Order and queue dispute
A prolonged procedural dispute arose over two Deputies both holding number 4 cards and whether Deputy Buckley was in the queue. After repeated interruptions and exchanges about the “numbers,” the Tánaiste eventually answered the substantive question on the parent and student charter, saying the Bill had undergone scrutiny and would be brought forward soon.
Deputy Pat Buckley was not in the queue. Sinn Féin must be printing its own cards.
Comment on this
I could very easily resolve the issue by calling neither Deputy, but I will call both of them and personally carry out an inquiry.
Comment on this
I will allow Deputy Pat Buckley to clarify if he was in the queue.
Comment on this
I thank the Leas-Cheann Comhairle. The programme for Government contains a commitment to increase capacity in primary care services in a shift away from hospitals, as referred to by the Minister of State, Deputy Jim Daly. In recent months there has been a shift towards online consultations with GPs. A review of that practice has been carried out in the United Kingdom. People have been inappropriately prescribed drugs without an adequate history being taken and without a physical examination. Will the Department of Health mirror what is happening in the United Kingdom in that regard? It is a patient safety issue for those who have online consultations and are inappropriately prescribed drugs when they could have a severe medical problem.
Comment on this
The Minister of State, Deputy Jim Daly, has informed me that the Department of Health is aware of what is happening in the United Kingdom in that regard and that it is considering it.
Comment on this
The real No. 4 rises to speak. Page 66 of the programme for Government contains a commitment to conduct an evidence-based expert review of the current status of implementation of international best practice in mental health services in Ireland. The review will also advise on providing further capacity in child and adolescent mental health services, CAMHS. Yesterday I was informed at the Joint Committee on the Future of Mental Health Care that 70 children of schoolgoing age had taken their own lives last year. That number does not include children between the ages of 16 and 18 years who were not in school. CAMHS teams all over Ireland are severely understaffed. It is almost two years since that commitment was given in the programme for Government, but the chronic shortage of staff has not improved and the plan is not working. I ask the Minister to lift the embargo on the recruitment of front-line staff and do whatever is necessary to fully staff CAMHS teams.
Comment on this
Staffing is a continuing challenge. As the Deputy is aware, it is not just about resources; it also about finding skilled and qualified staff. Since 2012 over 2,000 staffing positions have been approved, but to date we have only been able to fill 1,352 of them in mental health services. That is not down to finance but to the availability of staff such as consultant psychiatrists, of whom there is a scarcity worldwide, not just in Ireland. That is the recruitment challenge we face in dealing with the increasing demand for mental health services. As the Deputy is aware, €910 million has been allocated for mental health services, an increase of €200 million in the past five years. Funding has been increased significantly.
Comment on this
I refer to the commitment in the programme for Government to review the school curriculum at primary and second level and the promised legislation on a parents and students charter. There was an interesting debate in the House yesterday evening on relationships and sexuality education, RSE. The Minister for Education and Skills, Deputy Richard Bruton, gave a commitment that the National Council for Curriculum and Assessment, NCCA, would carry out a full review, in particular of RSE and social, personal and health education, SPHE. In view of the pressures on pupils, including mobile phone contact, the Internet, consent, obesity, healthy eating, mental health, relationships and sexuality, I ask the Tánaiste and the Government to give a commitment to the House regarding a date for the review of the primary and second level curriculum, in particular, with a view to placing on a statutory and mandatory basis a badly needed learning for life programme.
It is important to mention that, with other Members, I queued this morning to receive numbers. Deputy Pat Buckley was not in the queue.
Comment on this
It is a disgrace. Deputy Pat Buckley was not in the queue.
Comment on this
He was not seen in the queue anyway.
Comment on this
He is bringing the House into disrepute.
Comment on this
As an aside, the more we talk about the numbers, the more foolish we look to those on the outside.
Comment on this
The Tánaiste should hold on. That is not a matter for me and neither is it a matter for the Tánaiste.
Comment on this
Yes, but it is a matter that was discussed at the Business Committee this morning, and I have every confidence in those who were there and they will look at it again in the near future.