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Dáil
‹ Questions on Promised Legislation

Home care package waiting lists

Summary

Deputy John Curran says annual funding for home care is not keeping pace with demand and that many elderly people are waiting after assessment. The Minister for Health says home care hours have increased and a consultation is under way to revise a scheme that is not meeting demand.

Page 54 of the programme for Government commits to increasing on an annual basis the funding for home care packages. Earlier this year I noticed a significant increase in the number of elderly people contacting my office who were concerned that they were on a waiting list for home support. They had been assessed and were then put on a waiting list. I informally mentioned it to the Minister for Health who at the time was surprised that funding issues should arise so early in the year. However, when I delved a bit deeper and got replies from both the Department and the HSE the problem seemed to be as follows. The service plan adopted for this year provides funding for 50,500 people to receive home support. At the end of February this year there were 52,000 people in receipt of home support, with more than 6,000 on a waiting list. It is worth noting that in February 2017 the home support service provided for the needs of more than 51,000 people. The problem seems to be that the figure in the service plan this year of 50,500 is grossly inadequate.

I will make one final point, a Cheann Comhairle, because this is important. I also refer the Taoiseach to the fact that the confidence and supply agreement clearly states that HSE service plans would be based on verifiable and measurable outcomes and projections, which clearly is not the case with these figures.

Comment on this

The reporting structure this year has changed in the presentation of the figures because they have combined home care packages and home care hours. Notwithstanding that, on the substantive issue, 17 million home care hours are being provided. I appreciate that is no good to somebody who is looking for an hour of home care. The hours provided have increased from 16.36 million home care hours last year. The budget is €409 million. We cannot keep up with the demand which is surpassing-----

Comment on this

There are 6,000 people waiting.

Comment on this

Yes. I appreciate and understand that. The only way we can proceed is to look at how we do what we do and look at doing it differently. That is the reason we launched a consultation last October which is due on my desk before the end of this month. We are going to have to revise the home care scheme which is not working as it is, given that we cannot meet the demand that is growing incrementally. Issues arise on two fronts. A total of €409 million is being invested in home care this year. However, we cannot get enough people to work as home helps to deliver the services in many areas. That is the challenge in my area of west Cork; it is not about money. The challenges are multifaceted. We must examine the scheme and we are in the process of doing so. The consultation has closed and has been finalised. As soon as it gets to my desk I will begin the process of revising the scheme and seeking to fix the flaws. It took seven to eight years to address the fair deal scheme and it will take two to three years before we have a system that is fit for purpose.

Comment on this