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Vol. 628 Wednesday, No. 4 29 November 2006 DI´OSPO´ IREACHTAI´ PARLAIMINTE PARLIAMENTARY DEBATES DA´ IL E´ IREANN TUAIRISC OIFIGIU´ IL—Neamhcheartaithe (OFFICIAL REPORT—Unrevised) Wednesday, 29 November 2006. Leaders’ Questions ………………………………1213 Requests to move Adjournment of Da´il under Standing Order 31 ………………1228 Order of Business ………………………………1230 Supplementary Estimates 2006: Leave to Introduce ……………………………1250 Referral to Select Committee …………………………1251 Electoral (Amendment) Bill 2006: Report Stage (resumed) and Final Stage …………1252 Message from Select Committee …………………………1268 Health (Nursing Homes) (Amendment) Bill 2006: Report Stage (resumed) …………1268 Ceisteanna—Questions (resumed) Minister for Agriculture Priority Questions ……………………………1272 Other Questions ……………………………1286 Adjournment Debate Matters ……………………………1299 Garda Reform: Statements ……………………………1300 Private Members’ Business Noise Bill 2006: Second Stage (resumed) ……………………………1355 Referral to Select Committee …………………………1380 Adjournment Debate Hospital Services ………………………………1380 Health Service Charges ……………………………1383 Job Losses …………………………………1386 Traffic Management ……………………………1389 Questions: Written Answers ……………………………1393 1213 1214 DA´ IL E´ IREANN for neurosurgery treatment what his Government has done in the past ten years to deal with this ———— problem. De´ Ce´adaoin, 29 Samhain 2006. The Ta´naiste: It is obvious the Deputy got out Wednesday, 29 November 2006. on the wrong side of the bed this morning. ———— (Interruptions). Chuaigh an Ceann Comhairle i gceannas ar An Ceann Comhairle: The Ta´naiste without 10.30 a.m. interruption. ———— The Ta´naiste: Investment in our health services has risen to more than \12.75 billion in 2006. Paidir. Ireland’s public spending on health has grown at Prayer one of the highest rates in the OECD in recent years. Irish spending on health has gone from ———— 15% below the OECD average in 1997, when the Deputies opposite were in power, to 17% above Leaders’ Questions. the OECD average in 2003. This is notwithstand- Mr. Kenny: Today the PPARS scandal is run- ing the fact that Ireland has a younger age struc- ning at \186 million and counting. This \186 mil- ture than many other countries. lion is a spectacular achievement of waste by any With respect to human resources, 120,000 standard but we should not be too surprised. The people work full time or part-time in our public Progressive Democrats, after all, is the party that health service. Between 1997 and the end of last gets things done. We should look at a few things September, there was an increase of 33,672 staff it has not done. I refer to neurosurgery where the or almost 50% in whole-time equivalent terms. computers used to guide brain operations keep Latest figures show 44.9% more medical and den- crashing and where for lack of money the equip- tal personnel in the health service, 27.6% or 7,500 ment has not been replaced for years. It is a case more nurses in the health service, 30% or 7,727 of PPARS, \186 million, neurosurgery, nil. We more health and social care professionals. are talking about men and women with bleeds to the brain, brain tumours, aneurysms, brain injury Mr. McCormack: They are working under following accidents, severely debilitating diseases great strain. such as Parkinson’s disease. Ireland is the only country in Europe that does The Ta´naiste: The number of approved con- not provide brain stimulation for people living sultant posts has increased by 720 or 56% in the with Parkinson’s. Seconds count in all of these period since the Deputy was in office and today. conditions. General practitioners will say it is not It should be noted that this Government has just access to neurosurgery and neurology provided the health service with record resources. services that are years too late and often do not exist at all. The GP in County Wexford was Mr. J. O’Keeffe: Record bad results. promised an appointment in three weeks for a woman with epilepsy but was still waiting after The Ta´naiste: This Government also intro- three years. It is not just the patients and their duced the National Treatment Purchase Fund families who are at breaking point; it is the state which has been an outstanding success. People of neurosurgery itself which is now catastrophic. may criticise one area of the health service or Mr. Chris Pidgeon says the service is on the another but the record shows that Ireland as a verge of collapse, that there is a shortage of con- society has gone from a situation which in 1997, sultants, a shortage of beds and that crucial when Fine Gael, Labour and the Democratic Left equipment is out of date and regularly breaks were in office, spent 15% below the OECD aver- down. He believes the state of neurosurgery is age on health, to the point where we now spend worse now than it was 30 years ago. In September considerably above it. This shows the extent of 2005, there were 426 people waiting for surgery the commitment of this Government—— in Beaumont Hospital, more than half of that number had waited for a year. I remind the Mr. Broughan: The Ta´naiste should answer Ta´naiste of the promise to end waiting lists in two Deputy Kenny’s question. years. I ask the Ta´naiste to inform the House — on second thoughts, I ask the Ta´naiste not to tell An Ceann Comhairle: Allow the Ta´naiste with- the Da´il because he treats this House with out interruption. derision and contempt anyway; he should tell the camera because he loves the camera. He should, The Ta´naiste: —— to improving our health through the camera lens, tell the people waiting system. 1215 Leaders’ 29 November 2006. Questions 1216 [The Ta´naiste.] Mr. Kenny: I give the Ta´naiste two out of ten We have introduced the medical card for for that answer. I asked him about neurosurgery people over the age of 70 years and we have but not once did he mention the word. His answer also introduced—— was about as lethal as the picture of the Minister for Defence sitting on the edge of a helicopter A Deputy: The Ta´naiste was against it. that appeared in this morning’s newspapers. It is a good job the helicopter did not take off. The Ta´naiste: ——GP visit cards and 200,000 extra GP visit cards are now available. Mr. O’Dea: The Deputy should stick to the script and not let his mind wander. Mr. Stagg: Nobody got them. Mr. Hayes: Deputy O’Dea should stick to the The Ta´naiste: All the recent accident and Sunday Independent. emergency figures show conclusively that there are improvements right across the service on a Mr. Kenny: The Ta´naiste speaks of others as daily basis. The health service is rapidly becoming being handcuffed to mediocrity. The answer he one of the most effective health services in the has just given is appalling in respect of the 425 European Union. people waiting for brain surgery and treatment in Beaumont Hospital. (Interruptions). Mr. Crawford: Those people do not matter. An Ceann Comhairle: Allow the Ta´naiste with- out interruption. Deputy Kenny was allowed Mr. Kenny: The Ta´naiste has not dealt through make his contribution in silence. The Ta´naiste is his camera with the person from Wexford who entitled to the same courtesy when he is making was to be given an appointment within three a reply. weeks but was not given it within three years. The Ta´naiste has not referred to the five HSE reports Mr. Hayes: He is not allowed ramble on. which speak of severe deficiencies in the equip- ment to deal with neurosurgical treatments. He Mr. Stagg: He should be reminded of the bluffed about HSE numbers and the numbers in question. the health system. Two years ago Professor Drumm told my parliamentary party that of the The Ta´naiste: I understand a complaint was 125,000 health service employees, 3,500 did not recently made to the Ceann Comhairle that I know what their jobs or functions were yet they gave out about people asking questions and then were to be paid for life. Yet through the camera trying to shout me down. It happens constantly in the Ta´naiste has told me that 425 people must this House. Deputy Stagg and others are prac- listen to that rubbish he gave out. The HSE is titioners of the business of asking a question and bulging with well-intentioned career people who then shouting the respondent down. are staggering through the halls of inefficiency, bureaucracy and red tape. Mr. Stagg: The Minister is wasting time as well The Ta´naiste was so clear in his response when as money. he took a page from a departmental file about the dismissal of Mr. Frank Connolly. He said he Mr. Allen: The Minister is like a dumb needed to speak to the public about an issue of microphone. public importance. A Deputy: The Minister is like Brendan Grace. An Ceann Comhairle: The Deputy’s time has concluded. He is moving onto another question The Ta´naiste: I regret such tactics. and he should only ask one topical question. Mr. Crawford: The Ta´naiste is good at it Mr. Kenny: This is an issue of public import- himself. ance and the Ta´naiste did not refer to it once in his reply. The Ta´naiste: It demeans the Irish Parliament. I think the Opposition is making a collective dis- Mr. Quinn: He does not know the answer. grace of itself and if it does not want to hear the answers I will not go any further. Mr. Kenny: The Progressive Democrats styles itself as the party that gets things done.