Oireachtas Joint and Select Committees

Wednesday, 8 October 2025

Joint Oireachtas Committee on Health

National Ambulance Service: Discussion

2:00 am

Mr. Pat Healy:

Absolutely. The Senator may have missed the earlier reply to one of her colleague's questions, in which I was complimenting Limerick and UHL because they have actually done a huge job in improving the turnaround time, at 45 minutes for both the NAS and the hospitals. I gave the example of how on a bad day at UHL it could be 200 or 250-plus and there would be 100 ambulances coming in. They are now down to 38 minutes. In the Senator's own area they are actually performing extremely well. Of course there are always opportunities to improve, and we were saying that, but we acknowledge that UHL is doing extremely well in comparison with its colleagues.

On pathfinder, I referred in my opening statement to trying to develop that whole alternative care pathway. There are actually eight hospitals that the pathfinder service is now engaged with across the country and it is increasing. We want to expand that. When we are developing our three- to five-year plan we certainly will be including those alternative care pathways. As the director said earlier, whether it is in Donegal or other rural areas or in urban areas, that whole issue where the volume is increasing, and complexity and ageing are other factors, we do need to develop it. That is part of the whole Sláintecare approach and enhanced community care. It is about developing alternative pathways where we are able to deal with people at home and in the home. That is actually happening in the National Ambulance Service and will continue to happen.

Perhaps the Senator will remind me of her third question.

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