Leas Cross nursing home oversight
Kenny challenges the Government over delayed legislation for an independent nursing-home inspectorate and the unpublished O’Neill report into deaths at Leas Cross. The Taoiseach says the Bill’s heads are out for consultation, the inspectorate will be independent of the HSE, and the report remains with the HSE amid legal concerns.
On 30 May last year, the country was astounded to see the "Prime Time Investigates" programme showing disgraceful scenes at the Leas Cross nursing home in Dublin, including patients with appalling bedsores and others abandoned in chairs and suffering abysmal standards of nursing care and inspection. It amounted to a savage assault on their dignity as well as their civil and human rights.
A year and two weeks ago, the Taoiseach stood up in this House and faithfully promised to act with speed on the inspection of nursing homes. That is the standard response from the Government, a reflex action whereby it promises the world and does nothing. The Taoiseach promised specifically that we would have the legislation for an independent nursing home inspectorate by autumn 2005.
However, there is no legislation, and there will be none until 2007. The Taoiseach is running out of time in power. Those who have been betrayed by his Government are also running out of time as they are old. What they do not have is time and confidence in his word. Tomorrow, 15 June, is world Elder Abuse Awareness Day, a time to take cognisance of the problem. As we speak, the Lord Mayor of Dublin, Catherine Byrne, is hosting a reception in the Mansion House to highlight the issue.
When one considers the Government's record in this matter, one sees that there are three questions for the Taoiseach to answer — perhaps I should wait until the Tánaiste has given him her advice. First, why has the legislation not been produced, second, why will the inspectorate not be independent, as the Taoiseach promised on six occasions in this House last year, and, third, where are the reports commissioned into the handling of Leas Cross by the authorities?
Comment on this
Deputy Kenny will remember that it was decided that we should incorporate all the proposed legislative changes into the Health Information and Quality Authority legislation. I have announced many times that the legislation in question is being prepared. The inspectorate will be independent of the HSE, the group that provides the service, and that is one of the key issues.
At present, we are spending €150 million, the highest amount ever spent on the elderly, for whom there has been an unprecedented increase in services. Many of those resources have been put into home care support packages, with €55 million allocated for them in the last budget. They are based on 1,100 pilot home care packages, delivering a wide range of services. We have increased old age pensions, access to medical cards, carer's benefit, care leave, child carer's benefit and the carer's allowance means test threshold. That has all been very helpful. There have been increases in nursing home subventions. All that has gone to help with housing.
It is good that people focus on the elderly, as this Government has, having put enormous resources into building up capacities, capabilities and staffing to help them. The inspectorate is included in the new legislation and it will be independent. The resources are being spent.
Comment on this
The problem is that the Taoiseach promised on six occasions that the inspectorate would be independent, but I understand that the HSE will retain overall authority, meaning that it will not be independent. Why has the legislation not been produced? The Taoiseach stood here over a year ago and said that the legislation would come before the House in autumn 2005, but there has been no sign of it, and neither will there be before 2007. Why has he failed to deliver on a promise that he made to elderly people who do not have time on their side? Second, why has the O'Neill report into 95 deaths at Leas Cross not been published? It has been in Government hands for some time. I see that the Tánaiste is giving the Taoiseach a running commentary. Perhaps she will stand up and answer the question.
Comment on this
There were 95 deaths at Leas Cross and the Taoiseach expressed concern over that report. Why has it not been published? Has there been an explanation for the delay? As I said, tomorrow is world Elder Abuse Awareness Day. To end such abuse and show concern for elderly people, it is about time the Government got at least one fundamental correct. It has promised legislation and failed to introduce it. It has not published a report which has been on its desks for eight or nine months, and the inspectorate that the Taoiseach promised on six occasions last year will not be independent. As someone once said, the older one gets, the less one listens to what people say and the more one watches what they do. In this case, the Taoiseach's Government has failed yet again to address the scandalous abuse of elderly people.
Comment on this
I reject all that. The Government has put in more effort, resources, staff, equipment and services for hospitals, homes and carers than any other Government. The Deputy's contention is simply not correct, and he knows it. The heads of the Bill have been published for consultation. I was pressed in the House that they be put out for consultation, and that has been done. We hope to pass the legislation later this year after it has benefited from the wisdom of the consultation process. The inspectorate is independent of the HSE. Deputy Kenny misunderstands the process. An inspectorate is already in existence while we are in the process of establishing the new inspectorate and putting together legislation with stronger powers.
Comment on this
I am not saying the current inspectorate is ideal. Obviously, we would not be changing it if we thought it was ideal. Nevertheless, an inspectorate exists so it is not the case that no checks are being done.
The Government has not received the O'Neill report, which I understand is with the HSE. Constitutional issues of natural justice have arisen which must go through a very painful legal process before this is dealt with. The central point is that we have put an additional €150 million into services for elderly people this year. Our spending on health care services for elderly people has increased greatly. A total of €150 million is allocated towards improving services for older people, approximately three quarters of which will go towards services in the community, home care packages, primary community care for older people, medical cards, carer's benefit, carer's allowance and carer's leave, and nursing home subventions.