2026-02-19

100. Deputy John Clendennen asked the Minister for Children, Disability and Equality for an update on staffing levels and vacancy rates across the children’s disability network teams; how these are affecting service access for children; and if she will make a statement on the matter. [13292/26]

My question this morning is about referrals to children’s disability network teams, CDNTs. Will the Minister of State provide updates on staffing levels and vacancy rates across teams and how they are affecting services access for children?

I thank the Deputy for raising this important issue. The Government and I, like the Deputy, are committed to early intervention for children with disabilities, to ensure they can access the appropriate supports at the earliest possible stage. Those services are delivered through our children’s disability network teams for children with complex needs. Recruitment and retention of health and social care professionals is a really big challenge, to be quite frank, and it is a challenge faced by the CDNTs across the country. I am pleased that progress is being made on the recruitment of staff to the teams and the HSE has reported a 28% increase in staffing levels nationwide from October 2023 to October 2025. This equates to an additional 448 whole-time equivalents, which includes 321 health and social care professionals. The overall CDNT vacancy rate has reduced from 29% in 2023 to 18% in 2025. That is a reduction of 11 percentage points nationally, but it is still a challenge and, as a result of that, there are still delays in accessing interventions for children with disabilities. However, it is important to thank our teams and recruiters for the progress that is being made. Since the roadmap was approved by the Government in July 2023, the national CDNT waiting list has reduced by 43% as at the end of December. Despite staffing challenges, CDNTs provided supports to 44,739 children with complex needs as of the end of December last year. I thank all of our people who are working so hard on those teams. The HSE is currently developing a service improvement plan for disability service for children and young people, which will build on improvement works started under the roadmap with a key focus on recruitment and retention. To maintain this progress, the HSE is driving intensive domestic and international recruitment efforts and will undertake a variety of workforce initiatives to support sustained growth of CDNTs and the wider disability sector this year

I congratulate the Minister of State on her new Ministry and I wish her the best of luck with it. I agree with her on the need for early intervention. At the end of the day, we need results. Children and their families cannot wait and critical windows of intervention can be missed, which ends up with complex cases becoming more complex. My concern relates to with families, who have seen a child diagnosed and put on a list. They are waiting for a CDNT and they are not getting that support. The longer that goes on, the larger this problem is becoming. I appreciate that additional resources are being applied and delays are being addressed, but I would like to see a level of accountability and efficiency in how these services are being improved and expanded with the additional resources that are being applied. How accessible are these services and these teams to these families? How can we improve it further?

I am inundated with families contacting me who are having a real difficulty accessing the supports, services and therapies that their children need from CDNTs. The HSE data from last month showed a number of vacancies across the CDNT network in Galway. At that time, just one CDNT out of 15 in the broader west and north-west region was fully staffed. The result of that is that children are facing extreme waits to access the services they need. It is causing untold stress to families as well. One particular family in County Galway, who I know has been writing to the Minister of the State, is completely at their wit's end. Despite repeated requests, they cannot get individual speech and language therapy for their son who is non-verbal and autistic. It is heartbreaking for them as parents to see their child not getting the supports that they need and they are not the only ones. Will the Minister of State explain this to that family? Will she also outline what she is going to do to ensure that our CDNTs are fully staffed and fully functional going forward?

In terms of staffing, this year's budget has allocated €8 million, which will provide for 150 new staff across our CDNTs. We will prioritise the placement of those new staff on the teams that have the highest vacancy rates. That is to make sure that we are providing more therapies to children who need them and who are waiting longer on lists. It is also to make sure that we are supporting the staff who are working with those CDNTs, which we need to do. In regard to Deputy Clendennen and his constituents who have gotten assessments and then gone to their CDNTs, to be really clear, families do not need an assessment to go to their CDNT. They just need to be referred. Families can self-refer or they can get a referral through their school, public health nurse or whatever it may be. It is really important that people are referred as early as possible. In Deputy Clendennen's own area, I know there are there CDNTs in Laois-Offaly. At the end of last year, there were 2,077 children who were open caseloads on the CDNTs. That means they have been in contact with CDNTs and there are 89 children on the waiting list.

I thank the Minister of State for that update. Where they are being assessed and availing of a service within the CDNT, generally the feedback is positive but where they are not, they are ending up in a private system and having to pay. Alternatively, they are ending up in the primary care system. Where there is complexity of need, more often than not the facilities and services they need with regard to the specialities may not be available through primary care. That ends up putting additional burden on the primary care setting. I appreciate the additional resources. It is an area we are going to have to continue to be focused on. We need to try and meet the needs of individuals who are waiting far too long and get to a position in the whole area of service with CDNTs that is proactive in this space and not reactive. I appreciate the update this morning.

There are 45,000 children receiving support and therapies through our CDNTs nationally and that is really positive. We are embarking on a recruitment campaign to make sure we are bolstering our teams. Part of that will be international and national recruitment but it will also be making sure, for example, that we are expanding training places, which happened in June of last year. There will be up to 461 additional student places by the end of 2028 and the majority of those have commenced. New roles and training pathways are being developed to expand the skills mix and the pipeline of people we can hire. We have student bursaries and trainee programmes. We found them really successful in regard to people coming to do their student placements with CDNTs and, on graduation, being offered roles on those teams. We want to see more of that, and I thank all of our students who have taken up roles.