We use Google Analytics to see which pages are read and how the site is used, so we know what to improve. This only runs if you accept. See our privacy notice for details.

Dáil
‹ Order of Business

Health reform Bill publication

Summary

Micheál Martin presses the Taoiseach on the promised health reform Bill and dissolution of the HSE, arguing its removal from the legislative programme breaches the programme for government. The Taoiseach gives no publication date and points to other health reforms and the Government’s wider legislative record.

It would appear from the schedule of legislation published today that the Minister for Health, Deputy Varadkar, has won the day. The Government promised in January last to introduce the health reform Bill, whose stated aim was "to put in place the new structures for the health service as set out in Future Care and the disestablishment of the HSE". According to the new schedule, however, the Government intends to introduce only the health (general practitioner service) (No. 2) Bill and the health insurance (amendment) Bill. Where stands the health reform Bill and when can we expect it to be published?

In addition, the programme for Government promises the introduction of at least nine pieces of legislation in the area of health to underpin the introduction of universal health insurance. This legislation was meant to be introduced during the lifetime of this Government. Perhaps the Taoiseach would indicate when the universal primary care Bill will be published. On universal health insurance, the programme for Government states that the legislative basis for universal health insurance will be established by the universal health insurance legislation. When can we expect that legislation to be published?

When can we expect the patient safety authority legislation to come before the House? The Taoiseach might also indicate when the legislation to give public hospitals autonomy from the HSE will be brought before the House. When will the legislation to give the HSE function of purchasing power for uninsured patients to a hospital care purchase agency and the establishment of that agency be brought before the House? A treatment purchase fund to purchase care for the uninsured over the transition period is to be established. When will the relevant legislation come before the House? According to the programme for Government, an integrated care agency is to be established. Perhaps the Taoiseach will indicate when the necessary legislation in that regard will be introduced. It is three and a half years or more since this Government was formed. All of the aforementioned legislation was promised in the programme for Government. I have asked the Taoiseach about it on previous occasions. I would appreciate if he could give me a precise answer now in regard to whether we can expect publication of this legislation during this session or beyond that, as promised by the Government.

In addition, when can we expect the establishment of the commission of inquiry following the publication of the Guerin report? It is four months since the Taoiseach committed in the House to such a commission to deal with the serious allegations made in that report, which also recommended the establishment of a commission of inquiry to specifically deal with those allegations. The Taoiseach committed in the House to doing that. For some reason unknown to most people, that has not happened. I would appreciate some clarity in that regard.

Comment on this
Enda Kenny The Taoiseach Fine Gael

On the latter matter, the Minister for Justice and Equality, when ready, will bring proposals to Cabinet in respect of the terms of reference for the commission of investigation arising out of the Guerin report. A number of difficult cases were brought to my attention, some of them by the Deputy in this House, as well as others that were sent directly to GSOC and others by the Justice for All group. These have been assessed in respect of the work that may have been carried out on them and the difficulties associated with them. That work is ongoing. The Minister is anxious that there be an analysis of those cases before the making of a decision on the terms of reference for the commission of investigation. The Government has no intention of holding that up unduly. It is important to get it right, because it is a sensitive matter. The Deputy will also be aware that there is a High Court case pending in respect of a number of the findings of the Guerin report.

The Deputy also asked about ten questions regarding the health area.

The A list is the indicative list of Bills we expect to be published this session. In 2015 there will be two legislative sessions which will deal with a raft of other legislation.

Comment on this

What about the health reform Bill?

Comment on this
Enda Kenny The Taoiseach Fine Gael

I have pointed out to Deputy Gerry Adams the steps that need to be and are being taken by the Minister for Health-----

Comment on this

The health reform Bill provides for the dissolution of the HSE.

Comment on this
Enda Kenny The Taoiseach Fine Gael

-----in the setting up of universal health insurance. These are important steps.

The Deputy asked me about ten questions.

Comment on this

What about the health reform Bill?

Comment on this
Enda Kenny The Taoiseach Fine Gael

I will respond to the Deputy on each point made and get it right.

As indicated by the Minister of State, Deputy Paul Kehoe, in the three and a half years since the Government – the Fine Gael-Labour Party Government – was appointed, it has published 191 Bills.

Comment on this

Answer the question, for God's sake.

Comment on this
Enda Kenny The Taoiseach Fine Gael

It has enacted 170.

Comment on this

I have asked about promised legislation that the Government has not published.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Hold on one minute; we will get to it.

Comment on this
Enda Kenny The Taoiseach Fine Gael

In the three and a half years the Fianna Fáil Government had after 2007, it published fewer than 150 Bills and passed just over 120.

Comment on this

What about the health reform Bill?

Comment on this
Enda Kenny The Taoiseach Fine Gael

There has been a raft of difficult and complex legislation. The Minister for Health has set out a number of Bills to be dealt with and published in this session.

Comment on this
Enda Kenny The Taoiseach Fine Gael

The Deputy should note that there are a number of other areas in which a great deal of work has occurred on Bills that are not on the A list, some of which may come through also. For now, however, the A list represents a clear statement by the Government of the Bills to be published this session, before the end of the year.

Comment on this

This is very serious because it concerns the programme for Government. Should it not be scrapped? It is fantasy. The Government is treating the public and the Dáil with contempt. None of this is going to happen. The Minister, Deputy Leo Varadkar, has said it is not going to happen.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Will the Deputy, please, resume his seat?

Comment on this

The Department of Health officials said it was not going to happen. I have spent 12 months asking the Taoiseach about each of these Bills, but he keeps on talking nonsense and avoiding answering the questions. It is fantasy.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

I ask the Deputy to, please, resume his seat.

Comment on this

A more honest approach would be to withdraw the part of the programme for Government on health, as there is no substance to it.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

The Deputy has had his say.

Comment on this

The Taoiseach should be honest with the people. It is a fantasy. In January he said he would deal with the health reform Bill. It is now September.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

I ask the Deputy to, please, respect the chair.

Comment on this
Enda Kenny The Taoiseach Fine Gael

In July we published a revised statement for the remaining period of the Government.

Comment on this

It is a joke. That is why the Minister, Deputy Leo Varadkar, said what he said.

Comment on this
Enda Kenny The Taoiseach Fine Gael

There are 94 issues therein that have now been-----

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

We will deal with all of that later.

Comment on this