Skip to main content
Normal View

Dáil Éireann debate -
Tuesday, 25 Feb 2003

Vol. 562 No. 1

Cancer Treatment Services.

I appreciate the opportunity to raise this important issue of the provision of a radiotherapy service in the mid-west region, which has been sought for a long time. People in Dublin do not understand how difficult and traumatic it is for those in the mid-west who must access services in Dublin or Cork. I made a proposal to establish a radiotherapy service in the mid-west region for the benefit of parents suffering from cancer. This unique proposal was adopted by the health board at its meeting on 17 January. The proposal is that a public private partnership between the Mid-Western Health Board, the Mid-Western Hospital Development Trust and the Mater Private Hospital, Dublin, should be established in the region.

The details of the proposal are that the health board would provide a site adjacent to the existing cancer centre in the Mid-West Regional Hospital. Planning permission exists for a radiotherapy unit in the hospital. The development trust would provide the money – approximately €6 million – for the building and equipment and the State would not have to provide money. The Mater Private Hospital would be responsible for the operating costs. Currently there are four centres with two private facilities providing radiotherapy. Three of the centres are in Dublin and Cork. This is insufficient to meet demand. The result is long waiting lists for people in the mid-west region in particular. They have difficulty obtaining treatment due to the distance involved and often have to spend six weeks away from home while having treatment in Dublin or Cork.

The Minister of State will appreciate this is extremely stressful for cancer patients and their families. Terminally ill cancer patients require radiotherapy to ease their pain and suffering. We are proposing the establishment of a local unit which would transform the lives of those patients and their families. The Minister of State will be aware that almost three years ago the Minister appointed an expert group to examine the need for radiotherapy services. Perhaps he will tell me what is happening in that area?

The report has not yet been published and perhaps the Minister of State will indicate when that might happen? Perhaps this forum does not facilitate that. We do not believe that a national radiotherapy service will be provided and the Minister will quote cost as the reason for that decision. He will also quote the current economic climate as has been expressed on the basis that no further funding should be expended on people with intellectual disability.

There may be other influences against the provision of a radiotherapy unit in the mid-west region. The only funding being sought by the mid-west region from the Exchequer is required to pay for the treatment of public patients. This will amount to approximately €500,000 initially and €1.5 million when the unit is up and running. In doing this there will be no barriers to the treatment of public patients who will have the same access to this unit as patients covered by health care insurance. A great deal of money will be paid into the Exchequer in supporting patients travelling from the mid-west region to Cork or Dublin. This is a golden opportunity to put in place the final component of a world class cancer service for the people of the mid west region. The unit if given the go ahead can be up and running within two years and will put an end to the hardship which sick and vulnerable people from my area are enduring.

I thank Deputy Neville for raising this matter on the Adjournment. I am pleased to indicate that I support some of his proposals, in particular the need for full and appropriate world class radiotherapy services. Most people in this House would like to see such a service in place. That is what we are setting out to do.

The expert review group which was established to examine the appropriate future development of radiotherapy services comprises a mutlidisciplinary team of experts. It has conducted a national assessment of needs for radiotherapy services having regard to the required cancer services and the gaps in the current service provision. Its report will address the following key issues: access to radiotherapy services; the need to provide a high quality, evidenced based service; the need to take account of current and new developments in health technology; the requirements of the system in terms of human resources; international norms in relation to service provision, planning and staffing; and the organisational development of the services in terms of structures and processes which need to be in place.

Deputy Neville asked about final editing and publishing of the expert review group's work. It is my understanding that will be published shortly. Whatever report becomes available will be supplied to him. All health boards, including the Mid-Western Health Board, have been afforded the opportunity to meet and make submissions to the group. I am aware that the Mid-Western Health Board has submitted a proposal to the Department of Health and Children regarding the development of radiotherapy services in the region. As the Deputy will appreciate, consideration of this proposal must be informed by the report of the expert group. The provision of additional radiotherapy services will be considered in the context of that report.

Following consideration of the report, the Minister for Health and Children will submit proposals to Government for discussion. As soon as I am in a position to indicate what progress can be made on the provision of services in the Mid-Western Health Board area I will communicate with the Deputy.

Top
Share