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Deputy Question Answers FOR ANSWER MAY 2020 Question Office Ref Deputy Question Answers 5.223 Frank Feighan To ask the Minister for Health if frontline workers All employees that are employed directly by the HSE (rehires, students in the HSE who have to stay at home to mind etc) are being employed on the approved salary scale for their grades, elderly parents will get a similar special leave are in receipt of standard terms and conditions of employment and have agreement to be paid at this time just as frontline access to the relevant superannuation scheme. Detailed guidance and workers who have children and have to stay at FAQs have been prepared and circulated by the Department of Public home have as announced this week? Expenditure and Reform in relation to payment for public servants while on special leave in relation to a COVID 19 related absences. As per the DPER FAQ document, where employees are eligible to receive special leave with pay while absent from work due to COVID-19, payment is based on basic salary and fixed allowances only and excludes unsocial hours premium payments. This applies to all public sector employees. A copy of DPERs document is available to view publicly here: https://www.gov.ie/en/news/092fff-update-on-working-arrangements- and-leave-associated-with-covid-19-fo/ 5.224 Frank Feighan To ask the Minister for Health how long the State A major part of the Government's Action Plan in response to Covid-19 will be paying for the use of private hospitals was to substantially increase the capacity of public healthcare facilities to until? The total cost involved? When private cope with the anticipated additional demand. In order to urgently ramp operations for private patients by private up capacity for acute care facilities, an arrangement was agreed with the consultants will be permitted to take place again? private hospitals to use their facilities as part of the public system on a And what is the planned roll back to the old temporary basis, to provide essential services. A Heads of Terms of an system. Agreement between the HSE and the Private Hospitals was agreed at the end of March 2020 and all 18 of the acute private hospitals signed up to it. Under the agreement, the HSE has access to 100% of the capacity of those hospitals and they are linked with the Hospital Group for their region. Consultants who work wholly for the private hospitals have been offered temporary locum public patient only (Type A) contracts for the duration of the arrangement. Under the agreement all patients who are being treated in the hospitals will be treated as public patients and will prioritised based on clinical needs. Provision was made under the FOR ANSWER MAY 2020 agreement to allow for continuity of care for patients who were in a private hospital or attending for treatment at the time the Heads of Terms of the Agreement were agreement, on the grounds that these patients would be treated as public patients. The arrangement with the private hospitals was reviewed at the end of May and the Government decided that the existing arrangement should not be extended beyond the end of June. It has however mandated the HSE to negotiate a new arrangement with private hospitals which would provide the HSE with full access to private hospital capacity in the event of a surge of Covid-19 and separately with ongoing agreed access, to enable the HSE to meet essential and elective care needs. In terms of costs, the HSE’s financial advisers have received information on costs. It includes the management accounts of the hospitals for the 6 months prior to the arrangement and the information as set out in schedule 2 of the Heads of Terms. The information has been verified by a firm of accountants working on behalf of the HSE. On the basis of the information the cost of the arrangement for April was €97.5m As the hospitals are private enterprises, the details of the payments to individual hospitals or groups are regarded as commercially sensitive and therefore in line with the Heads of Terms regarding confidentiality the details will not be published. In the interests of transparency. It is intended to publish summary financial information regarding the arrangement in due course. 5.249 Jack Chambers To ask the Minister for Health why it is hospital As this is an operational matter I have referred it to the HSE for direct policy to refuse to test symptomatic patients who reply. present to Emergency Departments, in the context of the below information. This Contradicts public message about expanding testing capacity and is refusing an important core FOR ANSWER MAY 2020 test for a possible positive case of Covid during a pandemic. 5.296 Brendan Smith To ask the Minister for Health if he will give The Health Protection Surveillance Centre (HPSC) has worked with the urgent consideration to issues raised in dental profession and in particular the Dental Council, as regulator, to correspondence in relation to the provision of provide revised guidance for the profession. The Guidance which issued dental services (details supplied) and if he will on 15 May sets out for the profession how they can resume the provision make a statement on the matter. of routine care in line with Phase 1 of the Government's Plan for the easing of COVID-19 restrictions, from 18 May. It supports the use of the normal PPE used in routine dentistry. A national approach to the supply of Personal Protective Equipment (PPE) for the Public Dental Service of the HSE has been initiated. Dentists contracted by the HSE under the Dental Treatment Services Scheme can apply to the HSE for PPE. Additional PPE, above the normal PPE used in dentistry, may currently be required in certain instances depending on the occupational risk assessment of the dentist. However, the Dental Council is deliberating further on this and definitive clarification is awaited as to if and when such PPE may be required. The relevant legislative amendments to allow for resumption of routine care from 18 May are in place. The Minister met with the Irish Dental Association (IDA) on 8 May and again on 15 May 2020. Officials met with them on 26 May 2020. The Department is continuing to engage with the IDA on a number of issues relating to return to work. The main issues are the provision of PPE, a request for changes to the Dental Treatment Services Scheme (DTSS)and measures to support businesses impacted by Covid-19. The Government has put in place a suite of measures to support small, medium and larger businesses that are negatively impacted by COVID-19 including a Restart grant for which application can be made online to local authorities. The Department of Business, Enterprise and Innovation has published a Return to Work Safely Protocol, which is designed to support employers and workers to put measures in place that will FOR ANSWER MAY 2020 prevent the spread of COVID-19 in the workplace. The Health and Safety Authority also provides information and advice for employers and employees in this regard. A national approach to the supply of Personal Protective Equipment (PPE) for the Public Dental Service of the HSE has been initiated. Dentists contracted by the HSE under the Dental Treatment Services Scheme can apply to the HSE for PPE. Additional PPE, above the normal PPE used in dentistry, may currently be required in certain instances depending on the occupational risk assessment of the dentist. However, the Dental Council is deliberating further on this and definitive clarification is awaited as to if and when such PPE may be required. 5.297 Brendan Smith To ask the Minister for Finance if he will give The Health Protection Surveillance Centre (HPSC) has worked with the urgent consideration to issues raised in dental profession and in particular the Dental Council, as regulator, to correspondence in relation to the provision of provide revised guidance for the profession. The Guidance which issued dental services (details supplied) and if he will on 15 May sets out for the profession how they can resume the provision make a statement on the matter. of routine care in line with Phase 1 of the Government's Plan for the easing of COVID-19 restrictions, from 18 May. It supports the use of the normal PPE used in routine dentistry. A national approach to the supply of Personal Protective Equipment (PPE) for the Public Dental Service of the HSE has been initiated. Dentists contracted by the HSE under the Dental Treatment Services Scheme can apply to the HSE for PPE. Additional PPE, above the normal PPE used in dentistry, may currently be required in certain instances depending on the occupational risk assessment of the dentist. However, the Dental Council is deliberating further on this and definitive clarification is awaited as to if and when such PPE may be required. The relevant legislative amendments to allow for resumption of routine care from 18 May are in place. The Minister met with the Irish Dental Association (IDA) on 8 May and again on 15 May 2020. Officials met with them on 26 May 2020. The Department is continuing to engage with the IDA on a number of issues relating to return to work. The main issues are FOR ANSWER MAY 2020 the provision of PPE, a request for changes to the Dental Treatment Services Scheme (DTSS) and measures to support businesses impacted by Covid-19. The Government has put in place a suite of measures to support small, medium and larger businesses that are negatively impacted by COVID-19 including a Restart grant for which application can be made online to local authorities.
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