The National Ambulance Service, NAS, is the State provider for pre-hospital emergency and intermediate care as part of the wider integrated health system. It is responsible for care from the point a 911 or emergency call is received, through treatment, transportation and handover of the patient to clinical teams at the receiving emergency department in hospital. As we speak this morning, serious challenges face the NAS and many paramedics are working out of substandard stations. Many stations have huge infrastructural issues, others are in a state of significant disrepair and there has been little visible investment in providing what should be a basic resource and home base for this crucial, life-saving service.
Drogheda ambulance station is one of the stations in a deplorable substandard state and it has been for a long time. The HSE commissioned a report in 2022 on foot of an inspection of the station and a subsequent inspection took place in 2024, which highlighted the dangerous conditions paramedics are working in. No report was published following the 2024 inspection despite the many complaints and concerns raised with the HSE by the paramedics. There was an additional inspection in February this year and I am not aware of any action being taken arising from that either.
The 2022 report clearly stated the station needs to be fully rewired and made a number of additional recommendations regarding subsidence issues, a green substance coming out of electrical outlets, mould present throughout the buildings and issues with vehicular access and the condition of the road in and out, which poses a risk not only to paramedics but also to the public due to impaired sight lines for access. To date, only patch jobs and essential cosmetic works have been carried out. Residents in nearby estates have noticed the off-run of wastewater from the cleaning of ambulances as there are no facilities to do this on site that allow for the safe disposal of wastewater. There are also restrictions on when the vehicles can be washed due to noise and there is no adequate housing for vehicles to protect them from freezing and ensure windows do not require demisting in cold weather conditions, which massively affects turnaround times, putting lives at risk.
Numerous concerns have been raised about the security of the current site, noting that it is wide open to the public. On many occasions, intruders have entered and An Garda Síochána has had to be called. A bigger concern is the use of controlled substances in the station and by crews. The station is wide open to the public and they cannot be secured at the current site. There is no security operational on the site. Multiple violent incidents have been reported to the HSE without any real response or resolution. It has long been established that the current premises are unsafe and unsanitary and it is wholly unacceptable that the works have not been undertaken to date. Paramedics have advised that their preference is for a new station, which is fit for purpose but to date no suitable site has been identified or proposed insofar as they are aware. They feel this building is so dilapidated that it should be condemned and cannot understand why the HSE continues to indemnify it despite it being so unsafe and unfit.
None of this will come as a surprise to the Minister. I have written to her on multiple occasions since the middle of February urging her to undertake an inspection of the station and the necessary works and to consult the NAS on the securing of a new station. To date, no response has been received. I also requested a debate on this matter under Topical Issue Matters 11 times in recent weeks, but was unsuccessful until this morning and despite the obvious and urgent need for investment in Drogheda and in this station, my call has fallen on deaf ears, which is symptomatic of the Government's attitude to front-line workers.
Local paramedics have told me that they have no space to rest during their breaks and no room or even small space to gather their thoughts and compose themselves after attending and dealing with harrowing scenarios. Demand for the services of the NAS is growing and in the Dublin north-east region, which includes Louth, there has been a 19% increase in calls in a two-year period. Fourteen personnel are based in this station, which is an increase on the 12 who were there in 2022 when the initial report was written. Taking into account the additional vehicles, there is no capacity to house all these personnel.