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Written Answers 2 July 2019 Written Answers. The following are questions tabled by Members for written response and the ministerial replies as received on the day from the Departments [unrevised]. Questions Nos. 1 to 41, inclusive, postponed. Job Losses 02/07/2019WRA0050042. Deputy Thomas P. Broughan asked the Taoiseach the number of job losses to date in 2019, by county. [26958/19] 02/07/2019WRA00600Minister of State at the Department of the Taoiseach (Deputy Seán Kyne): I am an- swering this question as Minister of State with delegated responsibility for the CSO. Questions on any policy matters arising should be directed to the relevant line Minister. The Labour Force Survey (LFS) is the official source of estimates of employment in the State. However, the LFS only measures the level of employment in the quarter, and not the job losses or job gains which contributed to the change in employment. It is a household survey which provides quarterly statistics on the level of employment and unemployment. Changes in the level of employment, as measured by the LFS, are the outcome of both jobs lost and jobs created over the period in question. The most recent figures available for employment levels are for the first quarter (Q1) of 2019. The quarterly LFS estimates of employment are produced by NUTS-3 Regions (NUTS-3 is a geocode standard referencing the eight subdivisions of Ireland for statistical purposes). Due to the methodology and sample size of the survey it is not possible to produce reliable county estimates from the LFS. The number of persons aged 15 years and over in employment in Q1 2019 was 2,301,900. This was an annual increase of 81,200 or 3.7% since Q1 2018, when there were 2,220,700 per- sons in employment. Employment increased in all eight NUTS-3 regions over the year. The largest rates of increase were recorded in the Mid-East and South-West regions, at 7.4% and 4.2% respectively. The Q1 2019 total of 2,301,900 was a quarterly increase, before seasonal adjustment, of 20,600 persons in employment since quarter four of 2018. There were quarterly increases in all NUTS-3 regions except the South-East and Midland regions, where employment decreased by 200 and 1,400 respectively. These figures are not adjusted for seasonality. 1 Questions - Written Answers Questions Nos. 43 to 54, inclusive, answered orally. Hospital Beds Closures 02/07/2019WRA0080055. Deputy Bríd Smith asked the Minister for Health if his attention has been drawn to the planned closure of beds and units at St. Mary’s Hospital; the rationale for the closure; and if he will make a statement on the matter. [27926/19] 02/07/2019WRA00900Minister of State at the Department of Health (Deputy Jim Daly): St. Mary’s Hospital in the Phoenix Park provides 150 long term residential beds, located across two modern pur- pose-built units. The hospital also provides 75 sub-acute or short stay beds, located separately in the main hospital building which dates back to the 18th century. A recent Health and Safety Assessment identified significant patient and staff safety risk is- sues in the main building and in particular on Elms Ward. The risks identified relate to safety, fire safety management, layout, size, age, fixtures, fittings and lighting. Environmental risks were identified in relation to safe evacuation of patients. Elms Ward was found to have signifi- cant risk to patients and staff due to its uneven floor. To comply with legislative requirements, and in the best interests of patients and staff, the HSE needs to close the ward on a phased basis with effect from 1st July 2019, to be completed by August. This decision was based solely on health and safety concerns, and not as a cost sav- ing measure. There will be some reduction in access to transitional care beds from acute set- tings, however, all patients will remain in the Hospital until their current care is completed. The Department has been assured that all commitments for booked respite care will be honoured and plans are being put in place to that effect. Staff were advised of this decision through consultation with their line management and they will be reassigned within the Hospital. The HSE has advised the Department that signifi- cant capital is required to address the health and safety issues and part of the project develop- ment process will be to examine all options available to provide safe services. The primary focus must be on patients. Engagement with them, their families, staff, union representatives and any other relevant stakeholders is on-going to ensure minimal impact for all concerned during the closure of the ward. [<a href=”https://data.oireachtas.ie/ie/oireachtas/debates/questions/supportingDocumenta- tion/2019-07-03_pq55-02-07-2019_en.docx”>Smith Briefing</a>] Ambulance Service 02/07/2019WRA0100056. Deputy Willie Penrose asked the Minister for Health the status of the community para- medic project; if this has reduced the demand and response time for ambulances in rural areas; and if he will make a statement on the matter. [22795/19] 02/07/2019WRA01100Minister for Health (Deputy Simon Harris): An EU Interreg-funded programme is cur- rently being delivered in the border counties of Ireland, Northern Ireland and west coast of Scotland. The programme aims to assess and treat higher volumes of patients more effectively, both in scheduled and unscheduled care pathways, through improved and reformed service de- livery models, on a cross border basis. The National Ambulance Service is participating in one of the unscheduled care initia- 2 2 July 2019 tives. The initiative, a Community Paramedic pilot programme, involves paramedics treating patients in the community. As such, paramedics are functioning outside their customary emer- gency response and transport roles, in ways that facilitate more appropriate use of emergency care resources and enhance access to healthcare for patients in rural and minor urban areas. Although the project is at a relatively early stage, the data from the pilot sites indicates that over 86% of patients seen by Community Paramedics were not transferred to an acute setting. Thus, benefits have been derived in that patients are treated in the most appropriate setting but also there has been a reduction in secondary patient transfers and reduced ED attendance. It is anticipated that, in time, the availability of a community paramedic model of care could re- duce demand for emergency ambulances and help improve ambulance response times. The pilot project is expected to be completed in September 2020. At that stage the results will be evaluated and used to inform any further rollout of the community paramedic model of care. Of course, this initiative, where the focus is on delivering enhanced patient care in the community, is fully in line with the objectives of Sláintecare. Mental Health Services Provision 02/07/2019WRA0120057. Deputy Thomas P. Broughan asked the Minister for Health the mental health support services he is making available free of charge to families in emergency homeless accommoda- tion; if these are available to all families in hubs and-or hotels and guesthouses; and if he will make a statement on the matter. [21736/19] 02/07/2019WRA01300Minister of State at the Department of Health (Deputy Jim Daly): I would like to assure the Deputy that addressing the health needs of homeless persons and improving their access to healthcare services are a priority for the Department of Health and the HSE. Currently, health services for the homeless population are delivered by multiple providers including Statutory Services, Non-Government Organisations and charitable organisations. In addition to local Community Mental Health Teams and Acute Mental Health Units, HSE Men- tal Health Services have established Specialist Homeless Mental Health Teams, dedicated to meet the mental health needs of people who are homeless. There are two Specialist Homeless Mental Health Teams located in Dublin, one in Cork and a dedicated mental health homeless team is currently being developed in Kerry. The HSE is currently working on a service improvement project which focuses on improv- ing mental health care pathways for people who are homeless. This project will create a stepped model of care to ensure the homeless population in Community Health Organisations 6, 7 and 9 receive timely access and appropriate mental health care which cater for their mental health needs. The model will establish clear mental health care pathways into, and between, primary care, addiction services and specialist mental health services and support mental health staff working within the NGO structures. HSE Homeless Multidisciplinary Teams are established in each Community Health Organi- sation. These teams comprise nurses, social workers, occupational therapists, mental health and addiction workers. These teams ensure that people who are homeless are linked with appropri- ate health and social care services. Counselling is available to homeless persons through a national service, Counselling in Primary Care. Counselling is also available through the HSE Addiction Services and by HSE- funded Non-Government Organisations such as the Dublin Simon Community Sure Steps 3 Questions - Written Answers Counselling service and Merchants Quay Ireland. In 2018, the National Office for Suicide Pre- vention provided additional funding to the Dublin Simon service for a homeless-specific Out- of-Hours Counselling Service. Families in emergency homeless accommodation have access to the all the services men- tioned, in addition to the general mental health services that are available to all citizens. Most people with mental health problems can be treated by their GP, but when necessary, are referred to specialist HSE Mental Health Services. Again, let me assure the Deputy that addressing the matter of persons and families in emer- gency homeless accommodation is priority for the Government and the mental health and well- being of each person is a particular concern for the Department of Health.
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