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Tuesday, 12 Jun 2018

Written Answers Nos. 888-906

Health Services Staff Data

Questions (888)

Louise O'Reilly

Question:

888. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of employing an obstetrician or gynaecologist. [25492/18]

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Written answers

I have asked the HSE to respond to you directly on this matter.

Health Services Staff Data

Questions (889)

Louise O'Reilly

Question:

889. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of employing a physiotherapist. [25493/18]

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Written answers

I have asked the HSE to respond to you directly on this matter.

Health Services Staff Data

Questions (890)

Louise O'Reilly

Question:

890. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of employing a psychologist. [25494/18]

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Written answers

I have asked the HSE to respond to you directly on this matter.

Health Services Staff Data

Questions (891)

Louise O'Reilly

Question:

891. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of employing a dietary technician. [25495/18]

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Written answers

I have asked the HSE to respond to you directly on this matter.

Health Services Staff Data

Questions (892)

Louise O'Reilly

Question:

892. Deputy Louise O'Reilly asked the Minister for Health the estimated unit cost of hiring ten orthodontists on an average orthodontist's pay grade. [25496/18]

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Written answers

I have asked the HSE to respond to you directly on this matter.

Ambulance Service Data

Questions (893)

Louise O'Reilly

Question:

893. Deputy Louise O'Reilly asked the Minister for Health the estimated cost of purchasing, equipping and staffing 12 new ambulances. [25497/18]

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Written answers

As this is a service issue, I have asked the HSE to reply to you directly.

Nursing Homes Support Scheme Data

Questions (894)

Noel Grealish

Question:

894. Deputy Noel Grealish asked the Minister for Health the number of persons in Galway city and county receiving support under the nursing homes support scheme; the number that have a principal private residence included in their financial assessment; and if he will make a statement on the matter. [25499/18]

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Written answers

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Hospital Appointments Status

Questions (895)

James Browne

Question:

895. Deputy James Browne asked the Minister for Health the reason a person (details supplied) has yet to receive notice of a rescheduled appointment; and if he will make a statement on the matter. [25500/18]

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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 the Deputy directly.

Hospital Waiting Lists Data

Questions (896, 924)

Charlie McConalogue

Question:

896. Deputy Charlie McConalogue asked the Minister for Health the waiting times for surgery for hip and knee replacements after the initial outpatients consultation by an orthopaedic consultant in Letterkenny University Hospital, County Donegal; and if he will make a statement on the matter. [25502/18]

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Charlie McConalogue

Question:

924. Deputy Charlie McConalogue asked the Minister for Health the waiting times to be seen by an orthopaedic consultant for an initial hip and knee consultation in Letterkenny University Hospital, County Donegal for routine and urgent referrals, respectively; and if he will make a statement on the matter. [25554/18]

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Written answers

I propose to take Questions Nos. 896 and 924 together.

Improving waiting times for hospital procedures is a key commitment in the Programme for Government and in 2018 €50 million was allocated to the NTPF to provide treatment for patients.

The recently launched Inpatient/Day Case Action Plan outlines the combined impact of HSE and National Treatment Purchase Fund (NTPF) activity in 2018. The Action Plan includes a focus on orthopaedic patients with 800 of the 20,000 NTPF funded procedures planned for patients requiring hip/knee replacements.

In 2018, under the Plan, all clinically suitable patients waiting over 9 months for a hip/knee replacement will be offered treatment this year.

Information provided by the NTPF (tables attached) set out (i) the Outpatient waiting list figures for patients awaiting an appointment to see an orthopaedic specialist/consultant at Letterkenny University Hospital; and (ii) waiting list figures for patients who have been placed on Inpatient/Daycase waiting list (post initial Outpatients consultation) for hip & knee replacements at Letterkenny University Hospital.

-

-

-

0-3 Months

3-6 Months

6-9 Months

9-12 Months

12-15 Months

15-18 Months

18+ Months

Grand Total

Revision of total arthroplasty of hip

1

1

2

1

5

Total arthroplasty of hip, unilateral

18

11

15

3

1

1

4

53

Total arthroplasty of knee, unilateral

20

8

6

2

1

2

4

43

Grand Total

39

19

22

7

2

3

9

101

The NTPF advise:

A hip/knee arthroplasty usually refers to a surgical replacement of the hip/knee joint with an artificial prosthesis.

A patient can be listed for one side i.e. a unilateral.

A patient can also be listed for a bilateral replacement i.e. the patient needs both hips replaced.

When a patient needs both hips replaced this can be done in a single hospital admission during one surgery i.e. the patient has only one anaesthetic (not all surgeons do this and not all patients are clinically suitable for this option), or the patient can be treated by carrying out two separate operations.

Hospital Waiting Lists Data

Questions (897)

Gerry Adams

Question:

897. Deputy Gerry Adams asked the Minister for Health if patients that have undergone bariatric surgery are entitled to a follow-up surgery to remove excess skin; the number of patients on the waiting list for assessment for skin removal surgery; the length of time they have been waiting; the number of patients that have been assessed and referred for this surgery awaiting treatment; the length of time they have been waiting; and if he will make a statement on the matter. [25507/18]

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Written answers

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.

Hospital Procedures

Questions (898)

Gerry Adams

Question:

898. Deputy Gerry Adams asked the Minister for Health the hospitals in which skin removal operations are carried out; and the medics who perform the procedure. [25508/18]

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Written answers

As this is a service matter, I have asked the Health Service Executive to respond to you directly, as soon as possible.

Hospital Procedures

Questions (899)

Gerry Adams

Question:

899. Deputy Gerry Adams asked the Minister for Health the number of operations for the removal of excess skin following bariatric surgery that have been carried out in each of the past five years; the number that were carried out to date in 2018; and the number scheduled for the remainder of 2018. [25509/18]

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Written answers

I have asked the Health Service Executive to respond to the Deputy directly.

Hospital Waiting Lists

Questions (900)

Gerry Adams

Question:

900. Deputy Gerry Adams asked the Minister for Health if it is HSE policy that patients requiring plastic surgery following cancer treatment are prioritised over patients requiring similar surgery following bariatric surgery. [25510/18]

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Written answers

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 the Deputy directly.

Public Health Policy

Questions (901)

Michael McGrath

Question:

901. Deputy Michael McGrath asked the Minister for Health his plans to carry out a baseline health study in the Cork Harbour area; and if he will make a statement on the matter. [25512/18]

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Written answers

This is a matter for the HSE therefore I have referred the question to the HSE for attention and direct reply.

Proposed Legislation

Questions (902, 938)

Niall Collins

Question:

902. Deputy Niall Collins asked the Minister for Health the status of the assisted human reproduction Bill; and if he will make a statement on the matter. [25513/18]

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Jan O'Sullivan

Question:

938. Deputy Jan O'Sullivan asked the Minister for Health if the proposed legislation on assisted human reproduction will be passed by the end of 2018; and if he will make a statement on the matter. [25643/18]

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Written answers

I propose to take Questions Nos. 902 and 938 together.

The Government approved the drafting of a Bill on assisted human reproduction (AHR) and associated areas of research in October last year. The General Scheme is published on my Department’s website. In addition, the Joint Committee on Health is currently conducting a review of the General Scheme of the Assisted Human Reproduction Bill 2017 as part of the pre-legislative scrutiny process, which began in January of this year.  

The introduction of legislation in relation to AHR and associated research is a priority for me and officials in my Department are engaging with the Office of the Attorney General in relation to the process of drafting this Bill. However, it is not possible at this time to give a definitive timeline for the completion of the draft Bill and its subsequent passage through the Houses of the Oireachtas.

Patient Deaths

Questions (903)

Niall Collins

Question:

903. Deputy Niall Collins asked the Minister for Health the number of deaths which have occurred in the University Limerick Hospital, Dooradoyle, County Limerick while the patient was undergoing a procedure in each of the years 2010 to 2017 and to date in 2018; and if he will make a statement on the matter. [25514/18]

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Written answers

As this is a service issue, I have asked the HSE to reply to you directly.

Medical Negligence Cases

Questions (904, 905)

Niall Collins

Question:

904. Deputy Niall Collins asked the Minister for Health the number of medical negligence legal actions taken against the State, him and individual medical or nursing staff who were or are based at the University Hospital Limerick, Dooradoyle, County Limerick in each of the years 2010 to 2017 and to date in 2018; and if he will make a statement on the matter. [25515/18]

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Niall Collins

Question:

905. Deputy Niall Collins asked the Minister for Health the number of medical negligence legal actions taken against the State, the Minister for Health and individual medical or nursing staff who were or are based at the University Hospital Limerick, Dooradoyle, County Limerick in each of the years 2010 to 2017 and to date in 2018; and if he will make a statement on the matter. [25516/18]

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Written answers

I propose to take Questions Nos. 904 and 905 together.

The management of clinical negligence claims arising from the diagnosis, treatment and care of patients in public healthcare enterprises is delegated to the State Claims Agency which has a statutory mandate to investigate and manage these cases to completion.

My officials have been advised by the Agency that it publishes risk and claims data at a national level and at a location level in an anonymised manner. This is to support the Agency's risk management objective to implement targeted personal injury and property damage risk work programmes to mitigate litigation risk in State authorities and healthcare enterprises, in order to reduce the costs of future litigation against the State.

The Agency does not release data pertaining to an individual location as it has the potential of identifying sensitive information relating to an individual. Also, such information can be taken out of context and may lead to an adverse impact on incident reporting rates within these locations. The Agency proactively supports the increase in incident reporting by a healthcare service as it is considered to be indicative of the development of a strong patient safety culture.

Hospital Waiting Lists

Questions (906)

Peadar Tóibín

Question:

906. Deputy Peadar Tóibín asked the Minister for Health further to Parliamentary Question No. 771 of 17 April 2018, the number of persons on the ENT waiting list at the Mater Hospital; the length of time they have been waiting; and the number waiting for treatment in each consecutive month [25517/18]

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Written answers

Improving waiting times for hospital procedures is a key commitment in the Programme for Government and in 2018 €50 million was allocated to the NTPF to provide treatment for patients.

The recently launched Inpatient/Day Case Action Plan outlines the combined impact of HSE and National Treatment Purchase Fund (NTPF) activity in 2018. Under the Plan, the NTPF will provide 20,000 treatments across a range of specialties and procedures. This will include provision of treatment to 1,200 patients requiring tonsillectomies.

In 2018, under the Plan, all clinically suitable patients waiting over 9 months for a tonsillectomy will be offered treatment this year.

Furthermore, the HSE is working with the NTPF and the Department of Health to finalise an Outpatient Waiting List Action Plan which will focus on improving overall use of resources and ensuring timely access to treatment and care for our patients.

The latest NTPF figures show that there are 353 patients on the active Inpatient/Daycase waiting list for ENT at the Mater Hospital, and of these 67% are waiting 9 months or less. The Outpatient waiting list for ENT for the Mater Hospital shows 3064 patients waiting and of these 51% of patients are waiting 9 months or less. The tables below provide a further breakdown of Mater Hospital ENT waiting lists.

Mater Misericordiae University Hospital – ENT Inpatient/Day Case Waiting List

Total

0-3 Months

3-6 Months

6-9 Months

9-12 Months

12-15 Months

15-18 Months

Total 18+ Months

353

111

76

49

40

28

26

23

Mater Misericordiae University Hospital – ENT Outpatient Waiting List

Total

0-3 Months

3-6 Months

6-9 Months

9-12 Months

12-15 Months

15-18 Months

Total 18+ Months

3064

663

463

439

419

361

320

399

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