I propose to take Questions Nos. 179, 180 and 189 together.
The HSE provides orthodontic treatment to those who have been assessed and referred for treatment before their 16th birthday. Orthodontic referrals are generally received via the Public Dental Service school screening programme. An individual's access to orthodontic treatment is determined in accordance with the Modified Index of Treatment Need. The dental health component has five categories ranging from 1 (no need for treatment) to 5 (great need). Further sub-divisions of these categories are substantially based in accordance with the causes of malocclusion, e.g. misalignment of teeth. Patients with the greatest level of need are provided with treatment.
At the time of assessment those with urgent clinical need are prioritised. It should be noted that the nature of orthodontic care means that immediate treatment is not always desirable. It is estimated that in up to 5% of cases it is necessary to wait for further growth to take place before treatment commences. Information on waiting times is collated by the HSE by region and for the intervals as shown in the table only. The most recent information relates to the third quarter of 2013.
Waiting time from assessment to commencement of treatment
|
1 - 6 months
|
7 - 12 months
|
13 - 24 months
|
2 - 3 years
|
Over 4 years
|
TOTAL
|
HSE Dublin Mid-Leinster
|
862
|
746
|
959
|
724
|
16
|
3,307
|
HSE West
|
566
|
1135
|
1165
|
1200
|
61
|
4,127
|
HSE South
|
326
|
963
|
495
|
1190
|
191
|
3,165
|
HSE Dublin North East
|
341
|
631
|
864
|
1235
|
194
|
3,265
|
TOTAL
|
2,095
|
3,475
|
3,483
|
4,349
|
462
|
13,864
|