Mattie McGrath (Tipperary, Independent)
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821. To ask the Minister for Health the status of the review being carried out into the nursing support scheme and the manner in which the current scheme is discriminating against farmers and small business owners; when this review will be carried out; and if he will make a statement on the matter. [19325/17]

John Brassil (Kerry, Fianna Fail)
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874. To ask the Minister for Health when the changes to the exemption of agricultural assets towards costs for nursing home care via the fair deal scheme will be implemented; and if he will make a statement on the matter. [19470/17]

Helen McEntee (Meath East, Fine Gael)
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I propose to take Questions Nos. 821 and 874 together.

The Nursing Homes Support Scheme (NHSS) is a system of financial support for those in need of long-term nursing home care. Participants contribute to the cost of their care according to their income and assets while the State pays the balance of the cost. The Scheme aims to ensure that long-term nursing home care is accessible and affordable for everyone and that people are cared for in the most appropriate settings.

When the NHSS commenced in 2009, a commitment was made that it would be reviewed after three years. The Report of the Review was published in July 2015. Arising out of the Review, a number of key issues have been identified for more detailed consideration across Departments and Agencies.

An Interdepartmental/Agency Working Group has been established to progress the recommendations contained in the Review. This Group is chaired by the Department of Health and includes representatives from the Department of the Taoiseach, the Department of Public Expenditure and Reform, the HSE, the Revenue Commissioners, and when required, the National Treatment Purchase Fund (NTPF). These recommendations include examining the treatment of business and farm assets for the purposes of the financial assessment element of the Scheme. This work is currently underway. An initial report on progress was submitted to the Cabinet Committee on Health in September 2016.

Once all of the relevant Review recommendations have been considered, any amendments required to the Scheme will be identified. Changes which require legislative implementation will be addressed collectively; in that regard, it is important to remember that the NHSS is largely underpinned by primary legislation.

A Programme for a Partnership Government has also committed to reviewing the NHSS to remove any discrimination against small businesses and family farms. This review is currently underway. I am committed to this review of the position with regard to family farms and small businesses for the purposes of the financial assessment element of the Scheme.