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…
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]
513. Deputy Ken O'Flynn asked the Minister for Health whether any interim safeguards or escalation mechanisms are currently in place where concerns arise in relation to clinical decision-making, patient outcomes, or safeguarding in gender-related healthcare services for minors; and if so, to provide details. [33665/26]
516. Deputy Ken O'Flynn asked the Minister for Health whether her Department or the Health Service Executive has issued any written policy, circular, guidance, or directive since 2018 concerning the reporting, recording, or measurement of activity on a sessional basis in respect of publicly funded health services; if so, to outline the nature, scope, and status of such guidance, including the dates of issuance and th…
524. Deputy Ken O'Flynn asked the Minister for Health whether her Department has established, or intends to establish, a specific national clinical governance framework governing referrals by multidisciplinary teams for gender-related interventions funded through the treatment abroad scheme; if so, the timeline for its introduction; and if she will make a statement on the matter. [33736/26]
525. Deputy Ken O'Flynn asked the Minister for Health who holds ultimate policy and governance responsibility within her Department or the HSE for oversight of multidisciplinary team recommendations underpinning applications to the treatment abroad scheme for gender-related interventions; and if she will make a statement on the matter. [33737/26]
526. Deputy Ken O'Flynn asked the Minister for Health whether she is satisfied that the absence of a national audit or review of gender healthcare referral pathways since 2023 is consistent with her Department’s obligations in respect of clinical governance and patient safety; and if she will make a statement on the matter. [33738/26]
527. Deputy Ken O'Flynn asked the Minister for Health whether her Department has directed the HSE to establish structured national data collection systems in respect of gender healthcare referrals and outcomes, including those funded through the treatment abroad scheme; the timeline for same; and if she will make a statement on the matter. [33739/26]
528. Deputy Ken O'Flynn asked the Minister for Health what policy provisions exist to ensure the monitoring of clinical outcomes, complications, and follow-up care for patients who undergo gender-related interventions funded through the treatment abroad scheme; and if she will make a statement on the matter. [33740/26]
529. Deputy Ken O'Flynn asked the Minister for Health what interim governance, safeguarding, and risk management measures are currently in place pending the completion of the HSE’s updated model of care for gender healthcare services expected in Q4 2026; and if she will make a statement on the matter. [33741/26]
530. Deputy Ken O'Flynn asked the Minister for Health whether her Department conducted any formal policy review following publication of the final Cass Review into gender identity services in the United Kingdom; if not, the reason for same; and if she will make a statement on the matter. [33742/26]
531. Deputy Ken O'Flynn asked the Minister for Health whether her Department has assessed the extent to which current gender healthcare referral pathways, including those involving the treatment abroad scheme, are aligned with emerging international clinical evidence and standards; and if she will make a statement on the matter. [33743/26]
532. Deputy Ken O'Flynn asked the Minister for Health whether the forthcoming HSE model of care for gender healthcare services will include provisions for audit, data collection, clinical governance, and outcome monitoring; and if she will make a statement on the matter. [33744/26]
533. Deputy Ken O'Flynn asked the Minister for Health whether she accepts that the absence of structured data collection, national audit, and a defined clinical governance framework represents a policy gap in the oversight of gender healthcare services; and if she will make a statement on the matter. [33745/26]