Dáil debates

Wednesday, 11 December 2019

Ceisteanna ó Cheannairí - Leaders' Questions

 

11:55 am

Photo of Micheál MartinMicheál Martin (Cork South Central, Fianna Fail) | Oireachtas source

My colleague, Deputy Donnelly, who is our health spokesperson, has compiled the most comprehensive picture so far of the number of children waiting for healthcare in Ireland. It is not a good story and reflects quite badly on the Government. He has put together a staggering list of more than 214,000 children waiting for healthcare. Some 117,000 children are waiting for hospital appointments and treatment and another 90,000 are waiting for primary care appointments. One child in four has been waiting for more than a year, according to the list. This includes very sick children in need of urgent surgery. The list includes special needs children in urgent need of therapeutic supports such as speech and language therapy and occupational therapy, to name but two. It includes children waiting for psychology, diagnostic scans and much more.

I will give some examples. In ear, nose and throat, ENT, close to 3,000 children have been waiting over a year for an appointment. In paediatric cardiology more than 1,200 children have been waiting over a year for an appointment out of a total list of close to 5,000. In dermatology there is an overall list of 4,500, with 2,129 waiting for over a year. In ophthalmology, 4,000 children have been waiting over a year for an appointment. In psychology there are more huge figures, with more than 2,500 waiting over a year out of a total list of 7,000. We are aware of the issues in respect of mental health, specifically adolescent mental health.

This underpins the experiences of many in this House in dealing with many parents and families, who are exasperated, frustrated and very anxious about the failure to get assessments and regular access to therapeutic interventions. We know that early intervention, diagnosis and treatment are the key to a child's treatment, personal development and optimal outcomes. Worryingly, these figures understate the true picture. They exclude oral health, for example, and many diagnostic categories are not covered by the HSE. They are a terrible indictment of our health service and the Government's stewardship of it. There is a shortage of consultants, therapists and specialist nurses and there is, despite what the Taoiseach says, a moratorium on recruitment in place.

Will the Government remove the hiring embargo to enable the fast recruitment of doctors, therapists, radiographers and so forth? Will it remove the new entrant pay inequality for consultants in order that we can hire the number of specialists we need? Will it accelerate the hiring procedures for such specialist and clinical staff, whom we urgently require? For example, there is a chronic shortage of radiographers in Temple Street Hospital. In the interim, will the Taoiseach accelerate the provision of additional hospital beds for children, particularly in ICUs, rehab and ward beds across the system?

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