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Health Services Provision

Dáil Éireann Debate, Tuesday - 18 October 2016

Tuesday, 18 October 2016

Ceisteanna (52, 80)

Mary Butler

Ceist:

52. Deputy Mary Butler asked the Minister for Health the reason his Department briefed against the expansion of cardiac services in Waterford prior to the undertaking of the Herity review. [30684/16]

Amharc ar fhreagra

Mary Butler

Ceist:

80. Deputy Mary Butler asked the Minister for Health if he will meet with consultants from the south east to discuss the provision of cardiac services at Waterford University Hospital. [30685/16]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 52 and 80 together.

As the Deputy will be aware, the Programme for a Partnership Government committed to the development of a second Cath Lab in University Hospital Waterford, (UHW) subject to a favourable recommendation from an independent clinical review of the needs of the region. The review was undertaken by Dr Niall Herity, a highly respected, Belfast based NHS cardiologist. It is a comprehensive report which reflects the fact that Dr Herity consulted widely and met with all of the key stakeholders including the management and staff of both UHW and Cork University Hospital. Both the views of my Department and the HSE on the investment priorities for the South/South West Hospital Group fed into the review, as did their views on the sustainability of a second Cath Lab in the context of international guidance on population levels and procedure numbers.

Dr Herity has made clear recommendations that a second cardiac cath lab at UHW is not justified and I accept this. However, he recommends investing in UHW to enhance the existing cardiology services including increasing the number of weekly sessions currently provided, in order to address waiting times and to provide improved access for patients. He also recommends that new specialist equipment be provided to improve contingency for radiological equipment failure during a procedure. I am happy to provide the additional resources necessary to implement these recommendations. This investment will be reflected in the HSE National Service Plan for 2017. During this period of investment and enhancement of services, the situation will be closely monitored. A review will be carried out in early 2017 to assess the impact that these improvements have had on the volume of patients attending the cath lab.

Dr Herity also recommends that some services be provided elsewhere. I want to be certain that any change to how a service is delivered will result in improved services for the patients using that service. Therefore, I have asked my Department to address the implications of ceasing primary PCI services at UHW by undertaking a national review of all primary PCI services with the aim to ensure that as many patients as possible have access to a 24/7 basis to safe and sustainable emergency interventions following a heart attack. I expect the review to be completed by the end of July 2017.

I intend to visit UHW next month and I will take the opportunity to speak with staff and management on a broad range of issues.

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