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Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: Deputy Kelleher seems to be in fine fettle today-----

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: -----making all sorts of allegations about the past.

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: Why do we not look at some of his past endeavours and those of his leader-----

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: I did not interrupt the Deputy.

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: It is.

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: Exactly, it is not unusual. Deputy Kelleher accused me of being reckless with regard to patient safety; I have been anything but. The issue with regard to Roscommon was a safety issue as demonstrated very clearly by HIQA. No matter what I sought to do with regard to resources, this could not be addressed so I had to take the action I did. However, I am very pleased to say this hospital's...

Ceisteanna - Questions - Priority Questions: Hospital Services (20 Mar 2013)

James Reilly: I wish to correct the record of the House. My focus, and my reason for entering politics, is patient welfare. As a practising GP, I watched in frustration the ongoing shambles of a chaotic health service that had billions of taxpayers' money poured into it with no net effect. The consequence of that was that in January 2011, a mere two years ago, we had 569 people lying on trolleys despite...

Ceisteanna - Questions - Priority Questions: Health Services Provision (20 Mar 2013)

James Reilly: Under the Health Act 2004, the Health Service Executive must prepare a service plan and submit it to me for my approval following publication of the Estimates. The national service plan which was submitted to me in December sets out the quantum and type of health services to be provided in 2013 within the overall level of funding provided. In accordance with the Act, I approved the national...

Ceisteanna - Questions - Priority Questions: Health Services Provision (20 Mar 2013)

James Reilly: A reduction in staff does not necessarily mean less service. We are seeking to reduce the cost rather than level of service provided. This policy forms part of the Government's general approach to public services. We must reduce our cost base because we became uncompetitive. We are, however, becoming more competitive and we must secure further reductions across the board. Everybody...

Ceisteanna - Questions - Priority Questions: Health Services Provision (20 Mar 2013)

James Reilly: The study showed that, if physiotherapists were able to screen referrals to orthopaedic outpatient services, 50% of cases would not need to be seen by orthopaedic surgeons and could be dealt with by physiotherapists.

Ceisteanna - Questions - Priority Questions: Health Services Provision (20 Mar 2013)

James Reilly: I will make two points. First, the building and funding process in the case of St. Mary's Orthopaedic Hospital had more or less been completed by that point. It would not have made sense to start reversing the decision. We were left with something that was as good as a fait accompli.

Ceisteanna - Questions - Priority Questions: Health Services Provision (20 Mar 2013)

James Reilly: Second, and if I may answer the Deputy's question on the reduction in staff numbers, an additional 884 new staff have been provided for mental health services. We are reviewing the nursing home support scheme with a view to determining how the money might be better spent supporting people at home. I have no wish to engage in political point scoring, but we were left with a situation in...

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: Emergency response times vary significantly between regions, depending on, among other things, geography and the rural-urban mix. Despite the geographical diversity of the national ambulance service west region, improvements in emergency response times were achieved in 2012. I am informed by the national ambulance service that there has been an improvement in response times in the west from...

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: With respect, I am not aware of the coroner's comments and I fail to see why a patient in Mayo would not be in a catheterisation lab in Galway within 90 minutes, particularly if he or she was being transported by air ambulance. I do not have the transit times from Mayo to Galway before me but we all know that outcomes are considerably improved for those who have an ST Segment Elevation...

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: I must reject out of hand what the Deputy has just said with regard to HIQA and non-compliance. Perhaps the Deputy will set out in writing an explanation of how he forms that opinion.

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: I have made it very clear that we now have the technology to monitor response times and that is being used. If the Deputy requires a more comprehensive answer, I will respond to him in writing.

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: The Deputy is alluding to the position in Mayo and there was an incident, which has been reviewed, with the issues addressed. I know there have been six ST elevation myocardial infarction transfers from Mayo General Hospital to Galway, with the procedure successfully carried out under protocol. I reassure people that there is a service that can be trusted and depended upon. With regard to...

Other Questions: Ambulance Service (20 Mar 2013)

James Reilly: A number of questions are being taken together.

Other Questions: Hospital Acquired Infections (20 Mar 2013)

James Reilly: I propose to take Questions Nos. 7, 9, 27, 35, 36, 50, 56, 58, 65, 69, 72, 86, 94, 100, 107, 111, 123, 127, 137, 146, 152, 153, 158, 165 and 169 together. I am pleased to inform the Deputies that MRSA rates are at a six year low and I would like to assure all Deputies that the management of health care associated infections, HCAIs, including MRSA, is a key patient safety issue for my...

Other Questions: Hospital Acquired Infections (20 Mar 2013)

James Reilly: I am pleased to be able to tell Deputy Keating that Tallaght Hospital's rate of MRSA has fallen, from 27 cases in 2008 to seven cases in 2012. This is a provisional figure because we must be absolutely sure. The hospital follows national MRSA guidelines and has a comprehensive programme to reduce MRSA, including screening of patients for infection. Infection control measures include...

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