Written answers

Tuesday, 15 February 2022

Department of Health

Hospital Waiting Lists

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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686. To ask the Minister for Health the number of persons waiting for a surgical procedure across each specialty in six-month intervals, in tabular form.; and if he will make a statement on the matter. [7620/22]

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.

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.

For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund (NTPF) 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 2022 waiting list action plan, which I will bring to Government shortly, builds on the successes of the short-term 2021 plan that ran from September to December last year. The 2021 plan was developed by my Department, the HSE and the National Treatment Purchase Fund (NTPF) and was driven and overseen by a senior governance group co-chaired by the Secretary General of my Department and the CEO of the HSE and met fortnightly. This rigorous level of governance and scrutiny of waiting lists has continued into this year with the oversight group evolving into the Waiting List Task Force. It has produced a comprehensive 2022 waiting list action plan which will set out high-level targets for waiting list improvement including dedicated funding for service reform, patient pathway improvement, and important significant additionality to substantially reduce the backlog of patients waiting. The Task Force will meet regularly to drive progress of the 2022 plan.

This is the first stage of an ambitious multi-annual Waiting List plan, which is currently under development in my Department. Between them, these plans will work to support short, medium, and long term initiatives to reduce waiting times and provide the activity needed in years to come.

The data requested by the Deputy concerning the number of persons waiting for a surgical procedure across each specialty is outlined in the attached document. This information is also available on the NTPF website at: www.ntpf.ie/home/nwld.htm.

Total Waiters for an Inpatient Procedure by Specialty by Time Band as at 23/12/2021

Inpatient Procedure 0-6 Months 6-12 Months 12-18 Months 18+ Months Grand Total
Anaesthetics 261 25 286
Breast Surgery 100 21 14 38 173
Cardiology 2414 626 270 209 3519
Cardio-Thoracic Surgery 339 46 21 33 439
Clinical Immunology 322 36 5 27 390
Dental Surgery 167 68 46 69 350
Dermatology 941 126 43 70 1180
Endocrinology 18 17 14 49
Gastro-Enterology 7592 2158 808 618 11176
Gastro-Intestinal Surgery 505 211 92 195 1003
General Medicine 2157 488 231 303 3179
General Surgery 16835 3863 1950 2852 25500
Geriatric Medicine 8 8
Gynaecology 3430 903 524 574 5431
Haematology 29 29
Hepato-Biliary Surgery 27 10 35 72
Immunology 60 41 6 107
Maxillo-Facial 395 146 71 219 831
Nephrology 37 7 44
Neurology 221 32 11 91 355
Neurosurgery 353 147 25 14 539
Oncology 56 56
Ophthalmology 5817 1095 517 795 8224
Oral Surgery 176 122 75 96 469
Orthopaedics 6153 1503 927 1563 10146
Otolaryngology (ENT) 2629 477 274 571 3951
Paed Cardiology 119 28 19 28 194
Paed Endocrinology 14 6 9 18 47
Paed Gastro-Enterol 295 90 34 42 461
Paed Metabolic Medicine 13 13
Paed Orthopaedic 524 220 151 298 1193
Paediatric Dermatology 29 21 10 60
Paediatric ENT 263 90 85 117 555
Paediatric Infectious Diseases 5 5
Paediatric Neurology 7 5 10 22
Paediatric Neurosurgery 20 8 28
Paediatric Radiology 14 12 9 23 58
Paediatric Respiratory Medicine 491 334 163 277 1265
Paediatric Surgery 385 97 49 42 573
Paediatric Urology 120 90 58 107 375
Paediatrics 91 22 13 20 146
Pain Relief 2731 842 677 607 4857
Plastic Surgery 2692 772 450 855 4769
Radiology 30 10 10 50
Respiratory Medicine 404 47 21 83 555
Rheumatology 229 47 34 42 352
Small Volume Specialties 14 19 18 24 75
Urology 5092 1130 714 1224 8160
Vascular Surgery 820 176 102 191 1289
Grand Total 65444 16217 8553 12394 102608

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