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Dáil Éireann debate -
Tuesday, 11 Mar 2003

Vol. 563 No. 1

Written Answers - Orthodontic Service.

Denis Naughten

Question:

436 Mr. Naughten asked the Minister for Health and Children the orthodontic waiting times in each health board area; and if he will make a statement on the matter. [7387/03]

As the Deputy is aware, the provision of orthodontic treatment to eligible persons is the responsibility of the health boards-authority in the first instance. I am pleased to advise the Deputy that I have taken a number of measures to improve orthodontic services on a national basis.

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 13 dentists from various health boards for specialist in orthodontics qualifications at training programmes in Ireland and at two separate universities in the United Kingdom. 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 public service dentists currently in training for specialist in orthodontics qualifications. These measures will complement the other structural changes being introduced into the orthodontic service, including the creation of an auxiliary grade of orthodontic therapist to work in the orthodontic area.

Orthodontic initiative funding of €4.698 million was provided to the health boards-authority in 2001, and this has enabled health boards to recruit additional staff, engage the services of private specialist orthodontic practitioners to treat patients, and build additional orthodontic facilities.

In June 2002, 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.

Finally, the chief executive officers of the health boards/authority have informed me that, at the end of the December 2002 quarter, there were 20,151 patients receiving orthodontic treatment in the public orthodontic service. This is an increase of approximately 2,856 patients in orthodontic treatment when compared with the number of patients receiving treatment in December 2001. I expect that the number of patients receiving orthodontic treatment in the public orthodontic service will continue to increase as the measures that I have taken impact further on the service.

The chief executive officers of the health boards have informed me of the following information on their orthodontic waiting lists as at the end of the December 2002 quarter:

Assessment Waiting List

Treatment Waiting List

Health Board

AverageWaiting Time(Months)

Category A

Waiting time(Months)

Category B

Waiting time(Months)

SWAHB

1715

12

472

491

18 – 24

ECAHB

118

9

27

3

142

12

NAHB

1511

5

1787

Midland

303

1

Nil

No Waiting time

161

12

Mid-Western

1869

24 – 36

Nil

No Waiting time

676

24 – 36

North-Eastern

Nil

No Waiting time

6

1.5 – 2

233

18

North-Western

846

6

116

21

1034

36

South-Eastern

356

3 – 3.5

Nil

No Waiting time

550

13

Southern

6511

According toDate of Birth.Currently 1989

Nil

No Waiting time

3328

Western

744

12

Nil

No Waiting time

971

42

Patients in category A require immediate treatment and include those with congenital abnormalities of the jaws, such as cleft lip and palate, and patients with major skeletal discrepancies between the sizes of the jaws. Patients in category B have less severe problems than category A patients and are placed on the orthodontic treatment waiting list.
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