Gerry Adams (Louth, Sinn Fein)
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646. To ask the Minister for Health the reason there is no intermediate ambulance care services available in County Clare; if he will consider making these services available; when the review of these services within the mid western region including County Clare will be complete; and if he will make a statement on the matter. [24013/13]

James Reilly (Dublin North, Fine Gael)
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A significant reform programme has been underway in recent years in pre-hospital care services, to ensure a clinically driven, nationally co-ordinated system, supported by improved technology. The programme involves a number of measures, including the Performance Improvement Action Plan, development of the intermediate care service (ICS), the trial emergency aeromedical service (EAS), and the NAS Control Centre Reconfiguration Project.

In July 2012, the HSE National Ambulance Service commenced developing non-emergency transport, through a national intermediate care service (ICS) , which is key to resolving bed and clinical management pressures. ICS will allow for safe, planned and timely clinical transfers of inpatients to the most appropriate facility, depending on their acuity and clinical needs. This will allow for beds to be made available for higher acuity admissions through emergency departments. ICS will also release emergency resources for emergency functions, for improved response times and performances in pre-hospital care. To date, ICS has been implemented in Cavan, Castleblayney, South County Dublin, Letterkenny, Sligo, Galway, Limerick, Roscommon, Mallow and Bantry. Supported by the 2013 National Service Plan, the NAS intends to expand ICS to Waterford, Cork Tralee, Castlebar and Drogheda and to increase services in Dublin and Galway during 2013.

In relation to the specific query raised by the Deputy, as this is a service matter it has been referred to the HSE for direct reply.