Written answers

Tuesday, 23 November 2021

Department of Health

Departmental Funding

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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676. To ask the Minister for Health the way the €30 million announced in Budget 2022 for national strategies will be allocated; the sub-allocation to measures within this new measures grouping, in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57503/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Dear Deputy, please find below in tabular form, the information requested.

National Strategies - New Measure 2022 Total €m
Cancer Strategy 20
Trauma Strategy 5
Paediatric Model of Care 4
Organ Donation and Transplant Services 1
Total 30

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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678. To ask the Minister for Health the way the €30 million announced in Budget 2022 for new drugs will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57505/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Under the Health (Pricing and Supply of Medical Goods) Act 2013, the HSE has statutory responsibility for the administration of the community drug schemes; therefore, the matter has been referred to the HSE for attention and direct reply to the Deputy.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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679. To ask the Minister for Health the way the €55 million announced in budget 2022 for disabilities will be allocated; the sub-allocation to measures within this new measures grouping, in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57506/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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The Government is committed to improving the lives of people with disabilities and their families through enhancing the quality of services and supports they receive. The Programme for Government sets out an ambitious agenda for the provision of disability services.

Budget 2022 will provide €50m to support existing levels of service as well as new funding of €55m.

The 2022 HSE National Service Plan is being developed. The Plan will set out the type and volume of health and personal social services to be provided by the HSE in 2022, in line with priorities set out by the Minister for Health, and the longer-term transformation agenda for health and social care services in Ireland. The quantum of services to be provided by the HSE is being considered as part of the National Service Planning process. The Service Plan will be finalised in the coming weeks.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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680. To ask the Minister for Health the way the €24 million announced in budget 2022 for mental health will be allocated; if this allocation relates to the reclassification of available historic development funding of €24 million or if these are separate; the sub-allocation to measures within this new measures grouping, in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57507/21]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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681. To ask the Minister for Health the way the €45 million announced in Budget 2022 for affordability will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57508/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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The €45 million allocated in the budget for affordability measures is intended to cover a number of initiatives in relation to oral health, the reduction in the threshold for the Drug payment scheme, the expansion of GP care without charges to 6 and 7 year old children and the reduction in hospital charges for children. I am confident that this amount will be sufficient to deliver these initiatives, but their delivery will require discussion with representative bodies in relation to contractual matters, including relevant fees, and for that reason it is not possible to provide a break-down of costs in tabular form at this time.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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682. To ask the Minister for Health the way the €22 million announced in Budget 2022 for workforce measures will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57509/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Dear Deputy, please find below the information requested in tabular form.

Workforce - New Measure 2022 Total €m
Advanced Nurse Practitioners 12
Student Nurse/Midwife PPG 7
Safe Staffing Skills Mix - Nursing 3
Total 22

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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683. To ask the Minister for Health the way the €30 million announced in budget 2022 for older persons will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57510/21]

Photo of Mary ButlerMary Butler (Waterford, Fianna Fail)
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A total of €2.33 billion has been allocated to older persons services in Budget 2022. Areas of priority are dementia support and service provision, home support, the implementation of the recommendations of the Covid-19 Nursing Homes Expert Panel and the Nursing Homes Support Scheme (Amendment) Act 2021, which enhances accessibility and affordability of the Scheme for more farm and business-owning families.

The funding for new developments is as follows;

- €m
Implementation of COVID-19 Nursing Homes Expert Panel recommendations 17.6
Expansion/enhancement of Dementia services 7.3
Other Older Persons Services 4.8
Total 29.7

The Health Service Executive’s National Service Plan 2022 has not yet been finalised and, as such, the sub-allocation has yet to be formally agreed.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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684. To ask the Minister for Health the way the €8 million announced in budget 2022 for the national ambulance service will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57511/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As part of Budget 2022 the National Ambulance Service (NAS) has been allocated funding of €8.2 million for new developments. Measures identified for support from this funding include:

- provision for staffing increases in line with the recommendations of the 2016 NAS Baseline and Capacity Review, which identified deficits in NAS capacity and the need for phased multi-annual investment in manpower;

- increasing capacity within the Hear and Treat service in the National Emergency Operations Centre (NEOC), which advises lower acuity patients of appropriate alternatives to hospital transfer;

- contributing to the implementation of an organisational redesign that will enhance governance and leadership within the NAS.

In regard to the particular sub-allocation tabular details requested by the Deputy in his question I have asked the Health Service Executive to respond to him directly, as soon as possible.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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685. To ask the Minister for Health the way the €6 million announced in budget 2022 for the national drugs strategy will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57512/21]

Photo of Frank FeighanFrank Feighan (Sligo-Leitrim, Fine Gael)
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In ##budget 2022, an additional €6m was provided for new health measures to support the implementation of the national drugs strategy, Reducing Harm Supporting Recovery.

The Department of Health has published a factsheet on the additional funding in Budget 2022 which can be found at www.gov.ie/en/publication/001fc-budget-2022-factsheet/. This includes a summary of the new health measures in tabular format.

The HSE National Service Plan 2022 will provide details on the allocation of the new funding.

I believe this new funding will strengthen the health-led approach to drug and alcohol use as set out in the Programme for Government and support the strategic priorities for 2021-2025 under the national drugs strategy, which I recently announced.

TABLE:

New Measure Allocation €M
Enhance child and family services for children and young people affected by parental drug &alcohol use 0.72
Increase access and provision of community drug and alcohol services, with a focus on services for women, ethnic minorities and LGBTI+ 0.5
Establish a clinical community response to alcohol service for health service clients in Dublin North City & Country (CHO 9) 0.49
Expand availability of drug & alcohol treatment & recovery programmes and family support services 1.17
Develop harm reduction responses to high-risk drug use associated with crack cocaine and the night-time economy 0.47
Provide health screening and brief intervention (SAOR) under the health diversion programme 0.68
Provide health supports for additional tenancies under the Housing First programmes for long-term homeless 1.17
Develop integrated care and case management service for single people who are homeless in Dublin 0.15
Enhance health services for primary school children & young people in Dublin NEIC 0.53
Studies and evaluations. 0.12

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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686. To ask the Minister for Health the way the €7 million announced in budget 2022 for other will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57513/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Dear Deputy

Find below the information requested in tabular form.

Other - New Measure 2022
Total €m
Anti-Microbial Resistance (AMRIC) 2
Barnahus Model – Child Sexual Abuse Services 1
Palliative 4
Total 7

The Health Service Executive’s National Service Plan 2022 has not yet been finalised and, as such, the sub-allocation has yet to be formally agreed.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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687. To ask the Minister for Health the way the €6 million announced in Budget 2022 for Healthy Ireland Sláintecare integration fund will be allocated; the sub-allocation to measures within this new measures grouping in tabular form; the amount remaining unallocated; the amount which relates to other new measures funding group commitments; if this is included as a whole or pro-rata; and if he will make a statement on the matter. [57514/21]

Photo of Frank FeighanFrank Feighan (Sligo-Leitrim, Fine Gael)
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Healthy Ireland gives us a vision of how we as a society can work together to bring about a Healthier Ireland where everyone, can enjoy physical and mental, health and wellbeing, to their full potential.

The Sláintecare Integration Fund was announced in September 2019. Healthy Ireland funding is being provided for the continuation of the programmes (listed below) previously supported by the Slaintecare Integration Fund.

The €6 million the Deputy refers to in the Budget 2022 Expenditure Report under the "Healthy Ireland/SláinteCare Integration Fund- health promotion and other pilot innovation programmes across the Health System." is allocated as follows:

Sláintecare Integration Fund / Healthy Ireland Programmes
Amount
Smoking Cessation Supports, maternity services €160,000
HealthEIR Community Based Social Care €329,000
Community Mothers Programme €80,000
Self Management Support and the Living Well Programme* €795,000
Social Prescribing* €784,000
Sheds for Life €123,000
Integration of Childhood Obesity Services in Primary Care through Education €188,000
Online STI Testing €3,000,000
Student Sexual Health Service (Athlone Institute of Technology) €102,000
North Dublin Integrated Community STI Service €240,000
TOTAL €5,801,000

*Note there are a number of projects under each of these two headings.

The allocation table on page 113 of the Budget 2022 Expenditure Report is a rounded figure of €6m, the €5,801,000 tabulated above is the full expenditure allocated to these programmes for 2022 and as such there is no unallocated amount remaining.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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688. To ask the Minister for Health the way the remaining €7 million announced in Budget 2022 under additional resources for current expenditure which is not covered in the table of selected measures will be allocated in tabular form; and if he will make a statement on the matter. [57515/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Dear Deputy. We understand the that €7m referred to in your question is arrived at by subtracting the €304m in the which is the total of selected measures in the table shown on page 113 of the budget expenditure book from the table D. Reconciliation of 2022 Expenditure Ceiling on page 114 which shows €311m as the amount for 'Allocation of Additional Resources'

In fact, the finalised correct figure for new measures for 2022 is €318m

The table below shows the makeup of the areas to which new measures are allocated for 2022

Area Allocation
Womens Health 31
National Strategies 30
Capacity 10
New Drugs 30
Disabilities* 51
Mental Health** 23
Older People*** 28
National Drugs Strategy/ Homelessness Health Measures 6
Healthy Ireland/SláinteCare Integration Fund- health promotion and other pilot innovation programmes across the Health System. 6
Affordability Measures**** 43
Workforce Measures 22
Governance, capacity planning and reform within the National Ambulance Service. 8 National Drugs Strategy/ 8
Other- Palliative Care, Antimicrobial resistance and infection control measures, Barnahus model for child sexual abuse services 7
Winter plan 22
Total new measures for 2022 318
* excludes 4m Winter plan funding listed in the 22m designated for PCRS
** excludes 1m Winter plan funding listed in the 22m designated for mental health
***excludes 2m Winter plan funding listed in the 22m designated for Older Persons
**** excludes 2m Winter plan funding listed in the 22m designated for PCRS
Note- the Winter plan allocations (out of a total of €22m additional funding provided for Winter plan measures in Estimates 2022) should be considered provisional until the HSE has finalised its 2022 NSP

We have highlighted the discrepancy between the final €318m allocated in Estimates 2022 to new measures and the €311m listed in the Budget Expenditure book to the Dept of Public Expenditure and Reform and they agree that the final figure is €318m.

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