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Thursday, 14 Apr 2016

Written Answers Nos. 604-618

Orthodontic Services Waiting Lists

Questions (604)

Billy Kelleher

Question:

604. Deputy Billy Kelleher asked the Minister for Health the number of persons waiting for orthodontic treatment by local health office area for those up to 16 years of age and for those over 16 years of age at the end of December 2015, in tabular form. [7146/16]

View answer

Written answers

The HSE provides orthodontic treatment to those who have been assessed and referred for treatment before their 16th birthday. 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. 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.

Information on waiting times is collated by the HSE by region and for the intervals as shown below only. The information is not collated by age. In general, those waiting over 4 years would be expected to be 16 years or over since they are usually referred at 12-13 years of age approximately. The information on waiting times for treatment for Quarter 4 of 2015 is as follows:

Waiting time from assessment to commencement of treatment

Less than 2 years

2 - 4 years

Over 4 years

TOTAL

HSE Dublin Mid-Leinster

3,174

1,577

447

5,198

HSE Dublin North East

1,707

1,327

466

3,500

HSE South

2,483

1,364

164

4,011

HSE West

2,193

901

27

3,121

Total

9,557

5,169

1,104

15,830

Hospitals Funding

Questions (605)

Billy Kelleher

Question:

605. Deputy Billy Kelleher asked the Minister for Health the budget allocation and the budget outturn for 2015, and the budget allocation for 2016 for each public and voluntary hospital in tabular form. [7147/16]

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Written answers

The Budget allocation and outturn figures for 2015 are set out in the HSE's December 2015 Performance Report (and are reprinted below for convenience).

The 2016 budget figures are provisional.

2015 Outturn

2015 Final Budget

Budget 2016**

Acute Hospitals Division - 2015 Outturn & 2016 Budget

€000s

€000s

€000s

RCSI

€655,413

€648,047

€627,926

Beaumont Hospital

€260,089

€263,325

€253,784

Cavan General Hospital

€81,994

€80,776

€78,917

Connolly Hospital, Blanchardstown

€93,920

€91,194

€90,078

Louth County Hospital

€19,896

€20,004

€20,236

Monaghan General Hospital

€8,017

€8,002

€8,010

Our Lady of Lourdes Hospital, Drogheda

€143,310

€132,885

€130,400

RCSI Hosp Grp HQ

€0

€3,766

€507

The Rotunda Hospital

€48,187

€48,095

€45,994

Dublin Midlands

€793,887

€787,528

€768,388

Coombe Women & Infants University Hospital

€54,072

€54,069

€50,433

Dublin Midland Hospital Group

€995

€1,866

€3,558

Midland Regional Hospital, Portlaoise

€54,132

€52,282

€51,676

Midland Regional Hospital, Tullamore

€88,055

€87,216

€84,326

Naas General Hospital

€58,391

€58,015

€56,376

St James's Hospital

€323,210

€319,598

€314,760

St. Lukes Hospital, Rathgar

€40,889

€40,892

€39,854

Tallaght Hospital - AMNCH (Acute Only)

€174,142

€173,590

€167,404

Ireland East

€835,939

€838,073

€814,193

Cappagh National Orthopaedic Hospital, Dublin

€28,884

€28,921

€27,889

Ireland East Hosp Grp HQ

€1,633

€1,632

€2,007

Mater Misercordiae University Hospital

€237,306

€240,853

€230,936

Midland Regional Hospital, Mullingar

€66,873

€66,296

€64,760

National Maternity Hospital, Holles Street

€46,387

€46,344

€45,338

Our Lady's Hospital, Navan

€42,862

€41,892

€41,361

Royal Victoria Eye & Ear Hospital, Dublin

€23,169

€24,327

€22,424

St Luke's Hospital, Kilkenny

€59,857

€59,658

€58,193

St Michael's Hospital, Dun Laoghaire

€24,326

€24,303

€23,696

St Vincent's University Hospital, Elm Park

€215,591

€215,589

€210,622

St. Columcilles Hospital, Loughlinstown

€31,516

€31,419

€30,602

Wexford General Hospital

€57,535

€56,837

€56,365

South/South West

€719,830

€725,514

€705,160

Bantry General Hospital

€16,873

€16,972

€17,167

Cork University Hospital

€268,937

€268,842

€259,691

Kerry General Hospital

€73,999

€74,009

€72,981

Kilcreen Orthopaedic Hospital

€6,395

€6,608

€6,703

Mallow General Hospital

€16,794

€17,290

€16,209

Mercy University Hospital, Cork

€68,462

€70,661

€66,156

South Infirmary University Hospital, Cork

€52,449

€53,265

€50,728

South Tipperary General Hospital

€51,982

€51,932

€50,962

South/South West Hosp Grp HQ

€9,314

€11,510

€10,875

Waterford Regional Hospital

€154,625

€154,425

€153,687

Saolta

€695,742

€672,729

€654,356

Galway University Hospitals

€289,680

€281,603

€274,231

Letterkenny General Hospital

€119,888

€113,394

€110,506

Mayo General Hospital

€87,972

€85,679

€85,356

Portiuncula Hospital General & Maternity

€59,369

€56,982

€54,562

Roscommon County Hospital

€19,086

€18,580

€17,996

Saolta Hosp Grp HQ

€3,503

€4,569

€2,987

Sligo General Hospital

€116,243

€111,921

€108,718

UL

€263,185

€262,168

€255,062

Croom Hospital

€11,915

€12,121

€11,747

Ennis Hospital

€15,616

€16,627

€16,225

Nenagh Hospital

€15,611

€15,537

€15,297

St John's Hospital

€18,397

€19,566

€16,248

UL Hospital Group HQ

€2,303

€1,540

€2,638

University Hospital Limerick

€179,657

€177,173

€173,956

University Maternity Hospital

€19,687

€19,605

€18,951

National Childrens Hospital

€235,978

€239,041

€230,494

Our Lady's Hospital for Sick Children, Crumlin

€127,099

€129,154

€123,881

Tallaght Hospital - AMNCH (Paediatric Only)

€16,889

€16,889

€15,781

Temple Street, CUH

€91,981

€92,331

€89,474

Nat Childrens Hosp Group HQ

€9

€667

€1,359

Regional & National

€25,666

€39,683

€67,235

Grand Total

€4,225,640

€4,212,782

€4,122,815

Hospital Waiting Lists

Questions (606)

Róisín Shortall

Question:

606. Deputy Róisín Shortall asked the Minister for Health the waiting times for cataract surgery by each public hospital. [7160/16]

View answer

Written answers

As this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Primary Care Centres Provision

Questions (607)

Bernard Durkan

Question:

607. Deputy Bernard J. Durkan asked the Minister for Health the number of primary health care centres completed and operational; the number still pending; when they will come on stream; the extent to which use of existing primary care centres has been reflected in a reduction in patients seeking treatments at accident and emergency units in hospitals in the immediate catchment area; and if he will make a statement on the matter. [7191/16]

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Written answers

As the information requested by the Deputy relates to service issues and is not routinely provided to my Department, I have asked the Health Service Executive to reply directly to the Deputy on these matters. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Question No. 608 answered with Question No. 431.

Health Services Provision

Questions (609)

Bernard Durkan

Question:

609. Deputy Bernard J. Durkan asked the Minister for Health the provision he is making for the replacement of the services currently undertaken by Saint John of God Services at Saint Raphael's in County Kildare and at Dunfierth House at Enfield, County Kildare, in the aftermath of indications by the Health Information and Quality Authority of impending closure; if he is making provision for the modernisation of existing provisions or the provision of alternatives, given the likely ongoing needs of children, young adults and parents who have previously been able to rely on such services; and if he will make a statement on the matter. [7193/16]

View answer

Written answers

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy. If you have not received a reply from the HSE within 15 working days please contact my Private Office and they will follow up the matter with them.

Medical Card Eligibility

Questions (610)

Peter Fitzpatrick

Question:

610. Deputy Peter Fitzpatrick asked the Minister for Health why a person (details supplied) in County Louth has been refused a discretionary medical card, given a diagnosis of cancer; and if he will make a statement on the matter. [7197/16]

View answer

Written answers

The Health Service Executive has been asked to examine this matter and to reply to the Deputy as soon as possible.

The Health Service Executive operates the General Medical Services scheme, which includes medical cards and GP visit cards, under the Health Act 1970, as amended. It has established a dedicated contact service for members of the Oireachtas specifically for queries relating to medical cards and GP visit cards, which the Deputy may wish to use for an earlier response. Contact information has recently issued to Oireachtas members.

If the Deputy has not received a reply from the HSE within 15 working days, please contact my Private Office who will follow up the matter with them.

Hospital Appointments Status

Questions (611)

Michael Healy-Rae

Question:

611. Deputy Michael Healy-Rae asked the Minister for Health the status of an operation for a person (details supplied) in County Kerry; and if he will make a statement on the matter. [7200/16]

View answer

Written answers

Under the Health Act 2004, the Health Service Executive (HSE) is required to manage and deliver, or arrange to be delivered on its behalf, health and personal social services. Section 6 of the HSE Governance Act 2013 bars the Minister for Health from directing the HSE to provide a treatment or a personal service to any individual or to confer eligibility on any individual.

The National Waiting List Management Policy, A standardised approach to managing scheduled care treatment for in-patient, day case and planned procedures, January 2014, has been developed to ensure that all administrative, managerial and clinical staff follow an agreed national minimum standard for the management and administration of waiting lists for scheduled care. This policy, which has been adopted by the HSE, sets out the processes that hospitals are to implement to manage waiting lists.

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Accident and Emergency Departments

Questions (612)

Maureen O'Sullivan

Question:

612. Deputy Maureen O'Sullivan asked the Minister for Health his views on the Health Service Executive's escalation policy, specifically on the issue of the cancellation of operating lists to accommodate emergency departments despite the fact that these freed-up beds cannot be used for patients on trolleys because the patients on trolleys could present a risk of infections for post-operative patients already on the ward. [7211/16]

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Written answers

In November 2015, in conjunction with the HSE Director General, I issued a National Emergency Department Escalation Framework to hospitals, on how best to manage hospital capacity and patient flow through the hospital at times when there is a surge in demand for emergency care.

At times of surge, when there is significant demand for emergency care, the Escalation Framework envisages that hospitals consider cancelling non-urgent elective procedures.

At Levels 1 and 2 of escalation, the cancellation of elective procedures is undertaken at the discretion of the hospital management, in consultation with the relevant consultant. However once level 3 escalation measures are put in place, available elective medical and nursing staff are redeployed to treat admissions through ED wherever possible, with potential knock-on effects on the staffing of elective wards. It is a matter for each hospital to manage its bed capacity, having regard for the needs of patients and appropriate infection control measures.

As this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Ambulance Service Provision

Questions (613)

Hildegarde Naughton

Question:

613. Deputy Hildegarde Naughton asked the Minister for Health his plans to provide an adequate local ambulance service for Connemara, County Galway; and if he will make a statement on the matter. [7223/16]

View answer

Written answers

As this is a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Hospital Waiting Lists

Questions (614)

Hildegarde Naughton

Question:

614. Deputy Hildegarde Naughton asked the Minister for Health the reason for delays in surgery for a person (details supplied) in County Galway; and if he will make a statement on the matter. [7225/16]

View answer

Written answers

Long waiting times for scoliosis services are unacceptable and I have been clear in my determination that these waiting times are reduced, through additional resources and capacity.

Our Lady’s Children’s Hospital, Crumlin is the largest provider of scoliosis surgery for children and young people. Funding was allocated in 2015 for additional consultant posts including two consultant orthopaedic surgeons, anaesthetist and support staff at Crumlin. Capital funding was also provided for a new theatre on site to expand theatre capacity further. The 2016 Service Plan specifically provides for support for the new theatre capacity and the continued development of paediatric scoliosis services to address ongoing capacity deficits.

In order to address waiting times in the interim, patients from Crumlin have been transferred to other hospitals where capacity is available and where that is clinically appropriate. These include Temple Street, Cappagh, Tallaght and the Blackrock Clinic. External capacity has also been identified at the Royal National Orthopaedic Hospital at Stanmore in the UK. The Department of Health is continuing to work with the HSE, the Children’s Hospital Group and the hospitals themselves to ensure that we continue to make strong progress in addressing this issue and to identify all options to further improve access times.

As the specific issues raised are a service matter, I have asked the HSE to respond to you directly. If you have not received a reply from the HSE within 15 working days please contact my Private Office and my officials will follow the matter up.

Question No. 615 answered with Question No. 588.

Health Services Funding

Questions (616)

Jim Daly

Question:

616. Deputy Jim Daly asked the Minister for Health the grants available to voluntary organisations for acquiring new equipment in his Department; and if he will make a statement on the matter. [7242/16]

View answer

Written answers

My Department administers a National Lottery Discretionary Fund from which once-off grants are paid to community and voluntary organisations providing a range of health related services. If an organisation wishes to make an application for National Lottery Funding in 2016 it should submit a formal application. Detailed procedures along with the application form for 2016 are now available on my Department's website at http://health.gov.ie/about-us/national-lottery-grant-scheme/.

The closing date for receipt of application forms is 6 May 2016.

Military Aircraft

Questions (617)

Clare Daly

Question:

617. Deputy Clare Daly asked the Minister for Foreign Affairs and Trade if any military drones belonging to the US operated via any location here; if permits for such activity have been sought or issued; and if he will make a statement on the matter. [6419/16]

View answer

Written answers

In accordance with the Air Navigation (Foreign Military Aircraft) Order of 1952, foreign military aircraft may not fly over or land in the State unless permission has been granted by my Department. The US Embassy has not requested permission from my Department for a landing by a military unmanned aircraft in the State nor has it notified my Department about any such unmanned aircraft overflying the State. The Embassy has confirmed that there have been no landings in the State or overflights of the State by US military unmanned aircraft.

Ministerial Meetings

Questions (618)

Finian McGrath

Question:

618. Deputy Finian McGrath asked the Minister for Foreign Affairs and Trade his plans to meet the Secretary General of NATO, Mr. Jens Stoltenberg; and if he will make a statement on the matter. [6325/16]

View answer

Written answers

I have no plans to meet with the Secretary General of NATO, Jens Stoltenberg.

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