Tuesday, 11 June 2019

Ceisteanna (493)

Peadar Tóibín

Ceist:

493. Deputy Peadar Tóibín asked the Minister for Health the most recent outpatient and inpatient waiting list figures for Navan hospital; the equivalent set of figures from the previous 12 months; the length of time these patients have been waiting on a three, six, 12 and 24 month basis; and if he will make a statement on the matter. [23528/19]

Amharc ar fhreagra

Freagraí scríofa (Ceist ar Health)

I am conscious that waiting times are often unacceptably long and of the burden that this places on patients and their families. In this regard, the Government is committed to improving waiting times for hospital appointments and procedures.

The joint Department of Health/HSE/National Treatment Purchase Fund (NTPF) Scheduled Care Access Plan 2019 was published in March and sets out measures to improve care for patients waiting for scheduled care in 2019 by reducing waiting times for inpatient/day case treatment and outpatient appointments. The plan places a strong focus on ten high-volume Inpatient/Day Case procedures. When combined with HSE activity, it is projected that the NTPF will be in a position to offer treatment to all clinically suitable patients waiting more than 6 months for one of these high-volume procedures.

A key element of the Plan is the stabilisation of the Outpatient Waiting List. Under the Plan the HSE, in line with the National Service Plan, will aim to deliver 3.3 million outpatient appointments, of which approximately 1 million will be first appointments. For its part the NTPF will aim to deliver 40,000 first Outpatient appointments.

The plan includes a target to reduce the number of patients waiting for and Inpatient/Day Case procedure from just over 70,000 in December 2018 to 60,000 by year end and to reduce the number of patients waiting for a first Outpatient appointment from over 516,000 at the end of 2018 to under 509,000 by the end of 2019. The latter target takes into account the fact that more than 800,000 new patients will be added to the Outpatient waiting list in 2019, a figure that is based on trends for the previous two years.

The NTPF advise that over recent months they have placed a particular focus on engaging with hospital groups and individual hospitals to identify outpatient waiting list proposals. While the NTPF have already approved over 38,000 outpatient appointments, they advise that the impact of these initiatives may not be seen until the end of the year. Approximately 75% of outpatient appointments approved to date relate to 4 high-volume specialities, specifically Ophthalmology, ENT, Orthopaedics, and Dermatology.

In addition, my Department is working with the HSE and NTPF, under the Access Plan, with the objective of developing medium-long term improvement initiatives for patient access to hospital procedures. This will include moving care to more appropriate settings and providing care at the lowest level of complexity such as providing ophthalmology in the community; maximising the use of Advanced Nurse Practitioner led clinics; and physiotherapists to manage orthopaedic clinics.

Navan Hospital IPDC waiting list has increased by 12% (+71) when compared to the same period last year but has decreased by 19% (-162) when compared to August 2018. Navan Hospital Outpatient waiting list has increased by 20% (+1,196) when compared to the same period last year.

*Due to the small volume of patients waiting in timebands over 12 months on the IPDC waiting list, and over 24 months on the Outpatient waiting list, to preserve patient confidentiality, these numbers have been included within the broader timebands of 12+ months and 24+ months respectively.

Navan Hospital IPDC April 2018-April 2019

 0-3 Mths

 3-6 Mths

 6-9 Mths

 9-12 Mths

12+ Mths

Grand Total

Apr-19

379

156

86

53

6

680

Mar-19

346

201

100

56

8

711

Feb-19

371

204

115

38

12

740

Jan-19

359

222

137

33

7

758

Dec-18

372

205

121

20

3

721

Nov-18

384

225

99

26

8

742

Oct-18

386

276

95

35

8

800

Sep-18

413

287

73

46

11

830

Aug-18

439

261

83

52

7

842

Jul-18

459

203

89

35

6

792

Jun-18

479

129

66

35

8

717

May-18

432

145

55

59

8

699

Apr-18

339

154

85

23

8

609

Navan Hospital Outpatient April 2018-April 2019

 0-3Months

 3-6Months

 6-9Months

 9-12Months

12-15Months

15-18Months

18-21Months

21-24Months

24+Months

Grand Total

Apr-19

1727

1030

1155

1006

753

509

435

226

195

7036

Mar-19

1208

1002

1082

707

566

440

237

171

0

5413

Feb-19

1580

1300

987

1063

655

564

423

230

159

6961

Jan-19

1449

1259

1079

959

592

588

388

201

127

6642

Dec-18

1657

1083

1135

773

630

555

359

186

92

6470

Nov-18

1723

1071

1096

737

628

569

319

174

90

6407

Oct-18

1614

1140

1032

697

661

558

260

171

81

6214

Sep-18

1541

1254

923

696

665

532

241

200

26

6078

Aug-18

1542

1235

888

742

683

511

206

201

16

6024

Jul-18

1632

1170

854

748

677

437

217

165

16

5916

Jun-18

1645

1026

991

776

702

329

261

82

12

5824

May-18

1612

1063

997

775

716

323

262

74

11

5833

Apr-18

1621

1054

1038

834

632

315

247

88

11

5840