Written answers

Tuesday, 24 January 2023

Department of Health

Health Services Waiting Lists

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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561. To ask the Minister for Health the mean, median, and maximum waiting time across National Treatment Purchase Fund-reported waiting lists, by speciality and hospital, for December 2022, in tabular form; and if he will make a statement on the matter. [2937/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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In relation to the particular query raised by the Deputy, waiting list information by hospital and by specialty is published monthly and is available on the National Treatment Purchase Fund (NTPF) website at: www.ntpf.ie/home/nwld.htm

The NTPF only collects data on patients currently on the waiting list. The time to treatment of patients who have already received their care is not collected. As a result, the health system does not have the data necessary to calculate true average wait times.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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562. To ask the Minister for Health the number of patients aged over 75 years on National Treatment Purchase Fund-reported waiting lists, by speciality and hospital, for December 2022, in tabular form; the mean, median, and maximum waiting times across such lists for this population; and if he will make a statement on the matter. [2938/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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It is recognised that waiting times for many scheduled appointments and procedures were too long before and have been made worse by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals are still impacted by operational challenges arising from the pandemic and the current pressures on Emergency Departments.

The Health Service Executive (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.

The 2022 Waiting List Action Plan set targets to reduce both the number of people waiting for care and the length of time they are waiting. Positive progress was made in 2022 in relation to both targets, despite negative impacts throughout the year on scheduled care from continued COVID-19 surges, emergency department pressures and other operational factors, including staff hiring. In 2022, there were c.1.56m patients removed from the Waiting list and c.1.53m patients added to the waiting list – a net reduction of c.30k (4%). Long waiters were significantly reduced in 2022: the number of patients exceeding the 18-month maximum wait time target for new outpatient (OPD) appointments target decreased by c.59.0k (38.5%) and the number of patients exceeding the 12-month maximum wait time target for in-patient day case (IPDC) procedures and GI Scopes has decreased by c3.8k (22.6%) and c.3.5k (86.5%) respectively.

Through the 2022 Plan, €350m funding was allocated to the HSE and the NTPF to provide additional public and private activity to reduce the waiting list backlogs that were exacerbated during the Pandemic, but also as the first stage of an ambitious multi annual approach, to lay the foundations for important reforms that will deliver sustained reductions in waiting lists.

For 2023, funding of €443 million is being allocated to tackle Waiting Lists, some €360m of which is targeted at acute hospital waiting lists. The plan to utilise this part of the funding is being developed by the Department of Health in conjunction with the HSE and NTPF. This will include details of new capacity planned for 2023 as well as important reforms that will improve capacity in the public hospital system.

The data requested by the Deputy regarding the number of patients aged over 75 years on NTPF reported waiting lists by speciality and hospital for December 2022, is outlined at the link.

The NTPF only collects data on patients currently on the waiting list. The time to treatment of patients who have already received their care is not collected. As a result, the health system does not have the data necessary to calculate true average wait times.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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563. To ask the Minister for Health the number of patients aged under 18 years on National Treatment Purchase Fund-reported waiting lists, by speciality and hospital, for December 2022, in tabular form; the mean, median, and maximum waiting time across such lists for this population; and if he will make a statement on the matter. [2939/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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It is recognised that waiting times for many scheduled appointments and procedures were too long before and have been made worse by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals are still impacted by operational challenges arising from the pandemic and the current pressures on Emergency Departments.

The Health Service Executive (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.

The 2022 Waiting List Action Plan set targets to reduce both the number of people waiting for care and the length of time they are waiting. Positive progress was made in 2022 in relation to both targets, despite negative impacts throughout the year on scheduled care from continued COVID-19 surges, emergency department pressures and other operational factors, including staff hiring. In 2022, there were c.1.56m patients removed from the Waiting list and c.1.53m patients added to the waiting list – a net reduction of c.30k (4%). Long waiters were significantly reduced in 2022: the number of patients exceeding the 18-month maximum wait time target for new outpatient (OPD) appointments target decreased by c.59.0k (38.5%) and the number of patients exceeding the 12-month maximum wait time target for in-patient day case (IPDC) procedures and GI Scopes has decreased by c3.8k (22.6%) and c.3.5k (86.5%) respectively.

Through the 2022 Plan, €350m funding was allocated to the HSE and the NTPF to provide additional public and private activity to reduce the waiting list backlogs that were exacerbated during the Pandemic, but also as the first stage of an ambitious multi annual approach, to lay the foundations for important reforms that will deliver sustained reductions in waiting lists.

For 2023, funding of €443 million is being allocated to tackle Waiting Lists, some €360m of which is targeted at acute hospital waiting lists. The plan to utilise this part of the funding is being developed by the Department of Health in conjunction with the HSE and NTPF. This will include details of new capacity planned for 2023 as well as important reforms that will improve capacity in the public hospital system.

The data requested by the Deputy regarding the number of patients aged under 18 years on NTPF reported waiting lists by speciality and hospital for December 2022, is outlined at the link.

The NTPF only collects data on patients currently on the waiting list. The time to treatment of patients who have already received their care is not collected. As a result, the health system does not have the data necessary to calculate true average wait times.

Photo of David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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564. To ask the Minister for Health the number of patients on community healthcare waiting lists, for each care service, for December 2022, in tabular form; the breakdown by length of wait and by age; the number waiting for initial assessment, initial therapy, intervention and follow up therapy and intervention for each specialty; and if he will make a statement on the matter. [2940/23]

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 David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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565. To ask the Minister for Health the number of patients on community healthcare waiting lists, for each care service, for December 2021, in tabular form; the breakdown by length of wait and by age; the number waiting for initial assessment, initial therapy, intervention and follow up therapy and intervention for each specialty; and if he will make a statement on the matter. [2941/23]

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 David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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566. To ask the Minister for Health the number of patients on community healthcare waiting lists, for each care service, for December 2020, in tabular form; the breakdown by length of wait and by age; the numbers waiting for initial assessment, initial therapy, intervention and follow up therapy and intervention for each specialty; and if he will make a statement on the matter. [2942/23]

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 David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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567. To ask the Minister for Health the number of patients on community healthcare waiting lists, for each care service, for December 2019, in tabular form; the breakdown by length of wait and by age; the numbers waiting for initial assessment, initial therapy, intervention and follow up therapy and intervention for each specialty; and if he will make a statement on the matter. [2943/23]

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 David CullinaneDavid Cullinane (Waterford, Sinn Fein)
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568. To ask the Minister for Health the number of patients on community healthcare waiting lists, for each care service, for December 2018, in tabular form; the breakdown by length of wait and by age; the numbers waiting for initial assessment, initial therapy, intervention and follow up therapy and intervention for each specialty; and if he will make a statement on the matter. [2944/23]

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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