I propose to take Questions Nos. 511 and 533 together.
Patients are assessed by the HSE Orthodontic Service under the modified Index of Treatment Need. Patients with the greatest level of need, i.e. Grade 5 or Grade 4 are provided with treatment by the HSE. Assessments and treatments are not generally carried out in hospitals, except in cases where additional intervention such as oral surgery is required. Orthodontic services are currently provided in 9 areas as listed below. Within each area movement may be accommodated at the request of the patient. The most recent information available is for the first quarter of 2012 and is set out below. Some figures are unavailable due to staff shortages in some areas. This issue is being addressed by the HSE.
Orthodontic Treatment Waiting List 2012
Area
|
Grade 5 (formerly Category A)
|
Waiting time (Months)
|
Grade A (formerly Category B)
|
Waiting time (Months)
|
South Western
|
505
|
n/a
|
693
|
n/a
|
Mid-Leinster
|
441
|
n/a
|
456
|
36
|
Midland
|
175
|
16
|
980
|
n/a
|
Northern/North Eastern
|
1,375
|
5
|
1,519
|
n/a
|
South Eastern
|
n/a
|
n/a
|
n/a
|
n/a
|
Southern
|
381
|
n/a
|
1,496
|
18
|
Western
|
n/a
|
n/a
|
n/a
|
n/a
|
Mid Western
|
1,252*
|
24*
|
-
|
-
|
North Western
|
332
|
12
|
219
|
21
|
* Grade 4 and Grade 5 combined
Preparatory work is currently underway for a review of orthodontic services, which will specifically look at different models of care. The review is expected to be completed in early 2013.