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Mr Mike Nesbitt: Assembly records
All of Mr Mike Nesbitt’s imported questions, contributions and motions in this mandate, newest first, including those assessed as not qualifying, uncertain or not yet analysed.
I have not had any direct contact with the Fire and Rescue Service on those two specific fires. Today, however, I signed off on the responses to three questions for written answer from you on that issue: the numbers for waste-management sites and other areas.
Responsibility for ensuring equitable access to domiciliary care rests with each trust. At a regional level, the Department works closely with the trusts through the social care collaborative reform board and its implementation groups. My Department has developed a 10-year strategic plan together with a three-year…
The issue has been under active review since concerns first emerged. The trust has been progressing a careful, clinically led look-back process, in line with established guidance. During that time, the priority has been to ensure that the information is validated and that patients are contacted in a structured and…
I fully recognise that receiving a recall letter about a cardiac therapy device can give rise to understandable anxiety and distress not only for patients but for their families and friends. It is therefore essential that appropriate support, reassurance and timely clinical assessment be in place throughout the…
There are always robust governance arrangements in place, whether we do it in the health and social care system or use the independent sector. That applies to all the work that we do.
Formal guidance issued by the British Society of Gastroenterology in 2014 specified that a robust diagnosis of coeliac disease should involve an endoscopy procedure and an accompanying biopsy. That was followed by interim guidance in 2020 on a no-biopsy protocol that was intended to support timely diagnosis during the…
Yes. I have been clear about my commitment to implement the real living wage across the social care workforce, and I have set that out directly to the key stakeholders. I wrote to trade unions to confirm the pathway to delivering the real living wage through Agenda for Change arrangements from 2026-27. I then wrote to…
I am sure that it is very bad for morale. I understand the disappointment, and I have acknowledged that my decision was counter-strategic, but, given the financial constraints that I face, it was unavoidable. Social care staff make an essential contribution — absolutely — and, if we had more of them, they could do…
I agree with the Member that the problem is community capacity in domiciliary care workers and packages and care homes and care home beds. Where is the money to do that? Yes, we spend a lot of money on bank and agency staff, but, if we divert that flow of money to create more community capacity, hospitals become…
The Member is right to talk about the money that is spent on agency workers. Agency workers are used to make sure that we deliver safe services. We use agency nurses, for example, only if the pool of bank nurses has been exhausted. We have had, I believe, 100% success in no longer using agency social care workers. We…
I fully acknowledge the essential role played by domiciliary and home care staff in supporting people to remain safely in their own homes and thus alleviating pressure on our acute services. Home care workers provide far more than just practical or personal care and support; they provide reassurance, continuity and…
My Department monitors uptake across different sectors through a combination of established governance, reporting and workforce oversight arrangements. Trusts are required to track and report on staff participation and completion rates as part of their existing training and performance management processes. In the…
I am afraid that I do not have an update to hand on the psychiatry workforce. I am more than happy to write to the Member. As the Member knows, in the Department of Health and in Health and Social Care, we live in a world of statistics, and it is very hard to retain the numbers that I would need to retain to be able…
The best thing that the Department can do is to ensure that dementia training remains current and aligned with best practice. We do that through collaboration, not least with academia but with clinical experts, and alongside established governance structures. The prevalence of dementia is so high, however, that I…
At present, there is no statutory requirement, as the Member knows, to mandate dementia awareness training across the system. I strongly endorse the importance of such training as a key element of workforce development, but — the Member will not like this — it is not proposed to introduce a compulsory requirement at…
Aligned with the regional dementia care pathway, my Department remains firmly committed to strengthening and enhancing dementia training, and I very much accept the Member's long-term interest in that area. The regional dementia project board plays a central role in that work, with a dedicated work stream focusing on…
I am aware of that, and, again, I have discussed it with the digital team. Apparently, there were two fail-safes that failed, so, by definition, they are not fail-safes. The only assurance that I can give people is that, while it is unacceptable that that happened, those were referrals that were rejected by…
If I understand the Member correctly, she is talking about adding a layer of protection and security to a system whose essence is that everybody in Health and Social Care can access it. That is part of the beauty of Encompass. If a patient is being transferred from one hospital to another in an ambulance, the…
As I understand it, although it was always accepted that the roll-out of Encompass would slow down procedures while people transferred from paper, its long-term benefits very much outweighed any short-term hiccup from that. As yet, there has not, to my knowledge, been a review, because Encompass is still being rolled…
Encompass is now fully live across all five geographical health and social care trusts. It provides a single digital health and care record that supports safer, more joined-up care for people right across Northern Ireland. It is a major, once-in-a-generation modernisation. It is also an essential foundation of service…
I am not aware of specific plans. The Member is right, however. When I took up post, everybody was focusing on the issues at the front door, such as delayed handovers for ambulances and overcrowding in the ED, but the Member is right: the problem is the flow out of the back door. We have to build community capacity.…
The Member makes a pertinent point. There was a tragedy in the ED at the Royal just a few weeks ago. If I needed convincing, that convinced me that, often, an emergency department is the last place that a patient with mental health issues should go to and wait in. I visited the Mater Hospital a few days ago. It has…