Each year hospitals are notified of their non-capital allocation and a service plan is drawn up by them and agreed with the Department. This plan sets down parameters for activity for the year and hospitals are required to maintain activity levels within the hospital's agreed parameters. Detailed decisions in relation to hospital spending are a matter for the hospital management. In this regard the hospital's chief executive officer advised my Department last week that as part of its service planning within budget it will be closing beds in the gastrointestinal unit until the end of the year.
As a result of this, I understand the hospital has cancelled 345 appointments in this unit from 1 January to 31 December 1998. I have been advised by the hospital authorities that the only out-patient appointments which they have had to cancel since 1 January have occurred in this unit.
As the determination of out-patients appointments is a matter for the hospital authorities in the first instance, based on a clinical assessment of need, I have asked the chief executive officer of the Mater Hospital to investigate the position regarding this patient. Given the particular circumstances of this case, I have requested that he reply to the Deputy directly, as a matter of urgency.