Ken O'Flynn

598. Deputy Ken O'Flynn asked the Minister for Health whether the HSE maintains, or plans to establish, a structured data-collection system tracking long-term outcomes for children and young people presenting with gender dysphoria, including psychological outcomes, medical interventions, service use, and rates of detransition or regret; and the way such data will inform the new Model of Care. [64756/25]

599. Deputy Ken O'Flynn asked the Minister for Health the clinical governance structures in Children’s Health Ireland for gender-related assessment and treatment, the oversight arrangements in place, the internal audit processes used, and how CHI ensures adherence to evidence-based guidance in this area. [64757/25]

600. Deputy Ken O'Flynn asked the Minister for Health the current referral criteria applied by CAMHS and Children’s Health Ireland for gender-related assessment, the clinical thresholds used before progression to any medical intervention, and any revisions to these criteria following the Cass Review. [64758/25]

601. Deputy Ken O'Flynn asked the Minister for Health when the HSE will publish the completed expert group review on the implications of the Cass Review for gender healthcare services in Ireland; the interim measures she has put in place to ensure that current assessment and treatment pathways for children and young people are safe, evidence-based and subject to clear clinical oversight. [64759/25]

602. Deputy Ken O'Flynn asked the Minister for Health the governance arrangements and clinical oversight structures in place for the development of the new model of care for gender healthcare, including the safeguards used to ensure independence, transparency and the management of conflicts of interest among officials, clinicians and advisors involved in this work; and the way her Department assures that these standards are upheld. [64760/25]

603. Deputy Ken O'Flynn asked the Minister for Health the estimated annual cost of operating parallel financial systems in voluntary hospitals pending the roll out of the Integrated Financial Management System, including duplicative software licences, staffing, manual reporting processes and compatibility work; and the projected savings once full integration is completed.; and if she will make a statement on the matter. [64870/25]

604. Deputy Ken O'Flynn asked the Minister for Health the monthly compliance metrics collected to date for statutory hospital sites operating under the Integrated Financial Management System (IFMS); the percentage of sites meeting full utilisation requirements; and the expected compliance rate for voluntary hospitals once IFMS is deployed. [64871/25]

605. Deputy Ken O'Flynn asked the Minister for Health the estimated savings projected in the original business case for the Integrated Financial Management System; the year in which those savings are expected to be realised; and whether these projections have been revised. [64872/25]

606. Deputy Ken O'Flynn asked the Minister for Health if she will introduce conditions in annual service level agreements requiring full participation in the Integrated Financial Management System before the release of Exchequer funding to voluntary hospitals. [64873/25]

607. Deputy Ken O'Flynn asked the Minister for Health if her Department has carried out a risk assessment on governance failures associated with voluntary hospitals not yet integrated into the Integrated Financial Management System; and if she will publish that assessment. [64874/25]

608. Deputy Ken O'Flynn asked the Minister for Health the number of voluntary hospitals that have formally indicated concerns or objections regarding integration into the Integrated Financial Management System; and the issues raised during consultations. [64875/25]

609. Deputy Ken O'Flynn asked the Minister for Health when the Department expects to finalise the roll out schedule of the Integrated Financial Management System to voluntary hospitals; and the factors delaying the finalisation of the timetable. [64876/25]

610. Deputy Ken O'Flynn asked the Minister for Health the additional staffing or ICT resources required to support the deployment of the Integrated Financial Management System to voluntary hospitals; and the total estimated cost of these supports. [64877/25]

611. Deputy Ken O'Flynn asked the Minister for Health the steps she will take to ensure real-time oversight of financial reporting across voluntary hospitals once the Integrated Financial Management System is fully deployed; and how this data will be used to strengthen governance and auditing. [64878/25]

612. Deputy Ken O'Flynn asked the Minister for Health the projected timeline for eliminating duplicate financial reporting requirements across the HSE and voluntary hospitals once the Integrated Financial Management System is operational in all sites. [64879/25]

613. Deputy Ken O'Flynn asked the Minister for Health if she will confirm whether the recent €10 weekly increase in pension payments will be matched by an equivalent increase in medical card income thresholds for older persons, to ensure that pensioners do not lose eligibility as a result of the pension adjustment. [64880/25]

614. Deputy Ken O'Flynn asked the Minister for Health the number of persons aged 70 or over projected to lose entitlement to a medical card or GP visit card in 2025 and 2026 due to pension increases not being reflected in updated medical card income thresholds. [64881/25]

615. Deputy Ken O'Flynn asked the Minister for Health the year in which medical card income thresholds for persons aged 70 and over were last revised, and the rationale for not indexing thresholds to inflation, pension adjustments or cost of living changes. [64882/25]

616. Deputy Ken O'Flynn asked the Minister for Health if her Department conducted an equality or social impact assessment on the effect of raising pensions without adjusting medical card thresholds, particularly for older persons living alone. [64883/25]

617. Deputy Ken O'Flynn asked the Minister for Health the number of older persons who received a discretionary medical card in each of the past five years due to being above the income threshold but facing high medical or living costs. [64884/25]

618. Deputy Ken O'Flynn asked the Minister for Health the number of applications from persons aged 70 or over rejected for a medical card or GP visit card in each of the past five years due to exceeding the income thresholds. [64885/25]

619. Deputy Ken O'Flynn asked the Minister for Health if the HSE has issued any internal guidance to staff to ensure that older applicants with modest increases in pension income are not denied a medical card where there are evident medical needs or high living costs. [64886/25]

620. Deputy Ken O'Flynn asked the Minister for Health the total number of persons aged 70 or over who have lost their medical card or GP visit card in the past three years due to being marginally above the income thresholds. [64887/25]

621. Deputy Ken O'Flynn asked the Minister for Health if her Department will consider aligning medical card thresholds with annual pension increases as part of future budget cycles; and if this option has been costed. [64888/25]

622. Deputy Ken O'Flynn asked the Minister for Health the projected annual cost of increasing medical card thresholds for older persons in line with the most recent pension increase; and the estimated number of additional medical card holders such a measure would support. [64889/25]