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Dáil Éireann díospóireacht -
Tuesday, 4 Nov 2003

Vol. 573 No. 3

Written Answers. - Hospital Services.

Brian O'Shea

Ceist:

462 Mr. O'Shea asked the Minister for Health and Children his proposals, arising from the report on the development of radiation oncology services in Ireland, to replace the proposed second supraregional cancer centre for Dublin with regional cancer centres in Waterford, Limerick and the north-western region; and if he will make a statement on the matter. [25181/03]

Brian O'Shea

Ceist:

463 Mr. O'Shea asked the Minister for Health and Children his proposals for the immediate provision of dedicated transport services for patients who must travel for radiation oncology treatment; and if he will make a statement on the matter. [25182/03]

Brian O'Shea

Ceist:

468 Mr. O'Shea asked the Minister for Health and Children his proposals to ensure equal access for equal need to radiotherapy services for all cancer patients; and if he will make a statement on the matter. [25214/03]

Brian O'Shea

Ceist:

469 Mr. O'Shea asked the Minister for Health and Children his proposals to provide for development of radiotherapy in Waterford, Limerick and the north-western region; and if he will make a statement on the matter. [25215/03]

I propose to take Questions Nos. 462, 463, 468 and 469 together.

As the Deputy is aware, I recently launched the report of the expert working group on the development of radiation oncology services in Ireland. The report provides a detailed plan for the further development of radiation oncology services in this country. The Government has accepted the recommendations of this report.

The Government agrees that a major programme is now required to rapidly develop clinical radiation oncology treatment services to modern standards. Furthermore, the Government has agreed that the first step of such a new programme should be the development of a clinical network of large centres in Dublin, Cork and Galway. These centres will collectively have the staff and treatment infrastructure to permit a rapid increase in patient access to appropriate radiation therapy and will form the backbone of the future service expansion. This is the best model to provide a radiation oncology service to the highest standards. The development of radiation oncology services along the lines recommended in this report is the single most important priority of my Department in cancer services in the acute setting.
In the short term, I have issued approval for the purchase of two additional linear accelerators for the Cork centre and the necessary capital investment amounting to €4 million to commission this service as rapidly as possible. I have now approved the appointment of a project team to prepare a brief for the rapid expansion of current capacity from four to eight linear accelerators. I also intend to prioritise the necessary resources to ensure that the radiation oncology centre in Galway, which is currently being commissioned, is in a position to treat patients, commencing in spring 2005. I have further requested the Western Health Board to prepare a development control plan to facilitate the expansion from three to six linear accelerators in the medium term. I will also give early approval to the establishment of a project team to plan this expansion. These developments in Cork and Galway will provide an additional five linear accelerators. This is a significant increase that will ensure when fully developed that an additional 2,000 patients are treated per year. Five additional consultant radiation oncologists will be employed in the provision of these services.
I will require radiation oncology centres to provide services on an equitable basis which will ensure that patients of equal need will have equal access. Geography will not be a barrier to equal access. I will also require radiation oncology centres to provide outreach services to hospitals in adjoining regions. This is currently the case and as more consultant radiation oncologists are appointed, it will be necessary to ensure that there is an equitable spread of outreach services. This will improve access for patients in the south-east, mid-west and north-west. In addition, the Government has also decided that in the future development of services, consideration should be given to developing satellite centres at Waterford, Limerick and the north-west. Such consideration will take into account the international evaluation of satellite centres, the efficacy of providing this model and the need to ensure quality standards of care.
It is my intention to develop a national integrated network of radiation oncology. The twin objectives of equitable access regardless of location and an effective national quality assurance programme need to be supported by a co-ordinating mechanism, as recommended in the report. I have established a national radiation oncology co-ordinating group. The group will,inter alia, facilitate improved access to existing and planned services. It will comprise clinical, technical, managerial, academic and nursing expertise from different geographic regions.

Bernard J. Durkan

Ceist:

464 Mr. Durkan asked the Minister for Health and Children when a person (details supplied) in County Kildare will be admitted to hospital for surgery; and if he will make a statement on the matter. [25183/03]

Responsibility for the provision of health services to persons residing in County Kildare rests with the Eastern Regional Health Authority. My Department has, therefore, asked the regional chief executive of the authority to investigate the matter raised by the Deputy and reply to him directly.

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