Ken O'Flynn

681. Deputy Ken O'Flynn asked the Minister for Justice, Home Affairs and Migration his Department’s policy on the use of subcontractors within security contracts at IPAS facilities; the oversight mechanisms that apply to subcontractor vetting, licensing and pay practices; and the way in which compliance is verified. [69874/25]

682. Deputy Ken O'Flynn asked the Minister for Justice, Home Affairs and Migration whether his Department plans to initiate an open procurement process for security services at a facility (details supplied) in 2026; and if future contracts will be subject to standard competitive tendering rather than emergency exemptions. [69875/25]

762. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality if her Department maintains a central register of all suppliers and payees across her Department and its agencies, including supplier legal type such as limited company, partnership, sole trader or charity; if not, the reason this information is not recorded as part of financial governance and procurement oversight; the date on which her Department last reviewed this control; and the steps being taken to introduce supplier-type classification across all agencies funded under her vote. [69069/25]

763. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality the procedures in place within her Department and its agencies to verify the legal status, beneficial ownership and tax compliance of all corporate suppliers prior to payment; the systems used to confirm whether payees are incorporated entities; and whether internal audits have identified gaps in controls due to incomplete supplier-classification data. [69070/25]

764. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality if her Department has carried out any audit, risk assessment or value-for-money review relating to the absence of legal-status classification among suppliers to her Department or its agencies; the findings of any such review; and the measures being introduced to ensure future payments to external entities are supported by complete governance and compliance data. [69071/25]

765. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality the average cost per child per week in residential care for each placement category, disaggregated between subcontracted private providers and Tusla-operated centres, for each of the past five years; and the methodology used by her Department and by Tusla’s management accounting unit when calculating these figures. [69115/25]

766. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality the number of children placed in subcontracted private residential placements and Tusla-operated residential centres; and the total annual expenditure associated with each category, in order to assess budgetary exposure and value-for-money oversight, in each of the past five years. [69116/25]

767. Deputy Ken O'Flynn asked the Minister for Children, Disability and Equality the governance framework, audit controls and financial-oversight mechanisms used to verify the cost structures of subcontracted private residential-care providers; the frequency of audits or financial reviews carried out by Tusla or her Department in the past five years; and the actions taken where discrepancies or excessive cost variances have been identified. [69117/25]

849. Deputy Ken O'Flynn asked the Minister for Health the governance framework applied by her Department to non-statutory bodies that receive direct funding, including the internal controls, verification steps, and oversight mechanisms used prior to releasing public funds. [69066/25]

850. Deputy Ken O'Flynn asked the Minister for Health the due diligence process carried out before funding is approved for non-statutory bodies; the risk assessments completed; and the measures taken to ensure appropriate stewardship of Exchequer funds. [69067/25]

851. Deputy Ken O'Flynn asked the Minister for Health if she intends to introduce standardised reporting requirements, annual financial statements, audit obligations or sanctions for non-statutory bodies receiving direct funding from her Department; and any reforms now under consideration. [69068/25]

852. Deputy Ken O'Flynn asked the Minister for Health the number of applications approved under the treatment abroad scheme for gender-affirming surgery; the number of applications refused; and the total cost to the State in each year, including associated clinical and administrative costs, from 2018 to 2025, by year. [69088/25]

853. Deputy Ken O'Flynn asked the Minister for Health if she is satisfied that the current approval process for gender-affirming surgery under the treatment abroad scheme operates without any standardised national clinical review panel or centralised governance structure; the steps she intends to take to introduce national oversight; and when such measures will be operational. [69089/25]

854. Deputy Ken O'Flynn asked the Minister for Health the number of referring consultants in Ireland who have issued the clinical recommendation and multidisciplinary-team letters relied upon for treatment abroad scheme approvals for gender-affirming surgery; the clinical specialties of these consultants; and the number of such recommendations issued in each of the years 2018 to 2025. [69090/25]

855. Deputy Ken O'Flynn asked the Minister for Health the criteria used by her Department to determine which gender-affirming procedures are eligible for approval under the treatment abroad scheme; the clinical basis for excluding procedures such as facial feminisation surgery; and whether a review of these criteria is underway or planned. [69091/25]

868. Deputy Ken O'Flynn asked the Minister for Health the national clinical guidance that applies to the prescription or recommendation of anti malaria medications for Ministers, civil servants and Defence Forces personnel travelling abroad on official State business; and the risk assessment protocols used for Lariam and other anti-malaria medications in these circumstances. [69126/25]

869. Deputy Ken O'Flynn asked the Minister for Health the percentage of the total cost of gender-affirming surgeries funded by the HSE under the treatment abroad scheme in each of the years 2018 to 2025; the average and median contribution paid by the State per procedure; the average and median co-payment borne by patients in the host country; the countries in which the surgeries took place; and the methodology used by the HSE to calculate the State contribution in each case. [69131/25]

870. Deputy Ken O'Flynn asked the Minister for Health the current policy position on the provision of gender-affirming surgeries within the State; the number of patients currently approved for such surgeries under the treatment abroad scheme; the number awaiting approval; the expected cost of developing domestic surgical capacity; and the actions under way within the Department to assess service need, governance, and long-term cost planning. [69132/25]

871. Deputy Ken O'Flynn asked the Minister for Health the total annual expenditure incurred by the HSE on gender-affirming surgeries funded under the treatment abroad scheme in each of the years 2018 to 2025; the number of patients funded each year; the average cost per patient; the highest and lowest costs reimbursed in each year; and the Department's projections for expenditure for 2026 to 2028. [69133/25]

872. Deputy Ken O'Flynn asked the Minister for Health the number of emergency department patients who waited more than twelve hours on trolleys in each of the past six months, by hospital, based on verified HSE TrolleyGar data, and to outline any discrepancies identified between internal reports and the daily published HSE urgent and emergency care reports. [69147/25]

873. Deputy Ken O'Flynn asked the Minister for Health the total number of emergency department patients who waited more than twenty-four hours on trolleys in each of the past six months, by hospital, and to set out the maximum trolley wait recorded at each hospital during that period. [69148/25]

874. Deputy Ken O'Flynn asked the Minister for Health the number of additional senior clinical decision maker hours rostered in emergency departments, medical assessment units and inpatient wards since the introduction of the public only consultant contract, including evening, weekend and public holiday hours separately for each hospital group. [69149/25]

875. Deputy Ken O'Flynn asked the Minister for Health the number of diagnostic appointments provided outside core hours in each of the past six months, including CT, MRI, ultrasound, cardiac investigations and endoscopy separately for each hospital. [69150/25]

876. Deputy Ken O'Flynn asked the Minister for Health the number of patients transferred from emergency departments to surgical hubs, rapid access clinics, ambulatory care clinics, crisis cafes, virtual wards, reablement services or expanded rehabilitation services in each of the past six months, and the percentage of these transfers that prevented an emergency admission. [69151/25]

877. Deputy Ken O'Flynn asked the Minister for Health the escalation criteria used by the HSE national oversight team during twice daily reviews of unscheduled care pressures; and to provide the number of times each hospital triggered escalation in each of the past six months. [69152/25]