Page 54 of the programme for Government deals with the delivery of home care packages and primary care in the community. Could the Minister for Health carry out a root and branch check and an audit of the service being provided by the HSE between service providers and the end user? Currently, there is a major disconnect and people who have been approved for home care packages are not getting them. I have a number of such cases. For example, a severely disabled woman in a wheelchair has not been showered for 19 days. The service provider has changed and there has been no follow up or continuity of service. This is a major problem across the board and it is unfair on the people who have been approved for these packages and who need them to be delivered. My understanding is there is no follow up to see if the service that has been approved is being delivered, and if the end user is happy with the service and is getting the service that is paid for by the State. Will the Taoiseach or the Minister come back to me on this?

I will have the Deputy's question referred to the Minister for Health. This is a matter of management and monitoring. When approval is given for a home care package, it should be followed through. Clearly, it should not be approved in the first place if it cannot be delivered. There is little point in having people under the assumption that they will get a service through a home care package if there are no resources there to meet it. The number of home care packages has improved significantly. I will have the Minister respond through management of the HSE as to what the situation is in the area the Deputy is talking about.