Written answers
Tuesday, 27 July 2021
Department of Health
Hospital Appointments Status
Kieran 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]
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 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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