Questions

1803. Deputy Ken O'Flynn asked the Minister for Health whether the HSE records the number or proportion of minors presenting to gender-related healthcare pathways who have a diagnosed autism spectrum disorder, diagnosed ADHD, diagnosed anxiety disorder, diagnosed depressive disorder, diagnosed trauma-related condition, or other identified neurodevelopmental or mental health comorbidity; and if they will provide the a…

1804. Deputy Ken O'Flynn asked the Minister for Health whether the HSE records data regarding minors presenting to gender-related healthcare pathways who are awaiting autism assessment, ADHD assessment, CAMHS intervention, or other specialist neurodevelopmental or mental health assessment at the time of referral; and if they will provide details. [41661/26]

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]

1808. Deputy Ken O'Flynn asked the Minister for Health whether Children First obligations, safeguarding frameworks, or specific child protection procedures form part of the operational governance framework for minors presenting to gender-related healthcare pathways; and if they will provide details. [41665/26]

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]

1810. Deputy Ken O'Flynn asked the Minister for Health whether the HSE maintains any longitudinal outcome-monitoring framework relating to minors who access gender-related healthcare pathways, including continuation or discontinuation of treatment pathways, mental health outcomes, safeguarding concerns, ongoing service engagement, or transition between child and adult services; and if they will provide details. [4166…

1811. Deputy Ken O'Flynn asked the Minister for Health whether her Department, the HSE, or any State-funded body has commissioned, conducted, or reviewed Irish epidemiological, clinical, or service-level research concerning the prevalence of autism spectrum disorder, ADHD, trauma-related conditions, mental health comorbidities, or other neurodevelopmental vulnerabilities among minors presenting with gender-related di…

1812. Deputy Ken O'Flynn asked the Minister for Health whether international evidence reviews relating to youth gender-related healthcare, including reviews examining neurodevelopmental comorbidity, multidisciplinary assessment, safeguarding, and holistic care models, have informed the development of Irish policy, governance structures, or service models in this area; and if they will specify the reviews considered. …

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…

1814. Deputy Ken O'Flynn asked the Minister for Health whether any national audit, review, inspection, governance assessment, or external evaluation has been undertaken in relation to gender-related healthcare pathways involving minors within the State; and if they will provide details of the findings and recommendations. [41671/26]

1815. Deputy Ken O'Flynn asked the Minister for Health whether any waiting-list analysis has been undertaken examining the interaction between delays in autism assessment services, ADHD services, CAMHS, or child psychology services and the assessment of minors presenting with gender-related distress; and if they will provide details. [41672/26]

1816. Deputy Ken O'Flynn asked the Minister for Health whether any formal policy exists governing the sequencing of assessment where a minor presenting with gender-related distress also presents with suspected or diagnosed autism spectrum disorder, ADHD, trauma-related conditions, severe mental health difficulties, or complex safeguarding concerns; and if they will provide details of such policy or guidance. [41673/2…

1817. Deputy Ken O'Flynn asked the Minister for Health whether the Consultant Applications Advisory Committee application submitted in December 2019 in relation to the proposed consultant child and adolescent psychiatry post under the National Gender Service Model of Care 2018 was approved in full by the CAAC; and whether the references to WPATH Standards of Care and Endocrine Society guidelines formed part of the ma…

1818. Deputy Ken O'Flynn asked the Minister for Health whether any written evidential review, literature review, clinical governance paper, risk assessment, or safety assessment was prepared by the HSE, the Department, the National Clinical Programme, or any associated governance structure regarding reliance upon WPATH Standards of Care within the National Gender Service Model of Care 2018 or associated consultant po…

1819. Deputy Ken O'Flynn asked the Minister for Health to identify the specific HSE national clinical governance structure, committee, officeholder, or decision-making body responsible for approving or overseeing the inclusion of WPATH Standards of Care references within the 2019 CAAC application relating to the proposed consultant child and adolescent psychiatry post for specialist gender healthcare services. [41686…

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]

1821. Deputy Ken O'Flynn asked the Minister for Health whether documentary records exist including minutes, memoranda, briefing papers, internal correspondence, emails, governance submissions, or evidential assessments concerning the inclusion of WPATH Standards of Care references within the 2019 CAAC application; and whether such records will be retained under HSE records management and governance procedures. [41688…

1822. Deputy Ken O'Flynn asked the Minister for Health whether any concerns were recorded during the recruitment campaigns undertaken for the proposed consultant child and adolescent psychiatry post regarding the evidential basis, governance structure, clinical remit, or sustainability of the proposed service model. [41689/26]

1823. Deputy Michael Cahill asked the Minister for Health to expedite a mammogram in respect of a person (details supplied); and if she will make a statement on the matter. [41690/26]

1824. Deputy Ken O'Flynn asked the Minister for Health the number of nurses, doctors, and health and social care professionals recruited internationally by the HSE in each year from 2020 to 2026, broken down by profession and country of origin. [41691/26]

1825. Deputy Ken O'Flynn asked the Minister for Health the estimated annual attrition rate within the HSE workforce for nurses, doctors, and health and social care professionals in each year from 2020 to 2026. [41692/26]

1826. Deputy Ken O'Flynn asked the Minister for Health the number of Irish-trained healthcare professionals who emigrated or took up employment outside the State in each year since 2020, insofar as figures are available. [41693/26]

1827. Deputy Ken O'Flynn asked the Minister for Health the total annual expenditure incurred by the HSE on international recruitment campaigns, relocation packages, recruitment agencies, and associated supports from 2020 to 2026. [41694/26]