1401. Deputy Ken O'Flynn asked the Minister for Health whether any HSE substance misuse services within HSE South-West are operating with temporary, agency or locum staffing arrangements; and if she will provide details by location and grade. [39695/26]
1402. Deputy Ken O'Flynn asked the Minister for Health whether the HSE records instances in which persons presenting to addiction services also require mental health intervention for dual diagnosis conditions; and if she will provide the recorded figures for the past five years. [39696/26]
1403. Deputy Ken O'Flynn asked the Minister for Health whether any independent review, audit or service evaluation has been carried out into addiction service staffing adequacy within HSE South-West since 2020. [39697/26]
1404. Deputy Ken O'Flynn asked the Minister for Health whether her Department maintains a central register identifying healthcare pathways or services in which no unified national audit system, outcome-monitoring framework, or standardised national dataset currently exists; and if she will provide details. [39753/26]
1405. Deputy Ken O'Flynn asked the Minister for Health whether the absence of national audit or outcome-monitoring systems in any healthcare pathway has been recorded on any Departmental or HSE risk register since 2020; and if she will provide details of any such entries. [39754/26]
1406. Deputy Ken O'Flynn asked the Minister for Health whether any formal governance framework exists defining the respective responsibilities of the Department of Health and the HSE in circumstances where operational responsibility is delegated to the HSE but safeguarding, audit, patient-safety or oversight concerns arise. [39755/26]
1407. Deputy Ken O'Flynn asked the Minister for Health whether her Department has conducted any review examining the extent to which Parliamentary Questions relating to governance, safeguarding, audit or patient-safety matters are routinely classified as "service matters" and referred to the HSE for direct reply. [39756/26]
1408. Deputy Ken O'Flynn asked the Minister for Health whether any healthcare pathways have been identified by the Department or HSE as operating without complete national outcome datasets despite involving vulnerable patients, minors, safeguarding considerations or high-cost public expenditure; and if she will provide details. [39757/26]
1409. Deputy Ken O'Flynn asked the Minister for Health whether any national policy exists setting minimum audit, outcome-monitoring or data-governance requirements before new healthcare pathways, treatment programmes or overseas referral arrangements are operationally supported by the State. [39758/26]
1410. Deputy Ken O'Flynn asked the Minister for Health whether the Department considers reliance on general HSE governance structures, in the absence of pathway-specific audit systems or national datasets, sufficient to satisfy the State's safeguarding and patient-safety obligations. [39759/26]
1411. Deputy Ken O'Flynn asked the Minister for Health whether any internal Departmental guidance exists governing when issues categorised as "service matters" nonetheless require direct Ministerial oversight due to governance, safeguarding or expenditure concerns. [39760/26]
1412. Deputy Ken O'Flynn asked the Minister for Health whether any independent external review has examined the adequacy of national audit and oversight systems across healthcare pathways involving overseas treatment referrals, vulnerable patients or cross-border care arrangements since 2020. [39761/26]
1413. Deputy Ken O'Flynn asked the Minister for Health whether the Department has identified any governance risks arising from fragmented or non-interoperable national healthcare datasets across different HSE divisions, regions or programmes. [39762/26]
1414. Deputy Ken O'Flynn asked the Minister for Health whether any centralised framework exists governing long-term outcome monitoring for minors referred abroad for treatment or assessment under publicly funded healthcare schemes. [39773/26]
1415. Deputy Ken O'Flynn asked the Minister for Health whether any formal safeguarding review process applies where minors are referred outside the State for healthcare interventions under HSE-funded schemes. [39774/26]
1416. Deputy Ken O'Flynn asked the Minister for Health whether any Departmental or HSE official holds specific national responsibility for governance oversight of minors referred abroad under the Treatment Abroad Scheme; and if she will provide details. [39775/26]
1417. Deputy Ken O'Flynn asked the Minister for Health whether the Department or HSE has conducted any assessment regarding the legal, safeguarding or governance implications of overseas referrals involving minors in circumstances where no national long-term outcomes database exists. [39776/26]
1418. Deputy Ken O'Flynn asked the Minister for Health whether any review has examined whether existing HSE governance systems are sufficient to monitor long-term psychological, safeguarding or clinical outcomes for minors referred abroad for healthcare interventions. [39777/26]
1419. Deputy Ken O'Flynn asked the Minister for Health whether any national reporting mechanism exists for adverse incidents, safeguarding concerns, regret outcomes or complaints associated with minors referred abroad under publicly funded healthcare pathways. [39778/26]
1420. Deputy Ken O'Flynn asked the Minister for Health whether any standardised post-treatment follow-up protocol applies to minors returning to Ireland following healthcare treatment, assessment or intervention abroad funded directly or indirectly by the State. [39779/26]
1421. Deputy Ken O'Flynn asked the Minister for Health whether the Department or HSE maintains any national estimate of the number of minors currently engaged in overseas healthcare pathways supported directly or indirectly through public funding arrangements. [39780/26]
1422. Deputy Ken O'Flynn asked the Minister for Health whether any national framework exists governing audit, quality assurance and value-for-money assessment of overseas referrals funded through the Treatment Abroad Scheme. [39781/26]
1423. Deputy Ken O'Flynn asked the Minister for Health whether the Department intends to establish a national classification framework distinguishing medically necessary procedures from elective, quality-of-life, experimental or non-urgent procedures for public funding and governance purposes. [39782/26]
1425. Deputy Ken O'Flynn asked the Minister for Health the number of agency staff converted to permanent employment under the July 2025 framework, by Health Region and staff grade. [39785/26]
1426. Deputy Ken O'Flynn asked the Minister for Health the percentage reduction in agency staffing expenditure achieved in each Health Region since implementation of the July 2025 agency conversion framework. [39786/26]