Written answers

Wednesday, 20 July 2011

Department of Health

National Treatment Purchase Fund

10:00 pm

Photo of Charlie McConalogueCharlie McConalogue (Donegal North East, Fianna Fail)
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Question 323: To ask the Minister for Health when the special delivery unit will be in operation; and if he will make a statement on the matter. [21839/11]

Photo of Charlie McConalogueCharlie McConalogue (Donegal North East, Fianna Fail)
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Question 324: To ask the Minister for Health when funding will cease under the National Treatment Purchase Fund; and if he will make a statement on the matter. [21840/11]

Photo of Charlie McConalogueCharlie McConalogue (Donegal North East, Fianna Fail)
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Question 325: To ask the Minister for Health when new referrals for public patients to private hospitals will cease under the National Treatment Purchase Fund; and if he will make a statement on the matter. [21841/11]

Photo of Charlie McConalogueCharlie McConalogue (Donegal North East, Fianna Fail)
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Question 326: To ask the Minister for Health if the National Treatment Purchase Fund is still accepting persons who have been waiting over three months for treatment; and if he will make a statement on the matter. [21842/11]

Photo of James ReillyJames Reilly (Dublin North, Fine Gael)
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I propose to take Questions Nos. 323 to 326, inclusive, together.

I announced the establishment of the Special Delivery Unit (SDU) on 1 June. This has been one of my key priorities since becoming Minister for Health. The SDU is a key part of the Government's plans to radically reform the health system in Ireland, with the ultimate goal of introducing a system of Universal Health Insurance (UHI).

I have appointed Dr Martin Connor as the head of the SDU. Dr Connor is an international expert, with a proven track record in health service transformation. He has extensive experience in the NHS and led a similar initiative in Northern Ireland with considerable success. His principal task will be to build up the SDU and to prepare proposals for me on how best it can be placed on a permanent footing within the next six months.

The SDU will work to unblock access to acute services by dramatically improving the flow of patients through the system, and by streamlining waiting lists, including referrals from GPs. The SDU will work closely with the HSE, building on initiatives already underway including the clinical programmes.

The SDU's priorities will encompass:

- emergency departments - waiting times for admission have been unacceptably high in a number of hospitals, often breaching the current 6-hour maximum waiting time target;

- inpatient waiting times - the trend has been upwards recently, despite the work of the NTPF;

- outpatient waiting times - the time from GP referral to an appointment with a consultant is unacceptably long in many specialties;

- access to diagnostics - this forms an essential part of the patient journey for all of the areas of access above.

The SDU's success will allow for an alteration in the current role of the NTPF. The Fund's resources will be re-focused to align closely with the work of the SDU and, crucially, will allow for a progressive improvement in the performance of the nation's hospitals. For the moment, the NTPF will continue to operate as normal, accepting applications from persons who have been waiting for over three months for treatment.

An immediate priority for the SDU will be to ensure that waiting lists for inpatient services are managed properly and that hospitals take responsibility for managing patient flows. I have already stated that, in the transition period while the SDU is being established, there may be some increase in waiting lists, but this will be avoided if at all feasible. However, I cannot accept a position where some hospitals allow small numbers of patients to wait more than a year for their procedures and I expect this to be tackled quickly. The NTPF has welcomed the new initiative and has confirmed it will work proactively with the Unit to achieve the best possible results for patients.

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