Of course the HIQA report needs to be implemented. Where there are issues within the control of the hospital, the HSE is required to deliver sustained improvement. Where risks relate to the broader intersection of the region, that is what I am trying to work out at the moment. On 17 February, I met the regional executive officer and regional clinical director for the HSE Dublin and North East region and the integrated area healthcare manager for Louth and Meath to discuss the overall demand profile for the region, …

In the short time that I have, I will say that dermal fillers are regulated as medical devices. There are rules to ensure that devices placed on the market are safe and perform as intended. That means a dermal filler must have a CE mark before it can be legally sold anywhere in the EU. It is important to be clear about what current EU legislation does not do. While it regulates the product, it does not regulate who can administer it. The Government recognises there is a need to strengthen regulation in this area. T…

I thank the Deputy for raising this again. I was very pleased to have the opportunity to meet many of the people with Friedreich's ataxia whom he brought to the Dáil. I want to highlight to Deputies that, importantly, our drugs budget has increased significantly this year, being well up at 9%. This is what the Department expected it to be. We made provision in the overall budget for a 7% uplift, and we are now at a 9% increase. We will make decisions more quickly. We are working on the reimbursement process more qu…

That is wrong.

I thank Deputy Burke for his question. It is certainly true to say that we have had enormous success with the RSV vaccination programme for infants, which significantly reduced infection, mortality and very severe illness for infants. I can confirm that we have sought a health technology assessment, HTA, for RSV immunisation by HIQA. The outcome of that will inform the policy decision that I make as to the most appropriate RSV immunisation strategy for infants but also for adults aged 65 and older. That HTA is due …

I thank Deputy Neville. He highlights an important thing, which is the practicality of setting up and extending GP practices. The State supports GP practices to the tune of approximately €1 billion per year. However, we need more. In the Deputy's area, where there has been particularly concentrated population growth at a quick pace, more GP practices are needed. I will discuss the idea of a refundable tax credit with the Tánaiste and Minister for Finance. We need to look at every creative way to expand GP care. We …

I thank the Deputy and acknowledge the number of times she has raised different issues in different sectors in relation to misogyny and questions of harassment. I want to make it very clear as the Minister for Health that in every healthcare setting, all people are to be protected and respected - men, women, people of any race and people of any gender. People are to be respected in all contexts. While I do not want to speak about any individual cases on the floor of the Dáil as Minister, as the Deputy will understa…

Today we stand here for respectful debate on behalf of the people we represent at a time of maximum geopolitical uncertainty. It is impacting globally and it is impacting our people. We know that, we see that and we feel that because we are elected representatives in a small, democratic State and we are connected to our people. We know in Ireland we are more impacted than so many others because of the small and deeply internationally interconnected nature of the very stable and successful State that, together, ever…

I thank the Deputy. Just to clarify and for accuracy, I did not bring a memo to Government. That is only a technical point. The Deputy is quite right. What we have decided to do is reflect on the judgment and on the needs of women going forward. The needs of women going forward are for critical care capacity for neonates. I am sure the Deputy has been in the unit in the Rotunda Hospital. They do exceptionally good work but it is not in a suitable place for neonatal intensive care. The idea is to go back in with a n…

I agree. Of course, the heritage consideration was the dominant one in that third round for the decision-making. It still remains of importance to that area. However, balancing the public interest is something we do all the time. Dublin City Council and the inspector took the view that in the previous application, the public interest was overwhelmingly served by progressing with it. The deciding body in the end decided in the opposite direction. In many ways, what we say here informs the public interest. We are the…

The Deputy is exactly right. Holles Street and Elm Park is settled. The question on Limerick forms part of what we are trying to do generally in Limerick and I would be happy to update the Deputy but our policy is very much the same in respect of colocation there. The Deputy is right to identify the Coombe, which is quite close to St. James's Hospital, where we are investing significant additional capacity at present. It is something I am now going to reflect on. I do not want to separate that yet but it is importa…

There is no question but that the regulatory framework requires updating and modernisation. It is closely linked to the wider implementation of the national oral health policy. Ahead of comprehensive reform, several priority interim amendments have been identified particularly to strengthen the powers of the Dental Council of Ireland. The first amendment addresses the lack of a statutory basis for continuing professional development, as the Deputy highlighted. While dentists are currently required to meet ethical C…

I agree with the Deputy. While the broad legislative suite is in place and there are existing powers are under the Dentists Act, I have no difficulty with a review and strengthening them where needed. I recognise the suite of legislative powers I outlined so we need to be very specific as to the additional powers necessary. I have no difficulty in strengthening the powers of the Dental Council of Ireland to do just that. We are talking about potentially unremediable assault on a person in their mouth or on their fa…

I agree with the Deputy. At the moment I am trying to develop a programme with Pat Healy in the HSE, who is doing excellent work on a very targeted programme of intervention to get on top of screening in schools and make sure we can address the backlog, particularly in relation to orthodontic work and specialised orthodontic work. I have given a direction to all of the various regions that I expect our new surgical hubs to have a measure of dental capacity in them, whether it is once a month or whatever it happens …

I agree with the Deputy. The two strategies have changed the landscape for people who are diagnosed with cancer. Today nearly 250,000 people in Ireland are living with or beyond cancer, 50% more than a decade ago. The evidence is that the chances of survival for more than five years for someone diagnosed with cancer in the 1990s was considerably less than what it is now. This is on foot of the extraordinary work done by clinicians and researchers, and the way in which cancer services are delivered. This has enabled…

The Deputy is right to highlight the variance. It is very different between hospitals. For example, the time for chemotherapy is within 15 days, which is so important. This information has been provided to him. In Cavan hospital, there were 174 patients and 174 of them were seen within 15 days. It was similar in Connolly hospital with 1,717 patients. Naas hospital is at 98%. I do not want to just highlight the good ones and I will pick at random. Tullamore hospital is at 93%, St. James's Hospital is at 91% and Drog…

This is very important. We have 58 seconds to have this conversation but it would be good to have a session at the Oireachtas health committee where we can go through all of the various regions and KPIs and recognise the variance. For example, we spoke in December about Galway, where there was a particular challenge. It reported 86% within the target in December, which was up from 68% in November. Local management is so important. Significant additional resources in terms of people and equipment are included in the…

Under the national plan for radiation oncology, an equipment replacement programme is in place in St. Luke's in Rathgar, St. James's Hospital and Beaumont hospital, along with a phased expansion in Beaumont. The replacement programme is being progressed under the national development plan. It is included in the capital plan and the health sectoral plan. There are 23 linear accelerators, ranging in age from three to 18. These are located across five public hospitals: Rathgar, Beaumont, St. James's, Galway and Cork. …

I agree with the Deputy. I would like us to be replacing equipment because we have used it so intensively. Part of this issue relates to the number of radiation therapists. There has been a very considerable expansion in that regard. We have 217 radiation therapists in Ireland, an increase of 21% since 2020. In the last six years, the radiation therapy training programme has grown by 32%, with more than 20 additional specialty training posts established in the last three years. We need the people but we also need o…

I understand the Deputy's point. We want the machines working hard. There is considerable variance. It should not get to 20 years. We have a programme of replacement. The HSE has a key performance indicator target for 90% of patients to commence treatment within 15 working days. The figure for performance nationally is 79%. The majority are exceeding the target. Unfortunately, St. Luke's is consistently below the key performance indicator target. Is that unfair to say? What are the specific reasons for that? Is it …