Written answers

Tuesday, 21 July 2020

Department of Health

Hospital Waiting Lists

Photo of Rose Conway-WalshRose Conway-Walsh (Mayo, Sinn Fein)
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742. To ask the Minister for Health the average waiting times for orthodontic treatment in each hospital; the measures being taken to address the significant delays in accessing orthodontic treatment in Mayo University Hospital and Galway University Hospital; and if he will make a statement on the matter. [17239/20]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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In response to the Covid-19 pandemic the HSE had to take measures to pause most elective scheduled care activity with effect from the end March 2020. This was to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work. This decision was in line with the advice issued by National Public Health Emergency Team (NPHET) and in accordance with World Health Organisation guidelines, and the National Action Plan.

The trajectory of the disease means there is now an opportunity for increasing the provision of non-covid care including more routine care. NPHET has since revised its recommendation on the pausing of all non-essential health services, with a recommendation that the delivery of acute care be determined by appropriate clinical and operational decision making.

Application of the essential risk mitigating steps set out in the guidance developed under the auspices of the NPHET Expert Advisory group will have operational implications, which will impact on throughput.

Where possible, hospitals are working to find innovative ways to enable service provision, which include virtual clinics for some outpatient department appointments. The HSE website provides details on services currently available and operational in each hospital on its website. This information is reviewed frequently and provides up-to-date announcements on services available at each site ().

To ensure services are re-introduced in a safe, clinically-aligned and prioritised way, the HSE launched its Strategic Framework for ‘Service Continuity in a Covid Environment’ on 24 June. Its implementation will ensure service resumption is done in an integrated way. This will involve a phased approach to ensure community services are strengthened. The Framework will also consolidate new ways of working and build on international knowledge. The HSE is currently developing a Service Continuity Roadmap for the resumption of services across the health system.

As the system continues to deliver Covid-19 and non-Covid 19 care side-by-side over a more prolonged period, my Department and the HSE will continue to work closely together to protect essential non-Covid 19 acute care and progress the provision of more routine non Covid-19 care.

The National Treatment Purchase Fund (NTPF) have advised my Department that neither Mayo nor Galway collate an acute hospital waiting list for orthodontics. However, they have provided the average IPDC and outpatient waiting time for Dental Surgery, Maxillo-Facial and Oral Surgery nationally by hospital. This information is outlined in the attached document.

In regard to the specific queries raised by the Deputy regarding orthodontic waiting times and the measures being taken to address waiting times for orthodontic treatment in Mayo University Hospital and Galway University Hospital, as this is a service matter, I have asked the HSE to investigate the matter and provide the Deputy with a direct response.

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Photo of Rose Conway-WalshRose Conway-Walsh (Mayo, Sinn Fein)
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743. To ask the Minister for Health the average waiting times for the pain clinics in each facility providing such a service; the measures being taken to address the significant delays in accessing this service in Galway University Hospital; and if he will make a statement on the matter. [17240/20]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In response to the Covid-19 pandemic the HSE had to take measures to pause most elective scheduled care activity with effect from the end March 2020. This was to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work. This decision was in line with the advice issued by National Public Health Emergency Team (NPHET) and in accordance with World Health Organisation guidelines, and the National Action Plan.

NPHET has approved a number of recommendations relating to protecting and maximising the delivery of essential time-critical non-Covid-19 care alongside Covid-19 care. On 5 May, NPHET agreed that its recommendation of 27 March, in regard to the pausing of all non-essential health services should be replaced, in relation to acute care, with a recommendation that delivery of acute care be determined by appropriate clinical and operational decision making. Application of the essential risk mitigating steps set out in the guidance developed under the auspices of the NPHET Expert Advisory group will have operational implications, which will impact on throughput.

Where possible, hospitals are working to find innovative ways to enable service provision, which include virtual clinics for some outpatient department appointments. The HSE website provides details on services currently available and operational in each hospital on its website. This information is reviewed frequently and provides up-to-date announcements on services available at each site ().

To ensure services are re-introduced in a safe, clinically-aligned and prioritised way, the HSE launched its Strategic Framework for ‘Service Continuity in a Covid Environment’ on 24 June. Its implementation will ensure service resumption is done in an integrated way. This will involve a phased approach to ensure community services are strengthened. The Framework will also consolidate new ways of working and build on international knowledge. The HSE is currently developing a Service Continuity Roadmap for the resumption of services across the health system.

As the system continues to deliver Covid-19 and non-Covid 19 care side-by-side over a more prolonged period, my Department and the HSE will continue to work closely together to protect essential non-Covid 19 acute care and progress the provision of more routine non Covid-19 care.

The data requested concerning average waiting times nationally for pain relief, is outlined in the attached document. In relation to the service provision for pain relief at Galway University Hospital, I have asked the HSE to respond to the Deputy directly.

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