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Dáil Éireann debate -
Thursday, 27 Feb 2003

Vol. 562 No. 3

Hospital Services.

I dtús báire ba mhaith liom a rá nach bhfuil sé i gceist agam aon duine atá ag obair san ospidéal a cháineadh. Tá foireann an-mhaith san ospidéal céanna, idir an lucht bainistíochta, na banaltraí agus na dochtúirí. Tá na daoine sin ar fad thar barr. Le cúpla bliain anuas bhí orm mo pháistí féin a thabhairt go dtí an t-ospidéal níos mó ná uair amháin, ar fáth amháin nó ar fáth eile.

Our Lady's Hospital, Crumlin, is totally outdated. Through their heroic efforts the staff have managed to keep the hospital going. They have endured conditions that hospital staff in other countries would not endure. This is because they have the interests of the children at heart.

The hospital was built in 1958. In recent years there were some additions and good improvements by various Governments. However, the site no longer serves its purpose, which is to provide care for children. I am not just raising this issue because the hospital is in my constituency but because it is a national hospital dealing with many children from every county. It is the cancer centre for children from the 32 counties of Ireland. It needs to set a standard on a worldwide basis, especially considering that we have a young population.

Since the hospital was built there has been huge growth in the number of operations, yet it has not expanded to cope with this. There was a 539% increase in admission numbers between 1958 and 2002. A similar percentage applies to operations and causalities. An increase of 790% pertains to outpatients.

Anybody who has had children in the hospital will know that there are virtually no facilities for parents who have to stay over. They have to sleep on a mattress next to the bed or in a chair, if they are lucky. That is not good enough.

The report lists exactly where standards are falling in the hospital. I could open any page to indicate how substandard it is in comparison with hospitals in other countries. There is a lack of basic facilities. There are no play areas or baby changing rooms in the accident and emergency unit. Another list applies to Holy Angel's Day Centre. The hospital has fallen below international standards in every respect, which is not good enough.

Dr. Pollock, who produced the report, said the hospital was totally unsuitable for the provision of medical care for children. The Minister, in response to the report, said major redevelopment was planned but that is news to the parents who bring children to the hospital, the staff and managers. What is planned is the building of two small, additional units.

The Government has authorised an MRI scanner for the hospital but forgot to authorise the building of a room in which to place it. Until that is done, those requiring a scan will have to be brought by taxi or ambulance to other hospitals in Dublin. They will have to be accompanied by a nurse and, frequently, an anaesthetist. Having no anaesthetist in the hospital leads to emergencies like those that happened in hospitals outside Dublin.

I hope the Minister will take heed of this report and make sure the planned demolition and rebuilding of a new hospital on the Crumlin site happens in months rather than years in order that we will have the best facilities in the world for sick children.

Gabhaim mo bhuíochas leis an Teachta as an cheist seo a phlé ar Athló na Dála. Tá caighdeán an-ard san ospidéal seo agus aontaím leis an Teachta gur iontach an obair atá á dhéanamh ag na dochtúirí, ag na banaltraí agus ag gach éinne atá ag obair ann.

The Eastern Regional Health Authority is charged with responsibility for commissioning health and personal social services on behalf of the population of the region and those outside the region referred for specialist treatment. On foot of an acknowledgement by all parties of the need for an overall development of the facilities at Crumlin Hospital, the Minister for Health and Children, Deputy Martin, recently approved the establishment of a project team to plan for the future development of the hospital. It includes representatives from the hospital, the Eastern Regional Health Authority and the Department of Health and Children.

Many of the hospital buildings are approximately 50 years old and have not been upgraded in any significant way. Consequently, they generally do not meet contemporary standards for paediatric hospital facilities.

The first stage of the planning process involves writing a brief for the preparation of a development control plan which will set the context for future capital developments on the site. Work on the preparation of the development brief has commenced and is expected to be completed by the end of 2003. It is intended that a phased approach to new development and the upgrading of facilities will be taken. The plans will allow for the prioritisation of developments according to the service needs of the hospital and the ERHA. The phased approach will ensure services continue to be provided during the redevelopment.

A number of additional major developments, funded by the Exchequer, are being put in place at the hospital. These include a €30 million investment in the new operating department, which will provide two additional theatres, increasing the capacity of the hospital to five major theatres and two minor theatres. Developments will include new recovery beds, a day surgery unit and a modern central sterile supplies department. This is expected to increase the capacity of the hospital to meet the additional surgery demands at both inpatient and outpatient level.

On the basis of the volume and complexity of cases being dealt with at the hospital, the Minister approved the provision of an MRI facility which will significantly enhance the level of diagnostic services. The project team is engaged in the process of identifying the most appropriate location for this service in the context of the overall development plan.

Our Lady's Hospital for Sick Children, Crumlin, was established in 1956. It is the largest paediatric hospital in Ireland and the main specialist referral centre for the whole country. These specialist areas include cardiology, oncology, neonatal surgery, urology, neurology and all of the sub-specialties.

The ERHA has allocated substantial additional revenue funding to the hospital in recent years to develop its cardiology services. Funding has been provided for the appointment of two additional consultant cardiologists and support staff which will allow the hospital to develop cardiology services. Funding has also been provided for the development of paediatric oncology and haematology services.

The Minister recently met the new Crumlin Hospital group which is composed of parents of children who regularly attend the hospital for treatment. This group commissioned the Pollock report into facilities at the hospitall. The deficiencies highlighted in the report are known and accepted and the Minister is committed to the redevelopment programme. The hospital group was appreciative of his assurance in this regard, particularly that the redevelopment of the hospital is being carefully planned on a phased basis. The Minister, in turn, was pleased to note the group's praise for the quality of care provided at the hospital which it described as excellent.

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