Hospital Waiting Lists

Dáil Éireann Debate, Thursday - 23 September 2021

Thursday, 23 September 2021

Ceisteanna (349)

Denis Naughten

Ceist:

349. Deputy Denis Naughten asked the Minister for Health the waiting times for cataract surgery in each hospital in which such surgery takes place; and if he will make a statement on the matter. [45933/21]

Freagraí scríofa

Minister for Health

It is recognised that waiting times for scheduled appointments and procedures have been impacted in the last eighteen 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 associated curtailment of acute hospital services, coupled with the ransomware attack of May 2021, has impacted waiting times. However, the HSE advise that acute services are now almost all fully restored to pre-cyber-attack levels, and are operating in line with relevant Covid protocols.

My Department, the HSE and the National Treatment Purchase Fund (NTPF) are focusing on improving access to elective care in order to reduce waiting times for patients. These plans include increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services where minor procedures are provided at the same time as outpatient consultations, providing virtual clinics and increasing capacity in the public hospital system.

In recent years, my Department has worked with the HSE and the National Treatment Purchase Fund (NTPF) to improve access for patients waiting for high volume procedures, including cataracts. Ophthalmology services are provided throughout all hospital groups in the country, with cataract removal one of the key procedures carried out as part of this specialty.

A key development in improving access to Ophthalmology services was the opening of a stand-alone high-volume consultant-led cataract theatre by the University of Limerick Hospital Group in Nenagh Hospital in 2018, with the intention that it would facilitate patients from surrounding geographical areas to avail of their treatment there. The impact of such initiatives can be seen in the reduction in the waiting times to access cataract procedures since 2019. At the end of August 2021 there were 4,511 patients waiting for a cataract procedure compared to 5,528 in August 2019.

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 National Treatment Purchase Fund 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 waiting times for cataract surgery in each hospital, is outlined in the table below.

Total Active IPDC Waiters for Cataract Surgery by Hospital by Wait Time Band as at 26/08/2021

Sum of Total	Column Labels
Row Labels	0-6 Months	6-12 Months	12-18 Months	18+ Months	Small Volume Time Bands	Grand Total
CHI		5				5
Galway University Hospitals	326	24		6		356
Letterkenny University Hospital	17	7		8		32
Mater Misericordiae University Hospital	1315	193	42	65		1615
Nenagh Hospital	114	75	13	12		214
Royal Victoria Eye and Ear Hospital	820	107	27	52		1006
Sligo University Hospital	259	26	39	78		402
Small Volume Hospitals			7	5	2	14
South Infirmary Victoria University Hospital	162	24	5	5		196
St. Vincent's University Hospital	156	6				162
University Hospital Limerick	72	40	6	47		165
University Hospital Waterford	180	29	14	121		344
Grand Total	3421	536	153	399	2	4511