Dáil Éireann Debate, Tuesday - 27 July 2021
2749. Deputy Rose Conway-Walsh asked the Minister for Health the number of persons waiting and average wait times for orthopaedic treatment on a county basis by type of treatment; and if he will make a statement on the matter. [39001/21]
Amharc ar fhreagraIt is recognised that waiting times for scheduled appointments and procedures have been impacted in the last sixteen months as a direct result of the COVID-19 pandemic and more recently as a result of the ransomware attack.
While significant progress was made in reducing waiting times from June 2020 onwards, the surge in Covid-19 cases in the first quarter of 2021, and the resultant curtailment of acute hospital services, is reflected in the most recently available waiting list figures to 13th May 2021.
On 23 March 2021 the HSE published the “Safe Return to Health Services Plan”, outlining a three phased approach for the proposed restoration of services across Community Services, Acute Hospital Operations, Cancer Services and Screening Services. It sets target times for their safe return and details the conditions and challenges that will have to be met. However, the implementation of this plan was suspended pending the resolution of the recent ransomware attack, which had a significant impact on acute hospitals.
The HSE has been working since 14th May last to recover the effects of the cyber attack on its systems. The HSE advise that at present most systems are operational and services are returning to normal activity. There is a challenge in back entering data and there are still a number of areas of ongoing concern. The HSE was already seeking to recover from the Covid peak in the first quarter of this year and the ransomware attack has delayed this and had the effect of increasing access delays for services.
At the 13th of May 2021, nationwide there were 11,073 patients waiting for an adult or child orthopaedic IPDC procedure, a reduction of 19% (-2,569) compared to the same period last year.
Specifically in terms of hip and knee replacements, the National Treatment Purchase Fund (NTPF) have advised the Department that at the end of May 2020 there were 3,042 patients waiting for such a procedure. Through focused activity, and with the support of the NTPF, at the 13th May 2021 this figure had fallen by 26 % to 2,256 patients.
The NTPF have advised that they have provided funding for a number of Insourcing initiatives to reduce Orthopaedic waiting lists in 2021, which will see 15,385 patients receive appointments and procedures.
An additional €240 million has been provided in Budget 2021 for an access to care fund, €210m of which has been allocated to the HSE and a further €30m to the NTPF. This is to be used to fund additional capacity to address the shortfall arising as a result of infection control measures taken in the context of COVID-19, as well as addressing backlogs in waiting lists.
My Department, the HSE and the NTPF are currently working on a Multiannual Waiting List Plan to address waiting lists and bring them in line with Sláintecare targets over the coming years.
The information requested by the Deputy concerning the number of persons waiting and average wait times for orthopaedic treatment on a county basis by type of treatment is outlined in the attached document.
Due to the ongoing IT issues triggered by the HSE cyber-attack, the NTPF has been unable to receive weekly national hospital waiting list data or downloads. The latest published waiting list information was collated by the NTPF on 13th May 2021.
The NTPF has advised that the health system does not collect the data necessary to calculate average wait times. In particular, the time to treatment of patients who have already received their care is not collected. The NTPF collects data on patients currently on the waiting list and the average time that these patients have been waiting is provided here.
|
Total IPDC Waiters for an Orthopaedic Procedure by Area of Residence by Wait Time Band as at 13/05/2021 |
||||||
|
Sum of Total |
Column Labels |
|||||
|
Row Labels |
0-6 Mths |
6-12 Mths |
12-18 Mths |
18+ Mths |
Small Vol Time Band |
Grand Total |
|
Carlow |
46 |
20 |
13 |
16 |
95 |
|
|
Cavan |
80 |
14 |
5 |
14 |
113 |
|
|
Clare |
121 |
80 |
35 |
18 |
254 |
|
|
Cork |
229 |
79 |
46 |
28 |
382 |
|
|
Donegal |
288 |
282 |
170 |
164 |
904 |
|
|
Dublin |
1593 |
506 |
313 |
489 |
2901 |
|
|
Exception |
280 |
51 |
36 |
38 |
405 |
|
|
Galway |
339 |
157 |
146 |
252 |
894 |
|
|
Kerry |
165 |
42 |
50 |
13 |
270 |
|
|
Kildare |
293 |
113 |
94 |
136 |
636 |
|
|
Kilkenny |
45 |
22 |
15 |
16 |
98 |
|
|
Laois |
163 |
29 |
25 |
42 |
259 |
|
|
Leitrim |
54 |
22 |
21 |
16 |
113 |
|
|
Limerick |
204 |
149 |
71 |
19 |
443 |
|
|
Longford |
72 |
15 |
18 |
37 |
142 |
|
|
Louth |
55 |
15 |
11 |
19 |
100 |
|
|
Mayo |
266 |
130 |
88 |
184 |
668 |
|
|
Meath |
135 |
24 |
27 |
21 |
207 |
|
|
Monaghan |
22 |
8 |
30 |
|||
|
Offaly |
164 |
36 |
35 |
73 |
308 |
|
|
Roscommon |
79 |
43 |
36 |
64 |
222 |
|
|
Sligo |
186 |
77 |
49 |
43 |
355 |
|
|
Small Vol Area |
7 |
7 |
||||
|
Tipperary |
165 |
74 |
32 |
22 |
293 |
|
|
Waterford |
95 |
18 |
17 |
13 |
143 |
|
|
Westmeath |
172 |
33 |
33 |
65 |
303 |
|
|
Wexford |
162 |
38 |
23 |
38 |
261 |
|
|
Wicklow |
156 |
46 |
29 |
36 |
267 |
|
|
Grand Total |
5629 |
2123 |
1438 |
1876 |
7 |
11073 |
