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National Treatment Purchase Fund Data

Dáil Éireann Debate, Wednesday - 24 October 2018

Wednesday, 24 October 2018

Ceisteanna (250)

Stephen Donnelly

Ceist:

250. Deputy Stephen S. Donnelly asked the Minister for Health the schedule of types of medical treatments covered by the NTPF for 2017 and to date in 2018, including each treatment type; the number of procedures; the average fee paid; and if he will make a statement on the matter. [44113/18]

Amharc ar fhreagra

Freagraí scríofa

The National Treatment Purchase Fund (NTPF) has advised that in 2017 a total of 8,192 people were removed from the Active Inpatient Day Case (IPDC) waiting list as a result of accepting offers of treatment funded through the NTPF. As a result of the NTPF Scopes Initiative, 1,328 patients were removed from the GI Scopes waiting list. The total estimated cost of treatment for those who accepted offers in 2017 is €20.5m. (Please note that the 2017 Annual Financial Statements have not been finalised).

In the first 9 months of 2018, a total of 15,456 patients have accepted offers of NTPF funded treatment, broken down as follows:

Treatment

Number

Angiograms

1,135

Cataracts   

5,403

Cystoscopies

2,121

Joints

1,085

Lesions  

843

Tonsils

866

Varicose Veins

1,127

Other Procedures

2,876

Total 

 15,456

In addition, 2,462 patients were removed from the GI Scopes waiting list this year to end of September 2018.

With regard to Inpatient/Day case (IP / DC), the following procedures are provided in Private Hospitals, funded through the NTPF:

Adenoidectomy

Angiogram

Arthroscopy of Ankle DC

Arthroscopy of Ankle IP

Arthroscopy of Shoulder DC

Arthroscopy of Shoulder IP

Arthroscopy of knee DC

Arthroscopy of shoulder, diagnostic with or without synovial biopsy

Arthroscopy of shoulder, surgical, with removal of loose body or foreign body, synovectomy debridement

Bilateral hernia repair

Cardioversion

Carpal Tunnel

Cataracts

Cervical Discectomy IP

Circumcision DC Adults

Circumcision IP Adults

Circumcision DC Paeds

Circumcision IP Paeds

Colonoscopy

Correction of Protruding ears (Bilateral)

Cystoscopy Day case

Endoscopy / Gastroscopy

Excision Lesion General

Excision Lesion Plastics

Excision of hydrocele, bilateral

Excision of hydrocele, unilateral

Grommets

Hip Replacement

Hysteroscopy with dilatation and curettage (diagnostic or therapeutic)

Interruption of sapheno-femoral junction varicose veins

Knee Replacement

Laparoscopic Cholecystectomy daycase and inpatient

Laparoscopy with/without D&C and with/without biopsy

Lumbar Discectomy IP

Myringoplasty

Myringotomy bilateral and Grommets Paeds DC

Myringotomy bilateral paeds DC

Nasal / Sinus Endoscopy DC

Nasal / Sinus Endoscopy IP

Protoscopy / Sigmoidoscopy DC

Repair of incisional hernia

Repair of umbilical hernia

Resection Ingrown Toenail DC

Rhinoplasty DC

Removal of Pin Screw Wire DC

Removal of Pin Screw Wire IP

Removal of Plate Rod Nail DC

Removal of Plate Rod Nail IP

Septoplasty DC

Septoplasty IP

Septorhinoplasty - ENT

Septorhinoplasty - Plastics

Strabismus procedure involving 1 or 2 muscles, one eye

Surgical removal of unspecified number of teeth requiring removal of bone - to be performed by a maxillofacial surgeon

Tonsils Adult

Tonsils Paeds

Transurethral resection of prostate [TURP]

Tympanoplasty IP Adult

Tympanoplasty DC Adult

Tympanoplasty IP Paeds

Tympanoplasty DC Paeds

Ureteroscope

Urethroscopy, diagnostic, with or without biopsy

Varicose Veins

The above is not an exhaustive list but covers most of the current procedures. There are also a broader range of procedures that are provided through public hospitals.

In addition, the NTPF has recently tendered for the following procedures:

Excision of chalazions, papillomas, dermoids or other cysts or lesions, one or both eyelids, involving skin, lid margin, tarsus and or palpebral conjuctiva

Excision of pterygium

Excision of pterygium and conjunctival graft

Reconstruction of eyelid

Syringing  and / or probing of lacrimal passages, unilateral or bilateral

Hallux valgus, bilateral

Hallux valgus, unilateral

Reconstruction of eyelid

Excision of epididymal cyst, bilateral

Excision of epididymal cyst, unilateral

Orchidectomy, bilateral

Orchidectomy, unilateral

Orchidopexy for undescended testis, bilateral, with or without inguinal hernia repair

Orchidopexy for undescended testis, unilateral, with or without inguinal hernia repair

Repair of Variocele

Vasectomy, bilateral

Cardiac electrophysiological study with radiofrequency ablation

Anorectal examination

Excision of anal skin tag

Haemorrhoidectomy, external, multiple

Cauterisation of ectropion

Cauterisation of entropion

Dacryocystorhinostomy [DCR]

Repair of epigastric hernia

Fundoplasty, laparoscopic approach

Orchidopexy for undescended testis, bilateral, with or without inguinal hernia repair

Orchidopexy for undescended testis, unilateral, with or without inguinal hernia repair  

Procedures with the Private hospitals are tendered through an open procurement process and the cost per procedure would be commercially sensitive.

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