Written answers

Tuesday, 7 July 2015

Department of Health

Services for People with Disabilities

Photo of Shane RossShane Ross (Dublin South, Independent)
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372. To ask the Minister for Health the number of children who have undergone the assessment of need under the Disability Act 2005 since its implementation; the number of these children who now receive one to one treatment as opposed to group sessions from the Health Service Executive; and if he will make a statement on the matter. [27401/15]

Photo of Kathleen LynchKathleen Lynch (Cork North Central, Labour)
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Part 2 of the Disability Act 2005 was commenced on 1 June 2007 in respect of children aged under 5. In 2008, the then Government decided, in the light of financial circumstances, to defer further implementation of the Disability Act 2005 and the Education for Persons with Special Educational Needs Act 2004. However, in light of legal advice following a High Court ruling, children born after 1 June 2002 are being treated by the HSE as eligible to apply for an assessment under the Act. Part 2 of the 2005 Act provides for an assessment of the needs of eligible applicants, occasioned by their disability, to be commenced within three months of receipt of an application and completed within a further three months.

Although the HSE recognises that it faces significant challenges in respect of meeting the statutory time-frames which apply to the Assessment of Need (AON) process, given the number and complexity of cases, it has taken a number of measures to address the issue. It has issued guidance to its staff that, where there is a delay in the assessment process, this should not affect the delivery of necessary and appropriate interventions identified for a particular child. While any delay in assessment or intervention for any child is not desirable, the assessment process under the Disability Act can take place in parallel with any intervention which is identified as necessary.

In 2011, the Department of Health and the HSE jointly commissioned the National Disability Authority (NDA) to review the operation of the Assessment of Need (AON) process in the HSE. This report was published by the NDA and can be accessed at www.nda.ie. The NDA research has found that there was no one single solution to remove all of the challenges to operating a statutory assessment of need. It also found that where integrated children's disability teams have already been established under the HSE’s Progressing Disability Services for Children and Young People Programme, the AON process has worked more smoothly. In light of the NDA’s findings, an additional emphasis is currently being placed on re-configuring children's disability services into integrated multi-disciplinary geographically based early-intervention and school-aged teams, as part of the HSE's Progressing Disability Services Programme. The aim of this Programme is to bring about equity and consistency, with a clear pathway for children with disabilities and their families to services, regardless of where they live, what school they go to or the nature of their difficulty. The Programme is a key priority for the HSE's Social Care Directorate. An additional €4m was allocated in 2014 to assist in implementing the Programme, equating to approximately 80 additional therapy posts. Further investment of €4 million will also be made to support the development of therapy services in 2015 (equating to €6 million in a full year). The transition to this new service model is taking place on a phased basis and includes consultation and engagement with stakeholders, including service users and their families.

My Department has asked the HSE to provide the Deputy with the specific detailed operational information he has requested. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

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