Orthodontic waiting lists and recruitment
The Minister provided health-board waiting-list figures, noting that differing criteria make comparisons unreliable, and said five consultant posts had been advertised, with applications under review. Deputies questioned the limited staffing and long waits; the Minister acknowledged the service’s shortcomings, cited negotiations with private orthodontists as a possible help, and could not provide waiting-time figures or confirm whether suitable candidates had applied.
asked the Minister for Health the numbers on the waiting list for orthodontic treatment in each of the health board areas; and the progress made in employing extra orthodontists.
Comment on this
The following are the numbers on the waiting lists for orthodontic treatment in each health board:
Comparisons between one health board and another on the basis of these figures would not be valid because the criteria employed in compiling waiting lists vary between the different health boards.
Five posts of consultant orthodontist in the health boards were advertised by the Local Appointments Commission in October 1983 and applications received are being processed by the commission at present.
Comment on this
I understand that, despite advertising in the past, there has been difficulty in getting suitable candidates for these positions. From the Minister's reply am I to understand — I am concerned more directly with the Eastern Health Board area — that suitably qualified candidates are applying for the vacancies in the Eastern Health Board area and does he anticipate the making of an appointment in the near future?
Comment on this
As I said, five posts have been advertised, one for the Eastern Health Board and the person appointed there will serve also the North-Eastern and perhaps the Midland Health Boards. Therefore, I presume that if a suitable candidate makes application there will be an appointment in that area.
Comment on this
The Minister of State has not said exactly whether a candidate suitable for that area has applied. I understand that the difficulty in the past has been that even when sanction was given — which was slow in coming and I appreciate that this problem has gone back to many holders of the office——
Comment on this
Even where sanction was given for appointment it proved extremely difficult to get a suitable person.
Comment on this
I ask the Minister of State whether the possibility of having to go so far perhaps as to offer training to a suitable candidate who might then be obliged to serve on the health board is still under consideration as a possible way around the difficulty of recruitment. Can the Minister of State assure me that no difficulty exists, that an appointment can be made and that suitable candidates have applied for the Eastern Health Board area?
Comment on this
I am aware of the difficulty in filling these positions in the past. I am not at liberty to say at the moment whether suitable candidates have applied and I would not be the one to determine who is a suitable candidate.
Comment on this
Could the Minister of State tell us why the Minister decided to advertise for only five orthodontists for five health board areas and leave three health board areas without their own orthodontists? Would he accept that it is totally unrealistic to expect that one orthodontist for the Eastern Health Board area, which is far and away the largest health board area, will be able to work for the North-Eastern and Midland Health Board areas also as he himself has stated? Does he think that the patients in the Ceann Comhairle's and my constituency in Cavan will have the facility, that the man or woman will have the time to look after the needs of the people in that area?
Comment on this
I would be less than honest if I did not say that I am not fully satisfied with the position in relation to children awaiting orthodontic treatment, but a move is being made in a certain direction. Whereas the Deputy may be critical of the fact that only five positions have been advertised, certainly it is a move in a direction. That, plus the fact that the Department are in negotiation at the moment with private orthodontists with a view to getting agreement on a price structure with them so that they will participate in the scheme also. If that occurs this big problem will be alleviated.
Comment on this
Will the Minister agree that the figures he has given us clearly indicate that the service we have in regard to orthodontistry is an indictment of the dental orthodontic service, that literally it does not exist and we would be better if we did not pretend we have such a service? In fact, we do not have such a service and we have people waiting for a long time for such treatment.
Comment on this
People are on those lists waiting in false hope to be seen. It is doubtful if they will be seen let alone treated.
Comment on this
Will the Minister agree that many young girls — we are all concerned more about the beauty of young girls rather than males — who need treatment urgently will be condemned to going around for the rest of their lives with goofy teeth because this dental service does not exist? Something should be done urgently to remedy the problem. The Minister should disband the system or do something more radical.
Comment on this
I am not altogether satisfied with the situation that exists. A move is being made in a certain direction with a view to alleviating the problem. I should like to remind the Deputy that this problem did not arise overnight.
Comment on this
Is the Minister in a position to tell the House the waiting period? The Minister told the House how many are waiting in the different health board areas for orthodontic treatment, but I should like to know the average waiting time for such treatment. Will the Minister repeat the figure he gave for the Eastern Health Board area?
Comment on this
That is a separate question. I do not have that information but I will answer such a question if the Deputy puts one on the Order Paper.