Written answers

Tuesday, 15 February 2022

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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739. To ask the Minister for Health his views on musculoskeletal scans being read by radiographers as is the practice in Britain; if he is examining or plans to make these changes; the legislative changes required to make such a change; and if he will make a statement on the matter. [7852/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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I have directed this question to the Health Service Executive for attention and direct reply to the Deputy.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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740. To ask the Minister for Health if there will be a radiographer reporting pilot programme to trial the reading and reporting of ultrasound scans by radiographers in the HSE or the RCSI hospital group; the timeline for completion of this pilot; and if he will make a statement on the matter. [7853/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Photo of Ruairi Ó MurchúRuairi Ó Murchú (Louth, Sinn Fein)
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741. To ask the Minister for Health the number of persons that accessed healthcare under the Northern Ireland planned healthcare scheme in each of the years 2019, 2020 and 2021; the counties from which persons accessed the scheme; the aggregate number and types of healthcare received under the scheme for each year; and if he will make a statement on the matter. [7855/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Photo of Ruairi Ó MurchúRuairi Ó Murchú (Louth, Sinn Fein)
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742. To ask the Minister for Health the current number of scans and x-rays awaiting reading by a radiologist at the RCSI hospital group by hospital; and if he will make a statement on the matter. [7856/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Photo of Denis NaughtenDenis Naughten (Roscommon-Galway, Independent)
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743. To ask the Minister for Health the number of cataract surgeries carried out under the National Treatment Purchase Fund in each of the years 2018 to 2021 and to date in 2022; and if he will make a statement on the matter. [7857/22]

Photo of Denis NaughtenDenis Naughten (Roscommon-Galway, Independent)
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745. To ask the Minister for Health if additional funding has been made available to public hospitals to tackle cataract waiting lists; if funding has been made available to those hospitals for weekend and evening appointments; and if he will make a statement on the matter. [7859/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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I propose to take Questions Nos. 743 and 745 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.

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 January 2022 there were 4,901 patients waiting for a cataract procedure compared to 6,437 in January 2019.

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 cataract surgeries carried out under the NTPF, is outlined in the attached document. The NTPF has advised that annual financial statements have not be finalised for 2021 and that an accurate figure for 2022 is not yet available.

Cataracts Treated through NTPF Funding 2018-2021

Year No. of Cataracts Treated
2018
6,707
2019
7,253
2020
5,042
2021*
5,922

*Please be aware the annual financial statements have not be finalised for 2021

Photo of Denis NaughtenDenis Naughten (Roscommon-Galway, Independent)
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744. To ask the Minister for Health the number of cataract surgeries carried out under the Cross Border Directive in each of the years 2018 to 2021 and to date in 2022; and if he will make a statement on the matter. [7858/22]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

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