A report on the national patient treatment registar
Item Type Report
Authors National Purchases Treatment Fund
Publisher National Purchases Treatment Fund
Download date 26/09/2021 22:55:13
Link to Item http://hdl.handle.net/10147/234087
Find this and similar works at - http://www.lenus.ie/hse A REPORT ON THE NATIONAL PATIENT TREATMENT REGISTER APRIL 2010 Table of Contents
Summary of Hospitals 1
Statistical Summary 2
Trend Analysis 3 – 10
Median Wait Time in months for Adult Surgical Procedures 11 – 12
Median Wait Time in months for Child Surgical Procedures 13
Hospital Statistical Bibliography 14 – 29
Review and Analysis Program 30 – 31
Glossary 32
Acknowledgements 33
The hospitals illustrated are as follows –
SUMMARY - DUBLIN NORTH/NORTH EAST HSE AREA SOUTHERN/SOUTH EAST HSE AREA The Patient • Beaumont Hospital Dublin • Bantry General Hospital • Cappagh Orthopaedic Hospital • Cork University Hospital Treatment Register • Cavan General Hospital** • Lourdes Orthopaedic Hospital, Kilcreene** • Connolly Hospital, Blanchardstown • Kerry General Hospital • Louth County Hospital** • Mallow General Hospital • Monaghan General Hospital** • Mercy University Hospital, Cork The Patient Treatment Register (PTR) is • Our Lady of Lourdes Hospital, Drogheda** • South Infirmary Victoria University Hospital Cork an online register of patients on in-patient • Our Lady’s Hospital, Navan** • South Tipperary General Hospital** and day-case surgical and medical waiting • The Childrens University Hospital Temple Street** • St. Luke’s Hospital, Kilkenny** • Mater Hospital, Dublin • Waterford Regional Hospital** lists in Ireland. Wait time information is • Wexford Hospital** published monthly to the PTR website www.ptr.ie on 44 hospitals nationally. Patients and General Practitioners can DUBLIN EAST COAST, DUBLIN SOUTH WEST/ access up to date information on wait NORTH WEST/WEST/MID-WEST HSE AREA MIDLANDS HSE AREA times for individual procedures for 44 • Letterkenny General Hospital • Midland Regional Hospital at Mullingar • Mayo General Hospital hospitals. Hospitals can access detailed • Midland Regional Hospital at Portlaoise • Mid-Western Regional Hospital, Dooradoyle waiting list analysis to facilitate case mix • Midland Regional Hospital at Tullamore • Mid-Western Regional Hospital, Croom planning and development. • Naas General Hospital • Mid-Western Regional Hospital, Ennis • Our Lady’s Hospital for Sick Children, Crumlin • Merlin Park Hospital, Galway • Royal Victoria Eye and Ear Hospital • Mid-Western Regional Hospital, Nenagh • St. Colmcille’s Hospital, Loughlinstown • Portiuncula Hospital • St. James’s Hospital • University College Hospital, Galway • St. Michael’s Hospital, Dun Laoghaire • Roscommon County Hospital • St. Vincent’s University Hospital • Sligo General Hospital • Tallaght Hospital (AMNCH) • St. John’s Hospital, Limerick*
*St. John’s Hospital have been unable to provide information in prescribed extract format since May 2009. ** These hospitals have not returned data since January due to industrial action. Waiting list volumes for these hospitals is the most recent data received.
Report on the National Patient Treatment Register APRIL 2010 1 STATISTICAL SUMMARY - Waiting Lists in Ireland April 2010
A) MEDIAN WAIT TIMES FOR ALL PROCEDURES D) ANALYSIS OF LONGEST SURGICAL WAITERS BY REGION - A total of 611 surgical patients are still on the waiting list over 12 months All procedures: 2.5 months 24% - Dublin North/North East Area Surgical procedures: 2.6 months 49% - Midlands/Dublin East Coast/Dublin South West Medical procedures: 2.1 months 11% - Southern Area B) MEDIAN WAIT TIME FOR THE MOST COMMON PROCEDURES 16% - North West/West/Mid-West Area The top 20 Adult Surgical procedures have an average wait time of 2 - 5 months E) REVIEW AND ANALYSIS RESULTS 2009 9 of the Top 10 Child Surgical procedures have an average wait time of 2 - 5 months A sample of 6,331 records were reviewed in 33 hospitals presenting the following results – C) VOLUME OF PATIENTS > 3 MONTHS 38% were awaiting some administrative follow up before they could be resolved (either - There are 18,319 patients waiting > 3 months for treatment treated or removed). - 78% of these patients are surgical and 22% are medical 29% should not have been listed on the active waiting list for treatment Breakdown of surgical patients waiting > 3 months 28% need to be scheduled for treatment in their own hospital - 55% - 3 - 6 months - 41% - 6 - 12 months 5% were awaiting treatment either in their own hospital or through the NTPF - 4% - Over 12 months F) WEBSITE ACTIVITY Breakdown of medical patients waiting > 3 months Total Hits: Almost 1 Million - 54% - 3 - 6 months Visitors: 14,459 - 37% - 6 - 12 months - 9% - Over 12 months
Report on the National Patient Treatment Register APRIL 2010 2 10.0 Median Wait time in 9.0 months by Hospital for 8.0 Medical and Surgical 7.0 Patients April 2010 6.0 5.0
4.0
3.0 Median Wait Time of 2.5 Months 2.0
1.0
0 y 3.1 ay 3.0 ay rk 1.8 Pa rk 1.5 Co rk 2.0 Co tlaoise 2.5 MNCH) 2.8 ullamore 2.8 (A r Po T ord Hospital 1.8 emple Street 5.0 T ersity Hospital 2.7 xf ounty Hospital 2.0 eneral Hospital 1.3 eneral Hospital 2.9 We er Hospital Dublin 3.4 y General Hospital 1.4 y General Hospital 2.5 thopaedic Hospital 2.9 ry General Hospital 1.4 St. James's Hospital 1.3 yo G yo rk Hospital Galw Pa outh C ord Regional Hospital 2.9 Mat Naas General Hospital 2.7 Sligo General Hospital 2.3 Ker L Ma ollege Hospital Galway 3.6 Cavan G Cavan rk Univ Co or Sick Children Crumlin 4.2 oria Eye and Ear Hospital 2.6 rfte allaght Hospital ipperar y University Hospital Our Lady's Hospital Navan 3.0 ourdes Hospital Drogheda 3.0 Beaumont Hospital Dublin 2.1 T T St. John's Hospital Limerick 3.4 Merlin etterkenn Monaghan General Hospital 4.6 Wa oria University Hospital ct Vi thopaedic Hospital Kilcreene 2.0 L Me rc Cappagh Or uke's General Hospital Kilkenn yal estern Regional Hospital Croom 1.2 ct Vi onnolly Hospital Blanchardstown 1.6 South y W Ro C University C St. L St. id incent's University Hospital Elm estern Regional Hospital Dooradoyle 2.2 idland Regional Hospital at Mullingar 1.9 idland Regional Hospital at idland Regional Hospital at V M W ourdes Or M M M Our Lady of L L St. St. id M Our Lady's Hospital f The Childrens University Hospital Median wait times are calculated from the date the South Inrmar patient is placed on the in-patient or day-case waiting list by the hospital. Those hospitals with no waiting lists are not included.
Report on the National Patient Treatment Register APRIL 2010 3 10.0 Median Wait time in 9.0
Months for Surgical 8.0
Patients April 2010 7.0
6.0
5.0
4.0
3.0 Median Wait Time of 2.6 Months
2.0
1.0
0 8 3 9 0 4 5 5 ay 2.7 ay 3.2 ny rk 1.6 Pa rk 2.2 Co rk 1.5 Co tlaoise 2.5 MNCH) 4. 3 ullamore 2.8 ullamore (A r Po T ord Hospital 2.1 emple Street 4.9 Street emple T ersity Hospital 2. xf ounty Hospital 2. eneral Hospital 2.9 eneral Hospital 1.4 We er Hospital Dublin 4.0 y General Hospital 4.5 y General Hospital 2.6 thopaedic Hospital 2.9 ry General Hospital 1.4 St. James's Hospital 1. yo G yo rk Hospital Galw Pa outh C ord Regional Hospital 2. Mat Naas General Hospital 1. 7 Sligo General Hospital 2.3 Ker L Ma ollege Hospital Galway 3.6 Cavan G Cavan rk Univ Co or Sick Children Crumlin 4.4 oria Eye and Ear Hospital 2.6 rfte allaght Hospital ipperar y University Hospital Our Lady's Hospital Navan 3. ourdes Hospital Drogheda 3.2 Beaumont Hospital Dublin 2.0 T T St. John's Hospital Limerick 1.5 Merlin etterkenn Monaghan General Hospital 4. Wa oria University Hospital ct Vi thopaedic Hospital Kilcreene 2. 0 L Me rc Cappagh Or uke's General Hospital Kilken yal estern Regional Hospital Croom 1. ct Vi onnolly Hospital Blanchardstown 1.7 South y W Ro C University C St. L St. id incent's University Hospital Elm estern Regional Hospital Dooradoyle 2.3 idland Regional Hospital at Mullingar 3.0 idland Regional Hospital at idland Regional Hospital at V M W ourdes Or M M M Our Lady of L L St. St. id M Our Lady's Hospital f The Childrens University Hospital
Median wait times are calculated from the date the patient South Inrmar is placed on the in-patient or day-case waiting list by the hospital. Those hospitals with no waiting lists are not included.
Report on the National Patient Treatment Register APRIL 2010 4 2500
2250
Analysis of Surgical 2000
Waiting List by Volume by 1750
Hospital April 2010 1500
1250
1000
750
500
250
0 518 342 32 59 507 25 642 51 105 1,772 228 300 318 26 515 56 120 699 176 7 293 781 215 493 434 188 5 446 17 314 309 821 417 2,589 420 48 l l r k y n n m ay rk Pa rk Co rk Co MNCH) (A rt laoise Po llamore Tu al Hospita l ord Hospital mple Street mple Te ersity Hospital xf General Hospital General Hospital We er Hospital Dublin y General Hospital y General Hospital y General Hospital thopaedic Hospital St. James's Hospita James's St. yo yo rk Hospital GalwPa ord Regional Hospital Mat Naas General Hospital Sligo General Hospital Kerr unty Hospitauth Co Lo Ma Cavan Cavan rk Univ Co y Hospital llege Hospital Galway Co oria Eye and Ear Hospital r Sick Children Crumlin fo rfte allaght Hospital y University Hospital Our Lady's Hospital Nava Beaumont Hospital Dublin T pperar Ti St. John's Hospital Limeric urdes Hospital Drogheda Lo Merlin etterkenn Monaghan Gener Wa oria University Hospital ct Vi thopaedic Hospital Kilcreene L Me rc Cappagh Or Cappagh uke's General Hospital Kilkenn yal estern Regional Hospital Croo ct Vi South W Ro nnolly Hospital Blanchardstow Co ry University St. L St. id estern Regional Hospital Dooradoyle idland Regional Hospital at Mullinga idland Regional Hospital at idland Regional Hospital at ncent's University Hospital Elm Vi M W M M M Our Lady of urdes Or Lo St. St. id M Waiting list volumes are calculated based on those Our Lady's Hospital The Childrens Universit Childrens The patients who have waited three months or more without South Inrma being scheduled for treatment. Hospitals with no patients waiting over 3 months are not included.
Report on the National Patient Treatment Register APRIL 2010 5 Analysis of Surgical 18%
Waiting list by Hospital 16% by % of total Waiting List 14%
April 2010 12%
10%
8%
6%
4%
2%
0 3.6% 2.4% 0.2% 0.4% 3.6% 0.2% 4.5% 0.4% 0.7% 1.6% 2.1% 2.2% 0.2% 3.6% 0.4% 0.8% 4.9% 1.2% 0.1% 2.1% 5.5% 1.5% 3.5% 3.0% 1.3% 0.0% 3.1% 0.1% 2.2% 2.2% 5.8% 2.9% 2.9% 0.3% 12.4% 18.1% y n n ay rk Pa rk Co rk Co tlaoise MNCH) ullamore (A r Po T al Hospital ord Hospital emple Street T ersity Hospital xf eneral Hospital eneral Hospital We er Hospital Dublin y General Hospital thopaedic Hospital ry General Hospital ry General Hospital St. James's Hospital yo G yo rk Hospital Galw Pa ord Regional Hospital Mat Naas General Hospital Sligo General Hospital Ker unty Hospitaluth Co Lo Ma Cavan G Cavan rk Univ Co llege Hospital Galway Hospital llege Co oria Eye and Ear Hospital r Sick Children Crumlin fo rfte allaght Hospital y University Hospital Our Lady's Hospital Nava Beaumont Hospital Dublin T ppera Ti St. John's Hospital Limerick urdes Hospital Drogheda Lo Merlin etterkenn Monaghan Gener Wa oria University Hospital ct Vi thopaedic Hospital Kilcreene L Me rc Cappagh Or Cappagh uke's General Hospital Kilkenn yal estern Regional Hospital Croom ct Vi South y W Ro nnolly Hospital Blanchardstow Co University St. L St. id incent's University Hospital Elm estern Regional Hospital Dooradoyle idland Regional Hospital at Mullingar idland Regional Hospital at idland Regional Hospital at V M W M M M Our Lady of urdes Or Lo St. St. id
Waiting list volumes are calculated based on those patients M Our Lady's Hospital
who have waited three months or more without being The Childrens University Hospital South Inrmar scheduled for treatment. Hospitals with no patients waiting over 3 months are not included.
Report on the National Patient Treatment Register APRIL 2010 6 1200
1100
1000
Analysis of Variation in 900 Surgical Volumes > 3 800 months by Hospital end 700 April 2009 –v- April 2010 600 500
400
300
200
100
0
-100
-200
-300
-400
-500 5 -2 17 20 26 35 38 42 54 58 68 91 98 -83 -80 -60 -58 -36 -15 -15 -14 -13 -10 113 168 171 178 479 -362 -216 -207 -150 -141 -124 -103 1123 l l r y n n m ay rk Pa rk Co rk Co tlaois e MNCH) (A r Po llamore Tu al Hospita l ord Hospital mple Street mple Te xf eristy Hosptial General Hospital General Hospital We er Hospital Dublin y General Hospital y General Hospital y General Hospital thopaedic Hospital St. James's Hospita James's St. yo yo rk Hospital GalwPa ord Regional Hospital Mat Naas General Hospital Sligo General Hospital Kerr unty Hospitauth Co Lo Ma ukes Hospital, Kilkenn Cavan Cavan rk Univ Co llege Hospital Galway Co oria Eye and Ear Hospital r Sick Children Crumlin fo rfte allaght Hospital y University Hospital, Our Lady's Hospital Nava Beaumont Hospital Dublin T pperar Ti St. L St. Merlin etterkenn St. John's Hospital Limerick* Monaghan Gener Wa oria University Hospital ct Vi urdes Hospital, Drogheda Lo idland Regional at at Regional idland thopaedic Hospital Kilcreene L M Cappagh Or Cappagh Me rc yal ct Vi South stern Regional Hospital, Croo We Ro nnolly Hospital Blanchardstow Co ry University id- ncents UniversityVi Hospital Elm idland Regional Hospital at Mullinga idland Regional Hospital at M M stern Regional Hospital, Dooradoyle We M urdes Or Lo St. St. Our Lady of id- Childrens University Hospital, M Our Ladys Hospital
Hospitals with an unchanged value of 0 are not listed. South Inrma
Report on the National Patient Treatment Register APRIL 2010 7 600
500 Analysis of Variation in 400 Surgical Volumes > 12 300 months by Hospital end 200 April 2009 –v- April 2010 100 0
-100
-200
-300
-400
-500 1 1 2 2 8 -9 -8 -7 -6 -5 -2 -2 -2 -1 -1 15 47 -78 -74 -56 -29 -25 -24 -18 -15 -15 -14 -130 -130 l r k y n ay rk Pa rk Co rk Co MNCH) (A rt laoise Po llamore Tu al Hospita l mple Street mple Te eristy Hosptial General Hospital General Hospital er Hospital Dublin y General Hospital thopaedic Hospital yo yo ord General Hospital rk Hospital GalwPa ord Regional Hospital Mat Sligo General Hospital xf unty Hospitauth Co Lo Ma ukes Hospital, Kilkenn Cavan Cavan rk Univ Co llege Hospital Galway Co oria Eye and Ear Hospital r Sick Children Crumlin fo rfte We allaght Hospital y University Hospital Our Lady's Hospital Nava Beaumont Hospital Dublin T St. John's Hospital Limeric St. L St. urdes Hospital Drogheda Lo Merlin etterkenn Monaghan Gener Wa oria University Hospital ct Vi L Me rc Cappagh Or Cappagh yal ct Vi Ro ry University ncents UniversityVi Hospital Elm idland Regional Hospital at Mullinga idland Regional Hospital at idland Regional Hospital at M stern Regional Hospital, Dooradoyle We M M Our Lady of St. St. id- Childrens University Hospital, M Our Ladys Hospital South Inrma
Hospitals with an unchanged value of 0 are not listed.
Report on the National Patient Treatment Register APRIL 2010 8 600 Analysis of Variation 500 in Surgical Volumes > 400 3 months by Hospital 300 November 2009 –v- 200 April 2010 100 0
-100
-200
-300
-400
-500 2 3 7 7 -7 11 14 26 27 29 65 74 78 96 -82 -64 -59 -38 -34 -32 -30 -28 -27 -22 -18 161 166 191 202 634 -129 -129 -119 -114 y e n n ay rk Pa rk Co rk Co NCH) tlaoise ullamor (AM r Po T ord Hospital emple Street T xf eristy Hosptial ounty Hospital eneral Hospital eneral Hospital allaght We T er Hospital Dublin y General Hospital y General Hospital thopaedic Hospital ry General Hospital St. James's Hospital yo G yo rk Hospital Galw Pa outh C ord Regional Hospital Mat Naas General Hospital Sligo General Hospital Ker L Ma ollege Hospital Galway Hospital ollege ukes Hospital, Kilkenn Cavan G Cavan rk Univ Co or Sick Children Crumlin oria Eye and Ear Hospital rfte ipperar y University Hospital Our Lady's Hospital Nava Beaumont Hospital Dublin T St. L St. ourdes Hospital, Drogheda Merlin etterkenn Monaghan General Hospital Wa oria University Hospital ct Vi thopaedic Hospital Kilcreene L Me rc Cappagh Or yal ct Vi onnolly Hospital Blanchardstow South y Ro C University C incents University Hospital Elm V idland Regional Hospital at Mullingar estern Regional Hospital, Dooradoyle idland Regional Hospital at idland Regional Hospital at ourdes Or M W M M L St. St. Our Lady of L id- M Our Ladys Hospital f The Childrens University Hospital, South Inrmar
Report on the National Patient Treatment Register APRIL 2010 9 500 Analysis of Variation 400 in Surgical Volumes > 300 12 months by Hospital 200 November 2009 –v- April 2010 100 0
-100
-200
-300
-400
-500 1 1 1 2 3 6 7 8 -8 -4 -3 -1 -1 -1 -1 11 12 15 22 47 59 -20 -12 -10 l l r n n m rk Pa llamore Tu al Hospita l ord Hospital emple Street T xf eristy Hosptial MNCH) Hospital General Hospital We er Hospital Dublin (A y General Hospital thopaedic Hospital St. James's Hospita James's St. y University Hospital Mat Sligo General Hospital unty Hospitauth Co Lo Cavan Cavan rk Univ Co oria Eye and Ear Hospital y Hospital, r Sick Children Crumlin fo allaght Me rc Our Lady's Hospital Nava Beaumont Hospital Dublin T urdes Hospital, Drogheda Lo etterkenn Monaghan Gener ct Vi L Cappagh Or Cappagh yal stern Regional Hospital, Croo We Ro nnolly Hospital Blanchardstow Co id- ncents UniversityVi Hospital Elm idland Regional Hospital at Mullinga idland Regional Hospital at M M stern Regional Hospital, Dooradoyle We M St. St. Our Lady of id- M Our Ladys Hospital The Childrens Universit Childrens The
Report on the National Patient Treatment Register APRIL 2010 10 Median Wait Time in Months for Adult Surgical Procedures - April 2010 National Median Bantry General Hospital Beaumont Hospital Dublin Cappagh Orthopaedic Hospital Cavan General Hospital Connolly Hospital Blanchardstown Cork University Hospital Ennis General Hospital Kerry General Hospital Letterkenny General Hospital Lourdes Orthopaedic Hospital Kilcreene Louth County Hospital Mallow General Hospital Mater Hospital Dublin Mayo General Hospital Mercy University Hospital Cork Merlin Park Hospital Galway Mid Western Regional Hospital Dooradoyle Midland Regional Hospital at Mullingar Midland Regional Hospital at Portlaoise Midland Regional Hospital at Tullamore Mid Western Regional Hospital Croom
1 Upper Endoscopy 2 n/a 1 n/a 1 2 4 0 2 2 n/a 1 0 2 2 2 n/a 2 1 2 2 n/a 2 Colonoscopy 2 n/a 2 n/a 3 1 4 0 1 2 n/a 0 0 2 2 3 n/a 2 2 2 2 n/a 3 Cataract Extraction 3 n/a n/a n/a n/a n/a 3 n/a n/a 4 n/a n/a n/a 5 n/a n/a n/a 2 n/a n/a n/a n/a 4 Excision of Skin Lesion 2 0 2 2 2 2 4 0 1 n/a 2 3 0 4 2 1 1 2 3 1 n/a 2 5 Cystoscopy 2 n/a 2 n/a n/a 0 7 n/a 1 5 n/a 2 0 3 0 1 n/a 1 n/a 2 n/a n/a 6 Coronary Angiogram 3 n/a 1 n/a n/a 2 1 n/a n/a 3 n/a n/a n/a 3 n/a 2 n/a 2 n/a n/a n/a n/a 7 Hip Replacement 4 n/a 5 3 n/a 0 2 n/a 1 3 2 n/a n/a 8 4 n/a 3 n/a n/a n/a 7 1 8 Surgical Removal of Tooth 4 0 n/a n/a n/a n/a n/a n/a n/a 14 n/a n/a 0 5 n/a n/a n/a 4 n/a n/a n/a n/a 9 Tonsillectomy 4 n/a 4 n/a n/a n/a n/a n/a 2 n/a n/a n/a 0 5 n/a n/a n/a 2 n/a n/a 3 n/a 10 Knee Replacement 5 n/a 1 5 n/a 4 3 n/a 2 5 2 n/a n/a 9 4 n/a 4 n/a n/a n/a 7 n/a 11 Varicose Veins 3 0 2 n/a 0 2 4 0 2 5 n/a 2 0 3 0 3 n/a 7 n/a 6 n/a n/a 12 Lap Cholecystectomy 2 n/a 3 n/a 0 2 2 n/a 0 3 n/a 8 0 4 2 2 n/a 3 3 2 n/a n/a 13 Arthroscopy of the Knee 2 n/a 2 1 n/a n/a 2 n/a 2 3 2 n/a n/a 5 2 n/a 3 n/a n/a n/a n/a n/a 14 Septoplasty 4 n/a 3 n/a n/a n/a 6 n/a 2 n/a n/a n/a 0 4 n/a n/a n/a 3 n/a n/a n/a n/a 15 Hernia Repair 3 0 3 n/a 1 2 4 0 2 3 n/a 1 0 6 0 3 n/a 2 4 2 10 n/a 16 TURP 3 n/a 3 n/a n/a 0 3 n/a 0 5 n/a n/a 0 6 n/a 2 n/a 2 n/a 0 n/a n/a 17 Hysteroscopy 2 n/a 2 n/a 2 0 1 n/a 1 5 n/a 3 n/a 6 1 1 n/a 3 3 4 n/a n/a 18 Carpal Tunnel Release 2 n/a 3 2 n/a 0 1 0 1 1 1 0 0 0 2 n/a 3 n/a 0 n/a n/a 1 19 Cardioversion 2 n/a 3 n/a n/a 3 3 n/a n/a n/a n/a n/a 0 3 n/a 2 n/a n/a n/a n/a n/a n/a 20 Laparoscopy 3 n/a 3 n/a 0 n/a 1 0 1 3 n/a 4 0 7 1 2 n/a 2 1 6 n/a n/a
Information displayed is calculated from the date the patient is placed on the in-patient or day-case waiting list by the hospital.
Report on the National Patient Treatment Register APRIL 2010 11 Median Wait Time in Months for Adult Surgical Procedures continued National Median Mid Western Regional Hospital Nenagh Monaghan General Hospital Naas General Hospital Our Lady of Lourdes Hospital Drogheda Our Lady’s Hospital Navan Portiuncula Hospital Roscommon County Hospital Royal Victoria Eye and Ear Hospital Sligo General Hospital South Infi rmary Victoria University Hospital Cork South Tipperary General Hospital St. Columcille’s Hospital, Loughlinstown St. Michaels Hospital Dun Laoghaire St. James’s Hospital St. John’s Hospital Limerick St. Luke’s General Hospital Kilkenny St. Vincent’s University Hospital Tallaght Hospital (AMNCH) University College Hospital Galway Waterford Regional Hospital Wexford General Hospital
1 Upper Endoscopy 2 n/a 2 4 0 1 0 0 3 2 1 1 0 0 1 2 3 1 2 3 3 1 2 Colonoscopy 2 n/a 2 5 1 1 0 0 n/a 2 1 2 0 0 1 2 3 2 2 2 2 2 3 Cataract Extraction 3 n/a n/a n/a n/a n/a n/a n/a 3 1 n/a n/a n/a n/a n/a n/a n/a 2 n/a 5 3 n/a 4 Excision of Skin Lesion 2 0 1 0 0 1 0 0 4 1 2 0 0 0 1 2 1 1 0 4 3 1 5 Cystoscopy 2 n/a 2 n/a 4 2 0 0 n/a 2 n/a 7 0 0 1 n/a 8 2 5 4 8 n/a 6 Coronary Angiogram 3 0 n/a n/a 0 n/a n/a n/a n/a n/a n/a n/a 0 n/a 1 n/a n/a 1 2 3 n/a n/a 7 Hip Replacement 4 n/a n/a n/a n/a 4 n/a n/a n/a 3 n/a n/a n/a n/a n/a n/a n/a 5 6 n/a 3 n/a 8 Surgical Removal of Tooth 4 n/a n/a n/a n/a n/a 0 n/a n/a 4 n/a n/a 0 n/a 2 13 n/a n/a n/a 5 0 n/a 9 Tonsillectomy 4 n/a 6 n/a 4 n/a n/a n/a 2 4 3 n/a n/a 0 2 0 n/a 2 6 4 4 n/a 10 Knee Replacement 5 n/a n/a n/a n/a 4 n/a n/a n/a 2 n/a n/a n/a n/a n/a n/a n/a n/a 6 n/a 3 n/a 11 Varicose Veins 3 0 7 n/a 0 1 0 0 n/a 1 0 0 0 0 2 1 1 2 8 6 3 0 12 Lap Cholecystectomy 2 0 n/a 2 2 1 0 0 n/a 2 n/a n/a 0 0 1 2 n/a 2 4 4 0 3 13 Arthroscopy of the Knee 2 n/a n/a n/a 16 2 n/a n/a n/a 3 n/a n/a n/a 0 1 n/a n/a 0 4 n/a 2 n/a 14 Septoplasty 4 n/a 6 n/a 4 n/a n/a n/a 4 4 2 n/a n/a 0 1 n/a n/a 2 7 4 2 n/a 15 Hernia Repair 3 0 n/a 0 5 2 0 0 n/a 1 2 n/a 0 0 2 1 n/a 1 20 3 2 n/a 16 TURP 3 0 n/a n/a 5 n/a 0 n/a n/a 1 n/a n/a 0 0 2 n/a n/a 2 3 4 10 n/a 17 Hysteroscopy 2 n/a n/a n/a 2 2 0 n/a n/a 1 1 5 0 n/a 1 2 6 2 0 n/a 0 0 18 Carpal Tunnel Release 2 n/a n/a n/a n/a 3 0 0 n/a 2 0 n/a 0 n/a 1 0 n/a 2 4 5 1 0 19 Cardioversion 2 n/a n/a n/a 3 n/a n/a n/a n/a n/a 1 n/a 0 n/a n/a n/a n/a 2 2 1 n/a n/a 20 Laparoscopy 3 0 n/a n/a 2 0 0 n/a n/a 2 4 1 0 n/a 1 2 6 2 3 0 3 0
Information displayed is calculated from the date the patient is placed on the in-patient or day-case waiting list by the hospital.
Report on the National Patient Treatment Register APRIL 2010 12 Median Wait Time in Months for Child Surgical Procedures National Median Bantry General Hospital Beaumont Hospital Dublin Cappagh Orthopaedic Hospital Cavan General Hospital Cork University Hospital Ennis General Hospital Kerry General Hospital Letterkenny General Hospital Mallow General Hospital Mayo General Hospital Mercy University Hospital Cork Mid Western Regional Hospital Dooradoyle Midland Regional Hospital at Mullingar Midland Regional Hospital at Portlaoise Midland Regional Hospital at Tullamore Mid-Western Regional Hospital Croom Mid Western Regional Hospital Nenagh Monaghan General Hospital 1 Tonsillectomy 3 n/a 1 n/a n/a n/a n/a 0 n/a 0 n/a n/a 1 n/a n/a 3 n/a n/a 7 2 Male Circumcision 5 0 0 n/a 5 0 n/a 2 2 0 0 7 1 0 1 n/a n/a 0 n/a 3 Myringotomy 2 n/a 1 n/a n/a n/a n/a n/a n/a 0 n/a n/a 0 n/a n/a 2 n/a n/a 6 4 Excision of Skin Lesion 4 0 1 0 3 4 0 0 n/a 0 0 0 3 1 0 n/a 0 0 0 5 Coronary Angiogram 6 n/a 0 n/a n/a 0 n/a n/a 0 n/a n/a 0 0 n/a n/a n/a n/a 0 n/a 6 Surgical Removal of Tooth 5 0 n/a n/a n/a n/a n/a n/a 0 0 n/a n/a 4 n/a n/a n/a n/a n/a n/a 7 Adenoidectomy 2 n/a 2 n/a n/a n/a n/a n/a n/a 0 n/a n/a 0 n/a n/a 2 n/a n/a 5 8 Correction of a Squint 4 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 9 Orchidopexy 3 n/a n/a n/a n/a 6 n/a 0 2 0 n/a n/a 1 n/a 0 n/a n/a 0 n/a 10 Removal of Port Wine Stain 3 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a National Median Naas General Hospital Our Lady of Lourdes Hospital Drogheda Our Lady’s Hospital for Sick Children Crumlin Our Lady’s Hospital Navan Portiuncla Hospital Roscommon County Hospital Royal Victoria Eye and Ear Hospital Sligo General Hospital South Infi rmary Victoria University Hospital Cork South Tipperary General Hospital St. Columcille’s Hospital, Loughlinstown St. John’s Hospital Limerick St. Luke’s General Hospital Kilkenny Tallaght Hospital (AMNCH) The Children’s University Hospital Temple Street University College Hospital Galway Waterford Regional Hospital Wexford Hospital
1 Tonsillectomy 3 n/a 3 4 n/a n/a n/a 1 3 1 n/a n/a 0 n/a 3 2 3 3 n/a 2 Male Circumcision 5 n/a 5 3 n/a 0 0 n/a 1 10 0 0 0 0 11 6 3 0 0 3 Myringotomy 2 n/a 6 3 n/a n/a n/a 0 2 1 n/a n/a n/a n/a n/a 1 2 2 n/a 4 Excision of Skin Lesion 4 0 4 4 0 0 0 0 0 2 0 0 0 0 0 5 4 2 1 5 Coronary Angiogram 6 n/a 0 6 n/a n/a n/a n/a n/a n/a n/a 0 n/a n/a 0 n/a 0 n/a n/a 6 Surgical Removal of Tooth 5 n/a n/a 5 n/a 0 n/a n/a 0 n/a n/a 0 0 n/a n/a 0 6 0 n/a 7 Adenoidectomy 2 n/a 2 4 n/a n/a n/a 0 4 2 n/a n/a n/a n/a 2 3 2 3 n/a 8 Correction of a Squint 4 n/a n/a 6 n/a n/a n/a 2 3 n/a n/a n/a n/a n/a n/a 6 n/a n/a n/a 9 Orchidopexy 3 n/a 3 3 n/a 0 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 n/a n/a n/a 10 Removal of Port Wine Stain 3 n/a n/a 3 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a
Report on the National Patient Treatment Register APRIL 2010 13 3 - 6 6 - 12 Over Hospital Name Total Months Months 12 Months
TOTALS 6,712 4,842 432 11,986 Beaumont Hospital Dublin 381 123 4 508 Total Number of Cappagh Orthopaedic Hospital 159 166 14 339 Cavan General Hospital 20 7 3 30 Adult Patients Connolly Hospital Blanchardstown 59 0 0 59 Cork University Hospital 230 170 33 433 Waiting for Surgical Kerry General Hospital 22 0 0 22 Letterkenny General Hospital 440 170 23 633 Procedures in Time Lourdes Orthopaedic Hospital Kilcreene 42 9 0 51 Louth County Hospital 76 29 0 105 Categories - April Mater Hospital Dublin 802 970 0 1,772 Mayo General Hospital 123 105 0 228 2010 Mercy University Hospital Cork 130 119 21 270 Merlin Park Hospital Galway 137 179 0 316 Mid Western Regional Hospital Croom 17 9 0 26 Mid Western Regional Hospital Dooradoyle 201 201 52 454 Midland Regional Hospital at Mullingar 44 9 2 55 Midland Regional Hospital at Portlaoise 47 62 9 118 Midland Regional Hospital at Tullamore 248 237 73 558 Monaghan General Hospital 52 46 3 101 Naas General Hospital 6 1 0 7 Our Lady of Lourdes Hospital Drogheda 58 42 8 108 Our Lady’s Hospital Navan 132 59 24 215 Royal Victoria Eye and Ear Hospital 297 184 3 484 Sligo General Hospital 219 143 3 365 South Infi rmary Victoria University Hospital Cork 82 89 9 180 South Tipperary General Hospital 4 1 0 5 St. James’s Hospital 424 22 0 446 St. John’s Hospital Limerick 5 3 8 16 St. Luke’s General Hospital Kilkenny 188 124 0 312 St. Vincent’s University Hospital Elm Park 201 84 24 309 Tallaght Hospital (AMNCH) 294 335 115 744 University College Hospital Galway 1,231 1,095 0 2,326 Waterford Regional Hospital 299 44 0 343 Wexford Hospital 42 5 1 48
Report on the National Patient Treatment Register APRIL 2010 14 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months
TOTALS 1,135 988 179 2,302 Beaumont Hospital Dublin 8 1 1 10 Total Number of Cappagh Orthopaedic Hospital 2 1 0 3 Child Patients Cavan General Hospital 2 0 0 2 Waiting for Surgical Cork University Hospital 29 41 4 74 Kerry General Hospital 3 0 0 3 Procedures in Time Letterkenny General Hospital 7 2 0 9 Categories - April Mercy University Hospital Cork 8 22 0 30 Merlin Park Hospital Galway 1 1 0 2 2010 Mid Western Regional Hospital Dooradoyle 36 17 8 61 Midland Regional Hospital at Mullingar 0 1 0 1 Midland Regional Hospital at Portlaoise 2 0 0 2 Midland Regional Hospital at Tullamore 102 37 2 141 Monaghan General Hospital 37 38 0 75 Our Lady of Lourdes Hospital Drogheda 129 46 10 185 Our Lady’s Hospital for Sick Children Crumlin 317 392 72 781 Royal Victoria Eye and Ear Hospital 6 3 0 9 Sligo General Hospital 38 29 2 69 South Infi rmary Victoria University Hospital Cork 6 2 0 8 St. John’s Hospital Limerick 0 0 1 1 St. Luke’s General Hospital Kilkenny 2 0 0 2 Tallaght Hospital (AMNCH) 59 18 0 77 The Childrens University Hospital Temple Street 177 161 79 417 University College Hospital Galway 115 148 0 263 Waterford Regional Hospital 49 28 0 77
Report on the National Patient Treatment Register APRIL 2010 15 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months TOTAL ADULT SURGICAL VOLUME 6,712 4,842 432 11,986 Adult Patient Beaumont Hospital Dublin 381 123 4 508 General Surgery 78 24 4 106 Gynaecology 12 1 0 13 Wait Times and Neurosurgery 75 37 0 112 Orthopaedics 27 3 0 30 Volumes Otolaryngology (ENT) 54 11 0 65 Plastic Surgery 39 20 0 59 Urology 64 20 0 84 for Surgical Vascular Surgery 32 7 0 39
Procedures - April Cappagh Orthopaedic Hospital 159 166 14 339 2010 Orthopaedics 159 166 14 339 Cavan General Hospital 20 7 3 30 General Surgery 16 7 3 26 Gynaecology 4 0 0 4
Connolly Hospital Blanchardstown 59 0 0 59 General Surgery 57 0 0 57 Orthopaedics 1 0 0 1 Plastic Surgery 1 0 0 1
Cork University Hospital 230 170 33 433 Cardio-Thoracic Surgery 5 2 2 9 General Surgery 18 21 1 40 Gynaecology 9 3 2 14 Neurosurgery 8 1 0 9 Ophthalmology 103 60 0 163 Orthopaedics 26 15 3 44 Plastic Surgery 43 49 22 114 Urology 12 13 1 26 Vascular Surgery 6 6 2 14
Kerry General Hospital 22 0 0 22 General Surgery 15 0 0 15 Orthopaedics 3 0 0 3 Otolaryngology (ENT) 4 0 0 4
Report on the National Patient Treatment Register APRIL 2010 16 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months Letterkenny General Hospital 440 170 23 633 Dental Surgery 0 0 1 1 General Surgery 264 90 8 362 Gynaecology 70 33 4 107 Ophthalmology 27 11 0 38 Orthopaedics 79 36 10 125
Lourdes Orthopaedic Hospital Kilcreene 42 9 0 51 Orthopaedics 42 9 0 51
Louth County Hospital 76 29 0 105 General Surgery 29 5 0 34 Gynaecology 27 10 0 37 Orthopaedics 0 1 0 1 Urology 20 13 0 33
Mater Hospital Dublin 802 970 0 1,772 Cardio-Thoracic Surgery 45 42 0 87 Dental Surgery 12 6 0 18 General Surgery 171 199 0 370 Gynaecology 39 51 0 90 Ophthalmology 321 399 0 720 Orthopaedics 34 68 0 102 Otolaryngology (ENT) 34 50 0 84 Plastic Surgery 27 34 0 61 Urology 119 121 0 240
Mayo General Hospital 123 105 0 228 General Surgery 5 4 0 9 Gynaecology 48 59 0 107 Orthopaedics 70 42 0 112
Mercy University Hospital Cork 130 119 21 270 General Surgery 92 103 20 215 Gynaecology 1 0 0 1 Urology 37 16 1 54
Merlin Park Hospital Galway 137 179 0 316 Orthopaedics 137 179 0 316
Mid Western Regional Hospital Croom 17 9 0 26 Orthopaedics 17 9 0 26
Report on the National Patient Treatment Register APRIL 2010 17 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months Mid Western Regional Hospital Dooradoyle 201 201 52 454 Dental Surgery 0 1 0 1 General Surgery 27 15 5 47 Gynaecology 10 9 2 21 Maxillo-Facial 112 144 39 295 Ophthalmology 38 21 3 62 Otolaryngology (ENT) 9 3 1 13 Urology 0 1 0 1 Vascular Surgery 5 7 2 14
Midland Regional Hospital at Mullingar 44 9 2 55 General Surgery 17 6 2 25 Gynaecology 27 3 0 30
Midland Regional Hospital at Portlaoise 47 62 9 118 General Surgery 23 14 3 40 Gynaecology 24 48 6 78
Midland Regional Hospital at Tullamore 248 237 73 558 General Surgery 9 4 0 13 Orthopaedics 133 169 59 361 Otolaryngology (ENT) 106 63 14 183 Vascular Surgery 0 1 0 1
Monaghan General Hospital 52 46 3 101 General Surgery 19 4 1 24 Otolaryngology (ENT) 33 42 2 77
Naas General Hospital 6 1 0 7 General Surgery 6 1 0 7
Our Lady of Lourdes Hospital Drogheda 58 42 8 108 General Surgery 6 4 3 13 Gynaecology 14 10 0 24 Orthopaedics 1 0 1 2 Otolaryngology (ENT) 16 18 2 36 Urology 21 10 2 33
Report on the National Patient Treatment Register APRIL 2010 18 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months Our Lady’s Hospital Navan 132 59 24 215 General Surgery 13 7 0 20 Gynaecology 2 0 0 2 Orthopaedics 117 52 24 193
Royal Victoria Eye and Ear Hospital 297 184 3 484 Ophthalmology 284 175 3 462 Otolaryngology (ENT) 13 9 0 22
Sligo General Hospital 219 143 3 365 General Surgery 80 32 0 112 Gynaecology 17 7 0 24 Maxillo-Facial 3 3 0 6 Ophthalmology 5 10 0 15 Orthopaedics 48 32 0 80 Otolaryngology (ENT) 66 57 3 126 Urology 0 2 0 2
South Infi rmary Victoria University Hospital Cork 82 89 9 180 General Surgery 13 3 0 16 Gynaecology 17 36 0 53 Otolaryngology (ENT) 23 17 0 40 Plastic Surgery 29 33 9 71
South Tipperary General Hospital 4 1 0 5 Gynaecology 4 1 0 5
St. James’s Hospital 424 22 0 446 Cardio-Thoracic Surgery 69 14 0 83 General Surgery 65 1 0 66 Gynaecology 16 0 0 16 Maxillo-Facial 43 1 0 44 Orthopaedics 15 0 0 15 Otolaryngology (ENT) 29 0 0 29 Plastic Surgery 110 5 0 115 Urology 31 1 0 32 Vascular Surgery 46 0 0 46
St. John’s Hospital Limerick 5 3 8 16 Dental Surgery 1 0 6 7 General Surgery 2 3 2 7 Gynaecology 2 0 0 2
Report on the National Patient Treatment Register APRIL 2010 19 St. Luke’s General Hospital Kilkenny 188 124 0 312 General Surgery 149 53 0 202 Gynaecology 39 71 0 110
St. Vincent’s University Hospital Elm Park 201 84 24 309 Cardio-Thoracic Surgery 2 11 2 15 General Surgery 42 25 4 71 Gynaecology 11 0 0 11 Ophthalmology 34 3 0 37 Orthopaedics 6 2 1 9 Otolaryngology (ENT) 18 2 0 20 Plastic Surgery 26 11 7 44 Urology 52 21 7 80 Vascular Surgery 10 9 3 22
Tallaght Hospital (AMNCH) 294 335 115 744 General Surgery 97 49 24 170 Gynaecology 7 7 2 16 Orthopaedics 143 219 75 437 Otolaryngology (ENT) 13 28 5 46 Urology 23 24 9 56 Vascular Surgery 11 8 0 19
University College Hospital Galway 1,231 1,095 0 2,326 Cardio-Thoracic Surgery 2 1 0 3 General Surgery 261 144 0 405 Ophthalmology 200 241 0 441 Oral Surgery 134 140 0 274 Otolaryngology (ENT) 133 117 0 250 Plastic Surgery 206 204 0 410 Urology 223 203 0 426 Vascular Surgery 72 45 0 117
Waterford Regional Hospital 299 44 0 343 General Surgery 33 6 0 39 Gynaecology 55 5 0 60 Ophthalmology 146 9 0 155 Orthopaedics 21 1 0 22 Otolaryngology (ENT) 44 23 0 67
Wexford Hospital 42 5 1 48 General Surgery 41 5 1 47 Gynaecology 1 0 0 1
Report on the National Patient Treatment Register APRIL 2010 20 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months TOTAL CHILD SURGICAL VOLUME 1,135 988 179 2,302 Beaumont Hospital Dublin 8 1 1 10 Neurosurgery 1 0 0 1 Child Patient Otolaryngology (ENT) 7 1 1 9
Wait Times Cappagh Orthopaedic Hospital 2 1 0 3 Orthopaedics 2 1 0 3 and Volumes Cavan General Hospital 2 0 0 2 for Surgical General Surgery 2 0 0 2 Cork University Hospital 29 41 4 74 Procedures - April Ophthalmology 4 1 0 5 Plastic Surgery 14 13 2 29 2010 Urology 11 27 2 40 Kerry General Hospital 3 0 0 3 General Surgery 1 0 0 1 Orthopaedics 1 0 0 1 Otolaryngology (ENT) 1 0 0 1
Letterkenny General Hospital 7 2 0 9 General Surgery 7 1 0 8 Ophthalmology 0 1 0 1
Mercy University Hospital Cork 8 22 0 30 General Surgery 3 2 0 5 Urology 5 20 0 25
Merlin Park Hospital Galway 1 1 0 2 Orthopaedics 1 1 0 2
Mid Western Regional Hospital Dooradoyle 36 17 8 61 Dental Surgery 8 1 0 9 General Surgery 5 0 1 6 Maxillo-Facial 17 16 7 40 Ophthalmology 4 0 0 4 Otolaryngology (ENT) 2 0 0 2
Midland Regional Hospital at Mullingar 0 1 0 1 General Surgery 0 1 0 1
Report on the National Patient Treatment Register APRIL 2010 21 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months
Midland Regional Hospital at Portlaoise 2 0 0 2 General Surgery 2 0 0 2
Midland Regional Hospital at Tullamore 102 37 2 141 Orthopaedics 1 2 0 3 Otolaryngology (ENT) 101 35 2 138
Monaghan General Hospital 37 38 0 75 Otolaryngology (ENT) 37 38 0 75
Our Lady of Lourdes Hospital Drogheda 129 46 10 185 General Surgery 106 41 10 157 Orthopaedics 6 1 0 7 Otolaryngology (ENT) 17 4 0 21
Our Lady’s Hospital for Sick Children Crumlin 317 392 72 781 Cardio-Thoracic Surgery 14 12 0 26 Dental Surgery 36 81 16 133 General Surgery 73 104 17 194 Maxillo-Facial 2 1 0 3 Ophthalmology 19 32 1 52 Orthopaedics 48 48 19 115 Otolaryngology (ENT) 96 79 11 186 Plastic Surgery 29 35 8 72
Royal Victoria Eye and Ear Hospital 6 3 0 9 Ophthalmology 6 3 0 9
Sligo General Hospital 38 29 2 69 Ophthalmology 4 5 0 9 Orthopaedics 2 1 0 3 Otolaryngology (ENT) 32 23 2 57
South Infi rmary Victoria University Hospital Cork 6 2 0 8 General Surgery 0 1 0 1 Otolaryngology (ENT) 5 1 0 6 Plastic Surgery 1 0 0 1
St. John’s Hospital Limerick 0 0 1 1 Dental Surgery 0 0 1 1
Report on the National Patient Treatment Register APRIL 2010 22 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months
St. Luke’s General Hospital Kilkenny 2 0 0 2 General Surgery 1 0 0 1 Gynaecology 1 0 0 1
Tallaght Hospital (AMNCH) 59 18 0 77 General Surgery 1 0 0 1 Orthopaedics 0 2 0 2 Otolaryngology (ENT) 52 9 0 61 Paediatric Surgery 6 7 0 13
The Childrens University Hospital Temple Street 177 161 79 417 Ophthalmology 2 4 0 6 Otolaryngology (ENT) 25 14 5 44 Paed Orthopaedic 16 5 5 26 Paediatric Neurosurgery 1 0 0 1 Paediatric Surgery 88 94 26 208 Plastic Surgery 45 42 37 124 Urology 0 2 6 8
University College Hospital Galway 115 148 0 263 General Surgery 2 2 0 4 Ophthalmology 3 7 0 10 Oral Surgery 16 27 0 43 Otolaryngology (ENT) 42 50 0 92 Plastic Surgery 32 30 0 62 Urology 20 32 0 52
Waterford Regional Hospital 49 28 0 77 General Surgery 2 0 0 2 Gynaecology 1 0 0 1 Ophthalmology 3 0 0 3 Orthopaedics 1 0 0 1 Otolaryngology (ENT) 42 28 0 70
Report on the National Patient Treatment Register APRIL 2010 23 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months
TOTAL ADULT MEDICAL VOLUME 2,085 1,341 316 3,742 Beaumont Hospital Dublin 341 179 17 537 Cardiology 37 24 0 61 Adult Patient Wait Dermatology 5 1 0 6 Endocrinology 6 9 0 15 Times and Volumes Gastro-Enterology 142 18 3 163 Immunology 0 1 0 1 Nephrology 17 1 0 18 for Medical Cases - Neurology 19 16 0 35 Pain Relief 87 96 9 192 April 2010 Radiology 1 0 0 1 Respiratory Medicine 21 11 5 37 Rheumatology 6 2 0 8
Connolly Hospital Blanchardstown 21 0 0 21 Cardiology 3 0 0 3 Gastro-Enterology 1 0 0 1 Respiratory Medicine 17 0 0 17
Cork University Hospital 68 87 90 245 Cardiology 13 5 2 20 Neurology 31 31 13 75 Pain Relief 4 11 0 15 Respiratory Medicine 20 40 75 135
Letterkenny General Hospital 73 9 6 88 Cardiology 25 5 6 36 Gastro-Enterology 9 0 0 9 General Medicine 39 4 0 43
Louth County Hospital 11 0 0 11 General Medicine 11 0 0 11
Mater Hospital Dublin 356 191 0 547 Cardiology 226 80 0 306 Dermatology 1 0 0 1 Endocrinology 4 4 0 8 Gastro-Enterology 38 19 0 57 Haematology 0 1 0 1 Infectious Diseases 5 4 0 9 Nephrology 3 10 0 13 Neurology 18 24 0 42 Pain Relief 54 42 0 96 Radiology 0 1 0 1 Respiratory Medicine 4 6 0 10 Rheumatology 3 0 0 3
Report on the National Patient Treatment Register APRIL 2010 24 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months Mercy University Hospital Cork 95 46 2 143 Cardiology 4 2 0 6 Clinical Pharmacology 0 1 0 1 Gastro-Enterology 25 7 1 33 General Medicine 3 1 0 4 Geriatric Medicine 2 2 0 4 Neurology 1 1 0 2 Pain Relief 59 32 1 92 Respiratory Medicine 1 0 0 1 Merlin Park Hospital Galway 41 64 0 105 Respiratory Medicine 41 64 0 105 Mid Western Regional Hospital Croom 1 0 0 1 Anaesthetics 1 0 0 1 Mid Western Regional Hospital Dooradoyle 75 19 0 94 Cardiology 1 0 0 1 Gastro-Intestinal Medicine 7 2 0 9 General Medicine 67 17 0 84 Midland Regional Hospital at Mullingar 22 2 0 24 General Medicine 22 2 0 24 Midland Regional Hospital at Tullamore 32 8 1 41 Cardiology 10 0 0 10 General Medicine 21 3 0 24 Nephrology 1 5 1 7 Naas General Hospital 4 9 1 14 Anaesthetics 1 0 0 1 General Medicine 3 9 1 13 Our Lady of Lourdes Hospital Drogheda 3 3 4 10 Cardiology 1 1 0 2 Diabetes Mellitus 0 0 1 1 General Medicine 2 2 3 7 Sligo General Hospital 104 4 0 108 Dermatology 0 1 0 1 Endocrinology 1 0 0 1 General Medicine 103 2 0 105 Neurology 0 1 0 1 South Infi rmary Victoria University Hospital Cork 8 3 0 11 Cardiology 8 3 0 11 South Tipperary General Hospital 13 0 0 13 Gastro-Enterology 13 0 0 13
Report on the National Patient Treatment Register APRIL 2010 25 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months
St. James’s Hospital 34 13 0 47 Cardiology 18 12 0 30 Dermatology 11 1 0 12 Gastro-Enterology 1 0 0 1 Pain Relief 4 0 0 4 St. John’s Hospital Limerick 80 115 127 322 Anaesthetics 18 19 9 46 Gastro-Enterology 4 1 0 5 General Medicine 58 95 118 271 St. Luke’s General Hospital Kilkenny 36 8 0 44 Gastro-Enterology 36 8 0 44 St. Vincent’s University Hospital Elm Park 181 144 53 378 Cardiology 14 10 0 24 Gastro-Enterology 32 1 0 33 Neurology 7 1 0 8 Pain Relief 65 78 46 189 Radiology 0 1 0 1 Respiratory Medicine 59 53 7 119 Rheumatology 4 0 0 4 Tallaght Hospital (AMNCH) 106 49 15 170 Anaesthetics 2 8 0 10 Cardiology 12 1 0 13 Dermatology 5 1 0 6 Gastro-Enterology 63 7 2 72 General Medicine 0 1 0 1 Haematology 1 0 0 1 Nephrology 19 20 1 40 Neurology 2 3 12 17 Respiratory Medicine 2 4 0 6 Rheumatology 0 4 0 4 University College Hospital Galway 370 388 0 758 Cardiology 114 120 0 234 Dermatology 1 0 0 1 Gastro-Enterology 199 155 0 354 Neurology 7 28 0 35 Pain Relief 49 85 0 134 Waterford Regional Hospital 4 0 0 4 Anaesthetics 4 0 0 4 Wexford Hospital 6 0 0 6 Gastro-Enterology 6 0 0 6
Report on the National Patient Treatment Register APRIL 2010 26 3 - 6 6 - 12 Over Wait Time Categories Total Months Months 12 Months TOTAL CHILD MEDICAL VOLUME 103 140 46 289
Beaumont Hospital Dublin 1 1 0 2 Child Patient Endocrinology 1 0 0 1 Wait Times and Immunology 0 1 0 1 Cork University Hospital 1 1 0 2 Volumes for Neurology 1 1 0 2
Medical Cases - Mercy University Hospital Cork 11 7 0 18 April 2010 Paediatrics 11 7 0 18 Our Lady’s Hospital for Sick Children Crumlin 84 113 44 241 Dermatology 16 19 7 42 General Medicine 25 29 0 54 Neonatology 0 2 0 2 Neurology 1 5 0 6 Paed Cardiology 35 53 34 122 Paed Gastro-Enterol 2 5 3 10 Paed Haematology 4 0 0 4 Paed Nephrology 1 0 0 1
St. John’s Hospital Limerick 1 0 1 2 General Medicine 1 0 1 2
Tallaght Hospital (AMNCH) 1 2 1 4 Gastro-Enterology 1 0 1 2 Paediatric Respiratory Medicine 0 2 0 2
The Childrens University Hospital Temple Street 4 15 0 19 Paed Metabolic Medicine 3 12 0 15 Respiratory Medicine 1 3 0 4
University College Hospital Galway 0 1 0 1 Gastro-Enterology 0 1 0 1
Report on the National Patient Treatment Register APRIL 2010 27 3 - 6 6 - 12 12 Plus Wait Time Categories Total Months Months Months
Total 4,400 56% 3,098 53% 234 38% 7,732 54% Beaumont Hospital Dublin 166 43% 38 31% 0 0% 204 39% Surgical Day Cappagh Orthopaedic Hospital 36 22% 39 23% 2 14% 77 23% Cavan General Hospital 22 100% 6 86% 3 100% 31 97% Case Volume and Connolly Hospital Blanchardstown 51 86% 0 0% 0 0% 51 86% Cork University Hospital 119 46% 106 50% 12 32% 237 47% Percentage by Kerry General Hospital 0 0% 0 0% 0 0% 0 0% Letterkenny General Hospital 279 62% 114 66% 6 26% 399 62% Hospital - April Lourdes Orthopaedic Hospital Kilcreene 2 5% 0 0% 0 0% 2 4% Louth County Hospital 75 99% 28 97% 0 0% 103 98% Mater Hospital Dublin 525 65% 587 61% 0 0% 1,112 63% 2010 Mayo General Hospital 103 84% 77 73% 0 0% 180 79% Mercy University Hospital Cork 118 86% 128 91% 20 95% 266 89% Merlin Park Hospital Galway 58 42% 100 56% 0 0% 158 50% Mid Western Regional Hospital Croom 0 0% 0 0% 0 0% 0 0% Mid Western Regional Hospital Dooradoyle 185 78% 169 78% 50 83% 404 78% Midland Regional Hospital at Mullingar 31 70% 6 60% 2 100% 39 70% Midland Regional Hospital at Portlaoise 40 82% 54 87% 6 67% 100 83% Midland Regional Hospital at Tullamore 65 19% 41 15% 3 4% 109 16% Monaghan General Hospital 44 49% 41 49% 3 100% 88 50% Naas General Hospital 6 100% 1 100% 0 0% 7 100% Our Lady of Lourdes Hospital Drogheda 131 70% 46 52% 15 83% 192 66% Our Lady’s Hospital for Sick Children Crumlin 194 61% 269 69% 38 53% 501 64% Our Lady’s Hospital Navan 41 31% 11 19% 0 0% 52 24% Royal Victoria Eye and Ear Hospital 215 71% 110 59% 1 33% 326 66% Sligo General Hospital 82 32% 35 20% 1 20% 118 27% South Infi rmary Victoria University Hospital Cork 43 49% 51 56% 2 22% 96 51% South Tipperary General Hospital 0 0% 0 0% 0 0% 0 0% St. James’s Hospital 234 55% 6 27% 0 0% 240 54% St. John’s Hospital Limerick 1 20% 3 100% 9 100% 13 76% St. Luke’s General Hospital Kilkenny 185 97% 106 85% 0 0% 291 93% St. Vincent’s University Hospital Elm Park 91 45% 5 6% 1 4% 97 31% Tallaght Hospital (AMNCH) 140 40% 32 9% 2 2% 174 21% The Childrens University Hospital Temple Street 142 80% 131 81% 57 72% 330 79% University College Hospital Galway 819 61% 743 60% 0 0% 1,562 60% Waterford Regional Hospital 126 36% 12 17% 0 0% 138 33% Table indicates the volume and percentage of patients on lists that are daycases. Wexford Hospital 31 74% 3 60% 1 100% 35 73%
Report on the National Patient Treatment Register APRIL 2010 28 Hospital Name Suspended* Hospital Name Suspended*
Beaumont Hospital Dublin 178 Monaghan General Hospital 103 Analysis of Cappagh Orthopaedic Hospital 854 Naas General Hospital 10
Suspended Cavan General Hospital 546 Our Lady of Lourdes Hospital Drogheda 202
Patients - April Connolly Hospital Blanchardstown 159 Our Lady’s Hospital for Sick Children Crumlin 322
2010 Cork University Hospital 59 Our Lady’s Hospital Navan 117
Kerry General Hospital 168 Royal Victoria Eye and Ear Hospital 122
Letterkenny General Hospital 402 Sligo General Hospital 568
Lourdes Orthopaedic Hospital Kilcreene 77 South Infi rmary Victoria University Hospital Cork 108
Louth County Hospital 60 South Tipperary General Hospital 1
Mater Hospital Dublin 671 St. John’s Hospital Limerick 13
Mayo General Hospital 64 St. Luke’s General Hospital Kilkenny 133
Mercy University Hospital Cork 3 St. Vincent’s University Hospital Elm Park 238
Merlin Park Hospital Galway 130 Tallaght Hospital (AMNCH) 265
Mid Western Regional Hospital Croom 50 The Childrens University Hospital Temple Street 166
Mid Western Regional Hospital Dooradoyle 157 University College Hospital Galway 1,577
Midland Regional Hospital at Mullingar 174 Waterford Regional Hospital 228
Midland Regional Hospital at Portlaoise 44 Wexford Hospital 139
Midland Regional Hospital at Tullamore 330
* Notes Suspended Cases: Suspended cases are those where a patient is not currently ready for clinical reasons, such as “pregnancy” or not available for social or personal reasons such as doing exams or holidays.
Report on the National Patient Treatment Register APRIL 2010 29 REVIEW AND ANALYSIS PROGRAM
In 2009 a total of 44 hospitals nationally submitted waiting list data to the PTR. Hospitals are responsible for the accuracy of data submitted. To support the hospitals in this regard and to confi rm that National Waiting List Data Management Guidelines are in use the NTPF has established a Review and Analysis section to ensure accuracy of data in the hospitals through spot check analysis.
The data identifi ed for spot check analysis in 2009 were all patients on the waiting list over 9 months. A total of 6,331 records were examined in 33 hospitals. Of those 4,625 were awaiting surgical procedures (table 1) and 1,706 were awaiting medical treatment (table 1).
All patients reviewed as waiting fall into four main categories (table 2) with the highest percentage reported as those patients awaiting administrative follow-up by hospital at 38%. Administrative follow up is where a patient has been contacted at least once but has not responded or has not attended a scheduled appointment and is put back on the waiting list. These patients are followed up by administrative staff to see if they still require/need treatment.
The second highest category was 29% of patients were re-categorized from active waiting list as per National Waiting List Data Management Guidelines. This means that these patients should not have been on an active waiting list as they are currently not ready to be admitted to hospital for clinical or social reasons.
Thirdly at 28% were patients for treatment in own Hospital. For treatment in own hospital means that the patient is unsuitable for clinical reasons to be referred to another hospital. These patients must be scheduled for treatment in the initial hospitals that they were listed.
Finally a small percentage of patients (5%) had declined an offer of treatment under the NTPF and are awaiting treatment in their own hospitals.
Report on the National Patient Treatment Register APRIL 2010 30 Table 1) Sample of Data Examined
No. of hospitals with waiting lists over 9 months 33 No. of hospitals visits 58 Total sample of patient records examined 6,331 Total surgical records examined 4,625
Table 2) Top reasons for all patients on waiting lists over 9 months Total number examined 6,331
Patients awaiting administrative follow up 38% Re-categorized from active list as per guidelines 29% For treatment in own hospital 28% Declined offer of treatment under NTPF 5%
National Waiting List Data Management Guidelines To develop and enable consistent management of in-patient, day case surgical and medical public hospital waiting lists, particularly in relation to administrative follow-up the National Treatment Purchase Fund developed a new policy for the Management of In-patient and Day Case Waiting List Data. This Policy was agreed by the HSE Board, The National Hospitals Office, Individual hospitals and was endorsed by the Department of Health and Children. The policy was launched by the Minister for Health and Children Mary Harney, in December 2009.
The NTPF also offers a new training and development program to facilitate staff in hospitals in the implementation of the policy. To date 22 hospitals have opted for the program offered by the NTPF with over 200 staff in hospitals attending various sessions around the country.
Report on the National Patient Treatment Register APRIL 2010 31 The Median The average used in calculating patients waiting times is the median, this is the measure applied by health systems internationally. Patient Treatment ICD10-AM Classification and Descriptions ICD10-AM is an internationally recognised coding standard for procedure codes and text descriptions. Register Surgical Cases Are those patients who require admission to hospital for an operation or a procedure.
Glossary Of Terms Suspended Patients A suspended patient is one who is defined as a patient who is not currently ready (for clinical reasons) or not available (for social or personal reasons) for their procedure.
Medical Cases Are those patients who require admission to hospital for treatment that does not require an operation or a procedure.
Waiting Times Median waiting times are calculated from the date the patient is placed on the list be it in-patient or daycase.
Waiting List Volumes Waiting list volumes are calculated based on those patients who have waited three or more months without being scheduled for their treatment.
Report on the National Patient Treatment Register APRIL 2010 32 Alison Greene, Connolly Hospital, Blanchardstown Linda Byrne, Our Lady’s Hospital for Sick Children Crumlin Ann Gorman, Letterkenny General Hospital Linda Bevin, Kerry General Hospital Anne Brennan, St Michaels Hospital Dun Laoghaire Lloyd Felton, St. Vincents Hospital Anne Casey, Midland Regional Hospitals Lynda O’Donnell, South Infirmary Victoria University Hospital Acknowledgements Anne O’Connor, The Childrens University Hospital Temple Street Margaret Burke, Naas General Hospital Antoinette Francois Behan, Our Lady’s Hospital for Sick Children Mari Gavin, Our Lady of Lourdes Hospital, Drogheda Crumlin Martin Tully, HSE Dublin North East The NTPF wishes to acknowledge with Bernie Duffy, HSE South East appreciation the persons involved in the Mary Braddish, Mid Western Regional Hospital Dooradoyle and Breda Sandilands, Letterkenny General Hospital Croom Orthopaedic Hospital 44 hospitals for the development and maintenance of the Patient Treatment Brian O’Neill, Beaumont Hospital Dublin Mary Casey, Mayo General Hospital Register. Brian O’Sullivan, Kerry General Hospital Mary Dunne, Our Lady’s Hospital, Navan Carmel Hennessy, Beaumont Hospital Dublin Mary Kelly, Tallaght (AMNCH) Carmel Murtagh, Sligo General Hospital Mel McCann, Royal Victoria Eye and Ear Hospital Carmel Walsh, Mercy General Hospital Niamh Gaffney, St. Vincent’s Hospital Caroline Ryder, University College Hospitals Galway and Merlin Nicola Newcombe, The Childrens University Hospital Temple Street Park Olive Grall, Cavan/Monaghan Group Colette Nugent, University College Hospital Galway and Merlin Patricia Lynch, St. James’s Hospital Park Peggy O’Dolan, Cappagh Orthopaedic Hospital Corrine Binnions, Tallaght Hospital (AMNCH) Peter O’Callaghan, Mercy General Hospital Denis Mullins, Mayo General Hospital Peter Roche, HSE South East Derek Kelly, St. James’s Hospital Ronan O’Connell, South Infirmary Victoria University Hospital Eamon Brady, Cappagh Orthopaedic Hospital Rosie Scanlan, Mid Western Regional Hospital Dooradoyle and Eleanor O’Donovan, Bantry General Hospital Croom Ger Dunne, Mater Misericordiae Hospital Siobhan Saunders, St. Colmcilles, Loughlinstown Gerard Buckley, Cork University Hospital Susan Kiernan, Mater Misericoridiae Hospital Ger Moloney, Cork University Hospital Therese Callinan, Beaumont Hospital Dublin Jackie McNulty, Midland Regional Hospital, Portloaise Tony Gosnell, Mallow General Hospital John Joyce, Midland Regional Hospitals Val Mullins, Mayo General Hospital Julie Cotter, St. John’s Hospital, Limerick Katie Callaghan, Louth County Hospital Leonard Molloy, Letterkenny General Hospital
Report on the National Patient Treatment Register APRIL 2010 33 • Almost 170,000 patients have been facilitated to This report is issued by: date by the NTPF The National Treatment Purchase Fund Ashford House, Tara Street, Dublin 2
• Contact us on 1890 720 820 to find out more Lo-call: 1890 720 820 Telephone: + 353 1 642 7101 Fax: + 353 1 642 7102 www.ntpf.ie
National Treatment Purchase Fund TREATING PEOPLE, FASTER