Results 21-40 of 1,073,831 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Éamon Ó Cuív OR speaker:Mairead Farrell OR speaker:Niall Collins OR speaker:Pádraig Mac Lochlainn OR speaker:Mattie McGrath OR speaker:Micheál Martin OR speaker:Noel Grealish OR speaker:Éamon Ó Cuív87 OR speaker:Éamon Ó Cuív57 OR speaker:Aindrias Moynihan OR speaker:Mary Butler OR speaker:Neasa Hourigan OR speaker:Michael Fitzmaurice OR speaker:Sorca Clarke) in 'Committee meetings'

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The Minister of State indicated that earlier in the year and it is very welcome. I hope other parts of the health service emulate that. Please excuse me as I have to speak in the Chamber. I am sorry.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: Could I come in briefly on two things we have done as regards older people that have made a big difference? Earlier this year we completed the nationwide roll-out of mobile X-rays to people in nursing homes. It makes no difference which nursing home you are in - public, private or voluntary. We started on a pilot project but we have used it across the whole country now over 10,000 times....

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: I will come in there as it is something that overlaps both our briefs. As the Deputy would know, in 2023, I launched the clinical programme for dual diagnosis, which supports service users who present with mental health and a substance use disorder. In the mental health budget, there were 210 new whole-time equivalents. Ten of those posts are specifically for dual diagnosis to start up two...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: To pick up where I left off before I had to leave, regarding the handling of the budget going forward, the whole principle of the RHAs is that the area is to be profiled. There would be an allocation of funding based on established need, population size, socioeconomic profile and so on. I know there is a huge amount of work under way in the Department on that. We have not had a briefing...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The classic example is when people are ready to be discharged from hospital but they are not discharged because there may not be enough of a home care budget locally. There should be that discretion to spend money where it makes the most sense.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: I am seeing the structures changing. I would have always dealt with the head of older persons, the head of mental health and the head of disabilities across each area. They have changed now already. There is a new integrated healthcare area, IHA. Our area, which was CHO 5 and CHO 6 combined, is now called Dublin and South East. There are now three IHAs there and they have broken up the...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: We had been getting regular briefings in the Department but we have not had any since before the summer.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: It would be important to organise that. I will go back to the issue of nursing numbers. I am thinking specifically about community and public health nurses, who are vital, whether it is for older people, infants or others. There are major shortages there in terms of unfilled posts. Is anything being done to address that issue? Is anything being done to take it out of the rest of nursing...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: It is the ultimate early intervention service. It is madness and very wrong if there are widespread vacancies. The presentation referred to facilitated access to hundreds of thousands of diagnostic scans for GP patients. Will the Minister clarify how that system works at the moment? I am hearing mixed views on it. In some cases, people are saying they can no longer go to a hospital for...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: Is the Minister saying that anybody who is referred for diagnostic testing by a GP is entitled to that free of charge?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The point was made to me by somebody that they were going to a private provider because VHI did not reimburse if it was done in a hospital. What is the situation regarding that?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: Is that for any diagnostic test?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: Chair, can I have two minutes to discuss the drugs services? I will be very quick on this. There is a lot of concern across the board about community drugs task forces - local and regional drugs task forces. The allocation to them has more or less stayed static for several years. I think it is €4.2 million this year.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I am talking about the drugs and alcohol task forces.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: That is for other things apart from the task forces.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I am specifically asking about the task force funding.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: It is modest given the work of task forces which are the lynchpin in disadvantaged communities in terms of responding. It does bring together the various partners.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: A point I want to make about the task forces is that increasingly they are aiming to be partners in the provision of community services, whether that is family support or bringing together education partners. The task forces are facilitating a lot of that joined-up thinking and activity to have a comprehensive response in areas where drug use is very prevalent. The task forces are saying...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: In a tight labour market that is just hopeless.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I thank the Minister of State.