John McGuinness (Carlow-Kilkenny, Fianna Fail)
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563. To ask the Minister for Health if he will undertake a review of the treatment of cataract patients throughout the HSE to determine the reason the system has failed patients; the number of patients on the waiting list; if the cost of the HSE scheme model of treatment for cataract patients has been considered by his Department or the HSE; and if he will make a statement on the matter. [41169/20]

Stephen Donnelly (Wicklow, Fianna Fail)
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In recent years, my Department has worked with the HSE and the National Treatment Purchase Fund (NTPF) to improve access for patients waiting for high volume procedures, including cataracts. Ophthalmology services are provided throughout all hospital groups in the country, with cataract removal one of the key procedures carried out as part of this specialty.

A key development in improving access to Ophthalmology services was the opening of a stand-alone high-volume consultant-led cataract theatre by the University of Limerick Hospital Group in Nenagh Hospital in 2018, with the intention that it would facilitate patients from surrounding geographical areas to avail of their treatment there. The impact of such initiatives can be seen in the reduction in the waiting times to access cataract procedures since 2018. At the end of October 2020 there were 4,553 patients waiting compared to 6,452 in October 2018.

In considering these figures it is important to recognise that waiting times for scheduled appointments and procedures have been impacted as a direct result of the COVID-19 pandemic this year. The HSE had to take measures to defer most routine scheduled care activity in March, April, and May. This was to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and urgent time-critical work. This decision was in line with the advice issued by the National Public Health Emergency Team (NPHET) in accordance with the advice of the World Health Organisation.

Patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols. The HSE continues to optimise productivity through alternative work practices such the use of alternative settings including private hospitals, community facilities and alternative outpatient settings.

In addition the NTPF is currently reviewing strategies to maximise activity and benefit for patients, to include increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services where minor procedures are provided at the same time as outpatient consultations, funding hybrid services where public and private hospitals contribute to the treatment of patients, virtual clinics and clinical validation.

Regarding the functioning of the reimbursement scheme under the Cross-Border Directive(CBD), since the HSE is responsible for the operation of the EU Cross Border Directive (CBD) in Ireland, this is an operational matter for the HSE. As such, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.