University Hospital Limerick emergency capacity
Deputies Conor Sheehan and Willie O’Dea condemn overcrowding and patient-safety risks at University Hospital Limerick and criticise the delayed HIQA report, pressing for decisive action and support for expanded emergency capacity. The Minister says the 1,200-page report presents three options requiring careful consideration and will convey the Deputies’ views to the Health Minister.
Today, there are 105 people on trolleys at UHL. On Monday, there were 147. The people of the mid-west have been let down by successive Governments. Yesterday, the HIQA review into emergency care capacity was published. It has taken 16 months for a review that states the complete obvious. The question for the Government is what it is going to do about it. I believe the outcome of this review was predetermined and that is why its publication was delayed. As public representatives, we were essentially told by the HSE earlier this year that it did not favour the establishment of a model 3 hospital in the region. Can the Minister confirm what I believe to be true, namely, that a site has been identified in close proximity under a shared governance model, as in option B, and that will go ahead? When is the Minister for Health going to outline exactly when the Government will make a decision on this and move towards giving the people of the mid-west the health service we deserve? We need a pathway towards a model 3 hospital in the region, not more delay.
Comment on this
In fairness to the Minister, Deputy Carroll MacNeill, my understanding is that she got the report last Thursday and it was published yesterday. It is a 1,200-page report. As the Deputy said, it sets out three options. I would have thought consideration needs to be given to the report before any decision is made in respect of the options. I am conscious that the Deputy has a particular view as to which option should be pursued. I will pass that on to the Minister, Deputy Carroll MacNeill. Ultimately, it is a big decision that needs careful consideration. I have no doubt she will give it that consideration.
Comment on this
The trading online voucher was previously available to businesses of up to ten employees to help them move online, boost sales and access new markets. The Grow Digital voucher was then launched in September 2024 to be available to more businesses for more services, with more funding. In the 12 months since, there were only 150 applications across Ireland, with 139 approvals, so something is not working. The upper grant limit of €5,000 does not seem enough to incentivise cash-strapped SMEs to invest more of their own reserves in digital transition. It is not about the size of the budget allocation for the grant scheme; it seems to be the design. This is at a time when the EU Digital Decade reports are pointing to a worrying slowness in the pace of digital transition among Irish SMEs. I ask the Government to look at reform and a tiered system of grants, and to give an update on any plans to reform the scheme to deliver more effectively for Irish SMEs. They need access to digital supports more than ever.
Comment on this
I will speak to the Minister, Deputy Burke, about it because I do not have the level of detail that is required to give Deputy Currie a full answer. I note the issue is about the trading online voucher and the Grow Digital voucher. I will ask him to come back to the Deputy with an update in respect of that. I am conscious that online trading capacity is essential for SMEs in Ireland.
Comment on this
During the week, the HIQA report on the inadequate accident and emergency services at University Hospital Limerick was published after HIQA had considered the matter for 16 months - it took 16 months to produce the report. The report told us what we had already been telling the Government for several years. It refers to a significant inpatient bed deficit in University Hospital Limerick and a growing demand for services, which continues to grow strongly. This is all presenting a risk to patient safety, and I can quote many cases where it actually compromised patient safety. The report concludes by saying that urgent action and investment are needed. I understand what the Minister said in his previous reply to my colleague. Nevertheless, I ask the Minister to assure us that there will be no avoidable delay. This report was undertaken as a result of a meeting that Deputy Cathal Crowe and I had with the previous Minister for Health, Deputy Donnelly. We told him there was no need for a report but, nevertheless, it has taken 16 months and the situation continues to worsen.
Comment on this
Deputy O’Dea deserves to be commended on the meeting that he and Deputy Cathal Crowe had with the then Minister, Mr. Donnelly, which resulted in there being a report. Obviously, Deputy O'Dea has read the report in detail. As I said previously, it is the case that the Minister only got the report last week and she published it yesterday. It is a detailed report. Notwithstanding the detail, Deputy O'Dea seems to believe there is a very succinct option that should be pursued. I have no doubt he will communicate that to the Minister. I will also send on to the Minister his views and, hopefully, a decision will be made promptly.