Hospital Transfers Dail Éireann — 2026-04-21 ============================================================ Marie Sherlock (LAB), Dublin Central When I look at the Minister's letter of determination to the HSE this year, or arising from the budget, I see the big emphasis on home care support and very little emphasis on the construction of new step-down beds. We know that the vast majority of those being constructed at the moment are replacement beds. I think there are many reasons there is a need for step-down beds. I know my colleague, Deputy Conor Sheehan, had figures with regard to those who were exiting into homelessness. One other issue I want to introduce to the conversation regards under-65s with dementia and other acquired brain injuries in hospitals who have nowhere to go. When I asked the Minister's Department last week about care of the under-65s in nursing homes, I was told that this was not the responsibility of the Department of Health. If it is not the responsibility of the Department of Health - of course, the Minister sets the funding for the HSE - then whose is it? I do not accept that it is fully the responsibility of the Minister for disability because she does not control the HSE budget but we need to be very clear to those families out there who want an alternative to nursing homes for their children under the age of 65 who are adults. --- Source: Houses of the Oireachtas. Licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). The Official Report is revised after first publication; the fetch timestamp below identifies the version quoted. Record URI: https://data.oireachtas.ie/akn/ie/debateRecord/dail/2026-04-21/debate/main Retrieved: 2026-09-21T01:01:08+00:00 Sitting date: 2026-04-21