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Dáil
‹ Order of Business

Assisted Decision-Making Bill and Fair Deal

Summary

Micheál Martin seeks progress on the Assisted Decision-Making (Capacity) Bill and urgent action on the Fair Deal waiting list. The Taoiseach says committee consideration will begin early in the new year, explains the delay over advance-directive protocols, and reports that extra funding and beds have reduced waiting times.

In the light of last night's "Prime Time" report, will the Taoiseach indicate the status of the Assisted Decision-Making (Capacity) Bill 2013, which went to select committee last December but has not since been progressed? It is a long time in the system at this stage.

Second, will the Taoiseach indicate the status of the review that was to take place of the fair deal scheme? It is unacceptable that nearly 2,000 people are waiting up to 15 weeks for access to eligibility under the scheme. Some families will have to spend up to €10,000 if their loved ones are already in care but do not have eligibility. The situation has got progressively worse in the past 12 months. It is a programme for Government commitment that the fair deal system of financing nursing home care would be reviewed, with a view to developing a secure and equitable system of financing community long-term care which supports older people to stay in their own homes. Four years since the Government gave that written commitment, which provided that investment in the supply of more and better care for older people in the community and in residential settings would be a priority for this Administration, the situation continues to get worse for families of older people. Will the Taoiseach outline where stands that commitment and what additionality has been brought to the public system as a result of actions taken by his Government in this area?

Third, will the Taoiseach outline the status of the proposed integrated care agency? He promised legislation to establish such an agency under the aegis of the Minister for Health.

Comment on this
Enda Kenny The Taoiseach Fine Gael

I will get back to the Deputy on the legislation to introduce the integrated care agency.

Comment on this

I appreciate that, but it is frustrating that this so often is the response in regard to legislation on health matters.

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Kathleen Funchion Deputy Kathleen Lynch

This from the man who did not read the report.

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Seán Barrett An Ceann Comhairle Fine Gael

The Taoiseach, without interruption.

Comment on this
Enda Kenny The Taoiseach Fine Gael

Committee Stage of the Assisted Decision-Making (Capacity) Bill 2013 will be taken early in the new year. The reason for the delay is that the advanced directive protocols, for which we are waiting 20 years, had to be written.

The fair deal review is under way. In addition to the normal allocation of 515 beds per month, an extra 1,000 have been released. The waiting list is down from 18 weeks to 11 as a consequence of the extra money allocated in the budget for 2015, which is currently being spent.

Comment on this

There should be no waiting list.

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Enda Kenny The Taoiseach Fine Gael

That extra €25 million means better home care packages, enhanced care packages and so on. The review of the fair deal scheme will be brought to the Minister's attention as soon as it is concluded. As I said, 1,000 extra beds have been released in addition to the normal 515. The waiting list, I understand, is up as far as 4 December.

Comment on this

It is not good enough.

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