Billy Kelleher
Question:218. Deputy Billy Kelleher asked the Minister for Health the number of acute beds that are closed at present; and if he will make a statement on the matter. [9112/13]
View answerHospital Services
Questions (218)
Written answers
I believe we must concentrate on getting the best possible services for patients from the budgets available to us. This means we need to focus on how beds are used, on the throughput of patients, on reducing length of stay to international norms and on having as many procedures as possible carried out as day cases rather than inpatient work.
The work of the Special Delivery Unit, together with implementation of the Clinical Care Programmes in the HSE, will help to improve the efficiency of our hospitals, allowing us to treat as many patients as possible within budget. I believe that pursuing efficiencies through these means will be a far more productive approach than debating the number of beds open or closed at any one time.
In the current economic climate the acute sector must reduce its costs in order to deliver the agreed level of activity within the resources available to it. The emphasis in 2013 will continue to be to make the most effective use of acute bed capacity through shorter lengths of stay, increased rates of day-of-surgery admission and more day surgery. In this way the acute hospital system can ensure that, within the level of resources available, it provides safe, effective and efficient care to the maximum number of patients.
Throughout 2013 hospitals will open and close beds on various wards in order to deliver the planned level of activity. These beds may be closed for a number of reasons, including cost containment, infection control and refurbishment. It is not possible at this time to determine what beds in which wards will be closed and what length of time they will be closed for. The decision to open and close beds is made at hospital management level and approved by the Regional Director of Operations.
In relation to bed closures for the week ending 10th February 2013 (the latest data available) there are 688 inpatient beds closed and an additional 3 day case beds.
Hospital Procedures
Questions (219)
Billy Kelleher
Question:219. Deputy Billy Kelleher asked the Minister for Health if it is the intention of the Health Service Executive to restrict access to such procedures as cataract surgery and varicose vein treatment; the other procedures that the HSE proposes to restrict access to; and if he will make a statement on the matter. [9113/13]
View answerWritten answers
Patient safety and the delivery of quality services is an ongoing priority for the Irish Government and continues to be a key consideration of the overall health reform agenda.
The HSE is not attempting to restrict access to cataract and varicose vein treatment. What the HSE is in fact doing, is ensuring that elective surgical procedures are managed in a safe and equitable manner.
Demand for elective surgical procedures continues to grow and in light of this it is only right that our health service ensures (a) that treatments being provided are clinically effective and (b) that patients who will benefit most from surgery are prioritised according to clinical need and are given fast access to treatment.
For these compelling reasons the HSE has requested the Health Information and Quality Authority (HIQA) undertake a series of health technology assessments (HTA) during 2013.
The HIQA assessments will provide advice to the HSE regarding the clinical effectiveness of surgical procedures currently undertaken in Ireland to ensure that the health service is in a position to provide consistent, equitable and clinically effective procedures to patients irrespective of where you live in Ireland.
The first report produced by HIQA is currently in draft format and has been put out to public and professional group consultation. HIQA, as an independent statutory body, must now be allowed to complete its work and present its report to the HSE.