Home care support and public health nurses
Deputy Fitzpatrick raised concerns about home care support after hospital discharge and the role of public health nurses. The Minister of State invited details of the individual case, and later explained that 54,000 people are currently receiving home care and that medical-card issues can sometimes be resolved.
At this time of year annually, we go through the process of deciding exactly what funding will be allocated to each hospital based on hospitals’ expected activity levels. An issue that keeps being raised with my constituency office is that of home care support. If an older person goes back to his or her own home after being discharged from hospital, he or she will need help from the public health nurse. The nurse provides the older person with care, dressings and injections and makes referrals to respite and day care services. The nurse does a great deal of work for the older person. However, over-65s must have a medical card to be eligible for public health nurse visits. A 76-year-old man who visits my constituency office is €76 over the limit. He has to pay a private nurse to call to his home twice per week, costing him €120. Will the Taoiseach review the medical card situation? Cases like this one should not be addressed in isolation. The Minister for Health, Deputy Stephen Donnelly, recently stated that he would discharge people from hospital. When people come home, they should be looked after by public health nurses.
Comment on this
I thank the Deputy for his question. I cannot speak to the individual case he mentioned, but if he passes the details to me, we can examine them.
Comment on this
As I stand here today, 54,000 people are receiving home care. Last year, 75,000 people in total received home care. It supported them to be able to live well at home, which is important.
I take on board the Deputy’s point about the public health nurse and the medical card. People not having medical cards is an issue that we encounter at times. Working with the medical card unit, though, many are able to avail of medical cards because of their medical conditions. If the Deputy wishes to send me the details, I will examine them.