Hear, hear.

I thank both Deputy O'Sullivan and Deputy O'Hara for raising this important issue. I spoke on this in the Seanad a couple of weeks ago. I acknowledge Deputy O'Sullivan's advocacy on rare diseases in the past six years. As we all know, the State acknowledges the importance of access to new and innovative medicines for patients living with a rare disease. Budgets 2021 to 2025 included dedicated funding for new medicines of €158 million. Budget 2026 allocated an additional €30 million of funding available for new drug…

I concur with both Deputies. We are speaking about this really important drug and 200 people, their families and their parents want to know what is going to happen and are hanging on our every word. I take all that on board. While I know this has been going on for two years, the HSE did not receive the information from Biogen until July 2025. We are still waiting for the commercial proposal from the company. That remains outstanding. That is the situation at the moment. I am glad Deputy O'Sullivan has engaged with …

I thank the Deputy for raising this again and for his continued advocacy in relation to this situation. It is one that I am very familiar with, as our two constituencies align along a border. I have met one of the nurses who works in the service and who has advocated strongly as well. I just happened to meet her one day. On behalf of my colleague, the Minister for Health, I thank the Deputy for raising this important issue, which he has highlighted a number of times. As the Deputy is aware from previous replies, ev…

It is disappointing that a post that has been advertised for almost two years has still not been able to be filled for various reasons. It is important to note that recruitment to the consultant post remains ongoing. In parallel, a multidisciplinary working group has been established involving consultants from University Hospital Waterford. The national clinical lead for ophthalmology is that piece of the jigsaw that the Deputy mentioned as regards the Royal Victoria Eye and Ear Hospital. That would be the person. …

I am pleased to be here this afternoon for the final Stage of the Mental Health Bill 2024. Following more than 40 hours of debate in both Houses, I am very proud of the final version of the Bill being brought before the Dail today. Following extensive Committee Stage debate in this Chamber and in the Seanad, we have made a number of improvements to the Bill that I think all Deputies will welcome. We have introduced new sections to regulate pharmacological restraint, which was a priority for many Members. We have in…

The amendments in this grouping relate to references to parents and, where relevant, the Child and Family Agency, throughout the Bill. Officials in my Department carried out extensive consultation with their counterparts in the Department of Children, Disability and Equality throughout the legislative process and I brought a number of amendments to the Seanad arising from this consultation. All the amendments in this grouping relate to references to parents and-or Tusla and their right to be informed about the care…

The amendments in this grouping relate to definitions in sections 2 and 11. These definitions are either being moved from one section to another section, or are being introduced because they reference definitions in the Child Care Act 1991. For example, amendment No. 45 introduces a definition of voluntary care arrangement that links directly to its definition in the Child Care Act 1991. Amendment No. 42 does the same thing for supervision orders. Amendment No. 28 moves the definition of permitted absence from sect…

This grouping relates to amendments Nos. 4 and 8, which relate to the definition of "child". The policy behind the definition is not being changed. A child is a person who is under 18 years of age. There is no law in Ireland that defines a child as being younger than 18 years of age. A child is legally considered to be anyone under the age of 18. I am aware that, depending on the type of health service accessed, young people are sometimes considered to be adults from the age of 16 or 18. This Bill only relates to m…

This grouping relates primarily to definitions being inserted that are in the Child Care Act 1991. This is similar to the grouping we discussed before the previous grouping. For example, amendment No. 5 moves the definition of "care order" from Part 4 of the Bill to section 2 instead. Amendments Nos. 11 and 16 insert definitions of "emergency care order" and "interim care order" into the Bill. In both cases, the definitions refer to the existing definition for both in the Child Care Act 1991. The later amendments i…

I believe there are around 180 amendments in this grouping, so I will not repeat them. While there is a significant amount of amendments in this grouping, they all relate to smaller amendments. These amendments are being introduced to provide clarity or for consistency with wording elsewhere. There are no policy changes in this grouping. To pick some examples from this group, amendment No. 55 inserts a comma after the word "means", amendment No. 64 deletes a comma after the word "particular", amendment No. 174 dele…

The amendments in this grouping all relate to the care and treatment of children. Amendments Nos. 7, 14, 15, 33 and 38 all relate to definitions. The later amendments in this grouping insert these definitions later in the Bill. Amendment No. 14 inserts a new definition of "guardian" to ensure consistency with the understanding of "guardian" in other enactments. Amendment No. 15 inserts a definition of "guardian ad litem " to be consistent with the Child Care (Amendment) Act 2022. Amendments Nos. 33 and 38 insert de…

These amendments relate to the entire process of involuntary admission of a child in Part 4 of the Bill. They include changes to criteria for involuntary admission to make the protections stronger for children. It includes minor changes to the involuntary admission process, which is done by way of application by the HSE to the District Court. This grouping also includes a number of additional safeguards for children, including protections in relation to the use of Garda powers to take a child into custody, as well …

I thank Deputies Quaide and Clarke for acknowledging the significant improvements that have been made since we have been here last. I appreciate that. In relation to amendment No. 276, the reality is that there needs to be a legal basis for the Garda to take a child into custody where the child is an immediate and serious risk of harm and to ensure there are pathways for that child to be examined and receive treatment. That is already in the legislation since 2001. That could happen every day of the week if it was …

I will conclude with one other point. The Bill does not legislate for or against child admissions. This is important. It was the reason I felt in the Seanad that if I included an amendment that said a child cannot be retained for more than 72 hours after an admission, we were nearly saying it was okay to do this. I do not want to see that happening at all. In 2008, there were 247 admissions to adult units. As I said, this was reduced to five last year, which was six nights. We have to commend the staff working at t…

These amendments relate generally to the involuntary admission process for adults. Many of the amendments in this grouping are smaller in nature. For example, Seanad amendment No. 12 inserts the term "for involuntary admission" after the word "recommendation" on line 3 of page 16. Similarly, Seanad amendment No. 54 provides for the deletion of a definition in section 11, and Seanad amendment No. 10 provides for the insertion of the same definition in section 2. To pick out some of the amendments of significance, Se…

I will work backwards if that is okay. In relation to the patient advocacy services, and we spent a lot of time discussing this in the Seanad but it is important to put it on the record of the Dáil, I very strongly believe that patients, regardless of what health service is being assessed whether a nursing home, approved centre, day services or whatever, should be able to advocate if they are not happy with the support they are getting. The reason we have not included it here is we have not prescribed advocacy in p…

These amendments update the definition of "nominated person" to clarify that a nominated person must be an adult, which is a person 18 years or older. The rest of the amendments in this grouping change the word "nominee" to "nominated person". This is being done to ensure consistency in language across the Bill. A nominated person, as I said, can be a person over the age of 16 who an adult or child admitted to an inpatient mental health setting can nominate to attend meetings with them and receive information of a …

It is 18 years. Sorry, I did say 16. I apologise. The minute I said it I knew it was wrong. It was a typo. It is 18. I thank the Deputy.

These amendments relate to chemical or pharmacological restraint and provide for the regulation of pharmacological restraint on adults and children. I asked officials in my Department to review this matter following a debate in the Dáil last year and requested that the Mental Health Commission carry out a rapid evidence review of pharmacological restraint in other jurisdictions. The amendments introduced in the Seanad are informed by this research by the commission. Pharmacological restraint involves the administra…