Written answers

Tuesday, 2 July 2019

Department of Health

Services for People with Disabilities

Photo of John McGuinnessJohn McGuinness (Carlow-Kilkenny, Fianna Fail)
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65. To ask the Minister for Health the way in which it is planned to address the funding challenges which are impeding the move from congregated settings in County Kilkenny; and if he will make a statement on the matter. [27818/19]

Photo of Finian McGrathFinian McGrath (Dublin Bay North, Independent)
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The Report “Time to Move on from Congregated Settings - A Strategy for Community Inclusion” proposes a new model of support in the community moving people from Congregated settings to the community in line with Government policy. The Report identified around 4,000 people (based on 2008 census) with disabilities in Ireland living in congregated settings, defined as a residential setting where people live with ten or more people.

The Programme for Partnership Government contains a commitment to continue to move people with disabilities out of congregated settings to enable them to live independently and to be included in the community.  The objective is to reduce this figure by one-third by 2021 and ultimately, to eliminate all congregated settings.

By the end of this year, we will have exceeded this target and under 2,100 people with a disability will remain living in congregated settings. I want to emphasise that the appropriate supports and resources are being put in place to ensure that people are supported as they move out of residential centres. The model of care for individuals will be based on a person centred plan (PCP). The PCP may change over time in line with an individual’s needs and circumstances and the model of service delivery applicable at a particular time.

Any opportunity for residents to live in smaller settings in the community will come after considerable planning and discussion with those residents and their families. It will be on the basis that it will enhance their life, and anyone who moves will continue to access the services they require.

The HSE has prioritised the transition of a further160 people from congregated settings in 2019 under its Service Plan, and I am informed that 49 people have moved into their homes in the community to the end of March this year.  

The HSE is responsible for leading out on the recommendations of "Time to Move on from Congregated Settings - A Strategy for Community Inclusion". I am informed that the total budget to St Patrick's Centre Kilkenny is €16.94m. St. Patrick's has submitted funding proposals related to decongregation to the HSE and a validation of these requirements is underway. In the context of same, it is not appropriate to prejudge the outcome of this process until the matter concludes.

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