Róisín Shortall
Question:123. Deputy Róisín Shortall asked the Minister for Health if he will respond to correspondence from a group (details supplied); and if he will agree to its request for a meeting. [6777/22]
View answerWednesday, 9 February 2022
Questions (123)
Written answers
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. I remain committed to working to reduce waiting times for patients.
Children with a range of needs rely on the orthopaedic service of Children’s Health Ireland, for example children with Spina Bifida, hip deformity, and other orthopaedic needs. The complex patient needs of these children remains at the forefront of service provision.
I remain acutely aware of the need to improve access to orthopaedic patients, particularly for those patients with acute medical needs. On the 7th February 2022, I met with senior officials of Children’s Heath Ireland (CHI) and the HSE, as well as senior orthopaedic clinicians from Temple Street, Crumlin and Cappagh, to discuss increased orthopaedic activity at CHI and additional activity levels which will work to reduce the number of children waiting for spinal orthopaedic procedures including Spina Bifida, by year end.
My Department continues to work with the HSE and Children’s Health Ireland to deliver improved paediatric orthopaedic services. 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. The posts relate to the multi-disciplinary team at diagnosis, pre-assessment, during surgery in theatre, and post operatively.
More specifically, in order to tackle waiting lists for scoliosis, and orthopaedic paediatric surgery more broadly, an additional €5 million has recently been committed to improve access, including through additional theatre and diagnostic capacity to be brought on stream this year.
Children’s Health Ireland continue to examine new and innovative ways to improve access to orthopaedic services. “Cappagh Kids” at the National Orthopaedic Hospital at Cappagh provides additional theatre capacity for non-complex, age appropriate, orthopaedic procedures, freeing up much needed space at central CHI sites for children with complex, multi-disciplinary needs. Additional orthopaedic outpatient sessions are also now held at Cappagh, providing additional capacity to see and assess children on the outpatient waiting list.
In addition, a new fast-track orthopaedic pathway has been developed as part of outpatient reduction plans. Paediatric Active Clinical Triage has already been introduced for the longest waiters (over 12 months) on the paediatric outpatient list.
More broadly, improving waiting times for hospital appointments and procedures remains a commitment of this Government. For 2022 an additional allocation of €250 million, comprised of €200 million to the HSE and €50 million to the National Treatment Purchase Fund (NTPF) 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.
In addition, my Department, 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 my Department and includes representatives from the HSE and National Treatment Purchase Fund.