Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Dáil Éireann díospóireacht -
Thursday, 8 Oct 1998

Vol. 494 No. 6

Adjournment Debate. - Hospital Waiting Lists.

With respect to the Minister of State at the Department of Environment and Local Government, Deputy Molloy, I have grave reservations about the fact that less than an hour ago three Ministers from the Department of Health and Children were in the House and that not one of them will answer a major issue in relation to health care, namely, the waiting lists for acute hospital services. I do not wish to be disrespectful to the Minister of State, Deputy

Molloy, but it shows the level of disregard in the Department and it is shameful that no Health Minister will come to the House to reply to this extremely vital issue.

I thank the Chair for allowing me raise the scandal of the increased numbers on hospital waiting lists. In June 1997 tackling waiting lists was seen as a key priority commitment by the Government, yet there are now almost 35,000 waiting for treatment. There are well over 6,000 people waiting for orthopaedic treatment, for example, hip replacement operations. Children as well as adults are on waiting lists. People are waiting so long for treatment that some will die for want of it. Already 110 people waiting for heart by-pass operations have died.

One per cent of the population is on a hospital waiting list, an incredible feature of society. It is a devastating reality for the people concerned, particularly at a time when the economy is booming and the Exchequer is awash with money. This week alone, one consultant doctor in St. Vincent's Hospital had three patients with cancer of the pancreas and two with cancer of the liver but could not get any of them admitted for surgery. One of the patients has been awaiting treatment since July. The tumours from which these people suffer do not go away; the cancer grows and spreads and, without treatment, the life expectancy of these patients will be severely shortened. At a time of plenty, they cannot get treatment. That would not have been the case 25 years ago.

We know from the reply to a parliamentary question I tabled that 41 beds were closed in St. Vincent's Hospital this year for an average of eight weeks. That works out at approximately 300 bed nights. I am not singling out St. Vincent's for any particular reason; it is a random example selected to put some kind of human shape on the statistics. The extent of bed closures is frightening, particularly in view of the fact that the leaked report from the review group has cited hospital capacity as an obstacle to treatment for those who need it. Over the summer, more than 750 acute beds were closed in hospitals, not for maintenance or refurbishment but purely for budgetary reasons. This highlights more than anything the necessity for immediate investment to deal with the waiting lists.

I read with interest the leaked findings of the report commissioned by the Minister. It is regrettable that, in spite of all the media coverage, the report is still being withheld. As a first step to show his serious intent, I suggest the Minister publish this report immediately. We are all aware that the Minister alone cannot tackle the waiting lists. The service providers — the medical profession, hospitals and health boards — all have a part to play. By delaying publication of the report, the Minister is sending out the message that he is not really serious about tackling the lists and that this is not really a serious issue. That people will continue to suffer and die is a serious issue which demands a response from him. Otherwise, the public might suspect that the Minister and his Department have succumbed to some kind of political sleeping sickness of their own.

Will the Minister address the fact that £800 million will be available to the Government in the forthcoming budget? How will investment be allocated to deal with the acute hospital waiting lists which are growing daily as a result of Government inaction?

I am taking this Adjournment Debate on behalf of my colleague, the Minister for Health and Children. In response to the comments made by Deputy McManus earlier, it was common practice in the Government in which she participated for colleague Ministers to deal with Adjournment matters when it was not possible for them to be present in the House. I am surprised by her comments as I witnessed this practice being adhered to by the Deputy's own party when it was in Government.

The Minister for Health and Children is fully aware of Deputies' concerns regarding public waiting lists. However, a number of important points must be made to place this issue in context. Waiting lists are an international problem; they are not specific to Ireland alone. In common with many other countries, we must tackle waiting lists as an ongoing issue. The Minister strongly believes we must not lose sight of the importance of waiting times as opposed to waiting lists. A patient could be on a very short waiting list for a particular specialty but might have to wait a lengthy period before being treated. On the other hand, a patient may be seen quickly, even though the waiting list on which they appear may be relatively long. It is, therefore, the length of time a patient must wait on which the Minister is focusing his energies rather than concentrating solely on the absolute number of patients on the lists.

There were some positive developments in relation to waiting times in the figures for June of this year. In a number of specialties, the length of time patients had to wait for treatment decreased. For example, waiting times for adults requiring treatment in cardiac surgery, general surgery and urology fell between March and June of this year. Similarly, there were improvements in waiting times for children in cardiac surgery and ear, nose and throat procedures. Since taking office, the Government has been committed to addressing both waiting lists and waiting times. This year, the Minister allocated £12 million for waiting list work, some 50 per cent more than the previous Government allocated in 1997. He also ensured that the funds were issued to hospitals at the beginning of the year rather than in the middle of the year as had happened previously.

In April of this year, the Minister established a review group on the waiting list initiative. He asked the group to examine both the underlying causes of waiting lists and waiting times and how best the problems in these areas might be addressed. He received the review group's report in August and has assessed its recommendations. A key message from the report is that there are no quick-fix solutions to addressing waiting lists.

The contents of the report have been the subject of consultation by the Minister and his Department with the Department of Finance in the ongoing discussions on the Estimates for 1999. The Minister is confident that the co-ordinated, focused approach recommended by the review group will be successful.

I reiterate the Government's commitment to addressing waiting lists and waiting times. We will introduce initiatives in the short, medium and long term for this purpose but there are no simple solutions to the problem.

Barr
Roinn