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Dáil Éireann díospóireacht -
Wednesday, 15 Nov 1995

Vol. 458 No. 3

Adjournment Debate. - Waiting List for Orthopaedic Procedures.

Ba mhaith liom leithscéal a ghabháil as ucht an mhoill a bhí orm teacht anseo tráthnóna. Sé an chéad uair a tharla sé agus tá mé ag ceapadh go bhfuil barúil ag an Aire Stáit céard a tharla dom. Rinne mé dearmad ar an am ach oíche áirithe atá ann anocht. Ba mhaith liom buíochas a ghlacadh leis an Aire Stáit as ucht teacht isteach agus éisteacht leis an gcás atá mé chun a dhéanamh. Cuireann sé uafás orm go bhfuil orm teacht i láthair na Dála leis an gceist seo a ardú. Is scannal é go mbíonn ar dhaoine fanacht ceithre bliana, ní le haghaidh obráid ach fiú le haghaidh measúnú a fháil déanta an gá go gcuirfí obráid orthu. Tá mé ag iarraidh ar an Aire Stáit anois rud éigin a dhéanamh faoi seo. Beidh mé ag éisteacht go géar leis an rud atá le rá aige.

I have heard much from the Minister and his predecessor about the waiting list initiative. In reply to a Dáil question I put down on 25 May the Minister boasted about it. However, the waiting lists for orthopaedic operations are masked by the fact that it takes four years for a person to be assessed for orthopaedic treatment. In his reply on 25 May the Minister said the patient about whom I inquired was placed on the out-patient waiting list on 4 March 1994 and should be called for an assessment within the next four years. In other words, a person suffering severe pain could have to wait up to four years for assessment for an orthopaedic procedure. That is clearly intolerable.

Patients waiting for assessment for orthopaedic operations are often in severe pain. All they get from the health board is a standard reply that an assessment cannot be carried out. They are normally told that if their condition deteriorates they should get another letter from their doctor. It is obvious that people who have already been sent by the general practitioner for assessment must be in need of orthopaedic treatment and are suffering pain. It has been suggested that the answer to the problem is for people to queue jump on the basis of deteriorating condition, but that would obviously mean somebody else will go down the list. The solution to this problem obviously does not lie in such an approach. Finance must be provided so that everybody referred to a consultant for assessment is seen within a reasonable period.

There is a need for an urgent crash programme of assessment in the Western Health Board area. I accept the logical and inevitable result of such a programme would be to increase the waiting list for procedures. That would bring to the surface the extent of the underlying problem, which at present is masked by false statistics. I call on the Minister to show compassion for the large number of people in the Western Health Board area who are in severe pain due to the failure to provide adequate funding for orthopaedic assessments and procedures. Where serious pain is involved, it is unacceptable that lack of resources is used as an excuse. Resources are found for many purposes and the State should provide adequate resources to ensure people are not left in severe pain. I hope the Minister will have good news and that he will address this matter with the urgency it deserves.

Arís mo leithscéal gan a bheith anseo ar leath-uair taréis a hocht.

Ba mhaith liom mo bhuíochas a chur in iúl don Teachta an ucht an t-ábhar tábhachtach seo a chur os comhair na Dála agus seans a thabhairt domsa cur-síos a dhéanamh ar an scéal mar atá sé agus ar an bhfealhas atá á chur i gcríoch.

I thank the Deputy for raising this important issue and providing this opportunity to discuss the work which has been under way to reduce waiting times for hospital treatment. The Government has committed £8 million in 1995 to continue to reduce waiting times in a number of target specialties where such times are considered excessive. Since the waiting list initiative commenced in 1993 a total of £38 million has been provided to tackle long waiting lists.

It may interest the Deputy to know that one of the specialties targeted for attention over the past three years is orthopaedics and a sum in excess of £10 million has been provided over the last three years to increase orthopaedic activity. Almost 5,000 patients have already received treatment as a result of this funding and an additional 1,785 inpatients and 700 out-patients will be treated this year.

When the waiting list initiative commenced in June 1993, there were a total of 6,975 people on orthopaedic waiting lists. Of these 3,186 had been waiting for a period in excess of 12 months. By the end of September 1995, the numbers waiting for orthopaedic procedures had been reduced by 1,258 or 18 per cent. The numbers waiting in excess of 12 months have been reduced by 670 which represents a decrease of 21 per cent.

These figures indicate that the waiting list initiative has resulted in higher levels of activity and shorter waiting times for the individual patient.

It has been recognised that improvements to orthopaedic services in the Western Health Board area are required. I welcome this opportunity to inform the House of some of the measures taken to alleviate the hardship currently experienced by some orthopaedic patients in that region.

The House will be aware that under the 1995 waiting list initiative, a total of £709,097 has been allocated to the Western Health Board which includes funding for the provision of an additional 235 inpatient orthopaedic operations. This will bring the total number of orthopaedic operations planned by the Western Health Board in 1995 to 789, and current levels of activity suggest that this target may actually be exceeded. Also included in the waiting list allocation is funding for an additional 300 outpatient appointments which should raise the number of outpatient attendances this year in the west to 3,688.

The commitment to the long-term expansion of orthopaedic services in the west is reflected in the allocation of a further £70,000 in 1995 to the Western Health Board to enable the board to continue with the development in orthopaedics currently under way at Merlin Park Regional Hospital. A sum of £400,000 has been allocated to the board in 1994 for this development which makes provision for two clean air theatres with the necessary additional staffing which includes two consultants. The Deputy will be pleased to know that the new consultant orthopaedic surgeon will take up duty shortly, and the additional outpatient cover that this post will provide will help reduce overall waiting times for outpatients.

Furthermore, many of us have been aware in recent years that a sizeable number of patients from Mayo who require orthopaedic surgery are obliged to travel long distances for treatment, either to Galway or other regional centres. I am happy to report that approval has been given for the provision of an orthopaedic unit in phase 2 of Mayo General Hospital. This planned development, which will consist of a 33 bed unit and one clean air theatre, will greatly enhance the present range of health services available to the people of that county and enable the Western Health Board to carry out 1,000 orthopaedic operations annually and assess 1,400 new patients at outpatient clinics.

The developments I have outlined will greatly alleviate the hardship currently experienced by orthopaedic patients in that area and are tangible evidence of a strong commitment to the continued improvement of orthopaedic services in the west.

The Dáil adjourned at 9.15 p.m. until 10.30 a.m. on Thursday, 16 November 1995.

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