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Dáil Éireann díospóireacht -
Wednesday, 28 Apr 1993

Vol. 429 No. 7

Adjournment Debate. - CAT Scan Delay.

I would like to object to the way this matter is being treated by the Minister. If the Chair considers a matter to be of sufficient significance to be discussed on the Adjournment, the Minister should have the courtesy to attend or to ask the Minister of State at his Department to represent him. That is no reflection on my constituency colleague, Deputy Gerry O'Sullivan, Minister of State at the Department of the Marine. It is significant also that a script has been prepared in reply to what I will say. It is obvious that the prepared script that will be read is a report that has come from the Southern Health Board. The Minister's representative tonight is acting as a mouthpiece for the health board in responding to me. The response has been prepared even though the Minister, or his representative, does not know what I will say.

As a member of the health board I tried to resolve this matter locally and I regret having to raise it on the Adjournment this evening. A man aged 51 years saw a consultant in the Cork Regional Hospital on 29 March who adjudged his condition to warrant a CAT scan. This cannot be done until 2 June 1993. This man is in severe pain, at home in bed much of the time and when out of bed has to walk with the aid of a stick. I got the run around from the health board when I raised this case. I contacted the manager of the Cork Regional Hospital and I was told by the staff to ask his GP to write or phone them but when his secretary phoned the radiology department, she was told that she should not be wasting their time. That is the treatment I had from the department.

To make matters worse when I raised the matter publicly in The Cork Examiner a faceless spokesman, a PR person I presume, stated that my statements were at variance with the facts and that my comments were a slur on the staff of Cork Regional Hospital. The staff of Cork Regional Hospital are working under extreme pressure, and the lack of resources and pressures of work are putting them under extreme pressure. My comments were no slur on them. However, this is the type of activity that the health board engages in. I wonder if managements of health boards, and specifically the management of the Southern Health Board, are acting as apologists for Government policies? Are they covering up for the inadequacies in the services by employing professional PR people to rubbish claims made by health board members and public representatives? The public, and their representatives, deserve better treatment.

This is no reflection on my colleague, Deputy O'Sullivan. I have no doubt I will receive a reply which is the line being taken by the health board. May I ask the Minister to take an independent line and have the circumstances of this case investigated fully because this is only a symptom of what is happening to services in the Southern Health Board region?

There is a waiting list from two to four years for orthopaedic surgery. Indeed, I could spend all night speaking about the inadequacy of the services. The programme managers, and the manager of the hospital involved, should answer questions raised by public representatives rather than responding through professional PR consultants. They are being paid well to do the job and they should respond to valid complaints.

In this case, the man is a medical cardholder. Would he be treated differently if he was prepared to pay? I believe he would. That is a grave injustice and shows the inadequacies and defects at present and the way these inadequacies are being covered up on a daily basis.

At the outset I apologise again for the absence of my colleague who, unfortunately, cannot be present. I am glad to have the opportunity to outline the facts that have been given to the Department. The Adjournment Debate is all about ascertaining the facts and presenting them to the House. The facts are as presented to the House and if there is a change in the position Deputy Allen should inform me and I will put the matter to the Minister.

The Deputy will be aware that hospital appointments are scheduled having regard to medical criteria and the urgency attached to the case. The question of deciding on the urgency of a case is purely a medical matter. The Minister for Health had inquiries from the hospital authorities concerning this patient and received a report from them regarding the matter. The Minister would not normally consider it appropriate to discuss the medical details of individual patients but in view of the Deputy's evident concern, I propose on his behalf to outline the background to this case.

The hospital authorities have informed the Minister for Health that the patient's consultant requested a non-urgent CAT Scan from the radiology department on 31 March 1993. Accordingly, the patient was given an appointment date for 2 June 1993. I know that the Deputy would not wish to see a non-urgent appointment being given priority over other more pressing cases. If there were medical reasons indicating that the patient required an earlier appointment, it would be a matter for the consultant who requested the CAT Scan to contact the radiology department in this regard. It is, of course, also open to the patient's general practitioner to contact the consultant concerned to discuss any aspect of the appointment. If Deputy Allen is further concerned about this matter he should inform the Minister who has said he will be available to discuss the matter.

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