Written answers

Tuesday, 8 February 2022

Department of Health

Hospital Waiting Lists

Photo of Jackie CahillJackie Cahill (Tipperary, Fianna Fail)
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776. To ask the Minister for Health the number of persons that are on the waiting lists for elective surgery in County Tipperary; the average wait time; and if he will make a statement on the matter. [6623/22]

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 affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Delta and Omicron variants.

As part of the response to this the HSE advised all Hospital Groups to take a series of immediate actions which included a period of prioritising unscheduled care, COVID care and urgent time sensitive work - in particular in Model 4 hospitals. Services are beginning to return to normal but elective procedures continue to be affected by staff absences due to Covid and emergency department pressures that are running above 2019 levels.

The HSE has confirmed to the Department that 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 Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

In addition, the Department of Health, the HSE and the NTPF are also working on a Multi Annual Waiting List Plan to bring waiting lists in line with Sláintecare targets over the coming years. This process will be overseen by a Ministerial Taskforce, chaired by the Secretary General of the Department of Health and includes representatives from the HSE and National Treatment Purchase Fund.

For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund has been provided in respect of work to reduce hospital and community waiting lists. The €250 million will be used to fund additional activity in both the public and private sectors. The €50 million additional funding provided to the NTPF brings its total allocation for 2022 to €150 million, and as a consequence there will be a budget of €350 million available to support vital initiatives to improve access to acute hospitals and community health services.

The information requested by the Deputy regarding waiting lists for elective surgery in County Tipperary, is outlined in the attached document. The NTPF has advised my Department that, the health system does not collect the data necessary to calculate average wait times. In particular, the time to treatment of patients who have already received their care is not collected. The NTPF collects data on patients currently on the waiting list and the average time that these patients have been waiting is provided here.

Total IPDC Waiters with an Area of Residence in Co.Tipperary with Average/Median Wait Time as at 23/12/2021

Date Area of Residence Total Waiters Average Wait Time (Days) Median Wait Time (Days)
23/12/2021
Tipperary
3393
238
114

Photo of Jackie CahillJackie Cahill (Tipperary, Fianna Fail)
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777. To ask the Minister for Health the number of persons in County Tipperary that are on a waiting list for hip replacements; the average wait time; and if he will make a statement on the matter. [6624/22]

Photo of Jackie CahillJackie Cahill (Tipperary, Fianna Fail)
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778. To ask the Minister for Health the number of persons in County Tipperary that are on a waiting list for knee replacements; the average wait time; and if he will make a statement on the matter. [6625/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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I propose to take Questions Nos. 777 and 778 together.

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Delta and Omicron variants.

As part of the response to this the HSE advised all Hospital Groups to take a series of immediate actions which included a period of prioritising unscheduled care, COVID care and urgent time sensitive work - in particular in Model 4 hospitals. Services are beginning to return to normal but elective procedures continue to be affected by staff absences due to Covid and emergency department pressures that are running above 2019 levels.

The HSE has confirmed to the Department that 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 Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

In addition, the Department of Health, the HSE and the NTPF are also working on a Multi Annual Waiting List Plan to bring waiting lists in line with Sláintecare targets over the coming years. This process will be overseen by a Ministerial Taskforce, chaired by the Secretary General of the Department of Health and includes representatives from the HSE and National Treatment Purchase Fund.

For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund has been provided in respect of work to reduce hospital and community waiting lists. The €250 million will be used to fund additional activity in both the public and private sectors. The €50 million additional funding provided to the NTPF brings its total allocation for 2022 to €150 million, and as a consequence there will be a budget of €350 million available to support vital initiatives to improve access to acute hospitals and community health services.

The information requested by the Deputy regarding the number of persons waiting for hip and knee replacements in County Tipperary, is outlined in the attached document. The NTPF has advised my Department that, the health system does not collect the data necessary to calculate average wait times. In particular, the time to treatment of patients who have already received their care is not collected. The NTPF collects data on patients currently on the waiting list and the average time that these patients have been waiting is provided here.

Total IPDC Waiters for a Knee Replacement Procedure with an Area of Residence in Co.Tipperary with Average/Median Wait Times as at 23/12/2021

Date Area of Residence Total Waiters Average Wait Time (Days) Median Wait Time (Days)
23/12/2021
Tipperary
42
175
108.5

Total IPDC Waiters for a Hip Replacement Procedure with an Area of Residence in Co.Tipperary with Average/Median Wait Times as at 23/12/2021

Date Area of Residence Total Waiters Average Wait Time (Days) Median Wait Time (Days)
23/12/2021
Tipperary
54
165
84

Photo of Jackie CahillJackie Cahill (Tipperary, Fianna Fail)
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779. To ask the Minister for Health the number of persons in County Tipperary that are on a waiting list for cataract treatment; the average wait time; and if he will make a statement on the matter. [6626/22]

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 affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Delta and Omicron variants.

As part of the response to this the HSE advised all Hospital Groups to take a series of immediate actions which included a period of prioritising unscheduled care, COVID care and urgent time sensitive work - in particular in Model 4 hospitals. Services are beginning to return to normal but elective procedures continue to be affected by staff absences due to Covid and emergency department pressures that are running above 2019 levels.

The HSE has confirmed to the Department that 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 Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

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 December 2021 there were 4,614 patients waiting for a cataract procedure compared to 6,440 in December 2018.

In addition, the Department of Health, the HSE and the NTPF are also working on a Multi Annual Waiting List Plan to bring waiting lists in line with Sláintecare targets over the coming years. This process will be overseen by a Ministerial Taskforce, chaired by the Secretary General of the Department of Health and includes representatives from the HSE and National Treatment Purchase Fund.

For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund has been provided in respect of work to reduce hospital and community waiting lists. The €250 million will be used to fund additional activity in both the public and private sectors. The €50 million additional funding provided to the NTPF brings its total allocation for 2022 to €150 million, and as a consequence there will be a budget of €350 million available to support vital initiatives to improve access to acute hospitals and community health services.

The information requested by the Deputy regarding cataract treatment in County Tipperary, is outlined in the attached document. The NTPF has advised my Department that, the health system does not collect the data necessary to calculate average wait times. In particular, the time to treatment of patients who have already received their care is not collected. The NTPF collects data on patients currently on the waiting list and the average time that these patients have been waiting is provided here.

Total IPDC Waiters for a Cataract Procedure with an Area of Residence in Co.Tipperary with Average/Median Wait Times as at 23/12/2021

Date Area of Residence Total Waiters Average Wait Time (Days) Median Wait Time (Days)
23/12/2021 Tipperary 200 235 98

Photo of Jackie CahillJackie Cahill (Tipperary, Fianna Fail)
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780. To ask the Minister for Health the number of children in County Tipperary that are on a waiting list for orthopaedic paediatric surgery; the average wait time; and if he will make a statement on the matter. [6627/22]

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 affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Delta and Omicron variants.

As part of the response to this the HSE advised all Hospital Groups to take a series of immediate actions which included a period of prioritising unscheduled care, COVID care and urgent time sensitive work - in particular in Model 4 hospitals. Services are beginning to return to normal but elective procedures continue to be affected by staff absences due to Covid and emergency department pressures that are running above 2019 levels.

The HSE has confirmed to the Department that 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 Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

In addition, the Department of Health, the HSE and the NTPF are also working on a Multi Annual Waiting List Plan to bring waiting lists in line with Sláintecare targets over the coming years. This process will be overseen by a Ministerial Taskforce, chaired by the Secretary General of the Department of Health and includes representatives from the HSE and National Treatment Purchase Fund.

For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund has been provided in respect of work to reduce hospital and community waiting lists. The €250 million will be used to fund additional activity in both the public and private sectors. The €50 million additional funding provided to the NTPF brings its total allocation for 2022 to €150 million, and as a consequence there will be a budget of €350 million available to support vital initiatives to improve access to acute hospitals and community health services.

The information requested by the Deputy regarding waiting lists for paediatric orthopaedic surgery in County Tipperary, is outlined in the attached document. The NTPF has advised my Department that, the health system does not collect the data necessary to calculate average wait times. In particular, the time to treatment of patients who have already received their care is not collected. The NTPF collects data on patients currently on the waiting list and the average time that these patients have been waiting is provided here.

Total IPDC Waiters for a Paediatric Orthopaedic Procedure with an Area of Residence in Co.Tipperary with Average/Median Wait Times as at 23/12/2021

Date Area of Residence Total Waiters Average Wait Time (Days) Median Wait Time (Days)
23/12/2021 Tipperary 36 326 170

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