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Dublin: 13 °C Friday 24 May, 2013

HSE: 178,000 waiting to see a consultant at an outpatient clinic

The Health Minister has said the number of people on waiting lists to see specialists is “utterly unacceptable”.

Image: Niall Carson/PA Wire/Press Association Images

THE HEALTH MINISTER James Reilly has described as “utterly unacceptable” HSE figures which show that almost 178,000 people in Ireland are on waiting lists to see specialists at an outpatient clinic.

The information, which has been collated for the first time, shows that more than 300 patients have been waiting for over four years to be seen by a consultant after being referred by their GP.

Some 167,825 patients are still waiting to be seen by a specialist since January 2010, and a further 10,129 people are waiting since being referred before January 2011, according to the figures.

The Minister for Health James Reilly has described the length of time that public patients are being forced to wait to see a specialist as “utterly unacceptable”.

Speaking on RTÉ’s Morning Ireland programme  today, Reilly said the data was “proof positive” that a major problem had lain submerged in the HSE for years.

Reilly said the root of the problem was that well-qualified and experienced GPs who recognised a problem in a public patient were obliged to refer them to a consultant who could then “rubber-stamp it”.

He vowed to make it “a priority” to ensure that those who have been waiting the longest would receive care as quickly as possible.

The Minister added that he wished to roll out the new electronic referral system, currently used for cancer patients only, across the entire system.

List not complete

The HSE list is not yet complete – as not all hospitals in the country have submitted waiting list figures to date, including large hospitals like St Vincent’s in Dublin, University Hospital Galway and Limerick’s Mid-West Regional Hospital.

Reilly admitted that the list, which involved 30 hospitals in Ireland, was incomplete but said that “in a couple of months it will be and we can then set realistic targets for everyone.”

Reilly said the list exposed “the heart of what is wrong with the two-tier system” and underlined the need to bring in universal health insurance.

The HSE has warned that, as outpatient waiting list data is not complete at this stage, the actual total number waiting could exceed 200,000.

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Comments (40 Comments)

  • THAT is a scary picture

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    • Why thank you. Lol

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    • Enda gave this muppet an “A” in his review last week. Shows how much Enda knows about anything. But its great to see FFg/Labour continuing FFailures policies of blaming the HSE, when the minister for health is the one responsible. He has had a year to fix the waiting list issue. He made that his election promise. He has failed, and therefore should be sacked. Kenny had it in his program for government, no-one on a waiting list over a year… He should also be sacked.

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  • Fool you are Reilly! As a holder of private health insurance, I was recently able to see a consultant within 3 days of seeing my GP! This consultation resulted in a days stay in hospital to perform various tests, which took place exactly one week later! Your policies of placing a huge levy on health insurance is the main reason for the shameful waiting lists! How much longer I can afford to pay my premiums is anyone’s guess! You came to power over a year ago, claiming you were the man to reform the HSE. Raising health insurance premiums by massive amounts doesn’t strike me as the most obvious way to go about reform! So much for the grand plan for universal health insurance!!!

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  • Gerard 06/04/12 #

    I agree minister it is a disgrace, so what are you going to do about it??

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  • jimbo 06/04/12 #

    Really outrageous…

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  • Could no longer afford private health insurance so entered public system in November 2010 – between cancellations ,consultant retired ,changed consultant , the latest appointment in the door was for ….. July 2013 . Laugh or cry ??

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  • Who exactly is going to see all these people?

    Consultants have multiple clinics per week all booked to capacity and beyond – where is this capacity going to come from?

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    • That is a valid question. The answer surely lays with the Minister as to how he is going to increase resources. It is a disgrace, and instead of waxing lyrical about it, some constructive plans wouldnt go amiss.

      Get on with the task at hand Minister!!

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  • Reilly hasn’t a clue he is forcing more people into the public health system as its becoming way to expensive to hold private insurance! The man is a disaster !

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  • Aidan 06/04/12 #

    Wouldnt say he has to wait.

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  • get up off your fat A** Reilly and do something about it you useless moron.

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  • Reilly of course is GP. Perhaps he has a bee in his bonnet about the need for a consultant to ‘rubber stamp’ his diagnoses. As Minister, Reilly has rubber stamped many policies in cabinet that are destroying the fabric of life in the country. The real issue, hidden beneath the heat and bluster, is that the HSE is a SHAMBLES and Ireland does not have anywhere near enough consultants, let alone resources, for a population its size with the health ambitions of an advanced economy. why not develop a plan to triple the number of medical graduates and provide training for them? Goodness knows the demand is there among the young. Instead, a whole load of BS courses in media, culture and archaic language are pushed, nine of which do much for either business or health.

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  • its not that the consultants or clinics are flat out. they are keeping slots for private patients and putting public patients on long waiting lists. i have had back trouble since my first child was born 10 years ago and has gotten much worse since my second child 17mths ago. i was referred in april 11 to a specialist and got appt for apr 12. i rang the specialist sec and if i was willing to pay would have been seen within 2 weeks. same goes for if i need a mri. public waiting list is apprix 10 mths but can get one privately within 3-4days. its an absolute disgrace.paying prsi since i started working 12 years and what is it for??? sweet f##k all. just another way of the gov robbing you

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  • I feel sick reading this article..

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  • i am waiting for radiotherapy following cancer surgery. i had two options, 1) private in vincents , daily trip for 5 weeks starting next tuesday 2) public treatment at st lukes for 5 weeks, ‘live-in’ 5 days a week, home at weekends. i chose st lukes as
    a) i live in country, b) i have parkinson’s and daily travel would be impossible.

    under public care i am still not on st lukes books for radiotherapy 2 weeks after seeing oncologist. yet had i opted for private i’d be starting on tuesday. i will die in this country…waiting!

    the cancer nurse told me it would be unethical to have different treatment policies yet….they have!

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  • roll on next election , or sooner, and vote these finegael shysters out.

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  • Public health care does not work, the government should not run health services and they have proved that they cannot.

    We need to private system where the state pays for the treatment of public patients. The current system is broken, shut it down.

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    • Yeh, for profit companies always work so well in the area of health. Just look at the US where…oh wait, what?

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    • maybe its not working in america but there are countrys were it does work, for example : one basic insurance for all, and this covers hospital,gp, medication, dentist, fysio up to 9 treatments. to that you can ad more for whatever you want. so everybody has the same health service to start no more private ! the basic costs are 85/90 euro a month. and you can make it more expensive by adding extra’s. this is at the moment in holland the case and it works well. and there are more countrys who work this way, so why not here ??
      well maybe they like to keep the power, even if its not working !

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    • When you add the extras is it still equitable then? Or if I’m rich can I just pay lots and skip the queue? :)

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    • Wasn’t that Harneys plan?

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    • The last WHO rankings put Netherlands at 17. We are at 19. Why don’t we rob systems from top three. French Malpratice law for starters. French are 1.

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    • Martin every public system should be run for profit. Profit in that case, is not to spend all the money allocated in their annual budget.

      So if their budget is €10bn, aim for an efficient service and do it for €9bn, saving tax payer 1bn, a proift! Instead of a broken system that ends up over budget mid way through the year.

      It’s all about efficiency, look at the Galway Clinic for a great example of running a hospital. They have to work within a budget, so their very expensive equipment is never turned off.

      As for the rich comment, that’s life! Someone driving a S-Class Merc and crashes, they will more than likely survive due to its excellent safety systems, where’s as my old wreck of a car will kill me. Rich people can afford a more varied diet, better quality food with fruit and veg. Where do you draw the line this?

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    • I had hoped that was Harney’s plan. I was hoping once all the co located private hospitals were built we could shut the broken public system, but never happened. Instead we have a broken system run by poor managers and the unions, who stop progress at every step and refuse to change work practices to improve patient care.

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    • Joe,

      You have no empirical data that private is better value than public. Actually neraly all empirical data shows the opposite.
      Private systems are there for profit. They only want the profitable procedures. Why? because they are a business.
      You know what happens in Galway Clinic if you develop a unexpected problem… Ambulance to UCHG…

      A close relative of mine is lucky she got the hell out of a private dublin hospital and into St. James… She is lucky to be alive after the perscribed cancer treament she was give in private. St. James is in a league of it own.

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    • Private hospitals don’t have to deal with the incontinent 84yo lady woth heart failure and COPD having a stroke at 4am on a Saturday night.

      There’s no comparison with the public system, where that sort of patient is the bread and butter.

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  • Lowry would get to see one in a day!!!

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  • i still think one health package for everybody is a good thing ! and no…if you are rich you can’t skip the que only if you would want to go abroad you can. and yes we need more consultants but also to update the hospitals, to let ppl wait in a former storage room (ennis) between boxes and medical equipment is a disgrase ! their is a lot wrong with the health system, we are also waiting now for three years to see a consultant about kidney failure !….if we ever get to see him. my sister in law needed a consultant for heart problems, she finally went private a good thing or she wouldn’t have been here anymore…..so one package for all, no more private patients,
    everybody the same treatment.

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  • John 06/04/12 #

    The Harney legacy. Thanks Mary.

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    • Harney legacy! I forgot we had a world class healthcare system pre 2004!

      Oh wait no, it was crap then too. Let’s not forget the Hep C scandal that actually killed people in the 90s.

      Unless someone takes a radical approach to fixing healthcare in this country it will not be fixed.

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  • I too was waiting ages to see a consultant. Then I said “Screw it, I can live without my twenty cigarettes and Sky Plus”, and decided to fork out for health insurance. Now, I don’t have to wait at all when sick before I park my arse in a private bed.

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  • hse brought in a firm to fix my mobiltiy scooter, guess what, ‘dodgy’ batteries put in and they failed to even look at the electrics.
    meanwhile its, the scooter is getting a overhaul at my expense.
    this will save the scooter being handed back as scrap to be sold on again in the private sector.
    maybe the hse should look on how they source their workers and budgeting.
    a rollator in Lidl, a bloody good one is exactly half the price of those provided by the hse.
    do i sniff bad economics in this?

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  • Tara 06/04/12 #

    @ Nuala…what do you mean “they are keeping slots for private patients?”

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    • if a person can afford to pay they can be seen within 1-2weeks. a patient on the public list can wait up to a year for appt and 8-10mths for a mri. so its obvious they are not full if you can get appts so quickly when paying but have to wait that long on public list.

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    • Nuala, that’s not how things work. Public outpatient clinics are booked up solid months in advance – private appointments do not come out of this pool.

      The reason you can be seen privately in a fortnight is because they don’t have to deal with 178,000 patients sent in by someone else, they pick and choose who and how many.

      Go and have a look at the OPD of your nearest hospital and see for yourself where all this mythical space in the schedule is.

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  • Get a healthy lifestyle

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  • There are alot of questions that need answers and the full picture is not available. How many people have died while waiting to be seen. Also how many people have had permanent damage done to their health because they cannot get treatment soon enough. I doesn’t make sense, it will cost the system more in the long run. Many consultants are working in public and private hospitals so public clinincs aren’t open every day. My own experiences with waiting lists makes me ask these questions. Nearly 2 years for to see one consultant, then nearly 3 years to see another. For the 2nd one an ENT I was put on the National Treatment Purhase Fund Scheme and ended up going to a private hospital. I was told by that consultant during treatment that it would have to be done quick as the scheme was finishing and he wouldn’t be able to treat me any more. The scheme finished and I couldnt go back for checkup etc. I’m back on the lists again and one is 3 month wait which is very short but the other again ENT god knows how long.

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  • we have a lop-sided health service with over-indulged consultants.
    we need a ‘health package’ for all.
    we also are down on all professional consultants in every single discipline. – put more consultants in on less pay and share the work around, less overtime, and more will be completed.
    we are doing things, in such a barmy way. waiting lists, mean – too few consultants! Or get rid of private health care and continue a limited system of exporting the most urgent as this in the interim to proper care seems about the only thing to do really.

    Reply

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