Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Tuesday, 2 Dec 2025

Written Answers Nos. 497-517

Child and Family Agency

Ceisteanna (497)

James Geoghegan

Ceist:

497. Deputy James Geoghegan asked the Minister for Children, Disability and Equality if she will request TUSLA to provide details of the number of persons for each year between 2021 to date in 2025, who they have referred back and made a query on, to the International Protection Office in circumstances where TUSLA believe the person is not entitled to child services because TUSLA believes they are an adult, in tabular form; and if she will make a statement on the matter. [67890/25]

Amharc ar fhreagra

Freagraí scríofa

As this question relates to operational information held by Tusla, the Child and Family Agency, the question has been referred to the Agency to reply directly to the Deputy.

Child and Family Agency

Ceisteanna (498)

James Geoghegan

Ceist:

498. Deputy James Geoghegan asked the Minister for Children, Disability and Equality if she can direct TUSLA to provide, for each year between 2021 to date in 2025, the total number of cases which have been issued against TUSLA where the question of age assessment has been an issue germane to the proceedings; the amount of damages paid in each respective proceedings; and the full legal costs associated with each proceeding, in tabular form; and if she will make a statement on the matter. [67892/25]

Amharc ar fhreagra

Freagraí scríofa

As this question relates to operational information held by Tusla, the Child and Family Agency, the question has been referred to the Agency to reply directly to the Deputy.

Child and Family Agency

Ceisteanna (499)

Pádraig O'Sullivan

Ceist:

499. Deputy Pádraig O'Sullivan asked the Minister for Children, Disability and Equality if she will address matters and concerns raised in correspondence (details supplied); if another service will be put in place if this facility closes; and if she will make a statement on the matter. [67961/25]

Amharc ar fhreagra

Freagraí scríofa

As this question relates to operational information held by Tusla, the Child and Family Agency, the question has been referred to the Agency to reply directly to the Deputy.

Childcare Services

Ceisteanna (500)

Barry Ward

Ceist:

500. Deputy Barry Ward asked the Minister for Children, Disability and Equality further to Parliamentary Question No. 160 of 12 November 2025, if she will provide a copy of the independent external review of the draft Childminding Regulations which was carried out by a person (details supplied); and if she will make a statement on the matter. [67974/25]

Amharc ar fhreagra

Freagraí scríofa

The National Action Plan for Childminding 2021-2028 set out a pathway for the extension of regulation to childminders. The childminding-specific Regulations, which came into effect in September 2024, are designed to be proportionate and appropriate to the home and family setting in which childminders work. Childminders were consulted on and involved in all aspects of the development of the regulations. Both the Steering Group for the National Action Plan for Childminding, and the Advisory Groups that have supported it, have included childminders, as well as organisations representing childminders.

In addition, as discussed in Parliamentary Questions (No. 160) on the 12 of November, an independent external review of the draft regulations was carried out by Dr Bill Maxwell, the former CEO of Education Scotland, former Chief Inspector in both Scotland and Wales, and OECD consultant, which confirmed that the approach was proportionate for childminding in Ireland. The external review was commissioned in 2024 by the then Minister for Children, Equality, Disability, Integration and Youth to provide an independent, external assessment of the Draft Childminding Regulations before their finalisation. I will explore the possibility of publishing the review in the near future.

Childcare Services

Ceisteanna (501)

Cathy Bennett

Ceist:

501. Deputy Cathy Bennett asked the Minister for Children, Disability and Equality if consideration will be given to opening applications for Core Funding early, as some childcare providers who have not increased their fees for a number of years are struggling to remain open; and if she will make a statement on the matter. [67978/25]

Amharc ar fhreagra

Freagraí scríofa

Core Funding has increased annually, starting at €259 million in 2022 of which €210.8 million was entirely new funding to the sector, and now exceeding €390 million for the current and fourth year of the scheme. This is an increase of over 50% since the scheme began in September 2022. The additional funding is supporting further capacity growth, the maintenance of a fee management system to benefit families and significant improvements to pay and conditions in this valued sector.

The base rates in Core Funding have been developed using the various components associated with the cost of delivery of service provision such as: staff pay and conditions, including contact and non-contact time, holiday pay, sick pay and other employer costs such as pension contributions; administrative staff/time and non-staff overhead costs. These components have been factored into the calculation of the budget for Core Funding since the scheme began in 2022.

Although the cost of delivery components such as improvements to staff pay have been used to derive the base rates, the eligible areas of expenditure of the Core Funding grant are much broader. Partner Services can choose how to spend their Core Funding grant in accordance with the approved areas of expenditure outlined in the Funding Agreement.

There will be no further increases to the Core Funding allocation for the current programme year, which finishes in August 2026. However, Minister Foley announced further investment in Core Funding in Budget 2026 which will take effect from September 2026. The additional funding being made available in 2026 will see the allocation for Core Funding in the next programme year which begins in September 2026 increase to almost €437 million. That is an additional €44 million on the current full year allocation, or an 11% increase. This increased investment will support the sustainability of the sector while maintaining Core Funding affordability measures for families. Full details of Core Funding 2026/2027 will be made available to the sector in 2026.

In addition to the increased level of Core Funding for year 4 of the scheme and signalled in Budget 2026, there are wider financial supports available from the Department where a service is experiencing financial difficulty or has concerns about their viability, which can be accessed while remaining within Core Funding.

The Department offers Sustainability Funding to services where issue/s have been identified through the Case Management process that have the potential to have serious consequences for their viability. As part of the Case Management process, in which local City or County Childcare Committees (CCCs) assist services with issues and difficulties that arise, the CCC may refer Core Funding Partner Services facing difficulties to Pobal and the Department to be considered for Sustainability Funding.

Sustainability Funding is intended to prevent significant issues that threaten the viability of a service from occurring in first instance, and any service seeking these supports should contact their City or County Childcare Committee.

State Bodies

Ceisteanna (502)

Claire Kerrane

Ceist:

502. Deputy Claire Kerrane asked the Minister for Children, Disability and Equality if she is aware that Pobal is withholding the 3% pay increase as agreed in Building Momentum; if this is acceptable to her; and if she will make a statement on the matter. [67979/25]

Amharc ar fhreagra

Freagraí scríofa

Pobal are a non-commercial agency operating under the aegis of the Department of Rural and Community Development and the Gaeltacht and engaged by DCDE under the terms of a service level agreement (SLA). As such, Pobal are responsible for ensuring that staffing and skill levels are adequate to achieve the objectives of this Agreement and are solely responsible for any and all personnel and all costs arising from the employment of the Company’s personnel.

The Department strongly encourages all sides to utilise the industrial relations framework and the Workplace Relations Commission to achieve a resolution in the best interests of children and families.

State Bodies

Ceisteanna (503)

Claire Kerrane

Ceist:

503. Deputy Claire Kerrane asked the Minister for Children, Disability and Equality if she is aware of Pobal's failure to pay a 2% wage increase due in March 2025 to grade 2 early years specialist; if she has engaged with Pobal to resolve this given it is an important Department initiative; and if she will make a statement on the matter. [67980/25]

Amharc ar fhreagra

Freagraí scríofa

Pobal are a non-commercial agency operating under the aegis of the Department of Rural and Community Development and the Gaeltacht and engaged by DCDE under the terms of a service level agreement (SLA). As such, Pobal are responsible for ensuring that staffing and skill levels are adequate to achieve the objectives of this Agreement and are solely responsible for any and all personnel and all costs arising from the employment of the company’s personnel.

The Department strongly encourages all sides to utilise the industrial relations framework and the Workplace Relations Commission to achieve a resolution in the best interests of children and families.

Early Childhood Care and Education

Ceisteanna (504)

Eamon Scanlon

Ceist:

504. Deputy Eamon Scanlon asked the Minister for Children, Disability and Equality when the building blocks extension scheme will open again for 2026; and if she will make a statement on the matter. [68007/25]

Amharc ar fhreagra

Freagraí scríofa

The Building Blocks Extension Grant Scheme was launched in late 2024. The closing date for applications was 30th January 2025. There were four strands to the scheme: Community Construction, Community Extension, Community Purchasing and Private Extension. A total of 78 applications were received with 50 applicants approved to progress to the next stage of the grant process. Following approval, applicants were required to finalise the legal formalities of the scheme and projects are now commencing.

As part of the NDP review, the allocation for this Department has increased to €795 million over the next five years. This increased funding will be used in part to provide additional early learning and childcare places through future capital programmes, including operating a further scheme similar to Building Blocks to support the expansion of provision by existing operators, as well as implementing my Department's commitment to capital investment in State-led early learning and childcare facilities.

Officials in the Department are currently examining options and detailed specifications for future Building Blocks schemes, and I expect to announce details in early 2026.

Childcare Services

Ceisteanna (505)

Claire Kerrane

Ceist:

505. Deputy Claire Kerrane asked the Minister for Children, Disability and Equality to provide a copy of the independent external review of the draft Childminding Regulations which was carried out by a person (details supplied); and if she will make a statement on the matter. [68018/25]

Amharc ar fhreagra

Freagraí scríofa

The National Action Plan for Childminding 2021-2028 set out a pathway for the extension of regulation to childminders. The childminding-specific Regulations, which came into effect in September 2024, are designed to be proportionate and appropriate to the home and family setting in which childminders work. Childminders were consulted on and involved in all aspects of the development of the regulations. Both the Steering Group for the National Action Plan for Childminding, and the Advisory Groups that have supported it, have included childminders, as well as organisations representing childminders.

In addition, an independent external review of the draft regulations was carried out by Dr Bill Maxwell, the former CEO of Education Scotland, former Chief Inspector in both Scotland and Wales, and OECD consultant, which confirmed that the approach was proportionate for childminding in Ireland. The external review was commissioned in 2024 by the then Minister for Children, Equality, Disability, Integration and Youth to provide an independent, external assessment of the Draft Childminding Regulations before their finalisation. I will explore the possibility of publishing the review in the near future.

Mother and Baby Homes

Ceisteanna (506)

Ciarán Ahern

Ceist:

506. Deputy Ciarán Ahern asked the Minister for Children, Disability and Equality the expected publication date for the annual mother and baby institutions payment scheme report; and if she will make a statement on the matter. [68019/25]

Amharc ar fhreagra

Freagraí scríofa

The Mother and Baby Institutions Payment Scheme opened for applications in March 2024.

Section 12 of the underpinning legislation for the Scheme provides for annual reports to be prepared by the Chief Deciding Officer of the Scheme. These reports are to include details on applications, determinations, staffing and training.

I have recently received the first annual report for the Scheme, am currently reviewing it, and will publish it shortly.

Childcare Services

Ceisteanna (507)

Ged Nash

Ceist:

507. Deputy Ged Nash asked the Minister for Children, Disability and Equality if she is aware that a childcare provider in Louth (details supplied) has left the Core Funding system; if additional support can be provided to the operator to ensure they remain within the system and continue to provide early years care to the cohort of families that currently use the service; and if she will make a statement on the matter. [68104/25]

Amharc ar fhreagra

Freagraí scríofa

The Department is aware that a small number of service providers have regrettably chosen to withdraw from Core Funding, and pleased to note that Tots & Co have remained in the scheme.

The Department, through County/City Childcare Committees, engages directly with services, to highlight the benefits of staying in Core Funding, not only for their service but also for the families who avail of them. The Minister is hopeful that this provider may reconsider their decision as others have.

As of 3 November 2025, there were 5,035 services listed as being open on the Early Years Platform, of which 177 (4%) had left Core Funding at one point over the lifetime of the scheme to this date and continue to operate outside of this scheme. A further 415 services (8%) had left Core Funding at one point over the lifetime of the scheme to this date but later rejoined and were signed up to the fourth year of the scheme on this date. The overwhelming majority of services, 4,157 or 83%, have continued to participate in Core Funding from the date on which they first signed up for the scheme.

The State is providing Core Funding to promote the interests of children and their families and workers in a privately operated sector.

Tots & Co Playgroup is currently receiving Core Funding for their service. The table below shows that the Core Funding provided to Tots & Co Playgroup has increased from €59,673.44 in year 1 of the scheme to €66,496 in year 4.

Name of provider

2022/2023

Core Funding received

2023/2024

Core Funding received

2024/2025

Core Funding Contract Value (May 2025)

2025/2026

Core Funding Contract Value (5 Nov 2025)

% change in grant value between 2022/2023 and 2025/2026

Tots and Co Playgroup

€59,673.44

€60,086.52

€60,623.68

€66,496.00

11%

While the State cannot mandate providers to participate in the scheme, Core Funding has been designed with maximum participation of providers in mind as reflected in the year-on-year growth of investment in the Scheme (rising from €259 million in 2022 to over €405 million in 2026). This represents an increase of over 56% in Core Funding in four years.

In addition to this increased allocation, participation in Core Funding unlocks additional supports for services to access, including:

• access to wider financial supports where a service is experiencing financial difficulty or has concerns about their viability;

• access to enhanced support for services caring for concentrated numbers of children facing disadvantage through Equal Start; and

• opportunities to apply for capital grants through the Department.

Participation in Core Funding is optional, but it remains open to all registered providers subject to their agreement to the terms and conditions of the Core Funding Agreement.

In addition to the year on year increases in the Core Funding allocation, the Department has introduced a range of other enhancements to the Scheme in recent years to improve protection for families through, for example, new deposit rules and maximum fee caps.

The Department has also made changes to improve the sustainability of providers through, for example, targeted measures for small and sessional services, a fee increase assessment and approval process for services with fees frozen at unsustainably low rates. There are also wider financial supports from the Department for services experiencing financial difficulty.

All services have been encouraged to avail of these supports as an alternative to withdrawing from Core Funding and removing the benefit of Core Funding to children and their families.

For the current programme year, services have the autonomy and business freedom, to withdraw from Core Funding, even though this will result in the loss of the significant financial support it offers them and the substantial benefits and certainty it brings to families.

For this programme year, services remain eligible to provide the National Childcare Scheme, the Early Childhood Care and Education programme and the Community Childcare Subvention Plus Saver programme.

Service providers are required to provide 3 months written notice to families before withdrawing from Core Funding mid-year.

Core Funding remains open to services and uptake remains strong. The fourth year of Core Funding began on 1 September and as of 26 November there were 4,568 services signed up to Year 4 of Core Funding, a near 5 per cent increase on this time last year. This is the highest number of Partner Services in Core Funding at any point since the scheme was launched in 2022 and the number continues to grow.

If parents are experiencing difficulty in relation to their early learning and childcare needs, they should contact their local County/City Childcare Committee for assistance.

The Department has a list of all Core Funding Partner Services which is updated regularly on the Departments website under www.gov.ie/en/department-of-children-disability-and-equality/publications/how-to-find-a-partner-service/

Early Childhood Care and Education

Ceisteanna (508)

Ged Nash

Ceist:

508. Deputy Ged Nash asked the Minister for Children, Disability and Equality the plans for any reforms to ensure that rural based early years services remain within the Core Funding system; and if she will make a statement on the matter. [68105/25]

Amharc ar fhreagra

Freagraí scríofa

Core Funding is a supply-side grant to providers designed to support quality, sustainability, and affordability for parents through associated conditions in relation to fee control and cost transparency.

Core Funding operates alongside the National Childcare Scheme, the Early Childhood Care and Education programme and Equal Start and constitutes additional income for providers on top of funding for these schemes, as well as income from parental fees.

As of 3 November 2025, there were 5,035 services listed as being open on the Early Years Platform, of which 177 (4%) had left Core Funding at one point over the lifetime of the scheme to this date and continue to operate outside of this scheme. A further 415 services (8%) had left Core Funding at one point over the lifetime of the scheme to this date but later rejoined and were signed up to the fourth year of the scheme on this date. The overwhelming majority of services, 4,157 or 83%, have continued to participate in Core Funding from the date on which they first signed up for the scheme.

The table below provides a breakdown of the services that left Core Funding in each programme year by county division. Some services may have left and rejoined multiple times across the three years, and therefore the figures cannot be aggregated across programme years from the breakdown below.

COUNTY DIVISION

Year 1 (2022/2023)

Year 2 (2023/2024)

Year 3 (2024/2025)

Year 4 (2025/2026)

Cork City

2

4

5

0

County Carlow

0

0

0

0

County Cavan

2

4

4

0

County Clare

5

3

4

0

County Cork

12

15

14

0

County Donegal

12

9

17

0

County Galway

24

30

16

1

County Kerry

5

9

5

0

County Kildare

11

11

7

0

County Kilkenny

0

2

0

0

County Laois

5

3

2

0

County Leitrim

1

0

0

0

County Limerick

6

11

2

0

County Longford

0

1

1

0

County Louth

6

2

3

0

County Mayo

7

12

0

0

County Meath

4

13

16

0

County Monaghan

0

4

1

0

County Offaly

7

2

2

0

County Roscommon

1

4

2

0

County Sligo

0

5

5

0

County Tipperary

12

14

3

0

County Waterford

5

2

2

0

County Westmeath

1

1

1

0

County Wexford

4

11

6

2

County Wicklow

2

12

3

0

Dublin City

17

56

28

0

Dun Laoghaire-Rathdown

8

10

8

0

Fingal

7

29

9

0

South Dublin

9

17

8

0

TOTAL

175

296

174

3

It should be noted that of the services tabulated above, over 70% of services had returned to participate in Core Funding as of 3 November 2025.

When first introduced in 2022, Core Funding brought a significant increase in investment for the sector, with €259 million of funding paid directly to services in first year of the scheme. Investment in Core Funding has continued to increase year-on-year, rising to over €390 million for the fourth, and current, programme year.

Within the Core Funding allocation for the current programme year, €45 million has been ring-fenced to support employers in meeting the costs of further increases to the minimum rates of pay across the sector, as set out under the updated Employment Regulation Orders.

The Department has also made changes to improve the sustainability of providers through, for example, the targeted measures for small and sessional services and a fee increase assessment and approval process for services with fees frozen at unsustainably low rates. Some of the increased measures include:

• The Base Rates for all age groups increasing, with larger increases in funding for places offered to children under the age of three. In short, all providers currently signed up to Core Funding will receive a higher payment going forward to support their day-to-day costs.

• The flat rate for services registered on the Tusla Early Years Register as sessional-only increased from €4,075 to €5,000. This will strengthen supports to sessional-only services, who typically operate for shorter hours per week and fewer weeks per year.

• The minimum Base Rate allocation increased from €8,150 to €14,000. This is the minimum amount of funding a centre-based service will receive through their Base Rate. This ensures a minimum guaranteed income for services. This increase supports smaller services and services operating in rural areas, who may be prone to fluctuations in demand.

Programme Year 5 (2026/2027) will see further investment in Core Funding, with the budget increasing by nearly 11% on the current year 4 allocation. This increases will translate to a full year allocation of at least €436.94 million for Year 5 of Core Funding.

There are financial supports available from the Department where a service is experiencing financial difficulty or has concerns about their viability, which can be accessed through their local City/County Childcare Committee while remaining within Core Funding.

I understand services in isolated rural areas may face challenges due to small local population. As a part of the Case Management process, financial assistance under sustainability funding may be granted in respect of the ongoing operational expenditure and liabilities of a service facing and unable to deal with these challenges. This funding is designed to support the continued provision of ELC/SAC Services Providers in rural communities and encourage efficiency by providing governance and business model supports to support the long-term sustainability and safeguard invest.

As part of the Case Management process, City or County Childcare Committees assist services with issues and difficulties that arise. The County Childcare Committees may refer Core Funding-partner services facing difficulties to Pobal and the Department to be considered for Sustainability Funding.

I would encourage any service experiencing financial difficulty and who would like support to contact their County Childcare Committee to access case management supports. Contact details for the County Childcare Committee can be found online at: https://www.gov.ie/en/department-of-children-disability-and-equality/campaigns/city-and-county-childcare-committees/

Early Childhood Care and Education

Ceisteanna (509)

Ged Nash

Ceist:

509. Deputy Ged Nash asked the Minister for Children, Disability and Equality the number of early years services in Louth that are currently supported through the core funding model; the number of services in the county that left the core funding system in the years 2022 to 2024, and to date in 2025, respectively; if she will provide the names of the services that have left the system in each of the years in question, in tabular form; and if she will make a statement on the matter. [68106/25]

Amharc ar fhreagra

Freagraí scríofa

In total, data from Pobal confirms that, as of 26 November, there are 113 providers operating in Co. Louth – 109 of whom are in receipt of Core Funding – representing a 96.46% county-wide take-up rate of Core Funding.

While the Department cannot mandate providers to participate in the Scheme, every effort has been made to carefully design Core Funding to meet the policy objectives including to achieve high levels of participation by providers.

Participation in Core Funding is optional, but it remains open throughout the year to all registered providers subject to their agreement to the terms and conditions of the Scheme.

In the interest of clarity, transparency and consistent reporting, I have defined a service that left Core Funding as any service that had a gap between contracts for Core Funding of 4 or more weeks. There are a number of reasons why a service might fall into this definition. For example, a service may have withdrawn from the scheme, been removed from the scheme for breach of rules, or experienced a delay in re-contracting following a change of circumstance application or between programme years. Many services have left and later re-joined the scheme. There may be a small number of services who left the scheme and subsequently closed at a later date that are not captured in the figures below.

The table below provides a breakdown of the services in Louth that left Core Funding in each programme year. Some services may have left and rejoined multiple times across the three years, and therefore the figures cannot be summed across programme years from the breakdown below.

COUNTY DIVISION

Year 1 (2022/2023)

Year 2 (2023/2024)

Year 3 (2024/2025)

Year 4 (2025/2026)

County Louth

6

2

3

0

It should be noted that of the 11 services in Louth that have left the scheme at one point, 10 services were contracted to Core Funding as of 3 November 2025 - meaning over 90% of services in Louth who left the scheme at one point have now returned to Core Funding.

The Department does not provide the names of services that have left the scheme. However, the Department has a list of all Core Funding Partner Services which is updated regularly on the Departments website under www.gov.ie/en/department-of-children-disability-and-equality/publications/how-to-find-a-partner-service/.

Disability Services

Ceisteanna (510)

Liam Quaide

Ceist:

510. Deputy Liam Quaide asked the Minister for Children, Disability and Equality the cost of residential disability services provided by for-profit companies; and for a breakdown of costs for child and adult services separately, for each of the years 2021 to 2024 and to date in 2025, in tabular form. [68110/25]

Amharc ar fhreagra

Freagraí scríofa

I wish to thank the Deputy for raising this question. As this question refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly.

Disability Services

Ceisteanna (511)

Liam Quaide

Ceist:

511. Deputy Liam Quaide asked the Minister for Children, Disability and Equality the details of contracts signed in 2024 and 2025 with for-profit companies providing residential placements for adults and young people with disabilities; the duration of contracts agreed; the cost per placement and the names of the private companies providing these services. [68111/25]

Amharc ar fhreagra

Freagraí scríofa

I wish to thank the Deputy for raising this question. As this question refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly.

Disability Services

Ceisteanna (512)

Liam Quaide

Ceist:

512. Deputy Liam Quaide asked the Minister for Children, Disability and Equality the comparative cost per placement of residential services commissioned through private outsourcing and by Section 38, Section 39 and direct HSE services for the years 2024 and to date in 2025. [68112/25]

Amharc ar fhreagra

Freagraí scríofa

I wish to thank the Deputy for raising this question. As this question refers to service matters, I have asked the Health Service Executive (HSE) to respond to the Deputy directly.

Child Protection

Ceisteanna (513)

Claire Kerrane

Ceist:

513. Deputy Claire Kerrane asked the Minister for Children, Disability and Equality when a report by the Special Rapporteur on Child Protection will be published; if she Minister has received the report; and if she will make a statement on the matter. [68113/25]

Amharc ar fhreagra

Freagraí scríofa

The Government appointed Ms Caoilfhionn Gallagher KC as Special Rapporteur on Child Protection for a three-year term from 1 February 2023.

The functions of the Rapporteur are to keep under review and to audit legal developments for the protection of children; to assess the impact, if any, litigation in national and international courts will have on child protection; to prepare a report annually and to examine, upon request, the scope and application of existing or proposed legislative provisions and to make comments/recommendations as appropriate.

Upon receipt and review of the annual report, the Department of Children, Disability, and Equality submit the report to Cabinet for approval to publish, following a circulation period for review by the range of relevant Government Departments. Once approved, the report is laid before the Houses of the Oireachtas and then published on the Department’s website.

The Department awaits the Annual Reports in respect of the current term of Special Rapporteur on Child Protection. Officials in the Department are engaging with the Special Rapporteur on the matter of the submission of the annual reports prior to the completion of the rapporteur's term of office on the 31st of January 2026. Following receipt of the annual reports, it is intended that they will be published once the above process has been completed.

Disabilities Assessments

Ceisteanna (514)

Liam Quaide

Ceist:

514. Deputy Liam Quaide asked the Minister for Children, Disability and Equality the financial cost to the state of legal defences taken on cases where families have taken the State to court for failing to provide their child with an assessment of need, for the years 2021 to 2024, and to date in 2025. [68114/25]

Amharc ar fhreagra

Freagraí scríofa

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

Disability Services

Ceisteanna (515)

Seán Ó Fearghaíl

Ceist:

515. Deputy Seán Ó Fearghaíl asked the Minister for Children, Disability and Equality if she will request the Disability Unit in her Department to evaluate a situation (details supplied). [68527/25]

Amharc ar fhreagra

Freagraí scríofa

Sensational Kids is an organisation delivering interventions to children over the last 10 years. It operates as a child development centre, providing subsidised therapy services for children and professional development training workshops for those working with children with special needs.

Sensational Kids employs approximately 30 staff, including a clinical team across child development centres in Kildare, Mayo, Monaghan and West Cork, providing supports such as occupational therapy, speech & language therapy and play therapy.

The HSE advises that it engaged with the CEO of Sensational Kids in 2023 and confirmed its commitment to working with them in supporting children with disabilities to access supports. Further meetings took place between both parties in 2023 and 2024 regarding a waitlist initiative for intervention and a building proposal for a National Child Development Centre and clarification was provided by the HSE regarding the steps and documentation that are required for completion of a capital submission.

With respect to the National Child Development Centre, HSE have advised the Department that several guidance meetings took place across 2024 and 2025.

At a meeting on the 18th of August 2025 attended by HSE staff and Sensational Kids including CEO Karen Leigh it was confirmed to Sensational Kids that the HSE would not be supporting their application for capital funding for the development of a specialist disability centre for children in Kildare.

Disability Services, Dublin South, Kildare & West Wicklow (DSKWW) continue to work with Sensational Kids who complete assessments for the Assessment of Need process in this area.

Health Services Waiting Lists

Ceisteanna (516)

David Cullinane

Ceist:

516. Deputy David Cullinane asked the Minister for Health the number of people on diagnostic scan waiting lists at the end of Quarter 3 2025. [67268/25]

Amharc ar fhreagra

Freagraí scríofa

Waiting times for radiology and diagnostic services have been recognised as an issue for some time. This Government is committed to the implementation of the 2017 Sláintecare Report, which includes a maximum waiting time target of 10 days for a diagnostic test.

This year the Productivity and Savings Taskforce published an action plan for 2025 which commits to a range of services being available 7 days a week, including diagnostics activity. It will also ensure that all publicly funded diagnostics are captured in the National Integrated Medical Imaging System (NIMIS) by the end of 2025, thereby improving care coordination and reducing duplication of tests and procedures.

The NTPF is working to support access to radiology and in October 2024 it published a National Radiology Diagnostic Waiting List Management Protocol. As well as ensuring that patients seeking access to Radiology Diagnostic services are administratively managed in a safe, timely, fair, and equitable manner whilst waiting, the protocol will facilitate improved data collection and reporting about patients on Radiology Diagnostic waiting lists.

In the interim, the information that is currently being collected as part of a pilot project is being tested and validated at hospital, hospital region and national level and as such should not be used/reported without the context of the caveats set out below:

• Data is subject to inclusions and exclusions which are documented in the Data Profile Document. This document is available from Acute Operations and has been circulated to all Hospital Regions.

• Data contains urgent, routine and surveillance/planned activity which is currently not broken down in detail, as such this includes surveillance/planned activity which may not be exceeding planned date.

• Data is still undergoing validation at Hospital and Hospital Region level. Data does not take into account local nuances at site level (Site profile developed to support understanding of same).

• The purpose of this aggregate data is to provide a National Level overview of the number of patients waiting for modalities of CT, MRI and Ultrasound.

• This report is not intended to be used for the active management of hospital diagnostics waiting list, local reports and mechanisms should continue to be used for the management of diagnostics waiting lists at hospital level.

The NTPF provides my Department with quarterly reports which set out waiting list data for CT, MRI and Ultrasound by hospital and time band.

The most recent report available for the end of Quarter 3 2025, which is attached, indicates there was a total of 287,666 patients reported on the waiting list, this represents all outpatients waiting, urgent, semi urgent, routine and planned/surveillance (where diagnostic access is planned at particular time intervals). The NTPF has advised my Department, that for Quarter 3 2025 they did not receive data from St Vincent’s Hospital or St Michael's Hospital as both hospitals were in the process of migrating their records to the NIMIS system.

The corresponding report for Quarter 2 2025, also attached, indicates there was a total of 318,889 patients reported on the waiting list from all sites at the end of that period.

DOH National Report Q3 2025

DOH National Report Q2 2025

Health Screening Programmes

Ceisteanna (517, 520, 528, 530, 531, 532, 533, 534, 578, 589, 598)

Barry Ward

Ceist:

517. Deputy Barry Ward asked the Minister for Health the timeline for the addition of spinal muscular atrophy to the heel prick test for newborn babies; the actions she is taking to ensure no further delays to its introduction; and if she will make a statement on the matter. [67289/25]

Amharc ar fhreagra

Paula Butterly

Ceist:

520. Deputy Paula Butterly asked the Minister for Health when spinal muscular atrophy will be fully implemented as part of the newborn screening heel-prick programme; the timeline for the introduction of these screenings; and if she will make a statement on the matter. [67322/25]

Amharc ar fhreagra

Ann Graves

Ceist:

528. Deputy Ann Graves asked the Minister for Health the position regarding adding spinal muscular atrophy to the national heel prick test (details supplied). [67350/25]

Amharc ar fhreagra

Erin McGreehan

Ceist:

530. Deputy Erin McGreehan asked the Minister for Health when newborn screening for spinal muscular atrophy (SMA) will commence; the reasons for the more than two-year delay since the decision to add SMA to the national heel-prick programme; and if he will provide a definitive implementation date. [67355/25]

Amharc ar fhreagra

Erin McGreehan

Ceist:

531. Deputy Erin McGreehan asked the Minister for Health if her Department has reviewed the latest European data showing that most EU countries implemented SMA newborn screening within 10-18 months, with 80% of European babies already screened by September 2025; and how Ireland's ongoing delay is being justified in that context. [67356/25]

Amharc ar fhreagra

Erin McGreehan

Ceist:

532. Deputy Erin McGreehan asked the Minister for Health the remaining operational, laboratory, or procurement barriers to the implementation of SMA newborn screening; the work underway to resolve these; and the expected timeline for completion. [67357/25]

Amharc ar fhreagra

Erin McGreehan

Ceist:

533. Deputy Erin McGreehan asked the Minister for Health if her Department has assessed the clinical risk posed by continued delays in SMA newborn screening, given that infants diagnosed after symptom onset face irreversible neuromuscular deterioration and poorer lifelong outcomes; and to publish any related risk assessments. [67358/25]

Amharc ar fhreagra

Erin McGreehan

Ceist:

534. Deputy Erin McGreehan asked the Minister for Health the governance structures in place to oversee the introduction of new conditions to the national newborn screening programme; and the way in which accountability is being ensured in relation to the delayed implementation of SMA screening. [67359/25]

Amharc ar fhreagra

Johnny Guirke

Ceist:

578. Deputy Johnny Guirke asked the Minister for Health her plans for urgent prioritisation of SMA newborn screening implementation, delayed since the Ministerial announcement in 2023, with a clear time-bound commitment indicating when screening will finally commence; and if she will make a statement on the matter. [67692/25]

Amharc ar fhreagra

Peadar Tóibín

Ceist:

589. Deputy Peadar Tóibín asked the Minister for Health the reason newborn babies are not screened for spinal muscular atrophy (SMA); when SMA will be included in the newborn screening programme; and if she will make a statement on the matter. [67711/25]

Amharc ar fhreagra

Willie O'Dea

Ceist:

598. Deputy Willie O'Dea asked the Minister for Health when screening will begin for Spinal Muscular Atrophy (SMA), as part of the newborn screening programme; and if she will make a statement on the matter. [67826/25]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 517, 520, 528, 530, 531, 532, 533, 534, 578, 589 and 598 together.

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

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

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

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

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

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

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

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

Roinn