Questions

888. Deputy Ken O'Flynn asked the Minister for Health whether the publicly available productivity dashboard for hospitals disaggregates data by the six health regions or only by individual hospital; and if it does not provide a regional breakdown, if she will commit to developing a dedicated comparative dashboard for the six health regions covering expenditure, workforce allocation, waiting times and service delivery…

889. Deputy Ken O'Flynn asked the Minister for Health the specific tools, reports or mechanisms that currently allow for a direct comparison of performance between the six health regions, given that the health system performance assessment framework operates at aggregate national level only; and if she will provide a list of all such tools currently in use. [47809/26]

890. Deputy Ken O'Flynn asked the Minister for Health the mechanism which exists to compare the performance of the six regional executive officers against one another, given that responsibility for regional performance rests with the REOs individually; and if no such comparative mechanism exists, the way in which regional underperformance is identified relative to other regions rather than solely against each region’…

892. Deputy Ken O'Flynn asked the Minister for Health whether the absence of a national reporting structure for trauma-informed practice training uptake has been recorded on any HSE risk register or audit plan; and if she will make a statement on the matter. [47812/26]

894. Deputy Ken O'Flynn asked the Minister for Health if she will direct the HSE to establish a distinct, trackable budget line for obesity-related healthcare expenditure; the timeline for same; and if she will make a statement on the matter. [47827/26]

895. Deputy Ken O'Flynn asked the Minister for Health if her Department has commissioned, or plans to commission, an updated national costing of overweight and obesity in Ireland, given that the most recent dedicated study dates from 2012 and current figures rely on academic estimates rather than HSE financial data; and if she will make a statement on the matter. [47828/26]

896. Deputy Ken O'Flynn asked the Minister for Health to reconcile the discrepancy between the 2012 Safefood estimate of €1.13 billion in direct and indirect obesity-related costs in the Republic of Ireland and the 2025 Irish Endocrine Society estimate of €1.1 billion in direct healthcare costs alone; the implications for the true current scale of obesity-related expenditure; and if she will make a statement on the m…

871. Deputy Ken O'Flynn asked the Minister for Health whether private home support providers operating under the home support authorisation scheme are subject to announced or unannounced compliance inspections; the number of compliance inspections, audits, reviews or investigations conducted in each year since the scheme commenced; the number of providers found to be non-compliant; the sanctions available to the HSE …

1022. Deputy Ken O'Flynn asked the Minister for Health the amount of the €9.33 million CHO4 pay overspend in 2024 attributable separately to agency expenditure and overtime expenditure, by care group.; and if she will make a statement on the matter. [45908/26]

1805. Deputy Ken O'Flynn asked the Minister for Health whether national standardised screening or assessment protocols are in place for minors presenting with gender-related distress in order to identify autism spectrum disorder, ADHD, trauma-related conditions, mental health disorders, safeguarding concerns, family vulnerability factors, or other complex needs prior to any medical intervention or referral onward wit…

1806. Deputy Ken O'Flynn asked the Minister for Health the multidisciplinary assessment requirements currently apply within the HSE or any State-funded gender-related healthcare pathway for minors, including the involvement of psychiatry, psychology, paediatrics, neurodevelopmental services, social work, family assessment, and safeguarding oversight.; and if she will make a statement on the matter. [41663/26]

1807. Deputy Ken O'Flynn asked the Minister for Health the national clinical governance framework currently applies to gender-related healthcare services involving minors, including governance arrangements relating to multidisciplinary review, clinical decision-making, safeguarding oversight, escalation procedures, audit arrangements, and oversight by the HSE or her Department. [41664/26]

1809. Deputy Ken O'Flynn asked the Minister for Health the number of minors have been referred outside the State for gender-related assessment, consultation, intervention, or treatment in each of the past five years through the treatment abroad scheme or any other State-funded mechanism; the jurisdictions involved; and the multidisciplinary assessment requirements applying prior to referral abroad. [41666/26]

1813. Deputy Ken O'Flynn asked the Minister for Health whether they are satisfied that the current capacity within autism assessment services, ADHD assessment services, CAMHS, child psychology services, trauma-informed services, and multidisciplinary child mental health supports is sufficient to ensure that minors presenting with gender-related distress receive timely and holistic assessment of all co-occurring needs…

1820. Deputy Ken O'Flynn asked the Minister for Health whether the HSE or Department conducted any review, reassessment, or governance evaluation following the publication of the Cass Review in the United Kingdom insofar as it related to the evidential basis underpinning the National Gender Service Model of Care 2018. [41687/26]

1943. Deputy Ken O'Flynn asked the Minister for Health whether any formal written clinical governance assessment, evidence review, or risk-benefit analysis was completed prior to the approval of the 2021 consultant child and adolescent psychiatry post associated with the National Gender Service Model of Care; and if she will provide details of the body or individuals responsible for preparing and approving such docum…

1944. Deputy Ken O'Flynn asked the Minister for Health whether the Consultant Applications Advisory Committee received any written submissions, appendices, briefing papers, or supporting documentation referencing WPATH Standards of Care Version 7 during consideration of the 2019 application for the consultant child and adolescent psychiatry post associated with the National Gender Service Model of Care; and if she wi…

1945. Deputy Ken O'Flynn asked the Minister for Health whether any external expert advice, peer review, or independent clinical assessment was sought prior to the inclusion of WPATH Standards of Care Version 7 within the consultant application submitted in December 2019; and if she will make a statement on the matter. [41926/26]

1946. Deputy Ken O'Flynn asked the Minister for Health whether the HSE retains records identifying the specific individuals, committees, or governance structures responsible for approving references to WPATH Standards of Care Version 7 within the 2019 consultant application associated with the National Gender Service Model of Care; and if she will make a statement on the matter. [41927/26]

1947. Deputy Ken O'Flynn asked the Minister for Health whether any review has been undertaken of the evidential basis, governance arrangements, or clinical assumptions underpinning the 2018 National Gender Service Model of Care in light of subsequent international reviews and evolving evidence; and if she will provide details of any such review. [41928/26]

1948. Deputy Ken O'Flynn asked the Minister for Health whether any concerns were recorded during recruitment campaigns for the consultant child and adolescent psychiatry post associated with the National Gender Service Model of Care regarding the proposed service model, governance arrangements, clinical framework, or evidential basis underpinning the role; and if she will make a statement on the matter. [41929/26]

2064. Deputy Ken O'Flynn asked the Minister for Health whether the HSE maintains any standardised national framework for measuring the effectiveness or value for money of agency-supported clinics, additional theatre sessions, diagnostics initiatives or insourcing arrangements; and if she will make a statement on the matter. [42512/26]

2284. Deputy Ken O'Flynn asked the Minister for Health whether the increase in maintenance and technical agency expenditure from €12.4 million in 2024 to €68.2 million in 2025 has been formally reviewed by the HSE or Department; and to provide copies of any review reports. [43571/26]

2285. Deputy Ken O'Flynn asked the Minister for Health to provide a breakdown of maintenance and technical agency expenditure in 2025 by occupational category, including engineering, estates, facilities management, ICT, maintenance, trades and other grades. [43572/26]

2286. Deputy Ken O'Flynn asked the Minister for Health the top ten locations, services or projects responsible for maintenance and technical agency expenditure in 2025. [43573/26]