Saincheisteanna Tráthúla - Topical Issue Debate – Dáil Éireann (34th Dáil) – Wednesday, 1 Jul 2026

Saincheisteanna Tráthúla - Topical Issue Debate

Hospital Services

Deputy Erin McGreehan

It is great to have the Minister in the House this morning. I very much welcome the opportunity to have a discussion of a practical nature that will solve this issue and have really positive impacts on patients, staff and the wider health service across the north east.

The minor injury unit in Louth County Hospital, Dundalk, is one of the best services in the country. It serves the people of Louth well and we are immensely proud of it and grateful for it. I have spent many a Saturday there when my sons have been injured. We are very grateful that we do not have to go to Drogheda. Day after day, patients receive excellent care from dedicated doctors, nurses, radiographers, administrative staff and support staff. They are professional, effective and really efficient. I want to recognise all of them in this House. The unit's reputation is such that people regularly travel there from well beyond Louth. There were lots of Dublin accents to be heard in the accident and emergency department when I was there last Saturday. They did not even know that Louth was playing on Sunday. It was all about Dublin. People are travelling from north Dublin to County Louth because our minor injuries clinic is so good. As the Minister will know, the unit opens from 9 a.m. to 8 p.m. seven days a week. It provides a really vital alternative to a really busy emergency department for patients with fractures, sprains, burns, wounds and other minor injuries. It is exactly the type of service we should continue to invest in. It has the same goal as many of us, which is to deliver the right care in the right place at the right time.

There is one significant limitation, however. That is why I am speaking here this morning. It is slowing down or delaying some of the excellent work that is being carried out. At weekends, the X-ray department only operates from 12 noon until 8 p.m. As a result, people who attend in the morning can face unnecessary delays while waiting for imaging. Those delays inevitably increase waiting times, creating frustration, and place additional pressure on staff who are doing everything possible with the resources available to them. This lack of service before 12 noon has a negative knock-on effect. This is not a resourcing issue. I hope it can be looked at and addressed.

We all know that weekends are a really busy time for injuries units as a result of sporting events and family activities. Every patient who can successfully be treated in Dundalk is one less patient for another hospital to treat. Extending X-ray availability across the entire opening hours of the minor injuries unit seven days a week would improve patient flow, reduce waiting times, enhance the patient experience and further reduce the pressure on the emergency department in Drogheda. For that reason, I ask the Minister to examine the recruitment of an additional radiographer to allow full radiography cover throughout the unit's opening hours every day of the week. This is not about creating a new service. It is about strengthening and extending a service we already have. Gabhaim buíochas leis an Minister. I hope her response will be positive.

Minister for Health (Deputy Jennifer Carroll MacNeill)

I thank Deputy McGreehan for the opportunity to discuss this very practical issue, which is of huge importance to the people of Louth and wider north-east region.

As she stated, minor injury units are a really practical response to an identified need to deal with small injuries away from hospital settings. This is a key part of Sláintecare. As the Deputy also stated, these units are particularly busy at weekends when kids are playing sport and so much activity is taking place. That is even more the case during the summer when people are out and about and getting injured as a result of being involved in sporting or other activities.

The development of injury units is a key part of our hospital avoidance strategy. They provide a safe, convenient way for non-life threatening injuries such as broken bones, sprains, burns and all of those things that just happen as part of life to be treated. Crucially, they deliver the same level of care in respect of those conditions as emergency departments, but much closer to home and with much shorter waiting times. We cannot encourage people enough to attend injury units. Nationally, we have seen a great increase in attendances at injury units, reflecting, I hope, the high public confidence and the convenience of local access. Last year, for example, there were 222,000 attendances at injury units. That was a 5% increase over 2024.

As the Deputy knows, the minor injury unit at Louth County Hospital in Dundalk provides treatment for patients aged five years and older in respect of suspected fractures, sprains, minor burns, wounds and other injuries that do not require treatment at an emergency department. It is open from 9 a.m. seven days a week, including on bank holidays, with the last patient seen at 8 p.m. It is one of the busiest units in the country. It is the fifth busiest of the 14 units nationally.

The most important thing for the Deputy is increasing capacity at the unit at weekends. She is completely right, because that is exactly when it is needed. I have discussed this matter with the HSE and been informed that the minor injury unit has access to two digital X-ray machines, which is fine, and that radiology services are available 9 a.m. to 8 p.m. Monday to Friday. At weekends, however, those services are only available from midday to 8 p.m. The plan is to extend weekend availability. There is a plan to recruit additional resources to do precisely that. I expect that the resources to extend the radiology services to a fully operational model will be put in place during quarter 3 of this year, which is not that far away.

I am glad to have this opportunity to discuss the matter with Deputy McGreehan and to outline the very real plan for the extension of this excellent injury unit.

Deputy Erin McGreehan

It is very rare one gets a really positive response like that in the House. This is great news for everyone in the entire north east. As I said, the minor injury clinic in Dundalk is an incredible resource for all families and people who live in the area. This is really positive news which shows that the work of the staff in Louth County Hospital in Dundalk has been seen to be successful. The HSE and the Minister are going to invest in that success in order to make sure that the clinic can maintain and expand its excellent services at weekends. I very much appreciate the Minister's work in this area and thank her for it.

Deputy Jennifer Carroll MacNeill

I am delighted. I again thank Deputy McGreehan for raising this matter. Deputy Paula Butterly also raised it with me but in a different way. I just want to compliment the region in general and the hospital management in Louth, particularly Priya Madhu, who is the hospital manager there and who has done so much. Our Lady of Lourdes Hospital in Drogheda, which the minor injury unit supports, has done phenomenal work. There are zero people on trolleys there today. For the past ten days, the hospital as been completely within the green threshold in that regard. As a representative for County Louth for so long, the Deputy knows how that was very much not the case a year and a half ago or two years ago and that the emergency department in the hospital was really challenged. There were no people on trolleys in the hospital yesterday. I checked that at 8 a.m. this morning, and it is only just after 9 a.m now. There were also no people on trolleys on Saturday. As indicated, all week long, the hospital has been within the green threshold, which is the accepted safe level.

We have given Drogheda hospital additional resources for a virtual ward that has 12 beds. I am pleased to say that Drogheda hospital is using that ward. There were eight people on the virtual ward yesterday. The figure for the ward has been in and around that each day. They could put a few more on because there are 12 beds on the ward. The point is that the hospital is using the resources it has been given intelligently, well and in a way that serves the people Deputy McGreehan represents in County Louth. I am so pleased to champion, highlight and promote what Priya Madhu and her team have done. It is absolutely fantastic. The Deputy is aware what has happened is a turnaround for both the hospital for the people she represents. We are so pleased to be able to do more to support that really excellent level of care. I thank the Deputy for raising this matter.

Hospital Services

An Cathaoirleach Gníomhach (Deputy Aindrias Moynihan)

Let us keep the momentum going. An Teachta Martin Daly is next. His matter relates to plastic and reconstructive surgery services at Roscommon University Hospital.

Deputy Martin Daly

I thank the Minister for being here. This is a success story that the Minister will be glad to hear about. The question is how we are going to support and expand the service that exists at Roscommon University Hospital. The reconfiguration of the hospital, which caused huge controversy at the time, has turned out to be a great success, with many innovative departments and many new services for people, especially the elderly, being developed.

In the past 15 years, a plastic surgery unit that uses a see-and-treat model has been developed under Dr. Deirdre Jones, who is a plastic surgeon. In 2025, the unit received 8,000 GP referrals from Donegal, Leitrim, Sligo, east Mayo, east Galway, Westmeath and Offaly. The unit developed a photographic referral system in order the GPs could take photographs of skin lesions include them with referral letters. That happened during Covid. Of the 8,000 referrals, 2,000 were able to be triaged and referred back to the relevant general practitioners for appropriate treatment without the need for the patients involved to be seen by the unit. Of the remaining 6,000 patients, 2,000 have had surgery. The unit is also involved in screening for, diagnosing and treating skin cancers. The 2,000 surgeries to which I refer were carried out by one plastic surgeon, one part-time plastic surgeon and eight advanced nurse practitioners working over different periods. This unit is hugely productive. It is located in an area where there is a high prevalence of skin cancer. The west of Ireland has one of the highest prevalences of skin cancer, not just in Ireland but internationally. There is no plastic surgeon from the tip of Malin Head in Donegal right down to Roscommon. We have patients travelling from Sligo, Donegal and the other areas to which I referred to this unit in Roscommon, which is providing an exemplary service. In addition, 10% of all cases of melanoma, which is a deadly skin cancer, are treated at the unit.

The problem for the unit is that it is treating approximately 50 patients per week. From a staff point of view, it has the capacity to treat 150 per week. This is really important, because those in the unit are constrained by the environment in which they are working. They are working out of two small treatment rooms and they have an area in which they assess patients. Will the Minister urge the HSE and the Department to consider the expansion of the physical infrastructure in which this unit operates in order that it can operate with maximum efficiency and to its maximum potential?

As already stated, this is a success story. It is a story of productivity. It is a story of Sláintecare. It is a story of a hospital which has reimagined itself but which needs ongoing support. The hospital also has a tremendous endoscopy unit, which serves the region, and has developed services for elderly patients. We know that the population is getting older and that, as a result, there will be a need for frailty clinics, falls clinics, memory clinics and a range of outpatient services. This really is something worth supporting. I urge the Minister and her Department to intervene with the HSE to support this unit in any way it can.

Deputy Jennifer Carroll MacNeill

I am so glad to have the opportunity to discuss this matter with the Deputy. I want to compliment the work of Dr. Deirdre Jones and that of the hospital manager, Marie Doorly, who has transformed Roscommon University Hospital into an enormously important part of the infrastructure of the north west. The hospital is doing great work, and we want to see it doing more great work.

Roscommon is a level 2 hospital. The Government is pleased to have been able to increase its budget by 63%, from €28 million in 2020 to €46 million in 2025. Staffing has grown by 31%. In-patient bed capacity has grown by 5%. As Deputy Daly is aware, what we are trying to do at the hospital is so much about day-case procedures. He referenced the endoscopy suite, which I am going to go to see. I think that unit could run harder in the evenings and that we could do more there. Where we see really efficient practice is what we want to support.

As the Deputy stated, the clinic in question is run by Dr. Deirdre Jones. There is a lot of advanced nursing practitioner support within the clinic, which is a real example of what is good about and what is possible with Sláintecare. There is no reason for people from Roscommon to have to travel to Galway for this service when it can be and is being delivered so capably in Roscommon. The service is led by a consultant and provides day-case and outpatient care.

Of course, it has the ancillary benefit of reducing pressure on the acute hospital in Galway, which does not need to see these day case procedures that can be supported so well elsewhere.

What I really admire about this treatment process and the way the hospital is running it is that it is a direct access model. It is a "see and treat" service, which is fantastic for patients because they do not have to come back again and again. It also runs a skin cancer surveillance service under the national cancer control programme, which has been in operation for 15 years. It ensures that all patients who have had any sort of cancer diagnosis are kept actively under surveillance and monitored. In the past three years, it has introduced a photo triage element of the service, which is fantastic. It means that GPs can send in a GP referral as requested but also include a photo, so they are getting ahead of the question all the time. The clinical nurse manager reviews that in conjunction with the consultant. It is a really streamlined pathway to the correct model of care. In many cases, the patient may not need an appointment and the GP is advised as such. Therefore, it is a very efficient, productive and caring model, where patients are prioritised on the basis of clinical need.

Roscommon hospital has excised twice as many skin cancers - 1,200 in 2024 - as benign lesions, and has also treated 10% of Ireland's melanoma patients. That is quite an output for the work in a model 2 hospital. We will continue to invest in the plastic services, and the opportunities for expansion of the services can be reviewed. I happen to be in Roscommon in July, and I might drop in and have a look.

Deputy Martin Daly

I thank the Minister for her comprehensive answer, which I appreciate. The important thing is the innovation that has happened at this particular unit in terms of the "see and treat" model, where patients are referred for photo triage before they attend. The service is led by a consultant but delivered by specialist advanced nurse practitioners, ANPs, in dermatology, who are trained in the screening and diagnosis of skin cancers and other skin lesions. These may not turn out to be skin cancers but it is important that this work is done. We need to support the advanced nurse practitioner model in this unit and develop it further. It needs more physical capacity. I have spoken to the HSE. I spoke to Mr. McCallion last week after the health committee meeting, and he said the HSE is going to look into that. It is worth supporting.

The whole issue about Roscommon is that the public in the west, in particular in Roscommon and east Galway, were promised that with the reconfiguration of Roscommon University Hospital, it would be supported in all its endeavours to provide appropriate services, such as day services. It is important that we keep an eye on the replacement acute psychiatric unit, the car parking services and the outpatients unit, which does not have disabled toilet facilities or a ramp for disabled patients to use. We need to develop the endoscopy service. If the Minister can expand that, we would be delighted and would support her in that.

There are so many good things happening in Roscommon University Hospital but it takes commitment. For example, Roscommon University Hospital was promised a neurological rehab unit in 2015, with an attached budget of €8 million. That was taken off the capital plan twice, and only after an intervention by me and my office has it been placed back on the plan. There is a dearth of neurological rehabilitation places in the west of Ireland. I urge the Minister to support Roscommon University Hospital in every way she can. This is an exemplar for the reconfiguration of that hospital.

Deputy Jennifer Carroll MacNeill

I had the opportunity to see that for myself when Marie Doorly came to our regional meeting for the north west and presented on behalf of Roscommon hospital. It was clear to me. I have huge respect for Roscommon hospital and the role it is playing in the health architecture in the north west. As the Deputy knows, the local injury unit is highly regarded, with people coming from all over the north west - from Mayo and elsewhere - to that unit as an alternative to going to Castlebar. I am pleased to say there will be another injury unit in Ballina, which hopefully will take the pressure off Roscommon somewhat, because it has been filling that role. I know what it is doing in terms of endoscopy and helping with stepdown beds for the other hospitals to ensure the appropriate flow.

What the Deputy is talking about is the excellent "see and treat" model of care, delivered away from acute hospitals in an excellent model 2 hospital for the people of Roscommon and beyond. It is an exemplar of Sláintecare. I compliment Marie Doorly, Dr. Deirdre Jones and all of the people working there who have delivered this. I will do anything I can to support that kind of committed Sláintecare focus they have had.

Planning Issues

Deputy Gary Gannon

I thank the Minister of State for joining us. Let me be clear. I am not looking for the State to intervene when it comes to planning decisions. That is not our purpose in coming in here today. However, we are conscious that the senior members of Government have made observations publicly on issues in Dublin city centre, most pointedly the dereliction and vacancy. Deputy Ennis and I want to bring forward some very significant anomalies and contradictions in planning, particularly in the Dublin 7 area, that have an impact on local businesses.

I want to focus on two businesses in particular, the Cowtown Market and the Stay With Us café in Dublin 7. Before they opened, their locations were the site of dumping and antisocial behaviour. They were places where the aesthetic quality left a lot to be desired. These businesses then invested in their community. One built a little café with wooden seats, where every morning in Phibsborough, you will see people going in, bringing their dogs and sitting there. It is a lovely little space, and it absolutely adds to the community. The Cowtown Café, just off Stoneybatter, also took a place that was previously the site of dumping and antisocial behaviour, and invested in it. It now has little café stalls and saunas there.

Inexplicably, Dublin City Council has told them that they have to remove the infrastructure they have built, which has added to the community. I am dealing with issues in Dublin 7 where there is an absence of enforcement at very significant conservation buildings, yet these two businesses have been told they are outside the planning. As they have not met planning standards, the whole business has to go, rather than Dublin City Council simply working with them to help them get to the right side of planning. I am raising this to the Chamber with Deputy Ennis not because we want the Minister of State to intervene but to raise the issue and see what we can do to work better.

Deputy Daniel Ennis

To follow on from Deputy Gary Gannon, the Cowtown Market is a space that is so much more than an outdoor food market. It is a space that was once a derelict site. We have seen serious levels of antisocial behaviour at that end of Prussia Street and the Stoneybatter area. It opened since Covid and has been thriving ever since. It creates local employment and has strengthened relationships with the local pub, the City Arms, and other local businesses like Tesco and the shops across the way. It has really brought life and vitality to that area.

Dublin City Council wants to return that to a derelict site. It is a complete contradiction. It contradicts some of the work that Dublin City Council is trying to do around the city centre with regard to meanwhile use and everything else. Not only has this business strengthened local businesses but it has strengthened local community networks. It is complementing an already amazing community spirit in Stoneybatter.

The Stay With Us café is a small local independent café that is not only very important and a community hub for the local community in Phibsborough but because there is also an emergency homeless hostel next door to it, it is a hub for the people living there.

Both spaces are at risk of being lost. We are crying out for derelict spaces to be turned into community hubs. We are not asking the Minister of State to intervene. We are asking him to open up a dialogue with Dublin City Council, as we have also done. Again, these spaces are not only very important to local independent businesses but they are vital community hubs. We cannot lose them because they will fall back into dereliction, and we know what that dereliction brings. We are doing everything in our power to save these spaces. We are asking the same of the Minister of State.

Minister of State at the Department of Housing, Local Government and Heritage (Deputy Christopher O'Sullivan)

I thank the Deputies for raising this issue. I congratulate Deputy Ennis on his recent election. What a day for his family, friends and supporters. It is an incredible achievement. It is great to see the two constituency TDs from the same party working so closely together. It is not that common, by the way. I am grateful that they have raised this issue.

I appreciate that there is a sense of vibrancy in Stoneybatter.

I am familiar with it. There are some great food locations and cafes, so I understand where the Deputies are coming from with this.

The response that I am going to read out was drafted not knowing what angle the Deputies were coming from, but I might come back to it in the supplementary response.

This gives me an opportunity to update Members on the current procedures governing planning application decisions in general, noting the restrictions on my ability to comment on individual planning decisions. I am taking this Topical Issue on behalf of the Minister for Housing, Local Government and Heritage, Deputy Browne. I wish to explain at the outset that the role of Minister in relation to the planning system is primarily to provide a policy and legislative framework for the planning authorities, An Coimisiún Pleanála and the Office of the Planning Regulator, OPR, in performing their statutory planning functions.

Under section 30 of the Planning and Development Act 2000, the Minister for Housing, Local Government and Heritage shall not exercise any power or control in relation to any particular case with which a planning authority or An Coimisiún Pleanála is or may be concerned. This means that the Minister is explicitly prevented from intervening in such cases, which is of utmost importance to maintain the independence of the planning authority or commission. In fairness, Deputy Gannon already alluded to how he was aware of that.

All development proposals require planning permission, unless they are specifically exempted under the Planning and Development Act 2000, as amended, or the supplementary Planning and Development Regulations 2001, as amended. Where any person is unsure if planning permission is required, they may seek a declaration from the relevant planning authority under section 5 of the 2000 Act as to whether their case "is or is not development or is or is not exempted development" within the meaning of the Act.

When a person submits a planning application under section 34 of the 2000 Act, irrespective of whether the proposed development is located in an urban or rural location in any county, the relevant planning authority, in making its decision, shall have regard to the proper planning and sustainable development of the area. It is a matter for the relevant planning authority to consider each application on a case-by-case basis and to decide, in accordance with the provisions contained in the legislation, whether to grant the permission, subject to or without conditions, or to refuse permission.

Where an individual has participated in the planning process or is directly affected by a planning decision of a planning authority, they may lodge an appeal to the commission in accordance with section 37 of the 2000 Act. Furthermore, any person who has participated in the appeals process, or shows that they have sufficient interest, may seek a judicial review of the relevant decision of the commission. In addition to the appeals process, if any person has a planning issue that is systemic in nature, they can refer the matter to the OPR or a referral may be made to the Office of the Ombudsman if the issue relates to an individual matter, such as the way a local authority has carried out its administrative functions.

The response goes on in the same vein. I take the Deputies’ point, and they will understand how limited the Department and, by extension, the Minister and I as a Minister of State in that Department are in relation to commenting on individual cases. The Deputies made a point about the standard application of enforcement across the city. That should be same when it comes to dereliction. I know that there are beautiful Georgian buildings on that side of the city and that Deputy Gannon has been raising the issue of dereliction for a long time. He may perceive that there has been a lack of attention to that issue and all of sudden there is attention on this particular issue that the Deputies are referring to. I take the Deputies’ point and I might come back to it in my supplementary response.

Deputy Gary Gannon

I thank the Minister of State for his response and his understanding of the situation. There is a frustration. We spend so much time talking vacancy and dereliction in Dublin Central that the potential for losing two businesses that have added to the vibrancy and improved the aesthetic quality is grating to the point that it is nonsensical.

For a small independent cafe like Stay With Us, if it is to make an appeal to An Coimisiún Pleanála, that is going to cost over €4,000. It is a small independent cafe that is being held to the same appeals standard as a large company. It just does not make sense. As a community that is trying desperately to add to its area, support our local independent businesses, and engage with the parts of the community that are really investing in improving Stoneybatter and Phibsborough, it is so frustrating that Dublin City Council can just tell people to take something down and then it is gone. We know what comes afterwards.

Deputy Daniel Ennis

I thank the Minister of State. Consistency is key, and that is what is letting us down with our local authority in this instance. Communities do not expect every planning application to succeed, but they do expect consistency in how planning is enforced. We are not asking for weaker planning rules, but for a planning system that is proportionate, consistent and capable of recognising the wider public good when local people invest in their communities and turn once-derelict sites that were not only eyesores, but causing antisocial behaviour and other nefarious activities, into thriving local community hubs. It is hard to take.

Deputy Christopher O'Sullivan

Just to respond in general without commenting on specifics, we have to take a balanced view of this. There may be a business within an area, whether it is a cafe, a commercial enterprise or shop of some sort, that will have gone through the step-by-step planning process and been successful in getting its planning application approved. There may be a sense of unfairness if others do not go through that same process, if the Deputies know where I am coming from.

That said, in my limited experience of Stoneybatter, it is obvious to someone like me that it is starting to rejuvenate itself in many ways. The Deputies live there and are aware of this day to day. There is a real sense of entrepreneurship and a growing association with it becoming a really good place to eat, with a lot of restaurants and cafes popping up. It is fair to say that there is an onus on the planning authority to take into consideration the direction of travel when an area within a city like Dublin is starting to reimagine or rejuvenate itself. Other than that, I cannot say much more, but I take the Deputies' point.

We have a lot of work to do, certainly within my Department and section in terms of heritage funding, to ensure that we invest in the incredible built heritage in that part of the city. They are throughout the city, but particularly in that part of city there are some absolute gems that we have not invested in for far too long or perhaps paid enough attention to from an enforcement point of view to ensure that the owners of those properties are bringing them back to life and protecting them.

That onus is on us, but there is also an onus on us to ensure that where rejuvenation is happening naturally, we support it rather than being a hindrance to it.

Seaweed Harvesting

Deputy Seán Kyne

I thank the Ceann Comhairle's office for selecting this Topical Issue for debate this morning, and I welcome the Minister of State, Deputy Dooley, to the Chamber. As he knows, I raised this matter in the Upper House on 18 March, and due to its importance for coastal communities, I wanted it to be the first issue that I raised as part of a debate in this House.

This is, as the Minister of State knows, a classic big guy versus small guy issue. As it stands, small harvesters are providing seaweed product to big and smaller processors. Smaller processors are on record as saying that they are quite happy with the status quo, but bigger players want to control the licensing.

In March, the Minister of State indicated that the marine planning policy statement, MPPS, was being finalised and was expected to be brought before the Government in April gone by. What is the status of the MPPS? What is it proposing regarding seaweed rights?

In September 2023, the then Minister of State with responsibility for local government and planning, Deputy Kieran O'Donnell, stated in the House:

... there also exists the right of individuals to harvest wild seaweed, namely those who hold appurtenant rights and profit-a-prendre rights. Their rights to harvest wild seaweed may be related to a property known as a folio or appurtenant right or built up through harvesting from the same area over a period of time known as a profit-a-prendre rights. The process of registering seaweed harvesting rights on a property folio is matter for the Property Registration Authority of Ireland [Tailte Éireann].

Advice provided by the Attorney General’s Office in 2018 to my Department was that these rights were to be respected.

There is a cost and a burden on harvesters to register those rights. What thoughts does the Minister of State have in relation to a simpler, less costly procedure to allow harvesters to once and for all register their traditional or generational rights that are handed down but are not on existing folios? Something simpler than engaging with solicitors and going through Tailte Éireann is in order.

Tá sé ráite ag an Aire Stáit go gcaithfimid cearta na mbainteoirí a chaomhnú agus a chosaint. Dúirt na hiarAirí Stáit ag an am, an Teachta O’Donnell agus iarTheachta English, go gcaithfí na cearta sna fóiliónna agus na cearta traidisiúnta eile a chaomhnú agus go bhfuil ról ag Tailte Éireann maidir le cearta feamainne atá leagtha síos ó ghlúin go glúin ach nach bhfuil scríofa ar fóiliónna a chlárú. Ach tá costais ag baint leis seo. An bhfuil aon bhealach go bhféadfaí é sin a dhéanamh trí phróiseas níos simplí agus ar chostas íseal? Céard iad smaointe an Aire Stáit air seo?

Tá ról ag Maritime Area Regulatory Authority, MARA, agus tá a chuid oifigigh den tuairim nach bhfuil ceadúnas ag teastáil le haghaidh bailiú nó baint méid beag feamainne ar bhonn neamhthráchtála le haghaidh úsáid phearsanta. De réir MARA, má tá daoine ag baint agus ag bailiú feamainne le haghaidh úsáid tráchtála, nó méid mór le haghaidh úsáid pearsanta, ní mór dóibh iarratas a dhéanamh ar cheadúnas úsáide ó MARA. Tá na rudaí seo fíorthábhachtach. Níl sé soiléir céard atá ag teastáil ó bhainteoirí feamainne. This is an issue that has been going on for many years. While there was some certainty provided in the Attorney General's advice back in 2018, there are still licence applications being lodged that I presume are not being dealt with by MARA. MARA is a new agency and it has a role in deciding on those licences, but it is important that there be clear direction from the Department in relation to this. Is there a simpler process whereby, once and for all, we can deal with the generational rights of seaweed harvesters to control their product and rights?

Minister of State at the Department of Agriculture, Food and the Marine (Deputy Timmy Dooley)

I thank the Deputy for his question. I know of his particular interest in this area. I have met with him and some seaweed harvesters. Indeed, he and I have discussed this in the Seanad previously. I thank him for his advocacy on behalf of those people who are particularly impacted by this and I congratulate him again on his successful election back to this House, where I have no doubt he will make a significant impact as he has in the past, not least on this issue.

Ireland's first non-statutory MPPS for all marine planning aspects was published in November 2019, pending the introduction of the national marine planning framework and the enactment of the Maritime Area Planning, MAP, Act 2021. In 2019, the MPPS outlined existing components of the marine planning system and its future vision. It set out the high-level priorities of the enactment of the marine planning system in Ireland. Ireland's national marine planning framework, NMPF, was subsequently adopted in May 2021. The NMPF brings together all marine-based human activities for the first time, outlining the Government's vision, objectives and marine planning policy for each marine activity. All public bodies and consenting authorities are required to have regard to it in exercising their statutory functions. This is intended to ensure that consistency, precautionary and evidence-based decision-making across all Departments and agencies. The objectives of the NMPF in relation to seaweed harvesting are: to support the sustainable harvesting of seaweed, having regard to the important economic and social contribution it makes to coastal communities; develop and maintain a fit-for-purpose regulatory framework that supports sustainable harvesting, ensures that key seaweed species that support multiple vital ecosystems are safeguarded and respects existing formal and informal rights to harvest - I think this last is the nub of where the Deputy is coming from - and support ongoing research to build on available data to support sustainable seaweed harvesting.

The Deputy has asked for my view on that, which I have made known to the officials. It is that where people have rights that are established, either by way of documented evidence on folios and other means or through a significant tradition that can be verified insofar as possible, their rights should be respected. We see this from an historical perspective. Coming from a small farm in the west, I am very conscious of parcels of land not always being documented in a manner that would be sufficient to address the ownership or the title deeds, etc. We have to find a methodology of addressing that. Our officials are working on that.

The enactment of the MAP Act in 2021 subsequently provided a statutory framework for marine planning policy statements, and following a consultation on a draft statutory MPPS in 2025, that policy statement is currently being finalised and is expected to be brought before the Government in the coming weeks. We had intended and hoped it would be ready for April but it has lagged a little bit.

I am aware of the complexities involved in relation to traditional seaweed harvesting, having met and engaged with representatives of the industry, as I did with the Deputy. The Maritime Area Regulatory Authority has also engaged with representatives of the industry and is engaging with the Department in relation to the existing regulatory framework, because that has to be clarified to some extent. In that context, it is important to note that, since the establishment of MARA, applicants may apply to the regulator for a licence to harvest seaweed in accordance with Schedule 7 of the 2021 Act, which provides for maritime usage that may be undertaken pursuant to the granting of a licence. MARA shall, before granting a licence, have regard to any environmental impacts arising, and any Government policies that may affect or relate to the functions of MARA. That is a critical component of this discussion. I would also note that departmental officials are examining the regulatory framework to ensure that it is appropriate to adequately safeguard holders of traditional seaweed harvesting rights.

Deputy Seán Kyne

I thank the Minister of State for his comprehensive response. I welcome the fact that he expects the MPPS to be brought to the Government in the coming weeks. May I assume, therefore, that MARA is not granting licences pending the MPPS? Is that in abeyance? Is there a formal process? Is it involving itself in consultation on the best way forward in relation to the harvesting of seaweed and the licensing thereof? It is a relatively new agency. It is an issue that no licences have been granted for a number of years.

The Minister of State has said that departmental officials were working on a simplification or a process to allow this. Have we any timelines in mind for that? The most important thing is that there would be a simpler process before any licences would be granted by MARA. It is key that MARA would not grant licences until we have a clearer system, the MPPS and a policy from the Department and that MARA was aware of this. I hope that MARA is sitting on these licence applications and is either rejecting them because of lack of a policy, or else just not dealing with them, and that the Minister of State would be given time to ensure that the traditional rights of seaweed harvesters were protected via whatever process or simplification could be done. It is important - the Minister of State has an opportunity in this - to ensure that this issue is put to bed once and for all, that these traditional rights would be registered in some fashion at no great cost to the harvesters themselves, and that these rights could be handed down to the next generation.

Deputy Timmy Dooley

I want to make the Deputy aware that MARA has a statutory function. It is an independent regulatory authority. I would not be in a position, nor would the law permit me, to influence the work it does. In the adjudication of any licence application, it will have to follow the legislation as it stands and would not be minded to consider what we might be discussing in this House or what any future proposal might be. However, as I indicated to the Deputy, we want to bring forward proposals that would, insofar as possible, provide support to those traditional harvesters in recognition of the rights that have been established over a prolonged period of time. I want officials to pursue it insofar as is legally possible so that we can provide assurances, give recognition of those rights even in circumstances where documented rights are not established on folios, etc., and find a registration process that would comply with the law. In line with the law since MARA's statutory establishment, applicants may apply to the regulator for a licence to harvest seaweed in accordance with Schedule 7 of the 2021 Act, which provides for maritime usage that may be undertaken pursuant to the granting of a licence.

Before granting any licence, MARA shall, of course, have regard to any environmental impacts arising. As I said, MARA is within its rights. MARA has a large volume of applications relating to matters right across its remit, whether it be in respect of offshore renewables, Irish Water applications or seaweed harvesting. There is a large volume of work has yet to be concluded.

Hospital Services

Deputy Colm Burke

Concerns have been raised in Cork regarding access for children to MRI scans in circumstances where a general anaesthetic is required. My understanding is that there were outside people coming in to do this work. That all stopped last year. The waiting list has grown substantially and, as a result, there is a concern. Eight consultants signed a letter advising of their concerns. The question now is how we are going to resolve this issue.

Planning was granted for a new paediatric unit at Cork University Hospital, CUH, in 2022. Work on that project has not commenced. Access to certain procedures for children is being restricted as a result. My understanding is that people from outside were being employed to do some of the work involved but that this has stopped.

The other issue that is of concern relates to the outpatient unit that is due to open at Curraheen and whether there will be sufficient staff to operate it. What happened in this instance was that external firms were brought in to do the work. That has stopped, but no additional staff have been taken on to do the work that was being done previously. I have no problem with work being stopped in circumstances where outside contractors were doing it. However, I do have a concern about waiting lists growing substantially.

There is also a question in relation to paediatric services in Cork. There is now major concern about how long a child will have to wait if they need an MRI scan in circumstances where he or she needs a general anaesthetic in order for the scan to take place. The letter to which I refer states that the waiting time could be as long as four years. That is really not acceptable at this stage. What can be done to make sure that there is not an unreasonable waiting time when it comes to getting access to these scans and to resolve the other issues the consultants involved have raised? I hope those issues can be resolved by the HSE, the management at the hospital and the people working at the coalface, namely the consultants, general doctors and nurses. That needs to be looked at. When will action be taken on this matter?

Deputy Jennifer Carroll MacNeill

I appreciate the Deputy raising this matter. I feel as though I may be operating in something of a vacuum here. I might follow up with the Deputy in order to discover who exactly are the people who signed that letter. It is not a letter I have seen. It may have been sent to my Department, but I have not seen it yet. I certainly want to discover who they are and see the issue they are raising. Due to the fact that I am operating in a bit of a vacuum, I have to rely on information on what is happening at the same time.

As the Deputy knows, we ceased third-party insourcing as of yesterday, 30 June. He stated three times an external group of people were coming in to CUH to do some diagnostic work, which is exactly what we were seeing with third-party insourcing. I can fairly infer that what the Deputy is describing may be a consequence of the ending of third-party insourcing of the kind that those on the health committee found so problematic. I do not know if it is the case that this was a third-party insourcing arrangement that has ceased. The Deputy is not sure. We can follow up and check the names.

Deputy Colm Burke

I will reply to the Minister in my next contribution.

Deputy Jennifer Carroll MacNeill

Sure. What I would point out is that the south west has a more than ample number of ample staff at the moment. It has recruited 617 people this year alone, which is a nearly quarter of all the people who have been hired by the HSE this year. The HSE has recruited 2,700 people overall. As stated, 617 of them have been appointed in the south west, which is one of six regions. Those in the south west have dramatically increased their recruitment. They are still very high when it comes to agency staff and overtime, which means that there has been no lack of people available to work in the south west.

As already stated, third-party insourcing ceased yesterday. I am not suggesting that this is directly related, because I do not have that information. However, some of that third-party insourcing in CUH related directly to diagnostics. The letter to which the Deputy referred relates to a diagnostic concern. That must be sorted out because the people who must not be prejudiced by what is happening in this regard are children who are awaiting diagnostic scans.

The issue around the letter and the timing of everything certainly raises more questions for me to interrogate and investigate. As I said, the south west has recruited many more people than other regions. Dublin Mid-Leinster has recruited about 300 people, so the south west is well advanced in terms of its recruitment and the availability of people to do this work. We must figure out exactly what has happened and how that may be managed, but this does raise quite a number of new questions for me to investigate.

The Deputy asked about developments relating to paediatric care at the hospital. The Government has invested significantly in paediatric care in CUH. Phase 1 of the paediatric department has been operational since 2017. Phase 2 will focus on the paediatric inpatient unit and will deliver 82 much-needed new and replacement inpatient paediatric beds. We continue to invest in and support that. It is very important that we get to the bottom of the situation relating to MRI scans.

Deputy Colm Burke

My understanding is that the eight consultants signed the letter. It was sent to the head of the HSE. They expressed serious concerns to the effect about delays and about the consequences of those delays. The headline of the article I read, and in respect of which I did some further checking, was "Doctors at Cork hospital call for 'immediate action' to mitigate risk of 'preventable paediatric deaths'". A headline like that will cause serious alarm for parents of children who are waiting.

Deputy Jennifer Carroll MacNeill

I could not agree more.

Deputy Colm Burke

I raised this matter in order that assurances can be provided and that people can get access to care in a timely manner.

A question still arises as to why, previously, there was outsourcing or there were people coming in to do this work privately. That practice has now stopped. The argument being put forward by the consultants is that no additional staff have been taken on to deal with the vacuum that has been created and that, as a result, the list is going to grow and people are going to be waiting longer.

In relation to MRIs, where a concern is expressed by a GP or a medical consultant in relation to a child's health, if there is any delay, there may not be any going back because the treatment was not provided in a timely manner. Eight people at senior level would not sign such a letter unless there are genuine concerns about the waiting time. Whatever the issue is when it comes to providing care for children, it needs to be resolved. I fully understand that we are putting a huge amount of money into the new national children's hospital, and rightly so, but it is important that areas outside of Dublin are not left in limbo as regards people getting access to the care that is required. As a result, I ask that this issue be looked at. The Minister may not have all the answers this morning, but she might come back to me on the matter.

Deputy Jennifer Carroll MacNeill

I certainly will, and I could not agree with the Deputy more regarding the importance of resolving and identifying the issue and of making sure that children are getting the diagnostic scans they need. I could also not agree more with him regarding the importance of investing in paediatric care outside of Dublin. That is very important, and it is important to articulate it here this morning. I am in agreement with the Deputy in every possible way in relation to this matter.

I just want to figure out exactly what is going on and how this has come to be.

I should have said earlier that there are 269 children currently waiting for an MRI under general anaesthesia at CUH. Having an MRI under general anaesthesia requires a nurse and an anaesthetist as well as a radiologist. It is a more complicated team. I am aware that the south west has recruited ahead of everyone else. If there is a challenge in terms of where the resources are, it is one we have to figure out. Certainly, that area has recruited more than anybody else, so there should not be this issue. It may be that deployment is more the issue than availability. It is for me to figure that out and to get back to the Deputy. He is correct to raise the issue here today because we do not want children discriminated against in this way.

CUH has invested in a Smileyscope distraction system, which works to develop children's tolerance - where possible; it is not always possible - of MRI without anaesthetic. Instead of sedating children, two play therapists distract and keep them occupied during the MRI. We do not want to have to sedate children where it is possible to avoid it. Eight children have successfully completed the MRI through that approach without the need for general anaesthetic.

I thank the Deputy for raising this really important issue for children's care, including as it relates to resource deployment. I assure him that I will figure out what is going on and get back to him on it.

Deputy Colm Burke

I thank the Minister.

Dáil Éireann díospóireacht - Wednesday, 1 Jul 2026