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Dáil Éireann debate -
Thursday, 20 Jun 1991

Vol. 410 No. 1

Adjournment Debate. - Loughlinstown (Dublin) Hospital.

Two years ago the Minister for Health was present at the opening of a new orthopaedic theatre at St. Columcille's Hospital Loughlinstown. We were told then that this new facility was expected to reduce the waiting lists for orthopaedic operations, particularly for people waiting for hip replacement operations, in the south Dublin and north Wicklow areas. Subsequently, two orthopaedic surgeons were appointed and were to be shared with St. Michael's Hospital and St. Vincent's Hospital. Despite this not a single major orthopaedic operation has yet been performed in this new orthopaedic theatre. The waiting lists for hip replacements in south Dublin and north Wicklow are still as long as ever. On average, people are still waiting two years for hip replacement operations despite the fact that this fine facility is lying virtually idle. Admittedly, some smaller operations have been performed in the theatre but no major operations.

The local people, local doctors and myself as a local Deputy, cannot understand why this brand new facility is still lying idle while people are waiting for operations. There are two reasons I wish to raise the matter here: the first, concerns the waiting list and the facility which was provided at taxpayers' expense but which is not being used and, second, the downgrading of Loughlinstown hospital. The problem with the theatre has not been the only problem in relation to this hospital.

A number of years ago the maternity unit at Loughlinstown hospital was closed down. We were told at the time that the hospital was to be developed for orthopaedic services but this has not happened. In addition there is a problem with paediatric services at the hospital. I have received reports of children being brought to Loughlinstown hospital suffering from severe asthma attacks and not being permitted to use the nebulizer at the hospital because there is no paediatrician there. It is absurd that children from the area are being referred to city centre hospitals rather than being cared for in their own local hospital.

I would remind the Minister that Loughlinstown hospital serves a very wide area of south County Dublin and north Wicklow, an area which has a young population. It is disgraceful that the facilities of this hospital are not being used to the maximum extent, a facility which has been provided at taxpayers' expense, while local people are waiting for operations and cannot be treated in the hospital. I would like some explanation for this and some assurance from the Minister that Loughlinstown hospital will be given the consideration and the grading it deserves.

The organisation of orthopaedic services in St. Columcille's Hospital, Loughlinstown, is a matter for the Eastern Health Board in the first instance. A review of orthopaedic services in Dublin South-East was completed in early 1989 and recommended the development of a joint department of orthopaedics for Dublin South-East. Following this review the number of consultant orthopaedic surgeons in the area was increased by the Minister for Health from three to four. In addition, the posts were restructured to provide, first, that each consultant has at least three sessions per week for elective work at St. Mary's Hospital, Cappagh, and, second, that an orthopaedic service was established at St. Columcille's Hospital, Loughlinstown.

There was general agreement at the time that the lack of a consultant orthopaedic input to St. Columcille's Hospital was a shortcoming in the services for the area which required priority attention because of the role of the hospital in providing accident and emergency services.

I should also like to emphasise that the development of a joint orthopaedic service between St. Columcille's, St. Vincent's and St. Mary's, Cappagh, is in line with the policy of the Department of Health in developing closer links between the general hospitals in the Dublin south-east area. Progress has also been made in regard to the development of joint departments of pathology and anaesthetics in Dublin south-east.

The orthopaedic service of Loughlinstown commenced on 1 May 1990 with the appointment of a consultant orthopaedic surgeon. A second consultant took up duty on 1 December 1990. As I already explained, these are joint appointments to St. Columcille's, St. Vincent's and St. Mary's, Cappagh. The 1991 letter of allocation from the Department of Health to the Eastern Health Board made specific reference to additional revenue funding being provided for the orthopaedic service at St. Columcille's. The Minister for Health also approved capital grants totalling £177,000 for orthopaedic equipment at St. Columcille's Hospital. Deputy Gilmore is incorrect in stating that no orthopaedic operations have been performed at St. Columcille's Hospital in the past two years. Operative work is being done in St. Columcille's.

Small ones.

The Deputy said that no operations were being done out in St. Columcille's.

There are no major operations being carried out.

The Deputy said that no orthopaedic operations had been performed. I repeat that operative work is being carried out in St. Columcille's but the Deputy will appreciate that the orthopaedic service at the hospital is a relatively new one which is still being developed. I understand that the Eastern Health Board are having detailed discussions at present with St. Vincent's Hospital concerning admission procedures for the treatment of trauma. We are confident that these discussions will be brought to a successful completion in the near future, leading to a further enhancement of orthopaedic services at St. Columcille's Hospital, Loughlinstown. I wish to emphasise that we provided the funds and the extra consultants, the operations are proceeding and the situation will be improved——

How many hip replacements were carried out?

I do not have that information.

The Dáil adjourned at 4.15 p.m. until 2.30 p.m. on Tuesday, 2 July 1991.

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