Parliamentary questions

843. Deputy Ken O'Flynn asked the Minister for Health to name the specific HSE governance structure, committee, or officeholder that approved the inclusion of WPATH standards of care version seven in the 2019 CAAC application, given that the HSE reply of 23 June 2026 described the post’s approval but did not identify any approving body or individual. [49262/26]

844. Deputy Ken O'Flynn asked the Minister for Health to confirm whether the HSE holds documentary records, including minutes, memoranda, or internal correspondence, relating to the inclusion of WPATH standards of care version seven in the 2019 CAAC application; and if such records exist, to confirm under the retention policy and the duration of period they are held. [49263/26]

845. Deputy Ken O'Flynn asked the Minister for Health if any clinical safety, medico-legal, or child safeguarding assessment was carried out prior to the reference to WPATH Standards of Care Version 7 in the 2019 CAAC application; and if no such assessment was carried out, to confirm this directly. [49264/26]

846. Deputy Ken O'Flynn asked the Minister for Health whether the absence of a centrally recorded number of missed shifts by agency staff supplying workers to HSE-funded services has been identified as a workforce governance risk by her Department; and if she will make a statement on the matter. [49265/26]

847. Deputy Ken O'Flynn asked the Minister for Health if her Department has sought assurance from the HSE that patient safety incidents involving agency staff are captured through any existing reporting mechanism, given the HSE's confirmation that no central record is maintained; and if she will make a statement on the matter. [49266/26]

848. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 698 of 23 June 2026, whether she has raised with the HSE the absence of central tracking of Garda vetting lapses relating to agency staff, given the patient safety implications; and the timeline for HSE response. [49267/26]

849. Deputy Ken O'Flynn asked the Minister for Health whether her Department considers the absence of central recording of credentialing and registration compliance failures among agency staff to be consistent with the assurance framework underpinning HSE national framework agreements; and if she will make a statement on the matter. [49268/26]

850. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question Nos. 687 to 692 of 23 June 2026, the date by which her Department expects the HSE to respond to PQs, all of which received a "service matter" referral with no substantive information provided. [49269/26]

851. Deputy Ken O'Flynn asked the Minister for Health the number of cases handled by the HSE stability and sustainability team since its establishment in 2022, broken down by year; the number of those cases that remain open; and whether a provider has exited the process due to closure or service withdrawal. [49275/26]

852. Deputy Ken O'Flynn asked the Minister for Health the total financial value of rejected PCRS claims for respiratory medicines that remained unpaid in each of the years 2020 t0 2025, and to date in 2026, broken down by year; the reason such a high proportion of rejected claims are never subsequently corrected or reclaimed; whether an assessment has been carried out into the impact of these unre…

853. Deputy Ken O'Flynn asked the Minister for Health the specific decision-making process by which the HSE determines that a drinking water exceedance constitutes a potential danger to human health requiring public-health intervention; the named office or role responsible for making that determination; and whether a documented threshold, beyond the WHO guideline value, triggers mandatory interven…

854. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 966 of 19 May 2026, the specific audit, consistency-review, or peer-review mechanism that apply to individual treatment abroad scheme eligibility determinations, and if no such mechanism exists, to confirm this directly (details supplied). [49296/26]

855. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 984 of 19 May 2026, to confirm whether any internal audit, financial review, or governance assessment has in fact examined variations in treatment abroad scheme reimbursement costs between jurisdictions for comparable procedures (details supplied); and if no such examination has taken place, to confirm this…

856. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 1117 of 19 May 2026, whether the HSE maintains a centralised database recording referrals abroad for gender-related care under the treatment abroad scheme; and if so, which HSE division is responsible for its governance and oversight (details supplied). [49298/26]

857. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 996 of 19 May 2026, to explain the basis for the 2024 figures provided in reply, which show zero applications and zero approvals for paediatric gender-related treatment abroad scheme referrals in that year alongside 13 S2 authorisations issued and expenditure of €62,127.47; and to clarify whether this refle…

858. Deputy Ken O'Flynn asked the Minister for Health if the HSE intends to introduce a national system for recording and tracking staff grievances and complaints, including time to resolution and referrals to the Workplace Relations Commission; if a timeline has been set for same; and if she will make a statement on the matter. [49303/26]

859. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Questions Nos. 774, 784, 785, 786 and 789 of 21 April 2026, to provide the definition of "clinical necessity" or "medical necessity" applied in approvals under the treatment abroad scheme, given that the reply to PQ23198/26 and related questions did not provide one. [49305/26]

860. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No. 773 of 21 April 2026, to confirm whether the HSE maintains any database recording clinical outcomes for patients treated under the Treatment Abroad Scheme, given that the data referenced in the reply to PQ28074/26 relates only to activity and expenditure, not outcomes. [49306/26]

861. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No's 774,784,785,786,789 of 21 April 2026, to identify the body or unit with national responsibility for clinical outcomes oversight under the Treatment Abroad Scheme, given that this was not addressed in the reply to PQ28106/26. [49307/26]

862. Deputy Ken O'Flynn asked the Minister for Health further to Parliamentary Question No's 774,784,785,786,789 and 788 of 21 April 2026, the mechanisms that exist to monitor follow-up care for patients returning to the State after Treatment Abroad Scheme procedures, given that the reply to PQ28076/26 and PQ28105/26 described only the application process, not post-treatment monitoring. [49308/26]

863. Deputy Ken O'Flynn asked the Minister for Health whether she accepts that confirmation of no clinical audits since 2020 represents a governance gap in the Treatment Abroad Scheme; and the steps she will take to close it. [49309/26]

864. Deputy Ken O'Flynn asked the Minister for Health whether the absence of a national definition of clinical necessity has been assessed for risk to patient safety or consistency of approvals across the State. [49310/26]

865. Deputy Sorca Clarke asked the Minister for Health the number of children and young people currently awaiting access to CAMHS in each county, at the end of May 2026; the average waiting time for first-time appointments in each county; and the longest wait time, in tabular form. [49321/26]

866. Deputy David Cullinane asked the Minister for Health the spend in each year of the GP access to diagnostics scheme, by provider, in tabular form. [49322/26]

867. Deputy David Cullinane asked the Minister for Health the volume of referrals to each provider under the GP access to diagnostics scheme, in tabular form; the number which were urgent and which were routine; and the performance against key performance indicators for each. [49323/26]