I acknowledge that waiting times for many hospital procedures and appointments are unacceptably long. It is of particular regret that children can experience long waiting times for orthopaedic treatment, especially for time sensitive procedures, and I remain acutely aware of the impact that this has on children and their families.
As part of Children’s Health Ireland’s (CHI) paediatric orthopaedic service, most complex orthopaedic cases are treated at Crumlin and Temple Street, with Crumlin providing specialised multi-disciplinary treatment for the most complex patients. The National Orthopaedic Hospital at Cappagh provides additional capacity for the treatment of less complex orthopaedic patients, including routine scoliosis procedures. By using the capacity provided by Cappagh, CHI can free up space in order that complex orthopaedic procedures can be carried out centrally at CHI sites.
More specifically, additional theatre capacity at the National Orthopaedic Hospital Cappagh commenced on the 26 April 2021 for daycase surgery. CHI has advised the Department of Health that this should result in a positive impact in reducing long waiting times for general orthopaedics, in addition to consequential capacity gains for scoliosis patients. In 2022 CHI is planning to undertake a range of inpatient, daycase and outpatient orthopaedic appointments in Cappagh.
In 2018 Children’s Health Ireland was provided with an additional €9 million in funding to address paediatric orthopaedic waiting lists, including the provision of scoliosis services. This funding is recurring and has been provided in the base HSE allocation each year since 2018. The additional funding supported the recruitment of approximately 60 WTEs in 2018 and 2019 to enable the expansion of paediatric orthopaedic services.
Funding proposals submitted to the HSE by Children’s Health Ireland for increased investment in paediatric orthopaedic services in 2022 will be decided as part of the finalisation of the Waiting List Action Plan 2022. In addition, the HSE has advised my Department that a proposal to fund an additional theatre at Temple Street is currently progressing through the normal HSE capital approval process.
Improving access to scheduled care capacity remains a priority for the Department of Health as work continues to finalise next years’ Waiting List Action Plan. For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund has been provided in respect of work to reduce hospital and community waiting lists.
In addition, my Department, the HSE and the National Treatment Purchase Fund are also working on a Multi Annual Waiting List Plan to bring waiting lists in line with Sláintecare targets over the coming years. This process will be overseen by a Ministerial Taskforce, chaired by the Secretary General of the Department of Health and includes representatives from the HSE and National Treatment Purchase Fund.