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Seanad Éireann debate -
Friday, 8 Mar 2002

Vol. 169 No. 11

Adjournment Matter. - Cancer Treatment Services.

I thank the Minister for coming to the House to address this matter, which relates to what consideration might be given to a radiotherapy unit for the south east. I know the Minister is familiar with this subject and the many concerns that have been expressed by people from the south east for some time.

Illness at any time for anyone is very traumatic. It obviously puts considerable pressure and stress not only on the person who is ill, but also on the family. This is particularly true in cases of cancer. People dread even hearing that word. At such a time the patient must be given every medical assistance available with the minimum of stress.

I understand that about 20% of all cancer patients in Ireland avail of radiotherapy but good medical practice suggests that this should be at least 60%. In the case of people suffering from breast cancer, it is understood that up to 75% could benefit from radiotherapy. In the south east only 48% of people are able to avail of that at the moment.

If people have to travel it places huge pressure not only on the patient but also on the family. It means having to travel a long distance for up to five days per week for a five-week period. In some cases people might stay over but that would be at huge expense and would mean being removed from the loving care of their family. That care is very important in keeping up patients' morale and they should be in an environment where there is somebody to whom they can turn. I know of cases where people travel five days a week and this adds to the trauma of having cancer and the worries that come with that. They hope they will make a full recovery and want to avail of every medical assistance. It is likely they will have to be driven long distances or travel by public transport. Having the treatment has a further impact on their bodies and on their morale.

There are good arguments in favour of siting a radiotherapy unit in the south east and in years to come it will be generally accepted that this should be available in close proximity to where the patient lives. At the moment we are dealing with a new situation and certain parameters have to be established. These parameters should be pushed out as far and as quickly as possible in this case.

A detailed submission has already been made to the Department and a delegation seeking the radiotherapy unit has met the Minister. I call on the Minister to update us as to progress on this matter. I do not have to make a case for a humane approach particularly to the Minister of State, Deputy Moffatt, because from his medical experience he is well aware of the points I am making today. I ask him to consider the main points made by the health board and the additional contribution I am making today. I hope the Minister will be able to give a positive response to the points I have made, if not today then in the near future.

Before the Minister replies, I will allow two other speakers on this topic for one minute each.

I come from the south east and know the history of this therapeutic unit. My brother, Dr. Donal Ormonde, the radiologist in Waterford, is working with the local people to do everything possible to establish this unit in Waterford.

I endorse the points made by Senator Ó Murchú. I have already spoken to the Minister on this subject and a delegation from Waterford has also met him. The importance of providing the unit in Waterford as quickly as possible to alleviate the stress experienced by patients and their families has been well documented.

I endorse the case which has been well articulated by Senator Ó Murchú. As Senator Ormonde said, this is an important issue in the south east. There is a human dimension to it in that people who are unfortunate enough to suffer from cancer must travel long distances for treatment. That imposes greater burdens and hardship on them and their families.

There is a strong and effective lobby in the south east. I join with my colleagues in urging the Minister to consider the compelling case being made to ensure that facility is made available in the regional hospital.

I thank Senator Ó Murchú and his colleagues for raising this issue on the Adjournment.

The Minister for Health and Children, Deputy Martin, established an expert working group on radiotherapy services to examine the appropriate further development of radiotherapy services in this country. The provision of additional services for radiotherapy treatment will be considered in the context of the report of the expert working group. The work of the expert group is at an advanced stage. It is understood that the South Eastern Health Board has been afforded the opportunity to meet the group.

Given the importance and complexity of the work involved, it is not possible to give an exact date for the report of the expert group. However, it is anticipated that its work will be completed in the near future. Until such time as the Minister has received and considered the expert report, he is not in a position to indicate any specific developments for radiotherapy services.

I listened to Senator Ó Murchú and his two colleagues make their case for the south east and their points will be carefully considered. There are three centres of excellence for radiotherapy in Dublin, Cork and Galway. Compelling arguments have been made for other locations throughout the country. It is an expensive process to provide radiotherapy services, but it is important to consider patients, distance, location, etc, when setting up such services.

Modern treatments must also be taken into consideration. Chemotherapy is no longer sufficient in many situations. Radiotherapy and other modalities of treatment are also needed. I know the Minister will await the report of the working group and its advice on this issue. It would be foolish not to listen to the views of the grassroots. I thank the Senators for making their submissions on this urgent issue.

The Seanad adjourned at 2.55 p.m. until 2.30 p.m. on Wednesday, 20 March 2002.

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