HSE to implement home help cuts

The HSE is to begin implementing highly controversial cuts in home-help services.

The HSE is to begin implementing highly controversial cuts in home-help services.

The cuts were first announced five weeks ago as part of an overall initiative aimed at generating more than €130 million in savings. However, implementation was largely put on hold in many parts of the State pending further assessment by the Department of Health and at political level.

The HSE said last night that about €8 million in spending on home help hours would be cut between now and the end of the year, adding that it intended to minimise the impact of the cuts.

"Decisions in relation to the provision of home help hours will continue to be based on a review of individual needs, and no current recipient of this service and who has an assessed need for the service will be without a service," it said in a statement.

The amount to be cut from the home help budget under the announcement made last night is less than the €10.8 million reduction in spending it announced originally last month, which would have resulted in some 600,000 home help hours being cut, on top of a 500,000-hour cut imposed earlier this year. The effects of the reduced spending cut was not available last night.

A HSE spokesman said the measures to reduce home help hours were being implemented by the regions over recent weeks, although the total amount to be cut was less than initially announced.

However, senior health service figures had repeatedly told The Irish Times in recent weeks that the cuts had largely been put on hold following the Government's U-turn on cuts for the disabled some weeks ago.

The HSE said last night there were 11,000,000 home-help hours provided annually, with a budget of €195 million.

Yesterday the Oireachtas Committee on Health and Children called for a halt to cuts in home help.

Sinn Féin Health spokesman Caoimhghín Ó Caoláin said he had the unanimous backing of the Oireachtas committee for his motion calling on Minister for Health James Reilly not to proceed with cuts to home help and homecare.

Home helps are planning to protest about the cuts in Dublin later this month.

The HSE is expected to begin intensifying the implementation of plans to reduce the number of homecare packages. However, this is likely to be at a lower level than the 200 originally announced.

The HSE said it had a statutory responsibility to live within the budget voted by the Oireachtas. "In this context, the HSE developed a range of proposals for discussion which would reduce spending and yield cash between now and the end of 2012."

"It is a priority for the HSE to minimise the impact on patients and clients of any spending reductions. Many of the proposals therefore focused on areas that do not have a direct patient impact such as furniture, education and training, office expenses, laptops and PCs, travel and subsistence etc."

Martin Wall

Martin Wall

Martin Wall is the Public Policy Correspondent of The Irish Times.