Ken O'Flynn

466. Deputy Ken O'Flynn asked the Minister for Health whether she is satisfied that a national Integrated Model of Care for Acute and Chronic Pain Services can be developed and implemented effectively where the HSE has confirmed that national data relating to the funding of individual regional chronic pain services is not available; and if she will make a statement on the matter. [33470/26]

467. Deputy Ken O'Flynn asked the Minister for Health whether the forthcoming Integrated Model of Care for Acute and Chronic Pain Services will require each HSE Health Region to maintain dedicated cost centres for chronic pain medicine outpatient services and interventional pain procedures [33471/26]

468. Deputy Ken O'Flynn asked the Minister for Health whether her Department or the HSE intends to introduce a national reporting framework for chronic pain services covering expenditure, staffing, outpatient activity, interventional procedure activity, waiting times and cancellations by HSE Health Region; and if she will make a statement on the matter. [33472/26]

469. Deputy Ken O'Flynn asked the Minister for Health whether any baseline assessment of existing chronic pain services, including funding, staffing, capacity, waiting lists and regional variation, has been completed to inform the forthcoming Integrated Model of Care for Acute and Chronic Pain Services; and if so, whether she will publish it. [33473/26]

470. Deputy Ken O'Flynn asked the Minister for Health whether the absence of specific cost centres for pain medicine and interventional pain procedures has been identified as a barrier to planning, funding or evaluating chronic pain services; and if she will make a statement on the matter. [33474/26]

471. Deputy Ken O'Flynn asked the Minister for Health whether the HSE has estimated the annual cost of providing chronic pain services across acute hospitals and community settings; and if no such estimate exists, whether she will request that such an estimate be prepared. [33475/26]

472. Deputy Ken O'Flynn asked the Minister for Health whether the forthcoming Integrated Model of Care for Acute and Chronic Pain Services will include minimum staffing standards for each Health Region, including consultant pain medicine, nursing, psychology, physiotherapy and occupational therapy; and if she will make a statement on the matter. [33476/26]

473. Deputy Ken O'Flynn asked the Minister for Health whether the forthcoming Integrated Model of Care for Acute and Chronic Pain Services will include implementation timelines, regional funding requirements and measurable performance indicators; and if she will make a statement on the matter. [33477/26]

474. Deputy Ken O'Flynn asked the Minister for Health whether her Department has assessed the risk that patients with chronic pain are subject to unequal access to services depending on their Health Region, given the absence of nationally available funding data for regional chronic pain services; and if she will make a statement on the matter. [33478/26]

475. Deputy Ken O'Flynn asked the Minister for Health whether she will require the HSE to publish an updated national map of publicly funded chronic pain services, given that the most recent national survey cited by the HSE dates from 2021; and if she will make a statement on the matter. [33479/26]

494. Deputy Ken O'Flynn asked the Minister for Health whether the dispatch-time KPIs relating to allocation within 60 seconds (PURPLE) and 180 seconds (RED) are subject to any mandatory compliance thresholds, enforcement mechanisms, or escalation protocols where breached; and if so, to provide details. [33563/26]

495. Deputy Ken O'Flynn asked the Minister for Health what operational or clinical actions are triggered when a 999 call exceeds the defined allocation time thresholds, and whether such breaches are recorded, reviewed, or reported. [33564/26]

496. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service maintains any documented decision-making framework governing prioritisation where no ambulance resource is immediately available [33565/26]

497. Deputy Ken O'Flynn asked the Minister for Health whether delays in ambulance allocation beyond defined KPI thresholds are recorded as risks within the HSE Enterprise Risk Register or National Ambulance Service risk frameworks. [33566/26]

498. Deputy Ken O'Flynn asked the Minister for Health whether any audit, internal review, or external evaluation has examined compliance with ambulance allocation time targets since 2020. [33567/26]

499. Deputy Ken O'Flynn asked the Minister for Health the number and proportion of emergency calls in 2024 and 2025 that exceeded the defined allocation time thresholds of 60 seconds (PURPLE) and 180 seconds (RED). [33568/26]

504. Deputy Ken O'Flynn asked the Minister for Health in light of confirmation that no structured national data collection system currently exists in respect of gender-related healthcare services, whether her Department has conducted any formal risk assessment regarding the operation of such services in the absence of comprehensive national data; and if so, to provide details of that assessment, including date, scope and findings. [33656/26]

505. Deputy Ken O'Flynn asked the Minister for Health whether she accepts that the absence of a national dataset capturing referral numbers, treatments, outcomes and associated costs for minors accessing gender-related healthcare represents a governance gap; and if so, the steps being taken at Departmental level to address this. [33657/26]

506. Deputy Ken O'Flynn asked the Minister for Health to specify the current governance and accountability framework at departmental level for oversight of gender-related healthcare services for minors, including the identification of the office or official with ultimate responsibility for policy and clinical oversight. [33658/26]

507. Deputy Ken O'Flynn asked the Minister for Health whether her Department has issued any interim policy direction, guidance, or governance framework to the HSE in respect of gender-related healthcare services for minors pending completion of the proposed national model of care; and if so, to provide details. [33659/26]

508. Deputy Ken O'Flynn asked the Minister for Health whether she has sought or received any assurance from the HSE that adequate clinical governance, audit, and safeguarding mechanisms are currently in place for gender-related healthcare services for minors; and if so, to outline the basis of such assurances. [33660/26]

509. Deputy Ken O'Flynn asked the Minister for Health whether any performance indicators, outcome measures, or clinical quality metrics are currently required or monitored at national level in respect of gender-related healthcare services for minors; and if not, the reason for same. [33661/26]

510. Deputy Ken O'Flynn asked the Minister for Health whether her Department has undertaken any evaluation of the financial governance arrangements associated with gender-related healthcare services for minors, including expenditure tracking, cost controls, or value-for-money assessment; and if so, to provide details. [33662/26]

511. Deputy Ken O'Flynn asked the Minister for Health whether she considers it appropriate that gender-related healthcare services for minors are currently operating in the absence of a completed national model of care, national audit structures, and comprehensive data collection systems; and if so, the basis for that position. [33663/26]

512. Deputy Ken O'Flynn asked the Minister for Health to outline the timeline and specific milestones for the introduction of a national data collection system, audit and monitoring mechanisms, and a formal governance framework for gender-related healthcare services for minors. [33664/26]