Friday 20 October 2000
Written Answers to Questions (Continued)
HEALTH, SOCIAL SERVICES
AND PUBLIC SAFETY
Craigavon Area Hospital Trust
Mr Berry asked the Minister of Health, Social Services and Public Safety if she will undertake to provide additional funding to the Craigavon Area Hospital Group Trust to alleviate the current deficit.
(AQW 292/00)
The Minister of Health, Social Services and Public Safety (Ms de Brún): Given the current deficit of the Craigavon Area Hospital Group Trust and its statutory duty to break-even, my Department has formally requested that a Financial Recovery Plan should be produced by the end of October, showing that a balanced financial situation can be achieved within an agreed timescale. This Plan will be examined and reviewed both by my Department and the Trust’s main Commissioners.It would be inopportune of me to pre-judge the outcome of the Recovery Plan proposals, as they have not yet been finalised.Ós rud é go bhfuil easnamh ar Iontaobhas Ghrúpa Ospideal Cheantar Craigavon faoi láthair agus go bhfuil dualgas reachtúil air na cuntais a comhardú, Tá mo Roinnse i ndiaidh a iarraidh go gcuirfí Plean Téarnaimh Airgeadais ar fáil faoi dheireadh mhí Dheireadh Fómhair, plean a thaispeánfaidh gur féidir comhardú na gcuntas a bhaint amach taobh istigh de scála ama a bhfuil aontú ann faoi. Déanfaidh mo Roinnse agus Príomhchoimisinéirí an Iontaobhais araon scrúdú agus athbhreithniú ar an Phlean seo.
Ba mhíthráthúil an mhaise dom breith roimh ré a thabhairt ar thoradh na moltaí sa Phlean Téarnaimh ós rud é nár críochnaíodh go fóill iad.
HSS Trusts: Deficit
Mr Berry asked the Minister of Health, Social Services and Public Safety if she will detail the current level of deficit for all Trusts in Northern Ireland.
(AQW 293/00)
Ms de Brún: The operational deficit for all HPSS Trusts for 1999/2000 was £15.6 million. The overall Trust cumulative operational deficit position was £20.2 million to 31 March 2000.In light of this deficit and the statutory duty of Trusts to break even, my Department has formally requested that Financial Recovery Plans should be produced at the end of October by the relevant Trusts, showing that they can achieve a balanced financial position within agreed timescales. These Plans will be examined and reviewed both by my Department and the Trusts’ main Commissioners.Ba é £15.6 milliún an t-easnamh oibríochtúil ar na hIontaobhais uile don bhliain 1999/2000. A fhad leis an 31 Márta 2000 ba é £20.2 milliún easnamh carnach iomlán oibríochtúil na nIontaobhas.
I bhfianaise an easnaimh seo agus dhualgas reachtúil na niontaobhas gur gá na cuntais a chomhardú, tá mo Roinnse i ndiaidh a iarraidh go foirmiúil go gcuirfeadh na hiontaobhais Pleananna Téarnaimh Airgeadais ar fáil faoi dheireadh mhí Dheireadh Fómhair, pleananna a thaispeánfaidh gur féidir comhardú na gcuntas a bhaint amach taobh istigh de scála ama a bhfuil aontú ann faoi. Déanfaidh mo Roinnse agus Príomhchoimisinéirí na nIontaobhais araon scrúdú agus athbhreithniú ar na Pleananna seo.
HSS Trusts: Funding
Mr Berry asked the Minister of Health, Social Services and Public Safety if it is her intention to allocate additional funding to Trusts to help reduce their deficit.
(AQW 294/00)
Ms de Brún: Given the current Trust deficits and their statutory duty to break even, my Department has formally requested that Financial Recovery Plans should be produced by the end of October by the relevant Trusts, showing that they can achieve a balanced financial situation within agreed timescales. These Plans will be examined and reviewed both by my Department and the Trusts’ main Commissioners.It would be inopportune of me to pre-judge the outcome of the Recovery Plan proposals, as they have not yet been finalised.Ós rud é go bhfuil easnaimh ar Iontaobhais faoi láthair agus go bhfuil dualgas reachtúil orthu na cuntais a chomhardú, tá mo Roinnse i ndiaidh a iarraidh go gcuirfeadh na hIontaobhais atá i gceist Pleananna Téarnaimh Airgeadais ar fáil faoi dheireadh mhí Dheireadh Fómhair, pleananna a thaispeánfaidh gur féidir comhardú na gcuntas a bhaint amach taobh istigh de scála ama a bhfuil aontú ann faoi. Déanfaidh mo Roinnse agus Príomhchoimisinéirí na nIontaobhas araon scrúdú agus athbhreithniú ar na Pleananna seo.
Ba mhíthráthúil an mhaise dom breith roimh ré a thabhairt ar thoradh na moltaí sna Pleananna Téarnaimh ós rud é nár críochnaíodh go fóill iad.
Department: Draft Equality Scheme
Dr O’Hagan asked the Minister of Health, Social Services and Public Safety if he will outline the consultation process carried out by him on the Department’s draft equality scheme: (a) how the consultation was carried out, (b) who was consulted, (c) how the responses received will be written into the final scheme to be submitted to the Equality Commission and (d) how the consultation process will be taken forward.
(AQW 299/00)
Ms de Brún: My Department’s Equality Scheme was submitted to the Equality Commission for approval on 30 June. The Scheme contains the information requested and I am sending a copy of it to you.
Cuireadh Scéim Chomhionannais mo Roinne faoi bhráid An Choimisiúin Chomhionannais ar 30 Meitheamh. An t-eolas a iarradh, tá sé sa Scéim agus tá mé ag seoladh cóipe chugat.
New Fracture Services Units
Mr Berry asked the Minister of Health, Social Services and Public Safety if she has any plans to develop new Fracture Services Units in Northern Ireland particularly outside Belfast.
(AQW 300/00)
Ms de Brún: No, not at present. My advice from the profession is that if the current complement of Orthopaedic Surgeons was spread more thinly, the situation would be worse not better.As regards the future, my Department is considering a Speciality Advisory Committee report which, among other things, recommends an increase in the number of surgeons and the establishment of a Fracture (and Orthopaedic) Service at Antrim and Craigavon Hospitals. Steps have already being taken to substantially increase the number of trainee surgeons in line with that recommendation. This will facilitate a significant expansion of Trauma and Orthopaedic services.Níl, chan faoi láthair. Is é an chomhairle a fuair mé ó lucht na gairme sin go mbeadh cúrsaí níos measa, chan níos fearr, dá mbeadh líon na Máinlianna Ortaipéideacha á scaipeadh níos tanaí.
Maidir leis an todhchaí, tá tuarascáil ón Choiste Comhairleach Speisialtóireachtaí á breithniú ag mo Roinn, agus moltar sa tuarascáil, i measc rudaí eile, gur chóir líon na máinlianna a mhéadú agus seirbhís um Chnámhbhriseadh (agus Seirbhís Ortaipéideach) a bhunú in Ospidéil Aontroma agus Craigavon. Tá bearta á ndéanamh le líon na máinlianna faoi oiliúint a mhéadú go mór ar aon dul leis an moladh sin. Cuideoidh seo nuair a bheifear ag cur go suntasach leis na seirbhísí Ortaipéideacha agus Tráma.
Health Services:
Allocation of Funding
Mrs I Robinson asked the Minister of Health, Social Services and Public Safety to outline her plans for the £53m for Health Services announced on 3 July 2000.
(AQW 304/00)
Ms de Brún: The £53m has been allocated to health and social services as follows:
1. |
Community Care, including care of the elderly, child and adolescent psychiatry, learning disability, mental health, physical disability. |
£11m |
2. |
Hospital pressures, including waiting lists, ICU/HDU, cancer, regional medical services, hospital dental services, hospital acquired infection and disposal of clinical waste. |
£17m |
3. |
Professional recruitment/training/development, including junior doctor hours, social services training, nurse and PAM recruitment, and pressures relating to hospital pharmacists, clinical scientists, psychologists, and dentistry. |
£3m |
4. |
Ambulance Services, including enhanced communications and vehicle replacement. |
£2m |
5. |
Capital, to reduce over-commitments this year and allow increased amounts in later years. |
£6m |
6. |
Children’s Services, including community paediatric nursing. |
£5m |
7. |
ICT Strategy, concentrating initially on the Unique Patient and Client Identifier project. |
£1m |
8. |
Counter-fraud, including the establishment of a Central Fraud Investigation Unit and the funding of professional posts. |
£1m |
9. |
General Medical Services, including investment in the number and skills of staff in primary care teams. |
£1m |
10. |
Board Local Pressures, with the emphasis on measures to modernise existing services. |
£5.2m |
11. |
Extension of vaccination programmes |
£0.8m |
|
TOTAL |
£53M |
Boards were asked to submit their spending plans for their shares of these moneys. These plans were scrutinised by my Department and I subsequently approved them at the beginning of July.
The moneys were allocated as follows:
|
£m |
Eastern Health and Social Services Board |
16.2 |
Northern Health and Social Services Board |
9.0 |
Southern Health and Social Services Board |
6.7 |
Western Health and Social Services Board |
6.3 |
Centrally Managed Funds |
14.8 |
|
53.0 |
Is mar a leanas a leithroinneadh na £53m ar na seirbhísí sláinte agus ar na seirbhísí sóisialta:
1. |
Cúram Pobail, agus cúram daoine scothaosta, síciatracht leanaí agus ógánach, míchumas foghlama, meabhairshláinte agus míchumas fisiceach san áireamh. |
£11m |
2. |
Brúnna ar ospidéil, agus liostaí feithimh, aonaid dianchúraim/ardspleáchais, ailse, seirbhísí míochaine réigúnacha, seirbhísí fiaclóireachta ospidéal, ionfhabhtú a fuarthas in ospidéil agus diúscairt dramhaíola chliniciúla san áireamh. |
£17m |
3. |
Earcú/traenáil/forbairt lucht gairme, agus uaireanta dochtúirí sóisearacha, traenáil sna seirbhísí sóisialta, earcú altraí agus gairmeacha atá gaolmhar le míochaine, agus brúnna maidir le cógaiseoirí ospidéal, eolaithe cliniciúla, síceolaithe agus fiaclóireacht san áireamh |
£3m |
4. |
Seirbhísí otharcharranna, agus feabhsú slite cumarsáide agus athnuachan feithiclí san áireamh. |
£2m |
5. |
Caipiteal, ródhliteanais a laghdú i mbliana agus suimeanna breise a cheadú sna blianta amach anseo. |
£6m |
6. |
Seirbhísí do Leanaí, agus altranas péidiatraiceach pobail san áireamh. |
£5m |
7. |
Straitéis Teicneolaíochta Eolais agus Cumarsáide atá á díriú ar dtús ar thionscadal le Córas Aimsithe Othar agus Cliant Aonair a chruthú. |
£1m |
8. |
Frithchalaois, agus bunú Láraonaid Imscrúdaithe Calaoise agus maoiniú post gairmiúil san áireamh. |
£1m |
9. |
Seirbhísí Ginearálta Míochaine, agus infheistiú maidir le líon agus scileanna na mball sna foirne cúraim phríomhúil. |
£1m |
10. |
Brúnna ar Bhoird Áitiúla, agus an bhéim ar bhearta a chuirfidh cuma nua-aimseartha ar sheirbhísí atá ann. |
£5.2m |
11. |
Cur leis na Cláir Vacsaínithe |
£0.8m |
|
IOMLÁN |
£53M |
Iarradh ar na Boird a gcuid pleananna caiteachais maidir lena sciar den airgead a chur faoinár mbráid. Rinne mo Roinnse iniúchadh ar na pleananna seo agus cheadaigh mise ina dhiaidh sin iad ag tús mhí Iúil.
Is mar a leanas a leithroinneadh an t-airgead ar na Boird SSS:
|
£m |
Bord Sláinte agus Seirbhísí Sóisialta an Oirthir |
16.2 |
Bord Sláinte agus Seirbhísí Sóisialta an Tuaiscirt |
9.0 |
Bord Sláinte agus Seirbhísí Sóisialta an Deiscirt |
6.7 |
Bord Sláinte agus Seirbhísí Sóisialta an Iarthair |
6.3 |
Cistí faoi Bhainistíocht Lárnach |
14.8 |
|
53.0 |
HSS Trusts: Deficit
Mrs I Robinson asked the Minister of Health, Social Services and Public Safety if she will give details of the current debt, cumulative debt, and the projected debt for each Trust in Northern Ireland.
(AQW 305/00)
Ms de Brún: At this stage of the year, it would be inopportune of me to provide details of the projected deficits by Trust, since Trust estimates contain many uncertainties regarding the amount of money which will be made available for cost pressures in the year. Furthermore, they do not take account of the outcome of the recovery plan process which has been initiated for those Trusts with deficits in excess of 0.5% of turnover. In total, early projections suggest an over-commitment of some £20 million but this figure is subject to the qualifications above. Details of the current and cumulative Trust deficits are shown in the attached table.
TRUST |
Cumulative Operational Position at 31 Mar 2000
(£k) |
Year to date position at 31 July 2000
(£k) |
Belfast City Hospital |
-3,542 |
-550 |
Craigavon Area Hospital |
-2,607 |
-872 |
N.I Ambulance Service |
99 |
-95 |
Royal Group of Hospitals |
-12,861 |
-3,536 |
Green Park |
-1,889 |
-709 |
Mater |
86 |
-783 |
Down and Lisburn |
3,741 |
0 |
Craigavon and Banbridge |
760 |
-152 |
South and East Belfast |
612 |
-205 |
Newry and Mourne |
525 |
-435 |
North and West Belfast |
-1,005 |
-593 |
Causeway |
92 |
-655 |
Altnagelvin |
- 2,324 |
-243 |
Homefirst |
135 |
-645 |
Foyle |
371 |
-255 |
United Hospitals |
30 |
-451 |
Sperrin Lakeland |
- 1,505 |
-406 |
Armagh and Dungannon |
-22 |
-590 |
Ulster |
-861 |
-1097 |
TOTALS |
-20,165 |
-12,272 |
Ba mhíthráthúil an mhaise dom ag an phointe seo sa bhliain mioneolas a thabhairt ar easnaimh atá á dtuar de réir Iontaobhas, ós rud é go mbíonn a lán éiginnteachtaí sna meastacháin Iontaobhas maidir le méid an airgid a chuirfear ar fáil le haghaidh brúnna caiteachais na bliana. Chomh maith leis sin ní chuireann siad san áireamh toradh phróiseas na bPleananna Téarnaimh atá curtha ar bun ag na hIontaobhais sin a bhfuil easnaimh orthu sa bhreis ar 0.5 dá láimhdeachais. Tá na chéad réamh-mheastacháin ag tabhairt le fios go mbeidh rócheangaltas faoi thuairim £20 milliún ann san iomlán ach beidh an figiúr seo ag brath ar na coinníollacha thuas. Tá mioneolas faoi easnaimh reatha agus charnacha na nIontaobhas ar taispeáint sa tábla atá i gceangal leis seo
IONTAOBHAS |
Suíomh Carnach Oibríochtúil ar an 31 Márta 2000
(£k) |
Suíomh go dtí seo i mbliana ar an 31 Iúil 2000
(£k) |
I. Ospidéal Cathrach Bhéal Feirste |
-3,542 |
-550 |
I. Ospidéal Cheantar Craigavon |
-2,607 |
-872 |
I. Sheirbhísí Otharcharranna TÉ |
99 |
-95 |
I. an Ghrúpa Ríoga Ospidéal |
-12,861 |
-3,536 |
I. na Páirce Glaise |
-1,889 |
-709 |
I. an Mater |
86 |
-783 |
I. an Dúin agus Lios na gCearrbhach |
3,741 |
0 |
I. Craigavon agus Droichead na Banna |
760 |
-152 |
I. Dheisceart agus Oirthear Bhéal Feirste |
612 |
-205 |
I. an Iúir agus Mhorna |
525 |
-435 |
I. Tuaisceart agus Iarthar Bhéal Feirste |
-1,005 |
-593 |
I. an Chlochain |
92 |
-655 |
I. Alt na nGealbhan |
- 2,324 |
-243 |
I. Homefirst |
135 |
-645 |
I. an Fheabhail |
371 |
-255 |
I. na nOspidéal Aontaithe |
30 |
-451 |
I. Loch-cheantar Speirín |
- 1,505 |
-406 |
I. Ard Mhacha agus Dún Geanainn |
-22 |
-590 |
I. Uladh |
-861 |
-1097 |
IOMLÁIN |
-20,165 |
-12,272 |
HSS Trusts: Spending
Mrs I Robinson asked the Minister of Health, Social Services and Public Safety if she will confirm that a document outlining the projected deficit for each Trust in Northern Ireland was recently distributed to all Trust managers urging them to reduce expenditure wherever possible and if she will make a statement.
(AQW 306/00)Ms de Brún: I can confirm that, in light of a worsening deficit position within some Trusts, my Permanent Secretary, as Accounting Officer, wrote to all Chairs of Boards, Trusts and Agencies in August, outlining their financial responsibilities.I can further confirm that subsequent to Secretary’s action, my Department has formally corresponded with Chief Executives and Directors of Finance in relevant Trusts to request that Financial Recovery Plans are produced by those Trusts with material cumulative or projected deficits. Directors of Finance also subsequently received a summary of the initial out-turn positions forecasted by Trusts for information purposes.Thig liom a dhearbhú, i bhfianaise na n-easnamh atá ag éirí níos measa i gcuid de na hIontaobhais, gur scríobh mo Rúnaí Buan, mar Oifigeach Cuntais, chuig gach Cathaoirleach Boird, Iontaobhais agus Gníomhaireachta i mí Lúnasa gur mhínigh sé a gcuid freagrachtaí airgeadais dóibh.
Thig liom a dhearbhú fosta gur i ndiaidh don Rúnaí seo a dhéanamh, scríobh mo Roinn go foirmiúil chuig Príomhfheidhmeannaigh agus chuig Stiúrthóirí Airgeadais na nIontaobhas atá i gceist ag iarraidh ar na hIontaobhais atá ag tuar easnamh carnach ábhartha Pleananna Téarnaimh Airgeadais a chur ar fáil. Fuair Stiúrthóirí Airgeadais ina dhiaidh sin fosta, le haghaidh eolais, achoimre na gcéad torthaí atá á dtuar ag na hIontaobhais.
Difficult Patients
Ms McWilliams asked the Minister of Health, Social Services and Public Safety if it is her intention to review Trusts’ policies and guidelines in respect of the management of challenging behaviour in patients, including the use of restraint and seclusion and how they are practised.
(AQW 311/00)
Ms de Brún: The Mental Health Commission undertook a review of Trusts’ policies in 1997. This was followed by the publication of guidance in 1998 on the issues it would expect to see contained in written policies. The Commission also drew Trusts’ attention to a document ‘Management of Imminent Violence: Clinical Practice Guidelines to support Mental Health Services’ published by the Royal College of Psychiatrists. The Commission has advised that it has no specific concerns about the management of people with challenging behaviours in hospitals or facilities nor about the use of seclusion in particular. Accordingly, I have no plans at present to review Trusts’ policies, but my Department will keep the matter under review.
Rinne an Coimisiún Meabhairshláinte athbhreithniú ar pholasaithe na nIontaobhas sa bhliain 1997. Ina dhiaidh sin d’ fhoilsigh sé cáipéis treorach faoi na nithe ba mhaith leis a fheiceáil mar ábhar i bpolasaithe scríofa. Dhírigh an Coimisiún aird na nIontaobhas fosta ar ‘Management of Imminent Violence: Clinical Practice Guidelines to support Mental Health Services’ doiciméad a d’fhoilsigh Coláiste Ríoga na Síciatraithe. Tá an Coimisiún i ndiaidh a chur in iúl nach bhfuil imní ar leith air maidir le daoine a láimhseáil a bhfuil iompraíocht dhúshlánach acu in ospidéil, nó i saoráidí nó maidir lena gcur ar leithlis go háirithe. Ar an ábhar sin, níl pleananna ar bith agam faoi lathair polasaithe na nIontaobhas a athbhreithniú, ach déanfaidh mo Roinnse faireachán ar an cheist seo.
Hospital Waiting Lists
Mrs I Robinson asked the Minister of Health, Social Services and Public Safety if she will outline the initiatives she has instigated to reduce hospital waiting lists and what assessment she has made in relation to the impact of these initiatives.
(AQW 322/00)
Ms de Brún: On 11 September, I issued a framework for action on waiting lists, which set out a comprehensive programme of action designed to reduce waiting lists over the next 3 years. The programme covers a wide range of measures, including the purchase of additional procedures, the implementation of best clinical and managerial practices across the service and schemes designed to manage hospital admissions more effectively. I have allocated an additional £5 million to support the programme in the current year.Under the framework, Boards and Trusts will produce action plans in each of the next 3 years, detailing how they intend to address the waiting list problem. It is too early yet to assess the impact of these measures, but I shall be monitoring the implementation of action plans very closely to ensure their effectiveness.D’fhoilsigh mé ar 11 Meán Fómhair, creatlach gníomhaíochta ar liostaí feithimh, a leag amach clár cuimsitheach gníomhaíochta a bhfuil sé de chuspóir aige na liostaí feithimh a laghdú thar na trí bliana romhainn. Clúdaíonn an clár réimse leathan de sheifteanna, agus sa chuntas leo, ceannacht tuilleadh modhanna, comhlíonadh na gcleachtaí is fearr, idir chliniciúil agus bhainisteoireach ar fud na seirbhíse agus scéimeanna a ceapadh le glacadh isteach a láimhseáil ar dhóigheanna níos éifeachtaí. Leag mé amach £5 mhilliún breise mar chuidiú leis an chlár sa bhliain reatha seo.
Sa chreatlach seo, cuirfidh Boird agus Iontaobhais pleananna gníomhaíochta amach i ngach bliain de na trí bliana atá romhainn, ag sonrú conas a rachaidh siad i gceann fhadhb na liostaí feithimh. Tá sé róluath go fóill turraing na seifteanna seo a mheas, ach beidh súil ghéar agam ar chomhlíonadh pleananna gníomhaíochta lena n-éifeacht a chinntiú.
HSS Boards: Spending
Mr Shannon asked the Minister of Health, Social Services and Public Safety if she will detail the amount of money spent by each of the four Health Boards in the past year.
(AQW 326/00)
Ms de Brún: The amount of money spent by each of the four Health and Social Services Boards in the past year 1999/2000 is detailed in the table below.
HSS BOARDS |
1999/2000 |
HSS BOARDS |
Revenue
£000 |
Capital
£000 |
Northern |
349,573 |
39 |
Southern |
292,331 |
257 |
Eastern |
626,449 |
454 |
Western |
264,691 |
47 |
Tá an méid airgid a chaith gach ceann de na Boird Sláinte agus Seirbhísí Sóisialta sa bhliain seo caite 1999/2000 ar fáil sa tábla thíos.
BOIRD SSS |
1999/2000 |
|
Ioncam
£000 |
Caipiteal
£000 |
B. an Tuaiscirt |
349,573 |
39 |
B. an Deiscirt |
292,331 |
257 |
B. an Oirthir |
626,449 |
454 |
B. an Iarthair |
264,691 |
47 |
Alzheimer’s Disease
Mr Shannon asked the Minister of Health, Social Services and Public Safety what assessment she has made in relation to the number of people suffering from Alzheimer’s Disease in Northern Ireland.
(AQW 330/00)
Ms de Brún: Alzheimer’s Disease is the most common type of dementia accounting for more than 50% of all cases. It is difficult to be certain about the incidence of dementia not least because of the large number of sufferers who are not in contact with services. However, it is estimated that there are currently around 16,000 people here suffering from dementia.
Is é galar Alzheimer an cineál is coitianta néaltraithe. Is é atá ann i mbreis agus 50% de na cásanna. Is deacair a bheith cinnte faoin líon daoine a bhfuil néaltrú orthu agus ní hé an chúis is lú é nach mbíonn a lán fulangaithe i dteagmháil leis na seirbhísí. Ach mar sin féin, meastar go bhfuil tuairim agus 16,000 duine anseo a bhfuil néaltrú orthu.
Department: Draft Equality Scheme
Dr O’Hagan asked the Minister of Health, Social Services and Public Safety what steps she took to address issues of religious and political discrimination in preparing the Department’s draft equality scheme and to list those consulted in preparing this aspect of the draft scheme.
(AQW 331/00)
Ms de Brún: My Department’s Equality Scheme shows how the Department proposes to fulfil the duties imposed by Section 75 of the Northern Ireland Act 1998 in respect of the nine categories to which the statutory obligations apply. The arrangements set out in the Scheme for ensuring compliance with Section 75 duties apply equally to all nine categories. The Scheme includes a list of those consulted.As the Scheme makes clear, equality impact assessments will, however, consider the specific implications of policies for each category, including people of different religious belief or political opinion.Taispeánann Scéim Chomhionnais mo Roinne modh na Roinne le dualgais, a leag alt 75 amach den Acht Thuaisceart Éireann 1998, a chur i gcrích, maidir leis na naoi n-earnáil a bhaineann leis na dualgais reachtúla. Tá na socruithe céanna, mar atá siad leagtha sa Scéim le dualgais alt 75 a chinntiú, i bhfeidhm, agus iad mar an gcéanna i ngach ceann de na naoi n-earnáil. Cuimsíonn an Scéim liosta dóibh siud a ndeachthas i gcomhairle leo.
Mar a léiríonn an Scéim, scrúdóidh measúnuithe turrainge comhionannais, áfach, na himpleachtaí sainiúla a bhaineann le cuspóirí gach earnála agus daoine de gach saghas creidimh nó claonta polaitiúla araon.
Dementia
Mr Shannon asked the Minister of Health, Social Services and Public Safety if she will detail her plans to increase the amount of funding allocated to dealing with conditions associated with dementia.
(AQW 336/00)
Ms de Brún: Financial provision for dealing with conditions associated with dementia is met from within the overall allocation of funding to Health and Social Services Boards. It is a matter for the Boards to determine the resource distribution to be made for the range of health and social care needs of their local populations, including those with conditions associated with dementia.
Is den mhaoiniú iomlán a leithroinntear ar na Boird Sláinte agus Seirbhísí Sóisialta a bhaintear an t-airgead a chuirtear ar fáil le cóireáil a thabhairt do dhaoine a bhfuil galair orthu a bhaineann le néaltrú. Is é cúram na mBord a shocrú cad é mar a dháilfear acmhainní ar an réimse riachtanas sláinte agus cúraim shóisialta atá ag an phobal lena n-áirítear na galair a bhaineann le néaltrú.
Ulster Hospital: Laboratory Tests
Mr Shannon asked the Minister of Health, Social Services and Public Safety what action has been taken to address delays in sample testing at the Ulster Hospital.
(AQW 337/00)
Ms de Brún: Delays in specimen processing have been occurring in the laboratory at the Ulster Hospital because of a shortage of clerical staff. Two additional staff have now been appointed to overcome the problem.In addition, an Optical Character Recognition System, which will read pathology request forms automatically, is being piloted which, when implemented, will further speed up the process.Bhí moill i bpróiseáil samplaí sa tsaotharlann ag Otharlann Uladh mar gheall ar easpa foirne cléiricí. Ceapadh beirt bhreise anois leis an fhadhb seo a shárú.Mar bharr ar sin, tá Córas Aitheantais Optúil Carachtar a léifidh foirmeacha iarratais paiteolaíochta go huathoibríoch, á phíolótú, agus nuair a chuirfear i bhfeidhm é, géaróidh sé an próiseas a thuilleadh.
Mr Shannon asked the Minister of Health, Social Services and Public Safety if she will confirm that the standards of performance for laboratory testing at the Ulster Hospital are not undermined by current delays.
(AQW 338/00)
Ms de Brún: A shortage of clerical staff has caused delays in specimen processing in the laboratory at the Ulster Hospital. Two additional staff have now been appointed and this should ensure that the performance standards are brought up again to an acceptable standard.
Ba í an easpa foirne cléiricí a ba chúis leis an mhoill i bpróiseáil samplaí sa tsaotharlann ag Otharlann Uladh. Ceapadh beirt bhreise anois agus ba chóir do seo a chinntiú go n-ardófar caighdeáin oibre arís go leibhéal a nglacfar leis.
Beta Interferon
Mr O’Connor asked the Minister of Health, Social Services and Public Safety if she will confirm that it is not her intention to withdraw Beta Interferon as a treatment for Multiple Sclerosis patients.
(AQW 346/00)
Ms de Brún: I have no plans to withdraw beta interferon as a treatment for multiple sclerosis. I will however wish to consider the evidence and the final recommendations produced by the National Institute for Clinical Excellence (NICE) on the role of beta interferon in the treatment of MS and its implications for patients here.
Ní sé ar intinn agam beta interferon a tharraingt siar mar chóireáil d’Ilscléaróis. Cuirfidh mé san áireamh áfach, an fhianaise agus na moltaí deireannacha an Institiúid Náisiúnta um Fheabhas Cliniciúil (INFC) ar ról beta interferon i gcóireáil Ilscléaróise agus a impleachtaí d’othair anseo.
Heart Surgery: Waiting Lists
Mr Shannon asked the Minister of Health, Social Services and Public Safety if she will detail the number of people presently waiting for heart operations in Northern Ireland.
(AQW 369/00)
Ms de Brún: At 31 March 2000 (the latest date for which information is available), there were 560 people waiting for inpatient treatment in Cardiac Surgery.
Ar an 31 Márta 2000 (an dáta is déanaí a bhfuil eolas ar fáil ina leith) bhí 560 duine ag feitheamh le cóireáil Máinliachta Cairdiaiche a fháil mar othair chónaitheacha.
Sure Start Strategy
Mr McGrady asked the Minister of Health, Social Services and Public Safety if she will outline the progress made on the Sure Start Strategy which is already in place in England, Scotland and Wales.
(AQW 371/00)
Ms de Brún: In July I announced the allocation of £2m in this financial year to introduce the Sure Start programme for families with young children here. 15 projects are being funded initially. I intend to increase the funding for Sure Start next year to allow more projects to be introduced in areas of highest need.
D’fhógair mé i mí Iúil gur leithroinneadh £2m sa bhliain airgeadais seo chun tús a chur leis an chlár Sure Start do theaghlaigh anseo a bhfuil leanaí óga acu. Tá 15 thionscadal á maoiniú ar dtús. Tá rún agam an maoiniú le haghaidh Sure Start a mhéadú an bhliain seo chugainn chun gur féidir tionscadail bhreise a bhunú sna ceantair is mó riachtanas.
Muckamore Abbey Hospital
Ms McWilliams asked the Minister of Health, Social Services and Public Safety if she will detail the number of occasions on which patients have been confined outdoors at Muckamore Abbey Hospital during each of the last five years.
(AQW 387/00)
Ms de Brún: The figures are as follows:
1996 |
89 |
1997 |
140 |
1998 |
191 |
1999 |
0 |
2000 |
0 |
Seo na figiúirí mar a leanas:
1996 |
89 |
1997 |
140 |
1998 |
191 |
1999 |
0 |
2000 |
0 |
Mental Health
Ms McWilliams asked the Minister of Health, Social Services and Public Safety if she will outline the arrangements for inspection of health service practice in mental health hospitals in Northern Ireland.
(AQW 388/00)
Ms de Brún: Compliance with standards set by the Hospital Advisory Service in the mid-1990s is a matter for ongoing monitoring by Boards through their contracting arrangements, and was separately reviewed earlier this year by an independent group commissioned by the Department. The Mental Health Commission has a statutory duty to keep under review the care and treatment of all patients.
Baineann déanamh oibre de réir caighdeán leagtha amach ag an tSeirbhís Chomhairleach Otharlainne sna meán-90í, le Boird a dhéanann monatóireacht leanúnach orthu trí shocruithe a gconarthaí, agus rinne grúpa neamhspleách a coimisiúnaíodh ag an Roinn athbhreithniú neamhspleách orthu níba luaithe i mbliana. Tá dualgas reachtúil ag an Choimisiún Sláinte Meabhrach le cúram agus le cóireáil gach othar a choinneáil faoi athbhreithniú.
Muckamore Abbey Hospital
Ms McWilliams asked the Minister of Health, Social Services and Public Safety if she will confirm that the policy for the care of mental health patients does not permit the confinement of these patients outdoors at Muckamore Abbey Hospital or elsewhere in Northern Ireland.
(AQW 389/00)
Ms de Brún: Seclusion of patients outdoors at Muckamore Abbey Hospital ceased in December 1998 and is not practised elsewhere.
Cuireadh deireadh le hothair a chur ar an uaigneas taobh amuigh ag Otharlann Mhainistir Mhaigh Chomair i Nollaig 1998 agus ní chleachtaítear in áit ar bith eile é.
<< Prev / Next>>
|