Barry Cowen (Laois-Offaly, Fianna Fail)
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90. To ask the Minister for Health the supports he is providing to reduce waiting times for inpatient and day case procedures and outpatient appointments in the Midland Regional Hospital in Tullamore; and if he will make a statement on the matter. [37667/21]

Stephen 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 sixteen months as a direct result of the COVID-19 pandemic and more recently as a result of the ransomware attack.

While significant progress was made in reducing waiting times from June 2020 onwards, the surge in Covid-19 cases in the first quarter of 2021, and the resultant curtailment of acute hospital services, is reflected in the most recently available waiting list figures to 13th May 2021.

On 23 March 2021 the HSE published the “Safe Return to Health Services Plan”, outlining a three phased approach for the proposed restoration of services across Community Services, Acute Hospital Operations, Cancer Services and Screening Services. It sets target times for their safe return and details the conditions and challenges that will have to be met. However, the implementation of this plan has been suspended pending the resolution of the recent ransomware attack, which had a significant impact on acute hospitals.  

The HSE has been working since 14th May last to recover the effects of the cyber attack on its systems. The HSE advise that at present most systems are operational and services are returning to normal activity. There is a challenge in back entering data and there are still a number of areas of ongoing concern. The HSE was already seeking to recover from the Covid peak in the first quarter of this year and the ransomware attack has delayed this and had the effect of increasing access delays for services. My Department  does not have full access to information on the impact of this ransomware attack on elective waiting lists but will provide an update as soon as one is available.

Due to the ongoing IT issues triggered by the HSE cyber-attack, the National Treatment Purchase Fund (NTPF) has been unable to receive weekly national hospital waiting list data or downloads. The latest published waiting list information was collated by the NTPF on 13th May 2021

At the 13th of May 2021, nationwide there were 76,510 patients waiting for an adult or child IPDC procedure, a reduction of 13% (-11,085) compared to the same period last year. At the 13th May 2021 there were 630,270 waiting for a first outpatient appointment across all hospital groups, an increase of 10% (+59, 620) compared to the same period last year.

Specifically in relation to the Midlands Regional Hospital Tullamore, at the 13th of May 2021, there were 1,279 patients waiting for an adult or child IPDC procedure, a reduction of 40% (-851) compared to the same period last year. At the 13th May 2021 there were 19,336 waiting for a first outpatient appointment at the Midlands Regional Hospital Tullamore an increase of 4% (+811) compared to the same period last year.

The NTPF have advised my Department that they have approved Outpatient and Inpatient-Daycase insourcing initiatives so far in 2021 for the Midlands Regional Hospital, Tullamore, which will facilitate treatment for 2,431 patients on waiting lists. Details of these initiatives are outlined in the attached document.

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 a further €30m to the NTPF. This is to be used to fund additional capacity to address the shortfall arising as a result of infection control measures taken in the context of COVID-19, as well as addressing backlogs in waiting lists.

My Department, the HSE and the NTPF are currently working on a Multiannual Waiting List Plan to address waiting lists and bring them in line with Sláintecare targets over the coming years.

NTPF Insourcing Approved OPD Proposals 2021 Midland Regional Hospital Tullamore

NTPF Insourcing Approved IPDC Proposals 2021 Midland Regional Hospital Tullamore

Inpatient - Daycase (IPDC), numbers waiting by time-band (months), Midlands Regional Hospital, Tullamore as at 13/05/2021

Outpatient (OPD), numbers waiting by time-band (months), Midlands Regional Hospital, Tullamore as at 13/05/2021