I propose to take Questions Nos. 830 to 832, inclusive, and 837 together.
The Deputy will be aware that in his review of cath lab services in UHW, Dr Niall Herity recommended that the UHW cath lab should operate as an elective lab which provides all specialised cardiac services except interventional treatment for patients who are having heart attacks (PPCI). Dr. Herity also recommended that the current 9 to 5 provision of these services should cease in order to allow the hospital to focus on the much larger volume of planned cath lab work.
I accept Dr Herity's findings and recommendations and have provided additional funding of €.5m for the UHW in 2017 which will enable the hospital to provide 8 hours additional cath labs activity each week. However, in relation to the cessation of PPCI services at the hospital, as Minister for Health, I want to be sure that any service changes which we implement, will result in improved services for patients using that service. Therefore, I have asked my Department to address the implications of this recommendation by undertaking a national review of all PPCI services with the aim to ensure that as many patients as possible have access, on a 24/7 basis, to safe and sustainable emergency interventions following a heart attack. In the meantime, patients in the South East will continue to have access to out of hours PPCI services at Cork University Hospital (CUH) or St James's Hospital, Dublin.