Cathy Bennett (Cavan-Monaghan, Sinn Fein)
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197. To ask the Minister for Children, Disability and Equality the number of children in Cavan and Monaghan that received an assessment of need within the statutory timeframe in the years 2024 to date; and the number that did not.; and if she will make a statement on the matter. [29117/26]

Norma Foley (Kerry, Fianna Fail)
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The Government recognises that there are unacceptable delays in accessing Assessments of Need. The Department and the HSE are committed to addressing these delays.

Under the Disability Act, an Assessment of Need is an assessment process carried out by the HSE where a person is of the opinion that he/she may have a disability, for anyone born after 1st June 2002. It first establishes whether the person has a disability (as defined within the Act). It then identifies the health and education needs of the person with a disability and the services required to meet those needs.

It is important to note that children do not require an Assessment of Need to access health services, including HSE Primary Care, Children’s Disability Network Teams or Mental Health Services.

Demand for Assessments of Need has increased significantly in recent years, reflecting both the increase in population and the number of families exploring all options to access services for their child. Unfortunately, this demand is outpacing the capacity of the system to respond with the result that there were 20,209 applications overdue for completion nationwide at the end of 2025, according to the most recently available HSE data.

On a positive note, there has been continued improvement in the number of completed assessment of need reports with 5,939 reports completed in 2025. This is a 43% increase nationally compared to the number completed in 2024.

In Cavan/Monaghan LHO, the following are the number of applications that were overdue for completion at the end of 2025, the most recently available data provided by the HSE:

No. of reports completed within timeline: 0

No. of applications received:133

Total overdue <1 month: 31

Total overdue 1-3 months: 36

Total overdue >3 months: 453

Applications overdue for completion by end of 2025: 520

In December 2025 Government announced a series of improvements to the Assessment of Need process which will make the process more effective and efficient for children and families. Over time, this should lead to a reduction in the waiting time to receive an assessment. This reform includes legislative reform and operational improvements to support the efficiency and effectiveness of the Assessment of Need process.

The proposed legislative changes will not remove any rights for parents to apply for an Assessment of Need for their child. They also will not alter the statutory six-month timeline set out in the Disability Act.

The General Scheme of the Disability (Amendment) Bill has been published on the Department’s website. The Joint Committee on Disability Matters has published its report, following pre-legislative scrutiny of the Bill, and the Department is considering its recommendations. An FAQ document www.gov.ie/en/department-of-children-disability-and-equality/publications/from-subject-received-size-categories-aoife-carragher-dcde-fw-dcde-website-aon-1532-1-mb/

has been published, providing information on Assessment of Need and the proposed changes for parents and any other interested stakeholders.

It is important to recognise that legislation is only a part of the response. The Department is working with the HSE to identify further opportunities to enhance processes, improve training, and increase administrative supports for HSE Assessment Officers who are responsible for the production of assessment reports. This includes the establishment of working groups to address learning and development needs and to develop statutory guidelines.

The HSE is also implementing actions to address the wider issue of access to services and supports for children with disabilities including:

• Introduction of a Single Point of Access system by the HSE in 2026. This should make it easier for families to be referred to the right service, whether that is primary care, CDNT or mental health services. It aims to streamline referrals and reduce duplication, so children do not end up on multiple waiting lists.
• Implementation of the Autism Assessment and Intervention Pathways Protocol by the HSE in early 2026. The Protocol will provide a standardised assessment process across primary care, mental health and disability services. It will be the preferred assessment route for autism.
• The creation of eleven new HSE teams, initially, to support assessment processes, including AON, providing clinical guidance and administrative supports.