Results 1-20 of 1,097,248 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Ciarán Cuffe OR speaker:Michael McNamara OR speaker:Emer Higgins OR speaker:Mary Butler OR speaker:Paul Kehoe OR speaker:Michael Moynihan OR speaker:Maurice Quinlivan OR speaker:Marc MacSharry OR speaker:Ossian Smyth OR speaker:Michael Lowry OR speaker:Joe McHugh OR speaker:Claire Kerrane OR speaker:Holly Cairns OR speaker:Steven Matthews OR speaker:Neasa Hourigan OR speaker:Peadar Tóibín OR speaker:Thomas Byrne OR speaker:Colm Burke OR speaker:Peter Burke OR speaker:Cormac Devlin OR speaker:Anne Rabbitte OR speaker:Francis Noel Duffy OR speaker:Michael Creed OR speaker:Paul Murphy OR speaker:Hildegarde Naughton)

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

Mary Butler: The Deputy is right that we have an ageing population, but we are also living longer. We have one of the highest life expectancies in the EU, as deemed by the World Health Organization, with women reaching 84 years of age and men reaching 82.5.

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

Mary Butler: Yes, in the EU 27, as deemed by the World Health Organization. A really interesting statistic is that we have 400 fewer people in nursing homes under the fair deal scheme this year than we had in 2019. This shows that the investment in home care, day care and meals-on-wheels services is working. When Sláintecare was being devised, it was estimated that we would need 30,000 fair deal...

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

Mary Butler: I wish to come in on community beds. In next year’s budget, there will be an additional 174 community beds. I asked the HSE, when we were going through the CNUs, that instead of just replacing the beds, we start turning the dial. For example, in Clonmel CNU, 50 beds will be provided, of which 32 are additional. In St. Columba’s in Thomastown, there will be 95 beds, of which...

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)

Colm Burke: The additional funding in budget 2025 is €4.2 million. An additional 34 whole-time-equivalents will be employed. Some €2 million will be allocated to expand community-based drug services. Some €1 million will be allocated for the national roll-out of the community alcohol service, and that includes the employment of 24 whole-time equivalents. There is €500,000...

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

Colm Burke: There is a substantial increase in the overall budget for 2025. It is going to be the biggest budget ever in real terms. I will get the correct figure for the Deputy but the increase in total is the biggest figure. For instance, the total increase in funding is €40.5 million for the coming year. There is a €10.1 million increase for pay awards agreements. Some €5...

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

Colm Burke: As the Deputy knows, we hope to have the supervised injection facility in Merchants Quay opened by the end of the year. I have been there and I have seen the progress being made in the building work. The target is to have it opened by early to mid-December. That is a really important facility that needs to be open. As the Deputy knows, the initial proposal on that was going back to 2019....

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)

Colm Burke: The Deputy should remember that 422 different centres around the country provide support for people with alcohol or drug addiction. Last year, 13,000 people received treatment for drug addiction and 8,000 people received treatment for alcohol addiction. Those figures are likely to go up. I have visited many of those centres over the last three to four months and each one of them is doing a...

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

Colm Burke: The target date is for early to mid-December and the construction work has really progressed. I was down there recently - in the last three weeks - and I have seen the work that has been done. The people involved in it are doing everything possible to make sure we can reach that target date of somewhere in the first two weeks of December.

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

Colm Burke: My understanding is that wastewater can be analysed to see the issue regarding the use of drugs. I am not into the detail of it but it is a mechanism that can be used to identify and to evaluate. Regarding the figures we have, we rely on centres such as all the HSE treatment centres around the country but we do not have a full picture in real terms of the people who are using substances. It...

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

Colm Burke: On that point, many of the drug treatment centres are helping people to get access to medical services. I visited a number of centres. In one centre, for instance, a GP and nurses are going into the street and getting people into the centre for medical treatment. Many people who have had an adverse event in an accident and emergency department are now afraid of going to an accident and...

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)

Colm Burke: The total budget is €40.5 million. The social inclusion budget has increased by €40.5 million in two years.

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

Colm Burke: I gave the figures earlier. The drugs budget is €4.2 million and this is for new initiatives in the whole drugs area. The budget for 2025 will be €4.2 million in addition to what is in 2024. The total social inclusion budget is €40.5 million of an increase. It has increased from €220 million to €260 million.

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

Colm Burke: It is for a whole range of services.

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

Colm Burke: There is €1.5 million additional funding for task forces. The funding will support a co-ordination role of 24 drugs and alcohol task forces across the country including the increased demand for services, especially for due to the use of cocaine. There is an increase but other initiatives are being started.

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

Colm Burke: We are working on a number of projects. For instance, I am working on one project where we talk about transferring a whole lot of services out from night support facilities to a day centre. We are talking about doing that. As I outlined earlier, the supervised injection facility will open in December. There are a number-----

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

Colm Burke: That is a fair point because I met someone else yesterday who is in a totally different area and again it is annual rather than multi-annual funding and it is something we need to look at. I have only been in the Department for the last six months and this is an issue that has come up in a number of cases and is something we need to look at, how we can make that decision about it being...

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

Colm Burke: Yes, it needs to be looked at and I fully accept that.