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Tuesday, 21 May 2024

Written Answers Nos. 534-553

Childcare Services

Questions (534)

Rose Conway-Walsh

Question:

534. Deputy Rose Conway-Walsh asked the Minister for Children, Equality, Disability, Integration and Youth further to Parliamentary Question No. 574 of 16 April 2024, the annual cost to the Exchequer, in tabular form, of the means-tested national childcare scheme; the numbers accessing the scheme and the average subsidy, per recipient, in each year since 2020, by income levels, for example, by families earning €20,000 to €30,000, €31,000 to €40,000, €41,000 to €50,000, and €51,000 to €60,000; and if he will make a statement on the matter. [22954/24]

View answer

Written answers

The National Childcare Scheme (NCS) is a subsidy provided to help parents to meet the cost of childcare and allow children to access Early Learning and School Age Childcare. The subsidy is progressive and depends on a number of factors including the age of the child, the income of the household and the number of children in the family. Those with the lowest incomes receive the highest subsidies. The subsidy is subtracted from the fee and the balance (if the fee is not entirely offset) is then charged to the parents. These subsidies can be as much as €229.50 per week

It is important to note that the hourly subsidy awarded to each family under the income-assessed scheme varies depending upon a number of factors including the age and number of their children, and their household's reckonable income. This award can then be used to off-set the cost of up to 45 hours of care a week, but the number of hours used is a matter for the individual family and their provider. This variability in family claims should be borne in mind when considering the figures.

Table 1: The total value of successful claims with application type of Income Assessed by year and income band (with income <= €60k)

Income band

2020

2021

2022

2023

2024*

Total

&lt;= 20,000

€12,381,719

€33,983,436

€46,240,734

€53,304,873

€19,322,214

€165,232,977

20,001-30,000

€12,502,793

€34,436,444

€50,853,439

€62,081,006

€23,682,137

€183,555,819

30,001-40,000

€9,939,300

€25,466,244

€35,054,641

€45,479,099

€18,508,805

€134,448,089

40,001-50,000

€6,343,962

€14,301,669

€19,615,107

€27,850,985

€10,385,687

€78,497,410

50,001-60,000

€2,270,778

€4,818,243

€6,542,941

€14,701,979

€5,720,690

€34,054,631

Total

€43,438,552

€113,006,036

€158,306,862

€203,417,943

€77,619,533

€595,788,926

Table 2: The number of unique children with a successful claim with application type of Income Assessed by year and income band (with income <= €60k)

Please note that children may have more than one application in any calendar year and the applications may have different income levels so children may appear in more than one income category in the same calendar year. A significant proportion of children have claims in more than one calendar year.

Income band

2020

2021

2022

2023

2024*

&lt;= 20,000

7,780

13,720

18,708

21,183

13,454

20,001-30,000

7,887

14,898

20,976

25,533

16,699

30,001-40,000

8,052

14,531

19,235

23,719

16,434

40,001-50,000

7,435

12,333

16,263

19,090

12,512

50,001-60,000

5,672

8,687

11,348

14,103

9,499

Total

33,146

52,927

70,447

81,483

64,313

Table 3a: The average hourly subsidy for successful claims with application type of Income Assessed by year and income band (with income <= €60k)

Income band

2020

2021

2022

2023

2024*

&lt;= 20,000

€4.12

€4.09

€4.05

€4.01

€4.00

20,001-30,000

€3.98

€3.94

€3.92

€3.91

€3.90

30,001-40,000

€3.05

€3.03

€3.04

€3.30

€3.29

40,001-50,000

€1.93

€1.92

€1.96

€2.54

€2.53

50,001-60,000

€0.87

€0.86

€0.94

€1.81

€1.81

Total

€2.88

€2.97

€3.00

€3.28

€3.25

Table 3b: The average weekly subsidy for successful claims with application type of Income Assessed by year and income band (with income <= €60k)

Income band

2020

2021

2022

2023

2024*

&lt;= 20,000

€97.7

€98.2

€96.4

€93.5

€87.9

20,001-30,000

€93.0

€93.9

€93.6

€91.7

€86.8

30,001-40,000

€71.0

€72.3

€71.0

€74.9

€70.0

40,001-50,000

€47.0

€47.1

€46.6

€57.5

€53.0

50,001-60,000

€22.9

€22.7

€23.1

€42.0

€38.5

Total

€68.4

€71.5

€71.3

€75.7

€70.5

* To 18th May 2024

The number of unique children with an NCS claim is defined as those with at least one successful claim ( i.e. a claim that was eligible for payment following submission of attendance returns by the service provider and parental confirmation, where applicable) for each year 2020, 2021, 2022, 2023 and 2024 year to date (until 18 May 2024).

The information provided is for claims with an Application Type of “Income Assessed” with the income provided being the reckonable income. Some applications may have type “Income Assessed”, but the actual award may be at universal subsidy rates if the reckonable income is too high. Therefore, in the tables above, claims with incomes > €60,000 have been excluded.

The sum of the children across all years by income band is not provided because children may have subsequent applications with different income bands. The total number of unique children with Income Assessed claims with income <= 60k is 114,515.

Children may have more than one application in any calendar year and the applications may have different income levels so children may appear in more than one income category in the same calendar year. A significant proportion of children have claims in more than one calendar year.

Childcare Services

Questions (535)

Rose Conway-Walsh

Question:

535. Deputy Rose Conway-Walsh asked the Minister for Children, Equality, Disability, Integration and Youth further to Parliamentary Question No. 574 of 16 April 2024, to provide a table, with a breakdown, by deciles, of the distribution of hourly and weekly subsidy levels of means-tested NCS subsidy recipients for 2020 to 2023, that is, the average hourly subsidy and average weekly subsidy received by the bottom 10% of the distribution, the next 10% and so on; and if he will make a statement on the matter. [22955/24]

View answer

Written answers

The National Childcare Scheme (NCS) is a subsidy provided to help parents to meet the cost of childcare and allow children to access Early Learning and School Age Childcare. The subsidy is progressive and depends on a number of factors including the age of the child, the income of the household and the number of children in the family. Those with the lowest incomes receive the highest subsidies. The subsidy is subtracted from the fee and the balance (if the fee is not entirely offset) is then charged to the parents. These subsidies can be as much as €229.50 per week.

It is important to note that the hourly subsidy awarded to each family under the income-assessed scheme varies depending upon a number of factors including the age and number of their children, and their household's reckonable income. This award can then be used to off-set the cost of up to 45 hours of care a week, but the number of hours used is a matter for the individual family and their provider. This variability in family claims should be borne in mind when considering the figures. 

Below are tables of the average hourly and weekly subsidy levels for Income assessed NCS claims by income decile at snapshot dates for each of the years 2020 to 2024.

Table 1 (2024): Average hourly and weekly subsidy levels for Income Assessed NCS claims with income <= €60k, by income decile for 2024 (using a snapshot as at 2024/04/29)

Decile

Income band for this decile for 2024

Number of children

Average hourly subsidy

Average weekly subsidy

1

0- €15,212

5,705

3.99

87.30

2

€15,213-€20,105

5,689

3.98

84.00

3

€20,106-€24,517

5,707

3.99

87.11

4

€24,518-€28,352

5,697

3.90

84.37

5

€28,353-€31,958

5,690

3.62

75.41

6

€31,959-€35,948

5,693

3.34

68.50

7

€35,949-€40,748

5,705

3.02

62.26

8

€40,749-€46,254

5,694

2.63

53.26

9

€46,255-€52,239

5,702

2.21

45.27

10

€52,240-€59,993

5,705

1.71

35.21

Total

 

56,986

3.24

68.27

Table 2 (2023): Average hourly and weekly subsidy levels for Income Assessed NCS claims with income <= €60k, by income decile for 2023 (using a snapshot as at 2023/04/24)

Decile

Income band for this decile for 2023

Number of children

Average hourly subsidy

Average weekly subsidy

1

0- €14,219

5,400

4.00

89.31

2

€14,220-€18,956

5,395

4.01

86.68

3

€18,957-€23,434

5,390

4.00

89.71

4

€23,435-€27,295

5,402

3.95

86.53

5

€27,296-€30,898

5,402

3.71

78.71

6

€30,899-€35,391

5,398

3.42

72.08

7

€35,391-€40,439

5,397

3.07

64.76

8

€40,440-€45,871

5,398

2.68

56.79

9

€45,872-€51,765

5,382

2.26

48.77

10

€51,766-€60,000

5,400

1.74

38.58

Total

 

53,964

3.28

71.19

Table 3 (2022): Average hourly and weekly subsidy levels for Income Assessed NCS claims with income <= €60k, by income decile for 2022 (using a snapshot as at 2022/04/25)

Decile

Income band for this decile for 2022

Number of children

Average hourly subsidy

Average weekly subsidy

1

0- €14,443

4,206

4.05

91.77

2

€14,444-€19,255

4,207

4.05

88.99

3

€19,256-€24,163

4,211

4.06

94.68

4

€24,164-€28,176

4,205

3.93

86.63

5

€28,177-€31,904

4,207

3.54

77.30

6

€31,905-€36,270

4,202

3.09

67.17

7

€36,271-€41,145

4,209

2.58

56.61

8

€41,146-€46,127

4,210

2.04

46.39

9

€46,128-€51,816

4,207

1.44

33.65

10

€51,817-€60,000

4,206

0.73

18.29

Total

 

42,067

2.95

66.15

Table 4 (2021): Average hourly and weekly subsidy levels for Income Assessed NCS claims with income <= €60k, by income decile for 2021 (using a snapshot as at 2021/04/26)

Decile

Income band for this decile for 2021

Number of children

Average hourly subsidy

Average weekly subsidy

1

0- €13,699

2,881

4.07

95.82

2

€13,700-€18,740

2,883

4.09

94.05

3

€18,741-€23,608

2,879

4.08

94.14

4

€23,609-€27,868

2,882

3.98

89.11

5

€27,869-€32,137

2,877

3.57

79.83

6

€32,138-€36,806

2,880

3.08

70.01

7

€36,807-€41,690

2,879

2.55

59.09

8

€41,691-€46,590

2,882

2.01

47.94

9

€46,591-€52,368

2,881

1.41

34.70

10

€52,369-€59,992

2,882

0.72

19.51

Total

 

28,802

2.96

68.42

Table 5 (2020): Average hourly and weekly subsidy levels for Income Assessed NCS claims with income <= €60k, by income decile for 2020 (using April 2020 claims)

Decile

Income band for this decile for 2020

Number of children

Average hourly subsidy

Average weekly subsidy

1

0- €15,170

1,239

4.12

97.54

2

€15,171-€22,084

1,238

4.14

100.47

3

€22,085-€27,726

1,239

4.05

97.09

4

€27,727-€32,601

1,239

3.58

82.67

5

€32,602-€36,903

1,240

3.07

72.45

6

€36,904-€41,367

1,239

2.59

60.91

7

€41,368-€45,567

1,236

2.11

52.65

8

€45,568-€49,518

1,241

1.64

41.04

9

€49,519-€54,208

1,240

1.17

30.82

10

€54,209-€59,987

1,234

0.63

17.91

Total

 

12,385

2.71

65.36

Income Assessed NCS claims are defined as claims that were eligible for payment following submission of attendance returns by the service provider and parental confirmation, where applicable), with an application type of “Income Assessed”.  Some applications may have type “Income Assessed”, but the actual award may be at universal subsidy rates if the reckonable income is too high. Therefore, in the tables above, claims with incomes > €60,000 have been excluded.

Please note that children may have more than one application in any calendar year and the applications may have different income levels so children may appear in more than one income category in the same calendar year.

Childcare Services

Questions (536)

Rose Conway-Walsh

Question:

536. Deputy Rose Conway-Walsh asked the Minister for Children, Equality, Disability, Integration and Youth further to Parliamentary Question No. 238 of 1 May 2024, the estimated cost of a 1 cent increase in the hourly wage of all early years assistants, room leaders, deputy managers and centre managers in the childcare sector if the State were to directly subsidise the increase, regardless of current income level; and if he will make a statement on the matter. [22956/24]

View answer

Written answers

Based on the data used in response to Parliamentary Question No. 238 of 1 May 2024, the estimated cost to employers of raising the current ERO minimum pay rates by 1 cent per hour is approximately €350,000 per year, inclusive of employer-related costs (PRSI, etc).

The estimated cost breakdown by role is approximately;

Educator, €175,000

Lead Educator, €55,000

Graduate Lead Educators, €76,000

Managers, €22,000

Graduate Managers, €22,000

In relation to this estimate, the following should also be noted:

• The cost estimates do not attempt to account for the potential cost implications for the wages of staff who are currently earning more than 1 cent per hour above current ERO minimum rates, therefore the 1 cent cost cannot be proportional extrapolated to estimate other additional costs e.g. a 2 cent cost would not be simply calculated by doubling the €350,000 1 cent cost.

• The cost estimates are based on staff who had an hourly wage recorded in service providers’ submissions for Core Funding based on role titles in Core Funding, in the estimates above the Core Funding data has been extrapolated to provide an estimate for all staff working in the sector in said roles.

• Current wage data was provided by service providers and may contain inaccuracies, but the has been adjusted upward on the assumption that all staff should earn at least the legally-binding minimum rates of pay specified in the EROs. The cost estimates are for the additional cost to employers of bringing staff from their current wage or the minimum pay rates set out in the EROs, whichever is higher, up to a pay rate of 1 cent more per hour for each of the minimum pay rates in the EROs.

• The cost estimates only relate to staff and managers covered by the current EROs, i.e. the estimates exclude the cost of ancillary staff.

Childcare Services

Questions (537)

Rose Conway-Walsh

Question:

537. Deputy Rose Conway-Walsh asked the Minister for Children, Equality, Disability, Integration and Youth his Department’s annual targets for additional childcare places, that is, increased capacity, for each year they are available; and if he will make a statement on the matter. [22957/24]

View answer

Written answers

Ensuring high-quality early learning and childcare is affordable and accessible is a policy priority for my Department. This is reflected in a range of national policies and strategies.

Project Ireland 2040 and the National Development Plan 2021-2030 recognise early learning and childcare  and school age childcare as a critical part of the nation’s infrastructure, both as a core element of the education system for children and a prerequisite of job creation and labour market participation for parents. €89 million has been allocated to this sector under the revised NDP over the period 2023-2026. 

First 5: A Whole of Government Strategy for Babies, Young Children and their Families (2019-2028) includes as strategic actions to “maintain and extend the supply of high-quality publicly subsidised early learning and care and school-age childcare to best serve the developmental needs of babies and young children, ensuring that it also reflects the needs and preferences of parents and families”. 

The recently published First 5 Implementation Plan 2023-2025 describes the steps that will be taken in the over the next three years under this strategic action. It sets a target of 60,000 ELC places for children under 3 by 2028, in line with the Revised Barcelona Targets.

My Department is progressing a range of actions to ensure the supply of early learning and childcare meets demand, with work in this area led by a new Supply Management Unit that I established earlier this year. 

The Unit will also oversee the administration of new capital investment under the National Development Plan, with two strands of funding rolling out this year and next under the Building Blocks Capacity Grant. 

The primary focus of the Building Blocks Grant Schemes is to increase capacity in the 1-3 year old, pre-ECCE, age range for full day or part-time care.  This will be delivered through funding for expansion and extension of existing services, with prioritisation for services in areas of high demand versus supply.

The Building Blocks Expansion Grant Scheme offers funding for internal reconfiguration projects valued at between €50,000 and €100,000 that increase capacity. Applications for the Expansion Grant closed on 3rd April and the outcome of the appraisal process will be made known shortly.

The Building Blocks Extension scheme will offer funding for larger scale projects valued between €100,000 and €500,000 to enable existing services to build new capacity on their current site or nearby. The application process for the Extension Grant scheme will open in the coming months. This scheme will make available funding for larger-scale projects existing services are in a position to extend. This scheme will also focus on creating additional places for younger children in the 1-3 age category.

As well as these schemes, my Department is engaging with the Department of Housing, Local Government and Heritage to progress the updating of the 2001 Planning Guidelines for Local Authorities on Early Learning and Childcare Settings. 

In addition, Core Funding, which began 2022, has proven to be effective in expanding capacity.  Year 2 of the scheme provided for capacity growth of 3%, which has materialised and for Year 3 of the scheme, further funding will be directed towards a further 3% increase in capacity in the sector.

Also, under the National Action Plan for Childminding, I have committed to opening up access to the National Childcare Scheme to parents who use childminders following the extension of regulation to childminders this autumn. 

Disability Services

Questions (538)

Niamh Smyth

Question:

538. Deputy Niamh Smyth asked the Minister for Children, Equality, Disability, Integration and Youth to review a case (details supplied); to provide an update on the provision of transport for this person to the National Learning Network in Monaghan; and if he will make a statement on the matter. [22980/24]

View answer

Written answers

As this question refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly, as soon as possible.

International Protection

Questions (539)

Donnchadh Ó Laoghaire

Question:

539. Deputy Donnchadh Ó Laoghaire asked the Minister for Children, Equality, Disability, Integration and Youth if any expressions of interest have been received for the purchase or leasing of turnkey properties in accordance with the comprehensive accommodation strategy; the number of submissions received; the average accommodation capacity; and the average cost per unit of properties contained in the EOIs received, in tabular form. [22994/24]

View answer

Written answers

On the 27th March 2024 Government agreed a new Comprehensive Accommodation Strategy (CAS) for International Protection applicants. The strategy seeks to address the current accommodation shortfall, while reforming the system over the longer term to ensure the State will always be able to meet its international commitments.

Accommodation in the new strategy will be delivered through the following multi-strand approach:

Use of State land for prefabricated and modular units

Conversion of commercial buildings

Targeted purchase of medium and larger turnkey properties

Design and build of new Reception and Integration Centres

Upgrading of IPAS Centres

The multi-strand approach focuses on both increasing State owned permanent capacity, and the upgrading of additional contingency accommodation, developed to specific national standards, to build an effective system to meet the new realities of increasing need while enabling the State to discharge its duty to meet the material reception conditions of IP Applicants, according to the guiding principles of the White Paper.

In order to deal with the demand led nature of the system, the commissioning of emergency commercial accommodation will continue to be a feature in the short to medium term. This accommodation will be contracted on shorter-term basis and if application numbers drop, can be decommissioned as contracts expire. It is planned that as new State owned and permanent commercial accommodation comes on stream the use of this emergency accommodation will reduce.

Once sufficient State owned accommodation has been delivered over the coming years, and emergency accommodation reduced substantially, the Government may, at that point, seek to reduce further the proportion of remaining permanent accommodation delivered by commercial providers and move to a fully or predominately State owned system

In terms of new accommodation numbers the table below details the proposed various accommodation types, capacity and ownership.

Accommodation Type

Bed Capacity

Ownership

Reception and Integration Centres and Accommodation Centres, at or above national standards

Up to 13,000

State Owned

In-Community Accommodation for vulnerable persons, at or above national standards

Up to 1,000

State Owned, operated in partnership with NGOs.

Contingency Accommodation, at national standards

Up to  11,000

Commercial Providers

Emergency Accommodation

Up to 10,000

Commercial Providers

An Expression of Interest (EOI) process has been launched by the Department of Children, Equality, Disability, Integration and Youth for the sourcing of suitable properties for acquisition or lease as International Protection accommodation. 

As this is a live procurement process with commercially sensitive information DCEDIY cannot, at this current time,  comment on the number of submissions received; the average accommodation capacity; and the average cost per unit of properties contained in the EOIs as requested.

International Protection

Questions (540)

Donnchadh Ó Laoghaire

Question:

540. Deputy Donnchadh Ó Laoghaire asked the Minister for Children, Equality, Disability, Integration and Youth the number of State-owned reception centres currently in operation; the number of units delivered, by year; and the average capacity and the average capital cost of units delivered in each of the years 2021 to 2023 and to date in 2024, in tabular form. [22995/24]

View answer

Written answers

As of 12 May, there are over 30,000 people accommodated in the International Protection Accommodation Service (IPAS) system as a whole (of whom 7,356 are children) compared with approximately 8,700 people at the end of February 2022. Together with Beneficiaries of Temporary Protection displaced by the war in Ukraine, this means that Ireland is now accommodating over 102,000 people in state-supported accommodation.

There are currently 7 state-owned centres which have been in place since 2016 or earlier.

Capacity at these centres stands at approximately 1200 people.

The average cost of State-owned accommodation is as set out below:

State Owned Accommodation – Average Costs Per Person Per Day – 2021 - 2024

Year

2021

2022

2023

2024 (to date)

Year

2021

2022

2023

2024 (to date)

Average

€12.31

€28.30

€26.95

€29.93

In addition, the State currently operates the following:

• 49 IPAS centres, National IP Reception centre and City West Transit Hub which have a combined accommodation IP capacity of c.8000

• The remaining bulk of accommodation is provided by emergency accommodation

The accommodation system is saturated at the moment, so additional tented accommodation is being provided by the State at a number of locations.

International Protection

Questions (541, 542)

Donnchadh Ó Laoghaire

Question:

541. Deputy Donnchadh Ó Laoghaire asked the Minister for Children, Equality, Disability, Integration and Youth to specify the average per-night cost of accommodating an IP applicant in privately owned accommodation, providing a breakdown of the average per-night cost in private accommodation contracted in each of the years 2021 to 2023 and to date in 2024, in tabular form. [22996/24]

View answer

Donnchadh Ó Laoghaire

Question:

542. Deputy Donnchadh Ó Laoghaire asked the Minister for Children, Equality, Disability, Integration and Youth the average per-night cost of accommodating an IP applicant in State-owned accommodation, providing a breakdown of the average per-night cost in State-owned accommodation delivered in each of the years 2021 to 2023 and to date in 2024, in tabular form. [22997/24]

View answer

Written answers

I propose to take Questions Nos. 541 and 542 together.

As of 12 May, there are over 30,000 people accommodated in the International Protection Accommodation Service (IPAS) system as a whole (of whom 7,356 are children) compared with approximately 8,700 people at the end of February 2022. Together with Beneficiaries of Temporary Protection displaced by the war in Ukraine, this means that Ireland is now accommodating over 102,000 people in state-supported accommodation. The average cost of accommodating an IP applicant in all IPAS accommodation (including State-owned and private) is as set out in the table below. This includes all accommodation and ancillary costs such as facilities management and other related expenditure.

The average cost per person in privately contracted accommodation in 2024 to date has been €82.97.

Please note that the average cost per night fluctuates due to fluidity in applicant numbers and centres.

All IPAS Accommodation - Average Costs Per Person Per Day - Years 2021-2023

Year

2021

2022

2023

Average

€82

€57

€76.80

Question No. 542 answered with Question No. 541.

Parliamentary Questions

Questions (543)

Michael Ring

Question:

543. Deputy Michael Ring asked the Minister for Children, Equality, Disability, Integration and Youth the reason a response has not issued to a previous parliamentary question (details supplied); and if he will make a statement on the matter. [23002/24]

View answer

Written answers

I can confirm that on 16 May 2024 a response issued for PQ 18610/24 from my office.

Asylum Seekers

Questions (544, 545, 546)

John Brady

Question:

544. Deputy John Brady asked the Minister for Children, Equality, Disability, Integration and Youth to detail the current approach to consulting with communities where accommodation for asylum seekers is to be established; and if he will make a statement on the matter. [23006/24]

View answer

John Brady

Question:

545. Deputy John Brady asked the Minister for Children, Equality, Disability, Integration and Youth to detail the record of consultation that has taken place with communities where accommodation for asylum seekers was to be established; and if he will make a statement on the matter. [23007/24]

View answer

John Brady

Question:

546. Deputy John Brady asked the Minister for Children, Equality, Disability, Integration and Youth what resources have been allocated towards consultation with communities where accommodation for asylum seekers is to be established; and if he will make a statement on the matter. [23008/24]

View answer

Written answers

I propose to take Questions Nos. 544 to 546, inclusive, together.

The Community Engagement Team (CET) engages directly with elected representatives, relevant Local Authorities, Local Development Companies, and other entities and individuals to ensure a good flow of information regarding the opening of accommodation centres and related issues.

The purpose of the team is to improve the flow of information regarding arrivals into areas and to help equip local communities with the accurate information required to help them understand the current situation and to assist with the welcome and integration process for new arrivals.

It consists of a National Lead on Civic Engagement, two additional team members to support the on-the-ground engagement (part-time basis) and a small administrative team.

The team does not have a role in the procurement of premises or the allocation of new arrivals and engages once accommodation centres have been signed off for opening by DCEDIY teams.

It should be noted that the CET are only activated for openings which need additional support and are agreed with IPAS Team, Ukrainian Team and Ministers' offices. The openings which the Team support can also be selected if requested by a public representative or a local community leader and it is deemed appropriate.

It is acknowledged that different sites will have different requirements and this approach, while offering a standard process for quality engagement and communication can be adapted depending on individual circumstances.

The team is also engaging with other stakeholders outside of immediate openings of centres to build relationships and networks with key groups, this includes meetings with Community Response Fora, Local Development Companies and other NGOs. The team engages with central government Departments and local services to provide information to assist with planning and activation of services.

72 briefs have been issued to stakeholders by the CET up to 17 May. Approximately 35 active engagements have taken place with a number currently underway.

Question No. 545 answered with Question No. 544.
Question No. 546 answered with Question No. 544.

Nursing Homes

Questions (547)

Cathal Crowe

Question:

547. Deputy Cathal Crowe asked the Minister for Health if he will give consideration to a number of measures to stabilise and sustain the nursing home sector [22336/24]

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Written answers

The Government is conscious of the financial challenges faced by the nursing home sector, especially smaller and voluntary nursing homes that may not have access to the same economies of scale as larger homes or groups. I have regular meetings with private nursing home provider representative groups where the issues of Government policy and support for the sector are on the agenda. I have committed to continued engagement with the sector. The National Treatment Purchase Fund (NTPF) are the body designated, under Section 40 of the Nursing Homes Support Scheme Act 2009, to negotiate with persons carrying on the business of a nursing home, for the purposes of reaching an agreement on the maximum prices to be charged for nursing home care, and are based on the NTPF’s cost criteria. These criteria include costs reasonably incurred by the nursing home, local market prices, historic prices and overall budgetary capacity. This is the only mechanism for funding from the public purse for nursing home residents. I have regular interaction with the NTPF to discuss ways to support the sector, where necessary and appropriate, to complement the normal process of negotiating rate increases when contracts are renewed. A significant change that the NTPF have made to their negotiation process is to offer nursing home providers contracts of a shorter duration, which will aim to ensure that NTPF rate increases stay aligned with any cost pressure increases that occur over the course of the contracted period. This has allowed for more surety in the sector. As of the end of April, 420 nursing homes have agreements with the NTPF under Fair Deal. The NTPF is expected to negotiate 389 Deeds of Agreement in 2024. As of end of April, there were 301 still remaining. For 2023, there were 257 full Deeds renegotiated, with a further number of mid-Deed uplifts in addition to this (this is where Deeds were negotiated with a 2-stage uplift: one at the start and another uplift that comes 6, 12 or 18 months after but still within that Deed of Negotiation). It should be noted that the Nursing Homes Support Scheme (NHSS or Fair Deal) was designed to protect and support vulnerable older people, to ensure equal access to nursing home care based on what they could afford. This gives certainty to people and families. Increases in year-on-year funding for the NHSS continues and will reach €1.5 billion this year. Budget 2023 saw over €40 million in additional funding for the scheme. I am cognisant that the budget must support all participating nursing home residents for the full calendar year. It is therefore imperative that private and voluntary providers continue to engage in the process as set out in the Nursing Homes Support Scheme Act 2009. An additional €45.6 million has also been allocated to support nursing homes in Budget 2024, including a new €10 million fund to support private and voluntary nursing homes with HIQA compliance. The Resident Safety Improvement (RSI) Scheme has been introduced and is designed to target and support structural improvements in nursing homes to assist their meeting HIQA compliance plans in respect of protection against infection and fire precautions. It is active as from 1 January 2024 and can be backdated for eligible works to 1 January 2020. The Government is aware of the investment trends in the Irish residential care market, the growing consolidation of the sector, and the complex investment and ownership structures that now exist. I welcome the recent publication of the ESRI report ‘Long-term Residential Care in Ireland: Developments since the onset of the Covid-19 pandemic’ which brings into focus the challenges facing the long-term residential care sector in Ireland that the Government has been, and continues to, address to provide short-term stability and long-term growth to this sector. In the context of the ongoing reform of older persons services, including long-term residential care, over the coming years, it is important that all aspects of the nursing home sector continue to be scrutinised. I am committed to ensuring that service delivery and configuration in the sector meets the needs of service users in a sustainable and safe manner. Ensuring that the welfare and safety of residents is secured when nursing homes close continues to be of the utmost importance and work to alleviate the concerns of residents must continue. 14 private nursing homes closed in 2022 (of which 7 repurposed to provide accommodation to Beneficiaries of Temporary Protection), 14 private nursing homes closed in 2023. One private nursing home closed in 2024. A further three private nursing homes, which are currently active, have notified closure. These closures must be put in context of new nursing homes opening. Four new centres opened in 2022, 10 new centres opened in 2023 and 2 new centres opened to date in 2024. As per the most recent HIQA report, overall, 2022 saw a net addition of 112 registered beds to total national capacity of private beds, 2023 saw a net addition of 490 beds to total national capacity of private beds and 2024 has seen an increase of 117 beds to date. This is due to the relatively larger size of new nursing homes compared to closures and the addition of capacity in existing homes. In addition, in 2023, the Department of Health convened a steering group to develop and publish design standards for long-term residential care settings for older people. Among the considerations of the group is the optimal size of nursing homes. A public consultation closed on 15 February 2024 and submissions are being analysed to inform the final version of the Design Guide. I recently welcomed the completion of the national rollout of a new community based mobile X-ray service which aims to reduce the number of older patients attending Emergency Departments (EDs). Following a pilot launched in 2022, from 1 March 2024 this free, community-based service is available to all residents in nursing homes and Community Nursing Units nationwide. Furthermore, in late February, it was announced that over €3.2 million in State support will be provided for over 440 registered nurses in private nursing homes to obtain a Postgraduate Diploma in Gerontological Nursing. All of these measures are intended to find the right balance between delivering value to the taxpayer, affordable access to long-term care for citizens and a sustainable nursing home sector which ensures that people who require care can continue to receive high quality services in the most appropriate settings.

Hospital Appointments Status

Questions (548)

Kathleen Funchion

Question:

548. Deputy Kathleen Funchion asked the Minister for Health when a person (details supplied) will have their operation, which has been cancelled six times. [22338/24]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Appointments Status

Questions (549)

Michael Healy-Rae

Question:

549. Deputy Michael Healy-Rae asked the Minister for Health if an appointment can be expedited on behalf of a person (details supplied); and if he will make a statement on the matter. [22355/24]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Waiting Lists

Questions (550)

Catherine Murphy

Question:

550. Deputy Catherine Murphy asked the Minister for Health the number of persons waiting to see a consultant orthopaedic surgeon at Tallaght University Hospital. [22357/24]

View answer

Written answers

Adult and child waiting list information by hospital and specialty is published monthly by the National Treatment Purchase Fund (NTPF) and is available on the NTPF website at: www.ntpf.ie/home/nwld.htm

Hospital Staff

Questions (551)

Catherine Murphy

Question:

551. Deputy Catherine Murphy asked the Minister for Health the number of WTE secretaries, who are part of the ophthalmology department responsible for making appointments for patients for eye injections, within the outpatients' eye clinic in the Mater hospital in each of the years of 2022, 2023 and to date in 2024; and the hours and days of week each secretary is based at the hospital, in tabular form. [22358/24]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Facilities

Questions (552)

Catherine Murphy

Question:

552. Deputy Catherine Murphy asked the Minister for Health the number of theatres currently in use at St. James's Hospital; and the hours and days of the week each theatre is available for procedures, in tabular form. [22359/24]

View answer

Written answers

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Facilities

Questions (553)

Catherine Murphy

Question:

553. Deputy Catherine Murphy asked the Minister for Health the estimated full-year costs needed to increase the number of neonatal high-dependency unit beds from six to 14 in both CHI Temple Street and CHI Crumlin. [22360/24]

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Written answers

As this is an operational matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

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