Disability Services
Dail Éireann — 2026-04-23
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Liam Quaide (SD), Cork East

The HSE has repeatedly told committees in the Oireachtas that the single point of access will stop children from being moved around the system, between primary care, CDNTs and CAMHS. It is still far from clear how this is meant to work when services fundamentally disagree. That disagreement continues about responsibility for a young person and that is the real test of this reform. Will the Minister of State now set out whether the Department or the HSE has formally engaged with the College of Psychiatrists on the single point of access, whether the college has indicated full support for the model and whether it has expressed reservations, particularly around disputed referrals or contested cases, and whether she will publish the governance and adjudication arrangements that are meant to operate when these disputes arise? It is not realistic to expect a basic grade occupational therapist to make a referral to the regional executive officer. Without that clarity this risks becoming another reform that looks nice on paper but leaves clinicians arguing and families stuck in limbo. It is fair to say that all this is happening against a backdrop of services remaining severely compromised by a long-standing failure to engage in proper workforce planning and comprehensive recruitment to disability and mental health services.

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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