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Dáil
‹ Leaders’ Questions.

HSE oncology notification error

Summary

Kenny cites an oncology appointment notice sent to a woman deceased for 17 years as evidence of HSE mismanagement; the Taoiseach apologizes to her family.

One of the major failures of the Government in the past ten years has been its inability to plan properly and match resources to plans that have been conceived. Nowhere is this more evident than in the workings of the Health Service Executive, HSE, which has become a monstrosity. Every day we see evidence of gross mismanagement and an inability to use facilities for which the taxpayer has paid.

This week I have evidence that a mother of six children was sent notification from the HSE to attend for oncology services on 23 September 2008. However, she has been deceased for 17 years. Last week there was other evidence of this nature.

For years the HSE, supported by the Government, particularly the Minister for Finance and the Minister for Health and Children, has said it is working on plans to provide a new regional hospital in the north east. According to its official website this project will take five to seven years to complete. Unfortunately, in pursuit of this project, the taxpayer has had to fork out hundreds of thousands of euro for consultants to write a report on where it should be located. Last Friday the cat was let out of the bag when the mild-mannered Minister for Foreign Affairs said there is no money to build such a facility. Until now the Minister for Finance, Deputy Cowen, and other Ministers, including the Minister for Health and Children, said this is a major flagship project and that health infrastructure, which was allocated €5.8 billion in the national development plan, would have first call on major projects, even before Exchequer cuts on taxes.

The Government has reneged on its commitment to cut taxes. I ask the Taoiseach to publish a list of the capital projects in the health area, contained in the national development plan, that are to proceed and a list of the projects that are not to proceed? After ten years the Government must provide clarity on this major flagship project, or phantom, as the case may be.

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I do not know what error led to the first issue raised by the Deputy but I apologise to the family involved as such things should not happen.

No decision has been made by the Government or the HSE on the location of the new regional hospital in the north east. No proposal has come before the health committee or the Government in this regard. The HSE stated about 18 months ago that it would examine the services and that a hospital in one location would be best for the region covering Monaghan, Cavan, Meath and Louth. It has examined the long-term feasibility of various options and at this stage no proposal has been made. Deputy Kenny should not be surprised that resources have not been set aside in the capital programme for a proposal that has not even been made by the board of the HSE.

The multi-annual programme for health and the annual capital programme are published every year around May or June by the HSE, as the health boards did previously, in conjunction with the Department of Health and Children.

The priority, the immediate task facing the north east, is the organisation of services relating to patient safety. The Government has put significant resources into that area. The HSE advised the Department that it recently received a report from a consultancy firm it commissioned to carry out an independent study on the possible location of a new regional hospital. That study was to take into account the various criteria, including demographics, access, planning, development considerations and inter-dependencies. The HSE has indicated that the report is scheduled to be discussed by the HSE at its board meeting tomorrow. Funding, through the national development plan, for the development of services in the north east will be allocated in the light of specific plans to achieve patient safety and quality care objectives. The big task in the north east for the next few years is to ensure the present hospitals and, particularly, the designated hospitals build up first class patient services and that the other hospitals provide the services allocated to them. That is a task that hopefully can be implemented over the next few years. The optimum and long-term plan is obviously some years away.

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