Friday 08 March 2002
Written Answers to Questions (Continued)

Mental Health Problems : School Age Children

Mr Mark Robinson asked the Minister of Health, Social Services and Public Safety to outline (a) the estimated prevalence of mental health problems in school-age children; and (b) any research currently being undertaken on this matter.

(AQW 2184/01)

Ms de Brún: (a) There were 510 mentally ill persons aged 5 - 15 with whom Community Trusts had contact during the year ending 31 March 2001. However this data is of limited use in determining prevalence or incidence of mental health problems in school age children, as it relates only to persons who have contact with Community Trusts. There may be others in the general population who suffer from some form of mental health problem but who do not have contact with Community Trusts and for whom no information is available.

(b) No research is currently being undertaken on this matter.

(a) Bhí 510 duine a raibh tinneas meabhrach orthu idir 5 - 15 bliain d'aois lena raibh teagmháil ag Iontaobhais Phobail leo le linn na bliana ag críochnú ar 31 Márta 2001. Bíodh sin mar atá, tá úsáid na sonraí seo teoranta ó thaobh forleithne nó minicíocht fadhbanna sláinte meabhrach ag pháistí atá ar aois scoile a chinntiú, mar ní bhaineann sé ach le daoine a mbíonn teagmháil acu le hIontaobhais Phobail. Is féidir go bhfuil roinnt daoine eile sa phobal a fhulaingíonn ag tinneas meabhrach de chineál éigin nach mbíonn teagmháil acu le hIontaobhais Phobail agus nach bhfuil eolas ar bith ar fáil dóibh.

(b) Níl taighde á dhéanamh ar an ábhar seo faoi láthair.

Health Inequalities

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety what steps are being taken to tackle health inequalities; and to make a statement.

(AQW 2186/01)

Ms de Brún: My Department and its associated organisations are taking a number of steps to tackle health inequalities.

Through the Investing for Health Strategy, due to be published shortly, we aim to reduce the inequalities in health which exist here particularly by targeting action in the most deprived areas. The strategy will establish Investing for Health partnerships which will work to identify the health and well-being issues affecting their communities and develop integrated health improvement plans for local action.

Through the New Targeting Social Need (TSN) policy, we aim to tackle social need and social exclusion by targeting efforts and available resources towards those in greatest social need. My Department and all Health and Social Services Boards have Action Plans in place and all Health and Social Services Trusts have drawn up draft Action Plans on which they are now publicly consulting. My Department and its associated bodies will work closely to ensure that goals we have set ourselves are progressed and achieved, including a more equitable funding allocation according to health and social care need.

Through implementation of our equality obligations under Section 75 of the Northern Ireland Act 1998, we have begun a programme of region-wide equality impact assessments on the impact of our policies on the nine categories of people specified in the Act. Where appropriate, we will take mitigating action to address any inequalities identified.

Tá mo Roinn agus a comheagrais ag déanamh roinnt beart le tabhairt faoi éagothromaíochtaí sláinte.

Tríd an Straitéis Infheistíocht sa tSláinte, atá le foilsiú ar ball, tá sé de chuspóir againn na héagothromaíochtaí i sláinte atá anseo a laghdú go háirithe trí ghníomh a dhéanamh sna ceantair is mó ánais. Cuirfidh an straitéis páirtíochtaí Infheistíocht sa tSláinte ar bun a fheidhmeoidh leis na ceisteanna sláinte agus dea-bhaile a bhfuil tionchar acu ar a bpobail a aithint agus le pleananna imeasctha feabhsú sláinte a fhorbairt le haghaidh gnímh áitiúil.

Tríd an pholasaí Nua Dírithe ar Riachtanas Sóisialta (DRS), tá sé d'aidhm againn tabhairt faoi ánas sóisialta agus faoi eisiacht shóisialta trínár n-iarrachtaí agus tríd na hacmhainní atá ar fáil a dhíriú orthu siúd a bhfuil níos mó ánais shóisialta orthu. Tá Pleananna Gnímh i bhfeidhm ag mo Roinn agus ag na Boird Shláinte agus Sheirbhísí Sóisialta go léir agus dhréachtaigh na hIontaobhais Shláinte agus Sheirbhísí Sóisialta go léir Dréacht-Phleananna Gníomhaíochta ar a bhfuil siad ag déanamh comhairlithe anois go poiblí. Comhoibreoidh mo Roinn agus a comhfhorais go dlúth le cinntiú go ndéanfar dul chun cinn ar na sprioc-chuspóirí a leag muid síos dúinn féin agus go mbainfear amach iad, mar aon le dáileadh níos cothroime maoinithe de réir riachtanais shláinte agus chúraim shóisialta.

Trí chur i bhfeidhm ár ndualgas comhionannais de réir Mír 75 d'Acht Thuaisceart Éireann 1998, chuir muid tús le clár de mheasúnuithe tionchair chomhionannais ar fud an réigiúin ar thionchar ár bpolasaithe ar na naoi n-aicme de dhaoine luaite san Acht. Más cuí é, déanfaidh muid gníomh maolaithe le tabhairt faoi éagothomaíocht ar bith aitheanta.

Delays in Discharges : West Tyrone

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety what steps she is taking to reduce unnecessary delays in discharges from the acute service sector in West Tyrone.

(AQW 2197/01)

Ms de Brún: I am advised that the Sperrin Lakeland Health and Social Services Trust, which covers West Tyrone, currently has no patients that are deemed medically fit, remaining in hospital from the West Tyrone area.

I am aware that Sperrin Lakeland HSS Trust are making use of step down beds and the employment of a discharge co-ordinator in order to deal with any unnecessary delays in discharge.

Cuireadh in iúl dom nach bhfuil othar ar bith ó cheantar Iarthar Thír Eoghain atá fáthmheasta mar folláin ag Iontaobhas Sláinte agus Seirbhísí Sóisialta Speirín/Thír na Lochanna, a chlúdaíonn Iarthar Thír Eoghain, san otharlann faoi láthair.

Tá a fhios agam go bhfuil Iontaobhas SSS Speirín/Thír na Lochanna ag baint úsáide as leapacha le dréimirí agus gur fhostaigh siad comhordaitheoir scaoilte amach le déileáil le moill neamhriachtanach ar bith i scaoileadh amach othar.

Mental Health Patients : West Tyrone

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety what recent progress has she made in improving the treatment of mental health patients in West Tyrone.

(AQW 2198/01)

Ms de Brún: The Western Health and Social Services Board has commissioned the following progress in improving mental health services in the greater Tyrone area, including West Tyrone:

Child and Family Mental Health Work

Additional staff within the Child and Family Mental Health Team based at Rivendell House, Omagh - a psychology attachment to GP practices in Strabane and a primary care based counselling service for young people in Strabane.

Discharges from Hospital

The discharge of 16 long stay patients from the Tyrone and Fermanagh Hospital to new purpose built and fully staffed accommodation at Cranny Close in Omagh.

Drugs Treatment

Additional staffing has been recruited within the Sperrin Lakeland Trust area to deal specifically with drug related problems.

Primary Care

A successful primary care initiative has been permanently funded in Omagh.

Street Drinking

An innovative street drinkers project for chronic drinkers has been successfully piloted in Omagh in conjunction with the voluntary sector.

Help Line

A 24 hour help line is now available to service users, carers and GPs throughout the Sperrin Lakeland Trust area.

Seriously Challenging Behaviour

The Tyrone and Fermanagh Hospital has increased the range of treatment and rehabilitation options for individuals with seriously challenging behaviour. This has entailed the appointment of a range of professional staff and capital development to facilitate day activity.

Users Advocacy

The Sperrin Lakeland Trust has supported the "Heads Together" user group with the use of premises and assistance with running costs. A website for users has been established and the group plans to provide an advocacy service to in-patients.

Day Care

The Foyle Trust, in partnership with the Open Door Housing Association, has provided new day care provision in Strabane, for up to twenty people with mental health problems.

Housing

The Foyle Trust has developed a group housing scheme for up to 10 clients in Strabane in partnership with Open Door Housing Association.

In addition, both Sperrin Lakeland and Foyle Trusts have established multi-disciplinary community based mental health teams in Omagh and Strabane, embracing Psychiatry, Social Work and Psychology.

Choimisiúnaigh Bord Sláinte agus Seirbhísí Sóisialta an Iarthair na tuairiscí seo a leanas ar an dul chun cinn déanta i seirbhísí sláinte meabhrach i gceantar iomlán Thír Eoghain, Iarthar Thír Eoghain san áireamh.

Obair Shláinte Meabhrach Páistí agus Teaghlaigh

Oibrithe breise laistigh den Fhoireann Sláinte Meabhrach Páistí agus Teaghlaigh lonnaithe i dTeach Rivendell, An Ómaigh - ionad síceolaíochta curtha le clinicí Dochtúirí Ginearálta ar an Srath Bán agus seirbhís chomhairle bunaithe ar phríomhchúram do dhaoine óga ar an Srath Bán.

Scaoileadh amach Othar ón Otharlann

Scaoileadh amach 16 othar cónaitheach fadtéarmach ó Otharlann Thír Eoghain agus Fhear Manach go cóiríocht chuspóireach nuathógtha le foireann iomlán i gClós Cranny ar an Ómaigh.

Cóireáil Drugaí

Earcaíodh oibrithe breise ó laistigh de cheantar Iontaobhas Thír Lochanna Speirín le déileáil go díreach le fadhbanna bainteach le drugaí.

Príomhchúram

Tá scéim rathúil phríomhchúraim ar an Ómaigh maoinithe go buan.

Ólachán Sráide

D'éirigh go maith le scéim nua phíolóta óltóirí sráide d'óltóirí ainsealacha ar an Ómaigh i gcomhar leis an earnáil dheonach.

Líne Chabhrach

Tá líne chabhrach 24 uair ar fáil anois d'úsáideoirí seirbhísí, d'fheighlithe agus do Dochtúirí Ginearálta ar fud cheantar Iontaobhas Thír Lochanna Speirín.

Iompar Fíordhúshlánach

Mhéadaigh Otharlann Thír Eoghain agus Fhear Manach réimse na roghanna cóireála agus athshlánaithe do dhaoine aonair a bhfuil iompar fíordhúshlánach acu. Tá ceapachán roinnt oibrithe gairmiúla agus forbairt chaipitil le gníomhaíocht lae a éascú i gceist leis seo.

Tacaíocht d'Úsáideoirí

Thacaigh Iontaobhas Thír Lochanna Speirín leis an ghrúpa d'úsáideoirí 'Heads Together' trína n-áitreabh a chur ar fáil dóibh le húsáid agus trí chuidiú a thabhairt le costais reáchtála. Cuireadh líonláithreán ar bun d'úsáideoirí agus tá sé ar intinn ag an ghrúpa seirbhís thacaíochta a sholáthar d'othair chónaitheacha.

Cúram Lae

Chuir Iontaobhas an Fheabhail, i gcomhar leis an Chumann Tithíochta Doras Ar Oscailt, áis nua chúraim lae ar fáil ar an Srath Bán faoi choinne suas go dtí fíche duine le fadhbanna sláinte meabhrach.

Tithíocht

D'fhorbair Iontaobhas an Fheabhail scéim thithíochta ghrúpa faoi choinne suas go 10 cliant ar an Srath Bán i gcomhar leis an Chumann Tithíochta Doras Ar Oscailt.

Ina theannta sin, chuir Iontaobhas Thír Lochanna Speirín agus Iontaobhas an Fheabhail araon foirne ildhisciplíneacha pobalbhunaithe sláinte meabhrach le chéile ar an Ómaigh, agus ar an Srath Bán le déileáil le Síciatracht, le hObair Shóisialta agus le Síceolaíocht.

Investment in Accident and Emergency Facilities : West Tyrone

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety what investment has been made in the last 5 years on accident and emergency facilities in West Tyrone.

(AQW 2199/01)

Ms de Brún: The figures below represent the additional investment on Accident and Emergency Facilities in West Tyrone for the 1998/99, 1999/00, 2000/01 and 2001/2002 financial years.

Seasann na figiúirí thíos don infheistíocht bhreise Áiseanna Timpistí agus Éigeandála i dTír Eoghain Thiar do na blianta airgeadais 1998/99, 1999/00, 2000/01 agus 2001/2002.

Residential Homes : West Tyrone

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety how many beds for elderly people have been lost in residential homes in West Tyrone between May 1997 and the latest available date.

(AQW 2200/01)

Ms de Brún: The average number of available places in residential homes for elderly people in Sperrin Lakeland Trust increased by 85 from 204 to 289 between 31 March 1997 and 31 March 2001.

Average available places in residential homes for elderly people

Mhéadaigh meánuimhir na n-áiteanna ar fáil i dtithe cónaithe do sheandaoine in Iontaobhas SSS Speirín Tír na Lochanna le 85 ó 204 idir 31 Márta 1997 agus 31 Márta 2001.
Meánuimhir na n-áiteanna ar fáil i dtithe cónaithe do sheandaoine

Drugs : Education and Awareness

Mr David Hilditch asked the Minister of Health, Social Services and Public Safety to detail (a) support available to parents whose children are addicted to drugs, and (b) initiatives being taken to promote drug awareness.

(AQW 2201/01)

Ms de Brún: Considerable resources have been invested to tackle drug and alcohol related harm. Over £4.5 million has been allocated to a range of projects to help deliver on the objectives of the Drug Strategy. These projects offer drugs education and support for parents; education and awareness raising in schools and community groups; improved and expanded treatment, rehabilitation and counselling services for drug users; and action to reduce drug use in prisons and among offenders. A public information campaign aimed at children, young people and parents has been ongoing.

Drugs education is also a statutory obligation, which requires schools to have in place a drugs education policy and to teach drugs education as part of the Health Education cross-curricular theme.

Rinneadh infheistíocht shuntasach acmhainní le dul i ngleic le dochar bainteach le drugaí agus le halcól. Dáileadh breis agus £4.5 milliún ar réimse tionscnamh chun cuspóirí na Straitéise Drugaí a bhaint amach. Cuireann na tionscnaimh seo oideachas drugaí agus tacaíocht ar fáil do thuismitheoirí: oideachas agus spreagadh feasachta i scoileanna agus le grúpaí pobail; cóireál forbartha agus feabhsaithe, seirbhísí athshlánaithe d'úsáideoirí drugaí; agus gníomh chun úsáid drugaí i bpríosún i measc ciontóirí a laghdú. Tá feachtas poiblí dírithe ar pháistí, ógánaigh agus ar thuismitheoirí ar leanúint.

Is oibleagáid réachtúil chomh maith é oideachas drugaí, a thugann ar scoileanna polasaí oideachas drugaí a bheith curtha i bhfeidhm agus oideachas drugaí a theagasc mar pháirt den téama traschuraclaim ar Oideachas Sláinte.

Macmillan Nurses

Mr Jim Shannon asked the Minister of Health, Social Services and Public Safety to detail the number of Macmillan nurses that are currently working in each Trust.

(AQW 2202/01)

Ms de Brún: The information requested is set out in the table below:

Tá an t-eolas a iarradh leagtha amach sa tábla thíos:

Free Toothbrushes

Mr Mark Robinson asked the Minister of Health, Social Services and Public Safety how many free toothbrushes have been provided to children since January 2001.

(AQW 2214/01)

Ms de Brún: This information is not available.

Níl an t-eolas seo ar fáil.

Awareness of Depression : 16-25 Year Olds

Mr Mark Robinson asked the Minister of Health, Social Services and Public Safety what plans she has to raise the awareness of depression amongst 16-25 year olds.

(AQW 2217/01)

Ms de Brún: Awareness of depression is included within mental health promotion. My Department will be issuing a mental health promotion strategy and action plan within the next few months which will include specific initiatives aimed at young people. In the meantime Boards and Trusts are addressing the issue of depression among adolescents and young people through health promotion initiatives at community, youth and educational levels. My Department also provides funding to Aware Defeat Depression for an awareness programme in secondary schools.

Cuimsítear eolas ar lionn dubh i gcur chun cinn sláinte meabhrach. Beidh mo Roinn ag tionscnamh straitéise um chur chun cinn sláinte meabhrach agus plean gníomhaíochta i gceann cúpla mí ina mbeidh scéimeanna ar leith dírithe ar dhaoine óga. Idir an dá linn, tá Boird agus Iontaobhais ag tabhairt faoin lionn dubh ar ógánaigh agus ar dhaoine óga trí scéimeanna le sláinte a chur chun cinn i measc an phobail, na hóige agus in oideachas. Tugann mo Roinn maoiniú do 'Eolas ar Lionn Dubh agus a Chliseadh' le haghaidh cláir eolais i meánscoileanna.

Chronic Fatigue Syndrome

Mr Mark Robinson asked the Minister of Health, Social Services and Public Safety what action she plans to take to increase awareness and understanding of chronic fatigue syndrome.

(AQW 2218/01)

Ms de Brún: I recognise that chronic fatigue syndrome is a debilitating condition. I am aware that work is currently being undertaken by the Department of Health in England into all aspects of chronic fatigue syndrome and I look forward with interest to the outcome.

I can also inform you that my Department provides yearly funding to the ME Association here to assist them with raising awareness and understanding of the disease.

Aithním gur riocht éineartaitheach é siondróm tuirse ainsealaí. Tá a fhios agam go bhful obair thaighde á déanamh ag an Roinn Sláinte i Sasana ar gach gné den siondróm tuirse ainsealaí agus tá mé ag súil go mór lena torthaí.

Tig liom cur in iúl duit fosta go dtugann mo Roinn maoiniú go bliantúil don Chumann ME anseo chun cuidiú leo feasacht agus tuiscint a spreagadh faoin ghalar.

Nurses Currently Employed

Mr Derek Hussey asked the Minister of Health, Social Services and Public Safety to detail the number of nurses (a) currently employed by each Health Trust; and (b) currently employed on a temporary contract by each Health Trust.

(AQW 2225/01)

Ms de Brún: The information requested is given in the tables below. The information is split over two tables. Table 1 covers qualified non-bank nursing staff and Table 2 covers qualified bank nursing staff. Bank staff cover for staffing shortfalls and fluctuating workloads in order to maintain service delivery.

Table 1: Qualified non-bank nurses by Trust - 31 December 2001*

*January 2002 for Ulster Community and Hospital Trust, February 2002 for South and East Belfast, United Hospitals Group, Armagh and Dungannon, Craigavon and Banbridge Community, Altnagelvin and Foyle Community
# Total currently employed includes temporary
1 Includes all who do not have permanent as their employment status.
2 Whole Time Equivalent
3 Those on a career break or secondment are not counted as temporary.
All figures exclude unqualified staff, Midwives and Health Visitors

Table 2: Qualified bank nurses by Trust - 31 December 2001*

*January 2002 for Ulster Community and Hospital Trust, February 2002 for South and East Belfast, United Hospitals Group, Armagh and Dungannon, Craigavon and Banbridge Community, Altnagelvin and Foyle Community
# Total currently employed includes temporary; Whole Time Equivalent is not available for bank staff; some staff may be counted twice as they may hold a permanent contract and a bank contract with a Trust.
1 Includes all who do not have permanent as their employment status.
2 Those on a career break or secondment are not counted as temporary.
All figures exclude unqualified staff, Midwives and Health Visitors

Tugtar an t-eolas iarrtha sna táblaí thíos. Tá an t-eolas roinnte i ndá thábla. Clúdaíonn Tábla 1 an fhoireann altranais cháilithe nach bhfuil liostaithe ag gníomhaireacht agus clúdaíonn Tábla 2 an fhoireann altranais cháilithe atá liostaithe ag gníomhaireacht. Clúdaíonn an fhoireann liostaithe an ganntanas foirne agus ualaí athraitheacha oibre chun an soláthar seirbhísí a choinneáil.
Tábla 1: Altraí cáilithe nach bhfuil liostaithe ag gníomhaireacht de réir Iontaobhais - 31 Nollaig 2001*

*Mí Eanáir d'Iontaobhas Otharlanna Pobail & Uladh, Feabhra 2002 do Bhéal Feirste Theas agus Thoir, Grúpa Otharlann Aontaithe, Ard Mhacha agus Dún Geanainn, Craigavon agus Pobal Dhroichead na Banna, Alt na nGealbhan agus Pobal an Fheabhail
# Iomlán fostaithe, iad fostaithe go sealadach san áireamh
1 Clúdaíonn seo gach duine nach bhfuil 'buan' mar stádas fostaíochta acu.
2 Coibhéis Lánaimseartha
3 Ní chuirtear san áireamh iad siúd ar sos gairmiúil nó ar iasacht mar oibrí sealadach
Ní chuireann gach figiúir foireann neamhcháilithe, Mná Cabhrach agus Cuairteoirí Sláinte san áireamh

Tábla 2: Altraí Cáilithe liostaithe ag gníomhaireacht de réir Iontaobhais - 31 Nollaig 2001*

* Mí Eanáir d'Iontaobhas Otharlanna Pobail & Uladh, Feabhra 2002 do Bhéal Feirste Theas agus Thoir, Grúpa Otharlann Aontaithe, Ard Mhacha gus Dún Geanainn, Craigavon agus Pobal Dhroichead na Banna, Alt na nGealbhan agus Pobal an Fheabhail
# Iomlán fostaithe, iad fostaithe go sealadach san áireamh, níl Coibhéis Lánaimseartha ar fáil d'fhoireann liostaithe ag gníomhaireacht, is féidir go bhfuil cuntas déanta faoi dhó ar roinnt foirne mar is féidir conradh buan agus conradh liostaithe bheith acu le hIontaobhas.
1 Clúdaíonn seo gach duine nach bhfuil 'buan' mar stádas fostaíochta acu.
2 Coibhéis Lánaimseartha
3 Ní chuirtear san áireamh iad siúd ar sós gairmúil nó ar iasacht mar oibrí sealadach.
Ní chuirtear gach figiúir foireann neamhcháilithe, Mná Cabhrach agus Cuairteoirí Sláinte san áireamh

Counselling Services

Mr Mark Robinson asked the Minister of Health, Social Services and Public Safety what steps are being taken to improve counselling services.

(AQW 2226/01)

Ms de Brún: The Department commissioned a Review of Counselling in response to a recommendation in the Social Services Inspectorate (SSI) report Living with the Trauma of the Troubles (1998). The report will shortly be issued for public consultation.

Choimisiúnaigh an Roinn Athbhreithniú ar Chomhairle mar fhreagairt ar mholadh i dtuairisc Fhoireann Chigireachta na Seirbhísí Sóisialta (FCSS) Living with the Trauma of the Troubles (1998). Eiseofar an tuairisc ar ball le haghaidh comhairlithe phoiblí.

Residential and Nursing Homes

Mr Sammy Wilson asked the Minister of Health, Social Services and Public Safety to detail the number of (a) residential homes; and (b) nursing homes which were (i) opened; and (ii) closed in each of the last 5 years.

(AQW 2232/01)

Ms de Brún: This information is detailed in Tables 1 and 2 below.
Table 1. Residential homes opened and closed, 1996/97 - 2000/01

Tá an t-eolas seo léirithe i dTáblaí 1 agus 2 thíos.
Tábla 1. Tithe Cónaithe oscailte agus druidte, 1996/97 - 2000/01

Orthopaedic Surgeons

Mr Peter Weir asked the Minister of Health, Social Services and Public Safety to detail (a) the number of orthopaedic surgeons based in each Health Board area; and (b) the average waiting time for patients waiting to be treated by an orthopaedic surgeon in each Health Board area.

(AQW 2266/01)

Ms de Brún: (a) At December 2001, there were 28.05 whole-time equivalent consultant orthopaedic surgeons employed at the EHSSB and 4.91 whole-time equivalents at the WHSSB

(b) I refer the Member to the answer given to AQW 2074/01.

(a) Ag an Nollaig 2001, bhí 28.05 máinlia ortaipéideach comhairleach coibhéiseach lánaimseartha fostaithe ag an BSSSO agus 4.91 coibhéiseach lánaimseartha ag an BSSSI

(b) Treoraím an Ball don fhreagra tugtha ar AQW 2074/01.

Recruitment of Nurses

Mr Oliver Gibson asked the Minister of Health, Social Services and Public Safety what steps she is taking to increase the number of nurses recruited into the Health Service.
(AQW 2289/01)

Ms de Brún: I refer the Member to my answer to AQW 514/01, AQW 1247/01 and AQW 1351/01.

Treoraím an Ball do mo fhreagra a thug mé ar AQW 514/01, AQW 1247/01 agus AQW 1351/01.

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