Hospital Waiting Lists

Wednesday, 19 January 2022

Questions (1911)

Michael McNamara

Question:

1911. Deputy Michael McNamara asked the Minister for Health the number of persons waiting on hip and or knee surgery and cataract surgery in counties Clare, Limerick and Tipperary; and if he will make a statement on the matter. [2420/22]

View answer

Written answers

Minister for Health

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Delta and Omicron variants.

At present the acute hospital system is prioritising unscheduled Covid-19 care and urgent time-sensitive work. The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

In addition, the Department of Health, the HSE and the NTPF 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.

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. The €250 million will be used to fund additional activity in both the public and private sectors. The €50 million additional funding provided to the NTPF brings its total allocation for 2022 to €150 million, and as a consequence there will be a budget of €350 million available to support vital initiatives to improve access to acute hospitals and community health services.

The information requested by the Deputy is outlined in the attached document. This information shows the number of patients on the Inpatient & Daycase (IPDC) waiting list for hip, knee and cataract surgery by area of residence in counties Clare, Limerick and Tipperary.

In patient day-case (IPDC) Hip/Knee/Cataract Waiters as of 23/12/2021 in counties Clare, Limerick and Tipperary

Time bands (Months)	0-3 Months	3-6 Months	6-9 Months	9-12 Months	12-15 Months	15-18 Months	18+ Months	Grand Total
Clare	83	48	38	17	10			196
Cataracts	59	29	11	17	10			126
Hip	17	10	16					43
Knee	7	9	11					27
Limerick	167	83	50	25	19	5	13	362
Cataracts	104	46	19	25	19	5	13	231
Hip	36	21	17					74
Knee	27	16	14					57
Small Volume Areas				6	7	11	13	37
Hip					5		6	11
Knee						5		5
Small Volume Procedures				6	2	6	7	21
Tipperary	140	59	27	12	16		25	279
Cataracts	93	36	14	12	16		25	196
Hip	30	8	8					46
Knee	17	15	5					37
Grand Total	390	190	115	60	52	16	51	874

Statistical Disclosure Control (SDC) techniques have been applied to the data to preserve confidentiality and mitigate against identification or self-identification of individuals. In cases where there are less than 5 people in any particular cell, we have replaced that value with the average (mean) of all values that are less than 5 across that category. Any decimal values which arise have then been rounded. This may cause some rounding to occur when calculating sub-totals. Where there are <20 patients waiting in a particular specialty/hospital, we have aggregated the numbers under a ‘Small Volume’ heading.