TheJournal.ie uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Click here to find out more »
Dublin: 5 °C Friday 24 May, 2013

Senators ask: Why won’t the State set aside money for terminally ill children?

A group of Senators are asking the State to put aside money for a home nursing care programme for children – but it looks unlikely to pass.

A ward in Crumlin Children's Hospital (File photo)
A ward in Crumlin Children's Hospital (File photo)
Image: Sasko Lazarov/Photocall Ireland

A GROUP OF Senators will put forward a motion in the Seanad later today to argue that the State should put aside dedicated money to set up a national programme to provide home nursing care for terminally ill children.

The Senators argue that it is nine times more expensive to keep a child in hospital than at home – and that the government’s own stated policies focus on caring for people in their own homes.

Despite this, the motion is unlikely to pass when it comes before the Seanad at 6 o’clock this evening.

Many parents and families of children with serious illnesses have spoken out in favour of children being cared for at home with proper support from professional healthcare workers, rather than having to stay in hospitals.

The HSE has in the past provided some funding to give parents support in keeping children in their own homes – but major cuts to the health service has seen the amount of money slashed.

Jonathan Irwin of The Jack and Jill Foundation says that it costs about €16,500 to provide care for a baby being kept in their own home per year but it would cost the State €147,000 per year to provide the same service through a hospital.

“This government and the Minister for Health has stated that [its] policy is to focus on primary homecare, to get people out of hospitals. It seems hard to see how they can argue against this,” he told TheJournal.ie.

Irwin said that while other groups such as geriatrics have had a dedicated budget to provide home nursing and care, the State has never set aside money for terminally ill children, leading to a major gap in services.

“This would seem to be a no-brainer,” said Irwin. “It’s what parents and babies need”.

An acute hospital is outstanding if you’ve got a broken leg or appendicitis, but these babies are so fragile that they need 24 hour care so there’s always someone to put an arm around them, to cuddle them. They’re not suited to acute hospitals.

There are an estimated 1,400 children in Ireland with serious and terminal illnesses. Around 350 children die every year from these illnesses.

Irwin said that the motion fits in neatly with government policy and saves the State money. He said:

Home is the absolute idea, and if you ask any parent, that’s where they want the baby.

The motion in the Seanad

Senator Mary Anne O’Brien, who is proposing the motion, was pragmatic about its chance of success.

The motion is supported by a number of independent Senators, including Jillian van Turnhout, Fiach MacConghail and Katherine Zappone. However government Senators are unlikely to vote in favour of the motion.

“One always lives in hope [that it could pass],” Senator O’Brien told TheJournal.ie. ”We all know the HSE is in a mess but it’s a question of prioritising a budget”.

It’s hard to imagine just how difficult it is to be the parent of a child with a life-limiting condition. It’s a dagger in your soul when your child is that ill.

You’re distressed, your family is distressed, so you have to go to the local HSE community service where you beg, you ask, you cajole for some money to care for your child at home, and they say ‘Sorry, the budget is not there”.

“One of Minister Reilly’s great visions for the health service is that the money should follow the patients,” said Senator O’Brien. “Let’s give it to the actual patients”.

The motion will be heard in the Seanad at 6pm and a vote will be held at 8pm.

Read: Irish Childhood Bereavement Network set up to support those working with grieving young people >

Previously: Hospices will need ‘goodwill of their local communities to keep going’ – IHF >

My favourite speech: CEO of The Jack and Jill Foundation Jonathan Irwin >

Read next:

Comments (18 Comments)

  • Surely our government can re arrange budgets for this. This is real children’s rights. Should be the same for elderly people at the end of their lives if family want to care for them but just need a bit of help. My mam did for my gran who was lucky to live and die at home at 98 but she had to fight for any help at a time when she was exhausted looking after my gran

    Reply
  • Would it be possible for the Journal to publish the list tomorrow of Senators that vote AGAINST this motion please?

    Reply
  • Perhaps we should have a referendum stopping the govt ‘helping parents and children’. Most parents would walk on hot coals for their children and only look for a small amount of help to assist them when times are tough. But no, the state knows best!
    I used to think the senand was nothing but a resting house for the friends of govt. another quango.
    But seeing as all the political parties have cosied up together, perhaps it’s time for the senand to have a proper dissenting voice, otherwise there is nobody to give any robust debate to any issue concerning political decisions
    made for our benefit.

    Reply
  • They’d rather give our hard earned taxes to German / Dutch investment bankers

    Reply
  • The Senate is a talking shop, Abolish the senate and give the money to the sick children, problem on the way to be solved Id say.

    Reply
  • Sue, consultant fees is the answer.

    Reply
    • Michelle 26/09/12 #

      I am no defender of consultants in any way, but how did you make that connection?

      Reply
    • Michelle, Because the consulants are paid a fortune by the HSE.

      Reply
    • Micheal 27/09/12 #

      400 a night (cost of a paediatric bed), covers doctors, nurses, cleaners, porters, laundry, food, you know – all the things you clearly take for granted when you rock up to a hospital and presume is free.
      That’s 400 a night before you start looking for scans, tests, procedures, drugs. You know, the things you take for granted when you rock up to your local hospital and presume is free.

      Reply
  • Anyone know how the 174k? cost to keep a child in hospital for a year breaks down? seems astronomical….

    Reply
    • Michelle 26/09/12 #

      The cynic in me says its probably got a lot to do with the hospital budget allocation!

      Reply
    • Micheal 26/09/12 #

      The cost is actually 147,000, not 174,000.
      147,000 across 365 nights translates to roughly 400 a night. An adult bed is about 900 a night, so quite reasonable by comparison.
      I’m not sure what the 147K covers though, and more importantly what the 16,500 (45 a night) covers if you stay at home, (IE: are you taking into account the materials used and the resources required – a nurse to drop by once or twice a day, presume you might have to call out the GP every now and again, physio, palliative care, etc etc).
      I’m not sure this article provides all the info required to make a feasible comparison, but at the end of the day, regardless of cost, nobody wants to be in a hospital at the best of times, never mind when a child is terminally ill.

      Reply
  • Aisling 26/09/12 #

    You have to assume it’s not as simple as “well it’s cheaper to do it this way so lets”, contrary to popular opinion, all politicians aren’t complete idiots and if there was a way of making these people happy and securing their votes for the next election then I’m sure they would. If previous experience is anything to go by regarding the public sector, then I presume that the larger figure will still have to be paid regardless due to “contractual obligations” with hospital staff. it’s not like spending the 17000 caring for a child at home is going to stop the larger figure from being paid to the hospital, if wages have been committed to then they’ll be paid, simple as that. If hospitals moved to make these changes and save the money, the public would be up in arms again about cuts to hospitals!!

    Reply

Add New Comment