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Thursday, 20 Nov 2025

Written Answers Nos. 131-155

Mental Health Services

Questions (131)

John Connolly

Question:

131. Deputy John Connolly asked the Minister for Health the progress made on recommendation 21 of the Sharing the Vision Implementation Plan 2025-2027 proposal for the completion of a situational analysis of the current landscape of community-based provision for dual challenges in the areas of mental health and addiction, including the identification of current gaps/barriers, opportunities as well as the key priority areas for development; and if she will make a statement on the matter. [64327/25]

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.

Primary Care Services

Questions (132)

Darren O'Rourke

Question:

132. Deputy Darren O'Rourke asked the Minister for Health for an update on primary care psychology waiting lists and staffing levels, including vacancies in County Meath; and if she will make a statement on the matter. [63331/25]

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.

Health Services Waiting Lists

Questions (133)

Marie Sherlock

Question:

133. Deputy Marie Sherlock asked the Minister for Health the steps her Department is taking to address the unacceptable wait times for trans healthcare and to improve healthcare for trans people within the primary care system; and if she will make a statement on the matter. [64376/25]

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Written answers

The provision of proper, appropriate and integrated gender healthcare services is something that I want to ensure is in place for those who are questioning their gender identity or are experiencing gender incongruence or dysphoria.

As outlined in the Programme for Government 2025, the Government are committed to ensuring a transgender healthcare service that is based on clinical evidence, respect, inclusiveness and compassion.

A new clinical programme for gender healthcare has been initiated by the HSE and an updated clinical model for gender healthcare services is being developed. This work will inform an implementation plan for its delivery.

A Clinical Advisory Group has been established and was convened in June 2025 with the Royal College of Physicians of Ireland.

As part of the development of the model of care, the existing and emerging evidence base, including international evidence on health outcomes, and data on the clinical needs of those presenting to clinical services over the years, will be reviewed. The Model of Care will consider all available information, and will not be aligned with any one study, report, or set of guidelines.

The HSE commenced the systematic review on the evidence base with respect to co-existing clinical needs in gender diverse people with support from the HSE Library Service. Interim results of this review were made available for public consultation during the month of August 2025. The HSE are now reviewing any submissions and completing the evidence review of this topic.

Another main element of the work will include a review of the experience base which encompasses an understanding of the experience of service users, their families, healthcare workers in gender healthcare and other stakeholders. As this is an area of healthcare where there are many public voices, all efforts will be made to hear from those with who have lived and living experience. In this regard, a number of lived experience engagement design sessions, attended by a number of advocacy groups, have been held to inform the development of a plan to maximise stakeholder engagement.

Developing a model of care for Gender Healthcare Services is expected to be a complex process and the HSE and department officials will work closely together to support the process, ensure transparency and keep the patient at the centre of the process.

It is important that the HSE is given time to develop a model of care that is based on the best clinical evidence and that will deliver the best outcomes for persons with gender incongruence or dysphoria.

Hospital Services

Questions (134)

Matt Carthy

Question:

134. Deputy Matt Carthy asked the Minister for Health the opening hours of the minor injuries unit in Monaghan Hospital; and the latest time at which a person may present themselves for care. [64411/25]

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Written answers

As this is a service matter, I have asked the HSE to respond to the deputy directly.

Health Strategies

Questions (135)

Pádraig O'Sullivan

Question:

135. Deputy Pádraig O'Sullivan asked the Minister for Health if she will provide an update on the National Rare Disease Strategy; the status of each recommendation; if the implementation oversight group has been established; and if she will make a statement on the matter. [63427/25]

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Written answers

As the Deputy will be aware, I launched the new National Rare Disease Strategy 2025-2030 on August 27th, 2025. The Strategy outlines 11 recommendations that seek to take a life course approach to meet the needs of the estimated 300,000 people living with a rare disease in Ireland.

As part of this, it was recommended that an Implementation Oversight Group (IOG) would be established to oversee the implementation of the Strategy, providing strategic guidance and monitor progress at a national level. This process is underway.

Letters of invitation have been issued to key stakeholders inclusive of officials within the HSE and the Department of Health to be appointed membership to the IOG, or to nominate an appropriate representative.

To continue building upon the strong foundation of patient partnership that was established during the Strategy’s development, two patient representatives will be appointed to the IOG. It is expected that an Expression of Interest will be published shortly, inviting expressions from interested parties to become members.

In regard to the status of each recommendation, an Implementation Plan that will outline the necessary actions required to achieve the Strategy’s recommendations will be developed and presented to the IOG for approval.

The Department, in conjunction with the HSE, remain focused on developing and delivering the care and supports required to meet the needs of people living with a rare disease.

Primary Care Services

Questions (136)

Grace Boland

Question:

136. Deputy Grace Boland asked the Minister for Health the measures her Department and the HSE are taking to recruit for the number of vacancies across all primary care roles in Balbriggan and Swords, including speech and language therapy, physiotherapy and psychology; and if she will make a statement on the matter. [64562/25]

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Written answers

As this is a service matter I have asked the HSE to respond to the deputy as soon as possible.

Hospital Staff

Questions (137)

Cormac Devlin

Question:

137. Deputy Cormac Devlin asked the Minister for Health the plans to provide mental health specialist nursing teams in the emergency departments of all model 4 hospitals out-of-hours; and if she will make a statement on the matter. [64091/25]

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Written answers

The total allocation for mental health services in 2026 is over €1.5 billion, which is the sixth year in a row in which the mental health budget has been increased.

This increase in funding for mental health services represents a significant investment which will enable continued policy implementation and service improvement in line with our national mental health policy, Sharing the Vision, and our national suicide and self-harm reduction strategy Connecting for Life, across a broad continuum from mental health promotion, prevention and early intervention, through to specialist mental health services. This year’s budget provided the opportunity to focus on investing in crisis support and suicide prevention; youth mental health and CAMHS, and expanding the National Clinical Programmes.

This includes funding for Specialist Nursing Teams made up of Advanced Nurse Practitioners and Clinical Nurse Specialists in all ‘Model 4’* hospital emergency departments out-of-hours (6pm-2am) to support people in crisis.

As occurs each year following the Budget, discussions will now take place with the HSE on details relating to specific service initiatives in the context of preparing the HSE Service Plan 2025, including that for Mental Health.

Accordingly, this initiative will have to operationalised by the HSE in due course.

Primary Care Services

Questions (138)

Grace Boland

Question:

138. Deputy Grace Boland asked the Minister for Health the measures her Department and the HSE are taking to address the long waiting lists for psychology appointments in primary care in the areas of Balbriggan and Swords; and if she will make a statement on the matter. [64561/25]

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.

Primary Care Centres

Questions (139)

Paul McAuliffe

Question:

139. Deputy Paul McAuliffe asked the Minister for Health to provide an update on the Finglas primary care centre; the latest expected timeframe for construction; and if she will make a statement on the matter. [64355/25]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Mental Health Services

Questions (140)

John Connolly

Question:

140. Deputy John Connolly asked the Minister for Health the plans within her Department to increase the number of acute mental health beds within CHO2; and if she will make a statement on the matter. [64326/25]

View answer

Written answers

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

Ambulance Service

Questions (141)

Emer Currie

Question:

141. Deputy Emer Currie asked the Minister for Health to outline the actions her Department is taking to improve ambulance response times in Dublin 15; and if she will make a statement on the matter. [64636/25]

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Written answers

As the Deputy will be aware, Dublin City Council (DCC) through Dublin Fire Brigade (DFB) has primary responsibility for ambulance service provision and emergency ambulance call taking in Dublin, including Dublin 15. The National Ambulance Service (NAS) does provide some assistance to DFB in Dublin when requested, with provision being subject to NAS ambulance resource availability.

Queries regarding DFB ambulance response times in Dublin 15 are a matter for DCC to address in the first instance as the local authority with responsibility for DFB. Ultimate responsibility for the oversight of DFB, including its performance, would be a matter for our colleague the Minister for Housing, Local Government and Heritage.

Healthcare Infrastructure Provision

Questions (142)

James O'Connor

Question:

142. Deputy James O'Connor asked the Minister for Health the status of the 60-bed community nursing unit for Youghal project; and if she will make a statement on the matter. [64583/25]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter

Healthcare Policy

Questions (143)

Catherine Ardagh

Question:

143. Deputy Catherine Ardagh asked the Minister for Health the number of people who died from lung cancer in the last full year for which statistics are available; how this compares to deaths from other cancers; the action being taken to improve survival rates; how our survival rates for lung cancer compare internationally; and if she will make a statement on the matter. [64100/25]

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Written answers

The Central Statistics Office (CSO) data indicates that lung cancer accounted for 2,032 deaths in Ireland in 2023, including 1,094 males and 938 females. According to the National Cancer Registry Ireland (NCRI) Annual Report approximately 7 in 10 people diagnosed with lung cancer in Ireland are age 65 and older.

Lung cancer is the third most common invasive cancer for men and the second most common invasive cancer in women, accounting for over 10% of invasive cancers diagnosed in women and men. Between 2020 and 2022, there was an average of 2,600 cases of lung cancer per year.

The National Cancer Registry of Ireland Statistical Report 2022 indicates that lung cancer is the leading cause of cancer death in both genders, causing one in five cancer deaths (average of 1,950 deaths per year between 2020-2022).

While the five-year survival rate for lung cancer has more than doubled, from 9% in those diagnosed in 1994-98 to 24% among those diagnosed in 2014-2018, it remains very low compared to other cancers.

For lung cancer in Ireland overall, 5-year net survival was 20.8% for cases diagnosed during 2009-2018. Improvements in survival rates for people with lung cancer in Ireland compare favourably with international experiences. The latest available EU data ranks Ireland sixth of 24 countries on five-year survival rates for lung cancer over the period 2010-2014 (the latest available EU data), an improvement from the period 2000-2004 when Ireland ranked 15th of 23.

Data released earlier this year by the OECD indicates that, for men, the number of lung cancer deaths in Ireland, which are avoidable through prevention or treatment, is well below the EU average and declined significantly over the ten-year period in which the data was reviewed.

The data for women is less positive with only a small improvement in ten years and a slightly higher level of avoidable deaths than the EU average. The OECD attributes this to historically higher rates of smoking amongst women in Ireland.

The Government's commitment to cancer services is reflected in significant investment of more than €105m under the current National Cancer Strategy, including €23m in 2025. Over the past 8 years over 670 staff have been recruited to our national cancer services, including 200 nursing staff, 100 consultants, and 180 health and social care professionals in designated cancer centres. Five Senior Health Promotion and Improvement Officers, funded by the NCCP work to promote cancer risk reduction (including smoking cessation in the case of lung cancer) and early diagnosis of lung cancer.

The Department of Health Women’s Health Fund is supporting The Lung Health Check clinical trial which was launched earlier this year. Over a 6-year period this pilot project aims to drive improvements in lung cancer early detection, diagnosis and treatment by inviting people with a higher risk of developing lung problems for an assessment.

To support early detection in 2024, the NCCP, in collaboration with HSE Communications, carried out a pilot lung cancer awareness and early diagnosis campaign in North Dublin. This multi-media campaign was targeted at those most at risk of lung cancer.

In 2026, building on the 2024 pilot campaign, and in collaboration with HSE Communications, the NCCP will launch a national, lung cancer awareness and early diagnosis campaign aimed at improving lung cancer outcomes through early diagnosis.

The NCCP has developed cancer risk reduction and cancer early diagnosis e-learning modules that are available for healthcare professionals free of charge on www.hseland.ie. These e-learning modules address smoking as a risk factor for cancer and also address early diagnosis of lung cancer. The NCCP has recently updated their “National Clinical Guideline: GP guideline for the referral of patients with suspected lung cancer”. This is expected to be published in the coming weeks.

Public Inquiries

Questions (144, 167)

Paul Murphy

Question:

144. Deputy Paul Murphy asked the Minister for Health if she anticipates that a full public statutory inquiry into the treatment of children with scoliosis and spina bifida will commence in the new year; and if she will make a statement on the matter. [64196/25]

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Paul Murphy

Question:

167. Deputy Paul Murphy asked the Minister for Health when a full public statutory inquiry into the treatment of children with scoliosis and spina bifida will commence; and if she will make a statement on the matter. [64195/25]

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Written answers

I propose to take Questions Nos. 144 and 167 together.

The Tánaiste and I have met the parents of Harvey Morrison Sherratt twice (29th September and 12th November). Those discussions have been constructive.

These meetings have also been attended by some other advocacy groups and their legal representatives who have been calling for a public statutory inquiry into the spina bifida and complex scoliosis services at Children’s Health Ireland (CHI).

Arising from those discussions, on Tuesday 18th November I brought a Memo to Government, and it was agreed to proceed with a statutory public inquiry into spina bifida and complex scoliosis services.

As an initial step, the Government agreed that a facilitator will be appointed to consult with stakeholders on scoping the content of potential terms of reference for an inquiry. My Department will consult closely with the Office of the Attorney General on progressing this exercise.

This will be a time-bound exercise, but there is a considerable body of work to be undertaken to ensure that we ultimately have the clearest possible terms of reference for a statutory inquiry. It is important that the many issues raised are carefully considered as to what may be the best way to achieve the outcomes sought by families and other stakeholders.

Once this scoping exercise is complete, further Government approval will be sought for the final terms of reference.

Ambulance Service

Questions (145)

James O'Connor

Question:

145. Deputy James O'Connor asked the Minister for Health the status of the ambulance training base centre for Youghal project; and if she will make a statement on the matter. [64584/25]

View answer

Written answers

As the Health Service Executive is responsible for the delivery of public healthcare infrastructure projects, I have asked the HSE to respond to you directly in relation to this matter.

Primary Care Centres

Questions (146)

Thomas Gould

Question:

146. Deputy Thomas Gould asked the Minister for Health her views on whether the leasing of primary care centres represents value-for-money. [63074/25]

View answer

Written answers

As the Health Service Executive is responsible for the management of the public healthcare estate, I have asked the HSE to respond to you directly in relation to this matter.

Nursing Homes

Questions (147)

Edward Timmins

Question:

147. Deputy Edward Timmins asked the Minister for Health if work will be carried out to exclude land gifted to a grandchild from the current situation where it is included in the fair deal assessment with no time limit or no option to be included as part of the loan arrangement; and if she will make a statement on the matter. [55033/25]

View answer
Reply not received from Department.

Health Screening Programmes

Questions (148)

Pádraig Rice

Question:

148. Deputy Pádraig Rice asked the Minister for Health the reason the expansion of the newborn bloodspot screening programme to include spinal muscular atrophy and severe combined immunodeficiency has still not been implemented, despite being approved in 2023; and if she will make a statement on the matter. [64321/25]

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Written answers

As Minister for Health, I am determined to support our screening programmes, which are a valuable part of our health service, enabling early treatment and care for many people, and improving the overall health of our population.

Currently, all babies (between 3 and 5 days old) are offered newborn bloodspot screening (generally known as the ‘heel prick’ test), which tests for nine rare but serious conditions that are treatable if detected early in life. The Programme for Government commits to continually reviewing the number of conditions babies are screened for.

Incremental progress continues to be made on the expansion of the National Newborn Bloodspot Screening Programme (NNBSP). In 2023, two recommendations from the National Screening Advisory Committee (NSAC) on the addition of Severe Combined Immunodeficiency (SCID) and Spinal Muscular Atrophy (SMA) to the NNBSP were approved.

In Budget 2024, an additional €1.4 million of new development funding was provided to support the SMA/SCID implementation process. Once both conditions have been fully implemented, the number of conditions screened for in Ireland will increase to 11.

In terms of the current implementation status, the HSE has advised that the equipment needed to enable the roll-out testing for SMA and SCID has been purchased, delivered and successfully installed at the newborn screening laboratory and significant progress continues with regards to the laboratory verification process. The recruitment process to hire the additional staff required to support the expansion of the NNBSP has been completed and work continues on developing screening pathways for both conditions.

In relation to concerns raised around the length of the implementation process, it should be emphasised that Ireland is not taking longer than other comparable countries to assess and implement additions to the NNBSP.

The Health Council of the Netherlands first recommended screening for SMA in 2019 and implementation was completed three years later in October 2022. In the United States of America, it took six years to fully implement SMA screening after it was added to the Recommended Uniform Screening Panel (RUSP) in 2018. In the United Kingdom, screening for SCID and SMA have been under consideration by the UK National Screening Committee since 2017 and 2018 respectively.

Nevertheless, I am acutely aware of how difficult it is for parents, families and children who have received a diagnosis of a rare disease, and how challenging daily life can be for them. This is why I remain committed to the further expansion of screening in Ireland in accordance with internationally accepted criteria and best practice.

Healthcare Policy

Questions (149)

William Aird

Question:

149. Deputy William Aird asked the Minister for Health her plans to establish a local nurse-led respite facility in Laois where children with complex medical needs, can access safe, medically appropriate overnight care, in line with the National Policy on Palliative Care for Children (2009), the National Needs Assessment (2013), and the Children’s Palliative Care: From Policy to Practice framework (2010–2015); and if she will make a statement on the matter. [63078/25]

View answer

Written answers

 This is a matter for Department of Disabilities Children and Equality and should be redirected to that Department.

Cancer Services

Questions (150)

Aisling Dempsey

Question:

150. Deputy Aisling Dempsey asked the Minister for Health if financial advice can be provided to cancer patients to make them aware of entitlements available to them during and after treatment; and if she will make a statement on the matter. [64446/25]

View answer

Written answers

Maximising the quality of life of those living with and beyond cancer is one of the four pillars of the National Cancer Strategy 2017-2026.

Recommendations in the current Strategy aim to further survivorship supports and services in cancer care in Ireland. This includes the establishment of psycho-oncology services, provision of treatment summary and care plans, and the development of survivorship programmes.

The HSE National Cancer Control Programme established the Alliance of Community Cancer Support Centres (CCSC) in 2022, an initiative aimed at developing a collaborative framework for community-based cancer services. The Programme for Government commitment to the Alliance of Community Cancer Support Centres is demonstrated through dedicated funding and the operational framework provided by the HSE's National Cancer Control Programme (NCCP). This includes a €5.5 million allocation to support survivorship programs, community services, and integration with national cancer services.

There are a number of resources available for patients to access financial advice:.

• The National Cancer Control Programme (NCCP) collaborates with the Irish Cancer Society to establish "Life and Cancer - Enhancing Survivorship" (LACES) workshops in designated cancer centres since 2021. These workshops allows patients to access quality information on topics such as diet, exercise, wellbeing, finance, and self-management while directing them to further supports to empower them and enhance their quality of life. The NCCP encourages patients to attend the workshops so that they can get the value of signposting to other services. More information on the LACES workshops can be found here: https://www.hse.ie/eng/services/list/5/cancer/profinfo/survivorship-programme/laces%20programme.html

• The Cancer Thriving & Surviving (CTS) programme was launched in 2021 by the National Cancer Control Programme. The CTS programme is designed to help patients rebuild a sense of confidence and a chance to learn self-management skills when moving on from cancer treatment back into work, school, and everyday life. More information on the CTS programme can be found here: www.hse.ie/eng/services/list/5/cancer/profinfo/survivorship-programme/cts.html

• The Irish Cancer Society also runs its Daffodil Centres, which are a walk in service for any member of the public who is affected by cancer. Their Cancer Nurses can support patients and provide them with a wide range of advice and supports including advice on financial and practical supports. More information on Daffodil Centres can be found here: https://www.cancer.ie/our-services/our-daffodil-centres

Health Screening Programmes

Questions (151)

Donna McGettigan

Question:

151. Deputy Donna McGettigan asked the Minister for Health the resources that will be made available for the scanning of women with dense breasts, in whom cancer may not be detectable by mammogram; the protocols which would automatically refer such women for follow-up testing after a mammogram; and if she will make a statement on the matter. [64319/25]

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Written answers

I am committed to supporting our population screening programmes, which are a valuable part of our health service, enabling early treatment and care for many people, and improving the overall health of our population.

BreastCheck, the National Breast Screening Programme, currently invites women aged 50 to 69 years at regular intervals to have a mammogram. The Programme for Government commits to extend the ages for BreastCheck screening programme in line with updated standards from the Health Information and Quality Authority (HIQA).

I would note that proposed changes to Ireland’s screening programmes will be facilitated through established evidence-driven protocols. The National Screening Advisory Committee (NSAC) is the independent expert group that considers proposed changes by assessing the evidence in a robust and transparent manner, and against internationally accepted criteria, before making recommendations to myself as Minister for Health.

The rigorous processes utilised by NSAC are critical to ensure that our screening programmes are effective. This is particularly important when expert opinion is divided, and uncertainty remains about whether the potential benefits outweigh the possible harms.

With regards to breast density specifically, while some countries have introduced this into their screening programmes, there are significant differences in international clinical opinion on the effective incorporation of standardised notification into breast cancer screening. The recently updated ‘European Commission Initiative on Breast Cancer: European guidelines on breast cancer screening and diagnosis’, highlight the low certainty of evidence surrounding the incorporation of breast density measurement into population health screening programmes. This contrasts with the recommendation of the European Society for Breast Imaging (EUSOBI), which recommends that women with extremely dense breast tissue are offered screening with breast MRI.

This lack of consensus explains the need for a cautious, evidence-led approach to ensure that any decision serves the best interests of the population and maintains the integrity of the screening programme.

In this regard, I am pleased to report that HIQA have commenced their evidence review on proposed changes to the BreastCheck programme. This review will comprise of two elements; a proposed expansion of the age range eligibility to those aged 45-49 and 70-74, and the potential introduction of a standardised breast density measurement. Both elements are anticipated to be complex and will take time to ensure that any recommendations made to me by NSAC are underpinned by a robust evidence-base.

HTAs facilitate the assessment of relevant evidence and knowledge on the effects and consequences of healthcare technologies to guide decisions regarding the appropriate use of technology and efficient allocation of resources. They involve a multi-disciplinary assessment of the clinical, economic, ethical, legal and societal perspectives that may be impacted by the introduction of a new technology. They are time-intensive and rigorous processes.

Significant investment continues to be made in our national screening programmes. This includes allocating an additional €2.9 million in full-year costs to BreastCheck for 2025. This funding will help to future-proof the programme, allowing for increased capacity and enabling service developments to meet women's evolving needs and ensure equitable access across the entire population.

Finally, I would emphasise that population-based screening programmes are for people without symptoms. If anyone becomes aware of symptoms, or if they have concerns or worries, they should contact a medical professional immediately

Vaccination Programme

Questions (152)

Emer Currie

Question:

152. Deputy Emer Currie asked the Minister for Health to consider adding the shingles vaccine to the national immunisation programme for over 70s; and if she will make a statement on the matter. [64635/25]

View answer

Written answers

The immunisation programme in Ireland is based on the advice of the National Immunisation Advisory Committee (NIAC). NIAC considers the prevalence of the relevant disease in Ireland as well as international best practice in relation to immunisation when developing its advice.

The current NIAC guidelines state that the shingles vaccine may be considered in those aged 65 years and older, due to the greater burden and severity of disease in this age group and in those aged 18 years and older at increased risk of shingles.

The Health Information and Quality Authority (HIQA) has carried out a Health Technology Assessment (HTA) on the herpes zoster vaccine which protects against shingles. A HTA is a multidisciplinary research process that collects and summarises information about a health technology. HIQA’s HTA examined the evidence on the clinical effectiveness and safety of shingles vaccines. The cost effectiveness and budget impact were also reviewed, along with the ethical, social and organisational implications of including the vaccine in the adult immunisation schedule.

HIQA published this HTA on 19 July 2024. The HTA found that adding the shingles vaccine to the routine immunisation schedule, at the vaccine price at the time, for all adults aged 65 years and over would not be cost effective and would be associated with a substantial budget impact.

While the vaccine is considered safe and effective, its protective effect diminishes over time. HIQA also noted the substantial budget impact associated with vaccination. If made available to everyone aged 65 and older, vaccination would cost €218 million over five years.

Whilst the HTA found that the introduction of the shingles vaccine was not cost effective based on the cost of the vaccine, it found that it could be cost effective for vaccination of those at 75 years and 80 years if the cost of the vaccine was reduced by 80%.

Given that the healthcare budget is finite and decisions regarding increased spending relating to a change in one area could impact the provision of other health technologies and treatments within the healthcare system, the cost-effectiveness must be considered in any decision-making process.

My Department considered the findings of this HTA and determined that the introduction of the vaccine could be reconsidered when the cost effectiveness of the vaccine is confirmed as being more favourable.

Voluntary Hospital Sector

Questions (153)

Aindrias Moynihan

Question:

153. Deputy Aindrias Moynihan asked the Minister for Health the up-to-date position on advancing the delivery of a day care centre at a building on the grounds of Macroom Community Hospital, Macroom, County Cork; and if she will make a statement on the matter. [64362/25]

View answer

Written answers

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

General Practitioner Services

Questions (154)

Shay Brennan

Question:

154. Deputy Shay Brennan asked the Minister for Health when the strategic review of general practice will be published; and if she will make a statement on the matter. [64095/25]

View answer

Written answers

I propose to take Questions Nos. 154 and 173 together.

The Programme for Government includes a commitment to publish the Strategic Review of General Practice, and bring forward a new, modern GP contract.

The Strategic Review is currently underway, led by officials from my Department with support from the HSE and input from relevant stakeholders. The review is examining a range of issues affecting general practice including GP training, GP capacity, Out of Hours services reform, the eHealth Agenda, and the financial support model for general practice.

Significant progress has been made under the review. When completed, a final report will be presented to me outlining the findings of the review and setting out recommended actions for a more sustainable general practice.

The strategic review will identify the arrangements necessary to improve the current system of GP care, and this will determine the changes required in a new contract. Finalisation of a new contract will also require agreement with the IMO.

It is worth noting that the current GMS Contract, while long standing, has been modernised in recent years under the 2019 and 2023 GP Agreements, both of which have provided in substantial additional investments in general practice and increased supports for GPs.

Hospital Services

Questions (155)

Pearse Doherty

Question:

155. Deputy Pearse Doherty asked the Minister for Health the plans the Government has to address the lack of services regarding diabetes care at Letterkenny University Hospital; and if she will make a statement on the matter. [64571/25]

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.

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