Seán Sherlock (Cork East, Labour)
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69. To ask the Minister for Health if he is aware of the concept and practice of social prescribing; and if his Department will support budgetary measures to make the practice widespread. [19391/23]

Hildegarde Naughton (Galway West, Fine Gael)
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Evidence shows that social isolation is a significant issue for population health, with links to multiple chronic health conditions. The pandemic was a major contributory factor to increases in social isolation and the 2021 Healthy Ireland Survey, carried out while significant restrictions were still in place, found a significant increase in isolation and a decrease in the proportion of the population reporting positive mental health. Some 81% reported lower levels of social connectedness and 30% reported worsening mental health since the start of the pandemic.

Social prescribing is a key means of linking patients, through primary care, with community-based supports, including arts and creativity, physical activity, group supports, green activity and computerised therapy. It has been shown to result in positive emotional, cognitive and social outcomes, and to reduce social exclusion for disadvantaged, isolated, lonely and vulnerable people, many of whom live with depression and anxiety.

In 2021, following pilots in a number of regions of the country, the HSE published its Social Prescribing Framework to set out a common approach to the mainstreaming, integration and delivery of social prescribing across the organisation. Social Prescribing is a key part of health service provision and is being integrated across Community Healthcare Networks in line with the HSE Social Prescribing Framework and is also identified as a priority in the HSE Mental Health Promotion Plan Stronger Together.

Social prescribing is receiving very significant annual funding and supports from this Government and is delivered by the HSE and community partners. It received a total allocation of €2.68 million in 2023, increasing the number of link workers to 40 across the country. 19 of these link workers are located within the Sláintecare Healthy Communities Programme areas. By Q4 2023 there will be a social prescribing service in every county in Ireland. All of these services are delivered by community and voluntary organisations in partnership with the HSE. For a list of HSE funded social prescribing services see allirelandsocialprescribing.ie/members-map/.

Sláintecare Healthy Communities (SHC) is a cross-Government initiative that delivers health and wellbeing services and supports to 19 community areas of greatest need across Ireland. Social Prescribing is integrated into the Healthy Communities programme and is being provided in each community via local development companies and family resource centres. Social Prescribing Link Workers in each SHC area empower individuals to access local services to improve their mental health and wellbeing. To enable this, the link workers establish strong relationships with a range of health services locally, including primary care, mental health, community dieticians, self-management support programmes etc. At present. across the 19 areas, there are approximately 500 new open social prescribing cases per quarter.

The HSE Integrated Care Programme for Older Persons (ICPOP) programme have set up and will provide a specialist service to older people, similar to services provided by Social Prescribing Link Workers – known as a Community Connector. This is a specialist service for a specific cohort of older patients upon discharge from ICPOP and is being piloted across the HSE (one per CHO).

HSE Health & Wellbeing are putting multiple supports in place for standardised and nationwide implementation of social prescribing as follows:

• An HSE Social Prescribing Advisory Group has been established to provide direction and guidance for its implementation and integration within the HSE. The Group includes HSE cross sectoral colleagues, link workers, managers of host organisations and a service user.
• An e-learning module for Health Professionals on social prescribing is in the final stages of development and will be available on HSELand in the coming months.
• An Outcomes Framework for social prescribing is being established by the HSE, based on measures of mental wellbeing and social connectedness.

Brendan Griffin (Kerry, Fine Gael)
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70. To ask the Minister for Health the progress that has been made over the past 25 years on smoking rates; and if he will make a statement on the matter. [26671/23]

Stephen Donnelly (Wicklow, Fianna Fail)
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According to SLÁN Survey 1998, 33% of respondents reported being current smokers. The 2022 Healthy Ireland Survey reported that 18% of the population are current smokers.

Much of this progress is attributable to the tobacco control measures introduced over the past number of years. Achievements made in this area in recent decades include:

• A ban on sale of tobacco products to individuals under 18 years of age (2001) - (Health (Miscellaneous Provisions) Act 2001)
• Work-place smoking ban (2004)
• Ban on the advertising of tobacco products in accordance with Directive 2003/33/EC (2004)
• A ban on packets containing less than 20 cigarettes (2007)
• A ban on the sale of confectionaries that resemble cigarettes (2007)
• A ban on the point of sale display and point of sale advertising of tobacco products (2009)
• A requirement for all tobacco products to be stored within a closed container which can only be accessed by the retailer (2009)
• A requirement for all retailers who wish to sell tobacco products to register with the National Tobacco Control Office (2009)
• A prohibition on self-service vending machines except in licensed premises or in registered clubs (2009)
• Combined text and photo warnings (graphic warnings) (2013)
• Development of National Policy Tobacco Free Ireland (2013)
• Social marketing and media campaigns, establishment of a National Smokers Quitline, social media and online cessation supports (on-going)
• Development of smoking cessation services (on-going)
• Nicotine Replacement Therapy available free to all medical card holders (ongoing)
• Increased excise duty on tobacco products (on-going)
• A ban on smoking in cars where children are present. (2016)
• Adoption and transposition of the EU Tobacco products Directive (2016).
• Standardised Packaging of Tobacco Products (2017)
• Publication of National Clinical Guideline on Stop Smoking. (2022)
• Removal of VAT from all forms of Nicotine Replacement Therapy (2022)

• Introduce a strict licensing system for the retail sale of tobacco products and nicotine inhaling products.
• Introduce new restrictions on the sale of tobacco products and nicotine inhaling products and further restrictions on the advertising of nicotine inhaling products.
• Provide additional enforcement powers to the Environmental Health Service for the new measures in the Bill and for all previous Tobacco Control Acts.