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Dáil Éireann díospóireacht -
Wednesday, 9 Oct 2002

Vol. 554 No. 5

Written Answers. - Orthodontic Service.

Michael Ring

Ceist:

994 Mr. Ring asked the Minister for Health and Children the number of people currently placed on waiting lists for assessment or treatment for orthodontics in the Western Health Board area; the current length of time a person must spend on each list before treatment com mences; and the plans there are to reduce this waiting time. [15846/02]

I am pleased to advise the Deputy that I have taken a number of measures to improve orthodontic services on a national basis, including those services provided in the Western Health Board area.

The grade of specialist in orthodontics has been created in the health board orthodontic service. The introduction of this pivotal grade will have a tremendous impact on the future delivery of orthodontics in the public service: ultimately, it will address the issues of recruitment and retention of qualified clinical personnel in the service.

This year, my Department expects to fund 11 dentists from various health boards – including the Western Health Board – for specialist in orthodontics qualifications at training programmes in Ireland and at two separate universities in the United Kingdom. These 11 trainees for the public orthodontic service are additional to the six dentists who commenced their training last year and one dentist whose specialist training is nearing completion. Two dentists from the Western Health Board have recently completed their specialist in orthodontics training and have taken up duty. This is an aggregate of 18 public service dentists currently in training for specialist in orthodontics qualifications.

The training programmes concerned provide a broad academic background and experience in different clinical treatment methods and are made possible by co-operation between health boards, health board consultant orthodontists and dental teaching institutions.

These measures will complement the other structural changes being introduced into the orthodontic service, including the creation of an auxiliary grade of orthodontic therapist to work in the orthodontic area. 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.

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. The additional funding of €0.628 million allocated to the Western Health Board in 2001 for orthodontic services, includes €0.533 million for an orthodontic initiative in the board. Under the initiative, the board has recruited an additional specialist in orthodontics and engaged the services of private specialist orthodontic practitioners to treat cases.

Last June, my Department provided additional funding of €5 million from the treatment purchase fund to health boards specifically for the purchase of orthodontic treatment. This funding is enabling boards to provide both additional sessions for existing staff and purchase treatment from private specialist orthodontic practitioners. Under the scheme, the Western Health Board received €0.465 million and it expects that this additional funding will allow a further 150 cases to be removed from its treatment waiting list.
These measures that I have taken have already positively impacted on the orthodontic services. The chief executive officers of the health boards have informed me that at the end of the June 2002 quarter, there were 19,055 patients in orthodontic treatment in the health boards. This is an increase of 3,528 cases in orthodontic treatment when compared with the corresponding figure at end of the June 2001 quarter. I expect that the number of cases in orthodontic treatment will continue to increase as the above measures continue to take effect.
The chief executive officer of the Western Health Board has informed me that the number of cases awaiting orthodontic assessment as at 30 June 2002 was 734, and the number awaiting orthodontic treatment was 1115. This is a reduction of 193 on the assessment waiting list in comparison with the corresponding figure at the end of the March 2002 quarter and a reduction of 490 on the treatment waiting list in comparison with the corresponding figure at the end of the December 2001 quarter. The average waiting time for orthodontic assessment in the Western Health Board area is one year and for treatment is 2.5 to three years.
For children who are placed on a waiting list for treatment, the initiatives and structural changes that I have set out above will bring about an improvement in waiting times for treatment and positively impact on the future delivery of orthodontic services in the longer term.

Michael Ring

Ceist:

995 Mr. Ring asked the Minister for Health and Children when a person (details supplied) in County Mayo will be called for orthodontic treatment; the date they were placed on the waiting list; and the current position of this person on the list. [15847/02]

Responsibility for the provision of orthodontic treatment to eligible persons in County Mayo rests with the Western Health Board. My Department has asked the chief executive officer to investigate the matter raised by the Deputy and to reply to him directly.

Questions Nos. 996 and 997 answered with Question No. 902.

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