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Dáil
‹ Order of Business

Programme for Government health commitments

Summary

Micheál Martin sought dates for promised health measures, including a hospital insurance fund, patient safety authority, integrated care agency and stem-cell legislation. The Tánaiste cited Bills in preparation and said all commitments were progressing, prompting a prolonged disagreement over whether the programme was being delivered.

With regard to a number of commitments made under the health section of the programme for Government, could the Tánaiste indicate to me when the hospital insurance fund will be established? When will the legislation for the patient safety authority be brought before us, and when will the authority be established? Regarding the section of the programme for Government dealing with the care of older people and community care, could the Tánaiste indicate when we will see more residential places, home care packages, home help and other professional community care services? We have seen a reduction in such services thus far, not an increase. People are looking for the additional services committed to. When will the integrated care agency be established and when will we see the relevant legislation?

With regard to the area of bio-ethics, could the Tánaiste indicate when he intends to legislate for stem cell research, as committed to? When will he legislate for post mortem procedures and organ retention practices, as recommended in the Madden report? The Government said it would legislate to change the organ donation system to an an opt-out system for organ transplantation rather than an opt-in system? When will this legislation be introduced?

With regard to the wider issue of charities, will the Tánaiste indicate when the Government will commence the charities legislation and establish a regulator under that legislation? The legislation has been passed by the Oireachtas but it has yet to be commenced.

Comment on this

The Deputy asked quite a lot of questions. If he bears with me, I will go through the Bills we intend to publish. The health (general practitioner medical service) Bill is expected this session. The heads of the Health and Social Care Professionals (Amendment) Bill have been approved by the Government. I do not know the date for the publication. The health identifiers Bill will be in 2013. With regard to the Health Information Bill, the Minister for Health will be bringing forward a revised scheme in view of policy developments. The health insurance (amendment) Bill is expected at the end of the year. The Health Service Executive (Financial Matters) Bill is expected this session. With regard to the human tissue Bill, work is ongoing. A public consultation process on the introduction of an opt-out system of consent was launched in July, with a closing date for submissions of 20 September. It is not possible at this stage to give a date for the publication. The draft heads of the licensing of healthcare facilities Bill are being progressed with a view to having a public consultation process shortly. The Medical Practitioners (Amendment) (Medical Indemnity Insurance) Bill is expected this session. I do not have a date for the Medical Practitioners Act 2007 (Amendment) (No. 2) Bill. Work is progressing on the national paediatric hospital development board (amendment) Bill.

On the public health (alcohol) Bill, preparation of the heads was approved by Cabinet on 22 October. I believe that covers all of the issues raised by Deputy Martin.

Comment on this

It does not. The Tánaiste has just re-announced those Bills that are committed but I asked about commitments in the programme for Government, for example, legislation on a hospital insurance fund, a patient safety authority and the provision of more residential places and home care packages through an integrated care agency. These are three specific commitments in the programme for Government, namely a hospital insurance fund, a patient safety authority and an integrated care agency. In the bioethical field, I asked about legislation that the Government committed to on stem cell research and changing the organ donation system to an opt-out regime.

Comment on this

I answered those questions. I will go back to what I said on the opt-out issue.

Comment on this

What about stem cell research?

Comment on this

A human tissue Bill is in preparation and I have already told the Deputy that I am not in a position to give him a-----

Comment on this

That Bill will not deal with stem cell research.

Comment on this

The long-standing practice is that Deputies wait to see a Bill before discussing what it does or does not contain.

Comment on this

It will deal with post mortems.

Comment on this

All of the issues in the programme for Government are being progressed. Some of them will be covered by the legislation to which I have already referred but all of the issues are being progressed by the Minister for Health.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

I now call Deputy Adams.

Comment on this

Fianna Fáil must have a fierce amount of policy work going on.

Comment on this

There is a lot going on.

Comment on this

Some Fianna Fáil Deputies must be preoccupied with policy preparations.

Comment on this

I have simply been reading the programme for Government, that is all.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Allow Deputy Adams, please.

Comment on this

I accept that it is fantasy more than reality. I accept that point.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Would the Deputies mind-----

Comment on this
Bernard Durkan Deputy Bernard J. Durkan Fine Gael

Deputy Martin would know all about fantasy.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Would the Deputies mind if I chaired the session?

Comment on this

The Tánaiste's response illustrates that the programme for Government is fantasy now and not reality.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

If the Deputies do not mind, I would like to continue chairing this session. I ask the Deputies to stay quiet, please. I have called Deputy Adams.

Comment on this

It reads like something from another planet.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

That applies to Deputy Martin. He has had a fair run, at eight minutes.

Comment on this

I apologise, a Cheann Comhairle, but clearly when I read out the programme for Government commitments, it sounded like something from another planet to the Tánaiste.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Deputy Martin has had eight minutes, which is more than adequate.

Comment on this