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Dáil Éireann díospóireacht -
Thursday, 24 Feb 2000

Vol. 515 No. 2

Written Answers. - Renal Dialysis Services.

Nora Owen

Ceist:

18 Mrs. Owen asked the Minister for Health and Children the mechanisms, if any, he will put in place to ensure that, in the further development of renal services, there is the fullest possible consultation with the Irish Kidney Association and patient involvement at local level to ensure that services developed meet the actual needs of patients and any new services put in place are fully and properly evaluated. [5347/00]

Alan Shatter

Ceist:

124 Mr. Shatter asked the Minister for Health and Children his views on whether 60% of the renal population is being diagnosed and the renal services are operating at less than three quarters of full capacity; and the steps, if any, proposed by him to address these difficulties. [4872/00]

Alan Shatter

Ceist:

153 Mr. Shatter asked the Minister for Health and Children the mechanisms, if any, he will put in place to ensure that, in the further development of renal services, there is the fullest possible consultation with the Irish Kidney Association and patient involvement at local level to ensure that services developed meet the actual needs of patients and any new services put in place are fully and properly evaluated. [5626/00]

I propose to take Questions Nos. 18, 124 and 153 together.

A programme for the development of renal dialysis services was initiated by my predecessor as Minister for Health and Children with of an allocation of £3 million revenue funding and £3 million capital funding this year. This programme, which is to be completed over three years at an estimated total cost of £20 million, will be aimed at achieving a structured enhancement of the capacity of the system to meet existing and anticipated growth in demand for renal services over the coming years.

The need for an initiative of this nature was based on the rapid rate of growth in demand for renal services, fuelled by demographic and epidemiological factors and reflecting a potential previous under-diagnosis of the disease in this country. My Department's analysis of the pressures on the system which informed the current initiative included an assessment of the capacity of the existing infrastructure to meet current and projected future demand. This analysis found that while there was available spare capacity at present to meet the haemo-dialysis needs of the population as a whole, there were particular pressures in a number of centres and an overall need for investment in infrastructure to ensure that future projected demand growth could continue to be met.

Under the major initiative now under way, it is intended to address existing infrastructural constraints that are limiting the ability of certain haemodialysis centres to meet demands for access to their services; ensure that regional dialysis centres are adequately resourced to give patients access to services close to their own home; provide for the availability of a consultant nephrology service in all regions with a view to widening the availability of alternative dialysis treatment programmes, such as CAPD and CCPD, for optimal and equitable individual patient choice; address wider health and social needs of the renal population through supporting the Irish Kidney Association in their development of targeted programmes in these areas.
In identifying needs and prioritising developments, my Department's approach has been informed by its consultations to date with the relevant interests, including professionals in the field, the Irish Kidney Association as the principal patient advocates and other service providers and managers. It is intended to maintain and strengthen this consultative process in taking decisions on the further development of services and in providing for effective evaluation of the outcomes of measures being implemented.
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