Committee Reports > List of Committees > Joint > 2006 > Committee on Health and Children > Annual Report of the Joint Committee on Health and Children, 2005

TITHE AN OIREACHTAIS

An Comhchoiste um Shláinte agus Leanaí

TUARASCÁIL BHLIANTÚIL 2005

agus

CLÁR OIBRE 2006

Feabhra 2006

HOUSES OF THE OIREACHTAS

Joint Committee on Health and Children

ANNUAL REPORT 2005

and

WORK PROGRAMME 2006

February 2006

Table of Contents

1. Content and Format of Report

This report has been prepared pursuant to Standing Order 84 (3), (4), (5) and (6) (Dáil Éireann) and Standing Order 69 (3), (4), (5) and (6) (Seanad Éireann) which provide for the Joint Committee to-

• undertake a review of its procedure and its role generally
• prepare an annual work programme
• lay minutes of its proceedings before both Houses
• make an annual report to both Houses .

At its meeting on 20^th January 2005 , the Joint Committee agreed that all these items should be included in this annual report.

2. Functions and Powers

The Dáil Select Committee was established by Order of Dáil Éireann of 16 October 2002 to consider Bills, Estimates for Public Services and the terms of any international agreement involving a charge on public funds which come within the aegis of the Department of Health and Children.

The Dáil Select Committee under the same Order was enjoined with a Select Committee of Seanad Éireann, established by Order of Seanad Éireann of 17 October 2002, to form the Joint Committee on Health and Children. Among the principal functions of the Joint Committee are to consider –

• public affairs administered by the Department of Health and Children;
• matters of policy for which the Minister for Health and Children is responsible;
• legislative and expenditure proposals of the Department;
• scrutiny of EU legislative proposals;
• certain matters relating to bodies under the aegis of the Department of Health & Children.

The Orders of Reference of the Dáil Select Committee and the Joint Committee are set out at Appendix 1.

3.Chairman, Vice-Chairman, Convenors and Membership

Deputy John Moloney was elected as Chairman of the Joint Committee on 17^th November 2004. Deputy Jimmy Devins was elected as Vice-Chairman of the Joint Committee on Health & Children on the same day. The Chairman of the Joint Committee is also Chairman of the Dáil Select Committee.

Deputies Charlie O'Connor and Fergal Browne are the Convenors of the Committee whose function it is to ensure the availability and attendance of Members or their substitutes for meetings of the Committee and, in particular, to ensure Members' availability for divisions.

The Members of the Joint Committee are set out at Appendix 2.

4.Establishment of Sub-Committees.

Standing Order 81(3) (Dáil) and Standing Order 65(3) (Seanad) confer on Committees the power to appoint sub-Committees and to refer to such sub-Committees any matter covered by its orders of reference and to delegate any of its powers to such sub-Committees, including power to report directly to the Dáil and Seanad.

The Joint Committee agreed at its meeting on 3rd of March 2005 to create a sub-Committee to Review the Public Orthodontics Services. It was also agreed that the Sub-Committee would consist of 6 Members (4 from the Dáil and 2 from the Seanad). The Orders of Reference of the sub-Committee are set out in Appendix 3. The Members of the sub-Committee are set out in Appendix 4 . The sub Committee elected Fiona O' Malley TD as Chairperson.

The sub Committee produced a Report on the issue that was laid before both Houses on the 15^th of June.

The Joint Committee agreed at its meeting on 29^th of September 2005 to create a sub-Committee to consider The High Levels of Suicide in Irish Society. It was also agreed that the Sub-Committee would consist of 6 Members (4 from the Dáil and 2 from the Seanad). The Orders of Reference of the sub-Committee are set out in Appendix 5 . The Members of the sub-Committee are set out in Appendix 6. At its first meeting on the 4^th of October 2005, the sub Committee elected John Moloney TD as the Chairman.

5.Meetings, Attendance and Recording

Meetings of the Joint Committee, Select Committee and sub-Committee took place in the Committee rooms in Leinster House 2000. Meetings were in public unless otherwise ordered by the Committee.

Televised coverage of public meetings of the Committee were broadcast live within the Leinster House complex and was available for subsequent public broadcasting by RTE and TV3.

An Official Report (Parliamentary Debates) of the public meetings of the Committees is published and may be purchased from the Government Publications Sales Office, Sun Alliance House, Molesworth Street, Dublin 2. The Official Reports may also be viewed on the Houses of the Oireachtas website at www.irlgov.ie/oireachtas.

Copies of other reports published by the Joint Committee may be obtained from the Clerk, Joint Committee on Health and Children, Kildare House, Kildare Street, Dublin 2. A list of these reports is set out at paragraph 9.

6. Number and Duration of Meetings

The Joint Committee met on 41 occasions in the year under report. The number of hours discussion involved in these meetings was in excess of 96 hours. The date and subject matter of each meeting is set out in paragraph 7 below and at Appendix 7.

The Dáil Select Committee met on 2 occasions in the year under report and the number of hours discussion involved in these meetings was in excess of 4 hours. The date and subject matter of each meeting is set out in paragraph 7 below and at Appendix 8.

The Sub-Committee on The Review of the Public Orthodontics Services met on 4 occasions during the year and the number of hours discussion involved in these meetings was in excess of 4 hours. The date and subject matter of the meetings is set out in paragraph 7 below and at Appendix 9.

The Sub-Committee on The High Level of Suicide in Irish Society met on 8 occasions during the year and the number of hours discussion involved in this meeting was in excess of 16 hours. The date and subject matter of the meetings is set out in paragraph 7 below and at Appendix 10.

Minutes of proceedings of the Joint Committee in public session are attached at Appendix 11.

Minutes of proceedings of the Sub-Committee on the Review of Public Orthodontics Service, in public session are attached at Appendix 12.

Minutes of proceedings of the Sub-Committee on The High Levels of Suicide in Irish society, in public session are attached at Appendix 13.

7.Work of the Committee

7.1 Joint Committee

On the 41 occasions the Joint Committee met, it dealt with the following matters:

• Presentation by AWARE and Schizophrenia Society of Ireland on Mental Health Issues.
• Discussions with An Tánaiste and Minister for Health and Children on important priority issues.
• Presentation by the National Disability Authority on the issues raised in its report ‘Towards Best Practice in the Provision of Health Services for People with Disabilities in Ireland.
• Discussions regarding the “Report on Certain Issues of Management and Administration in the Department of Health and Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.
• Presentation by Medical Professionals opposed to the Hanley Report.
• Progress Reports on the Health Service Executive (HSE) with Professor Brendan Drumm, C.E.O. and Mr Kevin Kelly, acting C.E.O.
• Discussions with BUPA, VHI, VIVAS and the Health Insurance Authority regarding Risk Equalisation in the Irish Health Insurance Market.
• Presentation by Consultant Rheumatologists and Arthritis Ireland on the present and future needs of Rheumatology Services.
• Consideration of Amendments to Health Insurance Regulations.
• Discussions with the Disability Federation of Ireland and the Irish Wheelchair Association regarding the mainstreaming of disability related Community Employment Schemes.
• Discussions with Rural Resettlement Ireland Ltd on the Safe Driving Pledge.
• Discussions with representative groups on the needs of Women's Support Services.
• Tanaiste and Minister for Health & Children to discuss the updated position on Priority Issues.
• Report of the Commission on Assisted Human Reproduction..
• Discussion with The Cystic Fibrosis Association of Ireland regarding the Health Service Needs of people with Cystic Fibrosis.
• Discussion with the National Women's Council of Ireland (NWCI) on their recent Report entitled ‘An Accessible Childcare Model.
• Discussion with the Crisis Pregnancy Agency on Sexual Awareness Issues.
• Briefing by Mr Eamon Corcoran, Principal Officer at the Department of Health and Children, on the World Health Organisation Framework Convention on Tobacco Control.
• Discussion on issues relating to MRSA with ‘MRSA and Families’ and Officials from the Department of Health and Children.

A copy of the Joint Committee's work programme for 2006 is at Appendix 14.

7.2 Dáil Select Committee

On the 2 occasions the Dáil Select Committee met, it dealt with the following matters:

• Consideration of the 2005 Revised Estimates for the Department of Health and Children and the Health Service Executive (HSE)
• Health and Social Care Professionals Bill, 2004

7.3 The Sub-Committee on The Review of the Public Orthodontics Service.

On the 4 occasions that it met, the Sub-Committee on The Review of the Public Orthodontics met in private sessions to discuss Orthodontic Treatment, Training needs and funding for specialist training places.

7.4 Sub-Committee on The High Level of Suicide in Irish Society.

On the 8 occasions that it met, the sub-Committee on The High Level of Suicide in Irish Society discussed with various experts the (underlying) issues relating to the high level of suicide in Irish society.

8.Groups and Individuals attending before the Committee(s)

In the year under report, the Joint Committee met with the following organisations, groups and individuals:

8.1 Joint Committee on Health and Children

• Ms Mary Harney, T.D. , An Tániste and Minister for Health and Children;
• Department of Health & Children officials;
• Ms. Julie Healy, National Support Group Co-ordinator;
• Ms. Sandra Hogan, Public Relations Officer of AWARE;
• Ms. Iris Elliott, Senior Policy and Public Affairs Adviser;
• Ms. Marion Wilkinson, Policy and Public Affairs Adviser;
• Mr. Eric Koorneef, Senior Standards Officer, National Disability Authority;
• Ms. Anne Winslow , Director of Services, The Wheelchair Association;
• Mr. John Dolan, Chief Executive Officer, Disability Federation of Ireland;
• Mr. Allen Dunne, Senior Executive Officer, Disability Federation of Ireland;
• Dr. Tom Nolan, General Practitioner;
• Mr. Peadar McMahon, Hospital Employee;
• Mr. Peadar McNamara, Ennis Hospital Action Group Committee;
• Ms. Marie O'Connor, Public Health Researcher;
• Dr. John Barton, Portincula Hospital, Galway;
• Mr. John Travers, author of the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters;
• Mr. Kevin Kelly, acting CEO, Health services executive (HSE);
• Mr. Pat McLoughlin, Southern Regional Health Authority;
• Minister Ivor Callely;
• Minister Tim O'Malley;
• Mr Michael Kelly, Former Secretary General of Dept. of Health and Children;
• Minister Michéal Martin;
• Ms. Deirdre Gilhane, a former Special Adviser in the Department of Health & Children;
• Mr. Christy Mannion, a former Special Adviser in the Department of Health & Children;
• Mr. Dermot Smyth, Assistant Secretary, Department of Health and Children;
• Mr. Charlie Hardy, Principal Officer, Department of Health and Children;
• Mr. Eamon Corcoran, Principal Officer, Department of Health and Children;
• Ms. Teresa Hynes, Assistant Principal Officer, Department of Health and Children;
• Ms. Roisin Heuston, Higher Executive Officer, Department of Health and Children;
• Mr. Martin O'Rourke, Managing Director, BUPA Ireland;
• Mr. Niall Devereux, Director of Finance and Development, BUPA Ireland;
• Mr. Sean L. Murray, Director of Marketing; BUPA Ireland;
• Ms. Ann Broekhoven, Director of Health Services Contracting, BUPA Ireland;
• Ms. Annie O'Donnell, Director of Sales and Operations, BUPA Ireland;
• Dr. Muiris MacCeathaigh, IPA Consultant;
• Mr. Frank Littleton, IPA Consultant;
• Mr. Philip Byrne, IPA Consultant;
• Professor Barry Bresnihan, Chairman, Arthritis Ireland;
• Dr Robert Coughlan, Consultant Rheumatologist, Merlin Park Hospital Galway;
• Dr Michael Molloy, Consultant Rheumatologist, University College Hospital, Cork;
• Dr Gaye Cunanne, Consultant Rheumatologist, St James's Hospital, Dublin;
• Professor Oliver Fitzgerald, Consultant Rheumatologist, St Vincent's Hospital, Dublin;
• Ms Mary Healy, Chairperson, Mayo Branch of Arthritis Ireland;
• Ms Patricia Minnock, Chairperson, Irish Rheumatology Health Professionals Society and Advanced Nurse Practitioner in Rheumatology;
• Dr. Paul O'Connell, Consultant Rheumatologist, Beaumount Hospital and Chairman of the Irish Society of Rheumatology;
• Professor Alastair Woods, First Emeritus Professor of Mathematics, DCU and Chair of the HIA;
• Mr. Michael Corbett, Regional Support Officer, Disability Federation of Ireland;
• Mr. Michael Doyle, Regional Manager, Irish Wheelchair Association;
• Mr. Hugh Farrell, Regional Manager, Irish Wheelchair Association;
• Ms. Helen Martyn, Regional Manager, Irish Wheelchair Association;
• Rural Resettlement Ireland Ltd;
• Bishop Willie Walsh, Diocese of Killaloe;
• Dr. Mark De Langey, Consultant in Rehabilitation Medicine, National Rehabilitation Hospital, Dun Laoghaire;
• Mr. John Flanagan, Director of Driving Course for Transition Year Students;
• Ms. Patricia Lynch, Director/Secretary, National Driving Standards Limited;
• Mr. Pat Cribben, CEO, Rural Resettlement Ireland Ltd;
• Mr. Jim Connolly, Chairman, Rural Resettlement Ireland Limited;
• Ms. Bernadette Byrne, Assistant Manager, Mayo Women's Support Services;
• Ms. Ruth MacNeely, Co-ordinator, Mayo Rape Crisis Centre;
• Ms. Fiona Neary, Director, Rape Crisis Network;
• Ms. Sharon O'Halloran, Director, National Network of Women's Refuges and Support Services;
• Mr. Brian Mullen, Principal Officer, Department of Health & Children;
• Mr. Peter Hanrahan, Assistant Principal Officer, Department of Health & Children;
• Professor Dervilla Donnelly, Chairperson, Commission on Assisted Human Reproduction;
• Professor Andrew Greene, Director, National Centre for Medical Genetics Crumlin, Dublin, Commission on Assisted Human Reproduction;
• Professor Marina Lynch, Dept of Physilogy, T.C.D., Commission on Assisted Human Reproduction;
• Dr. Deirdre Madden, Dept. Health & Children and Lecturer, Law Dept, U.C.C., Commission on Assisted Human Reproduction;
• Dr. Miriam McCarthy, Senior Medical Advisor, Dept of Health, social Services & Public Safety, Northern Ireland, Commission on Assisted Human Reproduction;
• Mr. Peter Hanrahan, Secretary to the Commission / Dept. of Health and Children, Secretary to the Commission on AHR;
• Mr. Vincent Sheridan, Chief Executive Officer, VHI Health Care;
• Dr. Bernadette Carr, Medical Director, VHI Health Care;
• Mr. Willie Shannon, Finance Director, VHI Health Care;
• Mr. Declan Moran, Director of Marketing & Business Development ,VHI Health Care;
• Mr. Godfrey Fletcher, CEO, Cystic Fibrosis Association of Ireland;
• Ms. Mary Lane-Henneghan, Chairperson, Cystic Fibrosis Association of Ireland;
• Mr. Carl Rainey, Vice-Chairperson, Cystic Fibrosis Association of Ireland;
• Dr. Charles Gallagher, Chairman of the Medical & Scientific Council, Cystic Fibrosis Association of Ireland;
• Mr. Rory Tallon, NEC Member, Cystic Fibrosis Association of Ireland;
• Mr. Oliver Tattan, Chief Executive Officer, VIVAS Health;
• Ms. Maria-Teresa Kelly Oroz, Head of Legal Regulatory, VIVAS Health;
• Mr. Stephen Loughman, Finance Director, VIVAS Health;
• Dr. Joanna McMinn, Director, National Women's Council of Ireland;
• Ms. Claire Dunne, Policy and Outreach Facilitator, National Women's Council of Ireland;
• Ms. Orla O'Connor, Head of Policy, National Women's Council of Ireland;
• Ms. Olive Braiden, Chairwomen, Crisis Pregnancy Agency;
• Ms. Caroline Spillane, acting Director, Crisis Pregnancy Agency;
• Mr Eamon Corcoran, Principal Officer at the Department of Health and Children;
• Ms. Margaret Dawson, MRSA and Families;
• Ms Noeleen Friel, MRSA and Families;
• Mr. Tony Kavanagh, MRSA and Families;
• Dr. Ronan Fawsitt, MRSA and Families;
• Theresa Graham, MRSA and Families;
• Dr. Jim Kiely, Chief Medical Officer, Department of Health and Children;
• Mr. Brian Mullen, Principal Officer, Department of Health and Children;
• Ms. Dympna Butler, Principal Officer, Department of Health and Children;
• Dr. Kevin Kelleher, Assistant National Director, Population Health Directorate, Health Services Executive;
• Dr. Mary Hynes, Assistant National Director, National Hospitals Office, Health Services Executive;
• Dr. Robert Cunny, Health Protection Surveillance Centre, Health Services Executive;
• Prof. Brendan Drumm, C.E.O., Health Services Executive;
• Mr. Pat McLoughlin, Director of the Nationals Hospitals Office, Health Services Executive;
• Mr. Aidan Browns, Director of Primary Community and Continuing Care Directorate, Health Services Executive;
• Mr. Alex Connolly, Communications Unit, Health Services Executive;
• Mr. Dara Purcell, Office of the Chief Officer, Health Services Executive;

8.2 Sub-Committee on The High level of Suicide in Irish Society.

The Sub-Committee on The High level of Suicide in Irish Society met with the following organisations and individuals:

• Professor Kevin Malone UCD, Scientific Director of the 3Ts, St Vincent's Hospital & UCD Turning The Tide of Suicide in Ireland.
• Dr Declan Bedford, Alcohol Action Limited.
• Dr Conor Farren, Consultant Psychiatrist, St Patrick's Hospital.
• Ms Marion Rickard, Chairperson, Alcohol Action Limited.
• Ms Norah Gibbons, Director of Advocacy, Barnardos.
• Ms. Bairbre NicAongusa, Mental Health Division on Suicide, Department of Health & Children.
• Mr. Jeff Day, Head of National Office on Suicide Prevention, Health Services Executive.
• Dr Ella Arensman, Director of Research, National Suicide Research Foundation.
• Mr Derek Chambers, Researcher, Health Services Executive.
• Mr. Gerry Hickey, Counsellor/Psycgotherapist, Mr Gerry Hickey Group.
• Ms. Dorothy Peel, Mr Gerry Hickey Group.
• Mr. Pat Bowe, Mr Gerry Hickey Group.
• Dr. Patrick Andrews, Mr Gerry Hickey Group.
• Mr Michael Egan, Living Links.
• Mr. Fran Gleeson, Regional Co-Ordinator, Aware.
• Ms Sandra Hogan, Public Relations Officer, Aware.
• Prof. Eadbhard O'Callaghan, Speaking on ‘Detect’ Program.
• Ms. Josephine Quinlan, Counsellor, Console.
• Ms. Siobhan McArdle, Counsellor, Console.
• Mr. Liam Sheridan, Counsellor, Console.
• Mr.Gareth O'Callaghan, Console.
• Mr. Andrew Garvey, Console.
• Professor Carol Fitzpatrick, Mater Child Guidance Clinic.
• Dr Nollaig Byrne, Clinical Director, Mater Child and Adolescent Mental Health Service.
• Dr Ann Hope, National Alcohol Policy Adviser, Department of Health & Children.
• Mr Shay McGovern, Assistant Principal, Department of Health & Children.
• Mr Paul Corcoran, Senior Statistician / Deputy Director, National Suicide Research Foundation.
• Ms Carmel McAuliffe, Research Psychologist / Project Co-ordinator of the Parasuicide Intervention Study, National Suicide Research Foundation.
• Ms Eileen Williamson, Programme Manager, National Suicide Research Foundation.
• Mr Sean McCarthy, Regional Suicide Resource Officer, Suicide Resource Officer.
• Dr. Siobhán Barry MD, Consultant.

9. 9.1 Joint Committee Reports.

During the year under report, the Joint Committee published the following reports:

• 03 Interim Report on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters, March 2005.
• 04 Review of Public Orthodontics Services, June 2005.
• 05 Report on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters, June 2005 Travers Final Report.
• 06 Report on a Visit to an In-vitro Fertilisation Clinic, Bologna, Italy, 28-30 July 2005.
• EU Scrutiny Report COM (2004) 650, Report No. 8

Proposal for a Directive of the European Parliament and of the Council amending Directive 95/2/EC on food additives other than colours and sweeteners and Directive 94/35/EC on sweeteners for use in foodstuffs.



• EU Scrutiny Report COM (2004)607 Report No. 9

Proposal for a Directive of the European Parliament and of the Council amending Directive 2003/88/EC concerning certain aspects of the organisation of working time.



• EU Scrutiny Report on COM (2005) 338, 340; 341; 344; 346. Report No. 10. November 2005.

COM (2005) 338: Proposal for a Council Decision authorising the placing on the market of foods and food ingredients derived from genetically modified maize line MON 863 as novel foods or novel food ingredients under Regulation (EC) No. 258/07 of the European Parliament and of the Council.

COM (2005) 340: Proposal for a Council Decision authorising the placing on the market of rye bread with added phytosterols/phytostanols as novel foods or novel food ingredients under Regulation (EC No. 258/97 of the European Parliament and of the Council.

COM (2005) 341: Proposal for a Council Decision authorising the placing on the market of sausages with added phytosterols/phytostanols as novel foods or novel food ingredients under Regulation (EC) No. 258/97.

COM (2005) 344: Proposal for a Concil Decision authorising the placing on the market of rye bread with added phytosterols/phy7tostanols as Novel foods or novel food ingredients under Regulation(EC) No. 258/97

COM (2005) 346: Proposal for a Council decision authorising the placing on the market of foods and food ingredients produced from genetically modified roundup Ready maize line G21

• EU Scrutiny Report on COM (2005) 469, Report No. 11 November 2005

Proposal for Council Decision authorizing the placing on the market of food containing, consisting of, or produced from genetically modified maize line 1507 under Regulation (EC) No. 1829/2003 of the European Parliament and of the Council.

9.2. Work in Progress

Sub-Committee on ‘The High Level of Suicide in Irish Society’

Report of ‘The Commission on Assisted Human Reproduction’.

10. Travel.

The Joint Committee undertook the following travel in accordance with its Orders of Reference in connection with its work programme.

1. Purpose of travel: To attend a conference dealing with the issue of Suicide Prevention and Awareness.

Date and Destination: 18^th to the 19^th February. Leitrim.




Members travelling: Deputies John Moloney, Dan Neville and Jimmy Devins.



2. Purpose of travel: To Visit an Invitro-Fertilisation Clinic, Bologna, Italy.

Date and Destination: 28^th to the 30^th July 2005. Bologna, Italy.




Members travelling: : Deputies John Moloney, Charlie O'Connor, Liam Twomey and Senators Geraldine Feeney, and Mary Henry.



3. Purpose of travel: to attend The 10^th Annual Conference of The Irish Association of Suicidology.

Date and Destination: 5^th to the 7^th October 2005. Armagh.




Members travelling: Deputies Dan Neville and Jimmy Devins



4. Purpose of travel: Fact-finding Mission to examine the Public Health care system in Paris, France.

Date and Destination: 29^th November to 1^st of December 2005. Paris France.




Members travelling: Deputies Liz Mc Manus and Liam Twomey and Senator Camillus Gylnn.



5. Purpose of travel: Fact finding mission to review the Primary Health Care system in Barccelona and to visit the Invitro-Fertilisation Clinic with a view to examine proposed E.U. regulations regarding Assisted Human Reproduction.

Date and Destination: 28^th November to 1^st December.

Members travelling: Deputies Jimmy Devins and Fiona O'Malley and Senator Mary Henry.

11. Functions and Powers

The Joint Committee is currently satisfied with its present procedures and role.

John Moloney, T.D.

Chairman,

January 2005.

APPENDIX 1

Orders of Reference

Dáil Éireann on 16 October 2002 ordered:

1. 1. That a Select Committee, which shall be called the Select Committee on Health and Children consisting of 11 members of Dáil Éireann (of whom 4 shall constitute a quorum), be appointed to consider -
      
      1. such Bills the statute law in respect of which is dealt with by the Department of Health and Children;
      2. such Estimates for Public Services within the aegis of the Department of Health and Children; and
      3. such proposals contained in any motion, including any motion within the meaning of Standing Order 157 concerning the approval by the Dáil of international agreements involving a charge on public funds,

      as shall be referred to it by Dáil Éireann from time to time.

      
      
   2. For the purpose of its consideration of Bills and proposals under paragraphs (1)(a)(i) and (1)(a)(iii), the Select Committee shall have the powers defined in Standing Order 81(1), (2) and (3).
   3. For the avoidance of doubt, by virtue of his or her ex officio membership of the Select Committee in accordance with Standing Order 90(1), the Minister for Health and Children (or a Minister or Minister of State nominated in his or her stead) shall be entitled to vote.
2. 1. The Select Committee shall be joined with a Select Committee to be appointed by Seanad Éireann to form the Joint Committee on Health and Children to consider -
      
      1. such public affairs administered by the Department of Health and Children as it may select, including, in respect of Government policy, bodies under the aegis of that Department;
      2. such matters of policy for which the Minister for Health and Children is officially responsible as it may select;
      3. such related policy issues as it may select concerning bodies which are partly or wholly funded by the State or which are established or appointed by Members of the Government or by the Oireachtas;
      4. such Statutory Instruments made by the Minister for Health and Children and laid before both Houses of the Oireachtas as it may select;
      5. such proposals for EU legislation and related policy issues as may be referred to it from time to time, in accordance with Standing Order 81(4);
      6. the strategy statement laid before each House of the Oireachtas by the Minister for Health and Children pursuant to section 5(2) of the Public Service Management Act, 1997, and the Joint Committee shall be so authorised for the purposes of section 10 of that Act;
      7. such annual reports or annual reports and accounts, required by law and laid before either or both Houses of the Oireachtas, of bodies specified in paragraphs 2(a)(i) and (iii), and the overall operational results, statements of strategy and corporate plans of these bodies, as it may select;

      Provided that the Joint Committee shall not, at any time, consider any matter relating to such a body which is, which has been, or which is, at that time, proposed to be considered by the Committee of Public Accounts pursuant to the Orders of Reference of that Committee and/or the Comptroller and Auditor General (Amendment) Act, 1993;

      
      

      Provided further that the Joint Committee shall refrain from inquiring into in public session, or publishing confidential information regarding, any such matter if so requested either by the body or by the Minister for Health and Children; and

      
      
      8. such other matters as may be jointly referred to it from time to time by both Houses of the Oireachtas,

      and shall report thereon to both Houses of the Oireachtas.

      
      
   2. The quorum of the Joint Committee shall be five, of whom at least one shall be a member of Dáil Éireann and one a member of Seanad Éireann.
   3. The Joint Committee shall have the powers defined in Standing Order 81(1) to (9) inclusive.
      
      1. The Chairman of the Joint Committee, who shall be a member of Dáil Éireann, shall also be Chairman of the Select Committee.”.

Seanad Éireann on 17 October 2002 ordered:

1. 1. That a Select Committee consisting of 4 members of Seanad Éireann shall be appointed to be joined with a Select Committee of Dáil Éireann to form the Joint Committee on Health and Children to consider –
      
      1. such public affairs administered by the Department of Health and Children as it may select, including, in respect of Government policy, bodies under the aegis of that Department;
      2. such matters of policy for which the Minister for Health and Children is officially responsible as it may select;
      3. such related policy issues as it may select concerning bodies which are partly or wholly funded by the State or which are established or appointed by Members of the Government or by the Oireachtas;
      4. such Statutory Instruments made by the Minister for Health and Children and laid before both Houses of the Oireachtas as it may select;
      5. such proposals for EU legislation and related policy issues as may be referred to it from time to time, in accordance with Standing Order 65(4);
      6. the strategy statement laid before each House of the Oireachtas by the Minister for Health and Children pursuant to section 5(2) of the Public Service Management Act, 1997, and the Joint Committee shall be so authorised for the purposes of section 10 of that Act;

      such annual reports or annual reports and accounts, required by law and laid before both Houses of the Oireachtas, of bodies specified in paragraphs 1(a)(i) and (iii), and the overall operational results, statements of strategy and corporate plans of these bodies as it may select provided that the Joint Committee shall not, at any time, consider any matter relating to such a body which is, which has been, or which is, at that time, proposed to be considered by the Committee of Public Accounts pursuant to the Orders of Reference of that Committee and/or the Comptroller and Auditor General (Amendment) Act, 1993;

      
      
      7. Provided further that the Joint Committee shall refrain from inquiring into in public session, or publishing confidential information regarding, any such matter if so requested either by the body or by the Minister for Health and Children;

      And such other matters as may be jointly referred to it from time to time by both Houses of the Oireachtas,

      
      

      and shall report thereon to both Houses of the Oireachtas.

      
      
   2. The quorum of the Joint Committee shall be five, of whom at least one shall be a member of Dáil Éireann and one a member of Seanad Éireann.
   3. The Joint Committee shall have the powers defined in Standing Order 65(1) to (9) inclusive.
2. The Chairman of the Joint Committee shall be a member of Dáil Éireann.”.

APPENDIX 2

Members of the Joint Committee on Health and Children

APPENDIX 3

Joint Committee on Health and Children.

Amended Order establishing Sub-Committee on The Review of the Public Orthodontics Services.

Ordered as amended on 17 December:-

“That-

1. Sub-Committee (to be called the Sub-Committee on Orthodontics) be established to consider such matters as it may think fit arising from a series of meetings held by the Joint Committee on Health and Children on the issue of Orthodontics and to report to the Joint Committee thereon.
2. the Sub-Committee shall consist of 6 members of whom 4 shall be Members of Dáil Éireann and 2 shall be members of Seanad Éireann;
3. the quorom of the Sub-Committee shall be four, of whom 1 at least shall be a member of Dáil Éireann and 1 a member of Seanad Éireann; the quorom shall be present for all meetings of the Sub-Committee;
4. (i) in the event of a member of the Sub-Committee being absent from any meeting or part thereof where evidence is heard, which is

controversial on the facts, that member shall refrain from expressing opinion or in any way make judgement upon any aspect of that evidence or related evidence;



5. in relation to the matter specifically referred to it in paragraph a) above, the Sub-Committee shall have those functions of the Joint Committee which are set out in paragraphs 2(a)(i) to 2(a)(iii) (Dáil) and in paragraphs1(a)(i) to 1(a)(iii) (Seanad) of the Joint Committee's Orders of Reference; and
6. the Sub-Committee shall have all the powers of the main Committee, namely, those contained in Standing Order 81(1), (2) and (4) to (9) (Dáil) and in Standing Order 65(1), (2) and (4) to (9) (Seanad) and the power to send for persons, papers and records as defined in Standing Order 83 (Dáil) and in Standing Order 68 (Seanad): provided that exercise of the powers to publish and print evidence and to travel and to engage consultants shall in each case, be subject to the approval of the Joint Committee.”

Appendix 4

Members of the Sub-Committee on The Review of the Public Orthodontics Services.

Deputies: Dermot Fitzpatrick (FF)

Charlie O' Connor (FF)

Fiona O' Malley (PD) (Chairperson)

Dan Neville (FG)

Senators Geraldine Feeney (FF)

Mary Henry (Ind)

Chairperson: Fiona O' Malley (PD)

Clerk: Tara Wharton

APPENDIX 5

Joint Committee on Health and Children.

Amended Order establishing Sub-Committee on The High Levels of Suicide in Irish Society.

Ordered as amended on 17 December:-

“That-

1. a Sub-Committee (to be called the Sub-Committee on The High Level of Suicide oin Irish Society) be established to consider such matters as it may think fit arising from a series of meetings held by the Joint Committee on Health and Children on the issue of The High Level of Suicide in Irish Society and to report to the Joint Committee thereon.
2. the Sub-Committee shall consist of 6 members of whom 4 shall be Members of Dáil Éireann and 2 shall be members of Seanad Éireann;
3. the quorom of the Sub-Committee shall be four, of whom 1 at least shall be a member of Dáil Éireann and 1 a member of Seanad Éireann; the quorom shall be present for all meetings of the Sub-Committee;
4. (i) in the event of a member of the Sub-Committee being absent from any meeting or part thereof where evidence is heard, which is

controversial on the facts, that member shall refrain from expressing opinion or in any way make judgement upon any aspect of that evidence or related evidence;



5. in relation to the matter specifically referred to it in paragraph a) above, the Sub-Committee shall have those functions of the Joint Committee which are set out in paragraphs 2(a)(i) to 2(a)(iii) (Dáil) and in paragraphs1(a)(i)to 1(a)(iii) (Seanad) of the Joint Committee's Orders of Reference; and
6. the Sub-Committee shall have all the powers of the main Committee, namely, those contained in Standing Order 81(1), (2) and (4) to (9) (Dáil) and in Standing Order 65(1), (2) and (4) to (9) (Seanad) and the power to send for persons, papers and records as defined in Standing Order 83 (Dáil) and in Standing Order 68 (Seanad): provided that exercise of the powers to publish and print evidence and to travel and to engage consultants shall in each case, be subject to the approval of the Joint Committee.”

Appendix 6

Members of the Sub-Committee on The High Levels of Suicide in Irish Society.

Deputies: Paudge Connolly (Ind)

Charlie O' Connor (FF)

Dan Neville (FG)

John Moloney (FF) (Chairman)

Senators: Fergal Browne (FG)

Camillus Glynn (FF)

Chairman: John Moloney (FF) (Chairman)

Clerk: Gina Long

APPENDIX 7

Meetings of the Joint Committee

APPENDIX 8

Meetings of the Dáil Select Committee

Appendix 9

Meetings of the Sub-Committee on The Review of the Public Orthodontics Services

Appendix 10

Meetings of The Sub-Committee on The High Levels of Suicide in Irish Society.

APPENDIX 11

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 20^th January 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.32 a.m.

2. Attendance

The following Members were present:

Deputy Jimmy Devins, (in the chair), Tony Dempsey (in substitution for Dermot Fitzpatrick), John Gormley, Liz McManus, M.J. Nolan and John Ellis (both in substitution for John Moloney) Charlie O'Connor, Ned O'Keeffe (in substitution for Fiona O'Malley) and Liam Twomey.

Senators Fergal Browne, Paddy Burke (in part substitution for Fergal Browne), Geraldine Feeney, Ciarán Phelan (in part substitution for Geraldine Feeney), Camillus Glynn, Peter Callanan and Terry Leyden (both in part substitution for Camillus Glynn).

Apologies were received from Deputies Jerry Cowley, Dermot Fitzpatrick, John Moloney and Fiona O'Malley and Senator Mary Henry.

3. Minutes of the last meeting.

The minutes of a meeting held on 25th November were agreed.

4. Correspondence.

This item was dealt with in Private Session.

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session.

6. Any Other Business.

This item was dealt with in Private Session.

7. Presentation by AWARE on Mental Health Issues.

The Chairman welcomed the following to the meeting:

• Ms. Julie Healy, National Support Group Co-ordinator.
• Ms. Sandra Hogan, Public Relations Officer of AWARE.

and asked the representatives of AWARE to commence the presentation on

mental health issues.

Ms. Hogan commenced the presentation by outlining the role and work done by AWARE both to support those who suffer from depression and their families and to inform and educate the general public about mental illness.

The presentation was followed by a questions and answer session.

The Chairman thanked the witnesses for coming before the Committee and outlining for it the serious issues surrounding depression that affect a significant section of Irish society.

8. Presentation by the Schizophrenia Society of Ireland on Mental Health Issues.

The Chairman welcomed the following to the meeting:

• Ms. John Saunders, Director;
• Mr. Patrick Annesley, Chairperson;
• Ms. Kahlil Thompson, Projects Officer of the Schizophrenia Society of Ireland.

and asked the witnesses to commence the presentation on mental health issues.

Mr. Saunders commenced the presentation by outlining the fundamental issues that effect the provision of the requisite mental health services and suggested possible reforms to enhance the existing services.

The presentation was followed by a questions and answer session.

The Chairman then thanked the Schizophrenia Society for enlightening the Committee as to what the fundamental issues regarding mental health in Ireland are today. The Chairman further stated that the meeting had been very informative and worthwhile and he assured both AWARE and the Schizophrenia Society that the Committee regarded mental health as a core priority issue.

10. Adjournment.

The meeting was adjourned at 11.24 am until 9.30 am on Thursday, 3^rd February next.

Jimmy Devins TD

Vice Chairman

21 January 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 3^rd February 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 9.41 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Tony Dempsey (in part substitution for Dermot Fitzpatrick), Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

Senators Terry Leyden and Kathleen O'Meara also attended the meeting.

3. Presentation by the Tánaiste and Minister for Health & Children on important priority issues.

The Chairman welcomed the Tánaiste and her officials to the meeting and asked her to outline her priority issues. The Tánaiste commenced the discussion by outlining the fundamental issues that effect the provision of the country's health services and spoke of her plans to enhance the existing services.

Deputies Liam Twomey (Fine Gael Spokesperson), Liz Mc Manus (Labour Spokesperson) John Gormley (Green Party/Technical Group Spokesperson), Jerry Cowley (Independent/ Technical Group Spokesperson), Jimmy Devins and Charlie O'Connor (Government Spokespersons) asked a number of questions to which the Tanaiste responded.

A question and answer session then ensued between the Tánaiste and all the members of the Committee.

It was agreed that the Department of Health and Children will send all the members a written response to the questions asked that weren't fully answered due to time constraints.

The Chairman thanked the Tánaiste for coming and outlining her proposals for such fundamentally important health issues.

4. Minutes of the last meeting.

The minutes of a meeting held on 20^th January were agreed.

5. Correspondence.

This item was dealt with in Private Session.

6. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session.

7. Any Other Business.

This item was dealt with in Private Session.

8. Adjournment.

This meeting was adjourned at 11.52 am until 9.30 am on Thursday, 17^th February next when the National Disability Authority will make a presentation on the issues raised in its report ‘Towards Best Practice in the Provision of Health Services for People with Disabilities in Ireland.

John Moloney TD

Chairman

3 February 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 17^th February 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.31 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

Deputy Kathleen Lynch also attended the meeting.

In Private Session

3. Minutes of the last meeting.

The minutes of a meeting held on 3^rd February were agreed.

4. Correspondence.

This item was dealt with in Private Session.

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session.

6. Any Other Business.

This item was dealt with in Private Session.

7. Presentation by Officials from the Departments of Enterprise, Trade & Employment and Health & Children on COM (2004) 607.

The Chairman welcomed the following Officials to the meeting:

1. Mr. Michael Pender, Assistant Principal Officer, Department of Enterprise, Trade and Employment;
2. Mr. Bernard Carey, Assistant Secretary, Department of Health & Children;
3. Mr. Larry O'Reilly, Principal Officer, Department of Health & Children;
4. Mr. Ciaran O Maoileain, Assistant Principal Officer;
5. Mr. Andrew Condon Assistant Principal Officer.

He then asked Mr. Pender to commence the briefing on COM (2004) 607, a proposal for a Directive of the European Parliament and of the Council amending Directive 2003/88/EC concerning certain aspects of the organisation of working time.

Mr. Pender outlined the main areas dealt with by the proposed Directive and Mr. Carey explained how it will be implemented in the health sector.

A questions and answers session ensued after which the Chairman thanked the officials for coming before the Committee and explaining what is proposed in COM (2004) 607 so comprehensively.

8. Presentation by the National Disability Authority on issues raised in it report ‘ Towards Best Practice in the Provision of Health Services for People with Disabilities in Ireland’.

The Chairman welcomed the following witnesses to the meeting:

• Ms. Iris Elliott, Senior Policy and Public Affairs Adviser; National Disability Authority;
• Ms. Marion Wilkinson, Policy and Public Affairs Adviser ; National Disability Authority;
• Mr. Eric Koorneef, Senior Standards Officer, National Disability Authority

He then asked Ms. Elliott to commence the presentation on issues raised in the report ‘Towards Best Practice in the Provision of Health Services for People with Disabilities in Ireland’.

Ms. Elliott outlined the core findings of the Report with particular emphasis on the rights of people with disabilities to certain types of health services.

A questions and answers session ensued.

The Chairman then thanked the National Disability Authority representatives for attending the meeting and enlightening the Committee as to what the fundamental issues regarding the provision of disability services in Ireland are today. He also stated that it had been a very informative and worthwhile session and that the Committee regards disability issues as a core priority.

9. Adjournment.

The meeting was adjourned at 12.19 am until 9.30 am on Thursday, 3^rd March 2005 when the Irish Wheelchair Association and the Disability Federation of Ireland will make presentations.

John Moloney TD

Chairman

17 February 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 3^rd March 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.31 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Beverley Cooper-Flynn, Jimmy Devins, Dermot Fitzpatrick, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Camillus Glynn.

Apologies were received from Senators Fergal Browne and Mary Henry.

In Private Session

3. Minutes of the last meeting.

The minutes of a meeting held on 17^th February were agreed.

4. Correspondence.

The Committee referred to the following correspondence:

• Report of a meeting with VIVAS Health Insurance Company held on 24^th February 2005. VIVAS has indicated that it will write to the Joint Committee shortly requesting to come before it to discuss the Legal and Regulatory Structure of the Irish Health Insurance Market and Risk Equalisation. It was agreed that the meeting should be held on 12^th May next.

The Committee noted the following correspondence:



• Letter and current list of EU Scrutiny documents together with decisions taken by the Sub-Committee on EU Scrutiny at a meeting of the Sub-Committee held on 17^th February last.
• Scheduled meetings of the Committee up until May. Members should note that since that list was circulated another meeting has been organised where the Mayo Women's Support Services Group, the Rape Crisis Network and the National Network of Women's Refuges and Support Services will give a joint presentation on the present and future needs of Women's Support Services on Thursday, 9^th June next. It was agreed to invite these Groups at a Committee meeting on 3^rd February last.
• Statutory Instruments Nos. 61, 65, 66, 67 and 68 are available from the Committee Secretariat upon request.
• Briefing notes from the Department of Health & Children on the Medicinal Products (Amendment) Regulations 2004 (S.I. 663 of 2004) and the Department's proposals for the disposal of waste medicines.
• Details of a HIV Disease Conference being held in Bal Harbour, Florida from March 17^th to 20^th next.
• Copy of a Second Submission to the Joint Oireachtas Committee on Social & Family Affairs on the ‘Department of Social & Family Affairs Claw Back Policy from the Wills of Non-Contributory Old Age Pensioners’, from Mr. Matt Moran, Cork.
• Letter from Mr. Michael Kelly, Secretary-General, Department of Health & Children, responding to a submission from the Ballyfermot and Lucan Mental Health Services.
• Letter from Mr. Dermot Ryan, Chief Executive, Health Insurance Authority, stating that the recent invitation from the Joint Committee to come before it will be considered at the next meeting of the Authority on 8^th March.
• Press Release from the VHI regarding underpayments to members in 2 Dublin Hospitals.

5. Oireachtas Scrutiny of EU Business.

Members noted that no documentation had been received from the sub-Committee on EU Scrutiny since the last meeting.

6. Any Other Business.

The Committee agreed that the Sub-Committee on Orthodontics could proceed with its proposal to appoint Senator Mary Henry to produce a report at a cost of €3,000 under the Rapporteur Allowance Scheme.

7. Presentation by the Irish Wheelchair Association on issues regarding the Health Services.

The Chairman welcomed the following Officials to the meeting:

Ms. Anne Winslow, Director of Services and

Mr. Olan McGowan, Media Director,

And asked Ms. Winslow to commence her presentation on issues regarding the health service

A questions and answers session ensued after which the Chairman thanked Ms. Winslow and Mr. McGowan for coming and identifying the core issues in the health services affecting people who use wheelchairs.

8. Presentation by the Disability Federation of Ireland on Personal Social Services for People with Disabilities.

The Chairman welcomed the following Officials to the meeting:

Mr. John Dolan, Chief Executive Officer and

Mr. Allen Dunne, Senior Executive Officer,

And asked Mr. Dolan to commence his presentation on personal social services for people with disabilities

A questions and answers session ensued after which the Chairman thanked Mr. Dolan and for coming and enlightening the committee as to what the fundamental issues are regarding the provision of health services for people with disabilities.

9. Adjournment.

The meeting was adjourned at 11.47 am until 9.30 am on Thursday, 24^th March 2005 when medical professionals opposed to the Hanley Report will make a presentation to the Committee.

John Moloney TD

Chairman

3 March 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 9^th March 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 11.05 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Camillus Glynn.

Apologies were received from Senator Mary Henry.

Deputies Paudge Connolly, John Dardis and Ned O'Keeffe also attended the

Meeting.

This item was dealt with in Private Session.

3. Adjournment.

The meeting was adjourned at 2.21 pm until 9.30 am on Thursday, 24^th March 2005 when Medical Professionals opposed to the Hanley Report will make a presentation and the Committee will decide how to proceed with the consideration of the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

John Moloney TD

Chairman

9 March 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN.

Proceedings of the Joint Committee

Minutes of 24^th March 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.35 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Camillus Glynn and Mary Henry.

Deputy James Breen and Senator Kathleen O'Meara also attended the meeting.

Apologies were received from Senator Fergal Browne.

In Private Session

3. Minutes of the last meeting.

The minutes of a meeting held on 9^th March were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Presentation by Medical Professionals opposed to the Hanley Report.

The Chairman welcomed the following persons to the meeting:

• Dr. Tom Nolan, General Practitioner;
• Mr. Peadar McMahon, Hospital Employee;
• Mr. Peadar McNamara, Ennis Hospital Action Group Committee;
• Ms. Marie O'Connor, Public Health Researcher
• Dr. John Barton, Portincula Hospital, Galway here today

He the asked Dr. Nolan to commence the presentation on the collective reasons for opposing the Hanley Report.

A questions and answers session ensued following which the Chairman thanked the witnesses for outlining their main reasons for opposing the Hanley Report in such an informative and thought provoking way.

8. Adjournment.

This meeting was adjourned at 12.10 pm until 9.30 am on Thursday, 14^th April 2005 when Mr. Kevin Kelly, acting Chief Executive of the Health Service Executive (HSE) will give a progress report on the HSE to the Committee.

John Moloney TD

Chairman

24 March 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 12^th April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10.05 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Mary Henry.

Senator Kieran Phelan also attended the meeting.

1. Presentation by Mr. John Travers, author of the Report on Certain Issues

of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Mr. John Travers to the meeting. He then asked Mr. Travers to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked Mr. Travers for outlining the main finds and conclusions of the Report in such an informative and thought provoking way.

2. Scheduled Meetings.

This item was dealt with in Private Session

3.Tender Proposals.

This item was dealt with in Private Session

4. Seanad Motion.

This item was dealt with in Private Session

5.Any Other Business.

This item was dealt with in Private Session

6. Adjournment.

This meeting was adjourned at 13.03 pm until 9.30 am on Thursday, 14^th April when Mr. Kevin Kelly, acting CEO, will give a Progress Report on the Health Service Executive (HSE).

John Moloney TD

Chairman

12 April 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 14^th April 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.35 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne and Mary Henry.

Deputy Mae Sexton also attended the meeting.

Apologies were received from Jerry Cowley.

In Private Session

3. Minutes of the last meetings.

The minutes of meetings held on 24^th March and 12^th April were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Progress Report by Mr. Kevin Kelly, acting CEO, Health Service Executive (HSE).

The Chairman welcomed the following Officials to the meeting:

• Mr. Kevin Kelly, acting CEO, Health Service Executive (HSE);
• Mr. Pat McLoughlin, Director, National Hospital's Office, Health Service Executive (HSE);
• Mr. Aidan Browne, National Director, Primary, Community and Continuing Care, Health Service Executive (HSE);
• Mr. Diarmuid Collins, National Director, Finance, Health Service Executive (HSE).

and asked Mr. Kelly to commence the progress report on the HSE.

A questions and answers session ensued following which the Chairman thanked the HSE Officials for giving the Committee such an informative and comprehensive update on progress in the HSE.

8. Adjournment.

This meeting was adjourned at 11.34 am until 9.30 am on Thursday, 28^th April 2005 when the Health Insurance Authority and the VHI will give presentations on Risk Equalisation in the Irish Health Insurance Market.

John Moloney TD

Chairman

14 April 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 19^th April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10.09 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Liz

McManus, Dan Neville, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Mary Henry.

Senators Brendan Daly and Ann Ormonde also attended the meeting.

3. Discussion with the Institute of Public Administration (IPA) regarding the terms of the consultancy.

This item was dealt with in Private Session

4. Any Other Business.

This item was dealt with in Private Session

5. Discussion with Mr. Pat McLoughlin, former CEO of the former South Eastern Health Board (SEHB) on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Mr. McLoughlin to the meeting. He then asked Mr. McLoughlin to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked Mr. Report for addressing certain issues in the Report in such a comprehensive way.

6. Adjournment.

This meeting was adjourned at 1.04 pm until 10.00 am on Wednesday, 20^th April 2005 when Ministers of State Ivor Callely and Tim O'Malley will appear before the Committee on the same issue.

John Moloney,

Chairman,

19 April 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 20^th April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10.12 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Camillus Glynn.

3. Discussion with Ministers of State Ivor Callely and Tim O'Malley on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Ministers of State Ivor Callely and Tim O'Malley to the meeting. He then asked both Ministers of State to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked both Ministers of State for outlining issues contained in the Report in such an informative and comprehensive way.

5. Adjournment.

This meeting was adjourned at 13.02 pm until 2.30 pm on Thursday, 20^th April when Mr. Michael Kelly, former Secretary-General, Department of Health & Children will appear before the Committee on the same issue.

John Moloney,

Chairman,

20 April 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 20^th April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 2.36 p.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Discussion with Mr. Michael Kelly, former Secretary-General, Department of Health & Children on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Mr. Michael Kelly, former Secretary-General, Department of Health & Children to the meeting. He then asked Mr. Kelly to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked Mr. Kelly for outlining issues contained in the Report in such an informative and comprehensive way.

4. Any Other Business.

This item was dealt with in Private Session

5. Adjournment.

This meeting was adjourned at 7.15 pm until 2.30 pm on Thursday, 21^th April when Minister Mícheal Martin will appear before the Committee on the same issue.

John Moloney,

Chairman,

20 April 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 21^st April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 2.32 p.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Discussion with Minister Mícheal Martin on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Minister Mícheal Martin to the meeting. He then asked the Minister to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked the Minister for addressing the issues contained in the Report in such an informative and comprehensive way.

5. Adjournment.

The meeting was adjourned at 5.53 pm until 10.00 am on Tuesday, 26^th April when the former Special Advisers in the Department of Health & Children will appear before the Committee on the same issue.

John Moloney,

Chairman,

21 April 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 27^th April 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10. 04 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair) Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

Apologies were received from Deputy Jerry Cowley.

3. Discussion with the IPA Consultants.

The Chairman welcomed Dr. Muiris MacCearthaigh and Mr. Philip Byrne of the IPA to the meeting. Dr. MacCearthaigh outlined some of the main issues that have emerged from the hearings to date as he perceives them such as the role of the Management Advisory Committee (MAC); the role of Special Advisers; the role of Minister of States and their relationship with Special Advisers and the relationship between the Minister and Secretary-General and their respective roles.

A discussion ensued following which the Committee agreed that the format of the Report could be agreed when the hearings had concluded.

4. Discussion with the former Special Advisers in the Department of Health & Children on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed the former Special Advisers in the Department of Health & Children, Ms. Deirdre Gilhane and Mr. Christy Mannion, to the meeting. He then asked both Advisers to speak briefly on the findings and conclusions of the above Report.

A questions and answers session ensued following which the Chairman thanked the Advisers for outlining issues contained in the Report in such an informative and comprehensive way.

The Committee suspended at 11.34 am until 12 noon for a sos and from 12.31 pm until 12.48 pm for a Dáil vote.

5. Adjournment.

This meeting was adjourned at 1.14 pm until 10.00 am on Wednesday, 4^th May when Officials from the Department of Health & Children, who prepared the legislation to introduce Medical Card Entitlements to all Irish citizens over the age of 70, will appear before the Committee on the same issue.

John Moloney,

Chairman,

27 April 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 28^th April 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.38 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Terry Leyden (in substitution for Camillus Glynn) and Mary Henry.

Apologies were received from Deputy Jerry Cowley.

3. Minutes of the last meetings.

The minutes of meetings held on 14^th, 19^th, 20^th, 21^st and 27^th April were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Discussion on the Travers Report.

This item was dealt with in Private Session

8. Presentation by the Health Insurance Authority (HIA) on Risk

Equalisation in the Irish Health Insurance Market.

The Chairman welcomed the following witnesses to the meeting:

• Mr. Dermot Ryan, Chief Executive/Registrar, Health Insurance Authority (HIA);
• Mr. Liam Sloyan, Head of Compliance Services, (HIA;
• Professor Alastair Woods, First Emeritus Professor of Mathematics, DCU and Chair of the HIA

and asked Professor Woods to commence the presentation on Risk Equalisation in the Irish Health Insurance Market.

A questions and answers session ensued following which the Chairman thanked the HIA for outlining the fundamental issues regarding Risk Equalisation in such a comprehensive way.

9. Presentation by the Voluntary Health Insurance (VHI) Company on Risk Equalisation in the Irish Health Insurance Market.

The Chairman welcomed the following witnesses to the meeting:

• Mr. Vincent Sheridan, Chief Executive; VHI;
• Dr. Bernadette Carr, Medical Director, VHI;
• Mr. Willie Shannon, Director of Finance;
• Ms. Siona MacCinna, Corporate Solicitor and Secretary, VHI;

and asked Mr. Sheridan to commence the presentation on Risk Equalisation in the Irish Health Insurance Market.

A questions and answers session ensued following which the Chairman thanked the VHI for such a comprehensive presentation.

10. Adjournment.

This meeting was adjourned at 12.19 pm until 9.30 am on Wednesday, 4^th May 2005 when Officials from the Department of Health & Children who prepared the 2001 legislation that introduced Medical Card Entitlements to all over 70's will appear before the Committee regarding the Travers Report.

John Moloney TD

Chairman

28 April 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 4^th May 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 12.04 p.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair) Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Camillus Glynn.

Apologies were received from Deputy Jerry Cowley and Senator Mary Henry.

3. Discussion with the IPA Consultants.

The Chairman welcomed Dr. Muiris MacCearthaigh and Mr. Philip Byrne of the IPA to the meeting. He the referred to Deputy Liz McManuse's proposal that draft chapters be produced by the IPA in parallel with the ongoing Committee hearings.

A discussion ensued following which the Committee agreed to look at the matter further when the IPA had prepared the broad outline of their proposed approach to the draft Report for the meeting on 11^th May next.

4. Discussion with Officials in the Department of Health & Children who drafted the Health (Miscellaneous Provisions) Act 2001 on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed the Officials from the Department of Health & Children to the meeting:

• Mr. Dermot Smyth, Assistant Secretary;
• Mr. Charlie Hardy, Principal Officer;
• Mr. Eamon Corcoran, Principal Officer;
• Ms. Teresa Hynes, Assistant Principal Officer
• Ms. Roisin Heuston, Higher Executive Officer

He then asked Mr. Smyth to speak briefly on the 2001 legislation.

A questions and answers session ensued following which the Chairman thanked the Officials for outlining the process involved in drafting the legislation in such a comprehensive way.

5. Adjournment.

This meeting was adjourned at 14.28 pm until 1.30 pm on 5^th May when the Committee will meet in private on the same issue.

John Moloney,

Chairman,

4 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 11^th May 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10.07 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney (in the chair) Jerry Cowley, Jimmy Devins, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, and Liam Twomey.

Senators Camillus Flynn, Geraldine Feeney and Mary Henry.

Apologies were received from Deputy Charlie O'Connor and Senator Fergal Browne.

3. Letter to the Taoiseach.

This item was dealt with in Private Session

4. Discussion with the Institute of Public Administration.

This item was dealt with in Private Session

5. Adjournment.

The meeting adjourned at 10.43 am until Thursday 12^th May next when

VIVAS and BUPA Ireland will make presentations to the Committee on Risk

Equalisation.

John Moloney

Chairman,

11 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 12^th May 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.37 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Camillus Glynn and Mary Henry.

Apologies were received from Deputy Charlie O'Connor and Senator Fergal Browne.

3. Minutes of the last meetings.

The minutes of meetings held on 28^th April and the 4^th, 5^th and 11^th May were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Presentation by BUPA Ireland on Risk Equalisation in the Irish Health Insurance Market.

The Chairman welcomed the following witnesses to the meeting:

• Mr. Martin O'Rourke, Managing Director, BUPA Ireland;
• Mr. Niall Devereux, Director of Finance and Development, BUPA Ireland;
• Mr. Sean L. Murray, Director of Marketing; BUPA Ireland;
• Ms. Ann Broekhoven, Director of Health Services Contracting, BUPA Ireland;
• Ms. Annie O'Donnell, Director of Sales and Operations, BUPA Ireland

and asked Mr. O'Rourke to commence the presentation on Risk Equalisation in the Irish Health Insurance Market.

A questions and answers session ensued following which the Chairman thanked BUPA Ireland for outlining their position regarding Risk Equalisation in such a comprehensive way.

8. Presentation by the VIVAS Health on Risk Equalisation in the Irish Health Insurance Market.

The Chairman welcomed the following witnesses to the meeting:

• Mr. Cecil Hayes, Chairman, VIVAS Health;
• Mr. Stephen Loughman, Finance and Actuarial Director, VIVAS Health;
• Ms. Maria-Teresa Kelly Oroz, Head of Legal and Regulatory, VIVAS Health;

asked Mr. Hayes to commence the presentation on Risk Equalisation in the Irish Health Insurance Market.

A questions and answers session ensued following which the Chairman thanked the VIVAS Health for such a comprehensive presentation.

9. Adjournment.

This meeting was adjourned at 12.43 pm until 9.30 am on 19^th May 2005 when the Tánaiste will appear before the Committee regarding the Travers Report.

John Moloney TD

Chairman

12 May 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 19^th May 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 10.07 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Beverley Flynn, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

4. Discussion with Ms. Mary Harney, T.D., Tánaiste and Minister for Health & Children on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed the Tánaiste to the meeting and asked her to speak briefly on the above Report.

A questions and answers session ensued following which the Chairman thanked the Tánaiste for addressing the important issues raised so comprehensively.

5. Adjournment.

This meeting was adjourned at 11.46 am until 2.30 pm on that afternoon when the Committee will meet Mr. John Travers, author of the Report.

John Moloney,

Chairman,

19 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 19^th May 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 2.34 p.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Discussion with Mr. John Travers, author of the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

The Chairman welcomed Mr. John Travers to the meeting. He then asked Mr. Travers to speak briefly on the main issues arising from the findings and conclusions of the above Report. Mr. Travers circulated a written statement to all the members and read this into the record of the Committee.

A questions and answers session ensued following which the Chairman thanked Mr. Travers for addressing the main issues arising from the report in such a comprehensive way.

Members of the Committee asked Mr. Travers to come before the Committee again after they had studied his written statement further. Mr. Travers agreed in principle to this but stated that he would have to check his other business engagements first.

4. Adjournment.

This meeting was adjourned at 5.30 pm until 10.00 am on Wednesday, 25^th May when the Committee will meet in private session with the IPA regarding the same issue.

John Moloney,

Chairman,

19 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 5^th May 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 2.08 p.m.

2. Attendance

The following Members were present:

Deputy Jimmy Devins (in the chair) Jerry Cowley, Jimmy Devins, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne and Geraldine Feeney.

Apologies were received from Deputy John Moloney and Senator Mary Henry.

Private Session.

2. E-mail and draft Memorandum.

This item was dealt with in Private Session

3. Letter from the Tánaiste.

This item was dealt with in Private Session

4. Letter from Clerk of the Dáil.

This item was dealt with in Private Session

5. Tour of Hawkins House.

This item was dealt with in Private Session

6. The meeting adjourned at 2.33 pm until Wednesday, 11^th May next when the

Committee will meet in private on the same issue.

Jimmy Devins,

Vice-Chairman,

5 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 25^th May 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 10.05 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney and Camillus Glynn.

Apologies were received from Senator Mary Henry.

3. Miscellaneous Issues.

This item was dealt with in Private Session

4. Discussion with the IPA on Report on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

This item was dealt with in Private Session

5. Adjournment.

This meeting was adjourned at 12.55 pm until 9.30 am on Thursday 26^th May, when Consultant Rheumatologists and Arthritis Ireland will come before the Committee.

John Moloney,

Chairman,

25 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 26^th May 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.35 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney ((in the chair for commencement of meeting), Jimmy Devins (in the chair), Jerry Cowley, Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor and Fiona O'Malley.

Senators Geraldine Feeney, Peter Callanan and Terry Leyden (in part substitution for Geraldine Feeney), Camillus Glynn and Mary Henry.

Apologies were received from Senator Mary Henry.

3. Draft Travers Report.

This item was dealt with in Private Session

4. Minutes of the last meetings.

The minutes of meetings held on the 12^th, 19^th and 25^th May were agreed.

5. Correspondence.

This item was dealt with in Private Session

6. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

7. Draft Report of the sub-Committee on Orthodontics.

This item was dealt with in Private Session

8. Presentation by Consultant Rheumatologists and Arthritis Ireland on the present and future needs of the Rheumatology Services.

The vice-Chairman welcomed the following witnesses to the meeting:

• Professor Barry Bresnihan, Chairman, Arthritis Ireland;
• Dr Robert Coughlan, Consultant Rheumatologist, Merlin Park Hospital Galway;
• Dr Michael Molloy, Consultant Rheumatologist, University College Hospital, Cork;
• Dr Gaye Cunanne, Consultant Rheumatologist, St James's Hospital, Dublin;
• Professor Oliver Fitzgerald, Consultant Rheumatologist, St Vincent's Hospital, Dublin;
• Ms Mary Healy, Chairperson, Mayo Branch of Arthritis Ireland;
• Ms Patricia Minnock, Chairperson, Irish Rheumatology Health Professionals Society and Advanced Nurse Practitioner in Rheumatology;
• Dr. Paul O'Connell, Consultant Rheumatologist, Beaumount Hospital and Chairman of the Irish Society of Rheumatology.

He then asked Professor Bresnihan to commence the presentation.

A questions and answers session ensued following which the vice-Chairman thanked the Consultant Rheumatologists and Arthritis Ireland for giving us such an informative and comprehensive presentation and assured them that the needs of the rheumatology services are a priority issue for the Committee.

It was then agreed that (a) the witnesses would be invited back before the Committee in a year's time to give an update on progress made in the resources provided to the rheumatology services and (b) a transcript of the meeting would be sent to An Tánaiste asking her to respond in writing to the important issues raised by the witnesses.

The Committee suspended because of a votáil from 10.42 am until 11.02 am.

9. Adjournment.

This meeting was adjourned at 11.35 am until 10.00 am on 31^st May 2005 when the Committee will meet in private with the IPA regarding the Travers Report.

Jimmy Devins TD

Vice-Chairman

26 May 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 31^st May 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 10.22 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senator Fergal Browne and Kieran Phelan (in substitution for Geraldine Feeney).

Apologies were received from Deputies Beverley Flynn and John Gormley and Senators Camillus Glynn and Mary Henry.

3. Miscellaneous Issues.

This item was dealt with in Private Session

4. Discussion with the IPA on Report on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

This item was dealt with in Private Session

5. Adjournment.

This meeting was adjourned at 10.58 am until 11.45 am on Thursday 2^nd June, when the Committee will meet the IPA in private regarding the same issue.

John Moloney,

Chairman,

31 May 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 2^nd June 2005

1. The Joint Committee met in public session in Committee Room R4, Leinster House 2000 at 11.48 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senator Fergal Browne, Geraldine Feeney and Terry Leyden (in substitution for Camillus Glynn).

Apologies were received from Senator Mary Henry.

3. Miscellaneous Issues.

This item was dealt with in Private Session

4. Discussion with the IPA on Report on the Report on Certain Issues of Management and Administration in the Department of Health & Children associated with the Practice of Charges for Persons in Long-Stay Care in Health Board Institutions and Related Matters.

This item was dealt with in Private Session

4 (a) Chapter 1: Governance.

This item was dealt with in Private Session

The question was duly carried.

Chapter1: Governance was agreed to.

4(b) Chapter 2: Organisation and Management.

This item was dealt with in Private Session

Chapter 2: Organisation and Management, as amended, was agreed to.

4 (c) Chapter 3: Legal Issues.

A discussion ensued after which Chapter 3: Legal Issues as amended, was agreed to.

4 (d) Overall Report.

This item was dealt with in Private Session

The result of the Vótáil (Division): For (Tá) 6 Against (Níl) 8

The question was duly lost.

A further discussion ensued after which a voice vote was called on whether to agree to exclude all submissions and correspondence received from the report. The Chairman put the following question to the members: ‘that the report without any submissions and correspondence received included as appendices be adapted’ ? The question was carried.

A division was then called and the Chairman put the question again: ‘that the report without any submissions and correspondence received included as appendices be adapted’?

The result of the Vótáil (Division): For (Tá) 6 Against (Níl) 8

The question was duly carried.

Deputy Liz McManus asked that the Chairman state in his foreword to the report that there was not unanimous agreement among members to the report and to include the results of the Voice Votes and Divisions. This was agreed to.

It was also agreed that the Fine Gael and Labour Spokespersons will read their proposed recommendations into the record at a meeting of the Joint Committee on Thursday, 9^th June next. It was further agreed that Deputy Jerry Cowley will read the written submission by the Association of Higher Civil and Public Servants into the record.

5. Report Launch.

Finally, it was agreed to lay the report, as amended, before the Houses in accordance with Standing Orders and to launch it in the Audio Visual Centre (AVC). Leinster House, at 3.30 pm on 9^th June next.

6. Adjournment.

This meeting was adjourned at 4.15 pm until 9.30 am on Thursday 9th June.

John Moloney,

Chairman,

2 June 2005.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 9th June 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.36 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, John Gormley, Liz McManus, Dan Neville and Charlie O'Connor.

Senator Fergal Browne, Kieran Phelan (in part substitution for Geraldine Feeney), Geraldine Feeney, Camillus Glynn and Mary Henry.

Apologies were received from Deputy Beverley Flynn and Fiona O'Malley.

Deputy Ned O'Keeffe also attended the meeting.

3. Minutes of the last meetings.

The minutes of meetings held on the 25^th, 26^th, 31^st May and 2^nd June were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

COM (2005) 115

This item was dealt with in Private Session

COM (2005) 216

This item was dealt with in Private Session

6. Draft Report of sub-Committee on Orthodontics.

This item was dealt with in Private Session

7. Any Other Business.

This item was dealt with in Private Session

8. Statements by the Fine Gael and Labour Party Spokespersons on their proposed recommendations to the Report of the Committee on the Travers Report and Statements by Deputy Jerry Cowley on submissions by the Association of Higher Civil and Public Servants (AHCPS) and the Ombudsman on the Travers Report.

Deputy Jimmy Devins made a statement regarding a Press Conference held on 8^th June by the Fine Gael and Labour Parties regarding their proposed recommendations that were not included in the Travers Report. In his statement he refuted that material had been surpressed from the Report.

Deputies Dan Neville, Liz McManus, John Gormley, Jerry Cowley and Senators Fergal Browne and Mary Henry then made individual statements raising concerns about the Committee Report and its lack of concensus.

The Chairman then asked the Fine Gael and Labour Spokespersons to make statements on their proposed recommendations for inclusion in the Joint Committee Report on the Travers Report.

Deputy Dan Neville and Senator Fergal Browne read the Fine Gael Party's proposed recommendations into the record and Deputy Liz McManus read the Labour Party's proposed recommendations into the record.

Deputy Jerry Cowley then read written submissions by the Association of Higher Civil and Public Servants (AHCPS) and Ombudsman on the Travers Report into the record.

Copies of all the scripts read into the record are attached at the back of the minutes.

9. Adjournment.

The meeting was adjourned at 12.03 pm until 12 noon on Tuesday, 15^th June 2005 when the Committee will meet the Health Insurance Authority in private session to discuss Risk Equalisation.

John MoloneyTD

Chairman

9 June 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 14^th June 2005

1. The Joint Committee met in private session in Committee Room R1, Leinster House 2000 at 11.20 am.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Beverley Flynn, Liz McManus, Dan Neville, Charlie O'Connor and Fiona O'Malley.

Senators Fergal Browne and Mary Henry.

3. Discussion with the Health Insurance Authority (HIA) on Risk

Equalisation in the Irish Health Insurance Market.

This item was dealt with in Private Session

4. Adjournment.

The meeting was adjourned at 12.47 pm until 9.30 am on Thursday, 23^rd June 2005 when the Disability Federation of Ireland and the Irish Wheelchair Association will come before the Committee regarding Community Employment Schemes.

John Moloney TD

Chairman

14 June 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 23^rd June 2005

1. The Joint Committee met in private session in Committee Room 2, Leinster House 2000 at 9.35 am.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Des Fitzpatrick, Beverley Flynn, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Minutes of the last meetings.

The minutes of meetings held on the 9^th and 14^th June were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Consideration of Amendments to Health Insurance Regulations.

The Chairman welcomed the Tánaiste and Minister for Health, Ms. Mary Harney, T.D., and her officials to the meeting and asked the Tánaiste to speak on the amendments to the Risk Equalisation (Amendment) Scheme, 2005; Health Insurance Act 1994 (Minimum Benefit) (Amendment) Regulations, 2005 and the Health Insurance Act 2001 (Open Enrolment) Regulations, 2005.

A questions and answers session ensued following which the Chairman thanked the Tánaiste for attending. It was agreed that the Clerk would send a message to the Clerk of the Dáil stating that the Committee has completed its consideration of the Risk Equalisation (Amendment) Scheme, 2005; Health Insurance Act 1994 (Minimum Benefit) (Amendment) Regulations, 2005 and the Health Insurance Act 2001 (Open Enrolment) Regulations, 2005 and approves the amendments.

8. Presentation by the Disability Federation of Ireland and the Irish Wheelchair Association.

The Chairman welcomed the following witnesses to the meeting:

1. Mr. John Dolan, CEO, DFI;
2. Mr. Michael Corbett, Regional Support Officer, DFI;
3. Mr. Alan Dunne, Senior Executive Officer, DFI;
4. Mr. Michael Doyle, Regional Manager (IWA);
5. Mr. Hugh Farrell, Regional Manager (IWA), and
6. Ms. Helen Martyn, Regional Manager (IWA),

and asked Mr. Dolan and Mr. Doyle to commence the presentation on the mainstreaming of disability related Community Employment Schemes.

A questions and answers session ensued following which the Chairman thanked the DFI and the IWA for outlining the fundamental issues regarding the mainstreaming of disability related Community Employment Schemes. It was agreed that the Committee would give its support to the issue and would make a submission to the Minister for Finance to ring fence a budget for this purpose, and to encourage discussions between the Department of Health and Children and the Enterprise, Trade and Employment to resolve certain issues. It was agreed the submission would be sent to the DFI and IWA for their views prior to issuing and publishing the submission.

9. Adjournment.

The meeting was adjourned at 12.33 pm until Thursday, 7^th July, 2005 when Rural Resettlement Ireland Ltd will make a presentation on the Safe Driving Pledge.

John Moloney TD

Chairman

7 July 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 7^th July 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.02 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, John

Ellis and Tony Dempsey (in substitution for Dermot Fitzpatrick), Liz

McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam

Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn, Peter Callanan

and Terry Leyden (in part substitution for Camillus Glynn) and Mary

Henry.

3. Minutes of the last meeting.

The minutes of a meeting held on the 23^rd June last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business

This item was dealt with in Private Session

7. Presentation by Rural Resettlement Ireland Ltd on the Safe Driving Pledge.

The Chairman welcomed the following witnesses to the meeting:

• Bishop Willie Walsh, Diocese of Killaloe;
• Dr. Mark De Langey, Consultant in Rehabilitation Medicine, National Rehabilitation Hospital, Dun Laoghaire;
• Mr. John Flanagan, Director of Driving Course for Transition Year Students;
• Ms. Patricia Lynch, Director/Secretary, National Driving Standards Limited,
• Mr. Pat Cribben, CEO, Rural Resettlement Ireland Ltd
• Mr. Jim Connolly, Chairman, Rural Resettlement Ireland Limited.

He then asked Mr. Connolly to commence the presentation.

A questions and answers session ensued following which the Chairman thanked Rural Resettlement Ireland Limited for giving us such an informative and comprehensive presentation.

8. Adjournment.

This meeting was adjourned at 11.37 am until 10.30 am on 13^th July 2005 when the Committee will hear a presentation from Representative Groups on the present and future needs of Women's Support Services.

John Moloney TD

Chairman

7 July 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 13^th July 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.40 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Dermot Fitzpatrick, Beverley Flynn, Paul Gogarty (in substitution for John Gormley), Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Eamon Scanlon (in part substitution for Geraldine Feeney), Peter Callanan (in substitution for Camillus Glynn) and Mary Henry.

Apologies were received from Deputy Jerry Cowley, Jimmy Devins, John Gormley, Dan Neville and Senator Camillus Glynn.

Deputy John McGuinness also attended the meeting.

3. Minutes of the last meeting.

The minutes of a meeting held on the 7^th July last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Discussion on MRSA.

This item was dealt with in Private Session

8. Presentation by Presentation by a number of Representative Groups on the present and future needs of Women's Support Services.

The Chairman welcomed the following witnesses to the meeting:

• Ms. Bernadette Byrne, Assistant Manager, Mayo Women's Support Services;
• Ms. Ruth MacNeely, Co-ordinator, Mayo Rape Crisis Centre;
• Ms. Fiona Neary, Director, Rape Crisis Network;
• Ms. Sharon O'Halloran, Director, National Network of Women's Refuges and Support Services.

He then asked the groups to commence the presentation.

A questions and answers session ensued following which the Chairman thanked the groups for giving us such an informative and comprehensive presentation.

It was agreed to issue a press release on the issues as contained in Appendix 1.

9. Adjournment.

This meeting was adjourned at 12.37 pm until 2.00 pm on 20th July 2005 when the Tánaiste will update the Committee on her priorities for the Department of Health and Children.

John Moloney TD

Chairman

13 July 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 20^th July 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster

House 2000 at 2.08 p.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Eamon Scanlan (in part substitution for Geraldine Feeney) and Camillus Glynn

Apologies were received from Senator Mary Henry.

Senator Terry Leyden also attended the meeting

3. Update by the Tánaiste and Minister for Health & Children on important priority issues.

The Chairman welcomed the Tánaiste and her officials to the meeting and asked her to update the Committee on her priority issues. The Tánaiste commenced the discussion by outlining the fundamental issues that effect the provision of the country's health services and spoke of her plans to enhance the existing services.

A question and answer session then ensued between the Tánaiste and all the members of the Committee.

The Chairman thanked the Tánaiste for coming and giving an update on her proposals for such fundamentally important health issues.

4. Minutes of the last meeting.

The minutes of a meeting held on 13^th July were agreed.

5. Correspondence.

This item was dealt with in Private Session

6. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

7. Any Other Business.

This item was dealt with in Private Session

8. Adjournment.

This meeting was adjourned at 4.57 pm until 10.30 am on Thursday, 21^st July next when Officials from the Department of Health and Children will brief the Committee on the Report of the Commission on assisted human reproduction.

John Moloney TD

Chairman

20 July 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 21^st July 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.40 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Jimmy Devins, Michael Finneran (in substitution for Dermot Fitzpatrick), Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Peter Callanan (in part substitution for Camillus Glynn).

Apologies were received from Senator Mary Henry.

3. Minutes of the last meeting.

The minutes of a meeting held on the 20^th July last were agreed.

4. Any Other Business.

This item was dealt with in Private Session

5. Briefing by Department of Health & Children Officials on the Report of the Commission on Assisted Human Reproduction.

The Chairman welcomed the following Officials to the meeting:

• Mr. Brian Mullen, Principal Officer, Department of Health & Children;
• Mr. Peter Hanrahan, Assistant Principal Officer, Department of Health & Children;
• Mr. Liam McCormack, Assistant Principal Officer, Department of Health & Children;

and asked the Officials for a short briefing on the Report of the Commission on Assisted Human Reproduction.

A questions and answers session ensued following which the Chairman thanked the Officials for giving us such an informative and comprehensive briefing.

It was agreed to invite (a) the Parliamentary Legal Adviser and (b) the Chair and other representatives of the Commission on assisted Human Reproduction to come before the Committee on 15^th September next. The purpose of inviting (a) is to discuss constitutional legal issues and seek advice on appointing a Constitutional/Human Rights lawyer to assist the Committee in its task and of inviting (b) is to get an overview from the Commission of the priority issues contained in its report.

6. Adjournment.

This meeting was adjourned at 11.25 am until 10.30 am on 15^th September 2005 when the Parliamentary Legal Adviser and the Chair and other representatives of the Commission on Assisted Human Reproduction will come before the Committee.

John Moloney TD

Chairman

21 July 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 15^th September 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.38 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jerry Cowley, Beverly Flynn, Jimmy Devins, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Ned O'Keeffe (in part substitution for Charlie O'Connor), Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Paddy Burke (in substitution for Fergal Browne), Peter Callanan (in substitution for Camillus Glynn).

Apologies were received from Senators Fergal Browne and Camillus Glynn.

3. Minutes of the last meeting.

The minutes of a meeting held on the 21st July last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business

This item was dealt with in Private Session

6. Any Other Business

This item was dealt with in Private Session

7. Briefing by the Parliamentary Legal Adviser on issues regarding the Report of the Commission on Assisted Human Reproduction.

This item was dealt with in Private Session

8. Discussion with the Commission on Assisted Human Reproduction on its published report.

The Chairman welcomed the following to the meeting:

Professor Dervilla Donnelly, Chairperson, Professor Andrew Greene, Professor Marina Lynch, Dr. Deirdre Madden, Dr. Miriam McCarthy, Dr. Aengus Nolan, Mr. Peter Hanrahan, Professor Gerry Whyte and Dr. Mary Wingfield

and asked the Officials for a short briefing on the Report of the Commission on Assisted Human Reproduction.

A questions and answers session ensued following which the Chairman thanked the Officials for giving us such an informative and comprehensive briefing.

9. Adjournment.

This meeting was adjourned at 12.22 am until 10.30 am on 22^nd September 2005 when the VHI and Health Insurance Authority will come before the Committee to discuss Risk Equalisation.

John Moloney TD

Chairman

15 September 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 22^nd September 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.30 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Beverly Flynn, Dermot Fitzpatrick, John Gormley, Phil Hogan (in part substitution for Liam Twomey), Dan Neville, Ned O'Keeffe (in substitution for Charlie O'Connor), Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Fergal Browne, Camillus Glynn, Kieran Phelan (in part substitution for Geraldine Feeney), Paul Coughlan (in substitution for Fergal Browne), Peter Callanan (in part substitution for Camillus Glynn), John Hanafin (in part substitution for Camillus Glynn) and Fergal Quinn (in substitution for Mary Henry).

Apologies were received from Deputy Liz McManus and Senator Mary Henry.

3. Minutes of the last meeting.

The minutes of a meeting held on the 15^th September last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Any Other Business

This item was dealt with in Private Session

6. Discussion with the Health Insurance Authority on Risk Equalisation.

The Chairman welcomed the following to the meeting:

Professor Alastair Wood, Chairman, Mr. Dermot Ryan, Chief Executive Officer and Mr. Liam Sloyan, Head of Compliance Services from the Health Insurance Authority.

and asked the Officials for a short briefing on the issue of Risk Equalisation.

A questions and answers session ensued following which the Chairman thanked the Officials for giving us such an informative and comprehensive briefing.

6. Discussion with the VHI on Risk Equalisation.

The Chairman welcomed the following to the meeting:

Mr. Vincent Sheridan, Chief Executive Officer, Dr. Bernadette Carr, Medical Director, Mr. Willie Shannon, Finance Director and Mr. Declan Moran, Director of Marketing & Business Development for the VHI

and asked the Officials for a short briefing on the Issue of Risk Equalisations

A questions and answers session ensued following which the Chairman thanked the Officials for giving us such an informative and comprehensive briefing.

7. Adjournment.

This meeting was adjourned at 13.33 pm until 9.30 am on 29^th September 2005 when the Cystic Fibrosis Association of Ireland will come before the Committee to discuss the health service needs of people with Cystic Fibrosis.

John Moloney TD

Chairman

22 September 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 29^th September 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.30 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Beverly Flynn, Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Geraldine Feeney, Fergal Browne, Camillus Glynn, Paddy McHugh and Fergal Quinn (in substitution for Mary Henry).

Apologies were received from Deputy John Gormley and Senator Mary Henry.

3. Minutes of the last meeting.

The minutes of a meeting held on the 22^nd September last were agreed.

4. Correspondence.

This item was dealt with in Private Session.

5. Discussion with the Cystic Fibrosis Association of Ireland on the Health Service needs of people with Cystic Fibrosis.

The Chairman welcomed the following to the meeting:

Mr. Godfrey Fletcher, CEO

Ms. Mary Lane-Henneghan, Chairperson

Mr. Carl Rainey, Vice-Chairperson

Dr. Charles Gallagher, Chairman of the Medical & Scientific Council and

Mr. Rory Tallon, NEC Member

and asked the Officials for a short briefing on the Health Service needs of people with Cystic Fibrosis.

A questions and answers session ensued following which Committee Agreed to write to the Tánaiste supporting the case made by the Association. The Chairman thanked the Officials for giving the Committee such an informative and comprehensive briefing.

Discussion with the BUPA on Risk Equalisation.

The Chairman welcomed the following to the meeting:

Mr. Martin O'Rourke, Managing Director, Mr. Niall Devereux, Director of Finance, Ms. Ann O'Donnell, Director of Operations and Ms. Ann Broekhoven, Director of Health Service Contracts.

and asked the Officials for a short briefing on the Issue of Risk Equalisations

A questions and answers session ensued following which the Chairman thanked the Officials for giving us such an informative and comprehensive briefing.

6. Discuss with VIVAS Health on Risk Equalisation

The Chairman welcomed the following to the meeting:

Mr. Oliver Tattan, Chief Executive Officer, Ms. Maria-Teresa Kelly Oroz, Head of Legal Regulatory and Mr. Stephen Loughman, Finance Director and asked the Officials for a short briefing on the Issue of Risk Equalisations

A questions and answers session ensued following which the Joint Committee agreed to invite submissions from each group involved setting out ideas on high to resolve the issue.

Private Session

Membership of the Sub-Committee on the High Levels of Suicide in Irish Society.

This item was dealt with in Private Session

6. Adjournment.

This meeting was adjourned at 14.39 pm until 9.30 am on 13^th September 2005 when the Irish Association of Suicidology will make a presentation on issues regarding Suicide and Suicide Prevention.

John Moloney TD

Chairman

22 September 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 13^th October 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster

House 2000 at 9.30 a.m.

2. Attendance

The following Members were present:

Deputy Jimm Devins, (in the chair), Jimmy Beverly Flynn, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Camillus Glynn, Mary Henry and Timmy Dooley (in substitution for Geraldine Feeney).

Apologies were received from Deputy John Moloney and Senator Geraldine Feeney.

3. Minutes of the last meeting.

The minutes of a meeting held on the 29^th September last were agreed.

4. Discussion with the National Women's Council of Ireland on the Report “An Accessible Childcare Model”.

The Chairman welcomed the following to the meeting:

Dr. Joanna McMinn, Director, NWCI

Ms. Claire Dunne, Policy and Outreach Facilitator and

Ms. Orla O'Connor, Head of Policy

and asked the Officials for a short briefing on the Report “An Accessible Childare Model”..

A questions and answers session ensued following which the Chairman thanked the Officials for giving the Committee such an informative and comprehensive presentation.

4. Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Proposals.

This item was dealt with in Private Session

6. Any Other Business.

This item was dealt with in Private Session

7. Adjournment.

This meeting was adjourned at 14.39 pm until 9.30 am on 27^th October 2005 when the Crisis Pregnancy Agency will make a presentation on sexual awareness.

John Moloney TD

Chairman

13 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 27^th October 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 9.30 a.m.

2. Attendance

The following Members were present

Deputy John Moloney, (in the chair), Jimmy Devins, Pat Carey (in substitution for Beverly Flynn), Dermot Fitzpatrick, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey Brendan Howlin (in part substitution for Liz McManus.

Senators Fergal Browne, Camillus Glynn, Mary Henry and Terry Leyden (in substitution for Geraldine Feeney).

Apologies were received from Senator Geraldine Feeney.

3. Minutes of the last meeting.

The minutes of a meeting held on the 14^th September last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Work Programme

This item was dealt with in Private Session

6. Travel Budget.

This item was dealt with in Private Session

7. Any Other Business.

This item was dealt with in Private Session

8. Motion re Illegal Nursing Home Charges.

The Committee considered the following Motion tabled by Senator Fergal Browne:

‘That the Joint Committee on Health & Children calls on the Tánaiste and Minister for Health and Children to ensure that those people awaiting for refunds arising from the illegal nursing home charges are paid without further delay.”

Deputy Fiona O'Malley table the following amendment to the Motion:

To delete all words after “That” and substitute the following:

“the Joint Committee on Health and Children commends the Tánaiste and Minister for Health and Children for moving swiftly to correct the nursing home charges issue and asks for immediate clarification as to why there is a delay in paying the charges.”

The Motion as amended was agreed to following a vote.

9. Presentation by the Crisis Pregnancy Agency on Sexual awareness issues

The Chairman welcomed Ms. Olive Braiden, Chairwomen and Ms. Caroline Spillane, acting Director of the Crisis Pregnancy Agency to the meeting and asked the to commence their short presentation on sexual awareness issues.

A questions and answers session ensued following which the Chairman thanked the Officials for giving the Committee such an informative and comprehensive presentation.

10. Adjournment.

This meeting was adjourned at 11.56 pm until 11.30 am on 10^th November 2005 when MRSA and Families would present to the Committee on issues relating to MRSA.

John Moloney TD

Chairman

27 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 3^rd November 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.00 a.m.

2. Attendance

The following Members were present

Deputy John Moloney, (in the chair), Jimmy Devins, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Camillus Glynn and Geraldine Feeney.

Apologies were received from Senator Geraldine Feeney.

3.Travel proposals

This item was dealt with in Private Session.

4. Briefing by Mr. Eamon Corcoran, Principal Officer at the Department of Health and Children on the Motion re the World Health Organisation Framework Convention on Tobacco Control.

The Chairman welcomed Mr. Eamon Corcoran, Principal Officer at the Department of Health and Children to the meeting and asked him to commence his briefing on the Motion re the World Health Organisation Framework Convention on Tobacco Control.

A questions and answers session ensued following which the Chairman thanked Mr. Corcoran for briefing the Committee on the Motion.

5. Adjournment.

This meeting was adjourned at 10.27 am until 11.30 am on 10^th October 2005 MRSA and Families will present to the Committee on issues relating to MRSA.

John Moloney TD

Chairman

3 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 10^th November 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 11.30 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Paudge Connolly, Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne and Mary Henry.

Apologies were received from Deputy John Moloney and Senator Geraldine Feeney.

The following Members were in attendance pursuant to standing orders:- Deputies James Breen and John McGuinness.

3. Minutes of the last meeting.

The minutes of the meetings held on the 27^th October and 3 November last were agreed.

4. Discusssion with ‘MRSA and Families’ regarding issues relating to MRSA

The Chairman welcomed Ms. Margaret Dawson, Ms Noeleen Friel, Mr. Tony Kavanagh, Dr. Ronan Fawsitt and Theresa Graham to the meeting and asked them to commence their presentation on issues relating to MRSA.

A questions and answers session ensued following which the Chairman thanked the Officials for giving the Committee such an informative and comprehensive presentation and assured the delegation that the Committee would follow up on this important issue.

5. Correspondence.

This item was dealt with in Private Session

6. Oireachtas Scrutiny of EU Proposals.

This item was dealt with in Private Session

7. Any Other Business.

This item was dealt with in Private Session

8. Adjournment.

This meeting was adjourned at 13.49 pm until 9.30 am on 17^th October 2005.

John Moloney TD

Chairman

13 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 17^th November 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 11.30 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Minutes of the last meeting.

The minutes of the meetings held on the 10^th November last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Discusssion with Officials from the Department of Health and Children and the HSE regarding issues relating to MRSA

The Chairman welcomed the following to the meeting:

Dr. Jim Kiely, Chief Medical Officer

Mr. Brian Mullen, Principal Officer

Ms. Dympna Butler, Principal Officer

Dr. Kevin Kelleher, Assistant National Director, Population Health Directorate, HSE

Dr. Mary Hynes, Assistant National Director, National Hospitals Office, HSE and

Dr. Robert Cunny, Health Protection Surveillance Centre, HSE.

And asked that they commence their presentation on issues relating to MRSA.

A questions and answers session ensued following which the Chairman thanked the Officials for giving the Committee such an informative and comprehensive presentation.

The Committee agreed to invite the delegation back every three months for an update on the issue.

6. Adjournment.

This meeting was adjourned at 12.55 pm until 9.30 am on 24^th November 2005.

John Moloney TD

Chairman

24^th November 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 24^th November 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster

House 2000 at 9.33 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Camillus Glynn and Mary Henry.

Apologies were received from Deputies Paudge Connolly, Beverley Flynn and Dan Neville and Senator Fergal Browne.

The following Members were also in attendance in accordance with standing orders:

Deputy Jerry Cowley and Senator Mary Whyte.

3. Minutes of the last meeting.

The minutes of the meetings held on the 17^th November last were agreed.

3. Correspondence.

This item was dealt with in Private Session

4. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

5. Work Programme

This item was dealt with in Private Session

6. Discusssion with Professor Drumm, CEO, Health Service Executive on issues relating to the HSE

The Chairman welcomed Professor Brendan Drumm on his first appearance before the Committee since his appointment to CEO of the HSE. He also welcomed the folllowing to the meeting:

Mr. Pat McLoughlin, Director of the Nationals Hospitals Office

Mr. Aidan Browns, Director of Primary Community and Continuing Care Directorate

Mr. Alex Connolly, Communications Unit and

Mr. Dara Purcell, Offfice of the Chief Officer.

And asked that they commence their presentation on issues relating to the HSE.

A questions and answers session ensued following which the Chairman thanked Professor Drumm and his Officials for giving the Committee such an informative and comprehensive presentation.

7. Adjournment.

This meeting was adjourned at 12.20 pm until 9.30 am on 8^th December 2005.

John Moloney TD

Chairman

7^th December 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Minutes of 7^th December 2005

1. The Joint Committee met in public session in Committee Room R3, Leinster House 2000 at 9.33 a.m.

2. Attendance

The following Members were present:

Deputy John Moloney, (in the chair), Paudge Connolly, Jimmy Devins, Dermot Fitzpatrick, John Gormley, Liz McManus, Dan Neville, Charlie O'Connor, Fiona O'Malley and Liam Twomey.

Senators Fergal Browne, Geraldine Feeney, Camillus Glynn and Mary Henry.

3. Discussion with the Tánaiste and Minister on important Health Issues.

The Chairman welcome the Tánaiste and Minister for Health, Ms. Mary Harney, T.D., to the meeting and asked her to update the Committee on important health issues.

A questions and answers session ensued following which the Chairman thanked the Tánaiste and Minister for Health and Children for giving the Committee such an informative and comprehensive presentation.

3. Minutes of the last meeting.

The minutes of the meetings held on the 24^th November last were agreed.

4.Correspondence.

This item was dealt with in Private Session

5. Oireachtas Scrutiny of EU Business.

This item was dealt with in Private Session

6. Work Programme

This item was dealt with in Private Session

6. Adjournment.

This meeting was adjourned at 11.50 pm until 9.30 am on 19^h January 2006

John Moloney TD

Chairman

19 January 2006

APPENDIX 12

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the Review of Public Orthodontics Services.

Minutes of 23 February 2005

1. The Joint Committee met in public session in Committee Room R2, Leinster House 2000 at 10.35 a.m.

2. Attendance

The following Members were present:

Deputies Fiona O'Malley (in the chair), Dermot Fitzpatrick, Dan Neville and Charlie O'Connor.

Senator Mary Henry.

3. Election of Chairman.

Deputy Fiona O'Malley was elected unanimously as Chairman of the Sub- Committee on Orthodontics. The Sub-Committee then agreed to go into Private Session.

4. Work Programme of the Sub-Committee.

This item was dealt with in Private Session

5. Adjournment.

There being no other business, the Committee adjourned at 11.15 am until 12.15 am on 24^th March next.

Fiona O'Malley, T.D.,

Chairman,

23 February 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

The Sub-Committee on The Review of the Public Orthodontics Services

Minutes of 24 March 2005

1. The Joint Committee met in private session in Committee Room R2, Leinster House 2000 at 12.24 p.m.

2. Attendance

The following Members were present:

Deputies Fiona O'Malley (in the chair) Dan Neville and Charlie O'Connor.

Senator Mary Henry.

3. Briefing by Senator Mary Henry on the Analysis being prepared.

This item was dealt with in Private Session

4. Adjournment.

There being no other business, the Committee adjourned at pm until 12.00 pm on 28^th April next.

Fiona O'Malley, T.D.,

Chairman,

14 April 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

The Sub-Committee on The Review of the Public Orthodontics Services

Minutes of 14 April 2005

1. The Joint Committee met in private session in Committee Room R2, Leinster House 2000 at 12.19 p.m.

2. Attendance

The following Members were present:

Deputies Fiona O'Malley (in the chair), Dermot Fitzpatrick, Dan Neville and Charlie O'Connor.

Senator Mary Henry.

3. Briefing by Senator Mary Henry on the Analysis prepared.

This item was dealt with in Private Session

4. Adjournment.

There being no other business, the Committee adjourned at 1.03 pm until 12.00 pm on 14^th April next.

Fiona O'Malley, T.D.,

Chairman,

14 April 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

The Sub-Committee on The Review of the Public Orthodontics Services

Minutes of 17 May 2005

1. The Joint Committee met in private session in Committee Room R2, Leinster House 2000 at 4.21 p.m.

2. Attendance

The following Members were present:

Deputies Fiona O'Malley (in the chair) and Dermot Fitzpatrick.

Senator Mary Henry.

3. Minutes of the last Meeting.

Minutes of the last meeting held on 14^th April had been circulated to members.

The Chairman explained that the minutes contained draft recommendations based on those that were agreed to at the last meeting. A discussion ensued after which the following revised recommendations were agreed:

This item was dealt with in Private Session

4. Adjournment.

There being no other business, the Committee adjourned at 5.12 pm sine die.

Fiona O'Malley, T.D.,

Chairman,

17 May 2005

APPENDIX 13

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on The High Levels of Suicide in Irish Society.

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 4 October 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster House 2000 at 14.10 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor.

Senators Fergal Browne and Camillus Glynn.

3. Election of Chairman.

Deputy John Moloney was elected as chairman of the Sub- Committee on the High Level of Suicide in Irish Society and took the Chair. Deputy Dan Neville was elected as Vice-Chairman. The Sub-Committee then agreed to go into Private Session.

4. Work Programme of the Sub-Committee.

This item was dealt with in Private Session

5. Presentation by Professor Kevin Malone, Department of Psychiatry, St. Vincent's Hospital, UCD and Scientific Director of the 3T's – Turning the Tide of Suicide in Ireland.

The Chairman welcomed Professor Kevin Malone to the meeting and asked him for a short presentation.

A questions and answers session ensured following which the Chairman thanked Professor Malone for attending the meeting today and for the very detailed presentation.

6. Presentation by Alcohol Action Ireland.

The Chairman welcomed Dr. Declan Bedford, Alcohol Action Ireland, Dr. Conor Farren, Consultant Psychiatrist, St Patrick's Hospital, Norah Gibbons, Director of Advocacy, Barnardos and Marion Rackard, Chairperson of Acohol Action Ireland and asked them to commence their presentation.

A questions and answers session ensued following which the Chairman welcomed the delegation for attending today and for their detailed presentation.

7. Adjournment.

There being no other business, the Committee adjourned at 16.25 pm until 14.00 p.m. on Tuesday 11 November 2005.

John Moloney, T.D.,

Chairman,

4 October 2003

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 11^th October 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster

House 2000 at 14.05 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor.

Senators Fergal Browne and Camillus Glynn.

3. Minutes of the last meeting.

The minutes of a meeting held on the 4^th October last were agreed.

4. Work Programme of the Sub-Committee.

This item was dealt with in Private Session

5. Presentation on the High Level of Suicide in Irish Society by The Mental health Division of the Department of Health and Children, The Health Service Executive and the National Suicide Research Foundation.

The Chairman welcomed the following to the Meeting

Ms. Bairbre Nic Aongusa, Mental Health Division, Department of Health and Children

Mr. Geoff Day, Head of National Office on Suicide Prevention, Health Service Executive

Dr. Ella Arensman, Director of Research, National Suicide Research Foundation and

Derek Chambers, Researcher

and asked them to commence their presentation..

A questions and answers session ensured following which the Chairman thanked the Officials for attending the meeting today and for the very detailed presentation.

The Sub-Committee suspended at 15.25 and resumed at 15.50.

6. Presentation by Gerry Hickey Addiction Counsellor/Psychotherapist.

The Chairman welcomed the following to the meeting

Mr. Gerry Hickey, Addiction Counsellor

Dr. Patrick Andrews, Advisor

Ms. Dorothy Peelo Researcher and

Mr. Pat Bowe, Project Worker

Amd asked them to commence their presentation

A questions and answers session ensued following which the Chairman thanked the delegation for attending today and for their detailed presentation.

7. Adjournment.

There being no other business, the Committee adjourned at 16.39 pm until 14.00 p.m. on Tuesday 18 October 2005.

John Moloney, T.D.,

Chairman,

11October 2003

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 18^th October 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster

House 2000 at 14.05 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor.

Senators Fergal Browne and Camillus Glynn and Terry Leyden (in part substitution for Camillus Glynn).

3. Minutes of the last meeting.

The minutes of a meeting held on the 11^th October last were agreed.

4. Work Programme of the Sub-Committee.

This item was dealt with in Private Session

5. Presentation on the High Level of Suicide in Irish Society by Michael Egan of Living Links.

The Chairman welcomed Mr. Michael Egan of Living Links to the Meeting and asked him to commence his presentation..

A questions and answers session ensured following which the Chairman thanked Mr. Egan for attending the meeting today and for the very detailed presentation.

6. The Sub-Committee suspended at 14.50 and resumed at 15.06.

7. Presentation by Aware on the High Level of Suicide in Irish Society.

The Chairman welcomed the following to the meeting

Mr. Fran Gleeson, Regional Co-Orindator and

Ms. Sandra Hogan, Public Relations Officer

And asked them to commence their presentation

A questions and answers session ensued following which the Chairman thanked the delegation for attending today and for their detailed presentation.

8. Adjournment.

There being no other business, the Committee adjourned at 15.50 pm until 14.00 p.m. on Tuesday 25 October 2005.

John Moloney, T.D.,

Chairman,

18 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 25^th October 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster House 2000 at 14.05 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor.

Senators Fergal Browne and Camillus Glynn.

3. Minutes of the last meeting.

The minutes of a meeting held on the 18^th October last were agreed.

4. Presentation on the High Level of Suicide in Irish Society by Professor Eadbhard O'Callaghan of the DETECT Programme.

The Chairman welcomed Professor Eadbhard O'Callaghan of the DETECT Programme to the Meeting and asked him to commence his presentation..

A questions and answers session ensured following which the Chairman thanked Professor O'Callaghan for attending the meeting today and for the very detailed presentation.

5. Presentation by Console Bereaved by Suicide Foundation on the High Level of Suicide in Irish Society.

The Chairman welcomed the following to the meeting

Ms. Josephine Quinlan, Counsellor

Ms. Siobhan McArdle, Counsellor

Mr. Gareth O'Callaghan and Mr. Andrew Garvey from Console

And asked them to commence their presentation

A questions and answers session ensued following which the Chairman thanked the delegation for attending today and for their detailed presentation.

6. Tender Proposals.

This item was dealt with in Private Session

7. Adjournment.

There being no other business, the Committee adjourned at 15.53 pm until 14.00 p.m. on Tuesday 1^st November 2005.

John Moloney, T.D.,

Chairman,

25 October 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 1^st November 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster House 2000 at 14.00 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor. Paudge Connolly

Senators Fergal Browne and Camillus Glynn.

3. Minutes of the last meeting.

The minutes of a meeting held on the 25^th October last were agreed.

4. Consultant.

The Chairman welcomed Dr. Siobhan Barry who has been commissioned to assist the Sub-Committee in preparing a draft report on the issue and who will attend all future meetings of the sub-Committee and introduced her to the Members of the sub-Committee

5. Presentation by Professor Carol Fitzpatrick of the Mater Child Guidance Clinic and Dr. Nollaig Byrne of the Mater Child and Adolescent Mental Health Service.

The Chairman welcomed Professor Carol Fitzpatrick and Dr. Nollaig Byrne of the Mater Child Guidance Clinic to the Meeting and asked them to commence their presentation..

A questions and answers session ensured following which the Chairman thanked Professor Fitzpatrick and Dr. Byrne for attending the meeting today and for the very detailed presentation.

6. Presentation by Dr. Ann Hope, National Alcohol Policy Advisor and mr. Shane McGovern, Assistant Principal, Department of Health and Children on the High Level of Suicide in Irish Society.

The Chairman welcomed Dr. Ann Hope, National Alcohol Policy Advisor and Mr. Shane McGovern Assistant Principal, Department of Health and Children to the meeting and asked them to commence their presentation.

A questions and answers session ensued following which the Chairman thanked Dr. Hope and Mr. McGovern for attending today and for their detailed presentation.

7. Correspondence.

This item was dealt with in Private Session

8. Work Programme.

This item was dealt with in Private Session

9. Adjournment.

There being no other business, the Committee adjourned at 16.15 pm until 14.00 p.m. on Tuesday 8^th November 2005.

John Moloney, T.D.,

Chairman,

1^st November 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 8^th November 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster House 2000 at 14.00 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor. Paudge Connolly

Senators Fergal Browne and Camillus Glynn, Maurice Cummins (in part substitute for Fergal Browne) and Terry Leyden (in part substitute for Camillus Glynn).

3. Minutes of the last meeting.

The minutes of a meeting held on the 1^st Novemberlast were agreed.

4. Draft Report.

Dr. Siobhan Barry circulated a draft outline of the report and asked the Sub-Committee for their views.

5. Presentation by the Irish Association of Suicidology on the High Level of Suicide in Irish Society.

The Chairman welcomed the following people from the Irish Association of Suicidology to the meeting

Dr. John Connolly, Secretary

Prof. Michael Fitzgerald, Chairman

Mr. Dan Thompson, Vice-Chairman

Dr. Justin Brophy, Director and

Ms. Ann Cleary, Director

To the meeting and asked them to commence their presentation on the High level of Suicide in Irish Society.

A questions and answers session ensured following which the Chairman thanked the delegation for attending the meeting today and for the very detailed presentation.

6. Presentation by Dr. Niall McElwee, Athlone Institute of Technology and Co-Author of the Book “Darkness on the edge of Town”

the Chairman welcomed Dr. Niall McElwee to the meeting and ask him to commence his presentation on the High Level of Suicide in Irish Society.

A questions and answers session ensued following which the Chairman thanked Dr. Mcelwee for attending today and for hisr detailed presentation.

7. Adjournment.

There being no other business, the Committee adjourned at 16.15 pm until 14.00 p.m. on Tuesday 8^th November 2005.

John Moloney, T.D.,

Chairman,

8^thNovember 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 15^th November 2005

1. The Joint Committee met in public session in Committee Room R1, Leinster House 2000 at 14.00 p.m.

2. Attendance

The following Members were present:

Deputies John Moloney (in the chair), Dan Neville and Charlie O'Connor. Paudge Connolly and Paddy McHugh (in part substitution for Paudge Connolly.

Senator Fergal Browne

3. Minutes of the last meeting.

The minutes of a meeting held on the 8^th November last were agreed.

4. Correspondence.

This item was dealt with in Private Session

5. Presentation by the Irish Suicide Research Foundation on the High Level of Suicide in Irish Society.

The Chairman welcomed the following people from the National Suicide Foundation to the meeting:

Dr. Ella Arensman, Director of Research

Paul Corcoran, Senior Statistician and Deputy Director

Carmel McAuliffe, Research Psychologist/Project Co-ordinator of the Parasuicide Intervention Study and

Eileen Williamson, Programme Manager

and asked them to commence their presentation on the High level of Suicide in Irish Society.

The Chairman thanked the delegation for coming to the meeting today and for their comprehensive presentation of the issue of suicide.

6. Presentation by Seán McCarthy, Regional Suicide Officer, Health Service Executive South-East Area

the Chairman welcomed Mr. Seán McCarthy to the meeting and asked him to commence his presentation on the High Level of Suicide in Irish Society.

The Chairman thanked Mr. McCarthy for coming and for his detailed presentation on the high level of suicide in Irish society.

7. Adjournment.

There being no other business, the Committee adjourned at 4.40 pm until 14.00 p.m. on Tuesday 29^th November 2005.

John Moloney, T.D.,

Chairman,

15^th November 2005

JOINT COMMITTEE ON HEALTH AND CHILDREN

Sub-Committee on the High Level of Suicide in Irish Society

Minutes of 29^tt November 2005

1. The Sub Committee met in private session in Committee Room R1, Leinster House 2000 at 14:14 p.m.

2. Attendance

The following Members were present:

Deputies Paudge Connolly , John Moloney (in the chair), Dan Neville and Charlie O'Connor.

Senator Fergal Browne John Hanafin in substitution for Camillus Glynn..

3. Minutes of the last meeting.

The minutes of the previous meeting held on the 15^th November 2005 were agreed.

Private Session

4. Correspondence.

This item was dealt with in Private Session

5. Discussion on Draft Report by Dr. Siobhan Barry, Consultant.

This item was dealt with in Private Session

6. Adjournment.

There being no other business, the Committee adjourned at 3:35 pm until a date to be decided

John Moloney, T.D.,

Chairman,

29^h November 2005

APPENDIX 14

TITHE AN OIREACHTAIS

Houses of the Oireachtas

Work Programme 2006

Joint Committee on HEALTH

AND CHILDREN

AN COMHCHOISTE UM SHLÁINTE AGUS LEANAí

JOINT COMMITTEE ON HEALTH AND CHILDREN

WORK PROGRAMME 2006

1. Introduction

In accordance with Standing Order 84(4) of Dáil Éireann and Standing Order 69(4) of Seanad Éireann the Oireachtas Committee on Health and Children hereby presents its Work Programme for 2006.

2. BACKGROUND

The Joint Committee on Health and Children was established following Orders of Dáil Éireann on 16 October 2002 and of Seanad Éireann on 17 October 2002. Standing Orders 84(4) (Dáil Éireann) and 69(4) (Seanad Éireann) require that –

“As soon as may be following its appointment and thereafter at annual intervals, each Select Committee shall prepare a work programme and shall lay such programme before [Dáil[Seanad] Éireann”.

3. Orders of Reference of the Joint Committee on Health and Children

The Orders of Reference of the Joint Committee empowers it to consider:

1. such public affairs administered by the Department of Health and Children as it may select, including, in respect of Government policy, bodies under the aegis of that Department;
2. such matters of policy for which the Minister for Health and Children is officially responsible as it may select;
3. such related policy issues as it may select concerning bodies which are partly or wholly funded by the State or which are established or appointed by the members of the Government or by the Oireachtas;
4. such Statutory Instruments made by the Minister for Health and Children and laid before the Houses as it may select;
5. such proposals for EU legislation and related policy issues as may be referred to it from time to time, in accordance with Standing Order 91(4);
6. the strategy statement laid before each House of the Oireachtas by the Minister in charge of that Department pursuant to section 5(2) of the Public Service Management Act, 1997, and

shall be authorised for the purposes of section 10 of that Act; and;



7. such Annual Reports or Annual Reports and Accounts, required by law and laid before either or both Houses of the Oireachtas, of bodies specified in paragraphs 2(a)(i) and (iii), and the overall operational results, statements of strategy and corporate plans of these bodies, as it may select;

Provided that the Joint Committee shall not, at any time, consider any matter relating to such a body which is, which has been, or which is, at that time, proposed to be considered by the Committee of Public Accounts pursuant to the Orders of Reference of that Committee and/or the Comptroller and Auditor General (Amendment) Act, 1993;




Provided further that the Joint Committee shall refrain from inquiring into in public session, or publishing confidential information regarding, any such matter if so requested either by the body concerned or by the Minister for Health and Children; and



8. such other matters as may be jointly referred to it from time to time by both Houses of the Oireachtas,
   and shall report thereon to both Houses of the Oireachtas.

Accordingly, the items listed in this Work Programme will be considered by the Joint Committee within the parameters defined by it's Orders of Reference, as amended from time to time.

4. OVERSIGHT AND ACCOUNTABILITY

The Joint Committee on Health and Children is committed to making a constructive contribution to the committee system in the Houses of the Oireachtas and to continuing to assert the proper oversight and accountability role of the Legislature in respect of the Executive. It will endeavour to do this by properly exercising the functions and powers which have been conferred on it by both Dáil Éireann and Seanad Éireann.

5. FLUIDITY OF WORK PROGRAMME

The items listed for consideration in this Work Programme are not in any order of priority. The Joint Committee will decide on individual items for review in light of its assessment of a particular need during the year. The Joint Committee is of the opinion that to accord a strict priority and agree a timetable for consideration of the various items would impose too rigid a structure and would not enable the Joint Committee to respond to evolving events during the year. In response to a particular evolving event or an urgent unforeseen matter, it shall, if it deems it necessary to do so, amend this Work Programme to include further items or delete or revise existing items for consideration.

The Joint Committee has also agreed that, should it not have sufficient time during 2006 to consider an item detailed in this Work Programme, it may include it in next year's Work Programme should the issue continue to retain its importance and relevance.

6. JOINT COMMITTEE – GENERAL AREAS FOR CONSIDERATION

(a) EU Scrutiny

In light of the increasing importance and influence of the European Union (EU) on national affairs and legislative matters, the Joint Committee will give ongoing priority to EU issues and, in particular, will promptly examine any EU legislative proposal referred to the Joint Committee by the Sub-Committee on European Scrutiny.

The Joint Committee will endeavour to have ongoing meetings with the Minister for Health and Children in advance of EU Council meetings to enable the Joint Committee to enhance effective oversight of Government policy thinking and to have an input into, and an exchange of views on, topics arising on the agendas of those Council meetings.

(b) Statutory Instruments

The Joint Committee will endeavour to monitor Statutory Instruments (SIs) made by the Minister for Health and Children which are laid before both Houses of the Oireachtas and, where it considers it necessary, will discuss particular SIs and matters arising with the Minister at an appropriate time.

(c) Strategy Statement and Departmental Policy Documentation

The Joint Committee will endeavour to consider the ongoing progress made by the Department of Health and Children on its commitments in the strategy statement and other general related policy documentation (vis. Annual Reports, Corporate Plans, etc.) relating to the Department's remit in discussion with the Minister or appropriate Departmental officials.

(d) Oversight of bodies

The Joint Committee will endeavour during 2006 to consider, inter alia, policy matters, annual reports or annual reports and accounts, overall operational results, statements of strategy and corporate plans of certain bodies as it may select which are listed in the Addendum attached to this Work Programme.

(e) Referral of matters by Dáil Éireann and Seanad Éireann

In addition to those issues detailed in this Work Programme, the Joint Committee may be required, from time to time, to consider matters referred to it jointly by Dáil Éireann and Seanad Éireann (e.g. Motions re. International Agreements, Conventions, draft SIs, etc.).

7. JOINT COMMITTEE – SPECIFIC ITEMS FOR CONSIDERATION

The Joint Committee intends to review specific major areas of policy falling within the remit of the Minister for Health and Children as outlined below in this section and in section 5 above. As part of that process, the Minister (and Departmental officials) may be invited to appear before the Joint Committee to outline policy decisions/thinking and respond to detailed questions. Where necessary, the Joint Committee may also seek submissions from the public and may, if the need arises, engage persons with specialist or technical knowledge to advise and assist it in its work.

The Joint Committee will have ongoing periodic follow-up with the Minister (or Departmental officials as appropriate) on progress made on implementation of recommendations made in Reports published by the Joint Committee during the 29^th Dáil.

It is also intended that the following specific items will be considered during 2006 by the Joint Committee:-

General

• Report of ‘The Commission on Assisted Human Reproduction’
• Ireland's National Diabetes Strategy especially Type 2 Diabetes
• Significant rise in Obesity levels in Adults and Children
• Risk equalisation in the Private Health Insurance Sector
• Colm O'Gorman – One in Four
• ‘Avian Influenza’ H5N1
• Issues surrounding Water Fluoridation
• Review of progress made in implementing the National Health Strategy.
• Proposed deregulation of the Pharmaceutical Industry
• Issues surrounding the Seroxat Drug
• Progress made in the reforming and restructuring the Health Service Executive.
• The cost of insuring medical professionals and the introduction of Enterprise Liability into the Public Hospital System.
• Consultant doctors and the alledged misuse of public funds.
• Possible Adverse Health Effects from Mobile Phone Masts
• Alcohol and Drug Misuse and facilities for Young People
• Such other matters as may be referred by both Houses.
• Such other matters under the Orders of Reference of the Joint Committee as it may decide.

Safety of Blood Products.

• Possibility of contracting a new variant CJD from blood products through blood transfusion.
• Role of the Department of Health and Children in ensuring the safety of blood products.

Hospital Services.

• Improvements in the services provided in Hospital Accident & Emergency Departments.
• Progress made in reducing Hospital Waiting List times.
• Present and future needs of the Neurological Services (both Neurology and Neuro-Surgery)
• Proposals for implementing the Working Time Directive in Irish Hospitals.
• Rheumatology Services in Ireland.

General Medical Service.

• Specialist Training for GPs treating patients with mental illness, alcohol and/or drug addictions and those at risk of committing suicide.
• Irish Medical Council briefing on issues of concern to the Committee

Skills shortages in the Health Services.

• Recruitment and retention of qualified Medical Personnel to include Doctors, Nurses, Physiotherapists, Speech and Language Therapists and Occupational Therapists by Health Boards.

Treatment of Infectious Diseases.

• Prevention and treatment of AIDS/HIV and Sexually Transmitted Diseases.
• MRSA and families

Treatment of Addictions.

• Availability of appropriate referral treatment for alcohol, drug and other substance abuse addictions.

Health Services for the Elderly.

• Community Care Facilities available for Elderly People including the Travers Report

Disability Issues.

• Present and future needs of the physically disabled, particularly wheelchair users.
• Current operation of the Disabled Drivers and disabled Passengers (Tax concessions) Scheme
• National Disability Strategy
• Progress made in providing life-long health services to people with autism and related disorders

Men and Women's Health Issues.

• Greater understanding and promotion of Men's Health Issues.
• Screening and treatment available for Cervical, Prostrate and Breast Cancer to include a review of the national roll-out of the ‘Breast Check’ Programme.
• Establishment of a National Cancer Screening Register.
• Progress made in implementing the recommendations contained in the Report entitled ‘Development of Radiation Oncology Services in Ireland’.

Health Education and Promotion.

• Education Programmes for young people on Alcohol and Drug Misuse and suicide prevention

Mental Health.

• Present and Future needs of the Mental Health Services.
• Suicide Rates among Irish Men.
• Nature and understanding of Depression in Irish society.
• Facilities available for patients with a Dual Diagnosis (a Mental Health problem and an addiction to alcohol or drugs)

Children.

• Re-sourcing of a National Directory of Youth at Risk Service and the establishment of a Peer to Peer Support Programme
• Health Services for Children including the National Children's Strategy.
• Levels of Autism and related disorders among Irish Children.
• Implementation of the UN Charter on the Rights of the Child.
• Current vaccination policy and practice, poor take-up rates and public concerns regarding risks and adverse effects.
• High levels of childhood obesity and the possible link with TV advertisements promoting nutritionally deficient, highly calorific foods.
• Child protection issues.

Scrutiny of EU Business.

• Scrutiny of EU legislative proposals pertaining to the Department of Health and Children.

Strategy Statement and the Strategic Management Initiative.

• The Joint Committee will consider the S.M.I. documents relating to the Department of Health and Children in detail during the year and report annually on progress made by the Department.

8. TRAVEL

Subject to Standing Order 81(9) [Dáil Éireann] and Standing Order 65(9) [Seanad Éireann], the Joint Committee may decide, subject to financial, administrative and procedural constraints, to undertake travel as it considers necessary to further progress the Work Programme. Such travel may include fact finding visits, attendance at conferences or meetings, etc. within the remit under the Orders of Reference. Reports will be completed for all travel undertaken.

9. INCOMING PARLIAMENTARY DELEGATIONS

The Joint Committee will meet with incoming Parliamentary Delegations, as required.

10. Select Committee on Health and Children

Those members of Dáil Éireann who are members of the Joint Committee on Health and Children also constitute the membership of the Select Committee on Health and Children. In accordance with paragraph 1(a) of the Order of Dáil Éireann, the Select Committee is appointed to consider –

1. such Bills the statute law in respect of which is dealt with by the Department of Health and Children
2. such Estimates for Public Services within the aegis of the Department of Health and Children; and
3. such proposals contained in any motion, including any motion within themeaning of Standing Order 157 concerning the approval by the Dáil of international agreements involving a charge on public funds,
   as shall be referred to it by Dáil Éireann from time to time.”

The matters referred to the Select Committee will be considered in tandem with the ongoing work of the Joint Committee but may have a practical effect on the capacity of the Joint Committee to complete its consideration of the items identified in the Work Programme.

11. NUMBER AND FREQUENCY OF MEETINGS

Taking account of the resources and facilities available and the commitments of members, it is anticipated that the Joint Committee will meet fortnightly in the course of 2006.

In view of the specific functions of the Select Committee, it is not possible to anticipate the number of meetings required during 2006. However, the Select Committee will convene as necessary to consider such matters as are referred to it (see above) within the prescribed timeframe.

12. AGREEMENT OF WORK PROGRAMME

This Work Programme for 2006 of the Joint Committee on Health and Children and the Select Committee on Health and Children was agreed by the Committee at its meeting on 2^nd February, 2006. In accordance with Standing Orders of Dáil Éireann and Seanad Éireann, it was agreed that the Work Programme be laid before both Houses of the Oireachtas.

John Moloney, T.D.

Chairman

February 2006.

^* Deputy Paudge Connelly replaced Jerry Cowley by order of the Dáil on the 4^th of October 2005.

^** Gina Long replaced Tara Wharton.