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Dáil Éireann díospóireacht -
Tuesday, 23 Apr 2002

Vol. 552 No. 3

Written Answers. - Orthodontic Service.

Austin Deasy

Ceist:

130 Mr. Deasy asked the Minister for Health and Children the average waiting period for children who are awaiting orthodontic treat ment in Waterford city and Waterford county; and his plans to reduce these waiting times. [12514/02]

The provision of orthodontic treatment to eligible persons is the responsibility of the health boards in the first instance. The chief executive officer of the South Eastern Health Board has informed me that at the end of the March 2002 quarter, there were 446 patients awaiting orthodontic treatment and the average waiting time for treatment is 12 months. As my Department does not collate orthodontic treatment information by county, I have asked the chief executive officer of the SEHB to reply directly to the Deputy regarding the average waiting period for orthodontic treatment for children in the Waterford county area.

The chief executive officer of the SEHB has also informed me that at the end of the March 2002 quarter, the number of patients in orthodontic treatment in the south eastern area was 2,138 which was an increase of 114 on the last quarter. I have initiated a range of measures to substantially increase the capacity of the orthodontic services and reduce the waiting times for orthodontic treatment. Structural changes are being introduced into 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 a grade of auxiliary dental worker to work in the orthodontic area.

A dentist from the SEHB, along with five other dentists from the Eastern Regional Health Authority and the North-Eastern Health Board, commenced training in October last for specialist in orthodontics qualifications. The general objectives of these training programmes is to educate dentists to become specialists in orthodontics with a broad academic background and experience in different clinical treatment methods. They are made possible by co-operation between health boards, consultants and dental teaching institutions. 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. 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.

These measures will complement the other structural changes being introduced into the orthodontic service, namely, the creation of the grade of specialist in orthodontics and the creation of an auxiliary grade of orthodontic therapist to work in the orthodontic area. The Dental Council has already established a register of dental specialists with a division of orthodontics. In addition, agreement has been reached at the Health Service Employers Agency on the introduction of the grade of specialist in orthodontics into the public service. This agreement resulted from complex and time-consuming negotiations and its introduction will have a tremendous impact on the future delivery of orthodontics.
The grade of orthodontic therapist will act as a support to the consultant orthodontist, specialists and other dentists working in the orthodontic unit thus enabling a greater volume of treatment. However, it will be some time before these structural changes impact significantly on service levels. Consequently, I asked health boards to develop proposals to make an immediate significant impact on their waiting lists. An additional investment of €0.19 million was approved to the SEHB for orthodontic services in 2001, of which €0.127 million was to fund an initiative on orthodontic waiting lists. This has enabled the health board to recruit additional staff.
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. 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.
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