Mick Wallace Despite the usual 'nice' rhetoric from the #Democrats , the #US and #Saudi Coalition are continuing with their Coll… https://t.co/PDSQJJwylD
Mick Wallace Would be good if #mainstreammedia held #FiannaFail + #FineGael to account for voting for a terrible #CAP that aband… https://t.co/RFUXVmKnea
Mick Wallace The #EU needs to do more to stop the Collective Punishment of the people of #Tigray - This is a form of Genocide b… https://t.co/G5c6hiCa2q
Mick Wallace RT @wallacemick: The lack of concern shown by the #EU for the people of #Venezuela has been shocking and says much about their so called 'E…

PQ - Health

To ask the Minister for Health the strategy the Health Service Executive has in place to improve the protection of those who fall victim to domestic violence; and if he will make a statement on the matter.

- Mick Wallace

For ORAL answer on Thursday 26th September, 2013

REPLY

In 2010 the National Strategy on Domestic, Sexual and Gender-based Violence was published.  It aims to provide a framework for sustainable intervention to prevent and effectively respond to domestic, sexual and gender-based violence and is lead by Cosc which is the National Office for the Prevention of Domestic, Sexual and Gender-based Violence.

The HSE subsequently published its own Policy on Domestic, Sexual and Gender-based Violence.  The principal actions are in line with the National Strategy.  The HSE’s policy states that a health-focused analysis of violence is crucial, not only because the consequences of such violence require a significant amount of healthcare system resources, but most importantly because the health care system is often the first route through which victims seek to access supports.

The Children and Family Agency within the forthcoming new Chid and Family Agency Bill (1)(c) has responsibility for providing care and protection for victims of domestic, sexual and gender-based violence whether in the context of the family or otherwise.  Going forward this will ensure that there is an integrated care pathway for identifying, referring and providing a range of supports for families who are experiencing or have experienced domestic violence including referral pathways to services funded by the Children and Family Agency through service level or grant aid agreements.

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To ask the Minister for Health the way the Health Service Executive proposes to deal with the current crisis in the provision of domestic violence services which has recently resulted in the downgrading of services at Wexford Women’s Refuge; his plans to increase the HSE’s funding for the provision of such services in view of the fact that Ireland currently only provides one third of the EU-recommended refuge places; and if he will make a statement on the matter.

-Mick Wallace

For ORAL answer on Thursday, 26th September, 2013

REPLY

Wexford Women's Refuge is a Limited Company run by a voluntary Board of Management.  While the HSE commission the service of the Wexford women's refuge through a service level agreement, it is the voluntary Board of Management who are legally responsible for any decisions that are made in relation to how the service is delivered.

The reduction in service provision in Wexford Women's Refuge was based on a decision taken by the Board of Management to reduce services for 13 weeks.  The decision is based on ensuring the long term sustainability of the service while working within a realistic budget as the Refuge has had a reduction in HSE funding over the past 5 years similar to other organisations.  The plan will enable the refuge to continue to provide outreach and drop in services to the end of December 2013.  While there is a reduction in service provision it is important to note that there is no reduction in funding from the HSE to the service in 2013 other than 2.5% which is in line with other government cuts.  It is within this context that the voluntary Board of Management has been working in partnership with the staff, Trade Unions and funding agencies to devise a plan that will ensure the long term sustainability and delivery of the service to women and children in Wexford.  The voluntary Board of Management is committed to ensuring that there continues to be a Refuge in Wexford.  They are working in partnership with the other relevant bodies to overcome the immediate challenges and are confident that a Refuge service will continue to be available in Wexford once the current difficulties are addressed.  HSE Children and Families Services are committed to supporting the Board in their efforts to develop this plan in partnership with staff, management and the Local Authority.

The National Strategy on Domestic, Sexual and Gender-based Violence was published in 2010.  It aims to provide a framework for sustainable intervention to prevent and effectively respond to domestic, sexual and gender-based violence and is lead by Cosc which is the National Office for the Prevention of Domestic, Sexual and Gender-based Violence.  In relation to Ireland providing only one third of EU recommended places I would like to refer the Deputy to a COSC publication 'Domestic and Sexual Violence Services in Ireland: Service Provision and Co-ordination' which states "In 2007, the levels of domestic and sexual violence services in Ireland satisfied the criteria established by the Council of Europe" (Page 68, section 3.7).

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To ask the Minister for Health the reasons for the current pace of development of diabetes health services in County Wexford; the reasons the Health Service Executive has not yet filled sanctioned posts in critical areas of diabetes care in County Wexford; and if he will make a statement on the matter.

-Mick Wallace

For ORAL answer on Tuesday, 25th June, 2013

REPLY

The National Integrated Care Diabetes Programme is being implemented on a phased basis.  The programme will improve patient access and manage patient care in an integrated manner across service settings, resulting in better outcomes, enhanced clinical decision making and the most effective use of resources.

The Government has approved funding for the appointment of 17 Integrated Care Diabetes Nurse Specialists (one per HSE Integrated Service Area)to support the phased roll out of the programme.  These Diabetes Nurse Specialists will work 1 day per week in a hospital setting and 4 days per week in primary care.  They will play a key role in the development of clinically sound collaborative links between primary care and secondary care providers and will also be an essential resource in empowering patients to achieve optimum diabetes control.  To date 15 posts have been offered or accepted, subject to Garda clearance, etc.  It is anticipated that all 17 positions will be filled soon.

Funding has also been secured to appoint 16 podiatrists and a number of these posts have been filled.  Recruitment for the remaining posts is underway and the aim is to have them filled as soon as possible in 2013.

With regard to paediatric diabetes, the HSE has advised that a national model of care to deliver CSII (insulin pump) therapy to children with type 1 diabetes under 5 years of age has been developed.  Recruitment of 2.4 WTE nurses and 1.75 WTE dieticians has been agreed and is being progressed.

In relation to the filling of diabetes posts in specific areas, I have asked the Health Service Executive to respond directly to the Deputy in these matters.

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To ask the Minister for Health if it is possible for medical card holders to change their general practitioners in certain circumstances; if his attention has been drawn to any difficulties faced by patients when trying to switch their GPs for this reason; and if he will make a statement on the matter.

-Mick Wallace T.D.

For ORAL answer on Tuesday, 25th June, 2013

REPLY

The General Medical Services (GMS) Scheme allows GMS patients (medical card and GP visit card holders) to choose their GP from a list of locally based contracted doctors, or GMS patients may be assigned to a GP contractor’s panel in certain circumstances specified in the contract.  The purpose of a GMS patient either choosing or being assigned to one GP is to ensure continuity of care.

A person who no longer wishes to avail himself/herself of the medical practitioner with whom he/she is registered may seek to be included on the list of another doctor in the area participating in the GMS Scheme by completing a Change of Doctor form and submitting it to the HSE Primary Care Reimbursement Services (PCRS).  This form is available from the HSE’s Local Health Office and online at: https://www.sspcrs.ie/portal/medapp/printforms.jsp

When an individual submits a Change of Doctor form and where the information provided is correct, the appropriate changes are made and a new medical card is issued.  Where a person has had three unsuccessful attempts to secure another GMS doctor, the medical card holder should contact PCRS in writing, providing details of the doctors they have contacted, and PCRS will assign the person to a GMS doctor within their locality.

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