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Dáil Éireann debate -
Tuesday, 30 Jan 2001

Vol. 529 No. 1

Written Answers. - Medical Services.

John McGuinness

Question:

580 Mr. McGuinness asked the Minister for Health and Children if his attention has been drawn to the fact that another lady miscarried on the corridor in the gynaecological ward of St. Lukes Hospital, Kilkenny on 4 December 2000, bringing the number to three in the past two months; if his Department rather than the health board itself will investigate each of the incidents to determine the reason the beds were on the public corridor; and if he will make a statement on the matter. [1308/01]

Liam Aylward

Question:

698 Mr. Aylward asked the Minister for Health and Children if he will arrange an investi gation into the lack of space and facilities in St. Luke's Hospital, Kilkenny having regard to the situation outlined in correspondence sent to him on 14 January 2001; and if he will make a statement on the matter. [2070/01[

John McGuinness

Question:

736 Mr. McGuinness asked the Minister for Health and Children the plans he has to expand the health services in County Carlow; if a new county hospital is planned; if his attention has been drawn to the pressures on St. Luke's Hospital, Kilkenny; and if he will insist that a major investment in the health infrastructure be made as a matter of urgency. [2450/01]

I propose to take Questions Nos. 580, 698 and 736 together.

The provision of medical services to eligible persons in counties Carlow and Kilkenny is the statutory responsibility of the South Eastern Health Board in the first instance.

I understand from the board that the patient referred to by Deputy McGuinness was admitted for emergency care on 5 December 2000, to the gynaecology ward. On the previous day, 4 December 2000, nine elective patients were admitted by the patient's consultant for surgery on 5 December 2000. At the time of admission of the patient, all beds in the gynaecology ward were full. The patient had to be maintained in a bed on the corridor and screens were provided around the bed to improve privacy. The South Eastern Health Board very much regrets that this patient had to be admitted to a bed on a corridor. I also understand that the board has reviewed its admission policy, and is seeking to retain one bed in the gynaecology ward for emergency admissions.

The South Eastern Health Board document Shaping the Future of the Kilkenny Hospital System is the blueprint for the development of St. Luke's Hospital, Kilkenny, as a comprehensive, integrated, quality and efficient hospital, capable of meeting the challenges of the times in a competent and humane manner. The target date set for rationalisation of all hospital services in Kilkenny city into an interactive hospital complex is 2002.

This development plan contains proposals to enhance existing services on the St. Luke's site including general surgery, general medicine, obstetrics, gynaecology, accident and emergency and diagnostic services. It proposes to provide all hospital services on one site in a way that combines ease of access to the public with a cost effective service. The development plans take account of national policy which is to have a strong network of local and general hospitals which serve defined catchment hospital services for general medical and surgical facilities.

I have also initiated a national review of bed capacity in both the acute and non-acute sectors. This review is in line with the commitment contained in the "Programme for Prosperity and Fairness". The review is being conducted by my Department in conjunction with the Department of Finance and in consultation with the social partners. I presented the interim findings of the review to my Government colleagues last year and identified a range of short to medium-term investment proposals aimed at addressing identified service difficulties in both sectors. A more detailed assessment of need is now being undertaken to inform decisions on a longer term investment strategy for the acute and non-acute sectors and I expect this phase of the review to be completed in spring 2001.
Questions Nos. 581 and 582 answered with Question No. 515.
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