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Tuesday, 14 Jun 2022

Written Answers Nos. 1406-1423

Hospital Waiting Lists

Ceisteanna (1406)

Sorca Clarke

Ceist:

1406. Deputy Sorca Clarke asked the Minister for Health the current waiting lists per duration and department in Midland Regional Hospital, Mullingar, in tabular form. [29012/22]

Amharc ar fhreagra

Freagraí scríofa

In relation to the particular query raised by the Deputy, the attached document, outlines the number of patients on IPDC & OPD waiting lists by time-band and specialty at Midland Regional Hospital Mullingar. This information is also published monthly and is available on the NTPF website at: www.ntpf.ie/home/nwld.htm.

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Omicron variants.

The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

The 2022 Waiting List Action Plan, which was launched on the 25th of February, allocates €350 million to the HSE and NTPF to reduce waiting lists. Under this plan the Department, HSE, and NTPF will deliver urgent additional capacity for the treatment of patients, as well as investing in longer term reforms to bring sustained reductions in waiting lists.

The plan builds on the successes of the short-term 2021 plan that ran from September to December last year. The 2021 plan was developed by the Department of Health, the HSE and the NTPF and was driven and overseen by a senior governance group co-chaired by the Secretary General of the Department of Health and the CEO of the HSE and met fortnightly.

This rigorous level of governance and scrutiny of waiting lists has continued into this year with the oversight group evolving into the Waiting Lis Task Force. The Task Force will meet regularly to drive progress of the 2022 plan.

This is the first stage of an ambitious multi-annual waiting list programme, which is currently under development in the Department of Health. Between them, these plans will work to support short, medium, and long term initiatives to reduce waiting times and provide the activity needed in years to come.

Mullingar

Mullingar

Hospital Services

Ceisteanna (1407)

Peadar Tóibín

Ceist:

1407. Deputy Peadar Tóibín asked the Minister for Health if a positron emission tomography scan can be expedited in the case of a person (details supplied); and if he will address the reason for the long waiting list for the particular scan involved in this case. [29028/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Covid-19 Pandemic

Ceisteanna (1408)

Seán Canney

Ceist:

1408. Deputy Seán Canney asked the Minister for Health the reason that the contract tracing system is being centralised to HSE headquarters in central Dublin; if he will consider decentralising the contact tracing system to an area outside of Dublin in which workers would find more affordable accommodation and ease commuter congestion in the capital; and if he will make a statement on the matter. [29041/22]

Amharc ar fhreagra

Freagraí scríofa

Changes to COVID-19 testing and tracing as part of the overall transition arrangements for the pandemic were approved by the Government in February 2022. There is no longer a public health rationale or need for extensive testing, case finding and tracing of infection to reduce COVID-19 transmission. The focus now is on mitigation of the severe impacts of COVID-19 for those most vulnerable to the disease and those with risk factors who may benefit from specific interventions. Full details of the current public health advice are available on the website of the HSE at www.hse.ie.

The HSE is working to implement this advice which will invariably lead to consolidation of resources in fewer centres around the country as the HSE moves through transition phases of the testing and tracing programme in the months ahead. The arrangements with regard to individual test centres is a matter for the Health Service Executive, and I have asked the HSE to respond to the Deputy directly in this regard, as soon as possible.

Care of the Elderly

Ceisteanna (1409)

Seán Canney

Ceist:

1409. Deputy Seán Canney asked the Minister for Health if his attention has been drawn to the HSE West not currently taking new applications for the extensive homecare package, which is homecare in excess of 56 hours per week; if his attention has been drawn to the fact that this will force patients who want to be cared-for at home to be cared for in hospitals and long-term care settings; the steps which he is taking to rectify this; and if he will make a statement on the matter. [29043/22]

Amharc ar fhreagra

Freagraí scríofa

As this is an operational matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Covid-19 Pandemic

Ceisteanna (1410)

Ged Nash

Ceist:

1410. Deputy Ged Nash asked the Minister for Health if he will outline the issues with the HSE national payroll system which caused the delay in the payment of the pandemic bonus payment to eligible HSE staff in Our Lady of Lourdes Hospital, Drogheda; and if he will make a statement on the matter. [29047/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.

Disabilities Assessments

Ceisteanna (1411)

Niamh Smyth

Ceist:

1411. Deputy Niamh Smyth asked the Minister for Health if he will urgently review the case of a child (details supplied); the status of their appointments for autism assessment and speech and language therapy; and if he will make a statement on the matter. [29048/22]

Amharc ar fhreagra

Freagraí scríofa

I wish to advise the Deputy that, as this is a service issue relating to a particular child, it would be inappropriate for me to comment. However, the Deputy's question has been forwarded to the HSE for direct reply.

Medical Cards

Ceisteanna (1412)

Pádraig Mac Lochlainn

Ceist:

1412. Deputy Pádraig Mac Lochlainn asked the Minister for Health the reason a medical card has been refused for a person (details supplied) in County Donegal; and if he will make a statement on the matter. [29052/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the deputy directly, as soon as possible.

Hospital Services

Ceisteanna (1413)

David Cullinane

Ceist:

1413. Deputy David Cullinane asked the Minister for Health the number of hospital cancellations from 1 January 2022 to the end of May 2022, by month, broken down by hospital and hospital group and cancellation type; and if he will make a statement on the matter. [29057/22]

Amharc ar fhreagra

Freagraí scríofa

I fully acknowledge the distress and inconvenience for patients and their families when elective procedures are cancelled, particularly for clinically urgent procedures. While every effort is made to avoid cancellation or postponement of planned procedures, the HSE has advised that planned procedures and operations can be postponed or cancelled for a variety of reasons including capacity issues due to increased scheduled and unscheduled care demand.

Patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

In relation to the particular query raised, as this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Waiting Lists

Ceisteanna (1414)

David Cullinane

Ceist:

1414. Deputy David Cullinane asked the Minister for Health the total number of patients over 75 years of age on a community or CHO waiting list, broken down by the length of time they are waiting, namely for zero to three months, three to six months, six months to one year, greater than one year and greater than two years; and if he will make a statement on the matter. [29058/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Waiting Lists

Ceisteanna (1415)

David Cullinane

Ceist:

1415. Deputy David Cullinane asked the Minister for Health the total number of patients over 75 years of age on an acute hospital waiting list, broken down by the length of time they are waiting, namely for zero to three months, three to six months, six months to one year, greater than one year and greater than two years; and if he will make a statement on the matter. [29059/22]

Amharc ar fhreagra

Freagraí scríofa

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Omicron variants.

The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

The 2022 Waiting List Action Plan, which was launched on the 25th of February, allocates €350 million to the HSE and NTPF to reduce waiting lists. Under this plan the Department, HSE, and NTPF will deliver urgent additional capacity for the treatment of patients, as well as investing in longer term reforms to bring sustained reductions in waiting lists.

The plan builds on the successes of the short-term 2021 plan that ran from September to December last year. The 2021 plan was developed by the Department of Health, the HSE and the NTPF and was driven and overseen by a senior governance group co-chaired by the Secretary General of the Department of Health and the CEO of the HSE and met fortnightly.

This rigorous level of governance and scrutiny of waiting lists has continued into this year with the oversight group evolving into the Waiting Lis Task Force. The Task Force will meet regularly to drive progress of the 2022 plan.

This is the first stage of an ambitious multi-annual waiting list programme, which is currently under development in the Department of Health. Between them, these plans will work to support short, medium, and long term initiatives to reduce waiting times and provide the activity needed in years to come.

In relation to the particular query raised by the Deputy, the attached document, provided to my Department by the NTPF, outlines the number of patients over 75 years of age on IPDC & OPD hospital waiting lists by time-band and hospital.

Mullingar

Hospital Waiting Lists

Ceisteanna (1416)

David Cullinane

Ceist:

1416. Deputy David Cullinane asked the Minister for Health the total number of patients over 75 years of age on a diagnostic waiting list, broken down by the length of time they are waiting, namely for zero to three months, three to six months, six months to one year, greater than one year and greater than two years; and if he will make a statement on the matter. [29060/22]

Amharc ar fhreagra

Freagraí scríofa

The HSE advises that a pilot project commenced in 2016 by the HSE Acute Hospitals Division to progress the collection of national radiology waiting list data. The project has been supported by the Radiology Clinical Care Programme and has involved key stakeholders across the system including the National Integrated Medical Imaging System (NIMIS) Team, Hospital Groups, and the support of the National Treatment Purchase Fund (NTPF) for data collection and data management expertise.

Under this pilot project, data for CT, MRI and Ultrasound are collated quarterly by the NTPF. The purpose of this aggregate data is to provide a National Level overview of the number of patients waiting for modalities of CT, MRI and Ultrasound.

The NTPF has advised that, as the collection of diagnostic waiting list data is still in pilot mode, it is not possible to provide the detail requested by the Deputy.

Hospital Waiting Lists

Ceisteanna (1417)

David Cullinane

Ceist:

1417. Deputy David Cullinane asked the Minister for Health the total number of patients under 18 years of age on a community or CHO waiting list broken down by the length of time they are waiting, namely for zero to three months, three to six months, six months to one year, greater than one year and greater than two years; and if he will make a statement on the matter. [29061/22]

Amharc ar fhreagra

Freagraí scríofa

As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly, as soon as possible.

Hospital Waiting Lists

Ceisteanna (1418)

David Cullinane

Ceist:

1418. Deputy David Cullinane asked the Minister for Health the total number of patients under 18 years of age on an acute hospital waiting list, broken down by the length of time they are waiting, namely for zero to three months, three to six months, six months to one year, greater than one year and greater than two years; and if he will make a statement on the matter. [29062/22]

Amharc ar fhreagra

Freagraí scríofa

In relation to the particular query raised by the Deputy, the attached document, outlines the number of patients under 18 years of age on IPDC & OPD waiting lists by time-band and hospital.

It is recognised that waiting times for scheduled appointments and procedures have been affected by the Covid-19 pandemic. While significant work continues to positively impact on waiting times and improve pathways to elective care, acute hospitals have been impacted by operational challenges arising from surges in cases related to the Omicron variants.

The HSE has confirmed to the Department that patient safety remains at the centre of all hospital activity and elective care scheduling. To ensure services are provided in a safe, clinically-aligned and prioritised way, hospitals are following HSE clinical guidelines and protocols.

The Department of Health continues to work with the HSE and the National Treatment Purchase Fund (NTPF) to identify ways to improve access to care, including through increased use of private hospitals, funding weekend and evening work in public hospitals, funding “see and treat” services, providing virtual clinics, and increasing capacity in the public hospital system.

The 2022 Waiting List Action Plan, which was launched on the 25th of February, allocates €350 million to the HSE and NTPF to reduce waiting lists. Under this plan the Department, HSE, and NTPF will deliver urgent additional capacity for the treatment of patients, as well as investing in longer term reforms to bring sustained reductions in waiting lists.

The plan builds on the successes of the short-term 2021 plan that ran from September to December last year. The 2021 plan was developed by the Department of Health, the HSE and the NTPF and was driven and overseen by a senior governance group co-chaired by the Secretary General of the Department of Health and the CEO of the HSE and met fortnightly.

This rigorous level of governance and scrutiny of waiting lists has continued into this year with the oversight group evolving into the Waiting Lis Task Force. The Task Force will meet regularly to drive progress of the 2022 plan.

This is the first stage of an ambitious multi-annual waiting list programme, which is currently under development in the Department of Health. Between them, these plans will work to support short, medium, and long term initiatives to reduce waiting times and provide the activity needed in years to come.

IP Table

 0-6 Mths

 6-12 Mths

12-18 Mths

18+ Mths

SmallVolTimeBands

Grand Total

Inpatient Under 18yrs

4,786

2,025

1,012

1,311

81

9,215

26/05/2022

4,786

2,025

1,012

1,311

81

9,215

Beaumont Hospital

54

29

11

94

Cavan General Hospital

27

5

32

Children's Health Ireland

2,733

1,519

867

1,084

6,203

Connolly Hospital Blanchardstown

9

9

Cork University Hospital

95

27

14

16

152

Croom Orthopaedic Hospital

10

10

Ennis Hospital

15

15

Galway University Hospitals

280

115

49

93

537

Letterkenny University Hospital

58

20

7

31

116

Louth County Hospital

10

10

Mater Misericordiae University Hospital

26

7

33

Mayo University Hospital

6

5

7

18

Mercy University Hospital

65

27

13

105

Midland Regional Hospital Mullingar

35

12

47

Midland Regional Hospital Portlaoise

7

7

Midland Regional Hospital Tullamore

120

15

135

National Orthopaedic Hospital Cappagh

263

64

18

27

372

Nenagh Hospital

24

6

30

Our Lady of Lourdes Hospital Drogheda

62

15

6

83

Our Lady's Hospital Navan

12

12

Portiuncula University Hospital

30

7

37

Roscommon University Hospital

28

5

33

Royal Victoria Eye and Ear Hospital

94

11

6

111

Sligo University Hospital

172

31

10

21

234

SmallVolHospitals

39

39

South Infirmary Victoria University Hospital

163

25

5

5

198

St. Columcille's Hospital

9

9

St. James's Hospital

14

8

5

27

St. John's Hospital Limerick

9

9

St. Luke's General Hospital Kilkenny

16

6

22

St. Vincent's University Hospital

16

16

Tallaght University Hospital

27

27

Tipperary University Hospital

14

14

University Hospital Kerry

28

5

33

University Hospital Limerick

98

50

8

17

173

University Hospital Waterford

134

26

10

12

182

Wexford General Hospital

23

8

31

Grand Total

4,786

2,025

1,012

1,311

81

9,215

OP Table

Row Labels

 0-6 Mths

 6-12 Mths

12-18 Mths

18+ Mths

SmallVolTimeBands

Grand Total

Outpatient Under 18yrs

44,690

20,104

9,774

21,729

34

96,331

26/05/2022

44,690

20,104

9,774

21,729

34

96,331

Bantry General Hospital

29

17

5

51

Beaumont Hospital

469

139

8

616

Cavan General Hospital

794

158

36

988

Children's Health Ireland

18,616

8,974

5,270

11,364

44,224

Connolly Hospital Blanchardstown

74

7

81

Coombe Women and Infants University Hospital

51

5

56

Cork University Hospital

3,041

1,708

615

1,237

6,601

Cork University Maternity Hospital

79

26

105

Croom Orthopaedic Hospital

188

53

31

39

311

Ennis Hospital

34

16

6

6

62

Galway University Hospitals

2,980

1,535

668

1,473

6,656

Letterkenny University Hospital

1,127

306

176

1,000

2,609

Louth County Hospital

27

10

7

44

Mallow General Hospital

192

34

7

6

239

Mater Misericordiae University Hospital

468

138

45

42

693

Mayo University Hospital

571

261

182

430

1,444

Mercy University Hospital

378

106

37

33

554

Midland Regional Hospital Mullingar

776

377

128

178

1,459

Midland Regional Hospital Portlaoise

647

231

98

104

1,080

Midland Regional Hospital Tullamore

824

405

237

532

1,998

Naas General Hospital

71

21

5

97

National Orthopaedic Hospital Cappagh

204

77

31

9

321

Nenagh Hospital

19

10

5

34

Our Lady of Lourdes Hospital Drogheda

1,933

1,375

435

132

3,875

Our Lady's Hospital Navan

45

17

18

29

109

Portiuncula University Hospital

557

46

22

64

689

Roscommon University Hospital

124

55

21

125

325

Rotunda Hospital

80

47

127

Royal Victoria Eye and Ear Hospital

433

188

111

341

1,073

Sligo University Hospital

1,233

556

244

378

2,411

SmallVolHospitals

20

20

South Infirmary Victoria University Hospital

1,519

489

150

331

2,489

St. Columcille's Hospital

80

26

8

114

St. James's Hospital

289

79

44

105

517

St. John's Hospital Limerick

12

9

21

St. Luke's General Hospital Kilkenny

498

36

534

St. Michael's Hospital

210

25

235

St. Vincent's University Hospital

232

65

14

311

Tallaght University Hospital

315

185

88

60

648

Tipperary University Hospital

335

181

18

534

University Hospital Kerry

622

342

118

370

1,452

University Hospital Limerick

2,136

829

528

1,995

5,488

University Hospital Waterford

1,755

851

366

1,338

4,310

Wexford General Hospital

623

98

5

726

Grand Total

44,690

20,104

9,774

21,729

34

96,331

Disabilities Assessments

Ceisteanna (1419)

David Cullinane

Ceist:

1419. Deputy David Cullinane asked the Minister for Health the number of preliminary team assessments carried out on children with disabilities in 2021 and until the end of May 2022, broken down by month; and if he will make a statement on the matter. [29063/22]

Amharc ar fhreagra

Freagraí scríofa

As the Deputy's question relates to a service issue, it has been referred to the HSE for direct reply.

Covid-19 Pandemic

Ceisteanna (1420)

David Cullinane

Ceist:

1420. Deputy David Cullinane asked the Minister for Health the total Covid-19 expenditure allocated for 2022; and if he will make a statement on the matter. [29064/22]

Amharc ar fhreagra

Freagraí scríofa

Funding allocated for 2022 Covid-19 expenditure is €1 billion, comprising €800 million allocated to the Department of Health (Vote 38) and €200 million Covid-19 contingency funding held outside Vote 38, as outlined below:

Vote 38

Covid-19 Pandemic

Ceisteanna (1421)

David Cullinane

Ceist:

1421. Deputy David Cullinane asked the Minister for Health the total Covid-19-related expenditure in 2022 until the end of May; and if he will make a statement on the matter. [29065/22]

Amharc ar fhreagra

Freagraí scríofa

As of 13 June, the latest available information on Covid-19 expenditure is in respect of the period Jan-Apr 2022. Based on the draft monthly Performance Reports from the HSE for this period, total Covid-19 related expenditure for the period Jan – Apr 2022 is €689.85m.

Performance Report

Hospital Staff

Ceisteanna (1422)

David Cullinane

Ceist:

1422. Deputy David Cullinane asked the Minister for Health his plans to put in place a new contract for non-consultant hospital doctors; and if he will make a statement on the matter. [29066/22]

Amharc ar fhreagra

Freagraí scríofa

My immediate priority is to ensure that the HSE and other employers honour the terms of the current NCHD Contract and ensure that NCHDs benefit fully from those terms.

NCHDs should not have to work unsafe and illegal hours. They must be given access to training and be able to take annual and study leave. They must also get paid for hours worked. I have written to the HSE asking that they engage with the IMO and that NCHDs benefit from the terms in their contracts in relation to all of these issues. The current contract is place since 2010 and engagement with the IMO on a new contract will follow.

Hospital Staff

Ceisteanna (1423)

David Cullinane

Ceist:

1423. Deputy David Cullinane asked the Minister for Health his plans to address unsafe and illegal hours worked by non-consultant hospital doctors; and if he will make a statement on the matter. [29067/22]

Amharc ar fhreagra

Freagraí scríofa

As I confirmed at the recent IMO AGM, the Government is committed to reducing NCHDs working hours and improving their working conditions.

Significant progress was made in reducing NCHDs working hours prior to the pandemic, driven by the work of the National EWTD Implementation Group that included representation from the HSE, the IMO and the Department of Health. This led to significant reductions in average weekly working hours and significant improvements in compliance with the maximum 48 hour working week and the maximum 24 hour shifts previously agreed with the IMO. The Group has now been re-established and will focus on improving compliance, particularly in sites where compliance is identified as problematic. In the longer term, the service delivery model, the number of consultants and the ratio of consultants to NCHDs must be improved to reduce the reliance on NCHDs.

NCHDs should not have to work unsafe and illegal hours. The HSE and other employers must honour the terms of the NCHD Contract and ensure that NCHDs benefit fully from those terms, including terms relating to working hours. They must also be given access to training and be able to take annual and study leave and get paid for all hours they have worked.

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