2026-06-18

1. Deputy Louise O'Reilly asked the Minister for Social Protection the plans to address the high rates of domiciliary care allowance, DCA, appeals; and if he will make a statement on the matter. [46280/26]

This is a fairly straightforward question and one I have asked before, because it is an issue I like to keep track of. It has to do with the high rate of people who are unsuccessful the first time but successful the second time, often in circumstances where there has been no change. I know that the Minister will say this is not the case, but I can tell him that my constituents do believe that there is a policy. Some of the people who contact my office believe that there is a policy of refuse first and see if people come back. That is not a good thing, I am sure the Minister will agree, but it is certainly the impression that people have.

I thank Deputies O'Reilly and Wall for their ongoing work on this issue. The DCA is a monthly payment to a parent or a guardian in respect of a child aged under 16 who has a severe disability and requires care and attention substantially over and above that needed by a child of the same age. The payment is not means tested. There is no restriction on the number of children for whom a person may claim the payment. The current rate of appeal for DCA is not disproportionately higher than that of similar medical-based schemes administered by the Department. In 2026, to the end of May, the appeal rate was 20%, with 6,742 decisions made and 1,366 appeals submitted. It is important to note that where decisions are allowed in the receipt of an appeal, this may not mean that the initial decision was incorrect. A decision is more often revised because the person making an appeal provides additional information that was not available when the decision was first made. In other jurisdictions, appellants are not allowed to submit additional information, but instead are required to submit a new application. By referring the appeal papers back to the Department's decision team for review, our process is more flexible. As a result, 692, or 62%, of the 1,111 DCA appeals granted in the period from January to May 2026 were decided by way of a revised decision by the scheme's deciding officers. This shows the Department's efforts to ensure that as few cases as possible have to go through the full appeals process. To reduce the level of appeals, we encourage those to provide all relevant information in the initial application. In a further effort to assist customers applying for DCA, claims can now be made online and improvements are being introduced to make that process easier for families. The number of DCA appeals on hand has reduced significantly. At the end of 2024, there were 1,709 appeals on hand. This reduced to 664 by the end of 2025. There are 610 appeals on hand this year to date. This is in the context of a significant increase in applications for DCA in recent years. The number of applications increased by 17.5% in 2025, with a similar rate of increase evident so far this year.

I know that the Minister is very aware that in order to apply for DCA, a parent has to fill out a very long form, be it online or done with a biro. It is a very long form and they must describe their child on their worst day. They must talk about all of the things about their child that are negative for their family. It is soul destroying and exhausting. I can say this because I conducted a survey last year where I talked to people about it. The experience of having an appeal rejected is somewhat traumatising for parents. I have had people in my office and I am trying to encourage them to appeal where there are no changes in the circumstances and they get it on appeal. It is welcome that people can apply online, as this removes some of the burden but, in truth, these forms are onerous. Filling them out is really hard for parents only to have an application rejected while knowing they have an entitlement and to have to go back and appeal. My understanding is that the percentage being overturned on appeal has risen. That is not a good thing.

I have placed considerable emphasis on this since being appointed. At the end of 2024, there were 1,700 appeals on hand. At the end of 2025, there were 664 appeals on hand, and we had a 17.5% increase in applications in 2025. As I said at the end of my previous contribution, we have a similar increase this year. We have allocated additional resources to manage it. By moving it online, we have taken some of that paperwork burden out of it. I am very much open to feedback. We are doing a review of all the forms and processes at the moment. It is important for us to get a balance between getting the information we need to make a decision and to allow people to make an informed decision. I do not want a situation where we are adding to the challenges of a parent's life and, most importantly, a child's life. I need to strike a balance and I am very much open to feedback from offices about the design of any of our forms, but particularly the DCA form. I do not want people to have to go through any more challenges than they already do in their daily lives.

Some of this stuff is very easy to understand. If someone has a child who has a condition or a disability and that child is doubly incontinent, there you go and that should be enough without a parent having to go into a narrative about what that means. We know what that means. That means restrictions on where people can go. That means they have to be with their child constantly. All of these things we know. Sometimes, the Department requires a lot of information from people about the impact that having a child with a disability has on the household. That is really hard for parents to do. We conducted a survey. A really high proportion came back to us and advised that they experienced poverty in the period between making the application and actually receiving the DCA, regardless of whether that required an appeal. That is not acceptable. A lot can be done to streamline the forms but that narrative part of the form is really tough for parents to engage with.

We have the online option. The average time to award a payment in 2026 to date has been seven weeks. The target is nine. We have also put a fast-track system in place between our medical assessors and my officials to ensure that all medical issues are expedited. I am trying to take all the blockages out of the application system. In response to the work of Deputies O'Reilly and Wall, who have consistently raised this, often outside the Chamber as well, we are keeping a very sharp focus on delays in the appeals. We have to strike a balance between getting the full information to make an informed decision efficiently and effectively. I have asked my officials to remember at all times the day-to-day experiences of the parents and guardians applying for it and of the children in particular.