Written answer
Disabilities Assessments
239. Deputy Gillian Toole asked the Minister for Children, Disability and Equality if the recently revised assessment of need framework limits or reduces access to cognitive assessment for children, including in cases where intellectual disability is not suspected. [31345/26]
Comment on this
240. Deputy Gillian Toole asked the Minister for Children, Disability and Equality the way in which the revised framework ensures that children with uneven developmental profiles, including those who may be gifted or twice exceptional that is, children with both high ability and additional needs such as autism, ADHD, or dyslexia will be appropriately identified within the system. [31346/26]
Comment on this
241. Deputy Gillian Toole asked the Minister for Children, Disability and Equality if her Department has conducted any impact assessment on how the revised model may affect the identification of children whose needs are masked by high cognitive ability or compensatory functioning; the safeguards in place to prevent under-identification of such children, particularly in light of evidence that twice-exceptional children are already under-recognised within Irish education and disability services.; and if she will make a statement on the matter. [31347/26]
Comment on this
242. Deputy Gillian Toole asked the Minister for Children, Disability and Equality if access to cognitive or psychological assessment remains available where there is evidence of significant intra-individual discrepancy, asynchronous development, or unexplained underachievement; the consideration that has been given to the potential for increased reliance on private assessments arising from any restriction in public access to cognitive assessment; and the implications this may have for equity of access. [31348/26]
Comment on this
243. Deputy Gillian Toole asked the Minister for Children, Disability and Equality the training or guidance being provided to assessment officers and multidisciplinary teams to ensure that complex presentations, including masking and twice-exceptionality, are recognised under the revised model. [31349/26]
Comment on this
244. Deputy Gillian Toole asked the Minister for Children, Disability and Equality if her Department intends to review the implementation of the revised assessment of need framework to ensure that no cohort of children is excluded from identification due to the streamlining of assessment processes. [31350/26]
Comment on this
I propose to take Questions Nos. 239, 240, 241, 242, 243 and 244 together.
The proposed improvements to the Assessment of Need (AON) process are designed to clarify processes, support and strengthen decision-making, and ensure greater consistency across HSE regions.
With regard to the wider legislative reforms, Government announced a series of improvements to the Assessment of Need process in December 2025 which will make the process more effective and efficient for children and families. Over time, this should lead to a reduction in the waiting time to receive an assessment. These changes include legislative reform and operational improvements to support the efficiency and effectiveness of the Assessment of Need process.
Under the proposed improvements to the Assessment of Need process there will be no change to a person’s right to apply for an Assessment of Need or to the statutory timeframe for processing an eligible Assessment of Need application, which is 6 months from the date it is received. Nor will there be changes parameters of the definition of disability within the meaning set out in the Disability Act.
It is important to emphasise that children do not require an Assessment of Need to access health services, including Primary Care, Children’s Disability Network Teams (CDNTs) or Mental Health Services, or education supports.
Families who have concerns regarding their child’s health or developmental needs should contact the HSE to access the appropriate services. HSE services work on a needs-led rather than diagnosis-led system and will work with families to develop an appropriate plan and supports for their children. For example, CDNTs follow best clinical practice when working with children and operate under the well-established philosophy of family-centred practice.
The HSE Assessments Officers will continue to have access to appropriate training and supports to ensure consistency, compliance with statutory obligations, and high-quality engagement with children and families. As well as induction and ongoing training, Assessment Officers have structured access to clinical expertise within relevant services such as Children’s Disability Network Teams (CDNTs) and Primary Care. This includes:
• Clinical consultation sessions to support decision making in complex cases.
• Access to discipline-specific clinicians for advice regarding assessment pathways, interpretation of clinical documentation, and onward referrals.
• Escalation routes to senior clinicians or Disability Managers where cases present with atypical or multifaceted needs.
• Peer support and supervision.
For families who have further concerns, the Department has published Frequently Asked Questions on the proposed legislative changes which in addition to the material above may be of assistance. These documents are available on the Department’s website under Publications: www.gov.ie/en/department-of-children-disability-and-equality/publications/from-subject-received-size-categories-aoife-carragher-dcde-fw-dcde-website-aon-1532-1-mb/.
The Department will continue to work with the HSE towards supporting improved and more timely access to quality services and assessments for children and their families.