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Dáil Éireann debate -
Tuesday, 4 Feb 2003

Vol. 560 No. 3

Written Answers. - Orthodontic Service.

Seán Haughey

Question:

334 Mr. Haughey asked the Minister for Health and Children if he is considering new proposals to deal with waiting lists for orthodontic treatment; if treatment could be provided in Northern Ireland or the United Kingdom generally; and if he will make a statement on the matter. [2569/03]

I am pleased to advise the Deputy that I have taken a number of measures to improve orthodontic services on a national basis, including those services provided in the Eastern Regional Health Authority area. The grade of specialist in orthodontics has been created in the health board orthodontic service. This year, my Department and the health boards are funding thirteen dentists from various health boards – including one from the Northern Area Health Board of the ERHA – for specialist in orthodontics qualifications at training programmes in Ireland and at two separate universities in the United Kingdom. An additional €0.184 million has been provided to the ERHA for the training of these dentists. These 13 trainees for the public orthodontic service are additional to the six dentists who commenced their training last year and one dentist whose specialist training is nearing completion. Thus, there is an aggregate of 20 dentists in specialist training for orthodontics. The creation of an auxiliary grade of orthodontic therapist is another structural measure being introduced in order to increase the number of orthodontic treatments.

In the short-term, additional funding of €6.729 million was approved for orthodontic services in 2001 of which €4.698 million was to fund an initiative on orthodontic waiting lists. Under the initiative, the ERHA was allocated €2.044 million. This enabled the authority to recruit additional staff, including two consultant orthodontists, and to develop new treatment facilities at Loughlinstown and at the regional orthodontic unit located at St. James's Hospital. My Department has also funded a six chair orthodontic suite for the Northern Area Health Board, which is expected to be operational this year. The authority is also validating its orthodontic waiting lists as part of this initiative.

Last year, my Department provided additional funding of €5 million from the treatment purchase fund to health boards specifically for the purchase of orthodontic treatment. This funding is enabling boards to provide both additional sessions for existing staff and purchase treatment from private specialist orthodontic practitioners. Under the scheme, the ERHA received €1.815 million for the treatment of patients in this way. This scheme has also enabled some boards to make arrangements for the treatment of cases by private specialist orthodontic practitioners from Northern Ireland. Children in treatment in the health board orthodontic service receive between 18 to 24 appointments over the course of their treatment period of approximately two years. This attendance pattern is not conducive with the referral of cases overseas for treatment.

Finally, the regional chief executive has informed me that at the end of September 2002, there were 2,990 cases in orthodontic treatment in the authority's area and I am confident that the measures I have outlined will further improve the provision of orthodontic services, both nationally and in the authority.
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