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Dáil Éireann Vol. 800 Thursday, No. 1 18 April 2013 DÍOSPÓIREACHTAÍ PARLAIMINTE PARLIAMENTARY DEBATES DÁIL ÉIREANN TUAIRISC OIFIGIÚIL—Neamhcheartaithe (OFFICIAL REPORT—Unrevised) Insert Date Here 18/04/2013A00100Leaders’ Questions � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 1 18/04/2013D02000Order of Business � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 9 18/04/2013F06400Finance (Local Property Tax Repeal) Bill 2013: First Stage� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 17 18/04/2013F07200Criminal Justice (Money Laundering and Terrorist Financing) (Amendment) Bill 2013: Order for Second Stage � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 17 18/04/2013F07600Criminal Justice (Money Laundering and Terrorist Financing) (Amendment) Bill 2013: Second Stage� � � � � � 17 18/04/2013L00300Topical Issue Matters � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 27 18/04/2013L00500Criminal Justice (Money Laundering and Terrorist Financing) (Amendment) Bill 2013: Second Stage (Resumed) � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 29 18/04/2013U00300Criminal Justice (Money Laundering and Terrorist Financing) (Amendment) Bill 2013: Referral to Select Com- mittee � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 46 18/04/2013U00600Credit Reporting Bill 2012: Second Stage (Resumed)� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 46 18/04/2013X00400Credit Reporting Bill 2012: Referral to Committee � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 52 18/04/2013Z00300Topical Issue Debate � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 53 18/04/2013Z00350Undocumented Irish in the USA � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 53 18/04/2013AA00250Beef Technology Adoption Programme � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 55 18/04/2013BB00350Property Valuations� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 58 18/04/2013DD00700Health Services Issues � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 62 18/04/2013EE00550Ceisteanna - Questions � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 65 18/04/2013EE00600Priority Questions� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 65 18/04/2013EE00700Croke Park Agreement Issues � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 65 18/04/2013GG02350Croke Park Agreement Issues � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 70 18/04/2013HH00800Public Service Staff � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 72 18/04/2013JJ00750Sale of State Assets� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 75 18/04/2013KK00300Other Questions � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 77 18/04/2013KK00400Departmental Staff Training � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 77 18/04/2013KK01500EU-IMF Programme of Support Issues � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 78 18/04/2013LL01650Revised Estimates Publication � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � 82 DÁIL ÉIREANN Déardaoin, 18 Aibreán 2013 Thursday, 18 April 2013 Chuaigh an Ceann Comhairle i gceannas ar 10�30 a�m� Paidir. Prayer. 18/04/2013A00100Leaders’ Questions 18/04/2013A00200Deputy Micheál Martin: The Minister for Health, Deputy Reilly, is assuring everyone that the health service is getting better and waiting lists are getting shorter� He assures us that patients who are waiting the longest for treatment are in fact being treated� Unfortunately, the facts and figures confirm that since taking office, the number of adults waiting for surgery in the country’s hospitals has actually increased by a dramatic 40%. The latest figures show that 13,435 adults were waiting longer than six months at the end of March� This is a damning indictment of the stewardship of the Minister, Deputy Reilly� There now are more patients waiting for treatment for longer than six months, eight months and nine months� When con- tacted about this situation, the Department of Health has confirmed and states it is due to severe pressures on emergency departments although this is another area the Minister, Deputy Reilly, stated recently was under control and getting better� On the ground, however, nothing could be further from the truth� For example, in the past three weeks alone, all elective surgery except for paediatrics has been postponed in Cork Uni- versity Hospital� In that hospital, a daily e-mail is being sent to the wards telling them to cancel all elective surgery� This includes cardiac, orthopaedic and neurosurgery and, most shockingly, it includes cases for the treatment of cancers� Consultants inform me that it is practically im- possible to plan any elective surgery as the accident and emergency department is so busy� That hospital is finding it extremely hard to cope and while three wards are closed in that hospital alone, 84 wards are closed across the country’s public hospitals� In addition, 408 pa- tients were on trolleys yesterday in accident and emergency units across the health system� Yet again, this is an area the Minister for Health, Deputy Reilly, states is under control� Is the Minister, Deputy Reilly, in denial or is he living in some fantasy land? Does the Tánaiste accept that severe issues now face the health service and that the centre within the health service can no longer hold? At present, 2,277 public beds in the health service are closed and elective surgery, even in cancer cases, is being postponed as a result� 1 Dáil Eireann 18/04/2013A00300An Ceann Comhairle: Thank you, Deputy� 18/04/2013A00400Deputy Micheál Martin: These are not my figures but come from the Irish Nurses and Midwives Organisation, which, on entering office, the Minister, Deputy Reilly, indicated he would accept as being the official figures in respect of trolley count, enclosures and so on. 18/04/2013A00500An Ceann Comhairle: Thank you, Deputy� 18/04/2013A00600Deputy Micheál Martin: Does the Tánaiste acknowledge the health service is now under extraordinary strain and requires dramatic intervention by the Government to arrest the crum- bling across the board of all aspects of the service it attempts to provide for the people? 18/04/2013A00700The Tánaiste: First, from the very outset the priority of the Government has been to un- block access and to improve the flow of patients because patients are its number one priority. As set out in the programme for Government, the Minister for Health established a special delivery unit immediately on foot of the Government entering office. The aim of the special delivery unit is to unblock access to acute services by improving the flow of patients through the system� The Government’s commitment to improving access is clear and part of it pertains to the reform of hospital services� However, it is important to be clear about the facts in this regard. A figure of 13,435 adults waiting for planned procedures has been quoted in the media and Deputy Martin repeated it this morning. I am informed that this figure is incorrect. The actual figure I have to hand is 10,002 at the end of March and that has been published on the National Treatment Purchase Fund’s website, www.ntpf.ie. This constitutes an increase of 4% from the figure of March 2011 and not 40% as the Deputy has alleged� However, when considering these numbers, one must take into account both the numbers of people who are on the list and the period of time they have been waiting� In March 2013, the median waiting time was 2.4 months, which was a decrease from the equivalent figure of three months in March 2011� Moreover, when the special delivery unit was set up in July 2011, a to- tal of 6,277 patients were waiting for more than nine months for inpatient or day case treatment, and this was a legacy left by Deputy Martin’s Government� However, by December 2012, just 109 patients were waiting for longer than nine months, and this is an achievement that ought to be acknowledged� However, the Government is not complacent� The progress does not mean the problem has been solved� The Deputy asked me whether the health service is under strain and the health service always
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