Ken O'Flynn

978. Deputy Ken O'Flynn asked the Minister for Health the date on which the HSE report examining the implications of the final Cass Review for gender healthcare services in Ireland was completed; the reason it has not yet been published; the expected publication date; and if she will make a statement on the matter. [32517/26]

979. Deputy Ken O'Flynn asked the Minister for Health whether the forthcoming HSE model of care for gender healthcare services will include a requirement for mandatory national data collection on referrals, assessments, treatments, outcomes, adverse events, and costs in respect of minors; and if she will make a statement on the matter. [32518/26]

980. Deputy Ken O'Flynn asked the Minister for Health whether her Department currently receives any regular reports or datasets from the HSE in respect of gender-related referrals, assessments, or treatments involving minors; if so, to detail the nature and frequency of such reporting; and if she will make a statement on the matter. [32519/26]

981. Deputy Ken O'Flynn asked the Minister for Health whether any national clinical governance framework specific to gender-related assessment and referral pathways for minors has been formally approved by her Department; and if she will make a statement on the matter. [32520/26]

982. Deputy Ken O'Flynn asked the Minister for Health whether any audit, inspection, or external review of gender-related assessment and referral pathways for minors has been commissioned by her Department since 2020, other than the Cass-related review; and if she will make a statement on the matter. [32521/26]

983. Deputy Ken O'Flynn asked the Minister for Health whether interim national guidelines or directives have been issued by her Department to the HSE governing gender-related assessment and referral pathways for minors pending completion of the model of care; and if she will make a statement on the matter. [32522/26]

984. Deputy Ken O'Flynn asked the Minister for Health whether she will commit to publishing all governance, audit, and evidence review documents underpinning the development of the HSE model of care for gender healthcare services for minors upon completion; and if she will make a statement on the matter. [32523/26]

985. Deputy Ken O'Flynn asked the Minister for Health to identify the specific office, unit or named role within the Department or the HSE that holds ultimate national accountability for clinical governance, oversight and policy direction in respect of gender-related assessment and referral pathways for minors; and to outline the reporting structure to the Minister. [32524/26]

986. Deputy Ken O'Flynn asked the Minister for Health whether any formal national governance framework, beyond the general HSE Code of Governance, has been approved or issued specifically for gender-related assessment and referral pathways for minors; if not, the timeline for its introduction. [32525/26]

987. Deputy Ken O'Flynn asked the Minister for Health whether any formal risk assessment has been conducted at Departmental or HSE level regarding the operation of gender-related clinical pathways for minors in the absence of a completed national model of care; and if so, to provide details. [32526/26]

988. Deputy Ken O'Flynn asked the Minister for Health what interim data collection arrangements are currently in place to record referrals, assessments, clinical decisions and outcomes for minors accessing gender-related healthcare pathways, pending the development of a national system. [32527/26]

989. Deputy Ken O'Flynn asked the Minister for Health whether the absence of a structured national dataset in respect of gender-related healthcare pathways for minors has been formally recorded as a governance or patient safety risk; and if so, the mitigation measures in place. [32528/26]

990. Deputy Ken O'Flynn asked the Minister for Health to confirm whether any aggregate figures are currently available to her Department on the number of minors referred, assessed or treated under gender-related pathways in the past five years, even on a partial or regional basis. [32529/26]

991. Deputy Ken O'Flynn asked the Minister for Health whether any external or independent clinical audit of gender-related assessment or referral pathways for minors has been commissioned or considered since 2020; and if not, the rationale for this position. [32530/26]

992. Deputy Ken O'Flynn asked the Minister for Health what specific safeguarding protocols are currently mandated for clinicians when assessing minors presenting with gender-related distress, in the absence of a finalised national model of care. [32531/26]

993. Deputy Ken O'Flynn asked the Minister for Health whether compliance with evidence-based clinical standards in gender-related care for minors is currently subject to any formal monitoring, inspection or performance review mechanism; and if so, to detail same. [32532/26]

994. Deputy Ken O'Flynn asked the Minister for Health whether any timeline has been set for the establishment of a national data system, audit framework and governance structure for gender-related healthcare pathways for minors, and if so, to provide the expected delivery dates. [32533/26]

995. Deputy Ken O'Flynn asked the Minister for Health to provide a breakdown of agency staffing expenditure within the HSE by staff category, including consultants, non-consultant hospital doctors, nurses, healthcare assistants and administrative staff, on a monthly basis for 2024, 2025 and to date in 2026; and if she will make a statement on the matter. [32534/26]

996. Deputy Ken O'Flynn asked the Minister for Health to provide a breakdown of agency staffing expenditure within the HSE by hospital group and Community Healthcare Organisation area, on a monthly basis for 2024, 2025 and to date in 2026; and if she will make a statement on the matter. [32535/26]

997. Deputy Ken O'Flynn asked the Minister for Health how many agency staff have been converted to permanent HSE contracts under the July 2025 agency conversion framework, broken down by staff category and location; the estimated savings achieved to date from these conversions; and if she will make a statement on the matter. [32536/26]

998. Deputy Ken O'Flynn asked the Minister for Health whether the HSE has set annual or monthly targets for reducing agency staffing expenditure; if so, to provide those targets for 2024, 2025 and 2026 and the actual outturn against those targets; and if she will make a statement on the matter. [32537/26]

999. Deputy Ken O'Flynn asked the Minister for Health the average hourly cost of agency staff compared to directly employed staff across key grades within the HSE; and the estimated additional cost incurred through agency staffing in 2024, 2025 and to date in 2026; and if she will make a statement on the matter. [32538/26]

1000. Deputy Ken O'Flynn asked the Minister for Health the extent to which agency staffing expenditure is linked to delivery under the Waiting List Action Plan; and whether any analysis has been carried out on the cost-effectiveness of agency staffing in reducing waiting times; and if she will make a statement on the matter. [32539/26]

1001. Deputy Ken O'Flynn asked the Minister for Health to provide a breakdown of agency staffing expenditure in the HSE by staff grade and category, including consultants, non-consultant hospital doctors, nurses, healthcare assistants, health and social care professionals, administrative staff and support staff, for 2024, 2025 and to date in 2026, broken down by month and HSE Health Region; and if she will make a statement on the matter. [32540/26]

1002. Deputy Ken O'Flynn asked the Minister for Health how many agency staff have been converted to permanent HSE employment under the July 2025 agency conversion framework, broken down by staff grade, HSE Health Region and month; the estimated savings achieved to date; and if she will make a statement on the matter. [32541/26]