2026-04-23

134. Deputy Claire Kerrane asked the Minister for Children, Disability and Equality the steps being taken to open special care beds that are closed in the State; and if she will make a statement on the matter. [28749/26]

I again want to ask the Minister about the special care beds in the State that are closed. When I raised this issue with her here last month, she advised that 15 of the 26 beds were open. This issue was to the fore in the "RTÉ Investigates" programme last night. What more can and will the Minister do to ensure that the 26 beds that are there and that are needed will open?

I thank Deputy Kerrane for the question. Tusla has statutory responsibility for the operation of special care and the provision of special care beds. The Department recognises the significant challenges facing special care and is actively engaging with Tusla to address these challenges. Tusla has indicated that difficulties in the recruitment and retention of staff are the primary limiting factors in operating special care beds. The complex needs of children require high staffing ratios, as there is a need for at least one staff member per child throughout the day, in addition to supervisory staff, and the units must be covered on a 24-7 basis, albeit with reduced staffing at night. That means seven individuals for every one young person. Children with particularly complex needs may require up to twice that level of staffing resources, or 14 staff to one individual child or young person. Department officials continue to work with Tusla to support it in addressing the staffing shortages in special care provision. A new grade and pay scale for special care has been introduced in an effort to increase staff numbers. This new Tusla special care worker grade offers an improved salary scale, with pay at the top of the scale 20.3% higher when compared with the social care worker grade used across services more broadly. A total of €26 million was allocated for special care in budget 2026. This represents an increase of over €6 million on budget 2025 and this investment will increase capacity and enhance provision, including funding for the new special care staff grade, staff well-being initiatives and additional therapeutic supports. As part of these therapeutic supports, Tusla has commenced recruitment for psychiatric nurses in special care. Tusla has been allocated €188 million in capital funding for 2026 to 2030. In line with the national development plan, €17 million is the indicative allocation for special care. This funding will support Tusla in upgrading, renovating or purchasing special care and step-down units. Two new step-down units are scheduled to open in December 2026 and a third in January 2027. Tusla has commenced a project to repurpose a facility in Cork into a special care centre. This is expected to assist in recruitment outside of the Dublin area. Tusla is fully focused on increasing staffing levels in special care and has taken significant steps to address the current challenges, with a dedicated recruitment team undertaking targeted campaigns across a range of media, including international recruitment.

I thank the Minister and acknowledge that there are real difficulties in hiring, recruiting and retaining professionals in these special care settings. The Minister will be well aware of the restructuring that is being undertaken by Tusla. Part of that restructuring is impacting the special care services. Is the Minister aware that front-line staff and managers within special care services have raised serious concerns in relation to the impact the restructuring will have on the special care services themselves? Based on what we saw last night, would the Minister seek a pause in the restructuring in special care, given the concerns that have been raised by people who work in special care? Again based on what we saw last night, they are the people we need to be listening to. They have said that they are extremely concerned that what is being done in terms of the restructuring in special care will lead to a collapse of special care. Those people need to be heard by the Minister. Has she met the professionals in the special care services specifically?

I acknowledge that there is an issue in terms of staffing levels for special care. We are very conscious of that. As I said, you can be dealing with very complex cases at a minimum. It is a staff requirement of seven people to one young person. In many instances, 14 staff could be required for one young person. Tusla is proactive on the ground, ensuring that there will be newer avenues or streams to bring in staff and make staff available. I have already referenced the new special care category, which is a 20% increase in wage. I also acknowledge that Tusla has recently launched a new special care training college. National and international recruitment campaigns have been undertaken, along with graduate sponsorship schemes, which is important. Tusla has also engaged with higher education institutions to establish a work-based learning programme which leads to a BA in social care. This programme is currently laying the foundation for formal establishment of a national apprenticeship scheme. Alongside these steps to improve capacity in special care and residential care, actions are being taken to improve foster care capacity, which is hugely important.

We saw the need for special care beds in last night's programme. We saw the consequences of what happens when children in State care do not get the support they need. They enter a world of crime and drugs. They are abused and assaulted. They end up homeless. Those working in the special care services, who are highly trained and highly professional, are raising serious concerns in relation to the restructuring that is under way. I ask the Minister to please hear these concerns. I ask that there would be a pause on the restructuring of special care. Yes, there are issues in terms of recruitment and retention but we need to listen to those people. I am speaking about management level within those who are raising serious concerns for special care and for the restructuring and the impact that will have. I also know the director of special care has been removed from his position. That is deeply concerning based on what we saw last night. Will the Minister engage with these workers in special care services? Will she pause the restructuring until their issues are heard and addressed?

I cannot comment on HR matters for Tusla and how staff are moved or otherwise. It would be inappropriate. It is directly a matter for Tusla in relation to the management of its staff. Concerted efforts are being made, notwithstanding the challenges that are there. I have already referenced how upsetting it was to watch the experiences of and learn from young people their experiences, as we witnessed last night. It is so important that Tusla continues to be proactive in the space, particularly in the area of special care, recognising that a huge volume of staff are required in the area of special care and recognising that special care is a particular area where young people, for the protection of themselves, are denied their liberty. We are currently investing €26 million in special care from budget 2026, €17 million in capital funding for 2026 to 2030, renovating and purchasing new residential elements. There are three step-down facilities in special care being brought on stream this year, two at the end of December and one in January. As I have already referenced, we have the training centre. Over €1 million is being made available for therapeutic supports for those who might be in special care, leaving special care or on the verges of special care. There is every opportunity to do more in this space. More must be done in this space. It is being done and we will continue to be proactive in this space.