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On the need for urgent decisions & a comprehensive set of measures *today*

"Delayed and tentative decision making will result in the deaths of tens of thousands more people"

Getting worse: several more thousand people in hospital than at April peak: no's still rising


Cases in *all* regions are going up, reflected in hospital admissions.

Every region except NE and NW have more people in hospital than during the first wave.

We don’t yet know if tier 4 is enough to slow or contain covid.

The impact of Xmas mixing is still to come.

Schools will contribute to increasing transmission rate - @IndependentSage chair notes their nuanced position on schools + happy to take questions.

Indy SAGE calling for lockdown AND clear plan for exit from such a lockdown. Calling for proper support for testing + isolation

Vaccination rollout programmes vital - including international support

The impact of long covid also identified alongside horrific scale of death is part of the catastrophe we need to prevent unfolding further

.@IndependentSage highlighting the unbelievable pressure on NHS staff across the UK.

Given the scenes at hospitals around the UK, we cannot afford to underestimate the seriousness of this for everyone
A thread on the Assessment of Need: the statutory process by which children whose parents have concerns about potential disability can be assessed.

The process has recently been changed by the HSE in a manner that is frankly appalling.

Explanation: (1/n)


Parents might apply for AoN for a child due to concerns about development- in my clinic, the commonest reason is queried autism.

Previously, the AoN involved a team (usually physio, OT, SLT, psychology) assessing a child to get insight into the nature of their difficulties (2/n)

The team conducted a series of assessments, usually taking several hours each, and produced a report giving a detailed analysis of how a child is doing, what the causes of their difficulties might be, suggesting a diagnosis if appropriate, and giving advice on next steps (3/n)

Based on this, a child might be entitled to additional support in the classroom or financial supports. Medical investigations for individual diagnoses could also be arranged.

Function is more important than diagnosis, but in our system diagnoses get you support.

(4/n)

Legally, the AoN must be completed within 6 months of referral.

In many parts of the country, including Dublin, this almost never happens.

91% of children do not get their assessments on time.