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Tuesday, 29 Sep 2026

Written Answers Nos. 881-900

Hospital Services

Questions (881)

Liam Quaide

Question:

881. Deputy Liam Quaide asked the Minister for Health the current status of the feasibility process for Ireland’s first specialist psychiatric mother and baby unit at St. Vincent’s University Hospital; the date on which the current feasibility study commenced; the expenditure on feasibility and planning work to date; the options currently under consideration, including whether any option would involve the service being provided across more than one location on the hospital campus; the date by which a final location and design will be agreed; the capital funding provided for the project; and the current projected date. [68961/26]

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Written answers

As Minister, I am determined to progress the development of a Perinatal Mother and Baby Unit (PMBU) so that women can have their babies stay with them if they require inpatient psychiatric care.

St. Vincent’s University Hospital has been selected as the location for the main PMBU, due to the co-location of the Acute Mental Health Unit and the new National Maternity Hospital to be developed on the site.

I have secured €470m for mental health capital projects over the next five years. The resources are available to complete this project, but I know there are ongoing deliberations between the HSE and the Hospital about the best location for the Unit on the campus.

The PMBU is designated as a ministerial priority project on this year’s HSE Capital Plan, and I have had several meetings to progress the Unit since the beginning of the year. My first piece of correspondence to the new HSE CEO earlier this year was to seek her support in prioritising the development of the Unit.

As all key stakeholders continue to meet to discuss the project, I want to be in a position to approve a plan for the Unit as soon as possible. I am also working with the REO for the HSE Mid West to progress a smaller PMBU in Limerick so that we can make these supports available on both the East and West coasts.

I want these Units to be available for the women of Ireland, and I'm doing everything I can to deliver them as quickly as possible.

With reference to the details requested in your question, as they are operational issues, I have referred to the HSE for direct reply to you.

Health Services Staff

Questions (882)

Liam Quaide

Question:

882. Deputy Liam Quaide asked the Minister for Health the current WTE staffing in post, by discipline, in each specialist perinatal mental health team nationally; the recommended WTE staffing by discipline under the relevant model of care; the number of vacant posts in each team by discipline; the number of additional posts which have been approved but have not yet been advertised or progressed to active recruitment; and to provide the information in tabular form. [68958/26]

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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.

Medicinal Products

Questions (883, 884, 885, 886)

Mary Lou McDonald

Question:

883. Deputy Mary Lou McDonald asked the Minister for Health if the Government is currently reviewing the reimbursement status of testosterone products prescribed to women. [68963/26]

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Mary Lou McDonald

Question:

884. Deputy Mary Lou McDonald asked the Minister for Health the reason female-specific testosterone formulations are not currently included in the free HRT arrangements. [68964/26]

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Mary Lou McDonald

Question:

885. Deputy Mary Lou McDonald asked the Minister for Health if she will consider adding appropriate female testosterone formulations to the reimbursement list in the treatment of menopause and perimenopause. [68966/26]

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Mary Lou McDonald

Question:

886. Deputy Mary Lou McDonald asked the Minister for Health the steps being taken to ensure that women requiring testosterone are able to access an appropriate formulation without having to pay privately. [68967/26]

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Written answers

I propose to take Questions Nos. 883 to 886, inclusive, together.

The HSE has statutory responsibility for decisions on the pricing and reimbursement of medicines. This arises from the Health (Pricing and Supply of Medical Goods) Act 2013.

Reimbursement is for licensed indications which have been granted marketing authorisation by the European Medicines Agency (EMA) or the Health Products Regulatory Authority (HPRA).  Pharmaceutical companies must apply to the HSE for reimbursement.

Under the Free Hormone Replacement Therapy (HRT) arrangement, which came into effect on 1 June 2025, where a woman has been prescribed a HRT product on the reimbursement list by her healthcare provider for the purpose of alleviating the symptoms associated with all stages of menopause, the cost of the HRT medications or products, and the dispensing fees will be met by the State.

This measure is intended to support the management of the symptoms of menopause and, therefore, relates to the provision of treatment for a specific medical condition/life stage i.e. menopause. HRT is the most commonly used treatment for managing symptoms of menopause and has shown to be the most effective intervention.

Menopause has been highlighted as a key priority area by the Women’s Health Taskforce. It is a key action in the Women’s Health Action Plans. A number of measures have been implemented in recent years to improve the experience of menopause for women in Ireland, including this HRT arrangement.

HRT is used in the treatment of other medical conditions, including gender-affirming healthcare, hypogonadism, IVF, and some cancer treatments. However, the current provision of the Free HRT Arrangement, legislated for under the Health Insurance (Amendment) and Health (Provision of Menopause Products) Act 2024, limits eligibility to those whose healthcare provider has prescribed HRT to alleviate the symptoms of menopause.

The legislation includes the following definitions which limits the arrangement to items on the reimbursement list indicated for the treatment of the symptoms of all stages of menopause:

“‘menopause’ means, in relation to a woman, the various stages related to menopause and includes perimenopause, post menopause, early menopause, premature menopause and medically induced menopause;

‘menopause products’ means hormone replacement therapy drugs, medicines and surgical and medical appliances used to alleviate the symptoms of menopause, which are for the time being on the Reimbursement List.

Question No. 884 answered with Question No. 883.
Question No. 885 answered with Question No. 883.
Question No. 886 answered with Question No. 883.

Departmental Funding

Questions (887)

Barry Heneghan

Question:

887. Deputy Barry Heneghan asked the Minister for Health the amount of money paid out under the transitional care fund for each of the years 2022 to 2025 and to date in 2026; and the amount of money paid to private nursing homes for contact egress beds for each of those years. [68955/26]

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Written answers

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

Hospital Services

Questions (888)

Liam Quaide

Question:

888. Deputy Liam Quaide asked the Minister for Health the number of clinical incidents recorded at Bloomfield Hospital in each of 2024, 2025 and to date in 2026 relating to choking, aspiration, dysphagia, modified diets or feeding; and the number that resulted in transfer to an acute hospital. [68969/26]

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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.

Hospital Services

Questions (889)

Liam Quaide

Question:

889. Deputy Liam Quaide asked the Minister for Health the number of residents of Bloomfield Hospital transferred to an acute hospital in each of 2024, 2025 and to date in 2026 with aspiration pneumonia or another condition associated with swallowing or feeding difficulties; and the number of deaths during this period in which aspiration pneumonia was recorded as a primary or contributory cause of death. [68970/26]

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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.

Hospital Services

Questions (890)

Liam Quaide

Question:

890. Deputy Liam Quaide asked the Minister for Health whether the HSE, as part of its enhanced oversight of Bloomfield Hospital, has examined compliance with recommendations made by speech and language therapists, dietitians, psychologists and other members of multidisciplinary teams in relation to modified diets, feeding plans and behavioural support plans; whether any deficiencies have been identified; and the corrective actions required. [68971/26]

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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.

Hospital Services

Questions (891)

Liam Quaide

Question:

891. Deputy Liam Quaide asked the Minister for Health the status and scope of any HSE review or investigation into clinical governance and patient safety at Bloomfield Hospital; whether current and former members of the multidisciplinary clinical team, including staff who resigned from the service, have been invited to provide evidence; whether a report will be published; and the expected timeframe for its completion. [68973/26]

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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.

Hospital Services

Questions (892)

Liam Quaide

Question:

892. Deputy Liam Quaide asked the Minister for Health the number of children with an intellectual disability who are currently inpatients in acute or other hospitals where the admission or continued hospital stay is related to significant behavioural challenges or distress levels; the number of these children who have been in hospital for more than one month, three months and six months, by Health Region; and the number who remain in hospital pending appropriate disability supports or residential provision. [68974/26]

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Written answers

This PQ is not for the Department of Health. We respectfully request that this Parliamentary Question be redirected to the Department of Children, Disability and Equality as the matters raised fall under their remit.

Question No. 893 answered with Question No. 836.

Mental Health Services

Questions (894)

Liam Quaide

Question:

894. Deputy Liam Quaide asked the Minister for Health the planned date for the opening by CORU of the register for psychotherapists and counsellors. [68902/26]

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Written answers

As the Deputy is aware, CORU is Ireland’s multi-profession health and social care regulator.  Established under the Health and Social Care Professionals Act 2005, CORU’s role is to protect the public by regulating the health and social care professions designated under the 2005 Act.

CORU’s Counsellors and Psychotherapists Registration Board (the board) was established in 2019 and since then has been working to progress regulation of both professions.

The board has statutory responsibility for:

• Establishing and maintaining a register of members of both professions

• Assessing, approving and monitoring education and training courses

• Establishing the Code of Professional Conduct and Ethics and standards of performance to which counsellors and psychotherapists must adhere.

In July 2025 CORU published two key documents for these professions:

• Standards of Proficiency, which set out the minimum knowledge and skills required for entry to the register of counsellors and psychotherapists.

• Criteria for Education and Training Programmes, which set the requirements for how professional training programmes are designed and managed to ensure graduates consistently meet the Standards of Proficiency.

These requirements set out the level of education and clinical training needed to practise safely and effectively. Setting these standards has now laid the foundations so education programmes can be designed to ensure consistency of education and training and the standards for entry into practice for counsellors and psychotherapists.

The board has commenced the next phase of its work to introduce regulation for these professions, with a focus on preparing for the approval of education and training programmes. The standards and criteria have been issued to education providers, and they have been allowed a 4-year period to align their programmes to the board’s regulatory requirements.

This timeframe provides education providers with a sufficient period of alignment before commencing the programme approval process. It also acknowledges the time required for education providers to thoroughly evaluate their programmes and implement the necessary changes to meet the board’s regulatory standards.

At the end of this 4-year period, the board will commence a process of programme approval to assess whether education and training programmes meets the required standards. The registers for counsellors and psychotherapists can be opened when a list of approved qualifications is established. Without this list, there would be no pathway for new entrants to the professions to apply for registration, as they would rely on having an approved qualification to be eligible.

While the setting and publication of the Board’s pre-registration education and training requirements marks significant progress towards the opening of these registers, there remains essential work to complete the regulatory and legal framework in the coming years. As such, it is not possible to specify a definitive date for the opening of the registers for counsellors and psychotherapists.

CORU and my Department are committed to delivering regulation of this very important profession. Psychotherapists perform a vital role, providing therapeutic care to often vulnerable people. The introduction of regulation will ensure that any member of the public seeking support can have confidence in the high standards of education, training, conduct, and competence of their psychotherapist.

Further and Higher Education

Questions (895)

Malcolm Byrne

Question:

895. Deputy Malcolm Byrne asked the Minister for Further and Higher Education, Research, Innovation and Science the position regarding the planned graduate entry medicine loan scheme or other schemes of financial support for such students. [68228/26]

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Written answers

The Programme for Government commits to introducing tuition fee supports for Graduate Entry Medicine and expanding graduate entry programmes, particularly those supporting rural and regional healthcare provision.

Graduate Entry Medicine forms part of the Government's broader commitment to increase the number of healthcare training places across medicine, nursing, dentistry, pharmacy and health and social care professions. My Department has made significant progress in expanding medical education capacity, with the number of new entrant EU/EEA medicine places increasing from 720 in 2021 to 840 in 2023 and due to reach 920 by 2026.

Graduate Entry Medicine programmes are second-degree courses and, as such, students are not eligible for support under the Free Fees Initiative or for SUSI fee grants. Tuition fees are determined by individual higher education institutions and reflect the significant costs associated with programme delivery, including clinical training, placements, staffing and specialist facilities. In the context of finite public resources, the Government has prioritised the Free Fees Initiative in supporting students undertaking a first higher education qualification.

However, the State continues to provide substantial support towards the delivery of EU Graduate Entry Medicine places through funding allocated by the Higher Education Authority. This contribution has increased significantly in recent years and, by 2026, will amount to €16,900 per student per annum across all GEM places. Total annual Exchequer investment in Graduate Entry Medicine is now approximately €13 million. Students may also avail of a range of supports, including the Student Assistance Fund, bursaries available under the National Access Plan and tax relief on eligible tuition fees.

The Government remains committed to improving affordability for Graduate Entry Medicine students while continuing to expand medical training capacity. In relation to additional financial supports, the Programme for Government contains a commitment to introduce a support scheme for Graduate Entry Medicine students. This work is being progressed by the Department of Health in collaboration with my Department and other relevant stakeholders. A bank loan scheme is among the options being considered by my Department. To advance this, I met recently with the Tánaiste / Minister for Finance, Simon Harris as a state backed loan as is being considered would lie within his area of responsibility to advance. Follow up meetings are currently being arranged by officials in my Department with stakeholders in the financial services industry.

Any proposals brought forward will require consideration in the context of an annual Estimates process and broader Government expenditure priorities, as well as the overall resources available to Government.

Further and Higher Education

Questions (896)

Malcolm Byrne

Question:

896. Deputy Malcolm Byrne asked the Minister for Further and Higher Education, Research, Innovation and Science the financial measures to support students who wish to pursue postgraduate studies; and the number of such students who received these supports in 2025-2026. [68226/26]

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Written answers

The main support available to students is the statutory based Student Grant Scheme which is administered by SUSI (Student Universal Support Ireland). Under the terms of the Student Grant Scheme, grant assistance is awarded to students attending an approved course in an approved institution who meet the prescribed conditions of funding, including those relating to nationality, residency, previous academic attainment and means.

Postgraduate students, who meet the relevant conditions of the Student Grant Scheme, may become eligible for the following supports:

• A student Maintenance grant and/or;

• A postgraduate fee contribution of up to €4,500 (increased in Budget 2026 from €4,000), or a postgraduate fee grant (Special Rate of Grant) up to a maximum of €6,270, towards the cost of fees.

Based on the latest data available, the number of post graduate students who received supports for the 2025/26 academic year is 3,585. The 2026/27 application and assessment process in ongoing.

Further details of available supports are available on the SUSI website (www.susi.ie).

Further and Higher Education

Questions (897, 898, 899, 900, 901, 914)

John Paul O'Shea

Question:

897. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science the protections in place for students undertaking higher or further education programmes delivered by private or overseas education and training providers where a provider ceases trading or enters liquidation; whether students are protected against losing substantial fees or being left without a route to complete a qualification; and, in light of the situation involving the academy of play and child psychotherapy, whether he will review the existing arrangements and consider additional safeguards for students in Ireland. [68207/26]

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John Paul O'Shea

Question:

898. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science the protections or avenues of redress available to students in Ireland who have paid substantial fees towards play therapy qualifications delivered through the academy of play and child psychotherapy, which has entered voluntary liquidation; whether his Department can assist affected students in identifying the options available to them in respect of fees already paid; and if he will engage with the relevant insolvency practitioners to establish information and assistance that can be provided to affected students. [68204/26]

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John Paul O'Shea

Question:

899. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science whether his Department is aware that students who were due to commence play therapy training in Cork in September 2026 following the liquidation of an organisation (details supplied); the discussions he has had with University College Cork and other relevant bodies regarding a pathway for these students to commence or continue their studies; and whether the Government can assist in securing an alternative recognised pathway for these students. [68206/26]

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John Paul O'Shea

Question:

900. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science the discussions his Department have had with organisations (details supplied) and other relevant higher education and professional bodies regarding arrangements to allow students to complete their qualifications, including clinical placements, supervision and assessments; and whether he is satisfied that all affected Irish students have a viable pathway to complete the programmes for which they enrolled. [68205/26]

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John Paul O'Shea

Question:

901. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science the engagement his Department has had with organisations (details supplied) and other relevant bodies following the voluntary liquidation in August 2026, which has left more than 100 students in Ireland facing uncertainty regarding their qualifications, clinical placements and fees paid; and the guidance or assistance the Government can provide to these students. [68203/26]

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John Paul O'Shea

Question:

914. Deputy John Paul O'Shea asked the Minister for Further and Higher Education, Research, Innovation and Science if he will consider establishing or facilitating a coordinated engagement between the affected students, the University of Chichester, University College Cork, the relevant professional bodies and the liquidators of the Academy of Play and Child Psychotherapy, with a view to identifying a practical pathway for affected students to complete their qualifications and clinical placements; and if he will outline what role his Department can play in assisting students who have invested significant sums in these programmes and are now facing circumstances outside of their control. [68208/26]

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Written answers

I propose to take Questions Nos. 897 to 901, inclusive, and 914 together.

The Academy of Play and Child Psychotherapy (APAC) is a private institution based in the United Kingdom and does not fall within the remit or regulatory oversight of the Department. A number of private education providers operate in Ireland without State accreditation. Such providers may offer programmes accredited by overseas institutions or bodies, or indeed programmes that are not formally accredited. There is no legislative impediment to such arrangements. It is also important to note that play therapy is not a regulated profession in Ireland and there is no statutory regulator with responsibility for overseeing the profession. Play Therapy Ireland is an independent professional body and is not subject to State oversight.

Under Irish law, universities such as UCC are autonomous institutions. The Universities Act 1997 and the Technological Universities Act 2018 provide higher education institutions with responsibility for regulating their own academic affairs, including decisions relating to courses, awards and academic standards. As a result, neither the Minister nor the Department has a role in determining the academic arrangements of individual institutions.

I have been informed that under an agreement between UCC and the Academy of Play and Child Psychotherapy (Ireland) Limited, which concluded in March 2026, the following UCC-accredited programmes were offered, with APAC Ireland delivering elements of the courses:

• Postgraduate Certificate in Therapeutic Play Skills; and 

• Postgraduate Diploma in Play Therapy.

I understand that APAC was also involved in arrangements with its UK partner institution, the University of Chichester, regarding pathways to further study and that some graduates of the UCC-accredited Postgraduate Certificate in Therapeutic Play Skills entered into private arrangements with APAC and paid fees in advance with a view to commencing a Postgraduate Diploma programme in September 2026.

UCC has advised that it did not register any students to commence studies on the Postgraduate Diploma programme in September 2026. Accordingly, those arrangements were entered into directly between the individuals concerned and APAC and did not form part of the programmes delivered by APAC under its agreement with UCC. UCC has indicated that its priority remains supporting students who are currently registered on UCC programmes. The University has communicated directly with affected students and has stated its intention to take all reasonable steps to enable those students to complete their studies and, where possible, achieve the relevant UCC qualification.

Quality and Qualifications Ireland (QQI) is the independent State agency responsible for the external quality assurance of higher and further education and training providers. QQI has responsibility for oversight of providers operating within the National Framework of Qualifications (NFQ), including matters relating to access, transfer and progression arrangements for learners. QQI is actively engaging with UCC on matters arising.

Currently, the Department is monitoring the situation closely and students have been encouraged to keep in contact with UCC for any developments.

Question No. 898 answered with Question No. 897.
Question No. 899 answered with Question No. 897.
Question No. 900 answered with Question No. 897.
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