Thursday, 25 October 2018

Ceisteanna (223)

Stephen Donnelly

Ceist:

223. 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; the number of procedures and average fee paid for each treatment type; and if he will make a statement on the matter. [44258/18]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

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:

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;

Arthoscopy of Ankle DC;

Arthoscopy of Ankle IP;

Arthoscopy of Shoulder DC;

Arthoscopy 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; and

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 conjunctiva;

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; and

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.