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Gnáthamharc

Thursday, 26 Feb 2026

Written Answers Nos. 560-593

Healthcare Policy

Ceisteanna (560, 561, 562, 564)

Ken O'Flynn

Ceist:

560. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 1121 of 7 February 2026,to provide a detailed implementation schedule for each recommendation contained in the Emerging Health Threats Steering Group (ESG) Report published in October 2024, including for each recommendation; the decision taken by her Department; the approving authority, the decision date; the accountable division; the current implementation status; and the planned completion date. [15895/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

561. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 1121 of 7 February 2026, to list all funding approvals issued by her Department arising from the ESG Report since October 2024, including for each approval; the programme title; vote and subhead; amount approved for each financial year; whether the funding is current or capital, the approval date, and the body receiving the funding. [15896/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

562. Deputy Ken O'Flynn asked the Minister for Health the governance and reporting arrangements to Government in respect of the Health Threats Advisory Committee established in 2025, including its terms of reference, reporting frequency, the senior official accountable within her Department, and the dates of meetings held to date. [15897/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

564. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 1121 of 7 February 2026, to provide the approved governance structure, staffing complement, procurement route, budget allocation, and expected operational commencement date for the Evidence Synthesis Hub for Health Emergency Preparedness. [15899/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 560, 561, 562 and 564 together.

The Report of the Emerging Health Threats Function Expert Steering Group provided a number of recommendations to help ensure that Ireland’s health protection function is optimally designed to support the State’s response to future pandemics and other public health emergencies.

I can confirm that work is ongoing in relation to the implementation of the recommendations in the Expert Steering Group Report, requiring action by both the Department and the HSE.

In response to the Report’s recommendations, the Department of Health established a Health Threats Advisory Committee in April 2025. This Committee will provide public health advice to my Department, Government, and other key stakeholders, to inform and support the implementation of response actions to a public health emergency. The membership of HTAC is comprised of senior decision makers from my Department, the HSE and external academic experts and is chaired by the Interim Chief Medical Officer, Prof. Mary Horgan.

The Group has met a total of four times to date. Terms of Reference for the Group have been drafted and are scheduled to be formally adopted by the Group at its next meeting.

A key recommendation of the ESG Report is to establish a dedicated evidence synthesis mechanism for pandemic preparedness and response. Further to approval of a proposal by the Health Research Board, my Department agreed at the end of 2025 to support the establishment of an Evidence Synthesis Hub for Health Threats in Ireland, to be housed within Evidence Synthesis Ireland. Funding of €850,000 has been provided by the Department through the HRB for the first year of this initiative, subject to satisfactory reporting against the agreed deliverables. Monitoring and management of the grant to Evidence Synthesis Ireland will be carried out by the HRB. My Department is establishing an Oversight Group, chaired by the Interim CMO, to set overall policy priorities for evidence synthesis needs to support national preparedness and management of health threats and to elicit and prioritise evidence products (and time windows) and provide feedback on completed products.

The establishment of an Evidence Synthesis Hub for Health Threats in Ireland is a significant and critical component of Ireland’s health threat advisory and management structures. At present, the full terms of reference, oversight and governance structures are being developed and it is hoped that the work of the evidence synthesis will build over the course of 2026 as it becomes fully operational, inclusive of appropriate governance, reporting and commissioning structures.

Question No. 561 answered with Question No. 560.
Question No. 562 answered with Question No. 560.

Healthcare Policy

Ceisteanna (563)

Ken O'Flynn

Ceist:

563. Deputy Ken O'Flynn asked the Minister for Health the governance, statutory or administrative basis, and reporting structure of the cross-departmental One Health Oversight Committee established in 2025, including the Departments formally represented and the number of meetings held to date. [15898/26]

Amharc ar fhreagra

Freagraí scríofa

The interdepartmental One Health Oversight Committee has been established under the auspices of the Department of Health, the Department of Agriculture, Food and the Marine, and the Department of Climate, Energy and the Environment.

One Health is an integrated, unifying approach that aims to sustainably balance and optimise the health of people, animals and ecosystems. It inherently recognises that the health of humans, domestic and wild animals, plants, and the wider environment (including ecosystems) are closely linked and interdependent.

The Committee provides leadership by facilitating collaboration among diverse stakeholders to enhance public health intelligence and improve evidence for decision-making. Membership includes senior leaders from various sectors including the Department of Housing, Local Government and Heritage, the Environmental Protection Agency, the National Parks and Wildlife Service, the Health Service Executive, the Food Safety Authority of Ireland, Safefood, Uisce Éireann, academic representation and the Northern Ireland Chief Medical Officer and Chief Veterinary Officer.

The Committee has held nine meetings to date. The Committee is organised and supported in its work by subgroups that focus on specific work streams.

Question No. 564 answered with Question No. 560.

Healthcare Policy

Ceisteanna (565, 566, 567)

Ken O'Flynn

Ceist:

565. Deputy Ken O'Flynn asked the Minister for Health the current stage of development of the National Health Threats Preparedness Plan; including the responsible Division; the anticipated publication date; whether draft Heads have been prepared; and whether the Plan will be placed on a statutory footing. [15900/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

566. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 1121 of 7 February 2026, to list the pandemic preparedness simulation exercises that have taken place since 2022; including the date; organising authority; participating State bodies, whether an after-action report was completed, and whether any such reports were submitted to her Department. [15901/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

567. Deputy Ken O'Flynn asked the Minister for Health the key performance indicators her Department uses to monitor national preparedness for emerging health threats; the date each indicator was first adopted; and the most recent reporting date for each indicator to the Minister. [15902/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 565, 566 and 567 together.

The Department of Health is currently working to develop a National Health Threats Prevention, Preparedness and Response Plan. This Plan will be informed by the Public Health Emergency Preparedness Assessment (PHEPA) ECDC Mission to Ireland in June 2026 and subsequent recommendations for Ireland. PHEPA Missions aim to strengthen prevention, preparedness, and response planning across all Member States in the EU by providing evidence-based recommendations for preparedness.

This work falls under our obligations under the Serious Cross-Border Threats to Health Regulation (2022/2371). The Office of the Chief Medical Officer has responsibility for developing the plan, in consultation with key stakeholders.

As part of its work on health threat preparedness, my Department has participated in a number of Emergency Response Preparedness simulation exercises at a national, all-island, and EU level. The HSE’s Exercise PANDORA, held on 6 March 2025, was a national command post exercise designed to exercise the HSE’s response capabilities to an escalating highly pathogenic avian influenza emergency, informed by the HSE Operational Pandemic Plan (HSE OPP). The aim of the exercise was to assess operationalisation of the HSE OPP.

A report on this exercise was compiled by the HSE and submitted to the Chief Medical Officer in my Department on 21 July 2025. The outcomes of this report are helping to enhance pandemic preparedness both within the HSE and within my Department.

My Department also participated in an EU-level simulation exercise run by DG HERA in 2025 to test preparedness for cross-border health threats, focusing on access to medical countermeasures during an avian influenza scenario. As these simulations were not run by my Department, their publication is a matter for those organisations.

My Department continues to monitor and prepare for emerging cross-border health threats in conjunction with the Health Protection Security Centre of the HSE, the European Commission, the European Centre for Disease Prevention and Control and the World Health Organisation.

Question No. 566 answered with Question No. 565.
Question No. 567 answered with Question No. 565.

Departmental Functions

Ceisteanna (568)

Ken O'Flynn

Ceist:

568. Deputy Ken O'Flynn asked the Minister for Health the governance framework within her Department for oversight of the Public Only Consultant Contract since its introduction in March 2023; including the responsible Division; the senior accountable official, the reporting frequency; and the titles and dates of any oversight reports received by her since that date. [15903/26]

Amharc ar fhreagra

Freagraí scríofa

I thank the Deputy for the question.

Oversight of the Public Only Consultant Contract (POCC) is managed within the National Employee and Industrial Relations Unit of the Department of Health. The Assistant Secretary with responsibility for that Unit, Ms Louise McGirr, is the senior accountable official for this area.

The Department receives monthly updates from the HSE on the operation of the contract. These include the number of new entrant consultants appointed under the POCC and the number of existing consultants who have transferred to the contract. A more detailed report is also provided, setting out uptake by hospital site and by specialty.

In addition, the Minister meets each of the HSE Regions on a biannual basis, during which the implementation of the POCC at hospital level is one of the topics discussed. These engagements provide insight into how the contract is being used to support improved public services and allow progress towards 5/6 and increased evening rostering to be monitored.

I trust this information will be of use to the Deputy.

Departmental Contracts

Ceisteanna (569)

Ken O'Flynn

Ceist:

569. Deputy Ken O'Flynn asked the Minister for Health the key performance indicators and outcome measures used by her Department to assess whether the objectives of the Public Only Consultant Contract are being met; and to provide the baseline date and most recent reporting date for each such indicator. [15904/26]

Amharc ar fhreagra

Freagraí scríofa

The Public Only Consultant Contract is a key step in the move towards universal healthcare with public hospitals exclusively used for the treatment of public patients, in line with Sláintecare vision.

Key performance indicators for POCC include increasing the percentage of consultants rostered for extended hours. Despite the positive take up of the POCC, the benefits are not being realised to the extent that would be expected with regards to evening and weekend rostering. There is work ongoing within the HSE to review consultant rosters and ensure we are maximising the use of the hours in the contract, in order to benefit patient care.

With enhanced onsite presence of senior decision makers at weekends, an increase in weekend discharges rate to same as weekday average is also a key performance indicator with a discharge rate of 17% outlined in the National Service Plan 2026.

Finally a reduction in average length of stay which stood at 4.9 days in October 2025, has also been noted in the National Service Plan for 2026.

I trust this information will be of use to the Deputy.

Departmental Reports

Ceisteanna (570)

Ken O'Flynn

Ceist:

570. Deputy Ken O'Flynn asked the Minister for Health whether her Department has issued any formal reporting requirements, policy directions, or data specifications to the HSE in relation to monitoring consultant working patterns under the Public Only Consultant Contract since March 2023, and to provide the date and title of each such direction. [15905/26]

Amharc ar fhreagra

Freagraí scríofa

I thank the Deputy for the Question.

The Public Only Consultant Contract (POCC) makes provision for consultants to work 8am to 10pm Monday to Friday and 9am to 6pm on Saturdays as part of their core clinical hours. Ahead of the first ministerial conference with all six health regions in September 2025, all sites were required to upload their consultants’ work plans to the Doctors Integrated Management eSystem (DIME) to demonstrate how many were working extended hours in the evenings and weekends. Further, each clinical site is required to outline the nature of the work carried out during these extended hours, such as triage, ward rounds, out patient clinics and theatre hours to name a few.

Due to a number of mitigating factors, we have yet to achieve 100% compliance with this directive but significant progress has been made since September. Consultant workplans remain under review to maximise the benefits of the contract as part of the extended day framework. This framework will enable the Regions to develop extended day plans and rostering of required staff to support and enhance extended services for patients.

I trust this information will be of use to the Deputy.

Departmental Reports

Ceisteanna (571)

Ken O'Flynn

Ceist:

571. Deputy Ken O'Flynn asked the Minister for Health whether her Department has commissioned, received, or reviewed any audit, evaluation, or value-for-money assessment of the Public Only Consultant Contract since its introduction, and if so, to provide the title, authoring body, and completion date of each such assessment. [15906/26]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Policies

Ceisteanna (572)

Ken O'Flynn

Ceist:

572. Deputy Ken O'Flynn asked the Minister for Health what interim monitoring or assurance mechanisms her Department relies upon where complete hospital-group-level reporting of consultant evening, weekend and public holiday hours is not available, and to state the date on which each such mechanism commenced. [15907/26]

Amharc ar fhreagra

Freagraí scríofa

In the absence of incomplete DIME data, I have asked the HSE to respond directly to the Deputy.

Departmental Reports

Ceisteanna (573, 575)

Ken O'Flynn

Ceist:

573. Deputy Ken O'Flynn asked the Minister for Health whether her Department receives, on a scheduled and recurring basis, written reports from the Health Service Executive specifically relating to gender identity services provided to persons under 18 years of age; if so, the frequency of such reports; the categories of data included, including activity levels, waiting list numbers, safeguarding notifications, adverse incidents and clinical outcomes; and if she will make a statement on the matter. [15918/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

575. Deputy Ken O'Flynn asked the Minister for Health whether the Department has established any formal oversight framework, reporting template, performance dashboard, or key performance indicators specific to gender identity services for persons under 18 years of age; and if not, whether she intends to establish such a framework. [15920/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 573 and 575 together.

My Department relies upon the Code of Practice for Governance of State Bodies for governance and safeguarding issues and ensures that all aegis bodies are in compliance with this Code.

Officials in my Department that have oversight of aegis body responsibilities present to the Departmental Corporate Governance Committee on a two-year cycle. This ensures that aegis bodies are reviewed regularly and that my Department holds all aegis bodies accountable to high standards.

As the Deputy will be aware and as set out in the Programme for Government 2025, this Government is committed to ensuring a transgender healthcare service that is based on clinical evidence, respect, inclusiveness and compassion.

It is in this context that my Department has provided funding to the HSE in 2024, 2025 and this year for the establishment and development of the National Clinical Programme for Gender Healthcare. This programme is developing an updated clinical Model of Care with the aim of designing clinical pathways to deliver safe and effective health and social care for those seeking gender affirming healthcare services. This work will also inform an implementation plan for its delivery.

Health Service Executive

Ceisteanna (574)

Ken O'Flynn

Ceist:

574. Deputy Ken O'Flynn asked the Minister for Health whether her Department has required the Health Service Executive to provide any dedicated safeguarding assurance report, audit report, or governance review relating specifically to gender identity services for minors since 1 January 2020; if so, the date of each such report and whether it has been reviewed at Secretary General or Corporate Governance Committee level; and if she will make a statement on the matter. [15919/26]

Amharc ar fhreagra

Freagraí scríofa

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

Question No. 575 answered with Question No. 573.

Departmental Policies

Ceisteanna (576)

Ken O'Flynn

Ceist:

576. Deputy Ken O'Flynn asked the Minister for Health whether her Department maintains a formal monitoring or compliance framework to assess the timeliness and completeness of responses provided by bodies under her aegis to Parliamentary Questions and other formal requests from Members of the Oireachtas; and if so, the nature of that framework and the office responsible for maintaining it. [15921/26]

Amharc ar fhreagra

Freagraí scríofa

Parliamentary questions which are referred to bodies under the aegis of my Department are governed under Dáil standing order 52. Contact details for Oireachtas members queries for all the bodies under the aegis of my Department are available from the Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation.

Healthcare Policy

Ceisteanna (577)

Ken O'Flynn

Ceist:

577. Deputy Ken O'Flynn asked the Minister for Health whether her Department has recorded, since 1 January 2023, any concerns, warnings, or internal assessments regarding the adequacy or timeliness of responses provided by Children’s Health Ireland to Members of the Oireachtas; and if so, the number of such recorded instances and the governance actions taken. [15922/26]

Amharc ar fhreagra

Freagraí scríofa

I am very cognisant of the challenges CHI has faced in recent years and I am actively driving multiple efforts to address these. This includes strengthening governance and oversight, driving down waiting times, and ensuring increased engagement and timely communications with families of patients.

The Service Level Agreement between CHI and the HSE has also been strengthened, and there is increased involvement from the Dublin and Midlands Regional Executive Officer.

In relation to responses provided by CHI to members of the Oireachtas, CHI has advised that in 2024 it answered more than 150 PQs, whilst in 2025, this number was close to 500.

Departmental Reports

Ceisteanna (578)

Ken O'Flynn

Ceist:

578. Deputy Ken O'Flynn asked the Minister for Health whether decisions relating to the publication or non-publication of reports concerning Children’s Health Ireland are recorded in writing within her Department; whether a central register of such decisions is maintained; and the grade or office responsible for oversight of such publication decisions. [15923/26]

Amharc ar fhreagra

Freagraí scríofa

Reports concerning Children's Health Ireland are noted and tracked by the relevant units within my Department. Officials in my Department would have an overview of the status of all relevant reports and whether they have been published or not. Decisions relating to the publication or non-publication of reports are usually made by the Commissioner of the review and should be detailed in the terms of reference of each individual review.

Departmental Reports

Ceisteanna (579, 593, 595)

Ken O'Flynn

Ceist:

579. Deputy Ken O'Flynn asked the Minister for Health whether her Department applies standardised criteria, guidance, or written policy when determining whether reports concerning bodies under her aegis should be published; and if so, to provide the title and date of such policy. [15924/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

593. Deputy Ken O'Flynn asked the Minister for Health the number of External Governance Reviews commenced between 2022 and 2024 that remain open; the average duration of review completion; and whether any review has resulted in referral to internal audit, external audit, or An Garda Síochána. [15985/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

595. Deputy Ken O'Flynn asked the Minister for Health whether summary findings of External Governance Reviews are published; and if not, the reasons for the absence of public transparency in respect of governance findings in publicly funded bodies. [15987/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 579, 593 and 595 together.

I thank the Deputy for his question.

The Code of Practice for the Governance of State Bodies (2016) requires that Government Departments review each State body under their aegis, at least once in every five-year period. As required by the Code, the Periodical Critical Review (PCR) would focus on the ongoing business case for the entity, its performance, its efficiency and effectiveness, and its governance arrangements. The PCR is intended to assess the effectiveness of the organisation in delivering its legal mandate, to evaluate the effectiveness, and the ability of the organisation to meet the challenges posed by the environment within which it operates. The Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation (DPER) ‘Guide to Periodic Critical Review of Non-Commercial Bodies’ was published in September 2020 and lists the primary requirements for a PCR.

A Periodic Critical Review of the Food Safety Authority of Ireland (FSAI) commenced in 2024 and the final report was published on the 8th of May 2025. Following the completion of this review, the Department has scheduled a multi-year programme to conduct similar reviews for nine additional bodies under its aegis between 2026 and 2028. Consistent with the guiding principles for PCRs outlined in Appendix F of the Code of Practice, these reports will be published following completion to maintain transparency.

Health Services Staff

Ceisteanna (580)

Ken O'Flynn

Ceist:

580. Deputy Ken O'Flynn asked the Minister for Health whether her Department has established, approved, or required any national key performance indicators relating to recruitment clearance timelines across the six health regions established under Sláintecare; if not, whether this represents a deliberate policy decision; and the governance rationale for not applying national clearance benchmarks in a devolved regional recruitment structure. [15947/26]

Amharc ar fhreagra

Freagraí scríofa

As this is a recruitment matter we have asked the HSE to respond directly to the Deputy

Ambulance Service

Ceisteanna (581)

Peter 'Chap' Cleere

Ceist:

581. Deputy Peter 'Chap' Cleere asked the Minister for Health the average ambulance response time in County Carlow and County Kilkenny; and if she will make a statement on the matter. [15960/26]

Amharc ar fhreagra

Freagraí scríofa

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

Ambulance Service

Ceisteanna (582)

Peter 'Chap' Cleere

Ceist:

582. Deputy Peter 'Chap' Cleere asked the Minister for Health the number of ambulance bases in Carlow and Kilkenny; the location of each; the permanent number of ambulances assigned to each base; and if she will make a statement on the matter. [15961/26]

Amharc ar fhreagra

Freagraí scríofa

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

Meals-on-Wheels Services

Ceisteanna (583)

John Paul O'Shea

Ceist:

583. Deputy John Paul O'Shea asked the Minister for Health to provide a list of all HSE-funded meals-on-wheels services in Cork; the funding they have received for 2024, 2025 and 2026; and if she will make a statement on the matter. [15963/26]

Amharc ar fhreagra

Freagraí scríofa

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

Public Expenditure Policy

Ceisteanna (584)

Ken O'Flynn

Ceist:

584. Deputy Ken O'Flynn asked the Minister for Health to specify the statutory provision, regulation, circular, or formal policy instrument under which elective procedures without medical indication are authorised within the public hospital system; and to confirm whether any formal legal advice has been obtained by her Department regarding the permissibility of allocating publicly funded hospital resources to such procedures. [15976/26]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Reviews

Ceisteanna (585)

Ken O'Flynn

Ceist:

585. Deputy Ken O'Flynn asked the Minister for Health whether her Department has conducted, commissioned, or received any review assessing whether decisions by the six HSE health regions to authorise elective procedures without medical indication are applied consistently nationwide; and if she will provide details of any such review. [15977/26]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Investigations

Ceisteanna (586)

Ken O'Flynn

Ceist:

586. Deputy Ken O'Flynn asked the Minister for Health whether her Department has conducted any assessment of the impact on waiting lists, theatre utilisation, or paediatric surgical capacity arising from the allocation of theatre time to elective procedures undertaken without medical indication; and if she will publish any such assessment. [15978/26]

Amharc ar fhreagra

Freagraí scríofa

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

Departmental Expenditure

Ceisteanna (587)

Ken O'Flynn

Ceist:

587. Deputy Ken O'Flynn asked the Minister for Health to state under which programme headings, service plans, or budget subheads expenditure on elective procedures undertaken without medical indication is recorded; whether such expenditure is separately identifiable within Departmental or HSE accounts; and if she will make a statement on the matter. [15979/26]

Amharc ar fhreagra

Freagraí scríofa

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

Medical Cards

Ceisteanna (588, 589, 590)

Ken O'Flynn

Ceist:

588. Deputy Ken O'Flynn asked the Minister for Health whether her Department has conducted any internal policy or distributional analysis of the impact of maintaining current medical card income thresholds for persons aged 70 years and over following the 2025 State Pension increase; if so, the date of such analysis; whether the findings were submitted to her for decision; and if she will make a statement on the matter. [15980/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

589. Deputy Ken O'Flynn asked the Minister for Health whether her Department sought advice from the ESRI in relation to the projected distributional impact of increasing medical card income thresholds for persons aged 70 years and over by €10 per week in line with the 2025 State pension increase; whether a policy recommendation was made to her arising from that modelling exercise; and if she will make a statement on the matter. [15981/26]

Amharc ar fhreagra

Ken O'Flynn

Ceist:

590. Deputy Ken O'Flynn asked the Minister for Health whether any consideration was given in Budget 2026 to adjusting medical card income thresholds for persons aged 70 years and over in line with pension increases; whether this option was costed by her Department; and if she will outline the policy rationale for maintaining existing thresholds. [15982/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 588, 589 and 590 together.

Medical Card provision is primarily based on financial assessment. In accordance with the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE, which assesses each application on a qualifying financial threshold. This is the amount of money that an individual can earn a week and still qualify for a card. It is specific to the individual’s own financial circumstances. Persons aged 69 and under are assessed under the general means tested medical card thresholds which are based on an applicant’s household income after tax and the deduction of PRSI and the Universal Social Charge. Certain expenses are also taken into account. Detailed guidelines are available at: [Assessment for a medical card - HSE.ie]. Persons aged 70 or older are assessed under medical card income thresholds which are based on gross income. However, it should be noted that those aged over 70 can also be assessed under the general means tested scheme where there are particularly high medical costs. Details are available at: [Medical card for over 70s]. Every effort is made by the HSE, within the framework of the legislation, to support applicants in applying for a medical card and, in particular, to take full account of the difficult circumstances in the case of applicants who may be in excess of the income guidelines. In such circumstances, the HSE may exercise discretion and grant a medical card, for example:

• Discretionary medical cards issued to patients with significant medical expenses but who do not satisfy the means test.

• Emergency medical cards are issued to patients that are terminally ill, or are seriously ill, and in urgent need of medical care that they cannot afford.

In addition, where a person's sole income is derived from a social protection payment, he/she will be awarded a medical card.

I can assure the Deputy that, in order to ensure the medical card system is responsive and sensitive to people's needs, my Department keeps medical card issues under review and any proposals are considered in the context of any potential broader implications for Government policy, the annual budgetary estimates process and legislative requirements arising.

Question No. 589 answered with Question No. 588.
Question No. 590 answered with Question No. 588.

Medical Cards

Ceisteanna (591)

Ken O'Flynn

Ceist:

591. Deputy Ken O'Flynn asked the Minister for Health whether her Department has assessed the number of persons aged 70 years and over whose income exceeds the Department of Social Protection State Pension by less than €20 per week and who are therefore at potential risk of medical card ineligibility under current thresholds; and if she will make a statement on the matter. [15983/26]

Amharc ar fhreagra

Freagraí scríofa

Medical Card provision is primarily based on financial assessment. In accordance with the Health Act 1970 (as amended), eligibility for a medical card is determined by the HSE, which assesses each application on a qualifying financial threshold. This is the amount of money that an individual can earn a week and still qualify for a card. It is specific to the individual’s own financial circumstances.

Persons aged 69 and under are assessed under the general means tested medical card thresholds which are based on an applicant’s household income after tax and the deduction of PRSI and the Universal Social Charge. Certain expenses are also taken into account. Detailed guidelines are available at: www2.hse.ie/services/schemes-allowances/medical-cards/applying/assessment/.

Persons aged 70 or older are assessed under medical card income thresholds which are based on gross income. However, it should be noted that those aged over 70 can also be assessed under the general means tested scheme where there are particularly high medical costs. Details are available at: www2.hse.ie/services/schemes-allowances/medical-cards/other-types-of-medical-card/over-70s.

Every effort is made by the HSE, within the framework of the legislation, to support applicants in applying for a medical card and, in particular, to take full account of the difficult circumstances in the case of applicants who may be in excess of the income guidelines. In such circumstances, the HSE may exercise discretion and grant a medical card, for example:

• Discretionary medical cards issued to patients with significant medical expenses but who do not satisfy the means test.

• Emergency medical cards are issued to patients that are terminally ill, or are seriously ill, and in urgent need of medical care that they cannot afford.

I can assure the Deputy that, in order to ensure the medical card system is responsive and sensitive to people's needs, my Department keeps medical card issues under review and any proposals are considered in the context of any potential broader implications for Government policy, the annual budgetary estimates process and legislative requirements arising.

Health Services

Ceisteanna (592)

Ken O'Flynn

Ceist:

592. Deputy Ken O'Flynn asked the Minister for Health the number of External Governance Reviews undertaken pursuant to Sections 38 and 39 of the Health Act 2004 between 2022 and 2024 that identified material financial, governance, procurement, safeguarding or internal control deficiencies; the number in each year that resulted in enhanced monitoring arrangements, revised service level agreements, funding conditions or restrictions, recovery of funds, suspension or withholding of payments; and if she will provide a breakdown by category of action taken. [15984/26]

Amharc ar fhreagra

Freagraí scríofa

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

Question No. 593 answered with Question No. 579.
Roinn