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Dáil
‹ Questions on Promised Legislation

Treatment abroad scheme review

Summary

Micheál Martin pressed for reform of the treatment abroad scheme after an Ombudsman report said it was too complex and stressful for patients. The Tánaiste said the scheme worked well for most patients, but a HSE working group with stakeholders would progress the recommendations.

The recent report of the Ombudsman has concluded that the treatment abroad scheme needs to be revamped, as patients who have tried to access it have found it to be extremely upsetting and stressful. He said it was too complex and needs to be streamlined. I have had to make many representations on behalf of people who need treatment abroad, particularly those with rare conditions or whose consultants determined that a particular treatment was required. The staff in the section are very helpful and co-operative but the policy context has changed. The former Minister, Senator James Reilly, changed the situation whereby patients in public hospitals, who are entitled to treatment as public patients, can be assigned as private patients, but this can be used as a potential bar to a patient accessing treatment abroad later in the treatment process. A restrictive policy context has been brought into the treatment abroad scheme. It was always a basic thing that if a consultant recommended treatment abroad, the patient should get it. Will the Minister indicate that the Government will change direction and make the scheme far more accessible for people who are entitled to it?

Comment on this
Simon Coveney The Tánaiste Fine Gael

The Ombudsman said this scheme was predominantly a good thing and was working well for the vast majority of patients. He did, however, raise concerns, and the HSE will now establish a working group which will include key stakeholders, such as patient advocates, to progress the recommendations in the Ombudsman's report.

Comment on this

Will the Minister not just make a policy change?

Comment on this
Simon Coveney The Tánaiste Fine Gael

The Deputy raised the issue of the Ombudsman's report.

Comment on this

I have been raising it for quite a while and from before it went to the Ombudsman.

Comment on this
Simon Coveney The Tánaiste Fine Gael

The recommendations of the report will be taken on board and there is a working group to ensure that is the case. If the Deputy has a policy question-----

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