Máire Hoctor (Tipperary North, Fianna Fail)

Last night and this evening we have heard a range of views about the planned changes in the organisation of hospital services in the mid-west. The Minister, Deputy Harney, noted that the issues being discussed and the reasons advanced for maintaining the status quo have changed little over a period of 30 to 40 years. However, there has been a shift in the nature of the debate. We are all now familiar with the expert advice that, where the delivery of complex care is concerned, better outcomes for patients are achieved if this takes place where the necessary staff and equipment is to hand and sufficient volumes of activity take place. Despite what others may suggest, the available evidence also emphasises the need to provide timely emergency care to patients in an appropriate setting and that this leads to lower rates of death, fewer complications and longer life. Therefore, while we may still differ on matters of detail or on how change is to be brought about, I believe that among health professionals and the general population there is recognition that change is necessary and that it will ensure higher quality and more sustainable services for the future. Both the Government and the HSE are committed to a process of change which is incremental, with appropriate consultation and discussion with those affected. The HSE, with Mr. Paul Burke as clinical lead, is working with stakeholders to develop, explain and give effect to the reorganisation plans.

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