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Written Answers to Questions (Continued) Cold Stores Mr Molloy asked the Minister of Finance and Personnel to investigate the advice currently provided on the building of cold stores and cold walls, particularly regarding the use of polyester, and its effect on the cost of insurance for small business. (AQW 185/02) The Minister of Finance and Personnel (Dr Farren): Internal structures such as cold stores and walk-in refrigerated enclosures are usually formed by using insulating core panels. These panels are used for this purpose because they provide good thermal insulation, allow for a high degree of prefabrication, have low assembly costs and have a degree of reusability. Moreover, the panel systems can provide surface finishes that are beneficial where food hygiene is important. One such surface finish is a polyester coating. There are many sources of advice specifically related to the building of cold stores that are available to designers, some of which are listed below: - Design, construction, specification and fire management of insulated envelopes for temperature controlled environments - International Association of Cold Storage Contractors (European Division) RFIC Guide to the management and control of the fire risks in temperature controlled structures of the refrigerated food industry - Cold Storage and Distribution Federation The Loss Prevention Council Design Guide for the Fire Protection of Buildings List of Approved Fire and Security Products and Services - Loss Prevention Certification Board BS 5588 Part 11 England and Wales Approved Document B, 2000 Edition (Appendix F) Other advice is available from the technical service departments of the various insulating core panel manufacturers. The current Technical Booklets that support the Northern Ireland Building Regulations do not include any specific provisions in respect of the building of cold stores or the particular use of polyester finishes. As a result of fires over recent years the insurance industry has incurred a number of large scale losses. It is now very wary about providing insurance cover for buildings using insulating core panels and insurance premiums have risen as a consequence. This concern includes cold stores. Insurance companies seek the opinion of their own surveyors on all aspects of the risk in determining insurance premiums or indeed whether insurance is provided at all. They make reference to internal guidance relating to the type of panel and manufacturer. Members of the British Rigid Urethane Foam Manufacturer’s Association have been working with the insurance industry and some have products accredited by the Loss Prevention Certification Board. This accreditation has a bearing on whether insurance is provided.
Health, Social Services and Public Safety Nurse-Led Minor Injuries Unit Mr A Maginness asked the Minister of Health, Social Services and Public Safety what type of clinical cases can be treated in a nurse-led minor injuries unit. (AQW 49/02) The Minister of Health, Social Services and Public Safety (Ms de Brún): I would expect nurse-led minor injuries units to treat around 80% of patients currently attending A&E units. They will treat a wide range of clinical conditions, excluding conditions that are life threatening or the result of major trauma. In addition, staff will have necessary training and support to provide immediate resuscitation and facilitate the urgent transfer of seriously ill patients, should they inappropriately present themselves at the unit. The minor injuries units will be networked with major A&E facilities, and will be supported by telemedicine and teleradiology linkages to clinical advice from A&E specialists. Bhéinn ag súil go gcóiriú aonaid mionghortaithe faoi threoir altra thart ar 80% ochar atá ag freastal ar aonaid T&É. Cóireoidh siad raon leathan de dhálaí cliniciúla, gan dálaí atá saol-bhagartha nó atá ina dtoradh ar mór-sceimhle a chur san áireamh. Ina theannta sin, beidh oiliúint agus tacaíocht riachtanach ag an fhoireann oibre chun athbheochan láithreach a chur ar fáil agus chun aistriú práinneach ochar atá go dona tinn a éascaíocht, dá dtiocfadh siad i láthair go mí-chuí ag an Aonad. Beidh an t-aonad mionghortaithe a líonrú le príomh achmhainní T&É, agus beifear a dtacú trí cheangail teili-leighis agus teili-raideolaíochta chuig comhairle chliniciúil ó speisialtóirí T&É. Contraceptive Treatment Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety to confirm (a) if the pill RU486 is available in Northern Ireland; (b) the numbers which have been prescribed to date; and (c) if young females can obtain the drug without parental consent. (AQW 106/02) Ms de Brún: The use of mifepristone (RU486) is permitted here only in the treatment of intra-uterine fetal death. It is not used in the community and should only be prescribed by obstetricians for this licensed indication. Prescribing of this medicine, through the hospital sector, is very low. Exact figures are not available centrally. This medicine should only be accessed as part of a medical procedure for which consent is obtained in the normal way. Níl úsáid mifípriostón (RU486) ceadaithe anseo ach amháin i gcóireáil bás féatais ionútaraigh. Ní úsáidtear é sa phobal agus níor chóir ach do Lianna Ban é a ordú don chóireáil ceadaithe seo. Tá ordú an chógais seo, tríd an earnáil otharlainne, iontach íseal. Níl figiúirí cruinne ar fáil go lárnach. Níor chóir teacht ar an chógas seo ach amháin mar pháirt de gnáthamh míochaine trí chead a fháil ar an ghnáth-bhealach. Hospital Waiting Lists Mr Shannon asked the Minister of Health, Social Services and Public Safety to describe the steps is she taking to reduce the number of people waiting for operations through the health service. (AQW 108/02) Ms de Brún: A wide range of measures to tackle waiting lists are being implemented at present. These include the provision of additional hospital inpatient procedures, including the purchase of procedures outside the health and social services where appropriate; the development of community provision as an alternative to hospital admission; more efficient management of the process of diagnosis, hospital admission, treatment and discharge; the validation of waiting list information; and improved management of waiting lists. To underpin this work, a regional service improvement leader has been appointed and additional resources for waiting lists have been allocated. I have also recently announced plans for significant expansion in hospital capacity at the Mater, Antrim, Ulster and Craigavon Hospitals, for a new day procedure unit for the Erne, and for new modular theatres at Musgrave Park. A number of protected elective facilities are being developed. When these come on stream, they will be a major factor in getting more people treated more quickly. Táthar ag cur réimse leathan bearta i bhfeidhm faoi láthair le dul i ngleic le liostaí feithimh. Is é atá san áireamh ná gnáthaimh bhreise othar cónaitheach otharlainne a sholáthar, ar a bhfuil ceannach gnáthamh lasmuigh de na seirbhísí sláinte agus sóisialta nuair is cuí; forbairt soláthar pobail mar mhalairt ar iontráil chuig an otharlann; bainistiú níos éifeachtaí de phróiseas na diagnóise, iontrála chuig an otharlann, cóireála agus scaoilte amach; daingniú eolas liostaí feithimh; agus bainistiú feabhsaithe de líostaí feithimh. Le tacaíocht a thabhairt don obair seo, ceapadh ceannaire feabhsaithe seirbhísí réigiúnacha agus áimsíodh acmhainní breise do liostaí feithimh. D’fhógair mé pleananna ar na mallaibh chomh maith i leith acmhainn otharlainne in Otharlanna an Mater, Aontroma, Uladh agus Craigavon a leathnú go suntasach, i leith ionad úr gnáthaimh lae d’Otharlann na hÉirne, agus d’obrádlanna úra modúlacha in Otharlann Pháirc Musgrave. Táthar ag forbairt roinnt áiseanna roghnacha cosanta. Nuair a thagann siad i bhfeidhm, is iad siúd is mhórchúis le cinntiú go gcuirfear cóireáil ar dhaoine níos gasta. Hospital Waiting Times: MRI Scans Mr Shannon asked the Minister of Health, Social Services and Public Safety to outline (a) the current waiting times for MRI scans at Musgrave Hospital and (b) any steps she is taking to address waiting times. (AQW 110/02) Ms de Brún: (a) For routine scans, the waiting time is usually 8 to 9 months, urgent scans are carried out in under four weeks and emergency scans are usually carried out on the day of request. (b) A number of measures have been taken to reduce waiting times for MRI scans: MRI provision is being enhanced in order to reduce waiting times for patients. In line with this, the new MRI scanner at Altnagelvin Hospital is now operational and MRI scanners are also planned for the Belfast City Hospital, Antrim Area Hospital, Craigavon Area Hospital and the Ulster Hospital. A new replacement scanner will also be installed at the Royal Group of Hospitals. In the meantime, mobile scanners are being used to reduce waiting times. (a) Do ghnáthscantaí, is é an ghnáthaga feithimh 8 go 9 mí de ghnáth, déantar scantaí práinneacha laistigh de níos lú ná ceithre seachtaine agus de ghnáth déantar scantaí éigeandála ar an lá a iarrtar iad. (b) Rinneadh roinnt beart le hagaí feithimh scantaí MRI a laghdú: táthar ag cur le soláthar MRI le hagaí feithimh a laghdú d’othair. Ag cloí leis seo, tá an scanóir úr MRI in Otharlann Alt na nGealbhan i bhfeidhm anois agus tá scanóirí MRI pleanáilte chomh maith d’Otharlann Chathair Bhéal Feirste, d’Otharlann Cheantar Aontroma, d’Otharlann Cheantar Craigavon agus d’Otharlann Uladh. Cuirfear athsholáthar úr de scanóir chomh maith isteach sa Ghrúpa Ríoga Otharlann. Idir an dá linn, táthar ag baint úsáide as scanóirí soghluaiste le hagaí feithimh a laghdú. Orthopaedic Waiting List Mr Beggs asked the Minister of Health, Social Services and Public Safety to outline (a) the current number of patients listed on the Orthopaedic waiting list at Green Park Healthcare Trust and (b) the current maximum wait for a patient on the Orthopaedic Slot System waiting list. (AQW 113/02) Ms de Brún: (a) There were 5,077 patients waiting for inpatient admission to the Trauma and Orthopaedic Specialty at Green Park Healthcare Trust at 30th June 2002 (the most up to date figures available). The number of people waiting for a first outpatient appointment was 5,794. (b) The current maximum waiting time for slot system patients is 7 months. (c) Bhí 5,077 othar ag fanacht le hiontráil othair chónaithigh chuig an Speisialtacht Tráma agus Ortaipéide ag Iontaobhas Cúram Sláinte na Páirce Glaise ar 30 ú Meitheamh 2002 (an staitistic is deireanaí atá ar fáil). Ba é 5,794 duine líúón na ndaoine ag fanacht lena gcéad choinne éisothair. (d) Is é 7 mí an t-uasaga feithimh faoi láthair d’uaireanta coinní otharlann dáilte. Hospital Waiting Lists Mr Beggs asked the Minister of Health, Social Services and Public Safety to list all specialist services, such as those similar to the Orthopaedic Slot System, which restrict the length of waiting lists. (AQW 114/02) Ms de Brún: There are no specialist services in which the length of waiting lists is restricted. Níl sainseirbhísí ar bith ina bhfuil fad na liostaí feithimh teoranta. Hospitals: Winter Pressures Mr K Robinson asked the Minister of Health, Social Services and Public Safety what measures are in place to address winter pressures at (i) Whiteabbey, (ii) Antrim and (iii) the Belfast Hospitals, so that routine patient admissions are not disrupted; and to make a statement. (AQW 119/02) Ms de Brún: Health and Social Services Boards and Trusts are currently putting in place detailed plans for dealing with the peaks in demand for services which occur over the winter months. Board plans for the winter are due to be submitted to my Department by 30 September 2002 and, once these have been assessed, I shall be making a statement about the preparations for winter. Faoi láthair, tá Boird agus Iontaobhais Sláinte agus Seirbhísí Poiblí ag cur mionphleananna i bhfeidhm le deileáil leis na buaiceanna in éileamh seirbhísí a tharlaíonn le linn mhíonna an gheimhridh. Tá pleananna na mBord don gheimhreadh le bheith curtha faoi bhráid na Roinne s’agam roimh 30 Meán Fómhair 2002 agus, a luaithe a mheastar iad, beidh mé ag déanamh ráitis faoi na hullmhúcháin don gheimhreadh. Barnardo’s Therapeutic Project Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety to make a statement on the report by Barnardo’s Therapeutic Project. (AQW 123/02) Ms de Brún: I welcome the evaluation report on the Barnardo’s Young People’s Therapeutic Project. Officials are currently considering the report and I look forward to receiving their assessment of the pilot project, which received financial support from my Department. It is likely that the report will inform future work by my Department in relation to young people who display behaviour which is sexually concerning or harmful. Work, which will involve the development of policy guidelines, is planned to commence early next year. Cuirim fáilte roimh an tuarascáil mheasúnaithe ar Thionscadal Teiripeach Daoine Óga de chuid Bernardo’s. Tá Feidhmeannaigh faoi láthair ag machnamh ar an tuarascáil agus tá mé ag súil lena measúnú a fháil ar an treoirthionscadal a fuair tacaíocht airgeadais ón Roinn s’agam. Is dócha go gcuirfidh an tuarascáil obair na Roinne s’agam ar an eolas amach anseo maidir le daoine óga a léiríonn iompar atá imníoch nó díobhálach ar bhonn gnéasach. Tá sé beartaithe obair a bhainfidh le forbairt treoirlínte polasaí a thosú go luath sa bhliain seo chugainn. Heroin Abuse Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety how many people presented themselves for treatment for heroin abuse between (i) 1999-2000, (ii) 2000-2001 and (iii) 2001-2002. (AQW 124/02) Ms de Brún: The figures for people reporting heroin as their main drug of misuse are:
Is iad na figiúirí ar dhaoine a chur in iúl gur héaróin an príomhdhruga mí-úsáide s’acu ná:
Ministerial Transport Mr Foster asked the Minister of Health, Social Services and Public Safety to outline (a) whether or not the method of appointing her ministerial driver is consistent with other Ministers in the Executive; (b) if not, the reasons for any inconsistencies and (c) whether or not all transport regulations in relation to the ministerial vehicle and driver are being adhered to. (AQW 128/02) Ms de Brún: I have not appointed a ministerial driver. Instead, Sinn Féin provides me with a driver who can be called upon as required and I consider this the most appropriate arrangement. I understand that other ministers have different arrangements. I believe that all transport regulations in relation to the ministerial vehicle and driver are being adhered to. Níl tiománaí aireachta ceaptha agam. Ina áit, cuireann Sinn Féin tiománaí ar fáil ar féidir a iarraidh nuair is gá agus measaim gur seo an socrú is fóirsteanaí. Creidim go bhfuiltear ag cloí leis na rialacha iompair uile maidir leis an fheithicil agus an tiománaí aireachta. Hospital Security Guards Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety to outline (a) the instructions and guidelines under which Security Guards in hospital Accident and Emergency Departments operate, and (b) if their responsibilities include ‘breaking up’ disorder in casualty rooms. (AQW 130/02) Ms de Brún: (a) In line with my Department’s policy, individual Trusts have developed procedural guidelines in relation to the management of violent and threatening situations. However, not all Trusts employ Security Guards in their Accident and Emergency Departments. (b) In the event of a disturbance, Trust personnel are required to make an assessment of the situation and decide whether or not it can be dealt with safely within their own resources. No member of staff is required to undertake any task for which they have not received the appropriate training. (a) De réir polasaí na Roinne s’agam, d’fhorbair Iontaobhais aonarach treorlínte gnáthamh maidir le cásanna foiréigneach agus bagartha a bhainistiú. Ní fhostaíonn gach Iontaobhas, áfach, Gardaí Slándála ina Ranna Timpiste agus Éigeandála. (b) I gcás coiscrithe, teastaíonn uaidh phearsanra Iontaobhais an chás a mheasúnú agus socrú ar féidir é a réiteach laistigh dena acmhainní féin ná nár féidir. Ní theastaíonn uaidh ball ar bith den fhoireann tasc a ghlacadh orthu féin nach bhfuil an oiliúint chuí faighte acu. ‘Prevalence of Problem Heroin Use in NI’ Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety to outline how and when she will respond to, and act upon, the six recommendations of the ‘Prevalence of Problem Heroin Use in Northern Ireland’ by Karen McElrath. (AQW 131/02) Ms de Brún: This report was publicly launched on 13 June 2002 and will help inform policy decisions. In relation to the six recommendations: 1. My department has commissioned a review of the literature on substitute prescribing for opiate dependence, including consideration of the effectiveness of interventions elsewhere.
3. Work is ongoing to develop the Drug Misuse Database and statistics from the Drug Misuse Database will be published shortly. 4. The Addicts Register is being retained for the foreseeable future. 5. The training needs of those workers dealing with heroin users are being addressed as part of a wider review of training needs of health and social care workers. Seoladh an tuarascáil seo go poiblí ar 13 Meitheamh 2002 agus cuideoidh sé le cinní ar pholasaí a chur ar an eolas. I dtaca leis na sé moltaí de: 1. Choimisiúnaigh an Roinn s’agam athbhreithniú ar an eolas scríofa ar mhalartúcháin a ordú do spleáchas drugaí a bhfuil oipiam iontu, mar aon le héifeacht na n-idirghabhálacha in áiteanna eile a chur san áireamh. 2&6. Tá roinnt tionscnaimh thaighde beartaithe ag an Roinn s’agam sa chéad ocht mí dhéag eile. 3. Tá obair idir lámha chun an Bunachar Sonraí ar Mhí-úsáid Drugaí a fhorbairt agus foilseofar staitisticí ón Bhunachar Sonraí ar Mhí-úsáid Drugaí roimh i bhfad. 4. Tá Clár na nAndúileach a choimeád go ceann i bhfad. 5. Táthar ag dul i ngleis leis na riachtanais oiliúna do na hoibrithe sin atá ag deileáil le húsáideoirí héaróine mar pháirt d’athbhreithniú níos leithne ar riachtanais oiliúna oibrithe sláinte agus cúraim shóisialta. Patient and Client Charter Mr Shannon asked the Minister of Health, Social Services and Public Safety how, in light of the Patient and Client Charter, her department is addressing the delays in hospital operations. (AQW 134/02) Ms de Brún: I refer the Member to my answer to AQW 108/2002. Treoraím an Ball do mo fhreagra a thug mé ar AQW 108/02. Pituitary Gland Malfunction Mr Shannon asked the Minister of Health, Social Services and Public Safety to outline, in each of the last 3 years, the number of people diagnosed with ‘pituitary gland’ malfunction, in each Board area. (AQW 141/02) Ms de Brún: The information requested is as follows: Number of Admissions to Hospital with a Primary Diagnosis of ‘Pituitary Gland Malfunction’ 1999/2000 – 2001/2002*
*2001/2002 data is provisional and may be subject to change. Is é a leanann an t-eolas a iarradh: Líon Iontrálacha chuig an Otharlann le Príomhdhiagnóis de ‘Mhífheidhm na Faireoige Pitiútaí’ 1999/2000 – 2001/2002*
*Tá staitisticí 2001/2002 sealadach agus b’fhéidir mar sin go ndéanfadh athruithe orthu. Diabetes Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety to outline (a) the current resources allocated to combating diabetes, and (b) if she intends to increase this resource allocation. (AQW 143/02) Ms de Brún: The information requested in the first part of the question is not available. Regarding the second part, I can confirm that I sought additional resources in the budget process to improve diabetes services. The outcome of these bids was, of course, made known in this morning’s statement on the draft Budget to the Assembly by my colleague the Minister for Finance and Personnel and I regret to note that my Department’s bids in respect of diabetes services were not met. Níl an t-eolas a iarradh sa chéad chuid den cheist ar fáil. Maidir leis an dara cuid, thig liom a chinntiú gur iarr mé acmhainní breise sa phróiseas cáinaisnéise le seirbhísí diaibéitis a fheabhsú. Thug an comhoibrí s’agam, an tAire Airgeadais agus Pearsanra torthaí na n-iarrachtaí seo le fios, ar ndóigh, , i ráiteas na maidine seo ar dhréacht na Cáinaisnéise don Tionól agus is oth liom tabhairt faoi deara nár chomhlíonadh tairiscintí na Roinne s’agam maidir le seirbhísí diaibéitis. ‘Developing Better Services’ Report Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety in light of the ‘Developing Better Services Report’ to give a breakdown of cost implications of the report’s proposals in each of the following areas (a) Primary Care; (b) Administration; (c) Acute Care; (d) Maternity; (e) Mental Health and (f) Supply of (i) nursing, (ii) medical staff. (AQW 144/02) Ms de Brún: The estimated financial costs of the proposals in my consultation paper Developing Better Services: Modernising Hospitals and Reforming Structures is set out in Appendix 3 of the paper. They cover the capital costs of buildings, backlog maintenance and equipment, as well as the revenue costs of the additional staff required (consultants, nurses, GPs, therapists and education) over a 10 year period. The estimated capital costs of the hospital modernisation proposals are around £1.2bn and the revenue costs needed to provide the new staffing levels proposed will, by 2012, be approximately £165m, at today’s prices. The estimated costs cover service development and modernisation which are a direct consequence of my proposals and costs of service development more generally in areas such as primary care are not included in the projected costs. Tá na costais airgeadais measta ar na moltaí i mo pháipéar comhairle Seirbhísí Níos Fearr A Fhorbairt: Otharlanna A Nuachóiriú agus Struchtúir a Leasú leagtha amach in Aguisín 3 den pháipéar. Cuireann siad san áireamh costais caipitiúla na bhfoirgneamh, trealamh agus cothabháil riaráiste, chomh maith le costais ioncaim na foirne breise atá ag teastáil (comhairligh, altraí, Gnáth dhochtúirí, teiripeoirí agus oideachas) thar thréimhse 10 bliain. Tá costais airgeadais measta na moltaí otharlainne nua-aimseartha thart ar £1.2bn agus de réir costais an lae inniu, beidh na costais ioncaim atá de dhíth leis na leibhéil foirne úir atá molta a chur ar fáil, faoi 2012, timpeall is £165m. Cuireann na costais measta forbairt agus nua-aimsearacht seirbhísí san áireamh atá ina dtoradh díreach ar mo chuid moltaí agus ní chuirtear costais forbartha seirbhísí in áiteacha amhail príomhchúram go h-iondúil san áireamh sna costais beartaithe. Day Surgery Units Mr M Robinson asked the Minister of Health, Social Services and Public Safety what plans she has to expand the number of day surgery units in hospitals. (AQW 145/02) Ms de Brún: I have taken a number of actions to expand day surgery capacity. A dedicated day procedures unit is being developed at the Erne Hospital and the existing day case unit at Altnagelvin Hospital is also being expanded to include Urology, Orthopaedics and ENT. I have also approved the development of day surgery services at South Tyrone Hospital. A new unit concentrating on the provision of day surgery procedures is being developed at the Mater Hospital and proposals for similar facilities at the Lagan Valley Hospital are also being taken forward. Thug mé faoi roinnt ghníomhartha le toilleadh máinliacht lae a leathnú. Táthar ag forbairt aonad diongbháilte gnáthaimh lae in Otharlann na hÉirne agus táthar ag leathnú chomh maith an t-aonad cás lae atá ann cheana féin in Otharlann Alt na nGealbhan le hÚreolaíocht, Ortaipéidic agus CSS a áireamh. Ghlac mé chomh maith le forbairt seirbhísí máinliacht lae in Otharlann Dheisceart Thír Eoghain. Táthar ag forbairt aonad úr ag díriú ar sholáthar gnáthaimh mháinliacht lae in Otharlann an Mater agus táthar ag tabhairt moltaí d’áiseanna cosúil leo in Otharlann Ghleann an Lagáin chun tosaigh chomh maith. Health Inequalities Mr M Robinson asked the Minister of Health, Social Services and Public Safety what progress is being made in addressing health inequalities between different social groups, with particular reference to cancer. (AQW 146/02) Ms de Brún: My Department is taking a number of steps to address health inequalities. These include co-ordinating action across all sectors through the "Investing for Health" strategy which aims to reduce inequalities in health by targeting action in the most deprived areas, and the implementation of new TSN action plans by my Department and by HPSS bodies aimed at tackling social need and social exclusion by targeting efforts and resources at those in greatest social need. In relation to cancer, a number of actions have been undertaken. My Department has recently published a Tobacco Action Plan, under which action will be directed at those most in need. A strategy on food and nutrition has also been put in place to tackle factors underlying the incidence of cancer, particularly in areas of greatest social need. The Health Promotion Agency has issued nutritional guidelines promoting healthy eating early in life and produced a community based nutrition education programme targeted at low income families and Health and Social Services Boards are taking action to raise awareness of and subsequent uptake of breast and cervical cancer screening programmes. Tá an Roinn s’agam ag tabhairt roinnt céimeanna le dul i ngleic le héagothromaíochtaí sláinte. Orthu sin tá gníomh a chomhordú ar fud na n-earnálacha go léir tríd an tstraitéis "Infheistíocht sa tSláinte" a bhfuil sé de rún aici éagothromaíochtaí sa tsláinte a laghdú trí dhíriú ar ghníomh sna ceantair a bhfuil an díothacht shóisialta agus eacnamúil ann, agus cur i bhfeidhm pleananna gníomhaíochta ARS nua ag an Roinn s’agam agus ag comhlachtaí SSSP a bhfuil sé mar aidhm acu tabhairt faoi riachtanais shóisialta agus eisiamh sóisialta trí iarrachtaí agus acmhainní a dhíriú orthu siúd a bhfuil na riachtanais shóisialta is mó acu. Maidir leis an ailse, tugadh faoi roinnt gníomhartha. D’fhoilsigh an Roinn s’agam Plean Gnímh ar Thobac ar na mallaibh, beidh gníomh dírithe dá réir orthu siúd a bhfuil na riachtanais is mó acu. Cuireadh straitéis ar bhia agus ar chothú i bhfeidhm chomh maith le tabhairt faoi fhachtóirí is cúis le minicíocht na hailse, go háirithe sna ceantair is mó riachtanais shóisialta. D’eisigh an Ghníomhaíocht um Chothú Sláinte treoirlínte cothaithe ag cur itheachán sláintiúil go luath sa saol chun cinn agus sholáthraigh siad clár oideachas cothuithe bunaithe sa phobal atá dírithe ar theaghlaigh ar ioncam íseal agus tá Boird Sláinte agus Seirbhísí Sóisialta ag dul i mbun gnímh le feasacht a spreagadh agus le piocúlacht ina dhiaidh sinde na cláir scagthástála ailse chíche agus mhuinéal na broinne a mhéadú. Hospice Provision: Funding Mr M Robinson asked the Minister of Health, Social Services and Public Safety whether there are any plans to review the funding for hospice provision. (AQW 147/02) Ms de Brún: The commissioning of hospice services is primarily a matter for Health and Social Services Boards and Trusts. The level of hospice funding is determined following contractual negotiations between Boards, Trusts and hospices. I have no plans to review these arrangements. Baineann coimisiúnú na seirbhísí ospíse go príomha é le hIontaobhais agus Boird Sláinte agus Seirbhísí Sóisialta. Tá an leibhéal maoinithe ospíse cinntithe i ndiaidh idirbheartaíochtaí conarthacha idir Boird, Iontaobhais agus ospísí. Níl sé ar intinn agam na socruithe seo a athbhreithniú. NI Ambulance Service Mr M Robinson asked the Minister of Health, Social Services and Public Safety what support she plans to give to the Northern Ireland Ambulance service to help them overcome their current problems. (AQW 148/02) Ms de Brún: The Implementation Action Plan of the Strategic Review of the Ambulance Service detailed the measures to be put in place for the provision of a more effective and responsive service. The significant resources invested in ambulance services in recent years has already enabled considerable progress to be made in taking forward a number of these measures, including the purchase of over 100 replacement vehicles, upgraded medical equipment, improved training, the piloting of a Medical Priority Despatch System and the development of Rapid Responder Schemes in each Board area. The significant additional resources announced in July from the Reinvestment and Reform Initiative will allow for further improvements including fleet replacement, the provision of additional ambulances and crews and support for training initiatives. These are all positive developments which ultimately will result in improved response times and a better quality service. However, more resources are needed to fully implement the full range of measures needed to enhance ambulance services. I will continue to press for these additional resources. Léirigh Plean Cur i bhFeidhm Gníomhaíochta den Athbhreithniú Straitéiseach ar an tSeirbhís Otharchairr na bearta atá le cur i bhfeidhm le haghaidh seirbhís níos éifeachtaí agus níos freagraí a sholáthar. Chuir na hacmhainní suntasacha a infheistíodh sna seirbhísí otharchairr le blianta beaga anuas ar ár gcumas dul chun cinn fiúntach a dhéanamh cheana ag tabhairt roinnt de na bearta sin chun tosaigh, ina measc bhí ceannach níos mó ná 100 feithicil athsholáthair, trealamh feabhsaithe míochaine, oiliúint feabhsaithe, treorú Córas Seolta de réir Tosaíochta Míochaine agus forbairt Scéimeanna Luath-Fhreagartha i ngach Bordcheantar. Ceadóidh na hacmhainní suntasacha breise ón Tionscnamh Athinfheistíochta agus Athchóirithe a fógraíodh i mí Iúil d’fheabhsuithe breise, soláthar otharcharranna agus foirne bhreise mar aon le tacú le tionscnaimh oiliúna curtha san áireamh. Is forbairtí dearfacha iad seo go léir a mbeidh agaí freagartha feabhsaithe agus cáilíocht seirbhíse níos fearr mar thoradh orthu ar deireadh. Tá níos mó acmhainní de dhíth, áfach, le réimse iomlán beart atá de dhíth a chur i bhfeidhm le cur le seirbhísí otharchairr . Leanfaidh mé orm leis na hacmhainní breise seo a éileamh. Ambulance Paramedics Mr M Robinson asked the Minister of Health, Social Services and Public Safety to detail the number of ambulance paramedics that have been trained in each of the last 5 years. (AQW 149/02) Ms de Brún: A total of 37 paramedics have been trained in the last 5 years as follows:
A further 12 paramedics have been trained to date this year and a programme due to commence on 30 September will provide training for an additional 36. Cuireadh oiliúint ar 37 paraimhíochaineoir san iomlán le 5 bliain anuas mar a leanas:
Cuireadh oiliúint ar 12 paraimhíochaineoir de bhreis go dtí seo i mbliana agus soláthróidh clár atá le tosú ar 30 Meán Fómhair oiliúint do 36 breise. Royal College of Nursing Manifesto Mr Paisley Jnr asked the Minister of Health, Social Services and Public Safety what aspects of the Royal College of Nursing manifesto she will (a) accept; (b) implement and (c) reject. (AQW 157/02) Ms de Brún: I have asked Departmental officials to review The Royal College of Nursing’s Health Manifesto and to advise me on it. I will be giving careful consideration to all of the points made in the Manifesto. D’iarr mé ar fheidhmeannaigh na Roinne Forógra Sláinte an Choláiste Ríoga Altranais a athbhreithniú agus comhairle a chur orm i dtaca leis. Beidh machnamh géar á dhéanamh agam ar na pointí go léir a rinneadh san Fhorógra. Heart Bypass Operations Mr M Robinson asked the Minister of Health, Social Services and Public Safety to outline, in each of the Health Trusts Areas, the median waiting times for heart by-pass operations (a) currently; and (b) in each of the last 3 years. (AQW 159/02) Ms de Brún: The information requested is not available at Health Trust Area level. Information is available at Board of Residence level and is given in the table below. The latest information available is for the year 2001/2002. Median Waiting Times (in days waiting) for Heart Bypass Operations by Board of Residence.
*2001/2002 data is provisional and may be subject to change Níl an t-eolas a iarrtar ar fáil ag leibhéal Ceantar Iontaobhas Sláinte. Tá eolas ar fáil ag leibhéal Bord Cónaithe agus léirítear sa tábla thíos é. Is iad staitisticí na bliana 2001/2002 an t-eolas is déanaí atá ar fáil. Agaí Airmhéain Fheithimh (i laethanta feithimh) d’Obráidí Seach-chonair Chroí de réir Bhord Cónaithe.
* Tá staitisticí 2001/2002 sealadach agus b’fhéidir mar sin go ndéanfadh athruithe orthu. |