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Dáil Éireann debate -
Tuesday, 22 Oct 1996

Vol. 470 No. 4

Written Answers. - Hospital Waiting Lists.

Róisín Shortall

Question:

90 Ms Shortall asked the Minister for Health if his attention has been drawn to the delay in processing cervical smear test at St. Luke's Hospital; if his attention has further been drawn to the anguish which these delays are causing patients; the steps, if any, he intends to take to deal with the current backlog and to ensure that all future tests will be processed speedily; and if he will make a statement on the matter. [19045/96]

Limerick East): I am aware that there is a delay in the reporting of cervical smear tests in St. Luke's Hospital. A backlog of smears has built up since January 1995, when the cervical smear laboratory charge was removed. At present an opportunistic, as opposed to an organised, cervical screening service is available to all women through their general practitioners, family planning clinics, maternity hospitals and special clinics in health boards. This has resulted in a demand led service and, in the case of St. Luke's Hospital, has resulted in an increase in smears being analysed. This has brought the overall volume of smears for analysis well over the limit which is manageable under present staffing and resource levels. The capacity of the laboratory is approximately 30,000 and this year it is expected that the number of smears to be analysed will be in the region of 40,000.

The backlog in St. Luke's Hospital is approximately 12 weeks for routine screening. However, the hospital management has stressed that urgent or special cases are dealt with immediately. The hospital has reached agreement with staff to carry out additional work in order to reduce the backlog by at least 50 per cent by the end of the year. The hospital is also looking at other options in the short term to totally eliminate the backlog. It also intends to provide additional space and facilities, so that it will be in a position to cope with additional smear test workloads in the future.

My Department carried out an analysis of the cervical screening system in 1995 and there has been a notable increase in the number of smear tests being measured in most publicly funded laboratories, relative to previous years.
I am very conscious of the need to address specific issues in relation to cancer services. Cancer was identified in the health strategy Shaping a Healthier Future as one of the three major causes of mortality in the under 65 age group in Ireland. The strategy set a target of reducing the death rate from cancer in the under 65 age group by 15 per cent in the ten year period from 1994. For these reasons I have circulated a draft of a national cancer strategy to other Government Departments for their observations. When these observations have been received I intend to bring the strategy to Government for approval.
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