There are two child and adolescent mental health services, CAMHS, units in Wexford north and south, respectively. Referral rates and acceptance of referrals are very different. CAMHS north with a staffing equivalent of 6.3 whole-time equivalents sees 49% of referrals, while CAMHS south with a staffing rate of 7.3 whole-time equivalents sees 29% of referrals. Both services have only half the complement of staff. GPs tell me that the issue is that CAMHS south does not see ADHD referrals. I do not know what an access 1 diagnosis is but I am reliably informed by GPs that ADHD is an access 1 diagnosis. We are failing these children. GPs are left scratching their heads with nowhere to go and are contacting the staff in CAMHS north to ask what they can do. We are failing our children and a court case is coming. Can we have a solution?

I raise the issue of local improvement schemes. Kerry received €799,000 from the fund this year. It will do approximately 15 roads. However, there are 673 applications as of today to be dealt with. These are public roads that are not taken in charge. At the rate we are going, it will take 30 years to deal with them. These roads are used by households, farmers and service providers, including doctors and nurses. These people pay their motor tax, property tax, income tax, VAT and excise the same as people in Dublin. Counties with fewer applications are getting more when we in Kerry have a Minister - the Minister for Education - from the county. The people of Kerry are entitled to the same quality of roads as the people in Dublin 4. They even provide their own water supply and septic tanks. The people of Kerry are being denied fair play. It will take 30 years to exhaust the list we have.

The local improvement scheme is under the control of the Minister for Rural and Community Development. I think she allocated €12 million or €15 million to local authorities for that scheme in the past couple of days. I know it is a very important scheme for resurfacing and improving laneways across rural Ireland, as is the case in Dublin. It does operate in Dublin. It is open to local authorities to use their own resources from commercial rates, property tax and other sources to invest in local and regional roads.

The VAT rate for the tourism and hospitality sector is due to go up from 9% to 13.5% on 28 February. No decision has been made on extending that. I will be in UHL on Friday. I look forward to the visit and hope the Deputy will be able to accompany me.

I heard it on the grapevine.

My apologies if that was the case because we always tell all Deputies where we are going but sometimes we have to wait until the programme is finalised. I have not yet seen the final programme.

I thank Deputy Verona Murphy for her continued advocacy concerning CAMHS services, particularly in the Wexford area. All aspects of CAMHS will be developed under the forthcoming HSE service plan 2023. The Deputy is correct. There are two CAMHS teams in Wexford. One has a very low waiting list while the other has a higher waiting list. I was able to visit Arden House in Wexford last year.

One of the issues the interim report of the Mental Health Commission showed up was the difference between the number of acceptances in various CAMHS teams around the country. This is an issue we are looking at. Acceptance into CAMHS is always made by a multidisciplinary team and is a clinical decision. According to preliminary evidence I have seen from the various audits that are taking place, over 50% of referrals to CAMHS are ADHD-based. I can talk to the Deputy about this matter afterwards.