Dáil Éireann díospóireacht -
Wednesday, 24 Apr 2002

Vol. 552 No. 4

Written Answers. - Orthodontic Service.

Michael Ring

Ceist:

64 Mr. Ring asked the Minister for Health and Children the exact impact the waiting list initiatives have had on the orthodontics waiting list; the average waiting list time on the assessment list and the treatment list in each health board region; and the number of people waiting on the assessment list and treatment list for orthodontics in each health board region and area. [12451/02]

Minister for Health and Children (Mr. Martin)

The provision of orthodontic treatment to eligible persons is the statutory responsibility of the health boards in the first instance.

I have taken a range of important measures to improve the capacity of the public orthodontic services and place it on a sound, long-term footing.

Structural changes are being introduced into the orthodontic service such as 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, the North-Eastern Health Board and the South-Eastern Health Board commenced their training last October for specialist in orthodontics qualifications. My Department has pro vided €0.541 million in 2002 for specialist in orthodontics training. Furthermore, three dentists from the Western Health Board and the North-Eastern Health Board are already in specialist training for orthodontics and this brings the total number of dentists in such training to nine. The general objective 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.

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.

My Department has funded the appointment of a director of specialist training for the Irish Committee for Specialist Training in Dentistry through the Postgraduate 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 quali fications in orthodontics. Capital funding of approximately €1.27 million was also provided to the orthodontics unit there for its refurbishment to an appropriate standard.

In the short term, I have funded an orthodontic initiative to ease current pressures on the system. Additional funding of €6.729 million was approved for orthodontic services last year of which €4.698 million was to fund an initiative on orthodontic waiting lists. This is enabling health boards to recruit additional staff and engage the services of private specialist orthodontic practitioners to treat patients. An additional six-surgery facility and five-surgery facility at the Loughlinstown regional orthodontic unit and the St James's Hospital regional orthodontic unit respectively have also been developed under the initiative. My Department is exploring with boards every possibility to expand the level of services in the short term such as the use of private specialist orthodontic practitioners and the treatment of patients in out-of-hours sessions by health board orthodontists.

My Department has also funded the development of new regional orthodontic units at Dundalk and Navan – both of which are operational – and the recruitment of a consultant orthodontist for the Midland Health Board who was appointed last year.

The chief executive officers of the health boards have informed me of the following information on their orthodontic waiting lists as at the end of the December 2001 quarter:

		AssessmentWaiting List				TreatmentWaiting List
Health Board		Average WaitingTime (Months)	Category A	Waiting Time(Months)	Category B	Waiting Time(Months)
ERHA	9,438	36	93	see*	965	see*
Midland	201	3	Nil	No Waiting Time	437	18
Mid-Western	3,596	24-36	Nil	No Waiting Time	1,005	24-36
North-Eastern	Nil	No Waiting Time	11	1.5-2	546	24-30
North-Western	1,300	9	276	13	1,879	39
South-Eastern	176	2-2.5	Nil	No Waiting Time	498	12
Southern	5,657	According to Date of Birth. Currently January 1988	Nil	No Waiting Time	4,575	48
Western	509	9	Nil	No Waiting Time	1,605	42-48

*Average Waiting time between both categories is 18 months

Patients in category A require immediate treatment and include those with congenital abnormalities of the jaws such as cleft lip and palate, and patients with major skeletal discrepancies between the sizes of the jaws. Patients in category B have less severe problems than category A patients and are placed on the orthodontic treatment waiting list.

These figures show that the number of patients awaiting assessment and treatment fell by 1,133 and 1,613 respectively between June and December 2001.

The chief executive officers of the health boards have further informed me that at the end of the same quarter, there were 17,295 patients in orthodontic treatment in the health 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 expect that the number of patients in orthodontic treatment will continue to increase as the measures that I have taken to improve orthodontic services take effect.