66,878
Green Paper on Abortion€102,258
Health Statistics Report 1999€21,048
National Health & Lifestyle Surveys National and Regional ReportsPhase 1€371,000
Long-Stay Activity Statistics 1998Nil
Oral and Dental Specialisation in Ireland€47,320
Oral Health Studies of Adults and Children€700,267
Probity arrangements within the Dental Services Treatment Scheme€151,987
Report of National Joint Steering Group on the working hours of non-consultant hospital doctors€158,717
Report of the National Advisory Committee on Palliative CareNil
Report of the Tribunal of Inquiry into the infection with HIV and Hepatitis C of Persons with Haemophilia and Related Matters€47,057,000
Response to Professor Connett's '50 Reasons to Oppose Fluoride'€31,058
Review of the Nursing Home Subvention Scheme€13,820
Study into charges for private dental treatment€6,348
Towards a Standardised Framework for Intercountry Adoption Assessment Procedures€52,614
Treatment Utilisation in the Dental Treatment Services Scheme€205,623
Use of Fluorides in the promotion of Oral Health in Ireland€111,370
Youth as a Resource: Promoting the Health of Young People at Risk€9,000

Reports Commissioned in 2000

Name of ReportCost
Final Report of the Empowerment of Nurses and Midwives Steering Group: An Agenda for Change€23,320
Acute Hospital Bed Capacity: A National Review€141,191
Ambulance Service Communication Study€26,060
Analysis of Child Care Interim Minimum Dataset 1998€8,304
Analysis of Child Care Interim Minimum Dataset 1999€4,736
Annual Report of the Inspector of Mental Hospitals for 2000€10,000
Critique of earlier Health Strategy 'Shaping a Healthier Future'€21,469
Feasibility Study relating to implementation of Case-Mix based Risk Equalisation€174,456
Report of the Forum on Fluoridation Ireland€336,000
Long-Stay Activity Statistics 1999Nil
Nursing Education Forum - A Strategy for a Pre-Registration Nursing Education Degree Programme€23,221
Report of the Paediatric Nurse Education Review Group€2,122
Report of the Working Group on National Anti-Poverty Strategy and Health€190,000
Report on the Current and Future Supply and Demand Conditions in the Labour Market for Certain Professional Therapies€38,092
Review of the Organisation and Management of "An Bord Uchtála" (The Adoption Board)€20,895
Review of the organisational structures of the ERHA€7,781
Report of The Commission on Assisted Human Reproduction€633,809
The Development of Radiation Oncology Services in Ireland – Consumer survey of radiotherapy services in Ireland€21,707
The Nursing and Midwifery Resource – Interim Report of the Steering Group€17,775
Value for Money Audit of the Irish Health System€616,000

Reports Commissioned in 2001

Name of ReportCost
Annual Report of the Inspector of Mental Hospitals for 2001€11,951
Effective Utilisation of Professional Skills for Nurses and Midwives€7,524
Evaluation of the North Eastern Health Board's Out of Hours Co-operative€31,743
Evaluation of the Pilot Programme for the Education of Health Care Assistants€76,000
Final Report on Options for System Development and Implementation€62,737
Report on the steps open to the State to instigate an effective inquiry into the role of the international pharmaceutical companies into the infection with HIV and Hepatitis C of persons with haemophilia€103,000
Heart Health Task Force Progress Report July 1999 – June 2001€35,500
Impact of Alcohol Advertising on Teenagers in Ireland€45,000
Market research for the Department on the public's attitude to health matters€99,040
National Blood Strategy Implementation Group Report€55,000
National Evaluation of the Role of the Clinical Placement Co-ordinator€25,359
National Standards for Children's Residential Centres€4,000
Pharmacy Review Group Report€36,423
Policy Paper 1 - "The Invisible Student" Young Parents in Education - Policy Paper 2 - "I Hadn't a Penny"€37,457
Provision of Medical Indemnity Report: Provision of Clinical Indemnity Scheme Helpline service on behalf of State Claims Agency.€979,012
Report of the Review Group on Health Service Care StaffNil
Report of the Working Group on Foster Care€63,726
Report on the Regulation of Practitioners of Complementary and Alternative Medicine in Ireland€18,982
Report on the Strategic Options for the Voluntary Health Insurance Board€553,493
Report to the Minister for Health and Children: Independent Examination related to the Medical Council and the South Eastern Health Board€7,770
Review of Dáil na nÓg 2001 – Professional Solutions€8,433
Review of potential liabilities of Portiuncula Hospital€1,921

Reports Commissioned in 2002

Name of ReportCost
A feasibility study on the costs and benefits associated with the introduction of a dedicated Helicopter Emergency Medical Service (HEMS)€64,230
Analysis of Child Care Interim Minimum Dataset 2000€4,868
Analysis of Question 1 of Public Consultation to the National Health Strategy "Quality and Fairness: A Health System for You" (2001)€21,600
Annual Report of the Inspector of Mental Hospitals for 2002€14,341
The Commission on Financial Management and Control Systems in the Health ServiceNil
National Task Force on Medical Staffing€ 741,050
Audit of Structures and Functions in the Health System€533,131
Childline Review – Children's Research Centre€45,000
Dental Epidemiology€727,367
EHLASS Report 2001 – European Home and Leisure Accident Surveillance SystemNil
Evaluation of Pharmacy Regulations€65,400
Inquiry into the Handling of Allegations of Child Sexual Abuse relating to the Diocese of Ferns€2,028,498
Long-Stay Activity Statistics 2001Nil
National Children's Advisory Council – Facilitation for Young People and Report on Young People's Participation on the Council€14,483
National Children's Advisory Council – Report of the Voice of the Child – National Youth Council of Ireland€3,200
National Children's Advisory Council – Report on the Implementation of Children First and Vetting€9,809
Paediatric Palliative Care Needs Assessment – 'A Needs Assessment for Children'€71,944
Position Paper on Feasibility of Introducing a Cost of Disability PaymentNil
Report of Mr Kevin Bonner on Monaghan General Hospital€43,584
Report of the Independent Review Panel to the Minister for Health and Children concerning the birth of Baby Bronagh Livingstone on 11 December 2002€7,841
Report on Social Work Workload Management€30,000
Review of funding of sheltered workshops€106,480
Review of Governance and Accountability in the General Medical Services Scheme€130,584
Review of Proposed Pharmacy Models€83,901
The Evaluation of 'Cancer Services in Ireland' A National Strategy 1996€106,398
Report of The National Implementation Committee on Pre-Registration Nursing Degree Education€317,000
The Nursing and Midwifery Resource – Final Report of the Steering Group – Towards Workforce Planning€59,166
The Nursing and Midwifery Resource – National Study of Turnover in Nursing and Midwifery - Dept of Nursing Studies€70,000

Reports Commissioned in 2003

Name of ReportCost
Promoting the Well-Being of Families and Children: A Study of Family Support Services in the Health Sector in Ireland€207,869
A Census of Family Support in Ireland: Results of a Census of Family Support Services which were funded by Health Boards in 2002€10,029
A Guide to the Children Act, 2001€5,000
Adoption Legislation Consultation€26,661
Annual Report of the Inspector of Mental Hospitals for 2003€17,869
Children's Understanding of Well - Being€16,625
Development of a Research Strategy for Nursing and Midwifery Research€7,441
EHLASS Report 2002 – European Home and Leisure Accident Surveillance SystemNil
Evaluation of the South Eastern Health Board's Out of Hours co-operative€61,743
Family Support in Ireland - Definition and Strategic Intent€7,074
Heart Health Task Force Second Report on Implementation of the Cardiovascular Health Strategy July 1999 – September 2002 'Ireland's Changing Heart'€59,037
Interim Report of the National Breastfeeding Committee€2,500
Irish Health Service Reform Programme – Dialogue on Implementing Reform – Communication and Consultation Programme July – September 2003Nil
Long-Stay Activity Statistics 2002Nil
Men and Domestic Violence: What Research Tells Us€66,000
National Children's Advisory Council – Report on Alcohol Use/Misuse by Young People€12,404
National Health & Lifestyle Surveys National and Regional Reports – Phase 2€860,000
National Standards on Foster Care€18,059
National Standards on Foster Care – Children's Version€21,679
Report of the Expert Group on Mental Health Policy 'A Vision for Change'€428,467
Report of the Postgraduate Medical Education and Training (MET) Group (Buttimer Report)€313,040
Report of the Task Force on Assaults on Psychiatric Nurses€9,750
Report of the Working Group on Treatment of Under 18 year olds presenting to Treatment Services with Serious Drug Problems€10,249
Report of the Working Group on Undergraduate Medical Education and Training (Fottrell Report)€156,844
Report on the Regulation of Health and Social Care Professionals€20,000
Review of circumstances surrounding the death of Róisín Ruddle€150,656
Review of internal controls in the Department of Health and Children with a view to implementing the recommendations of the Mullarkey Report; and consultancy assistance with respect to the structure of the Management Information Framework (MIF) in the Department€146,152
Review of Library and Information Service€9,375
Survey and Report on Public Perceptions on Biomedical Research (RCSI)€120,000

Reports Commissioned in 2004

Name of ReportCost
A critical appraisal of and commentary on "50 Reasons to Oppose Fluoridation"€ 15,529
A Feasibility Study of the Inclusion of Blood and Tissue Data as a Component of the National Longitudinal Study of Children in Ireland€ 75,504
Cultural Male Circumcision Report€ 1,983
Evaluation of Coronary Heart Attack Ireland Register (CHAIR)€ 64,100
Evaluation of Heartwatch€ 81,700
Giving Children a Voice: Investigation of children's experiences of participation in consultation and decision making in Irish hospitals€ 27,294
Health Service Reform Programme Composite ReportNil
Investigating the Impact on Children of Witnessing Domestic Violence: Nature and Adequacy of Child-Centred Services€ 46,518
Kidscreen National Survey 2005€ 49,911
Lourdes Hospital Inquiry - An Inquiry into Peripartum Hysterectomy at Our Lady of Lourdes Hospital, Drogheda€ 2,955,000
National Primary Care Steering Group Progress Report€ 6,493
National Children's Advisory Committee – End of Term Report 2001 - 2004€ 12,783
Obesity the Policy Challenges – The Report of the National Taskforce on Obesity 2005€ 42,000
Play and Technology€ 49,368
Public Perceptions of Biomedical Research€ 120,000
Report by the Care and Management Sub-Committee of the National AIDS Strategy Committee on HIV/STI Services in Ireland€ 5,053
Report from the Evaluation of the National Health Promotion Information Project€ 13,600
Report of the Expert Group on Midwifery and Children's Nursing Education€ 3,407
Report of the Working Group to examine the development of appropriate systems to determine nursing and midwifery staffing levels€ 4,712
Report on certain issues of management and administration in the Department of Health and Children associated with the practice of charges for long-stay patients in Health Board institutions (Travers Report)€ 93,150
Research on Children's Understanding of Wellbeing€ 16,625
Review of the National Health Promotion Strategy€ 19,713
Review of the Structures and Support Needs of Comhairle na nÓg and Dáil na nÓg€ 26,611
The Child's Right to be heard in the Health Setting€ 52,591
The Development and Implementation of Child Impact Statements€ 25,410
The Process of Youth Homelessness: A Qualitative Longitudinal Cohort Study€ 44,506
'What we Heard' and 'Speaking Your Mind' – Reports on the Service User Consultation Process and the Public Consultation Process for the Expert Group on Mental Health Policy€ 169,714
Young People's Views about Opportunities, Barriers and Supports to Recreation and Leisure€ 45,325
Young Voices: Guidelines on how to involve children and young people in your work€ 64,485

Reports commissioned in 2005

Name of ReportCost
Comhairle Implementation Group ReportNil
Dáil na nÓg Delegate Report 2005€ 16,370
Evaluation of the Work of the Children and Young People's Forum€ 17,740
Joint Ministerial and Coiste na dTeachtaÍ Report 2005Nil
NCAC – Mid-Term Review of the National Children's Strategy€ 57,500
Prospectus (co-located Private Hospitals)€ 29,403
Reducing the Risk: A Strategic Approach (Sudden Cardiac Death Taskforce Report)€ 23,900
Report from the Evaluation of the National Health Promotion Information Project€ 13,600
Report of Consultation on the Health Act (2004) Part 9 - Complaints€ 16,750
Report of Dr. Deirdre Madden on Post Mortem Practice and Procedures (Working Group).€ 436,000
Report of the Long-Term Care Working GroupNil
Report of the National Committee on Folic Acid Food Fortification€ 25,000
Report on Public Consultation on the Development of a Recreation Policy for Young People in Ireland€ 72,631
Sustaining Progress - Working Together to Reduce the Harms Caused by Alcohol Misuse€ 9,100
The Irish Health Behaviour in School-aged Children (HBSC) Study 2006 (Research Project)€ 505,385

Reports commissioned in 2006

Name of ReportCost
Dáil na nÓg Delegate's Report 2006Nil
European Schools Project on Alcohol and Other Drugs (ESPAD) Research Project€ 48,400
Evaluation of the Irish Haemovigilance System€ 9,432
First Annual Report of the Independent Monitoring Group on 'A Vision for Change' the Report to the Expert Group on Mental Health Policy€ 3,324
HIV and AIDS Education and Prevention Plan 2008-2012€ 27,118
National Children's Advisory Council (NCAC) – Report on Youth Volunteering in Ireland€ 47,389
Report of the Working Group on Haemochromatosis€ 2,537
Report on the Outcome of Consultations with Teenagers on the Issues to be Considered by the Minister for Children when Examining the Age of Consent for Sexual Activity€ 78,098
Research commissioned on : Children's Perspectives on Parenting Styles and Discipline€ 17,000
Research Commissioned on : National Longitudinal Study of Children in Ireland (NLSCI)The NLSCI contract covers the period 2006 to 2012. It is a fixed price contract amounting to €29,005,987.00 including VAT in 2005 prices.
Research commissioned on: A follow up study on the educational and Social Support experiences of Young People in Long Term Foster Care€ 47,500
Research commissioned on: A Study of Parent-Child Agreements and Arrangements based on Court Records€ 30,894
Research commissioned on: Child Protection Services in Ireland: An Evaluation€ 64,493
Research commissioned on: Ethics Committees and Ethics Approval for Children's Research in Ireland€ 35,973
Research commissioned on: Public Library Services for Children and Young People in Ireland€ 56,864
Research commissioned on: Services and Supports for Children on Remand in Ireland€ 59,573
Review of Administration and Processes, Department of Health and ChildrenNil
Second Annual Report of the Independent Monitoring Group on 'A Vision for Change' the Report to the Expert Group on Mental Health Policy€ 9,361
Slan 2007 – Survey of Lifestyle, Attitudes and Nutrition in Ireland (Research Project)€ 1,807,641
Study of Efficiency and Effectiveness of Vocational Training Services and Rehabilitative Training Services for People with Disabilities Provided by Specialist Training Providers€ 50,866
Value for Money Review of the Equal Opportunities Childcare Programme 2000 – 2006€ 76,109
Health-related consequences of problem alcohol use€ 35,500
Working Group on Alcohol and Drugs SynergiesNil

Reports commissioned in 2007

Name of ReportCost
Dáil na nÓg Delegate Report 2007€ 10,576
Doherty Report on Breast Radiology Services at Midland Regional Hospital, PortlaoiseNil
Fitzgerald Report on Breast Radiology Services at Midland Regional Hospital, PortlaoiseNil
Independent Inquiry into the tragic deaths of the Dunne Family in Monageer, Co. Wexford€ 212,454
National Children's Advisory Council (NCAC) – Report on Youth Café Provision€ 63,023
Quality Assessment of the Value for Money Review of the Equal Opportunities Childcare Programme 2000 - 2006€ 2,995
Report of the Commission on Patient Safety and Quality Assurance€ 42,086
Research commissioned on : The Physical Chastisement of Children by Parents€ 126,723
Review of the Operation of the Mental Health Act 2001 – Findings and ConclusionsNil
Round Table discussion on the financial abuse of older people€ 3,000
Teenagers' Views on Solutions to Alcohol Misuse€ 55,257
All Ireland Traveller Health Study€ 1,697,496
Financial and Legal Advice on options for obtaining regulatory authorisation in connection with the VHI€ 167,975
The Report of the Comhairle na nÓg Development Fund (2007-2008)€ 46,655
Vaccine Damage Steering Group€ 11,048

Reports Commissioned in 2008

Name of ReportCost
National Children's Advisory Council (NCAC) – End of Term Report 2005 – 2008Nil
Report of the Independent Pharmacy Pricing Body€ 41,497
Strategic Plan for the St. Ultan's Children's Project€ 14,702
Dáil na nÓg Delegate Report 2008€ 18,137
A Directory of Health Research Undertaken on Children (0-17 years)€ 60,148
Evaluation Report on the Inclusion Programme: Office of the Minister for Children and Youth Affairs€ 15,727
National Men's Health Policy 2008-2013€ 20,604
Phase III of a Qualitative Longitudinal Study of Homeless Youth in Dublin€ 22,000
Report on the Irish Medicines Board assuming the role of Competent Authority for Cosmetics ProductsNil
Research on Young Carers in the Irish Population€ 108,476
Review of Protecting our Future: Report of the Working Group on Elder Abuse 2002€ 66,460
Third Annual Report of the Independent Monitoring Group on 'A Vision for Change' - the Report of the Expert Group on Mental Health Policy€ 16,154
Report of the Commission established to provide an independent assessment of how a 35 hour week can be achieved for nurses€ 397,540
Review of the circumstances surrounding the elapse of time in bringing to completion the Western Health Board inquiry into allegations of abuse in the Brothers of Charity Services, Galway€ 21,015
Study of certain Accounting Issues within the Health Service Executive€ 54,450

Reports commissioned in 2009

Name of ReportCost (€)
Value for Money and Policy Review of Disability Services€ 30,940
Report of the Expert Group on Resource Allocation and Financing in the Health Sector€71,657
Evaluation of the use of resources in the national population-based cancer screening programme and associated servicesNil
Health in Ireland - Key Trends 2009€5,647
Dáil na nÓg Delegate Report 2009€16,080
Action Plan for Health Research 2009-2013€6,623
National Policy and Strategy for the Provision of Neuro-Rehabilitation Services 2010 – 2015.€ 7,040
A Quantitative Tool for Workforce Planning in Healthcare: Example SimulationsNil
An Integrated Workforce Planning Strategy for the Health Services 2009-2012Nil
A Review of Practice Development in Nursing and Midwifery in the Republic of Ireland and the Development of a Strategic Framework€30,000
Teenage Mental Health: What helps and what hurts? Report on the Outcome of Consultations with Teenagers on Mental Health€18,933
Value for Money and Policy Review of the Economic Cost and Charges associated with Private and Semi-Private Treatment Services in Public Hospitals€ 2,000
IHR External Assessment Group Report: International Health Regulations, 2009Nil
Research Study on National Strategies for Older People€21,780
National Cardiovascular Policy Group€44,484
Working Group to develop a National Substance Misuse StrategyNil
Report of the Implementation Group on Alcohol MisuseNil
Tackling Chronic Disease - A Policy Framework for the Management of Chronic Diseases€3,600
Compensation for Thalidomide SurvivorsNil
Evaluation of the Comhairle na nÓg Development Fund 2009-2010.€15,125
Consultation process with children living in the Care of the state as recommended in the Ryan Report .€ 148,749
Evaluation of the Dáil na nÓg Council€ 6,210
Report of the Health Insurance Authority to the Minister on Risk Equalisation .Nil

Reports commissioned in 2010

Name of ReportCost (€)
Drogheda Review - independent review in relation to Mr. Michael Shine€134,196
Independent Child Death Review GroupEstimated: €150,000
Evaluation of the Suboxone Feasibility Study€17,500
Compensation for Thalidomide SurvivorsNil
Value for Money and Policy Review (VFMPR) of Disability Services€30, 940
Report of the Working Group on the Inclusion of Children with Disabilities in Mainstream Pre-School SettingsNil
Working Group on Sport Sponsorship by the Alcohol IndustryNil
Tobacco Policy Review GroupNot completed - cost not yet available
Health in Ireland – Key Trends in 2010€4,177
Fourth Annual Report of the Independent Monitoring Group on 'A Vision for Change' - the Report of the Expert Group on Mental Health Policy€18,896
Strategic Framework for Role Expansion of Nurses and Midwives: Promoting Quality Care€9,153
National Data and Research Strategy on Children's LivesNil
Ethics in Children'sResearchNil
Dáil na nÓg Council research into Social Personal and Health Education and Relationships and Sexuality Education Provision, 'Lifeskills Matter: Not just Points'€ 17,052
Audit of Children and Young People's Participation€31,107
Proposed Model for Reference Pricing and Generic SubstitutionNil
Value for Money and Policy Review of the Economic Cost and Charges Associated with Private and Semi-Private Treatment Services in Public Hospitals€ 2,000
Review of VHI Claims Cost Control€220,902
Consultation Report to Minister on Risk EqualisationNil
Consultation Report to Minister on Minimum BenefitsNil
Towards a Restraint Free EnvironmentNot completed - cost not yet available
Interim evaluation of the Youth in Action Programme 2007 - 2013€ 49,092
Health Technology Assessment - Prion FiltrationNot completed - cost not yet available

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