Written answers

Tuesday, 27 July 2021

Department of Health

Hospital Appointments Status

Photo of Kieran O'DonnellKieran O'Donnell (Limerick City, Fine Gael)
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2960. To ask the Minister for Health the number of persons waiting for inpatient and outpatient appointments and procedures within the UL hospital group and CHO3; the category and type of appointment and procedure; the length of time waiting; and if he will make a statement on the matter. [39711/21]

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 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 13thMay 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 was suspended pending the resolution of the recent ransomware attack, which had a significant impact on acute hospitals.

The HSE has been working since 14thMay 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.

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 National Treatment Purchase Fund (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.

Due to the ongoing IT issues triggered by the HSE cyber-attack, the 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. The information requested by the Deputy concerning the number of persons waiting for inpatient and outpatient appointments and procedures within the UL hospital group is outlined in the attached document by specialty for Inpatient-daycase and Outpatient. This information is based on the latest available data provided by the NTPF.

Total IPDC Waiters in the University of Limerick Hospital Group by Hospital/Specialty by Wait Time Band as at 13/05/21

Row Labels 0-6 Months 6-12 Months 12-18 Months 18+ Months *Small Volume Time Band Grand Total
Croom Orthopaedic Hospital 542 313 103 6 1 965
Orthopaedics 346 274 103 6 729
Small Volume Specialties 196 39 1 236
Ennis Hospital 770 467 194 79 10 1520
Gastro-Enterology 50 70 51 36 207
General Surgery 493 277 112 43 925
Gynaecology 16 16
Plastic Surgery 6 9 15
Small Volume Specialties 10 10
Urology 199 111 31 341
Vascular Surgery 6 6
Nenagh Hospital 982 731 745 456 6 2920
Dental Surgery 7 7 14
Gastro-Enterology 214 179 92 43 528
General Surgery 228 187 172 106 693
Ophthalmology 125 30 37 5 197
Small Volume Specialties 6 6
Urology 386 335 444 295 1460
Vascular Surgery 22 22
St. John's Hospital Limerick 1084 555 443 371 19 2472
Gastro-Enterology 109 29 27 32 197
General Medicine 9 9
General Surgery 586 379 257 144 1366
Gynaecology 82 27 13 122
Pain Relief 170 94 107 153 524
Small Volume Specialties 12 19 31
Urology 119 26 27 42 214
Vascular Surgery 9 9
University Hospital Limerick 1325 681 625 841 8 3480
Cardiology 49 16 5 70
Dental Surgery 7 5 12
Dermatology 49 8 9 66
Gastro-Enterology 269 209 203 435 1116
General Surgery 234 66 42 45 387
Gynaecology 141 29 21 11 202
Maxillo-Facial 90 48 67 58 263
Ophthalmology 233 100 88 79 500
Otolaryngology (ENT) 90 29 50 53 222
Radiology 56 133 76 86 351
Respiratory Medicine 28 15 19 30 92
Small Volume Specialties 8 8
Urology 51 22 31 44 148
Vascular Surgery 28 6 9 43
Grand Total 4,703 2,747 2,110 1,753 44 11,357

*Due to the small volume of patients waiting, to preserve patient confidentiality, when the number of patients is <5, these have been included within broader time bands and aggregated into a 'Small Volume Group' cohort.

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