2026-06-23

6. Deputy Grace Boland asked the Minister for Children, Disability and Equality if staffing levels for speech and language therapists, occupational therapists and psychologists in the children’s disability network teams, CDNTs, in Balbriggan and Swords have increased in the past two years; the current number of vacancies; the additional posts or resources being allocated in response to population growth and rising demand in the north Fingal area; and if she will make a statement on the matter. [47691/26]

As the Minister of State knows, the Fingal area is one of the youngest areas in the country and Balbriggan is the youngest large town. However, our CDNTs are creaking. Will she give an update on whether the vacancies that have been persistent for the past couple of years have been addressed and where we are in terms of staffing levels for the CDNTs in both Balbriggan and Swords?

The Government is committed to ensuring that children with disabilities and their families who need early intervention and therapy input can access that support in a timely way. That commitment is reflected in the sizeable investment in disability services. In this year's budget alone, more than €3.8 billion has been allocated for disability services, which is an increase of €1.8 billion since 2020. As part of the budget process, funding was also secured for additional posts in children's disability network teams, with further investment to fund 150 posts for teams across the country. That investment builds on a 28% increase in staffing levels nationwide from October 2023 to October 2025. Services in the Dublin north county integrated healthcare area, which is the Deputy's area, are delivered through the two CDNTs she mentioned, both of which are under the Central Remedial Clinic, CRC. To support service development and respond to increasing demand, additional staffing resources have been allocated by the HSE in recent years to the CRC. In 2026, the CRC received approval for development posts across both CDNTs, comprising 1.5 posts for Balbriggan and two posts for Swords. Two of those posts been allocated to behaviour support services, with the remaining posts allocated to speech and language therapy. The CRC was also allocated two full-time assistant therapy posts last year to support therapists and enhance service delivery across both teams. The Deputy consistently advocates for the Fingal area. It is a fast-growing and young community. To drive further improvements, not just in Fingal but across the country, a dedicated disability workforce strategy is being worked on by the HSE and will be published this year. The strategy will help to meet growing service demands and address recruitment and retention challenges across specialist disability services, including CDNTs such as those in the Deputy's area.

I very much welcome the investment in disability services, funding for additional posts and the allocation for behavioural supports and speech and language therapy. However, when I look at the raw figures, I see that every single post for Balbriggan is underfunded. We are supposed to have six occupational therapists but there are only five; instead of five speech and language therapists, we only have 3.6; there are two physiotherapists rather than four; and we have two psychologists instead of four. It is a similar picture for Swords, with only one psychologist in place instead of four. As the Minister of State knows, early intervention is absolutely key to addressing the issues we are discussing and to supporting children and their families. While posts have been allocated, we do not have people in post. As I repeatedly highlight, it is absolutely essential that Fingal be prioritised for posts at CDNT level.

In Balbriggan, 81% of posts are filled but the figure for Swords is only 52%. That is why we are doing so much work on our recruitment and retention strategies. I pay tribute to the staff in both CDNTs for the huge progress they have made. In recent years, there has been a significant increase in the total number of CDNTs across the HSE Dublin and North East region, which includes north-west Dublin, north Dublin, Cavan, Monaghan and Louth. There has been a huge increase in the number of children on open caseloads, that is, the children being seen by our CDNTs. There also has been a reduction in the number of children on CDNT waiting lists. At the end of March, across the region, that number was down substantially from the previous year, from 3,672 to 1,908. The number of children waiting over 12 months on CDNT waiting lists is also reducing. We are focusing on delivering much-needed therapies to children in Fingal and across the region.

I welcome the reductions. I really do not profess to know the science behind this but there is movement of children from CDNT lists to primary care and there is movement of children on CDNT lists from Balbriggan to Swords. I am not really sure why all of that happens, but I want to make sure that the children and families who need the therapies are getting them. While numbers look like they are reducing, I am not sure that the children have actually got the therapies they have sought. The other thing I would like to raise is the fact of the allocations generally. I know the Minister of State said that some new posts had been allocated, but given the demographics and the rapidly growing area that Fingal is, will the Minister of State tell me how often the allocations will be updated and reviewed and are they sufficient for the demographics of the area?

Now that we have a single point of access for the HSE, that will have a huge impact and it will mean that there will be no wrong door. If a child goes to primary care and should be on a CDNT list or vice versa, they will not be put back to the start of the list again. That is a whole-of-HSE approach. The strategy we are working on at the moment is our HSE resourcing strategy. This will be about making sure we are putting the right resources in the right places. It has been very positive for the Deputy’s area in that 3.5 new roles have been created this year alone. That builds on the two new roles allocated last year. This year we have funding to deliver 150 new posts across the country in our CDNT teams and we are in discussions at the moment in terms of the Estimates for next year and we hope to be able to build on that.