Skip to main content
Normal View

Dáil Éireann debate -
Tuesday, 16 Oct 2001

Vol. 542 No. 2

Adjournment Debate. - Ambulance Services.

I thank you, a Leas-Cheann Comhairle, for giving me the opportunity to raise this important matter on the Adjournment and the Minister of State, Deputy Moffatt, for coming in to reply. I find it hard to believe that I am here asking the Government the reason thousands of people in my constituency of Kerry South were without an ambulance service for 11 hours last Friday night. I knew before I heard of this appalling case that the health services in this country were in crisis, but now I know it is even worse than that. Clearly, the health service is on the verge of collapse. The Government is no longer capable of providing even the most basic of services.

Yesterday morning I received a telephone call to my constituency office to inform me that there was no local ambulance service in the greater Kenmare area between 9 p.m. on Friday and 8 a.m. on Saturday. Two staff members always work this 11 hour shift. On Friday night, however, at the last minute one of the staff members in the ambulance had to withdraw due to illness. To my shock and disbelief, the Southern Health Board was unable to provide the money to pay a replacement staff member, although it does not admit this. As a result, the ambulance service had to be shut down for the night at one of the busiest times of the week. This meant that for the entire night last Friday areas like Kenmare, Tuosist, Caherdaniel, Sneem, Loo Bridge, Kilgarvan and Lauragh were without paramedic services. There was a large wedding reception in one Kenmare hotel on Friday night as well as a major conference in another hotel which added to the pressures on the ambulance service on the night. The ambulance service that was available had to be provided from Killarney District Hospital. As I said in the House before, the ambulance service in Killarney, a large town, is already over-stretched and has enough to deal with without having to cope with a huge rural area such as the Kenmare area.

The response of the Southern Health Board to this outrageous situation was a short, terse statement issued at lunch time yesterday. In the statement, which played on words, it claimed that it was unable to find someone to cover for that evening's on-call duty when there was a person available to provide the cover, who had actually started work, but was told to leave. Surely in this day and age the least we can expect is that rural Ireland will be adequately serviced by ambulances, particularly at one of the busiest times of the week.

My constituency office has received a number of calls expressing serious concern about this situation. Many were astonished that this situation was allowed to develop in the backyard of my constituency colleagues, both of whom have claimed that south Kerry has gained hugely in every area of the public service since the last election because of their political influence and largesse. Nothing could be further from the truth, and my constituents know it.

I am calling on the Minister to apologise to my constituents in south Kerry for failing to provide thousands of them in the Kenmare area with paramedic cover last Friday night. I ask him to explain the reason the Southern Health Board claimed it was unable to provide a replacement paramedic for this shift on Friday night when it was quite clear that somebody had volunteered to work the shift, albeit not an on-call staff member, but somebody who was fully qualified and capable of doing the work involved.

This is arguably one of the biggest medical scandals in my constituency in many years and a shocking indictment of the Government and its paltry attempts to formulate a health strategy just as it is about to leave office. Will the Minister explain the reason this shocking event occurred because of the lack of a paltry £200 or so to pay the staff member who volunteered to work on Friday night? Has the health service really been stretched this far and are we now reduced to failing to provide an ambulance service in Kenmare because of the lack of such a small amount of money? Will the Minister give an assurance that this type of incident will never again happen in south Kerry or any part of the country and that the lives of thousands of people will not be put at risk because of the lack of a couple of hundred pounds?

On behalf of my colleague, the Minister for Health and Children, Deputy Martin, I wish to respond to Deputy Moynihan-Cronin in relation to difficulties which arose over the past weekend in the provision of ambulance services in the Kenmare and south Kerry areas.

The provision of ambulance services throughout the country is the responsibility of the respective health boards or authority. In this particular case, the Minister is advised by the Southern Health Board that the areas mentioned are covered on a full-time working basis during the day with emergency on-call facilities becoming operational from 7.30 p.m. until the following morning. The specific difficulties in Kenmare and south Kerry last Friday arose as a result of an illness to an emergency crew member on duty and difficulties in arranging cover for that crew member at extremely short notice.

As the Deputy will appreciate, this was an unforeseen circumstance which was handled as expeditiously as possible by local management. Ambulance cover for the Kenmare area was available from other Kerry stations, the nearest being the Killarney station for this 11 hour period of night cover.

The board has assured the Minister that the service was managed and monitored at all times by the management team and control room at Tralee General Hospital and emergency cover was provided for the area. In cases where an ambulance in any station is out of its area, ambulance control dispatches the nearest available ambulance. In the particular case the Deputy has highlighted, the Killarney ambulance would provide the necessary cover. The Deputy will be interested to know that there were no calls on the ambulance service for the area encompassing Kenmare and Killarney on the night in question.

Government policy on the development of emergency medical services is set out in a number of documents, most notably the report of the review group on the ambulance service published in 1993. The report addressed, inter alia, the issue of the level of cover provided by ambulance crews and made recommendations on how improvements might be made.

Significant progress has been made by the Southern Health Board on the implementation of the recommendations of the report. This progress has been facilitated by special development funding allocated to the board of in excess of £3 million in recent years. Much of this investment funding has been directed by the board towards improvements, on a phased basis, in the level of duty hours cover in all the board's ambulance stations. The board's service plans continue to address the issue of increasing the level of in-station duty hours cover with a consequent reduction in on-call hours cover.

The reduction of on-call cover and the increase of duty cover to 24 hours is but one of the many aspects of the ambulance service that require development. The chief executive officer of the Southern Health Board last year established a strategic review group to review the implementation of the recommendations of the 1993 report in the board's area and, in particular, to address the issue of the appropriate level of ambulance stations and hours of cover in those stations with a costed implementation plan for all the board's areas. This strategic review will include a costing analysis for 24 hour cover in all the board's ambulance stations. The Minister has been informed by the board that this strategic review will be completed before the end of this year.

I would like to take some of the information the Deputy has given that a person was available in the area. Perhaps she will give us documented evidence in that regard—

He was on the ambulance and told to get off.

—and I will take it up with the Minister in question.

Top
Share