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Dáil Éireann díospóireacht -
Wednesday, 15 Oct 1997

Vol. 481 No. 5

Adjournment Debate. - Hospital Staffing.

The upgrading of the Accident and Emergency and Out-Patients Departments, medical records, day ward, Endoscopy and Radiology units at Mullingar General Hospital must be given priority. The State has already invested £11 million of taxpayers' money in providing an extension for these units, to furnish and equip them. The public, through a very active local committee, raised hundreds of thousands of pounds to purchase a CAT scan for this hospital which, with other equipment, remains unused because of insufficient staff for their operation. A full complement of 80 staff, comprised of nurses, doctors, registrars, attendants and so on is required at a total cost to the Exchequer of approximately £1.5 million to upgrade the service at present available to the public.

A service is currently being provided in that area in the most appalling conditions, with the Accident and Emergency and Radiology Departments housed in pre-fab buildings constructed in 1968 which have long since passed their functional sell-by date. The staff providing this service must be commended on tolerating the poor facilities and their terrible working conditions.

Progress must be made immediately. There is need for immediate sanction of this staffing complement to bring these services on stream, thereby maximising taxpayers' investment by utilising the £11 million already allocated and to protect the radiology equipment, already installed, from deteriorating if not brought into service fairly quickly.

The Minister for Health and Children told us last week in reply to a parliamentary question that this matter would be considered in the preparation of the 1998 Estimates. I am glad that the Minister for Public Enterprise, Deputy O'Rourke, is present since this hospital is located in her constituency and I know the interest she will take in it.

I ask the Minister to use considerable force at the Cabinet table to ensure that the staff complement for this hospital is sanctioned immediately so that the services so badly needed in the area can be provided for the people of Westmeath and Longford.

I thank Deputy McGrath for allowing me to contribute on this issue of extreme importance to the people of Westmeath and Longford. I am also glad that the Minister for Public Enterprise is present to take note of what we say.

I cannot over-emphasise to the Minister for Health and Children the importance of providing the requisite staff to allow the important new facilities within phase 2A of this hospital development to be opened. I recall urging my party colleague, Deputy Howlin, as Minister for Health, to give the go-ahead to this development. Indeed I was delighted he provided the first tranche of funds amounting to £5.5 million for that purpose carried on by his successor, the outgoing Minister for Health, Deputy Michael Noonan. As Deputy McGrath said, a total of approximately £11 million has been expended, phase 2A has been completed and handed over to the Midland Health Board on 30 July 1996.

It is appropriate that we should discuss this matter since the local papers this evening carry a huge headline reading "Three million pounds in medical equipment lies idle in Mullingar General Hospital", approximately £300,000 of which was raised locally for the purchase of a CAT scan.

Yet the fully equipped X-ray, Casualty, Accident and Emergency and day bed units remain unopened, forcing the Midland Health Board to spend huge amounts of time and money maintaining old equipment in those old departments described by Deputy McGrath costing nearly as much as its replacement.

Surely it is incumbent on the Department of Health and Children not merely to provide the necessary buildings and infrastructure urgently required in the Mullingar area, because of the dilapidated nature of the structures staff and patients have to contend with, but also to ensure the necessary finance is provided for the immediate recruitment of the requisite staff at all levels to enable these units to be opened.

Indeed the current position never should have arisen but did as a consequence of downright bad planning. Staff must be provided simultaneously with the completion of building such units. The ordinary people of Mullingar are asking the reason for the delay. It is difficult for me or any other Member to inform them that it is occasioned by a lack of financial resources at a time when the Exchequer is awash with funds. What better place to begin the process of equitable economic distribution than allocating sufficient funds to permit the recruitment of the full staffing complement to allow phase 2A of this hospital to be opened? Those staffing requirements amount to a total of 81 at a cost of approximately £1.6 million, which includes those required for the X-ray, Accident and Emergency, Out-Patients, day bed unit and Endoscopy suite in addition to a third consultant surgeon.

It is my understanding that all the necessary extra equipment has been installed, the guarantees on which have commenced. The Minister will be well aware that radiology equipment, if not used, deteriorates and that the most expensive part of an X-ray machine is the X-ray tube which deteriorates most quickly. These units cost £30,000 to £40,000 each with the result that tube failure due to prolonged non-usage is very expensive.

Existing staff find the overall position extraordinary, having been of the view that because of the dilapidated state of the old pre-fab buildings, when the extension was completed, they could move in immediately. The general public is perplexed. If the opening process is to begin in January next funds need to be committed for that purpose immediately.

I understand proposals were advanced recently to break the deadlock to permit the new services to start along with the CAT scan, mammography and digital screening units. It is also my understanding that there has been a trial run of the CAT scan but that this facility cannot be made available to the public until the necessary staff are provided.

I had hoped the Minister for Health and Children would be present. I am glad that there is this representation of Members from the midlands who know how important these services are to the people of the area, who know also that this is not an effort to politicise the issue. We urgently require those funds to allow phase 2A to commence.

It was not provided in 1997.

I thank Deputies McGrath and Penrose for raising this matter and am glad their constituency colleague, the Minister for Enterprise, Deputy O'Rourke, who initiated the overall project, is also present.

I shall avail of the opportunity to set out the position with regard to the Longford-Westmeath General Hospital in Mullingar, the building of phase 2A of which development has been completed and is ready for use comprising a new X-ray, Accident and Emergency and Out-Patients Departments and medical records in addition to a new main entrance.

My Department has been in discussion for some time past with the Midland Health Board — at the instigation of the Minister for Enterprise — on how best to commission phase 2A. Due to the size and improved lay-out of the development and its expected increased usage, the Midland Health Board estimates it will require an additional 80 staff at an annual cost of £1.5 million to have these facilities fully operational. Indeed when other running costs are taken into account it is expected the facility will cost up to £2.5 million per annum.

Some progress has been made in bringing these new facilities into use. For example, the existing Out-Patients' Department was relocated in the new building at the end of 1996 using two of the four new OPD suites and, since then, medical records staff have been providing services to the out-patient clinics from the new building.

As a first step it may be possible to extend the use of the Out-Patients Department but it is clear that some units must be opened simultaneously, particularly the Accident and Emergency and X-ray Departments. I am sure Members are aware that no money was set aside by the outgoing Government in l997 to allow the commissioning of any portion of that development this year. While there is great anxiety expressed by Opposition Members at present, that is the essential point to be borne in mind. Discussions on how best to commission these facilities continue between the Department and a group representing management and staff at the hospital.

I am concerned that these new facilities should become operational as soon as possible and assure Members that every effort will be made to achieve that objective. To that end the Department sought funds for new developments in 1998 as part of the 1998 Estimates process, among the key items being the commissioning of phase 2A at this hospital for which funds have been sought. Indeed the Minister for Enterprise has been requesting that these facilities be opened as soon as possible.

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