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Dáil Éireann díospóireacht -
Wednesday, 24 May 2000

Vol. 519 No. 6

Written Answers. - Hospital Waiting Lists.

Bernard J. Durkan

Ceist:

190 Mr. Durkan asked the Minister for Health and Children the number of heart surgery operations carried out in this country in each of the past three years and the number required if waiting lists were to be completely eliminated; and if he will make a statement on the matter. [14739/00]

Bernard J. Durkan

Ceist:

193 Mr. Durkan asked the Minister for Health and Children the number of patients currently seeking cardio-surgery; the number likely to receive such treatment this year based on previous years achievements in this area; and if he will make a statement on the matter. [14743/00]

I propose to take Questions Nos. 190 and 193 together.

As the Deputy will be aware, adult cardiac by-pass surgery in the public health sector is currently carried out at three centres, the Mater Misericordiae Hospital, Dublin, Cork University Hospital and, since September 1998, St. James's Hospital, Dublin. Paediatric cardiac surgery is carried out at Our Lady's Hospital for Sick Children, Crumlin.

Public patient waiting list statistics are collected by hospitals and furnished to my Department on a quarterly basis. I can confirm that at the end of March 2000, the most recent period for which information is available, there was a total of 624 adults awaiting cardiac surgery over 12 months and 238 waiting for three to 12 months. This represents a reduction of 192 when compared with the figures, as at end of December 1999, of 816 adults awaiting cardiac surgery over 12 months and a reduction of 60 when compared with the end of December 1999 figure of 298 awaiting cardiac surgery for three to 12 months. There was a total of 69 children awaiting cardiac surgery over six months, and six waiting for three to six months as at 31 March 2000. The total number of patients likely to receive cardiac surgery this year is estimated at 1,970. The total number of cardiac surgery operations carried out on adults and children in the years 1997, 1998, 1999 is 1,531, 1,696 and 1,703, respectively. This includes cardiac surgery procedures purchased under the cardiac surgery waiting list initiatives.

In 1998, my predecessor allocated funding of £2.3 million under the cardiac surgery waiting list Initiative, with the specific aim of reducing the national cardiac surgery waiting list for adults and children. In 1999, my predecessor made provision for the allocation of £4 million under the cardiac surgery waiting list Initiative and I am making a further £4 million available in 2000. I am confident that this year's funding will build on previous years' success in reducing the total number of adults and children on the waiting list. The cardiac surgery waiting list initiative has had, and will continue to have, a positive impact on the public cardiac waiting list. The total number of public patients, adults and children, awaiting cardiac surgery has reduced from 1,586 in September 1997 to 937 in March 2000, which represents a reduction of 41%.

As Minister for Health and Children, my priority is to address the existing cardiac surgery waiting lists and the ultimate objective is to achieve an average six month waiting period for those on the lists. I am confident that the development of additional adult public cardiac surgery facilities at St. James's Hospital, Dublin and the proposed new cardiac surgery developments at University College Hospital, Galway will help reduce the waiting lists which exist at present. Target activity levels are in the region of 450 procedures annually at St. James's Hospital and 300 procedures at UCHG. This additional activity will increase existing adult public cardiac surgery capacity by over 50%. I am also developing additional children's cardiac surgery capacity at Our Lady's Hospital for Sick Children, Crumlin in association with the national cardiac unit, Mater Misericordiae Hospital to provide for up to an additional 100 cardiac procedures for children. This additional activity will increase existing paediatric cardiac surgery capacity by up to 40%.

Bernard J. Durkan

Ceist:

191 Mr. Durkan asked the Minister for Health and Children the number of patients seeking ENT treatments; the number of treatments which will be carried out this year; and if he will make a statement on the matter. [14740/00]

Bernard J. Durkan

Ceist:

192 Mr. Durkan asked the Minister for Health and Children the number of persons seeking treatment for the removal of cataracts; the number for whom it is possible to have treatment this year; and if he will make a statement on the matter. [14742/00]

Bernard J. Durkan

Ceist:

194 Mr. Durkan asked the Minister for Health and Children the number of persons currently awaiting hip replacement operations; the number likely to receive such treatment this year based on the performance in each of the past three years; and if he will make a statement on the matter. [14744/00]

I propose to take Questions Nos. 191, 192 and 194 together.

The hospital in-patient waiting list figures for the specialties requested by the Deputy as at 31 March 2000 are as follows: ENT, 7,132; cataracts, 2,959; hip replacement, 1,232.

The numbers on waiting lists have fallen by 2,485 on those at the end of December quarter. This welcome reduction has been achieved in a period of high levels of medical admissions due to flu-like illnesses and is a reflection of the major priority that is being attached to addressing high waiting lists.

It is my intention to pursue continual reductions in waiting lists and waiting times for hospital treatment. In this context, following a series of discussions with the chief executive officers of the health boards, I announced yesterday a £10 million initiative aimed at maximising available capacity in the system to enable an additional 7,600 waiting list procedures to be per formed before the end of the year. This funding will be allocated on the basis of the performance of each agency in reaching the activity targets they have agreed. The proposals to be funded are based on a series of innovative measures, including use of facilities during the traditional summer closures period, cross-contracting arrangements between agencies and from the private sector, extended theatre and ward opening times, extended weekend work and the contracting of activity from hospitals in Northern Ireland.
These short-term measures are being taken in tandem with longer-term measures associated with the £2 billion investment under the national development plan, the ongoing implementation of the recommendations of the Expert Review Group on the Waiting List Initiative and the national bed capacity review now under way. It is my intention to take all available steps to address the short and longer-term issues associated with lengthy waiting lists and waiting times.
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