685. Deputy Frank O'Rourke asked the Minister for Health the measures being taken to improve screening for arthritis and Down’s arthropathy for children with Down's syndrome; the specialist rheumatology services available following diagnosis; the measures he is taking to address the shortage of paediatric rheumatologists and specialist nurse practitioners nationally and at Our Lady's Children’s Hospital, Crumlin; and if he will make a statement on the matter. [45331/19]

I am aware that there are challenges in meeting the growing demand for paediatric rheumatology services, and that the Health Service Executive is working towards improving access to such services. This is supported by the ongoing implementation of the National Model of Care for Paediatrics and Neonatology, which includes Paediatric Rheumatology.

In relation to current paediatric rheumatology service provision, as this is a service matter, I have asked the Health Service Executive to respond to you directly as soon as possible.