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Gnáthamharc

Tuesday, 26 Jun 2018

Written Answers Nos. 381-400

Child and Adolescent Mental Health Services Administration

Ceisteanna (381)

Bríd Smith

Ceist:

381. Deputy Bríd Smith asked the Minister for Health his views on whether CAMHS psychiatrists who triage a referred patient to be seen by primary care in the first instance would be correct to reject the referral in view of the recent resignation of three CAMHS consultants and comments by the Minister for Education and Skills in Dáil Éireann on 14 June 2018 with regard to the referral pathway to CAMHS and primary care; if there are agreed guidelines for consultant child psychiatrists on triaging patients between primary and secondary care; and if he will make a statement on the matter. [27825/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Disabilities Assessments

Ceisteanna (382)

Anne Rabbitte

Ceist:

382. Deputy Anne Rabbitte asked the Minister for Health the number of initial assessments of need of children with disabilities that are carried out by community healthcare organisation annually. [27826/18]

Amharc ar fhreagra

Freagraí scríofa

The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives. This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality of opportunity and improving the quality of life for people with disabilities. 

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Disabilities Data

Ceisteanna (383)

Anne Rabbitte

Ceist:

383. Deputy Anne Rabbitte asked the Minister for Health the qualifications that must be held by assessment of need officers; the number of officer positions nationally; his views on whether this number is adequate in meeting assessment demands; and if he will make a statement on the matter. [27827/18]

Amharc ar fhreagra

Freagraí scríofa

The Government is committed to providing services and supports for people with disabilities which will empower them to live independent lives, provide greater independence in accessing the services they choose, and enhance their ability to tailor the supports required to meet their needs and plan their lives. This commitment is outlined in the Programme for Partnership Government, which is guided by two principles: equality of opportunity and improving the quality of life for people with disabilities. 

As the Deputy's question relates to service matters, I have arranged for the question to be referred to the Health Service Executive (HSE) for direct reply to the Deputy.

Question No. 384 answered with Question No. 359.

Legislative Programme

Ceisteanna (385)

Dara Calleary

Ceist:

385. Deputy Dara Calleary asked the Minister for Health the planned timeline for the introduction of legislation in relation to the duty of candour; and if he will make a statement on the matter. [27831/18]

Amharc ar fhreagra

Freagraí scríofa

The Government recently gave approval to the drafting of legislative provisions to provide for mandatory open disclosure through the development of the General Scheme of a Patient Safety Bill. The General Scheme has been developed by officials of my Department, with a view to having this item brought to the Government for consideration in early July 2018.

These provisions to provide for mandatory open disclosure of serious patient safety incidents (referred to as duty of candour in other jurisdictions), will be in addition to the provisions for open disclosure contained in the Civil Liability (Amendment) Act 2017. The Regulations to prescribe the process for open disclosure in line with the Civil Liability (Amendment) Act 2017 are also being drafted at present and are expected to be finalised shortly.

The Patient Safety Bill, in addition to addressing mandatory open disclosure, will also provide for a number of other important patient safety concerns, including in relation to mandatory reporting of serious incidents to an appropriate regulatory body such as HIQA, enabling the Minister for Health to issue guidance in relation to clinical audit, and extending the remit of HIQA to private hospitals.

Home Care Packages Provision

Ceisteanna (386)

John McGuinness

Ceist:

386. Deputy John McGuinness asked the Minister for Health if a 24-7 home care package will be put in place for a person (details supplied); the care plan in place for another person; and if he will make a statement on the matter. [27835/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter I have asked the Health Service Executive to respond directly to the Deputy as soon as possible.

Hospitals Data

Ceisteanna (387)

Louise O'Reilly

Ceist:

387. Deputy Louise O'Reilly asked the Minister for Health the number of times the full capacity protocol was implemented at hospitals across the State by hospital in each of the years 2011 to 2017 and to date in 2018, in tabular form; and if he will make a statement on the matter. [27849/18]

Amharc ar fhreagra

Freagraí scríofa

The HSE National Escalation Framework, issued to the system in late 2015, consists of a tiered and incremental suite of actions to be adapted and implemented in hospitals with an ED during times when such hospitals are challenged in matching capacity and demand for acute inpatient care. 

The full capacity protocol is the last escalation step in the HSE National Escalation Framework.

In relation to the particular query raised, as this is a service matter, I have asked the HSE to respond to the Deputy directly.

Hospital Waiting Lists Action Plans

Ceisteanna (388)

Pat Casey

Ceist:

388. Deputy Pat Casey asked the Minister for Health the measures being taken to address the waiting lists for neurology treatments in CHO 6 and 7; the waiting list times for CHO 6 and 7; and if he will make a statement on the matter. [27859/18]

Amharc ar fhreagra

Freagraí scríofa

After contacting the Deputy, he confirmed that the hospital the question relates to is in fact Ireland East Hospital Group (and not CH06/7).

 Improving waiting times for hospital procedures is a key commitment in the Programme for Government and  €50 million was allocated to the NTPF in 2018 to provide treatment for patients. The recently launched Inpatient/Day Case Action Plan outlines the combined impact of HSE and NTPF activity in 2018 to reduce the number of patients waiting for treatment to below 70,000 in 2018. This plan marks a very important milestone in delivering on this commitment.

In 2018 the NTPF will arrange treatment for 22,000 inpatient day cases, while the HSE will deliver 1.14 million elective inpatient and day case hospital operations or procedures. This will mean that by the end of 2018 we will expect to see a significant reduction in the number waiting for a procedure to under 70,000 - from a peak of 86,100 in July 2017.

In terms of the neurology waiting list at the Ireland East Hospital Group, figures for the end of May show that there are currently 38 patients waiting for an inpatient/day case procedure, while 5,113 are on the Outpatient list. Of this number, almost 58% (2,692 patients), are waiting less than 9 months for an appointment.

In order to address the issue of growing outpatient waiting list numbers, my Department, the HSE and the NTPF are in the process of finalising an Outpatient Action Plan for 2018. This plan will support the HSE’s compliance with their National Service Plan targets, reduce the growth in the number of patients waiting for Outpatient services, improve the accuracy of the waiting list, and trial a number of NTPF funded interventions, including weekend and out of hours clinics.

I have requested a detailed briefing focused on neurology services from the Ireland East Hospital Group, and will respond to the Deputy directly when the information is made available to me.

Hospitals Building Programme

Ceisteanna (389)

Joan Burton

Ceist:

389. Deputy Joan Burton asked the Minister for Health further to Parliamentary Question No. 378 of 27 February 2018, when a comprehensive schedule of additional bed locations will be determined throughout the State for the additional 2,600 acute beds provided for under the National Development Plan 2018-2027; and if he will make a statement on the matter. [27870/18]

Amharc ar fhreagra

Freagraí scríofa

As Minister for Health, I am committed to continuing the effort to address overcrowding in our Emergency Departments, and in particular, the capacity of the system to respond during periods of peak demand.

In this context, I have asked my Department to work with the HSE to identify the location and mix of beds across the hospital system, which can be opened and staffed this year and into 2019 in order to improve preparedness for Winter 2018/2019.    A submission received from the HSE in this regard is currently under consideration by my Department.

Medical Card Applications

Ceisteanna (390)

Éamon Ó Cuív

Ceist:

390. Deputy Éamon Ó Cuív asked the Minister for Health if a person (details supplied) was assessed on a discretionary basis for a medical card; the reason the person was not considered for a medical card or general practitioner card in view of their medical issues; if he will review the decision made on this application; and if he will make a statement on the matter. [27874/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.

Medicinal Products Reimbursement

Ceisteanna (391)

Pat Casey

Ceist:

391. Deputy Pat Casey asked the Minister for Health if he will report on his engagement with the pharmaceutical industry and organisations involved with multiple sclerosis here with a view to ensuring that new medical treatments are provided to persons suffering from this condition in a timely and affordable manner; and if he will make a statement on the matter. [27878/18]

Amharc ar fhreagra

Freagraí scríofa

The HSE has statutory responsibility for medicine pricing and reimbursement decisions, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013.   As Minister for Health, I do not have any statutory power or function in relation to the reimbursement of medicines. The Act specifies the criteria for decisions on the reimbursement of medicines.

In line with the 2013 Act, if a company would like a medicine to be reimbursed by the HSE pursuant to the Community Drugs scheme, the company must first submit an application to the HSE to have the new medicine added to the Reimbursement List.

As outlined in the IPHA agreement, and in line with the 2013 Act, the HSE will decide, within 180 days of receiving the application (or a longer period if further information is sought from the company), to either add the medicine to the reimbursement list or agree to reimburse it as a hospital medicine, or refuse to reimburse the medicine.

HSE decisions on which medicines are reimbursed by the taxpayer are made on objective, scientific and economic grounds, on the advice of the National Centre for Pharmacoeconomics (NCPE).

The NCPE conducts health technology assessments (HTAs) for the HSE, and makes recommendations on reimbursement to assist HSE decisions. The NCPE uses a decision framework to systematically assess whether a drug is cost-effective as a health intervention.

The HSE strives to reach a decision in as timely a manner as possible. However, because of the significant monies involved, it must ensure that the best price is achieved, as these commitments are often multi-million euro investments on an on-going basis. This can lead to a protracted deliberation process.

I am keen to engage with Industry and to explore ways in which new medicines might be more easily introduced in Ireland.  However, any innovative approaches that may be tabled must be compatible with the statutory provisions which are in place and must also recognise the fundamental pricing/funding issues in the context of finite Exchequer resources. 

I have indicated willingness to meet with MS Ireland and my office is in contact with the organisation to arrange a mutually convenient date.

Mental Health Services Funding

Ceisteanna (392)

Michael Healy-Rae

Ceist:

392. Deputy Michael Healy-Rae asked the Minister for Health if he will address a matter (details supplied) regarding mental health funding; and if he will make a statement on the matter. [27880/18]

Amharc ar fhreagra

Freagraí scríofa

The strengthening of Mental Health Services is a priority for me and for this Government.  The mental health budget has risen from €711 million in 2012 to over €912 million in 2018, an increase of over €200m, or around 28%, in six years. I have already secured agreement from the Minister for Public Expenditure that the Budget will increase by a further €55 million in 2019.

The Government is addressing the issue of suicide in particular in a number of ways. These include a national strategy to reduce suicide and self-harm, Connecting for Life; the launch of localised action plans to tailor the strategy to specific area needs; and continued research to inform an evidence base for providing support to those with suicidal thoughts. 

Much of this work is carried out by a dedicated office, the National Office for Suicide Prevention (NOSP). Its main purpose is to effectively support, inform, monitor and co-ordinate the implementation of Ireland’s National Strategy to Reduce Suicide, Connecting for Life. To achieve the outcomes of the strategy, NOSP works with the broad range of statutory, non-statutory and community partners engaged in suicide prevention. We have increased funding to this body from €3.7 million in 2010 to the current level of €12 million.

These actions are reflected in the most recent suicide statistics. In 2011, Ireland had a suicide rate of 12.1 per 100,000 population. This has dropped each subsequent year, with the provisional data for 2017 showing a suicide rate of 8.2 per 100,000 population. The most recent Eurostat data, which compares data of suicide rates across 33 European countries, shows that Ireland had the 10th lowest rate of suicide for males and females of all ages in 2015.

It should also be highlighted that the statistic mentioned within the question does not reflect current figures. Taking the most recent Eurostat figures from 2015, these show that when looking at numbers of men aged between 15-24 who died by intentional self-harm within the European Union, Ireland ranks 19th .

Connecting for Life has identified specific priority groups who are at specific risk of suicide, which includes young people. Reducing the suicide within these specific priority groups along with the whole population is a key outcome set out by the strategy.

While funding mental health services, which is not exclusive to my department, is an important component of achieving a reduction in suicides and improved services, a proposal to simply add more money to the budget will not improve mental health services on its own. I would welcome proposals outlining recommendations and proposed actions from any organisation, which can in turn be evaluated on outcomes and available funding.  

Nursing Homes Support Scheme

Ceisteanna (393, 401, 402)

Michael Healy-Rae

Ceist:

393. Deputy Michael Healy-Rae asked the Minister for Health if he will address a matter (details supplied) regarding the fair deal scheme; and if he will make a statement on the matter. [27881/18]

Amharc ar fhreagra

Michael Healy-Rae

Ceist:

401. Deputy Michael Healy-Rae asked the Minister for Health if the funding model in place for nursing homes (details supplied) will be examined; and if he will make a statement on the matter. [27891/18]

Amharc ar fhreagra

Michael Healy-Rae

Ceist:

402. Deputy Michael Healy-Rae asked the Minister for Health if he will address a matter (details supplied) regarding the fair deal scheme; and if he will make a statement on the matter. [27906/18]

Amharc ar fhreagra

Freagraí scríofa

I propose to take Questions Nos. 393, 401 and 402 together.

The Nursing Homes Support Scheme (NHSS), commonly referred to as Fair Deal, is a system of financial support for people who require long-term residential care. Participants contribute to the cost of their care according to their means while the State pays the balance of the cost. The Scheme aims to ensure that long-term nursing home care is accessible and affordable for everyone and that people are cared for in the most appropriate settings.

The Report of the NHSS Review published in 2015 identified a number of issues for more detailed consideration, including a review of the pricing mechanism used by the NTPF, with a view to:

- Ensuring value for money and economy, with the lowest possible administrative costs for clients and the State and administrative burden for providers;

- Increasing the transparency of the pricing mechanism so that existing and potential investors can make as informed decisions as possible; and

- Ensuring that there is adequate residential capacity for those residents with more complex needs.

The terms of reference for the review of the pricing mechanism also includes consideration of the appeals mechanism available to nursing homes.

A Steering Committee was established to oversee this review, chaired by the NTPF and including representatives from my Department and the Department of Public Expenditure and Reform. The NTPF are close to completing the review and will bring a draft of report to the Steering Group shortly.

Paediatric Services

Ceisteanna (394)

Louise O'Reilly

Ceist:

394. Deputy Louise O'Reilly asked the Minister for Health the wait times for children for a first consultation with an orthopaedic specialist in Our Lady’s Children’s Hospital, Crumlin, Temple Street Children’s University Hospital and the Mater Misericordiae University Hospital; and if he will make a statement on the matter. [27883/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services from 2018 has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services. The Children's Hospital Group committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now.

In addition, a Paediatric Scoliosis Services Co-Design group is in place, which includes clinicians, hospital staff and representatives from the scoliosis advocacy groups, to design a comprehensive, contemporary, and patient-centred approach to the delivery of scoliosis services.

The Scoliosis Co-Design Group is developing criteria for surgery based on clinical grounds and national and international best practice to ensure that children/young adolescents have surgery when clinically indicated for their individual case and within a time period that does not cause clinical deterioration of their condition.

There is a desire and a requirement to facilitate timely surgery. This will be enabled with the increased investment in the service in 2018, aimed at stabilising and expanding the current capacity, to meet the demand for timely scoliosis treatment.

Furthermore, two new consultant posts for paediatric orthopaedics have been provided for in the HSE 2018 National Service Plan. The two new posts are currently being processed through the Consultant Appointment Approval Committee process and are expected to be appointed in quarter 4 of 2018. These posts are allocated to Our Lady's Children's Hospital Crumlin and Temple Street Children’s University Hospital for paediatric orthopaedics and are expected to have a positive impact on current patient waiting times.

In terms of current wait times for orthopaedic consultations at Our Lady’s Children’s Hospital, Crumlin, Temple Street Children’s University Hospital and the Mater Hospital, as this is a service matter, I have asked the HSE to respond to the Deputy directly.

Paediatric Services

Ceisteanna (395)

Louise O'Reilly

Ceist:

395. Deputy Louise O'Reilly asked the Minister for Health his views on whether the HSE national service plan target that 80% of patients waiting for a first outpatient appointment for scoliosis will be seen within a 52 week timeframe is an acceptable target wait time for children who live with scoliosis; the steps being taken to ensure that children have timely access to their first assessment; and if he will make a statement on the matter. [27884/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services from 2018 has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services. The Children's Hospital Group (CHG) committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now. I look forwards also to the publication of the Scoliosis Action Plan which the Children's Hospital Group advise will be published in July of this year.  

In addition to the increase in funding, a Paediatric Scoliosis Services Co-Design group is in place, which includes clinicians, hospital staff and representatives from the scoliosis advocacy groups, to design a comprehensive, contemporary, and patient-centred approach to the delivery of scoliosis services.

Furthermore, two new consultant posts for paediatric orthopaedics have been provided for in the HSE 2018 National Service Plan. The two new posts are currently being processed through the Consultant Appointment Approval Committee process and are expected to be appointed in quarter 4 of 2018. These posts are allocated to Our Lady's Children's Hospital Crumlin and Temple Street Children’s University Hospital for paediatric orthopaedics and are expected to have a positive impact on current patient waiting times.

While positive results have been witnessed through the work of the Inpatient Day Case (IPDC) Action Plan, the Outpatient Waiting List remains a significant challenge to be addressed in 2018. Each year, 3.3 million patients attend Hospital Outpatient clinics for appointments.

In order to address the issue of growing outpatient waiting list numbers, my Department, the HSE and the NTPF are in the process of finalising an Outpatient Action Plan for 2018. This plan will support the HSE’s compliance with their National Service Plan targets, reduce the growth in the number of patients waiting for outpatient services, improve the accuracy of the waiting list, and trial a number of NTPF funded interventions, including weekend and out of hours clinics.

The CHG advise that in May Our Lady's Children's Hospital Crumlin commenced an Outpatient Department Spinal Review Clinic as an interim measure until the two new consultant posts are filled. Its aim is to reduce first OPD appointments to 6 months by September.

Hospital Services

Ceisteanna (396)

Louise O'Reilly

Ceist:

396. Deputy Louise O'Reilly asked the Minister for Health the international best practice wait times for scoliosis first assessments; if they are being adhered to; if not, the reason for same; and if he will make a statement on the matter. [27885/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services from 2018 has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services. The Children's Hospital Group committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now.

In addition, a Paediatric Scoliosis Services Co-Design group is in place, which includes clinicians, hospital staff and representatives from the scoliosis advocacy groups, to design a comprehensive, contemporary, and patient-centred approach to the delivery of scoliosis services.

The Scoliosis Co-Design Group is developing criteria for surgery based on clinical grounds and national and international best practice to ensure that children/young adolescents have surgery when clinically indicated for their individual case and within a time period that does not cause clinical deterioration of their condition.

There is a desire and a requirement to facilitate timely surgery. This will be enabled with the increased investment in the service in 2018, aimed at stabilising and expanding the current capacity, to meet the demand for timely scoliosis treatment.

Furthermore, two new consultant posts for paediatric orthopaedics have been provided for in the HSE 2018 National Service Plan. The two new posts are currently being processed through the Consultant Appointment Approval Committee process and are expected to be appointed in quarter 4 of 2018. These posts are allocated to Our Lady's Children's Hospital Crumlin and Temple Street Children’s University Hospital for paediatric orthopaedics and are expected to have a positive impact on current patient waiting times.

Hospital Waiting Lists

Ceisteanna (397)

Louise O'Reilly

Ceist:

397. Deputy Louise O'Reilly asked the Minister for Health the reason scoliosis four month surgery wait targets are not being met; the barriers for same; and if he will make a statement on the matter. [27886/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services from 2018 has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services. The Children's Hospital Group committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now.

CHG has advised that consultants clinically prioritise patients for surgery on the waiting list. There is a desire and a requirement to facilitate timely surgery. This will be enabled with the increased investment in the service in 2018, aimed at stabilising and expanding the current capacity, to meet the demand for timely scoliosis treatment.

Furthermore, two new consultant posts for paediatric orthopaedics have been provided in the HSE 2018 National Service Plan. The two new posts are currently being processed through the Consultant Appointment Approval Committee process and are expected to be appointed in quarter 4 of 2018. These posts are allocated to Our Lady's Children's Hospital Crumlin and Temple Street Children’s University Hospital for paediatric orthopaedics and are expected to have a positive impact on current patient waiting times.

CHG advises that, in order to achieve its targets for surgery this year, there will be additional activity across the hospitals over the summer months, as the scheduling of spinal surgery for patients in this age group is frequently dependent on the timetabling of exams in the first half of the year.

Paediatric Services

Ceisteanna (398)

Louise O'Reilly

Ceist:

398. Deputy Louise O'Reilly asked the Minister for Health the way in which offers of outsourcing for scoliosis corrective surgery are made; his views on whether the method of offering outsourcing is allowing parents to make informed decisions regarding the outsourcing of their children's care; and if he will make a statement on the matter. [27887/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services. The Children's Hospital Group (CHG) is committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now.

Firm foundations were laid last year in addressing issues with scoliosis services and efforts were focused primarily on legacy issues and a backlog on the waiting list. The CHG has advised that this work involved the introduction of a number of short-term measures, including the outsourcing of surgeries abroad.  As part of the outsourcing initiative, 46 surgeries were performed in 2017 at Cappagh and the Mater Hospitals, Stanmore and Portland Hospitals in the UK and St Franziskus Hospital in Germany.  For those patients and their families who opted for overseas treatment, they have had a positive outcome and experience. These contracts are still in place between the HSE and the outsourcing hospitals for 2018.

In addition to outsourcing surgeries to specialist centres in the UK and in Europe, other initiatives introduced resulted in an increase in public capacity in terms of additional theatre sessions at Our Lady’s Children’s Hospital, Crumlin (Crumlin), Cappagh National Orthopaedic Hospital (Cappagh) and the Mater Misericordiae University Hospital (Mater). 

In 2017, 22 patients opted to remain on the Crumlin list with their treating consultant rather than taking up offers of other treatment options in Ireland and overseas.  Some of these patients have now had their surgery and others are continuously under review in relation to a treatment plan.   

The CHG plan for the year ahead, in partnership with clinicians and all other stakeholders, is to drive further progress in reducing waiting times by developing a long-term sustainable and safe paediatric model of care for paediatric orthopaedic services which will ensure that clinical criteria will determine the timeframe for the delivery of care. In this regard I look forward to the launch and publication of the Paediatric Orthopaedic Action Plan 2018 on the 12th July.

In relation to the manner in which offers of outsourcing are made to families, as this is a service issue, I have asked the HSE to respond to the Deputy directly.

Hospital Services

Ceisteanna (399)

Louise O'Reilly

Ceist:

399. Deputy Louise O'Reilly asked the Minister for Health the cohort of scoliosis patients that will have access to a facility (details supplied) under outsourcing initiatives; the way in which this initiative will work; and if he will make a statement on the matter. [27888/18]

Amharc ar fhreagra

Freagraí scríofa

The long-term strategy to develop sustainable scoliosis services from 2018 has been prioritised by my Department and the HSE in the 2018 HSE National Service Plan. An additional €9 million has been provided to the HSE in 2018 specifically to develop paediatric orthopaedic services, including further increasing access to scoliosis services.

The Children's Hospital Group (CHG) committed to a two-year service development plan to implement an orthopaedic service that provides timely access for Outpatient and In-Patient services. The HSE has confirmed that as part of this plan it will maintain the 4-month target in 2018 and beyond, which is international best practice, for all patients who are clinically deemed to require surgery now.

In relation to the specific use of the facility outlined in the question, I have asked the HSE to provide me with a response to the issue and I will revert to the Deputy as soon as the answer becomes available.

Hospital Procedures

Ceisteanna (400)

Louise O'Reilly

Ceist:

400. Deputy Louise O'Reilly asked the Minister for Health if he will report on the use of MAGEC rods in the Children’s Hospital Group; the reason these rods are not available to all children across the group; and if he will make a statement on the matter. [27889/18]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to you directly, as soon as possible.

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