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Dáil
‹ Questions on Promised Legislation

PCI services in the north west

Summary

Deputy MacSharry asked about catheterisation and PCI services for Waterford and the north west, arguing that Sligo needed a local service. The Taoiseach said arrangements existed with Altnagelvin and Letterkenny for some cases and explained that specialist services require sufficient population and safe staffing.

We are in injury time. I wish the Taoiseach the very best of luck in his new role as this is the first opportunity I have had to do so.

The programme for Government mentions the issue of catheterisation facilities in Waterford, which came up yesterday. What plans does the Taoiseach have for percutaneous coronary intervention, PCI, for the north west? There is a population of approximately 250,000 people in the catchment of Sligo University Hospital, as it is now known. The people there cannot time their cardiac arrests or heart attacks in line with good weather for air transportation to a centre nor can we wait for roads to be done up so that we can avail of that 90-minute turnaround time. Mortality from cardiac instances in the north west is a serious issue. I understand there are currently no plans for PCI in that part of the country. Given that the Taoiseach is a physician, and given his new role, what does the Taoiseach propose to do for that region?

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Leo Varadkar The Taoiseach Fine Gael

I understand a large part of the north west is now covered by agreement from Altnagelvin and Letterkenny hospitals. I appreciate that Sligo is a long way from Derry-----

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In the absence of an Executive in the North, will I contact the Minister in Downing Street to ask about that? Does the Taoiseach have any plans of his own?

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Pat the Cope Gallagher An Leas-Cheann Comhairle Fianna Fáil

Let the Taoiseach speak without interruption.

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Leo Varadkar The Taoiseach Fine Gael

I checked that there was an agreement in place for a certain number of cases per year to be done in Altnagelvin for Donegal.

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There are no plans for Sligo or Donegal.

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Leo Varadkar The Taoiseach Fine Gael

I appreciate that Sligo is quite a distance from both Derry and Galway. As is always the case with specialist services, one has to balance the ideal of having it near everyone with the reality that, in order to maintain a service to a standard of safety and to staff it, there needs to be a critical mass of population. Such a service would tend to have approximately four centres in a country the size of ours.

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