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Da´Il E´Ireann Vol. 600 Wednesday, No. 5 20 April 2005 DI´OSPO´ IREACHTAI´ PARLAIMINTE PARLIAMENTARY DEBATES DA´ IL E´ IREANN TUAIRISC OIFIGIU´ IL—Neamhcheartaithe (OFFICIAL REPORT—Unrevised) Wednesday, 20 April 2005. Leaders’ Questions ………………………………1521 Ceisteanna—Questions Taoiseach …………………………………1534 Request to move Adjournment of Da´il under Standing Order 31 ………………1547 Order of Business ………………………………1548 Garda Sı´ocha´na Bill 2004 [Seanad]: Second Stage (resumed) ………………1553 Ceisteanna—Questions (resumed) Minister for Enterprise, Trade and Employment Priority Questions ……………………………1573 Other Questions ……………………………1585 Adjournment Debate Matters ……………………………1601 Garda Sı´ocha´na Bill 2004 [Seanad]: Second Stage (resumed) ………………1601 Private Members’ Business Social and Affordable Housing: Motion (resumed) …………………1646 Message from Select Committee …………………………1681 Adjournment Debate Irish Blood Transfusion Service …………………………1681 Digital Hub Project ……………………………1683 Job Creation ………………………………1685 Airport Development Projects …………………………1688 Questions: Written Answers ……………………………1693 1521 1522 DA´ IL E´ IREANN Mr. Kenny: ——instead of talking about plans and his vision for the future? He has been eight ———— years at the job and we are still talking about plans. When is he going to take action? De´ Ce´adaoin, 20 Aibrea´n 2005. Wednesday, 20 April 2005. The Taoiseach: I will not go through the numbers. I have already explained how many ———— people go through our accident and emergency units. I am glad Deputy Kenny has distinguished Chuaigh an Ceann Comhairle i gceannas ar between ones that are overcrowded and those 10.30 a.m. that work extremely well. That is the position. As I said previously, the action is that this year ———— alone we have put a substantial part of both the capital and revenue budgets into providing extra Paidir. facilities. Those facilities range from better clean- Prayer. ing to better complex tasks such as MRI scans—— ———— Mr. Broughan: There is no change on the Leaders’ Questions. ground. Mr. Kenny: We know that 33,000 fewer An Ceann Comhairle: Allow the Taoiseach patients went through accident and emergency without interruption. This is Deputy Kenny’s units in 2003 than in 1998. Last week in response question. to a question in the Da´il the Taoiseach admitted that accident and emergency facilities were, in his Mr. Broughan: There have been eight years of words, “not up to scratch”. What is a crisis in the waffle. rest of the country, and what has driven nurses the length and breadth of the country to protest The Taoiseach: ——in Beaumont as part of this outside hospitals during lunch time, is simply “not year’s plan. We are providing acute medical units up to scratch” in the eyes of the Taoiseach. in Tallaght, Beaumont and St. Vincent’s This morning we learned that the situation is Hospitals. This will mean that people who go to much worse. The independent report of the hospital with problems and medical conditions Health and Safety Authority has criticised the such as respiratory illness or diabetes can be level of congestion in accident and emergency assessed and observed without waiting for long units around the country. It says this increases the periods in accident and emergency units. Other risk of injury, infection and violence from frus- hospitals around the country have found that trated patients. There are reports of trolleys, these units work well. Comhairle na nOspide´al chairs and medical equipment being stored in fire has also pointed this out. protected corridors. Some eight of the hospitals inspected since March have been reported to fire Ms Burton: Has the Taoiseach ever visited the officers because exit doors and corridors have accident and emergency unit in the Mater been blocked. Yesterday 283 patients were on Hospital? trolleys in accident and emergency departments and there are serious reports of deep frustration The Taoiseach: In reply to Deputy Kenny, and of anger verging on violence among some these acute medical units have begun. They are patients in some units. positive actions. The Government’s response to this has been to fly a kite about the availability of a hospital at St. An Ceann Comhairle: I ask the Taoiseach to Bricin’s, which will not happen now. There are give way for a second. complaints from nurses of being intimidated by management when highlighting the impossible The Taoiseach: I do not mind, a Ceann Comh- conditions in which they are expected to work. airle. This is the disruption we get every The Ta´naiste has said that the nursing home Wednesday. charges issue is putting patients off moving out of hospitals. An Ceann Comhairle: This is Deputy Kenny’s The Taoiseach has been, or is supposed to have question. He is the only Member entitled to sub- been, in charge for the past eight years. This sit- mit the question. The Taoiseach is entitled to the uation in the fourth richest country in the world courtesy of silence to reply. is unacceptable. Conditions in accident and emer- gency hospitals in some places around the coun- (Interruptions). try are appalling. What does the Taoiseach intend to do about this—— An Ceann Comhairle: If the Deputy does not behave the Chair will take appropriate action. An Ceann Comhairle: The Deputy’s two Allow the Taoiseach continue without minutes have concluded. interruption. 1523 Leaders’ 20 April 2005. Questions 1524 Mr. J. O’Keeffe: If the Taoiseach waffles, the (Interruptions). patients are the people who suffer. An Ceann Comhairle: I ask Deputies Rabbitte The Taoiseach: We are buying beds from the and O’Dea to desist from interrupting. private sector for step-down care for hundreds of patients this year who no longer need to stay in Mr. Rabbitte: If I am a smart ass, the Minister hospital. I assure Deputy Kenny that this is work- is illiterate. ing and has been happening over the past few weeks. People are moving from acute beds into Mr. O’Dea: That is why the Deputy is taken private nursing homes. This is a costly way of nowhere. dealing with it, but the Government is doing it. We are contracting for long-term nursing care Mr. Kenny: I am aware the Minister for beds for many people who need higher level care Defence was flying a phantom last night with St. than would be available in the community. We Bricin’s Hospital, which is not available. are providing special home care packages for 500 people currently awaiting discharge from acute Mr. O’Dea: That is not true. The Deputy hospitals. This will help families and older people should correct himself. in their homes and communities and free up beds. We are ensuring we will be able to get access to An Ceann Comhairle: I ask Deputy O’Dea to general practitioners outside of normal working allow Deputy Kenny to continue without hours so that people do not have to go to accident interruption. and emergency units with normal problems. Mr. J. O’Keeffe: Wee Willie Winkle should go Ms Burton: Is that the doctor-on-call service? back and place his order. The Taoiseach: All of these are not long-term Mr. Kenny: The Taoiseach’s response sets out actions but are under way now. Deputy Kenny the scale of incompetence and devastation. After raised the issue of the Health and Safety Auth- eight years, it has taken an independent report ority’s report which is out today. The authority by the Health and Safety Authority to trigger the has completed its programme of inspections in 11 measures to which he referred. If a major hotel accident and emergency departments. It has had blocked fire escapes and trolleys in its corri- acknowledged that the hospitals are fully engaged dors, there would be calls by Members to close in the process of addressing health and safety in the facility. accident and emergency units. The report also Will the Taoiseach give an assurance that says there should be management changes. There patients attending hospitals in the coming period should be changes in bed practices within will not be in danger given the violence, frus- hospitals. The CEO of the HSA met the chief tration and carry on mentioned in the report? executive of the HSE yesterday. God forbid but if there was a serious accident fol- lowing the Luas derailment earlier, could Mr. Broughan: We need new management in hospitals have coped and implemented the major the Taoiseach’s office. accident and emergency plan? My final three questions relate to the Ta´naiste The Taoiseach: The HSA has indicated that it and Minister for Health and Children’s ten-point is satisfied that the HSE is committed to address- plan. When will the minor injuries units be ing the areas of concern, that it will prioritise the developed and expanded? Where are they? management of health and safety issues and—— When will they open? When will the Government Ms Burton: This is more management waffle provide the MRI scanner at Beaumont Hospital? and jargon. Will it be this year or next year? Will the Taoiseach, for God’s sake, see to it that scandal- The Taoiseach: ——that it will highlight in its ous conditions in toilet units in hospitals are cle- actions the recommendations of the inspectors. aned up once for all? The HSA has secured the commitment of the HSE to examine the health system in the wider An Ceann Comhairle: The Deputy’s time is sense. This follows a meeting that took place concluded. yesterday. Mr. Kenny: I was interrupted. Mr. Rabbitte: Willie beat the Ta´naiste in the punch up—— An Ceann Comhairle: The Deputy had plenty of injury time. Mr. Kenny: The Taoiseach’s reply shows the scale of the appalling lack of competency of this Mr. Kenny: I have evidence from people who Government over the past eight years.
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