I thank Deputy Clarke for the opportunity to address the House today on an issue that I know is of real importance to her constituents and to the midlands. I am taking this Topical Issue debate on behalf of the Minister for Health, Deputy Jennifer Carroll MacNeill. The HSE recognises the vital importance of timely access to neurological services for patients across the midlands and acknowledges the significant impact that delays in accessing specialist care can have on patients and their families. The HSE has advised that, currently, neurological services for patients in the midlands are provided through a combination of local services at Midland Regional Hospital Mullingar and specialist regional neurological services. While there is currently no onsite specialist neurological services at Midland Regional Hospital Mullingar, it is important to be clear that access to specialist neurological options for patients in the midlands is available through the established referral pathway to specialist services at the Mater Misericordiae University Hospital. The HSE continues to monitor demand for neurological services in Mullingar and across the midlands and is working with clinical teams to maximise available capacity, improve patient pathways and ensure that patients are prioritised according to clinical need. Patients requiring urgent assessment continue to be seen as a priority through available referral pathways while every effort is being made to reduce waiting times for routine appointments. Indeed, the challenges facing neurological services are not unique to the midlands. The national clinical programme for neurology has acknowledged that demand for neurological services has grown significantly in recent years. To address this, the Minister for Health allocated significant investment in 2025 to expand regional neurological services. This included €4 million in funding for the recruitment of five additional consultant neurologists and six clinical nurse specialists specifically to support services in model 3 hospitals, including Mullingar. A further 16 neurological nurse specialist posts and three health and social care professional posts were funded across a range of specialist neurological services. The HSE anticipates that these positions will be filled during 2026, helping to address some of the service gaps identified and improve access to care for patients. This service development is supporting progress on the implementation of the HSE's model of care for neurology. The focus of the neurology initiative is aimed at improving access to appropriate neurological services; improving safety and quality in the delivery of patient-centred neurological care; and improving value for both patient and health services across neurological services. More broadly, the national clinical programme for neurology is actively working on a hub and spoke model to guide equitable neurology services across the country. This aligns with the health regions and aims to tackle the gaps in neurology services nationally. The model will include one model 4 hospital hub per health region, catering for the most complex neurological care. These sites will support model 3 spoke sites, including Mullingar, which will provide services for people with less complex needs. Many hospitals already have well-developed neurological services, but funding received in 2025 is enabling the delivery of phase 1 of the hub and spoke model. It is expected that this proposed hub and spoke model will enable a reduction in waiting lists and timely access to diagnosis and treatment and thus improve quality of life and prognosis for people with neurological symptoms. This will cater for people with all neurological conditions and will deliver on the Sláintecare principle of delivering care closer to the patient's home. Improving access to specialist care remains a priority for this Government and the HSE is continuing to work with the national clinical programme for neurology to strengthen neurological services.

Sentiment score: 0.42

Again, I thank Deputy Clarke for raising this important issue. I fully acknowledge that too many patients are still waiting far too long for appointments and treatment. I recognise the real strain that is placing on individuals and families. As outlined, neurological services in the midlands are delivered through a combination of local supports in Mullingar and specialist regional services. Urgent patients continue to be prioritised and every effort is being made to reduce waiting lists for routine appointments. It is important to recognise that significant investment has been made to expand neurological services, which will help to address the service gaps and improve access to care for patients right across the regions. As I mentioned in my opening remarks, the implementation of the model of care for neurological services, including the hub and spoke system, is a key part of this, because this will focus on reducing waiting lists, ensure early diagnostics and also deliver timely treatment for patients. It will also improve the quality of life and outcomes for those living with neurological conditions. Regarding Mullingar itself, strengthening services, reducing delays and delivering care close to home is a key priority that the Government wants to achieve. The Minister remains fully committed to improving neurological services right across the country, including for patients in Mullingar and across the midlands, with regard to reducing waiting times, expanding capacity and ensuring patients can access neurological care closer to home when they need to.

Sentiment score: 0.47

I thank the Deputies for bringing this important matter to the floor the Dáil. As they are aware, on 27 April 2026 Covalen informed its employees of its intention to reduce its workforce. My understanding is that the company has been impacted by a shift in client demand, resulting in a reduction in the volume of services required and a requirement to adjust operations accordingly. My first and most immediate concern, and that of the Government, is the potential impact on employees and their families during this uncertain time. In response, the IDA has been engaging at a senior level with the company to ensure it is aware of the full range of IDA supports available at this time and will continue to do so. IDA Ireland has established an internal process for managing potential job-loss situations with its client companies. In respect of impacted employees, the IDA is proactively engaging across its client base to identify potential redeployment opportunities where there is a skills match. The IDA has also facilitated connections between interested companies and company representatives, and this work is ongoing. On the broader comments, I will talk to Deputy Gibney’s point regarding the Government’s publication of the action plan on collective bargaining, which has been welcomed by the social partners. That is currently being implemented to ensure that employees’ and employers’ voices are recognised. The situation also raises a broader issue which was mentioned - the impact of artificial intelligence and technology on the changing labour market and on jobs. I think we need to be clear and honest that artificial intelligence is a transformative technology with significant potential for Ireland's economy and competitiveness. Equally, there is a challenge in that we are all trying to predict how work will evolve. We recognise the very real concerns about job displacement but the evidence suggests that AI is more likely to augment jobs than replace them. We will see some displacements, which is natural, but the nature of work will also change significantly. That is why Government policy is very much focused on preparing workers for that transition. We have published the national digital and AI strategy which is very much focused on how we can invest in upskilling and reskilling, and how we can support workers to adapt and ensure Ireland continues to remain competitive in a changing global economy. We must deal with the immediate impact of job losses while also preparing for the long-term transition of work.

Sentiment score: 0.29

I thank the Deputies for their contribution. The Government fully understands the impact jobs losses have on workers, their families and communities. In the immediate term, we are very much providing the supports, which are being mobilised. We are also engaging with the IDA, the State agency, in terms of redeployment. That is actively being pursued. Engagement with the company is ongoing. Looking beyond the immediate situation here, we have recognised that technological change, in particular AI, will certainly reshape our labour market. We have been very clear on that. My Department continues to monitor this very closely and the impact it will have on our labour market. We have engaged with the research from the expert group on future skills needs, which very much highlights the rapid growth of AI adoption in Ireland, the strong demand for AI-related roles and the robust pipeline we have in terms of skilled workers that are emerging. It is important to re-emphasise that notwithstanding the adaptation that will be required and the significant challenges that will present in terms of how that transition is managed, that is why we have funding for research which is very much focused on future skills needs. We are also supporting lifelong learning in terms of reskilling and monitoring the labour market in real time. We are not being passive in this space. We are very much engaging with the Department of further and higher education and many industrial sectors. Our responsibility is twofold: to support workers affected today but also to ensure that workers are equipped for the jobs of the future. Ireland's workforce is ready to grow and thrive in an AI environment.

Sentiment score: 0.34