Written answers

Wednesday, 19 January 2022

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1562. To ask the Minister for Health if his Department will consider establishing drop-in care centres with services for patients with dementia; and if he will make a statement on the matter. [63616/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible. 

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1563. To ask the Minister for Health if his Department plans to deliver post acquired brain injury inpatient services locally outside of Dublin as per the recommendations of the National Stroke Strategy and the National Rehabilitation Strategy which plan for the implementation of local specialist neurorehabilitation services; and if he will make a statement on the matter. [63617/21]

Photo of Anne RabbitteAnne Rabbitte (Galway East, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1564. To ask the Minister for Health if a commitment will be given to delivering post acquired brain injury inpatient services; his plans for same; and if he will make a statement on the matter. [63618/21]

Photo of Anne RabbitteAnne Rabbitte (Galway East, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Photo of Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1565. To ask the Minister for Health if consideration will be given to establishing a mental health first aid responder unit to be contactable along with other emergency services; and if he will make a statement on the matter. [63619/21]

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 Colm BurkeColm Burke (Cork North Central, Fine Gael)
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1566. To ask the Minister for Health if his Department will consider increasing the maximum amount of time that a prescription can be valid to 12 months in specific controlled circumstances to alleviate pressure on general practitioners and the medical system as a whole; and if he will make a statement on the matter. [63621/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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The length or duration of a prescription is at the clinical discretion of the prescriber, but ordinarily a prescription in Ireland is valid for a maximum period of six months and a prescription cannot be issued for a longer than that. The rationale for such time limits is to ensure that appropriate medical care continues to be afforded to persons in receipt of prescriptions.

However, in April 2020, as a result of the Covid-19 pandemic, the then Minister for Health, Simon Harris T.D., introduced temporary, emergency provisions to enable pharmacists to ensure the continuity of care of patients without necessarily requiring a new prescription and to reduce pressures on General Practitioners at that time:

- the maximum period of validity of a prescription for non-controlled drugs was temporarily increased from 6 months to 9 months as of the date specified on the prescription.

- Some temporary changes to the way in which prescriptions can be repeated by pharmacists were introduced to enable pharmacists to ensure the continuity of care of patients without necessarily requiring a new prescription to be obtained from their prescriber. This is enabled in circumstances where:

- it is the professional judgement of the pharmacist that it is safe, appropriate, and necessary for the continued treatment of the person for a further supply to be made, AND

- it is unreasonable at the time for the person to obtain a new prescription.

The amendments in April 2020 also introduced the electronic transfer of prescriptions, whereby an electronic version of a new prescription may be transmitted from the prescriber to a pharmacy of a patient’s choice where it may not be possible or appropriate to attend a clinic or surgery at this time. This mechanism also facilitates individuals to obtain an up-to-date prescription and to enable the pharmacist to continue to dispense their prescription(s).

In light of the ongoing pandemic conditions the temporary provisions introduced continue to apply and have not yet been revoked. It is important to note that none of the temporary amendments impose a duty on a prescriber to issue a prescription beyond a period they consider to be clinically appropriate, or on a pharmacist to dispense any prescription where they do not consider it safe, appropriate and necessary for the continued treatment of a person for a further supply to be made without a new prescription issued by the prescriber.

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