Written answers

Wednesday, 10 March 2021

Department of Health

Hospital Waiting Lists

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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897. To ask the Minister for Health the average waiting time to see a consultant oncologist at Mercy University Hospital; the number of persons on the waiting list for same; and if he will make a statement on the matter. [13118/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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898. To ask the Minister for Health the average waiting time to see a paediatric ophthalmology consultant at University Hospital Waterford; and if he will make a statement on the matter. [13119/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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It is recognised that waiting times for scheduled appointments and procedures have been impacted in the last year as a direct result of the COVID-19 pandemic.

The HSE is currently recommending that only critical time dependent elective procedures are undertaken at this time due to the on-going and significant increased demand for bed capacity related to Covid-19. This decision was made arising from the rapid increase in Covid-19 admissions and to ensure patient safety and that all appropriate resources are made available for Covid-19 related activity and time-critical essential work.

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 as the use of alternative settings including private hospitals, community facilities and alternative outpatient settings.

An additional €240 million has been provided in Budget 2021 for an Access to Care Fund, €210m of which has been allocated to the HSE and €30m to the NTPF for the provision of treatment as required in both private and public hospitals in order to address capacity issues in acute hospitals arising as a result of measures taken in the context of Covid-19, as well as to address waiting lists.

My Department, the HSE and the NTPF are continuously reviewing waiting lists with a view to ensuring that services for scheduled care are resumed as soon as it is deemed safe to do so in line with HSE clinical guidelines.

The data requested by the Deputy has been provided to my Department by the National Treatment Purchase Fund (NTPF) who have advised that as of the end of January 2021, the average waiting time for an Outpatient Paediatric Ophthalmology consultation in University Hospital Waterford is 141 days.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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899. To ask the Minister for Health the average waiting time to see a consultant spinal neurosurgeon at the Mater Hospital Dublin; and if he will make a statement on the matter. [13120/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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It is recognised that waiting times for scheduled appointments and procedures have been impacted in the last year as a direct result of the COVID-19 pandemic.

The HSE is currently recommending that only critical time dependent elective procedures are undertaken at this time due to the on-going and significant increased demand for bed capacity related to Covid-19.

This decision was made arising from the rapid increase in Covid-19 admissions and to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work.

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 as the use of alternative settings including private hospitals, community facilities and alternative outpatient settings.

In addition the National Treatment Purchas Fund (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 outpatient consultations, funding hybrid services where public and private hospitals contribute to the treatment of patients, virtual clinics, and clinical validation.

Budget 2021 provided an additional €240 million for an Access to Care Fund, €210 of which has been allocated to the HSE and €30 million to the National treatment Purchase Fund for the provision of treatment in both private and public hospitals in order to address capacity issues in acute hospitals arising as a result of measures taken in the context of Covid-19, as well as to address waiting lists.

The National Waiting List Management Policy is a standardised approach used by the HSE to manage scheduled care treatment for in-patient, day case and planned procedures. It sets out the processes that hospitals are to implement to manage waiting lists and was developed in 2014 to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care.

The National Treatment Purchase Fund (NTPF) have advised my Department that they cannot provide the information at the level of detail requested by the Deputy. They can only provide information at speciality level and in this regard, Neurology is the closest to the Deputy’s request. As of the end of January 2021 the average waiting time for a neurology consultation in The Mater Hospital was 534 days.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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900. To ask the Minister for Health the average waiting time to see a consultant rheumatologist at Sligo University Hospital; the number of persons on the waiting list for same; and if he will make a statement on the matter. [13121/21]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
Link to this: Individually | In context | Oireachtas source

It is recognised that waiting times for scheduled appointments and procedures have been impacted in the last year as a direct result of the COVID-19 pandemic.

The HSE is currently recommending that only critical time dependent elective procedures are undertaken at this time due to the on-going and significant increased demand for bed capacity related to Covid-19.

This decision was made arising from the rapid increase in Covid-19 admissions and to ensure patient safety and that all appropriate resources were made available for Covid-19 related activity and time-critical essential work.

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 as the use of alternative settings including private hospitals, community facilities and alternative outpatient settings.

In addition the National Treatment Purchas Fund (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 outpatient consultations, funding hybrid services where public and private hospitals contribute to the treatment of patients, virtual clinics, and clinical validation.

€240 million has been provided in Budget 2021 for an access to care fund, €210m of which has been allocated to the HSE and a further €30m to the National Treatment Purchase Fund. This will be used to fund additional capacity to address the shortfall arising as a result of measures taken in the context of Covid-19, as well as to address waiting lists.

The National Waiting List Management Policy is a standardised approach used by the HSE to manage scheduled care treatment for in-patient, day case and planned procedures. It sets out the processes that hospitals are to implement to manage waiting lists and was developed in 2014 to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care.

The information requested the Deputy concerning the number of persons on the Sligo University Hospital rheumatology outpatient waiting list and average waiting time, is outlined in the attached document.

OP Rheumatology Waiters as of 28/1/2021

- 0-3 Months 3-6 Months 6-9 Months 9-12 Months 12-15 Months 15-18 Months 18 Months + Grand Total
Sligo University Hospital 296 280 128 204 162 93 200 1363
Rheumatology 296 280 128 204 162 93 200 1363
Grand Total 296 280 128 204 162 93 200 1363
Average Num days: 299

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