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Seanad
‹ Order of Business

Health service funding and epilepsy care

Summary

Senator O’Brien criticises alleged political interference in hospital capital projects and asks where funding is for epilepsy monitoring, mental-health services and paediatric physiotherapy vacancies; the Chair intervenes over his language.

It gives me no pleasure to have to raise again issues relating to the Minister for Health and how he manages his Department. On a number of occasions, I have raised issues in regard to Beaumont Hospital and Temple Street Children's Hospital and the filling of vacancies for paediatric physiotherapists for children with cystic fibrosis. I listened to Professor Norman Delanty, whom I know, for whom I have great regard and with whom I have done quite a bit of work over the years, on the radio speak about the two epilepsy monitoring units which remain closed in Cork University Hospital and in Beaumont Hospital. More than 200 people are waiting for these units, people who Professor Delanty says could benefit and who are having two to three seizures per week. After a course of monitoring, they could benefit by being seizure free.

The Deputy Leader will agree that these are very urgent issues which need to be dealt with as well as the matter I raised previously in regard to Cúram in Swords in the Minister's consistency where there are no adult mental health services at all. The Minister closed the centre in Swords and moved people into the back of an office where there are no facilities for patients with serious mental health issues.

That is why I was particularly interested in the Minister's interest in two areas which are not even in his constituency, namely, Wexford and Kilkenny. My colleagues in the Dáil got no explanation from the Taoiseach or from the Minister as to why he decided it was appropriate to move Wexford General Hospital and St. Luke's Hospital in Kilkenny up the list. Do not forget that when he expedites these projects, other towns and cities miss out.

I listened with interest to the notice given by Senator Kelly to raise a matter on the Adjournment on services in Roscommon hospital. As we know, Fine Gael promised specifically that there would be no changes in that hospital and, indeed, that it would be upgraded. Why did the Minister for Health deem it necessary to expedite improvements in Wexford General Hospital and St. Luke's Hospital in Kilkenny?

I know why and I think we all know why, to be frank. The Minister for the Environment, Community and Local Government, Deputy Hogan, who is the fixer and the bruiser in the Cabinet lobbied Minister Reilly very heavily and-----

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Paddy Burke An Cathaoirleach Fine Gael

That is very unparliamentary language.

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Is it? I did not see it listed anywhere as unparliamentary language, in fairness. Let us forget about the individual concerned, so. We know why Deputy Hogan was able to announce the improvements in St. Luke's Hospital in Kilkenny before the HSE even knew about them. We know why the Minister for Public Expenditure and Reform, Deputy Howlin, got Wexford bumped up the list before the HSE knew about it.

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This was at a cost, by the way, of an additional €12 million. The HSE had to find the money. Mr. Brian Gilroy had to write to the Minister for Health and point out that if he was to do this work he would need more money and, lo and behold, the Minister found the money. Where is the money for the 200 people with chronic epilepsy who are waiting to be monitored? Where is the money for the adult mental health services across the country, including for Cúram, which I have mentioned in this House and raised directly with the Minister? Where is the money for that?

Deputy Reilly got away with his primary health care centres and we all know that was one of the biggest strokes we have ever seen. Now Deputies Hogan and Howlin have questions to answer. How did they deem it appropriate to announce these two hospital improvements in advance of the HSE board actually approving them? What are they going to say on this? I am sure I will probably get the same answers as those given to my colleagues in the Dáil yesterday, which were flippant, glib and did not address the question.

I ask the Deputy Leader, Senator Bacik, if she is happy with the way Wexford and Kilkenny were bumped up the list. Is she happy with the way the Minister for Health, Deputy Reilly, operates his Department and with the fact that he treats his capital budget like a slush fund? He uses it to give out money to his friends in Cabinet, who then announce improvements to facilities in their own constituencies to the detriment of other people around the country who are waiting.

I would also like an update on the position regarding the epilepsy monitoring units in Cork and Beaumont Hospital. Is the Government going to leave the 200 people with chronic epilepsy with no monitoring services? Is it going to waste money sending them abroad to receive treatment they could receive here in Ireland?

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