Disability Services
Dail Éireann — 2026-04-23
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Emer Higgins (FG), Dublin Mid-West

The Deputy is right that more complex cases will often require further clinical interventions or reviews to ensure the most appropriate pathway of care. Decisions on how this is managed will continue to be made at a local level. Once the work for a single point of access is complete, the outcome of the referral will be communicated to the referrer, and the child will then be assigned to the appropriate service.
In recent weeks, the HSE access and integration team, which is leading the single point of access programme, has developed a high-level standard operating procedure, SOP. That sets out the core processes and requirements necessary to deliver on the single point of access commitments. This is currently under review by the six regions. It has gone to the six regions for their input and based on their feedback, regional implementation plans, which were developed in late 2025, may require further refinement to ensure full alignment with the agreed national approach and with the supporting digital infrastructure.
Ultimately, and this is the important bit and goes to the nub of the Deputy's question, clinical governance for each area will remain under the remit of the regional executive officer. Local areas will continue to exercise their clinical and professional judgment to manage and find resolutions to cases in line with existing HSE policy, practice and procedures.

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Record URI: https://data.oireachtas.ie/akn/ie/debateRecord/dail/2026-04-23/debate/main
Retrieved: 2026-08-27T06:54:48+00:00
Sitting date: 2026-04-23