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Tuesday, 22 Feb 2022

Written Answers Nos. 671-690

Hospital Services

Questions (671)

Seán Haughey

Question:

671. Deputy Seán Haughey asked the Minister for Health if he is satisfied with the decision making process undertaken in respect of the announcement to locate the central trauma network’s major trauma centre at the Mater Hospital, Dublin; if this designation process followed the public consultation document issued prior to the decision being made; if he has considered the concerns raised by neurosurgeons at the National Neurosurgical Centre at Beaumont Hospital regarding this process and the final decision; and if he will make a statement on the matter. [9112/22]

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Written answers

The National Trauma Strategy, A Trauma System for Ireland, published in February 2018, recommended the introduction of an inclusive trauma system, that will be delivered by two regional networks, each with a Major Trauma Centre that is linked to a number of Trauma Units. Services will be networked and co-ordinated along standardised pathways to ensure that the right care is delivered in the right place at the right time.

The Health Service Executive (HSE) undertook a clear and objective process to inform the designation of the Mater Hospital as the MTC for the Central Network, including appointing an Independent Assessment Panel, and a public consultation process.

Following an extremely robust process, the Independent Assessment Panel considered that the Mater Hospital had the most potential to become a MTC in terms of current capacity, specialist services already on site, the potential for expansion and its commitment to the implementation of the Trauma Strategy. The Mater Hospital was designated as the MTC for the Central Trauma Network by Government in April 2021.

The National Office for Trauma Services continues to engage stakeholders in the RCSI Hospital Group, Ireland East Hospital Group, National Neurosurgical Centre (NNC) at Beaumont Hospital and the Mater Hospital regarding the provision of neurosurgical services in the MTC at the Mater Hospital.

The National Office for Trauma Services has advised that a meeting was held in December 2021 between senior clinicians from the Mater Hospital and the NNC at Beaumont Hospital, to develop a clinical model of care for neurotrauma in the MTC. A Clinical Advisory Group has been established to progress an integrated model of care for neurotrauma / neurocritical care services for the MTC, involving collaboration between the MTC at the Mater Hospital and the NNC at Beaumont Hospital. The National Office for Trauma Services has advised that this development has been approved by the Trauma System Implementation Programme Steering Group.

Medical Cards

Questions (672)

Bernard Durkan

Question:

672. Deputy Bernard J. Durkan asked the Minister for Health if he will review an application for a medical card in the case of a person (details supplied); if consideration will be given towards granting a discretionary medical card given the health circumstances of the applicant; and if he will make a statement on the matter. [9119/22]

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Written answers

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

Health Services Staff

Questions (673)

Aengus Ó Snodaigh

Question:

673. Deputy Aengus Ó Snodaigh asked the Minister for Health if his attention has been drawn to the urgent need for more acute and community-based podiatrists to help tackle diabetes in communities and to reduce the number of persons having limbs amputated and being hospitalised with foot ulcers as a result of diabetes; and if he will make a statement on the matter. [9120/22]

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Written answers

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

Disease Management

Questions (674)

Aengus Ó Snodaigh

Question:

674. Deputy Aengus Ó Snodaigh asked the Minister for Health if his attention has been drawn to the fact that a person with diabetes is 22 times more likely to undergo a non-traumatic lower limb amputation than an individual without diabetes (details supplied); and if he will make a statement on the matter. [9121/22]

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Written answers

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

Health Services Staff

Questions (675)

Peadar Tóibín

Question:

675. Deputy Peadar Tóibín asked the Minister for Health his plans to address the podiatry staff shortages in local HSE acute and community services; if he will provide an update on plans for improving podiatry services for patients in County Meath and nationally in line with the HSE Model of Care for the Diabetic Foot. [9123/22]

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Written answers

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

Ambulance Service

Questions (676)

Rose Conway-Walsh

Question:

676. Deputy Rose Conway-Walsh asked the Minister for Health the number of fully qualified paramedics and other ambulance staff with a degree in paramedic science; the number recruited with a diploma in emergency medical science from the National Ambulance Service since 2011; and if he will make a statement on the matter. [9133/22]

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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.

Primary Care Centres

Questions (677)

Mark Ward

Question:

677. Deputy Mark Ward asked the Minister for Health the status of a primary healthcare centre in the Lucan and Adamstown areas of Dublin; and if he will make a statement on the matter. [9135/22]

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Written answers

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

Covid-19 Pandemic Supports

Questions (678)

Richard Bruton

Question:

678. Deputy Richard Bruton asked the Minister for Health if contracted paramedics from outside the HSE who worked on the hospital wards and were exposed to the same daily risk as hospital staff will be entitled to the €1,000 pandemic payment. [9142/22]

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Written answers

Firstly I would like to extend my sincere gratitude to all healthcare workers for their efforts during this most challenging period.

In recognition of the efforts of the general public, volunteers and all workers during the COVID-19 pandemic and in remembrance of people who lost their lives due to the COVID-19 pandemic, on Wednesday 19 January, the Government announced a once-off public holiday will take place on Friday 18 March 2022.

The Government also announced COVID-19 recognition payment for frontline public sector healthcare workers, to recognise their unique role during the pandemic. The payment of €1,000 will not be subject to income tax, USC, or PRSI. The measure will be ring fenced to staff ordinarily onsite in COVID-19 exposed healthcare environments within the period between 1 March 2020 and 30 June 2021.

Those public sector frontline healthcare workers eligible for the payment will be directly employed public health sector staff working in clinical settings. A pro-rata arrangement will apply for eligible part time staff / equivalents and supernumerary students who were required to perform training in clinical sites.

The Department of Health will also introduce a measure for making a similar payment to staff in private sector nursing homes and hospices that were affected by Covid-19.

The Department and the HSE are currently engaging in finalising arrangements to give effect to the Government announcement concerning the Recognition Payment. Full particulars, eligibility and terms and conditions that apply to this payment shall be made available shortly.

It is important that this measure is applied fairly as intended and I welcome the work that is ongoing to ensure this is so.

Health Services Staff

Questions (679)

Marc Ó Cathasaigh

Question:

679. Deputy Marc Ó Cathasaigh asked the Minister for Health the number of podiatrists recruited under each HSE acute and community service; the number of podiatrists recruited by county in the past three years in tabular form; and if he will make a statement on the matter. [9148/22]

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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.

Disease Management

Questions (680)

Marc Ó Cathasaigh

Question:

680. Deputy Marc Ó Cathasaigh asked the Minister for Health the position regarding the improvement of podiatrist services for people with diabetes both nationally and within each county, in tabular form; and if he will make a statement on the matter. [9149/22]

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Written answers

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

Medical Aids and Appliances

Questions (681)

Cormac Devlin

Question:

681. Deputy Cormac Devlin asked the Minister for Health the number of authorised continuous glucose monitors (details supplied) broken down by CHO and LHO for patients aged under 21 and over 21 years of age, respectively, in tabular form; and if he will make a statement on the matter. [9168/22]

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Written answers

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

Medical Aids and Appliances

Questions (682)

Cormac Devlin

Question:

682. Deputy Cormac Devlin asked the Minister for Health the details of the authorisation of the FreeStyle Libre flash glucose monitor by CHO and LHO to patients aged under 21 and over 21 years of age, respectively, in tabular form; and if he will make a statement on the matter. [9169/22]

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Written answers

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

Health Services

Questions (683)

Cormac Devlin

Question:

683. Deputy Cormac Devlin asked the Minister for Health if his attention has been drawn to the case of a person (details supplied); and if he will make a statement on the matter. [9170/22]

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Written answers

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

Health Services

Questions (684)

Cormac Devlin

Question:

684. Deputy Cormac Devlin asked the Minister for Health the status of plans for improving podiatry services for persons with diabetes in CHO6; and if he will make a statement on the matter. [9175/22]

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Written answers

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

Hospital Services

Questions (685)

Johnny Guirke

Question:

685. Deputy Johnny Guirke asked the Minister for Health the number of persons who attended a rapid access lung clinic for a diagnostic test in each month from January 2018 to date; the percentage of these appointments that were seen within the recommended timeframe; and if he will make a statement on the matter. [9176/22]

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Written answers

The National Action Plan on Covid-19 identified the continued provision of cancer care as a priority. Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP).

The performance of each Hospital in meeting target times for rapid access clinic (RAC) appointments is monitored by the NCCP and reviewed at monthly meetings with the Department of Health - with the latest KPI data and RAC attendance figures being available up to December 2021.

The attendances across all Rapid Access Lung Clinics, and the percentage of these appointments seen within the timeframe recommended under the KPI, is as follows for 2018-2021:

lungclinic

Attendances at rapid access lung clinics in 2021 were at 102% of 2019 (pre-covid) levels.

The Government has provided significant extra funding for cancer services in Ireland. Funding of €5m has been provided in 2022 to continue the work of supporting cancer services and increasing capacity in the context of Covid-19. This is in addition to the €12m allocated in 2021. This funding is facilitating additional clinics and the extension of clinic times, as well as allowing for minor infrastructural works to be carried out and for locum and temporary staff to be recruited to support the delivery of services.

Hospital Services

Questions (686)

Johnny Guirke

Question:

686. Deputy Johnny Guirke asked the Minister for Health the number of persons who received a diagnostic test at a rapid access lung clinic in each of the years 2018 to 2020; and the percentage of these patients who received a diagnosis of cancer in tabular form. [9177/22]

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Written answers

The number of attendances across all Rapid Access Lung Clinics, and the percentage of these appointments in which a patient received a diagnosis of cancer, is as follows for 2018-2020.

2018

2019

2020

Attendances

3,592

3,602

3,304

% resulting in cancer diagnosis

29.0%

36.4%

38.0%

Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP). The NCCP is continuing to closely monitor trends in numbers coming forward to diagnostic services, and the level of attendances for appointments for treatment.

Hospital Services

Questions (687)

Johnny Guirke

Question:

687. Deputy Johnny Guirke asked the Minister for Health the number of persons who attended a rapid access prostate clinic for a diagnostic test in each month from January 2018 to date; the percentage of these appointments that were seen within the recommended timeframe; and if he will make a statement on the matter. [9178/22]

View answer

Written answers

The National Action Plan on Covid-19 identified the continued provision of cancer care as a priority. Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP).

The performance of each Hospital in meeting target times for rapid access clinic (RAC) appointments is monitored by the NCCP and reviewed at monthly meetings with the Department of Health - with the latest KPI data and RAC attendance figures being available up to December 2021.

The attendances across all Rapid Access Prostate Clinics, and the percentage of these appointments seen within the timeframe recommended under the KPI (90% within 20 days of referral), is as follows for 2018-2021.

Attendance at rapid access prostate clinics

Attendances at rapid access prostate clinics in 2021 were at 95% of 2019 (pre-covid) levels.

The Government has provided significant extra funding for cancer services in Ireland. Funding of €5m has been provided in 2022 to continue the work of supporting cancer services and increasing capacity in the context of Covid-19. This is in addition to the €12m allocated in 2021. This funding is facilitating additional clinics and the extension of clinic times, as well as allowing for minor infrastructural works to be carried out and for locum and temporary staff to be recruited to support the delivery of services.

Hospital Services

Questions (688)

Johnny Guirke

Question:

688. Deputy Johnny Guirke asked the Minister for Health the number of persons who received a diagnostic test at a rapid access prostate clinic in each of the years 2018 to 2020; and the percentage of these patients who received a diagnosis of cancer in tabular form. [9179/22]

View answer

Written answers

The number of attendances across all Rapid Access Prostate Clinics, and the percentage of these appointments in which a patient received a diagnosis of cancer, is as follows for 2018-2020.

RACs

2018

2019

2020

Attendances

3,356

3,818

3,036

% resulting in cancer diagnosis

34.7%

34.5%

32.6%

Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP). The HSE's National Cancer Control Programme is continuing to closely monitor trends in numbers coming forward to diagnostic services, and the level of attendances for appointments for treatment.

Hospital Services

Questions (689)

Johnny Guirke

Question:

689. Deputy Johnny Guirke asked the Minister for Health the number of persons who attended a symptomatic breast disease clinic for a diagnostic test in each month from January 2018 to date; the percentage of these appointments that were seen within the recommended timeframe; and if he will make a statement on the matter. [9180/22]

View answer

Written answers

Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP). The performance of each Hospital in meeting target times for Rapid Access Clinic (RAC) appointments is monitored by the NCCP and reviewed at monthly meetings with the Department of Health - with the latest KPI data and RAC attendance figures being available up to December 2021.

The attendances across urgent Symptomatic Breast Disease Clinics, and the percentage of these appointments seen within the timeframe recommended under their respective KPI (95% within 10 days of referral), is as follows for 2018-2021:

Attended a breast disease clinic

It is important to note that 2021 attendances at urgent Symptomatic Breast Disease clinics were at 121% of 2019 (pre-Covid) levels.

The Government has provided significant extra funding for cancer services in Ireland. Funding of €5m has been provided in 2022 to continue the work of supporting cancer services and increasing capacity in the context of Covid-19. This is in addition to the €12m allocated in 2021. This funding is facilitating additional clinics and the extension of clinic times, as well as allowing for minor infrastructural works to be carried out and for locum and temporary staff to be recruited to support the delivery of services.

Hospital Services

Questions (690)

Johnny Guirke

Question:

690. Deputy Johnny Guirke asked the Minister for Health the number of persons who received a diagnostic test at a symptomatic breast disease clinic in each of the years 2018 to 2020; and the percentage of these patients who received a diagnosis of cancer in tabular form. [9181/22]

View answer

Written answers

The number of attendances whose referrals were triaged as urgent across all Symptomatic Breast Disease Clinics, and the percentage of these appointments in which a patient received a diagnosis of cancer, is as follows for 2018-2020.

-

2018

2019

2020

Attendances whose referrals were triaged as urgent

20,005

20,904

20,175

% of urgent attendances resulting in cancer diagnosis

10.20%

9.30%

9.70%

Cancer services continue to operate in line with guidance issued by the HSE's National Cancer Control Programme (NCCP). The NCCP is continuing to closely monitor trends in numbers coming forward to diagnostic services, and the level of attendances for appointments for treatment.

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