I want to put the spotlight on the primary certificate criteria. I understand there have to be criteria but they are very rigid. There are people with profound autism issues and sensory processing difficulties and people who are visually impaired. I dealt with a young gentleman recently who lost his arm as a consequence of a cancer diagnosis. To be refused the primary certificate is quite insulting. I ask for the criteria to be revisited with regard to those who would be eligible, taking into account all of the areas I mentioned.

I acknowledge for particular individuals there is a high threshold or bar for the primary medical certifcate. It can be extraordinarily difficult. I think we all, as constituency TDs, deal with that frequently. I will ask the Minister for Health to respond to the Deputy on the feedback he has given and any changes that will come of it. It is important to have a framework and parameters. I know that can create difficulties for particular individuals but I will ask her to engage and reflect the feedback.