Tuesday, 1 April 2014

Questions (515, 537)

Brendan Ryan


515. Deputy Brendan Ryan asked the Minister for Health his views on the Health Service Executive's review of the ambulance service in Dublin, particularly in the context of a leaked HSE document that details the HSE plans to take back the ambulance service from Dublin city fire brigade; and if he will make a statement on the matter. [14794/14]

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Peter Mathews


537. Deputy Peter Mathews asked the Minister for Health his plans to review the role of Dublin ambulance and fire services; his plans to remove the ambulance service duties from Dublin fire brigade; and if he will make a statement on the matter. [14950/14]

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Written answers (Question to Health)

I propose to take Questions Nos. 515 and 537 together.

Dublin Fire Brigade (DFB) provides emergency ambulance services in Dublin city and county, by arrangement between Dublin City Council and the HSE. The HSE National Ambulance Service (NAS) provides some emergency capacity in the greater Dublin area, as well as non-emergency patient transport.

The ongoing development of pre-hospital emergency care involves a range of initiatives, including the development of a single national control and dispatch system for the State. This new system, which is expected to be completed in 2015, will deploy all emergency ambulance resources in the State, including emergency ambulances, rapid response and intermediate care vehicles, first responders, aeromedical services and ambulances in Dublin.

In the context of the development of the national control system, the Dublin City Manager and the HSE's Chief Operating Officer have commissioned a joint review of DFB ambulance services in Dublin City and County. The review will consider all aspects of ambulance operations provided by DFB within the Dublin area, including the capacity and capability of ambulance services.

The review will inform consideration of the best model for provision of emergency medical services in the greater Dublin area. It is part of the process of ensuring a clinically driven, nationally co-ordinated system, supported by improved technology, so that emergency pre-hospital care can continue to modernise and services can be delivered in an appropriate and timely manner, to the benefit of patients.

There has been speculation about this review and I am aware of the concerns expressed by some about the future of the service. I want to assure those concerned that I appreciate the service the Fire Brigade provides. This review is not a negative reflection on that service. It is being conducted in parallel with the HIQA review of the National Ambulance Service and the NAS capacity review. The intention behind all of these reviews is to examine our pre-hospital emergency care services throughout the country, with a view to identifying the best way to enable them to meet the challenges of the future. I look forward to the recommendations of all three reviews, which I am certain will enable us to ensure that we provide a service capable of delivering the best possible outcomes for the public.