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Dáil Éireann díospóireacht -
Thursday, 21 Feb 2002

Vol. 549 No. 2

Written Answers. - Orthodontic Service.

Deirdre Clune

Ceist:

90 Ms Clune asked the Minister for Health and Children if his attention has been drawn to the long delays in trying to obtain orthodontic treatment in the Southern Health Board region; his plans to address this situation; and if he will make a statement on the matter. [6132/02]

The provision of orthodontic treatment to eligible persons is the statutory responsibility of the health boards in the first instance. I recognise that the waiting times for orthodontic treatment are unacceptably long. Consequently, I have initiated a range of measures to substantially increase the capacity of the orthodontic service and reduce the waiting times for treatment.

At the invitation of my Department, a group representative of health board management and consultant orthodontists reviewed the orthodontic services. The objective of this review was to ensure equity in the provision of orthodontic treatment throughout the health boards. Following this review structural changes are being introduced in the orthodontic services. These changes include the creation of the grade of specialist in orthodontics, the development of specialist training programmes and the creation of an auxiliary grade of orthodontic therapist to work in the orthodontic area. Six dentists from the Eastern Regional Health Authority, North Eastern Health Board and South Eastern Health Board commenced their training last October for specialist in orthodontics qualifications. My Department has provided €0.541 million in 2002 for specialist in orthodontics training. Furthermore, three dentists from the Western Health Board and North Eastern Health Board are already in specialist training for orthodontics and this brings the total number of dentists in such training to nine. Discussions on providing an additional training course to commence this year are also under way.

My Department has funded the appointment of a director of specialist training for the Irish Committee for Specialist Training in Dentistry through the Post Graduate Medical and Dental Board. The director has taken up duty and will play a pivotal role in assisting the different agencies involved in dental specialist training programmes. In addition, my Department has also funded the recruitment of a professor in orthodontics at Cork University Dental School to facilitate the development of an approved training programme leading to specialist qualifications in orthodontics. Capital funding of approximately €1.27 million was also provided to the orthodontics unit there for its refurbishment to an appropriate standard.

Cognisant that it will be some time before these structural changes impact significantly on service levels, I asked health boards to develop proposals to make an immediate significant impact on their waiting lists. The Southern Health Board was allocated an additional €1.191 million last year for orthodontic services of which €1.032 million was for an orthodontic initiative in the board's area. Under the initiative, the board proposes to recruit an additional two consultant orthodontists, develop new orthodontic units in Tralee and the north side of Cork city and commission four additional orthodontic chairs at the orthodontic unit in St. Finbarr's Hospital, Cork. The chief executive officer of the board has informed me that the Local Appointments Commission has recommended a candidate for one of the two consultant orthodontist positions and the board has offered the post to him. The recruitment process for the second position in the board will shortly re-commence.
Furthermore, under this initiative, my Department is exploring with health boards new arrangements for the treatment of patients, both by private specialist orthodontic practitioners and in out-of-hours sessions by health board orthodontists.
Finally, the chief executive officer of the Southern Health Board has informed me that at the end of the December 2001 quarter, there were approximately 2,300 patients in orthodontic treatment in the board. Nationally the chief executive officers of the health boards have informed me that at the end of the same quarter, there were 17,295 patients in orthodontic treatment in the boards. This is an increase of 3,086 patients in orthodontic treatment when compared with the number of patients in treatment in May 1999. I am confident that when fully implemented this initiative, combined with the structural changes to the orthodontic service, will significantly increase the number of patients in and reduce waiting times for treatment in the Southern Health Board.
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