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Dáil Éireann debate -
Thursday, 10 Feb 1994

Vol. 438 No. 6

Adjournment Debate. - Edenderry (Offaly) Hospital Corridors.

The situation at Cottage Hospital, Edenderry, County Offaly, is totally unacceptable. The Midland Health Board has, for a number of years, sought funding for a new 40-bed nursing unit at Edenderry. I ask the Minister of State this evening that matters be progressed at Departmental level. The Minister for Health, Mr. Howlin, has seen for himself the Victorian conditions at Edenderry district hospital; he went there during the course of a visit to the Midland Health Board in 1993. Following that visit I am sure he is left in no doubt as to the urgency of proceeding with this matter.

Conditions in the hospital, if they were to be described as Dickensian, would be somewhat complimentary to the building as it stands. The hospital has all the appearances of an old workhouse or county home, institutions that many of us believe had been, for many years, confined to the history books. At present there are a mere 14 patients in Edenderry hospital and the reason for such a small number of patients is that the first floor has been declared a fire hazard by Offaly County Council and it was necessary, therefore, for all the patients to be moved down to two rooms on the ground floor, a male room and a female room, with a day centre which could be described as little more than a box room.

The Matron and the nursing staff at Edenderry hospital are labouring admirably under very severe conditions and to put the matter in context, the nearest geriatric unit to Edenderry is in Mountmellick, some 22 miles away or, alternatively, in Birr, which is some 40 miles away. Therefore, there is a need in that part of County Offaly for a geriatric institution given that there is a demand in the area and also that Edenderry district hospital was, 100 years ago, a viable unit.

The 40-bed unit has been proposed by the Midland Health Board. Needless to say it has the backing of everybody in the community and I understand plans are at a most advanced stage. I ask the Minister for Health to give this greatly needed project the go-ahead and to include provision for the 40-bed nursing unit in the capital programme which, I understand, is at present in the course of preparation and which will be tendered shortly to the Midland Health Board.

The Minister for Health and the Minister of State regret that they are unable to reply to this matter and asked me to do so on their behalf.

In the first instance responsibility for providing a community nursing unit in Edenderry lies with the Midland Health Board.

The Midland Health Board has been considering the provision of a new community nursing unit at Edenderry for a number of years. My colleague, the Minister for Health, regards this proposal as a top priority and is specifically identifying this need in seeking funding for capital projects for the elderly.

Formerly the needs of dependent elderly persons were met by admitting them to long-stay hospitals. This practice is now generally held to be unsatisfactory. Greater emphasis is currently being placed on the development of community-based services so elderly persons can continue to live in their homes, with assistance, if necessary, for as long as possible.

The recommendations on services for the elderly contained in the report, The Years Ahead, have been adopted by Government and are being progressively implemented. In 1990 and 1991 the Government allocated substantial funds to the Midland Health Board. These funds amounted to £465,840. During these years the board made considerable improvements to services for the elderly throughout the region. In 1990 the board used the funds to enhance community services for the elderly in line with the Department of Health's priorities. The elderly in the Midlands benefited from increased levels of home help, home nursing, day care and the provision of a Department of Medicine for the Elderly at Tullamore General Hospital. Indeed, a similar Department is about to be established at Mullingar General Hospital which will greatly enhance the level of services available for elderly people in the region. The development of specialist departments of medicine for the elderly and the appointment of consultant geriatricians in general hospitals has been one of the most significant advances in the care of the elderly. Such departments ensure prompt admission of elderly persons, specialist assessment and treatment, rehabilitation and in many cases continuing support in a day hospital on discharge. Overall, there has been much improvement in the level of services being provided for the elderly in the Offaly region which it is hoped will be maintained.

The implementation of the Health (Nursing Homes) Act, 1990, on 1 September 1993 is proving beneficial to elderly people in nursing homes in the Midland Health Board region. The Act has two principal objectives. First, it aims to ensure that all nursing homes which care for dependent elderly people will have a high standard of accommodation and care. Second, it will assist financially dependent persons who need nursing home care and who cannot afford to pay nursing home fees. The implementation of the Act is also another important step in honouring the commitments in the Programme for a Partnership Government. The new Act is a major step forward in ensuring that dependent elderly persons will be well cared for.

It should be pointed out to the Deputy that there has been a fair share of positive action in so far as services for the elderly in the Midland Health Board region are concerned. I would ask the Deputy to accept the commitment of this Government to the development of services for the elderly in the Midland Health Board area as shown by the generous additional funding for services for the elderly in the last few years.

I accept that.

To conclude, the Midland Health Board regards the provision of a new community nursing unit in Edenderry as a visual element of its community care programme. However, the Minister for Health can only give his approval for the project when he is satisfied that the necessary funding is available. He will have to take into account competing demands for capital funding from all over the country and indeed the internal priorities of the Midland Health Board.

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