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Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: What is our total number of orthopaedic surgeons who deal with children and what ratios are regarded as best practice? How far out of line are we?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Much of the concentration is on the waiting lists for surgery and they are pretty scandalous. There are no two ways about that. There is also the waiting list of almost 44,000 children for outpatient appointments and that, again, is shocking. Many of the parents say there are serious problems with the lack of communication and they do not know where they stand. They are waiting to hear a...

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: As I said, we have not received the plan for Cappagh but we will seek it now and take it up in whatever way we can with the Minister and the Department.

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: I am curious to know, and I imagine parents are as well, about the prioritisation system for the waiting lists for both surgery and outpatient appointments. Is there potential for better streamlining of those waiting lists? Parents do not know how long the waiting list is for one surgeon compared with that for another and there seems to be no movement between waiting lists. Is there...

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: I appreciate that but parents do not seem to be aware of how lists are created and what the prioritisation system is.

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: I commend Professor McCormack and I am really impressed by his clear analysis of the nature of the problem. It is very refreshing to hear somebody speak so frankly about problems within the system and the putting forward of solutions. Is there any forum in which that analysis can be considered or inputted? Does such a forum exist in Children's Health Ireland or the orthopaedic community...

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: I thank all of the witnesses for their attendance and for the presentation. My question is to Ms Hardiman. In the course of her responses to a number of members and in her presentation she talked about plans for a fifth theatre in CHI at Temple Street, additional staff, additional beds, and so on. In relation to each one of those, she put in the proviso of "subject to approvals". Can she...

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: When are decisions due on that?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Is that €200 million right across the board for all services?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: This year, the Minister and the Department approved the service plan very late in the day. I certainly hope we will not be waiting as long this year. Could I ask, and I do not expect the witnesses to have the information today, about waiting lists? They provided some details on that. The number of patients waiting for inpatient and day case procedures is over 5,000. A further 44,000 - an...

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Yes, please.

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Does Ms Hardiman actually sit down with people like Dr. Green and Professor McCormack, people with experience, to discuss solutions?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Is Ms Hardiman saying that there is a task force that is made up of both sides?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Who is representing the surgeons on this task force?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Okay. I thank Ms Hardiman and I have just a few more questions.

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Sorry, but to clarify, is Ms Kelly the clinical lead on that? Yes, that is fine. Part of what was proposed earlier on as to solutions was the whole question of the plan for the National Orthopaedic Hospital Cappagh and its funding and that that could be brought on stream within a ten month period. Where does that stand at the moment and when will a decision be taken on the funding of that?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Okay, but on the bigger proposal to designate Cappagh as the elective centre for paediatric orthopaedics, is there support for that proposal?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Does the proposal for that major centre also have to await the service plan?

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Okay, I thank Mr. Woods. My final question is-----

Joint Oireachtas Committee on Health: Delays in Accessing Scoliosis Treatment and Surgery: Discussion (11 Nov 2021)

Róisín Shortall: Okay.

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