Emer Higgins
Dublin Mid-West · Fine Gael · Ireland
“With regard to the background, and as the Senator has touched on, this project was designed on the basis of a 30-year operational lease, with the primary objective of delivering value for money over the lifetime of that lease.”
“Regarding the specific situation in Castlebar that the Senator has raised, Tusla has indicated that following careful consideration, including extensive negotiations, which he referred to, and legal mediation with the developers, it was unable to reach an agreement.”
“They came forward, often at enormous personal cost, and continued to seek answers and accountability when the very systems that should have protected them had failed. For many survivors of child sexual abuse, the abuse does not end when it stops.”
“The strongest projects are those that invest in feasibility studies, site assessments, stakeholder engagement and detailed design from the outset, because decisions made at the earliest stage often have the greatest impact on cost, quality and operational performance.”
“As a result, it made a significant uplift on its original offer. The additional increase sought could not be justified, however, when benchmarked against comparable projects across both Tusla and the HSE. That comes back to the value-for-money argument.”
“Justice Michael White for their significant work and acknowledge how deeply distressing the findings are. They reveal repeated missed opportunities, ignored warning signs and systemic failures that allowed abuse to occur over many years. Children who should have been protected were instead left vulnerable.”
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“We have a shared objective here. We all want the best for all children and young people, as do all of the professionals who work in this area, as Deputies Donnelly and Mitchell said, and, indeed, the foster parents who provide such amazing support. The Minister, Deputy Foley, and I have listened carefully to every speaker in this debate and we will reflect on all that has been presented here. We have officials with us throughout these debates who have worked really hard on this and will continue to do so. I recognise the role the former Minister, Deputy O'Gorman, played in drafting this Bill, in particular section 10, which, as he said, will strengthen the child protection architecture. The Minister, Deputy Foley, is aware of the concerns raised in the House regarding the establishment of the guardian ad litem national service.”
“The Minister, Deputy Foley, and I are delighted to hear Deputies welcome the Bill in principle. In particular, I appreciate the welcome given to the innovations regarding the duty to co-operate and the proposed implementation and inter-agency committee. Deputy Butterly spoke passionately about how outcomes can and indeed are being improved when Departments, bodies and communities work together. As Deputy O'Gorman said, the appointment of the chair of this committee will be really important. It was great to hear both Deputy Tóibín and Deputy Gogarty talk about those silos and how they need to be broken down because that is exactly what this aims to achieve. I thank the Deputies for their positive contributions to the debate, which show their concern and interest in the health, well-being and protection of children.”
“It is great to hear, in today's contributions and the contributions on Tuesday, that there is widespread support for the proposals to enhance inter-agency cooperation and collaboration, and that is something that the Minister, Deputy Foley, is determined to bring through to enactment. As the Minister, Deputy Foley, mentioned in her opening remarks, she intends to place the national review panel on a statutory footing. These provisions will be introduced as Government amendments to the Bill as soon as possible. The national review panel is respected for the independence of its work. Placing the panel on a statutory basis will further strengthen its independence and enhance its powers and status. That is true in response to many of the cases that were raised here today, including those raised by Deputy Mark Ward.”
“I remind Members that the Minister, Deputy Foley, in her opening remarks, set out the objectives and principles underpinning this Bill. Its core function is to revise and update the Child Care Act 1991. This Bill is aimed at reflecting changes in child welfare and protection services in Ireland over the past 30 years. It will capture current legislative, policy and practice developments. Most importantly, it will provide for greater co-operation and co-ordination across State agencies and Departments, promoting a more agile response across the State in keeping children safe from harm.”
“This includes additional funding for a new cohort of 1,400 school leavers and 53 day-service places for non-school leavers. The Government is absolutely committed to supporting people with disabilities and to ensuring they are enabled to reach their full potential in the spirit of the UNCRPD. I thank the Deputy for raising the case with us here today.”
“I will point out now that under pillar 5 of the National Human Rights Strategy for Disabled People 2025-2030, our new strategy launched last September, the Department of Transport has the lead responsibility for reducing and, where possible, eliminating transport barriers faced by disabled people. I think that is really important. Under that pillar, there is a commitment to personal mobility and to supporting those who cannot use or easily access any public transport through the provision of enhanced personal mobility options. The Government's ambition is also reflected in the really significant investment being made in specialist disability services in recent years, with record investment of €3.8 billion in 2026 alone.”
“The Deputy is right that it is important that not only should we provide access to high-quality day services right across the country, which we are, but we should also ensure that people can get there as easily as possible. I appreciate that and every effort is being made to ensure that local public transport links are provided. In Meath's situation, which is unique, there is a bespoke solution that is working for the people there. I appreciate that there is the waiting list of five, but it is something unique to Meath and I think it is working quite well from the feedback I have had.”
“Building on a similar approach to addressing the issue of ageing vehicles in disability residential and respite services in 2021, this funding was specifically aimed at supporting the provision of vehicles for transport to day services where other transport solutions are not available and where an ageing fleet exists. This funding was allocated to HSE, section 38 and section 39 services on a one-off basis and has supported the purchase of 77 vehicles, which provide services.”
“The post is funded across the care groups according to the HSE and there are no transport managers in any of the other five counties that were part of the former CHO 8. There are currently 217 service users accommodated on this legacy transport route, which provides access to a number of adult day service locations. These routes are at capacity, as the Deputy said. As a result, five people are waiting for these particular HSE transport routes. From what the Deputy has said, Noah must be one of those five people. Sanction was provided to the HSE in 2024 for €3.6 million to be used for the upgrade of transport vehicles in disability day services.”
“In line with the principle of mainstream-first service delivery, it is incumbent upon all public bodies to execute their functions with proper regard for people with disabilities and Ireland's obligations under the UNCRPD. The HSE has advised that all transport provision in County Meath is managed across a range of services, including disability, between service providers and a HSE transport manager. Day service providers are asked to provide transport to people seeking access to their services. The HSE transport manager contracts TFI to supply some transport. The transport manager covers all transport across disability, primary care, dialysis and some elderly services. The role of transport manager is a legacy role that may be unique to Meath community services.”
“In the absence of transport options being made available by the National Transport Authority, NTA, some transport supports are provided by the HSE or funded agencies on a case-by-case basis, and a variety of transport solutions are pursued in different health regions. These include travel training to enable public transport to be used, where appropriate, local transport such as Local Link, and private bus transport. Some service providers provide transport where capacity exists. That sounds like the situation the Deputy has raised this evening. Ireland ratified the UNCRPD in March 2018, which clearly articulates that all State parties shall take appropriate measures to ensure that persons with disabilities have access, on an equal basis to others, to transportation.”
“As a general rule, public transport is used in all circumstances where it is an option. This is in keeping with the principle of mainstreaming, with a clear focus on ensuring persons with disabilities have access to the normal range of services and participate in community life as far as possible. In general, day service users are in receipt of disability allowance and are automatically entitled to the free travel pass. It is recognised that viable public transport options are not always available throughout the country and that transport support needs vary between individuals. This seems to be the case in Noah's situation.”
“I thank Deputy O'Rourke for raising this really important issue and giving me the opportunity to discuss it on the floor of the House. The specialist disability budget supports a range of services funded through the HSE and delivered by section 38 and section 39 organisations, as well as the HSE. This includes, among other services and supports, day services and rehabilitative training for people with specialist disability service requirements. The HSE funds on an annual basis 97 provider organisations to provide day service supports in line with the new directions policy and the UN Convention on the Rights of Persons with Disabilities, UNCRPD, to more than 21,000 people nationally. The provision of transport is not part of core services provided by the HSE.”
“The Minister for education has confirmed she is committed to putting together a proposal that will phase out the requirement of an assessment of need for a special class or special school and to formulate that proposal in consultation with key stakeholders including unions in quarter 1 and bring that proposal to the Taoiseach and the Cabinet committee on disability.”
“This is responding to that need which is developing and evolving. On the in-reach teams, there will be 11 in-reach teams next year and a further nine the following year, bringing it to 20 and there are 20 REO areas. That is the rationale for how they are being recruited and where they will be based. There will be 44 people hired next year for those in-reach teams of four per team. They will be there to support both single point of access and also the autism protocol and assessment process. We are also hiring more into our CDNTs. We are outsourcing more assessments of need. We will outsource 6,000 assessments of need next year and there is also the education element which the Deputy raised.”
“Single point of access is coming in through the HSE. That is the process by which there will be no wrong door. The Deputy spoke about primary care and the different elements of the health service. Unfortunately some people’s experience is that they wait on the waiting list, they get to the top and they are told they are in the wrong queue and have to go to the bottom of another waiting list. This will be the end of that approach. This is a single point of access to make sure we are supporting parents and families through the right channel for them. On top of that the HSE is initiating a new autism protocol and assessment process specifically for children who are displaying autistic traits. At the moment 45% of children who go through our AON process get a diagnosis of autism.”
“I will. The reforms announced last week are basically a six-pronged approach. First is the statutory element and we published the heads of the Bill, which will go to the disability matters committee for pre-legislative scrutiny and for further consultation. That is aimed at standardising and streamlining the assessment of need process to make sure that every child, no matter where they are in the State, gets the same approach. The second thing we have done is made the decision - this will be part of the statutory guidelines - that decisions will be communicated earlier to parents. When a decision is arrived at as to whether or not a child has a disability that decision should and must be communicated to parents at the point at which it is made. That does not currently seem to be the case. We are now providing that for parents.”
“The HSE will establish 11 new in-reach teams, initially, to support HSE assessment processes, including assessments of need and also the HSE's new specific autism protocol and assessment process. Each team will include a psychologist, a speech and language therapist, an occupational therapist and an administrator, providing clinical guidance throughout the process. The administrator is being provided for that team on foot of feedback we are receiving from families that they feel they need and deserve better communication from our teams. The Government recognises the need for urgency in addressing delays in the assessment of need system and that is why we announced these reforms last week to be brought in in the coming months. We are absolutely committed to addressing these for the benefit of children and their families.”
“These reforms include changes to Part 2 of the Disability Act 2005, which provides for assessments of need. These changes will not remove any rights for parents to apply for an assessment of need for their child, nor will they alter the statutory six-month timeline set out in the Disability Act. In addition to these legislative reforms, there are a series of operational actions that are being progressed as a matter of priority. These include the development of statutory guidelines to ensure that assessments of need focus on identifying a child’s needs, engaging in more intensive assessments only where required to identify need. This should help reduce delays and allow therapists to spend more time delivering services.”
“These efforts have had a positive effect in reducing the number of applications that were overdue for completion in north Dublin by almost 3% in the last year but obviously there is a long way to go on this. At the end of September, there were 1,841 applications overdue for completion in north Dublin compared with 1,893 at the same time last year. While there is a positive trend evident, I entirely accept that we need to do a lot more, not just in the Deputy's constituency, but at a national level, to ensure that assessments of need are completed as soon as possible. This is why the Government announced on 9 December a series of reforms to the assessment of need process that will make the process more effective and efficient for children and families.”
“In the first nine months of this year, 808 applications were received compared with 655 in the same period last year. This marks a 23% year-on-year increase in demand for assessments of need in the north Dublin local health office area. Nationally, demand for assessments of need has doubled in five years. Significant efforts have been made to increase the completion rates of assessments of need throughout the country, including the north Dublin local health office area. This is reflected in the Deputy's constituency in the completion of 770 assessment reports in the first nine months of this year, a 58% year-on-year increase when compared with the same period last year.”
“Before I deal with the Topical Issue, I wish a merry Christmas to Deputy O'Reilly and her family, as well as to the Ceann Comhairle, her team and everybody who keeps this place running day in and day out. I hope they all enjoy the break. I thank Deputy O’Reilly for raising this issue and for offering me the opportunity to speak about it on the floor of the House. The Government recognises that there are unacceptable delays in accessing assessments of need, not just in the Deputy's constituency, but at a national level also. The Department and the HSE are committed to addressing these delays and ensuring that the assessment of need system is more efficient and effective. There has been a continued growth in demand for assessments of need in the north Dublin local health office, which spans a significant area within Dublin Fingal West.”
“Taking cognisance of the Chair I will give a short response. Our in-reach teams will support the HSE's new model and will work to ensure there is more joined-up thinking between primary care, CAMHS and our CDNTs. Each team will consist of a psychologist, a speech and language therapist, an occupational therapist and an administration person. Part of the reason we have an administration person is because some of the feedback we have received from parents is around communication. This person will assist with that from a caseload management perspective. We will be standing up 11 teams in 2026 and a further nine teams in 2027. That will be 20 teams, which will be one team per regional health organisation.”
“Decisions are being communicated earlier to parents. There is a single point of access. There is the autism protocol and assessment. We also have recruitment in our own CDNTs. We are recruiting at the moment and will be recruiting another 150 staff next year. Throughout the disability service we will recruit 1,000 people next year and we are also outsourcing assessments of need. Education is the other element of that. The Minister for education will come back to the Cabinet committee on disability in the first quarter of next year with formulated proposals on that issue.”
“That statistic that 45% of children who go through the assessment of need process receive a diagnosis of autism is absolutely correct. For that reason the HSE is standing up a new autism assessment and protocol process in order to be able to respond to emerging need in this area. We hope that from January, but definitely from the first quarter of next year, children who are displaying autistic traits will be referred into the new HSE autism protocol and assessment process. That will absolutely help. It will provide them with specific interventions that will be most appropriate to them. That is a really welcome development. I thank the HSE for its hard work and its engagement with my Department on this. Part of what was announced last week was a six-pronged approach. We have the heads of the Bill.”
“An intensive focus of my Department has been on increasing the staffing of CDNTs that deliver supports and services to children with complex needs. My Department has been in discussions with the Department of education on the need to phase out the requirement for an assessment of need to access special education class or school.”
“Turning to access to treatment and therapies, I must emphasise that children do not require an assessment of need to access health services including primary care, children’s disability network teams, CDNTs, or mental health services. However, it is recognised that there can be delays for children and families in getting access to the treatments and therapies they need. Children can be on a number of different waiting lists which can cause confusion for families. In 2026 the HSE will introduce a single point of access system, which will make it easier for families to be referred to the right service whether that is a CDNT, primary care, or a child and adolescent mental health team. The recruitment of staff across the disability sector continues to be a key priority in ensuring children can access therapies in a timely manner.”
“As the Deputy said, last week the Government announced a series of reforms to the assessment of need process which will make the process more effective and efficient for children and families, and will move towards more assessments being delivered within the six-month statutory timeframe. These reforms include changes to Part 2 of the Disability Act, which provides for assessments of need. The general scheme of the disability (amendment) Bill 2025 was approved by the Government on 9 December and will be published on the Department’s website shortly. It is important to say these changes will not remove any rights for parents to apply for an assessment of need for their child, nor will they alter the statutory six-month timeline set out in the Disability Act.”
“The Government absolutely recognises there are unacceptable delays in accessing assessments of need. My Department and the HSE are committed to addressing these delays. Under the Disability Act, an assessment of need is an assessment process carried out by the HSE where a person is of the opinion that he or she may have a disability for anyone born after 1 June 2002. It first establishes whether the person has a disability as defined within the Act and then identifies the health and education needs of the person with the disability and the service required to meet those needs.”
“The Deputy described a deficiency in respite care in Monaghan. I assure him that the Department and the HSE are currently auditing respite services to give us better visibility of the full picture regarding the provision but also, more importantly, the need. We have additional funding next year that we sought through budget negotiations. That will be part of the HSE's national services plan that is to be published. To clarify, we will be making the decisions as to where the funding goes based on the current level of provision locally but also based on need. The Deputy has clearly outlined a case for why Monaghan needs further investment. If the HSE figures add up on that, we will absolutely be looking at it.”
“It is a HSE-funded, section 39 provider, which is funded under a service agreement with the HSE to provide 1,500 respite nights per year. Following the submission and approval of additional funding in 2024, the number of respite nights increased from 840 per annum to the current level of 1,500. Mountain View Respite Centre, in County Cavan, provides services for adults with physical and sensory disabilities from both Monaghan and Cavan. It opened in November 2026.”
“As the Deputy is aware, Rainbow Lodge is an interim children's respite centre. It came into operation on 1 October 2024. Retention of this respite centre service is contingent on future funding considerations. I take on board what the Deputy has said in relation to the new centre coming on board at the end of next year, and that there may perhaps be a gap. I take that feedback on board and will bring it back to my officials. Regarding respite services for adults and children in County Monaghan, I draw the Deputy's attention to the fact that there is also Annalee View Respite Centre. The HSE disability service in IHA Cavan Monaghan operates one respite centre directly in County Cavan, which is in the Deputy’s area. Steadfast House is an overnight respite centre in County Monaghan.”
“Cavan-Monaghan disability services helped prepare capital submission documents for the national HSE capital and property steering committee to seek approval and funding to provide a stand-alone respite centre for adults with an intellectual disability in County Cavan.”
“In order to legally operate as a registered residential respite centre, a facility will need to meet the required standards for a designated respite centre, which is assessed and determined by the Health Information and Quality Authority, HIQA. Cavan-Monaghan disability services secured a commitment for funding for an interim, two-year residential respite service for children in County Monaghan pending the development of the new HSE facility. The location of the interim children’s respite centre for Monaghan is at Urbalkirk, approximately 8 km from Monaghan town. The Talbot Group operates the service under a service arrangement with the HSE. The interim children’s respite centre, called Rainbow Lodge, became operational on 1 October 2024. Retention of this respite centre’s services will be contingent on future funding considerations.”
“Subject to statutory approval of the planning application, it will be the HSE Capital and Estates Dublin and North East office’s intention to commence the preparation of tender documentation for the project. The HSE will then complete a capital project to prepare the property to deliver a five-bedroom residential respite facility. HSE Capital and Estates Dublin and North East has advised that, if all of those steps go according to the timeframe set out, this project should be completed in quarter 4 of 2026. The number of children who will avail of respite in this new centre will be dependent on the assessed individual needs of each child and his or her family.”
“HSE Capital and Estates Dublin and North East and the disability services in the Cavan-Monaghan IHA service area have identified a premises for sale that is suitable for the purposes of renovation to develop a HSE respite centre for children. The purchase transaction has been approved and completed. The keys of the premises have been transferred to HSE Capital and Estates Dublin and North East. The premises are located at Drumbear, Ballybay Road, County Monaghan. Following the conclusion of the preliminary design stage with disability services in quarter 3 of 2025, the HSE Capital and Estates Dublin and North East office, through the appointed design team, has progressed with preparing a planning application for the proposed development, to be lodged no later than the end of January 2026.”
“Just to clarify, the NCSE is under the remit of the Department of education rather than our Department. I know this is something the Minister of State with responsibility for special education and the Minister for education are looking at. Together with the NCSE, they had set a date of 1 October for applications. That was to be able to give the parents better clarity, better security and early decision-making ahead of the coming academic year. I appreciate that there are parents who may have been in a position to provide information after this date. That is something I have raised directly with the Minister of State with responsibility for special education.”
“Just to advise the Deputy that our Department and the HSE are currently auditing respite services to have better visibility and to be able to plan better and make decisions based on the need. It is our intention to increase both overnight and day respite next year throughout the country. That will be part if the HSE's national services statement and national services plan and we will be making the decisions on that based on the level of current provision and the level of identified need in an area. I hope that is of benefit to the Deputy in terms of his own county.”
“Each house has four respite beds and operates seven days per week, with planned closures this equates to approximately 2,800 respite beds for children.”
“The HSE South West disability services provide a range of respite models for children and adults and these include: residential overnight respite centres, after-school clubs for children and young people, in-home support, outreach support and holiday breaks for adults. These options ensure that respite is provided in the manner which best meets the needs of the people and their families and carers. RHA HSE South West, which extends to the Cork and Kerry areas, provided 17,181 respite overnights in 2024, 2,833 day-only respite sessions and supported 760 people with a disability. Kerry residential respite services for children aged between 6 and 18 years of age are delivered by St. John of God Services. There are two residential respite houses, one in north Kerry and one in south Kerry.”
“As part of a broader programme of work, the HSE, with the support of the Department, has progressed a range of service improvements in the Kerry area. As previously stated, the programme for Government includes a commitment to the continued expansion of all types of respite services, building on additional investment and progress over the past few years. The HSE South West disability service operates separate children and adult regional respite forums. Each forum manages the referral and respite service provision for the population of the region to ensure equitable access to respite services, consistent with each person's assessed need and preference. Service provider representatives and HSE South West disability service personnel comprise the membership of the regional respite forum.”
“As Minister for State with special responsibility for disabilities, I am committed to delivering a step-change in supports and services for people with disabilities and their families, ensuring they are enabled to live full lives of their own choosing and on an equitable basis with everyone else in society. The Department has been working closely with the HSE to deliver on this ambition and improve disability services for all who use them. The Deputy will be aware that services are provided on the basis of need and funding is provided now through the regional health areas, RHAs. The Deputy has asked about the improvements being made to disability services in Kerry, which falls within the HSE South West RHA.”
“Between that and the autism assessment process and protocol, which is also a huge part of this, they will be supported by 11 inreach teams next year and 20 inreach teams by the end of the following year. We are also recruiting within our own teams - the CDNTs. We have had a 27% increase in staffing in the 18 months up to April of this year. We have 45,000 children now receiving therapies through our CDNTs and I would like to thank our staff and our clinicians who are delivering those. We are also supplementing our assessment of need process by outsourcing. We will outsource 6,000 of those next year. That frees up therapists to work with children to deliver the therapies they need.”
“I thank the Deputies. Can I be really clear? Last week's announcement was about children with disabilities who require therapies and that is exactly what we are setting out to achieve - the delivery of therapies regardless of children's disability. There is a six-pronged approach here. The heads of Bill have now been published. They will go through pre-legislative scrutiny at the Joint Committee on Disability Matters. We have committed to informing parents earlier about when a decision is arrived at as to whether or not their child has a disability. We have the HSE's new model of having a single point of access which we have discussed and which will be supported by additional recruitment.”
“On people being bounced from list to list, one of the things announced this week was the single point of access, which is the HSE's new system to ensure there is no wrong door and that when children get to the top of a list, they are not pushed to the bottom of another list. This is a service-based and needs-based approach the HSE is implementing in collaboration with our Department.”
“I thank both Deputies. I was delighted to engage with the cross-party group on autism about this issue the day before yesterday. The direct question about the education plans was how the process will be formulated, and the answer is through consultation. The Department of Education and Youth has indicated to us that it is willing to explore how to get to a point where it can remove an assessment of need as a requirement for entry to special schools and special classes. It will now consult on how best to do that with relevant stakeholders and officials and will come back to the Taoiseach through the Cabinet committee on disability in the first quarter of next year with a proposal for how and by when it can make it happen.”
“Last week, the Government announced a series of reforms to the assessment of need process that will make the process more effective and efficient for children and their families. Over time, this should lead to a reduction in the waiting time to receive an assessment. This reform includes changes to Part 2 of the Disability Act 2005, which provides for assessments of need. I will elaborate further.”
“In September, there was a 42% increase on this time last year. More positively, there has been continual improvement in the number of completed assessment of need reports. Over 4,500 reports were completed in the first nine months of this year, a 57% increase compared with the same period last year. This improvement has been bolstered by significant investment by the Department in the targeted waitlist initiative, which focuses on the families waiting longest for assessments of need. More than 6,300 clinical assessments have been commissioned from private providers under the initiative since it started in June 2024. Budget 2026 provides for the continuation of this initiative next year, with €20 million provided for the delivery of some 6,000 clinical assessments.”
“I thank the Deputy for giving me the opportunity to address this on the floor of the House. The delivery of an effective, efficient assessment of need system is a priority for the Government. There has been intensive work by the Department of Health and the HSE. Demand for assessments of need has increased significantly in recent years. Applications may be in excess of 11,000 this year compared with 4,700 in 2020. That represents a doubling in five years. This reflects both the increase in population and the number of families exploring all options to access services for their child. The impact of this increased demand has contributed to more than 18,000 applications being overdue for completion nationwide at the end of September. We will have figures for the end of this year shortly.”
“On data, I wish to be clear that the cost of care is completely dependent on the level of complexity and the support required. It is imperative to note that as a result, cost is not a reflection of performance and rather is indicative of individualised care needs. What is most important here is the person with the care need at the heart of this. The Deputy has the data on the average cost of residential places. That data is published and publicly available. The Department of Children, Disability and Equality's spending review 2025 contains this information, which is publicly available on our website. It should be noted these average costs are derived from a relatively small sample of placements from 2024 because there is a relatively small sample of placements in existence.”