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Dáil Éireann debate -
Wednesday, 22 May 1996

Vol. 465 No. 7

Adjournment Debate. - Cork Hospital Cancer Unit.

I thank you for the opportunity to raise an extremely urgent matter relating to the treatment of cancer patients at University Hospital, Cork. The staff are risking their health by handling radioactive material while treating cancer patients. This issue is a source of concern not only to staff and patients but to everyone connected with the hospital and must be addressed immediately by the Minister.

Approximately 12 people including radiotherapists, nurses and hall porters are unnecessarily exposed to radiation because of the non-availability of a remote after loading machine in the hospital. The threat to staff is extremely serious and has been declared unacceptable by a leading radiotherapy consultant in the hospital. The method employed results in a forceps being used to place radioactive material in cancer patients. While the radiation levels are not particularly high, radiation has a cumulative quality and builds up in the body over the years. A safe involvement is imperative for staff working in the hospital. In allowing this method of treatment continue, the Minister and the Southern Health Board may be in breach of the Safety, Health and Welfare at Work Act, 1989.

The Minister is unfair to University Hospital, Cork and its staff in not providing a remote after loading machine and a suite to go with it. There are two of these machines in Dublin hospitals. Why is there not equity in the delivery of health services in other parts of the country, particularly at University Hospital, Cork? I understand the machine costs approximately £400,000. A voluntary group has raised significant funds to help to provide this machine and the suite. Why is it that the Southern Health Board or the Minister has not taken up this option to secure the safety of its staff and patients?

Patients are at risk. We need positive action. We need a comprehensive cancer treatment unit which would consist of a second linear accelerator, the immediate appointment of a medical oncologist and a suite for the after loading machine. I draw the Minister's attention to the comment of a health board spokesperson who said that the exposure to radiation was unsatisfactory and the form of manual treatment was not ideal. I also refer the Minister to a spokesperson for the Radiological Protection Institute of Ireland, a monitoring body, who said he was concerned that staff at University Hospital, Cork, were still being exposed to radiation. While this is not a political issue it is a serious health matter that must be addressed immediately. I know the Minister is concerned about patients and staff and that he wants to deliver an efficient, effective and safe health service. Therefore, I ask him to ensure this deficiency is rectified in the University Hospital.

Limerick East): I have been aware for some time of the questions being raised in relation to Cork University Hospital's cancer treatment unit and officials of my Department have been in close liaison with the Southern Health Board on this issue.

The Deputy will wish to know that the hospital is operating under licence from the Radiation Protection Institute of Ireland in respect of its cancer treatment, which involves the use of radiation. The board has confirmed that, in so far as staff are exposed in any way to radiation, it is satisfied that the levels are within the parameters as prescribed by the Radiation Protection Institute of Ireland and by EU legislation. In this regard, staff working in the area are required to wear badges which measure radiation levels to ensure that they are within the prescribed limits.

During 1994, a submission was made to the Department of Health for the establishment of a high dose remote afterloading suite, and for a dedicated chemotherapy day unit. Since then, the Department's hospital planning office has been working closely with the Southern Health Board to ensure that, in drawing up its proposals, the necessary technical and radiological requirements are being complied with.

There is unanimous agreement among clinicians at Cork University Hospital that the development of a high dose remote afterloading is essential. This view is supported by the Radiological Protection Institute of Ireland.

I was pleased, therefore, to be in a position recently to give the go ahead for the establishment of a design team to develop the brief for this project. It is acknowledged by everyone concerned that this development will take some time to complete. In the interim, in the interest of staff safety, my Department has agreed to make funding available for the purchase of an isolator, which will provide a safer environment for the reconstitution of drugs.

I congratulate the voluntary group, ACT, for its hard work in raising substantial funds towards the cost of this important development. I understand that to date it has raised in excess of £1 million towards the cost involved. As Minister for Health, I welcome this type of co-operation between voluntary groups and the public sector in the delivery of health services.

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