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Tuesday, 19 May 2026

Written Answers Nos. 1305-1317

Health Services

Ceisteanna (1305, 1306, 1310)

Paul Lawless

Ceist:

1305. Deputy Paul Lawless asked the Minister for Health the steps she has taken to address the redundancies at a service (details supplied) in counties Mayo and Galway; the reasons for the withdrawal or loss of Government funding to this organisation; if any transition funding or emergency support was considered to prevent the cessation of services; and the engagement that took place between the Department, the HSE and Helplink prior to the closure. [37913/26]

Amharc ar fhreagra

Paul Lawless

Ceist:

1306. Deputy Paul Lawless asked the Minister for Health the number of clients in Mayo and Galway who were accessing services (details supplied) that will now be transferred to the HSE; the arrangements that have been made for continuity of care for these service users; whether all affected clients have been successfully referred to alternative services; and the estimated waiting times those individuals will now face within HSE services. [37914/26]

Amharc ar fhreagra

Paul Lawless

Ceist:

1310. Deputy Paul Lawless asked the Minister for Health whether an assessment has been carried out on the impact of the Helplink redundancies on rural mental health services in the west of Ireland; and the measures that are being taken to ensure equitable access to mental health care in Mayo and Galway compared with other regions. [37918/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 1305, 1306 and 1310 together.

I acknowledge the valuable work undertaken by community based counselling services across the country, such as Helplink.

Funding to voluntary and community organisations is arranged through the section 39 process via local HSE Mental Health Services, once necessary criteria are met and where a need has been identified. All such organisations must make an application for Section 39 funding, which is then assessed by local HSE Mental Health Services and will be advanced or not depending on a variety of conditions, such as the organisation supplying the required information, local operational and clinical considerations, and HSE budgetary constraints.

In any negotiations between HSE and any charity or organisation, information such as audited accounts, governance arrangements and independent board of directors details are required, so that HSE can undertake necessary due diligence. Local HSE are always available to provide guidance to any organisation on the necessary work to comply with the requirements ahead of consideration of HSE funding of their organisation.

Prior to any funding arrangement, the HSE need full and complete details on the corporate governance of an organisation, such as information on the board responsible for independent oversight of the management of an organisation, along with an organisation's annual financial statements which comply with the most recent statutory deadlines, as well as details of what clinical governance structures are in place.

These are essential and appropriate steps on the road to providing funding to any organisation. The HSE is not in a position to provide funding in the absence of information necessary to provide assurance on corporate and clinical governance. These are the same requirements of all bodies to whom the State provides public funding.

On 19th May I met with Helplink, along with Minister Grealish and my officials, to discuss the situation and various options to support them will be explored. Any HSE funding support could only occur subject to the requirements outlined above.

Question No. 1306 answered with Question No. 1305.

Mental Health Services

Ceisteanna (1307, 1308)

Paul Lawless

Ceist:

1307. Deputy Paul Lawless asked the Minister for Health the current waiting times for primary care psychology and counselling services in Mayo and Galway; the number of individuals currently on waiting lists in these regions; the additional resources that will be provided to the HSE to absorb the increase in demand following redundancies (details supplied); and whether additional staff are being recruited to address this shortfall. [37915/26]

Amharc ar fhreagra

Paul Lawless

Ceist:

1308. Deputy Paul Lawless asked the Minister for Health whether she acknowledges that HSE services are typically limited to short-term interventions, generally between six and 12 sessions; the provisions that exist for individuals requiring long-term or ongoing mental health support; and whether the Department plans to expand access to long-term therapy within public services. [37916/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 1307 and 1308 together.

The National Counselling Service provides free counselling therapy to adults who experienced childhood abuse or neglect, are former residents of a mother and baby home. They also provide counselling to those with medical cards, through the Counselling in Primary Care service (CiPC).

As Minister I announced €2 million in funding in 2025 to provide access to a suite of new talk therapies and counselling supports specifically tailored for men. Access to the services began from September 2025.

This initiative is embedded within Ireland’s approach to mental health policy implementation. Sharing the Vision – A Mental Health Policy for Everyone, and Connecting for Life, Ireland’s national strategy for suicide prevention, clearly state that talk therapies should be considered a first-line treatment option for most people who experience mental health difficulties.

The funding is targeted at assisting with stigma reduction and to actively encourage men who otherwise would not usually avail of counselling to seek help with their mental health, to assist men in accessing mental health services, and to provide much-needed support for men experiencing a mental health crisis.

Data from the HSE indicates that Between October 1st 2025 and March 31st 2026, 2,766 men were referred for counselling with the HSE CIPC service, the majority (89%) referred by their GP. With 1,435 new counselling places were made available to men during this time

In the most recent Budget, funding was provided by myself as Minister for a new talking therapies fund for providing Community Therapy Services.

Outside of mental health services, HSE Primary Care services also provide key mental health supports, including psychology services.

I acknowledge the valuable work undertaken by community based counselling services across the country, such as Helplink.

Funding to voluntary and community organisations is arranged through the section 39 process via local HSE Mental Health Services, once necessary criteria are met and where a need has been identified. All such organisations must make an application for Section 39 funding, which is then assessed by local HSE Mental Health Services and will be advanced or not depending on a variety of conditions, such as the organisation supplying the required information, local operational and clinical considerations, and HSE budgetary constraints.

In any negotiations between HSE and any charity or organisation, information such as audited accounts, governance arrangements and independent board of directors details are required, so that HSE can undertake necessary due diligence. Local HSE are always available to provide guidance to any organisation on the necessary work to comply with the requirements ahead of consideration of HSE funding of their organisation.

Prior to any funding arrangement, the HSE need full and complete details on the corporate governance of an organisation, such as information on the board responsible for independent oversight of the management of an organisation, along with an organisation's annual financial statements which comply with the most recent statutory deadlines, as well as details of what clinical governance structures are in place.

These are essential and appropriate steps on the road to providing funding to any organisation. The HSE is not in a position to provide funding in the absence of information necessary to provide assurance on corporate and clinical governance. These are the same requirements of all bodies to whom the State provides public funding.

On 19th May I met with Helplink, along with Minister Grealish and my officials, to discuss the situation and various options to support them will be explored. Any HSE funding support could only occur subject to the requirements outlined above.

As you have raised operational matters, I have asked the Health Service Executive to respond directly to you as soon as possible.

Question No. 1308 answered with Question No. 1307.

Courts Service

Ceisteanna (1309)

Paul Lawless

Ceist:

1309. Deputy Paul Lawless asked the Minister for Health the supports available for individuals requiring court-related psychological reports or complex case management in Mayo and Galway; whether alternative providers have been identified to replace the role of a service (details supplied) in such cases; and if she will outline any gaps in service provision identified following the redundancies. [37917/26]

Amharc ar fhreagra

Freagraí scríofa

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

Question No. 1310 answered with Question No. 1305.

Mental Health Services

Ceisteanna (1311)

Paul Lawless

Ceist:

1311. Deputy Paul Lawless asked the Minister for Health the current level of HSE funding allocated to community and voluntary mental health organisations in Mayo and Galway; whether she intends to increase sustainable funding for such organisations; and if a review of funding models for community-based mental health services will be undertaken. [37919/26]

Amharc ar fhreagra

Freagraí scríofa

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

Mental Health Services

Ceisteanna (1312)

Paul Lawless

Ceist:

1312. Deputy Paul Lawless asked the Minister for Health the steps being taken to ensure other community mental health services are not forced to close due to funding issues; and whether a national strategy exists to support the long-term sustainability of organisations (details supplied). [37920/26]

Amharc ar fhreagra

Freagraí scríofa

As you may be aware, the Department of Health does not have a mechanism to fund community voluntary organisations that provide a social community service. However, there are several ways in which these organisations can seek funding.

Organisations may apply for section 39 funding to provide mental health services to or on behalf of the HSE at both local and national level, under a variety of supply arrangements. Under Section 39 of the Health Act 2004, the HSE may support any person or body that provides or proposes to provide a service similar or ancillary to a service that the HSE may provide.

All local community organisations seeking funding through the Section 39 scheme administered by local HSE Mental Health Services, must fulfil specific requirements for any potential funding application to be considered.

In any negotiations between HSE and any charity or organisation, information such as audited accounts, annual reports, governance arrangements and board of management details are required, so that HSE can undertake due diligence as part of consideration of any potential funding arrangements. For example, annual financial statements, and information on corporate and clinical governance would be required to be submitted before the HSE could consider any funding application.

The HSE are ready and available to provide guidance on work that any organisation may need to undertake to comply with the requirements of section 39 funding.

As Minister for Mental Health, I work hard each year to increase the amount of funding for counselling, suicide prevention, and other mental health services in our communities. However, the Department of Health and the HSE will always require due diligence and appropriate oversight before funding can be transferred to any organisation.

It remains the case that prior to any funding arrangement, the HSE will need full and complete details on the corporate governance of an organisation, such as information on the board responsible for independent oversight of the management of an organisation; and on what clinical governance structures are in place. This is particularly important for any organisation which would potentially be providing talk therapies to vulnerable people on behalf of the HSE and as a recipient of public funding.

In addition, organisations can apply to HSE Mental Health Services for national lottery grant funding through the relevant local Community Health Organisation.

Pobal also administers a number of funds on behalf of other Departments. Details of these can be found at: www.pobal.ie/

Medical Cards

Ceisteanna (1313)

Catherine Ardagh

Ceist:

1313. Deputy Catherine Ardagh asked the Minister for Health the number of end-of-life medical cards issued, by age group, in each of the years 2024, 2025 to and to date in 2026, in tabular form. [37935/26]

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 (1314)

Catherine Ardagh

Ceist:

1314. Deputy Catherine Ardagh asked the Minister for Health the number of people in Ireland who currently hold a medical card. [37936/26]

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.

Health Strategies

Ceisteanna (1315, 1316, 1317)

Catherine Ardagh

Ceist:

1315. Deputy Catherine Ardagh asked the Minister for Health the annual estimate for funding the National Adult Palliative Care Strategy; and if she will make a statement on the matter. [37937/26]

Amharc ar fhreagra

Catherine Ardagh

Ceist:

1316. Deputy Catherine Ardagh asked the Minister for Health to provide an update on the implementation of the National Adult Palliative Care Strategy to date; and if she will make a statement on the matter. [37938/26]

Amharc ar fhreagra

Catherine Ardagh

Ceist:

1317. Deputy Catherine Ardagh asked the Minister for Health to outline the planned activities for 2026 and 2027 under the National Adult Palliative Care policy; and if she will make a statement on the matter. [37939/26]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 1315 to 1317, inclusive, together.

The National Adult Palliative Care Policy (2024) contains 25 recommendations with 104 corresponding activities to be delivered over seven years. The HSE is the lead for 91 activities while the remaining 13 activities are owned by the Department of Health.

In September 2025, the HSE published the Adult Palliative Care Policy Implementation Plan 2025–2026. It sets out 65 actions to ensure accessible, person-centred palliative care across Ireland. It focuses on delivering the right care, in the right place, at the right time.

The latest Q4 2025 Progress Update continues to be positive. 57 of the 65 HSE owned policy activities within the HSE National Adult Palliative Care Implementation Plan 2025-2026 are either on track or complete. Furthermore, 102 of the 115 deliverables were either on track or complete at end of Quarter 4 2025.

Key achievements so far include:

• Development and roll out of bespoke training programmes to enhance delivery of palliative care by all healthcare professionals working with patients with advanced serious illness.

• Completion of a ‘Discovery Phase’ for a clinical management system for specialist palliative care.

• Strengthened delivery of children’s palliative care by appointing three Regional Consultant Paediatricians with a special interest in Palliative Medicine along with an additional Consultant Paediatrician in Palliative Medicine in Children’s Health Ireland.

• Progressed the development of key specialist palliative care capital developments.

• Construction commenced for a new 16 bed Cavan Hospice.

• Construction commenced in Kerry Hospice to expand by an additional 5 beds in 2026.

• Extension of North West Hospice from 8 to 12 beds.

• Planning permission approved for a new 20 bed Midlands Hospice in Tullamore.

The department fully costed the policy over seven years with an estimated cost of €18.6 million in 2026. It is acknowledged that additional budgetary resources will be required each year to deliver on all the policy actions. These will be considered as part of the overall budgetary and estimates process for 2026.

The Department of Health Adult Palliative Care Policy Oversight Committee oversees the overall implementation of the policy. It reports to me on the progress towards full implementation of the policy.

The Programme for Government is committed to funding the policy. €10 million was allocated in 2025 to progress specific national policy initiatives. The total national palliative care budget last year was over €184 million – a 15% increase on 2024 and a 50% increase on 2020.

Question No. 1316 answered with Question No. 1315.
Question No. 1317 answered with Question No. 1315.
Roinn