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Dáil
‹ Ceisteanna—Questions. Oral Answers. - Eastern Health Board Dental Services.

Eastern Health Board dentist staffing

Summary

Deputy De Rossa seeks figures on dentist staffing, vacancies and eligible children, focusing on Ballymun after a dentist’s hours there were reduced. The Minister says the board believes current cover will meet demand and will review the allocation if a waiting list develops; the remaining questions are deferred.

asked the Minister for Health the number of (a) dentists employed by the Eastern Health Board (i) at present and (ii) in January 1979;(b) vacancies for dentists in the Eastern Health Board area at present;(c) dentists that have left the Eastern Health Board in each of the past five years and the number recruited to replace them; (d) children eligible for dental care in each of the community care programme areas of the Eastern Health Board;(e) Eastern Health Board dentists working full time in each programme area; and (f) relief dentists employed by the Eastern Health Board.

Comment on this

(a) The number of dentists employed by the Eastern Health Board at present is 85. This figure is made up of 58 permanent dentists, 8 whole-time temporary dentists and 19 dentists who work for the board on a part-time or sessional basis. The total work commitment of these part-time and sessional dentists is equivalent to 9 whole-time posts so that the total dental manpower of the board at present is equal to 75 full-time posts. On the same basis the total dental manpower of the board in January 1979 was equal to 65 full-time posts. This was made up of 55 permanent dentists, five whole-time temporary dentists and 13 part-time and sessional dentists with a work commitment that would equate in total with five full-time posts.

(b) There are 11 vacancies for full-time posts of dentist in the Eastern Health Board, but eight of these posts are filled at present through the use of temporary and part-time staff. All vacant posts are with the Local Appointments Commission for filling.

(c) The numbers of whole-time dentists who left the board's employment in each of the past five years are as follows: 1979, 2; 1980, 3; 1981, 1; 1982, 2; 1983, 5.

Dentists were recruited to fill the resultant vacancies in all cases. Some of the posts are filled on a temporary basis pending recruitment of suitable replacements by the Local Appointments Commission.

(d) In regard to the numbers of eligible children in each of the health board's community care areas, I would like to point out that the dental areas within the Eastern Health Board do not coincide with the board's community care areas. There are in fact only eight dental areas in the health board as against 10 community care areas. Also, the figures available to the health board in respect of eligible children within the confines of the different dental areas relate only to children who are pupils of national schools. On this basis the areas and numbers of eligible children are as follows:

(e) The number of Eastern Health Board dentists working full-time in each of the Board's dental areas is as follows:

These figures do not of course reflect the strength of the dental service in the different areas since they do not take account of the service provided by those full-time dentists who serve in more than one area of the board or of that provided by staff working on a part-time or sessional basis.

(f) By relief dentists I take it that what the Deputy has in mind are those full-time dentists who serve in more than one area of the board and those dentists who work part-time or on a sessional basis. There are 15 full-time dentists in the board who serve in more than one of the board's dental areas and, as I indicated earlier, a total of 19 dentists work for the board on a part-time or sessional basis.

Comment on this

I am sure the Minister is aware that the question arose from the situation in Ballymun. Can I take it from his reply that his answer to my question on 31 January in which he stated that the embargo had affected recruitment of dentists to the service was incorrect?

Comment on this

The embargo in terms of total overall control of my Department's commitment for staff has had a loose application in the past few years. I am glad to say that the Minister for Finance in this year's budget confirmed that basically it is a cash control measure and within that the various health boards have reasonable flexibility. In relation to the Ballymun area, on the basis of general inquiries I have made I can assure the Deputy that the waiting list is minimal and that any transfer of staff from Blanchardstown to Ballymun has been done to ease waiting lists in other areas. It has been done for no other purpose. The overall complement of the Eastern Health Board dental staff is not reduced by virtue of the embargo. Of the full allocation of 11 vacancies for full-time posts eight are filled at present through the use of temporary and part-time staff and all the vacant posts are with the Local Appointments Commission for filling. The control over my work by the Department of Finance to that extent is not as pervasive as might have been felt.

Comment on this

May I finish this question?

Comment on this
Thomas J. Fitzpatrick An Ceann Comhairle Fine Gael

It sometimes takes a long time to finish a question nowadays.

Comment on this

The position at the moment in relation to Ballymun is that one dentist, who has been serving the area for four days a week, has now been transferred to another area and he has been replaced by a dentist who is doing the equivalent of two-and-a-half days. If the result of this change in the service in the area results in a waiting list will the Minister see that the full service is restored to the Ballymun area?

Comment on this

At that stage the health board would review the situation. It has been evident to the health board that the extent of the allocation of dental cover in the area at present would meet the waiting list in the area. If the waiting list fills up I have no doubt that the health board will again examine the matter. There was a build up of a waiting list in Blanchardstown and for that reason there was a transfer of staff to that area. The health board will examine the matter very closely.

Comment on this

With regard to the embargo in relation to the filling of vacancies where only one in three vacancies is filled, does that apply to the dental service?

Comment on this

It is quite possible but I have endeavoured to ensure that it does not.

Comment on this
Thomas J. Fitzpatrick An Ceann Comhairle Fine Gael

The remaining questions will appear on tomorrow's Order Paper.

Comment on this