IBRC commission and public services
Deputy Adams criticises the Government’s handling of the IBRC commission and asks when legislation will appear, while also raising funding for children with Down syndrome and hospital trolley numbers. The Taoiseach defends the Government’s position and cites increased investment and new emergency-department protocols.
Tá trí cheist agam, ceann amháin faoin IBRC, ceann eile faoi oideachas agus páistí agus an ceann deireanach faoi na seirbhísí sláinte. I, too, was taken by the use of the Taoiseach's word "confidential," particularly given that the morning after our meeting a former member of the Taoiseach's party, trying to make herself relevant, told the world of what had happened at the meeting. I imagine the Taoiseach will reflect and recollect that the meeting was marked by juvenile squabbling between him and the Fianna Fáil leader. It was of the kind that we have become used to seeing here.
Anyway, I will move on to the more important business at hand. It is very clear that the Government has made a mess of this issue of a commission dealing with the IBRC from the very beginning.
Comment on this
It was just a bit of juvenile kneecapping.
Comment on this
It was clear that the Government would not listen to the Opposition and, in particular, that it would not listen to Sinn Féin. In fact, when it got to the point of the terms of reference, we voted against it. I believe that the Government, by its actions, has prevented a full and proper commission of investigation from getting on with its work. I believe the Government has pushed this back to beyond the election. I think perhaps that was the objective all along. Anyway, when does the Taoiseach expect a Bill to be published?
I have some other questions. The Government made clear commitments on promoting the best outcomes for children and families, particularly in respect of investing in early childhood education for disadvantaged children. I imagine all of us would support that objective. In my constituency, representatives of the Louth-Meath branch of Down Syndrome Ireland have just been told that early intervention home teacher programmes for preschool children will no longer be funded.
Comment on this
The point is that 53 Down's syndrome children will be denied what is a very small sum of money, some €25,000. The families raised €50,000 themselves. Does the Taoiseach accept that this is at odds with his commitment? Will he reverse it?
A Cheann Comhairle, you will notice how short I am in my questions. The Government's five-point plan has now been destroyed by the current Minister for Health. Prior to Christmas, he said that there would be and should be no more than 70 patients a day on trolleys. He said he had zero tolerance of patients waiting more than nine hours on trolleys. Yesterday, there were 200 patients on trolleys for longer than nine hours. Today, there are 424 patients on trolleys. Our Lady of Lourdes Hospital in Drogheda, once again, has among the highest numbers. Last year, there were 93,000 patients on trolleys, the highest figure since records began. Does the Taoiseach accept that the Government has created absolute chaos within our hospital system and that there is no stability whatsoever?
Comment on this
Does the Government intend to bring forward a new health policy before this term ends?
Comment on this
In respect of the last question, it is not satisfactory that the numbers are the way they are. They are better than they were last year. Investment is increasing again. We were left with a position in which 2,000 beds were taken out of circulation by the previous Administration. That is not easy to deal with. In so far as that is concerned, I am glad that the INMO and management have agreed on a set of protocols to deal with emergency departments and patients on trolleys. This should show the seriousness of intent of management in making the changes that will allow for better work facilities for nurses, particularly those who work in emergency departments in hospitals throughout the country, including Our Lady of Lourdes Hospital. I hope that the protocol now in place, which is very strict and mandatory in a number of respects when numbers rise in emergency departments, can be implemented in the best interests of every patient who has to go to an emergency department, including those who have to spend time on trolleys.
Deputy Adams will be aware of the increased expenditure of €117 million for the opening of beds that were closed and for the opening of new beds this month. There has been a reduction in the numbers. While still not satisfactory, we need more investment and personnel. Clearly, we can only have those facilities when we have a growing economy that provides the resources to deal with the demand. That means more and better employment and a situation in which work is clearly seen to pay.
I commend all those who spent long hours over the weekend putting together an agreement to a protocol to deal with emergency departments. I hope that can deal with the situation from here on. I hope those in the management measure up to the challenges, which are different in every hospital.
I will come back to Deputy Adams in respect of the question he asked about early childhood.
The Deputy also asked a question in respect of IBRC. Having met the leaders, I wrote to them and said that arising from the discussion I agreed to circulate draft heads of possible legislation to them in January for their views. That is what they have got. I also said, following consultation with the Opposition Members, that one viable approach had been identified. This would be to draft bespoke legislation to provide a new legal basis for the Cregan commission while also amending the terms of reference to provide for a modular and more focused approach. That was certainly one element identified as being possible. The questions raised at our meeting, such as the restoration of Siteserv to the register of companies and the provision of resources, have already been resolved. The discussion paper on the possible heads sets out an approach on these lines for consultation purposes, and some of the risks are identified.
It should be noted that it is still technically possible to consider other options, including amending the Commissions of Investigation Act and referring matters raised in the determinations by the commissions to the High Court to obtain legal clarity in the public interest or the establishment of a tribunal of inquiry. As the Deputy knows, they are pretty serious matters. I wanted to give the leaders of the different groups an opportunity to respond to possible heads of legislation which are identified as one way of dealing with the propositions and requests that Mr. Justice Cregan made. As the Deputy knows, he requested an extension of time to the end of April and, in accordance with the relevant section of the Act, I have granted him that extension.