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Thursday, 28 May 2026

Written Answers Nos. 723-742

Health Services Staff

Questions (725)

Ken O'Flynn

Question:

725. Deputy Ken O'Flynn asked the Minister for Health the total number of staff currently employed by the HSE, broken down by category (medical and dental, nursing and midwifery, health and social care professionals, management and administrative, general support staff, and other patient and client care); the number of new hires and the number of staff who departed the service in each of 2024, 2025, and to date in 2026; and if she will make a statement on the matter. [41306/26]

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Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Health Services Staff

Questions (726)

Ken O'Flynn

Question:

726. Deputy Ken O'Flynn asked the Minister for Health the total number of formal disciplinary proceedings initiated against HSE staff in 2024, 2025, and to date in 2026; the number of suspensions (with and without pay) that resulted from such proceedings; the average duration of suspension; the number of cases that resulted in dismissal; and if she will make a statement on the matter. [41307/26]

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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.

Health Services Staff

Questions (727)

Ken O'Flynn

Question:

727. Deputy Ken O'Flynn asked the Minister for Health the total number of staff grievances and complaints filed through the HSE’s internal human resources processes in 2024, 2025, and to date in 2026; the average time to resolution; the number of cases referred to the Workplace Relations Commission; and if she will make a statement on the matter. [41308/26]

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Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Departmental Data

Questions (728)

Ken O'Flynn

Question:

728. Deputy Ken O'Flynn asked the Minister for Health the total number of medical malpractice claims or clinical negligence cases lodged against the HSE or HSE-funded hospitals in 2024, 2025, and to date in 2026; the number of such cases that have been settled or concluded; the total cost of settlements and awards in each of those years; and if she will make a statement on the matter. [41309/26]

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Written answers

The State Claims Agency (SCA) has a statutory remit to manage personal injury and third-party property damage claims on behalf of State authorities.

The SCA has provided me with the information set out below.

The information contained within this document was extracted from the National Incident Management System (NIMS).

Question 1: Clinical claims received

The SCA has received 1,883 claims under the Clinical Indemnity Scheme between 2024-2026 (to end-April), of which, 119 have been finalised. In the period 2024-2026 (to end-April), the SCA has finalised a total of 1,751 claims under the Clinical Indemnity Scheme.

Question 2: Amount Paid in Clinical Claims

The following table contains the transactional amounts paid by the State Claims Agency under the Clinical Indemnity Scheme, that are associated with claims and a small number of incidents and inquests. It excludes claims recorded against other designated schemes. This amount is inclusive of VAT. It includes payments between 01/01/2024 and 30/04/2026 and is correct as of 01/05/2026.

Payments are made over the lifetime of a claim and the amounts below may relate to claims that are active or finalised.

Transaction Type

2024

2025

2026 (to end of April)

Damages

192,663,075

210,218,229

66,206,561

Agency Legal Costs

31,942,823

31,218,593

12,234,817

Plaintiffs Legal Costs

68,662,595

64,853,120

21,887,819

Expert Costs

12,103,868

13,413,353

4,644,609

Grand Total

305,372,361

319,703,295

104,973,806

Health Services Staff

Questions (729)

Ken O'Flynn

Question:

729. Deputy Ken O'Flynn asked the Minister for Health the total number of applicants for non-consultant hospital doctor positions advertised through the HSE in 2025 and to date in 2026; the number who progressed to interview and appointment; whether the country of primary medical qualification is recorded for such applicants; and if she will make a statement on the matter. [41310/26]

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Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Health Services Staff

Questions (730)

Ken O'Flynn

Question:

730. Deputy Ken O'Flynn asked the Minister for Health the total cost of the HSE’s international recruitment advertising campaign launched in June 2023; whether an evaluation of the return on investment of that campaign has been completed; the number of consultants who were appointed as a direct result of international advertising (as distinct from applicants based in Ireland who also applied); and if she will make a statement on the matter. [41311/26]

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Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Departmental Strategies

Questions (731)

Ken O'Flynn

Question:

731. Deputy Ken O'Flynn asked the Minister for Health the progress of Project Home since its launch in December 2025; the number of Irish graduates overseas who have been contacted, expressed interest, and subsequently taken up positions in the HSE or HSE-funded services as a result of the initiative; and if she will make a statement on the matter. [41312/26]

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Written answers

As this is a service matter, it has been referred to the Health Service Executive for attention and direct reply to the Deputy.

Departmental Strategies

Questions (732)

Ken O'Flynn

Question:

732. Deputy Ken O'Flynn asked the Minister for Health the total budget allocated to Project Home; the specific strategies being employed to promote careers in the HSE to Irish graduates overseas; the countries being targeted; whether any partnerships have been established with Irish diaspora organisations or overseas professional networks to support the initiative; and if she will make a statement on the matter. [41313/26]

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Written answers

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

Healthcare Policy

Questions (733)

Ken O'Flynn

Question:

733. Deputy Ken O'Flynn asked the Minister for Health the current status of the HSE expert group report on the implications of the Cass Review for gender identity services for children and young people in Ireland; when this report will be published; and if she will make a statement on the matter. [41314/26]

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Written answers

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

Healthcare Policy

Questions (734)

Ken O'Flynn

Question:

734. Deputy Ken O'Flynn asked the Minister for Health the current status of the HSE’s updated Clinical Model of Care for Gender Healthcare; whether a draft has been completed; the expected timeline for publication and implementation; and if she will make a statement on the matter. [41315/26]

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Written answers

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

Healthcare Policy

Questions (735)

Ken O'Flynn

Question:

735. Deputy Ken O'Flynn asked the Minister for Health the composition and membership of the expert group convened by the HSE’s Chief Clinical Officer to examine the implications of the final Cass Review for gender identity services in Ireland; the terms of reference of that group; the number of times it has met; and if she will make a statement on the matter. [41316/26]

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Written answers

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

Departmental Websites

Questions (736)

Ken O'Flynn

Question:

736. Deputy Ken O'Flynn asked the Minister for Health whether she is aware that the link provided by the HSE in previous parliamentary question responses to the 2023 review of the implications of the Cass Report leads to a dead page on the HSE website; whether she will ensure that the document is restored and made publicly accessible (details supplied); and if she will make a statement on the matter. [41317/26]

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Written answers

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

Healthcare Policy

Questions (737)

Roderic O'Gorman

Question:

737. Deputy Roderic O'Gorman asked the Minister for Health if GPs are entitled to charge a full visit fee in advance of issuing an initial prescription for medication covered by the free HRT scheme; if GPs are entitled to charge a full visit fee for issuing repeat prescriptions; and if she will make a statement on the matter. [41326/26]

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Written answers

GPs are private practitioners, most of whom hold a GMS contract for the provision of GP services without charge to medical card and GP visit card holders.

Under the terms of the current GMS contract, GPs are required to provide eligible patients with ''all proper and necessary treatment of a kind usually undertaken by a general practitioner and not requiring special skill or experience of a degree or kind which general practitioners cannot reasonably be expected to possess". Persons who hold a medical card or a GP visit card are not subject to any co-payments or other charges in respect of such services.

Fees charged by GPs outside the terms of the GMS contracts are a matter of private contract between the GP and their patient. My Department has no role in relation to such fees.

Under the Hormone Replacement Therapy (HRT) arrangement, where a woman has been prescribed a HRT product by her healthcare provider for the purpose of alleviating the symptoms associated with all stages of menopause, the cost of the HRT medications, and the pharmacy dispensing fees are met by the State.

The arrangement removed a substantial cost burden for women in need of HRT products. The cost of GP consultation fees for private patients is not included in the Free HRT Arrangement, however, women with Medical Cards and GP Visit Cards continue to receive their GP care for free with this eligibility, including any menopause-related appointments.

Health Services Staff

Questions (738)

Charles Ward

Question:

738. Deputy Charles Ward asked the Minister for Health the number of WTE consultants in emergency medicine, emergency medicine registrars and senior house officers in emergency medicine that were on duty each night between 8 May and17 May 2026 inclusive, between the hours of 8pm and 8am at Letterkenny University Hospital, in tabular form; and if she will make a statement on the matter. [41339/26]

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Written answers

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

Health Services Staff

Questions (739)

Charles Ward

Question:

739. Deputy Charles Ward asked the Minister for Health the number of WTE general dental surgeon posts filled in Donegal as of 19 May 2026; if she will provide the same figures as of 30 June 2023, in tabular form; and if she will make a statement on the matter. [41341/26]

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Written answers

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

Ambulance Service

Questions (740)

Sorca Clarke

Question:

740. Deputy Sorca Clarke asked the Minister for Health when the next exam date for student paramedics will be, in view of the fact that it has now been postponed twice in November and January; and if she will make a statement on the matter. [41346/26]

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Written answers

As this is an operational matter for the National Ambulance Service (NAS) I have asked the Health Service Executive (HSE) to reply to the Deputy directly, as soon as possible.

Health Services

Questions (741)

Donna McGettigan

Question:

741. Deputy Donna McGettigan asked the Minister for Health the measures she can take to ensure that a person (details supplied) receives an urgent appointment; and if she will make a statement on the matter. [41347/26]

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Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. The Minister for Health is prohibited from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Legislative Measures

Questions (742)

Thomas Gould

Question:

742. Deputy Thomas Gould asked the Minister for Health for an update on legislation relating to the registration of children born to same sex couples through surrogacy; and the timeline for the delivery of same. [41354/26]

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Written answers

The Deputy will be aware that the Health (Assisted Human Reproduction) Act 2024 was signed into law by the President in July 2024, having passed all stages in both Houses of the Oireachtas.

The primary purpose of this complex and far-reaching legislation is to regulate fertility clinics providing treatment and ensure that assisted human reproduction (AHR) practices and related areas of research are conducted in a more consistent and standardised way and with the necessary oversight. The 2024 Act encompasses the regulation of a wide range of practices undertaken in Ireland. The establishment of the Assisted Human Reproduction Regulatory Authority (AHRRA), as provided for in the legislation, is a vital component in the effective regulation of this sector.

As previously advised, the AHR Bill as initially published also included provisions in respect of domestic altruistic surrogacy. However, the final 2024 Act also includes substantive new provisions in respect of the regulation of future surrogacy arrangements undertaken by Irish residents in other jurisdictions and the recognition of parentage arising from certain past domestic and international surrogacy arrangements.

While the 2024 Act was progressing through the Houses of Oireachtas, issues were identified which required further consideration and consultation with the Office of the Attorney General. Formal drafting of the Health (Assisted Human Reproduction) (Amendment) Bill is in its final stages, led by the Office of Parliamentary Counsel, along with officials from my Department, the Department of Justice, Home Affairs and Migration, and the Department of Children, Disability and Equality. I expect to be in a position to introduce the published Bill to the Dáil this term.

The AHR Amendment Bill is a very substantive piece of legislation. It is largely concerned with outstanding issues of parentage and citizenship, particularly in respect of children born as a result of a DAHR procedure or surrogacy arrangement undertaken abroad by Irish resident parents or undertaken by Irish citizen parents living abroad. It also seeks to make other necessary amendments to various other sections of the 2024 Act, including the surrogacy provisions.

At a broad level, the importance of ensuring that parentage can be recognised in a wide set of circumstances is acknowledged.

As I understand, the current position in respect of the parentage of a child born as a result of a surrogacy arrangement, for example, is that most commonly an intending male parent who is genetically related to the child applies to the Courts for a Declaration of Parentage based on being the biological father of that child.

In this regard, it is also worth noting that where the child has either a gestational mother or genetic father from AHR or surrogacy, that parent’s partner or spouse, if parentage has not been formally assigned to him or her, can apply for guardianship of the child, which affords many of the responsibilities of a parent and the protections that come with it.

Furthermore, my officials inform me that it is their understanding of current arrangements that in some instances it may be the case that if the intending parent(s) who have undertaken a surrogacy arrangement or a DAHR procedure abroad were issued with a birth certificate by the jurisdiction in which the child was born which names the intending parent(s) as the parents of that child, the parental status of those so named on such a foreign birth certificate may be accepted by public or State bodies.

The 2024 AHR Act provides for intending parents and those who already have children as a result of surrogacy to submit Court applications for the granting of a Parental Order which will have the effect of transferring parentage to those named on such an Order.

On a general note, it should be recognised that Irish birth certificates are normally only issued by an tArd-Chláraitheoir in respect of children born within the State.

Finally, I want to reassure you that further progressing the entire AHR legislation and making the AHRRA fully operational are Government priorities and key commitments in the Programme for Government. Every effort will continue to be exerted to ensure that all outstanding work in this regard is concluded as soon as practicable.

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