ntpf_annualreport_2009

an ciste náisiúnta um cheannach cóireála Tuarascáil Bhliantúil 2009 the national treatment purchase fund Annual Report 2009

1

an ciste náisiúnta um cheannach cóireála

the national treatment purchase fund

Ag Cóireáil Othair Níos Tapa

Treating Patients Faster

Tuarascáil Bhliantúil Annual Report

2009


2

Eagraíocht neamhspleách reachtúil is ea an

Ciste Náisiúnta um Cheannach Cóireála

(CNCC) a bhunaigh an Rialtas agus é de

phríomhaidhm aige cóireáil níos tapa a

sholáthar d’othair phoiblí. Is é misean an

CNCC ná an méid ama a chaitheann othair

phoiblí ar liostaí feithimh ospidéal i gcomhair

máinliachta a laghdú trí rogha a thabhairt

dóibh maidir le CÓIREÁIL A FHÁIL go tapa, go

slán agus ardchaighdeán sástachta a bheith

acu mar othair.

The National Treatment Purchase Fund

(NTPF) is an independent statutory agency

established by Government with the primary

aim of providing faster treatment for public

patients. The mission of the NTPF is to

reduce the amount of time public patients

are on hospital waiting lists for surgery by

offering choice in obtaining ACCESS TO

TREATMENT promptly, safely and to a high

standard of patient satisfaction.






3





Clár Ráiteas an Chathaoir l igh 1

Tuarascái l an Phríomhfheidhmeannaigh 3

R ia lachas Corparáideach 5

An Fhoireann Cúraim Othar 7

Anai l ís Stai t ist iúi l 9

• Acho imre ar S ta i t i s t i c í Gn íomhaíochta go

d t í seo - 9

Otha i r Chóna i theacha a Có i reá l adh 9

Otha i r Chóna i theacha + Otha i r 9

Sheacht racha a Có i reá ladh

L í on na nOthar a Có i reá ladh 10

L í on na nOthar Seachtrach a Có i reá l adh 10

• Sta i t i s t i c í Gn íomhaíochta 2009 - 11

L í on Iomlán na nOthar a Có i reá l adh 11

L í on na nOthar Cóna i theach a Có i reá ladh 11

L í on na nOthar Seachtrach a Có i reá l adh 12

P ró i f í l Ao i se na nOthar Cóna i theach

a Có i reá ladh 12

• T ionscnamh na nOthar Seachtrach - 13

Otha i r a nDearnadh Teagmhái l Leo 13

Comhai r l i úchá in a Eagra íodh 13

• Sui rbhé maid i r l e Sás tacht Othar 14

• Cad a de i r Otha i r fao in CNCC 15

• Ospidéil Fhaofa Chóireála 16

• Anai l í s de ré i r Contae a r Otha i r a 17

Có i reá ladh

An Clár Náis iúnta um Chóireái l Othar 18

• Forbhreathnú 18

• L íon Ná i s iún ta na nOthar Má in l i ach ta

de ré i r Ré ig iún 20

• Sta i t i s t i c í > 3 mhí 21

• Sta i t i s t i c í > 12 mhí 22

An St iúrthóir A irgeadais - Forbhreathnú 23

Ceannl ínte Nuachta 26

Buaicphoint í an CNCC 2009 - 27

• Mr John Keegan, Ár 150,000ú Othar 27

• An tUasa l Margare t Murphy/ 27

Contents Chairman's Statement 1

Chief Executive ’s Report 3

Corporate Governance 5

Pat ient Care Team 7

Stat ist ica l Analys is 9

• Summary Act iv i ty Sta t i s t i cs to date -

to da te - 9

In-Pat ients Treated 9

In-Pat ients + Out -Pat ients 9

T rea ted

Vo lume o f Pat ien ts T reated 10

Vo lume o f Out -Pat ien ts T reated 10

• 2009 Ac t iv i ty S ta t i s t i c s - 11

To ta l Pat ien ts Treated 11

Vo lume o f In-Pat ien ts Treated 11

Vo lume o f Out -Pat ien ts T reated 12

Age Pro f i l e o f In-Pat ien ts

T reated 12

• Out-Pat ien t In i t i a t i ve - 13

Pat ients Contac ted 13

Consu l ta t ions Arranged 13

• Pat ient Sat i s fac t ion Survey 14

• What Pat ien ts say about the NTPF 15

• Approved Treat i ng Hosp i ta l s 16

• Breakdown by County o f Treated 17

Pat ients

The Nat ional Pat ient Treatment Register - 18

• Overv iew 18

• Nat iona l Surg i ca l Vo lumes

By reg ion 20

• Stat i s t i c s > 3 months 21

• Stat i s t i c s >12 months 22

Director of F inance - Overv iew 23

News Headl ines 26

NTPF Highl ights 2009 - 27

• Mr John Keegan, Our 150,000th Pat ient 27

• Ms Margare t Murphy/Pat ien t Sa fety 27


1

Ráiteas an Chathaoirligh / Chairman’s Statement

L o n g W a i t e r s

2 0 0 9

2009 was another year o f p rogress for the Nat iona l

T reatment Purchase Fund (NTPF) . I t was a year tha t

p roduced fur ther resu l ts in re l a t ion to those pat ien ts

wa i t ing l onges t for surg i ca l procedures , i t was dur ing

2009 that we t reated our 150,000t h pa t ien t and i t was

the year that w i tnessed more inroads be ing made i n

ach iev ing greater va lue for money.

I am p leased to repor t that the NTPF fac i l i t a ted

a lmost 29 ,000 pub l i c pa t ients l as t year by p rov id ing

them wi th fas ter t rea tment . I t was poss ib le to p rov ide

the fu l l range o f surgery w i thout the need to send any

o f these pat ients ou ts ide I re l and. In add i t i on, the

NTPF was mandated to negot i a te pr i ces wh ich the

State w i l l pay for l ong te rm e lde r ly care under the

Nurs ing Homes Suppor t Scheme. Known as the “Fa i r

Dea l ” scheme, negot ia t i ons were comple ted w i th 440

pr iva te nurs ing homes so that a s ta r t -up date o f 27 t h

Oc tober , 2009 was ach ieved.

The Board and management o f the NTPF se t out to

t rea t the longes t wa i te rs on surg i ca l wa i t ing l i s ts

dur ing 2009. A t end 2007, there were 4,637 pat ients

wa i t ing for surgery fo r over twe lve months wh i l e a t

the end o f 2008 the comparab le f i gure was 1,576. A t

end 2009 th i s f i gure was 719, wh ich was up f rom an

a l l t ime low o f 477 pat ients at end November , 2009.

Rout i ne aud i t o f wa i t ing l i s t data shows tha t a t l east

60% o f the current cohor t repor ted as wa i t ing l onges t

a re ac tua l l y no t ac t i ve ly wa i t ing for t rea tment . Th i s

sugges ts tha t bas i c admin i s t ra t ion/housekeep ing o f

l i s t s needs to be more robus t in some hosp i ta l s . Fo r

those who a re ac t i ve l y wa i t ing i t begs the ques t ion

why a smal l number o f pat ien ts , represent ing l ess

than 0.1% o f those t reated cannot be accommodated.

Daoine ag Fanacht le Fada

2 0 0 9

Rinne an C i s te Ná i s iúnta um Cheannach Có i reá l a

(CNCC) du l chun c inn ar í s i n 2009. I gca i theamh

na b l i ana r inneadh tu i l l eadh du l chun c i nn maid i r le i s

na ho tha i r ab fha ide a bh í ag fanacht l e gnátha imh

mháin l i achta, r i nneamar có i reá i l ar an 150,000ú o thar

l e l i nn 2009 agus chona i ceamar go ndearnadh n íos mó

du l chun c i nn maid i r l e luach n íos fear r ar a i rgead a

bha int amach.

Tá áthas orm a thua i r i sc iú gur chabhra igh an CNCC le

beagnach 29,000 o thar po ib l í anura idh t r í chó i reá i l

n í os tapa a sho lá thar dó ibh . Bh ío thas in ann an raon

iomlán de mháin l i acht a sho lá thar gan é a bhe i th

r i achtanach aon othar a chur l asmuigh d ’É i r inn . Ina

theannta s i n tugadh sa inordú don CNCC ca ib id l í a

dhéanamh maid i r l e i s na p raghsanna a íoc fa idh an S tát

as cúram fadtéarmach do dhao ine sco thaosta fao in

Scé im um Thaca íocht T i the Bana l t ra i s . T r í scé im a

thugtar “Cothrom na Fé inne” u i r th i , r i nneadh ca ib id l í

l e 440 teach a l t rana i s p r íobhá ideacha ionas go

bh féadfa í an scé im a thosú ar 27ú De i readh Fómhai r ,

2009.

I r i th 2009 thug Bord agus ba in i s t í ocht an CNCC fúthu

có i reá i l a dhéanamh ar na dao ine ab fha ide a bh í ag

fanacht ar l ios ta í fe i th imh máin l i ach ta . Ag de i readh

2007, bh í 4 ,637 o thar ag fanacht l e máin l i acht l e b re i s

i s dhá mhí déag agus ag de i readh 2008 n í ra ibh ach

1 ,576 acu ann. Ag de i readh 2009 ba é 719 an f ig iúr ,

agus lé i r igh sé s in méadú ón bh f ig iúr ab í s l e r i amh

mar a bh í 477 o thar ag de i readh Mhí na Samhna,

2009.

Lé i r í onn gnáth- in iúchadh ar shonra í fao i l i os ta í

f e i th imh gurb amhla idh maid i r l e 60% den chohór t

rea tha a thua i r i sc í tear gurb iad s iúd i s fa ide atá ag

fanacht nach bh fu i l s i ad ag fanacht go gn íomhach le

có i reá i l . Tugann sé s in l e tu i sc in t nach mór go

mbeadh an r ia rachán/ba in i s t í och t bhunúsach a r l i os ta í

n í os l á idre i ro inn t osp idéa l . Dó ibh s iúd a tá ag

fanacht go gn íomhach arda í tear an che i s t cén fá th

nach fé id i r cabhrú l e l í on beag o thar , nach ionann ach

0 .1% dó ibh s iúd a có i reá ladh.

R é a m h r á

John O’Dwyer Cathaoirleach

Chairman

I n t r o d u c t i o n

V a l u e f o r M o n e y Luach ar Airgead

Tu igeann an Bord na dua lga i s atá a i r maid i r l e luach

ar a i rgead a fhá i l . Ma id i r l e i s an CNCC c ia l l a í onn sé

dá í s l e an praghas gur mó o thar a r fé id i r i ad a

chó i reá i l . Agus cúram osp idé i l á sho lá thar tá dua lgas

b re i se a r an CNCC luach ar a i rgead a sho lá thar gan

cá i l í ocht ná ca ighdeá in a l aghdú. Le teacht chun c inn

na n-osp idéa l pr íobhá ideach nua le b l i anta beaga

anuas osc la í odh an margadh do cheanna i theo i r í agus

The Board i s consc ious o f i t s ob l igat ions in secur ing

va lue for money. For the NTPF i t a l so means that the

lower the pr i ce the more pat ien ts that can be t reated.

In the p rov i s ion o f hosp i ta l care there i s an added

onus on the NTPF to prov ide va lue for money w i thout

compromis ing on qua l i ty and s tandards . The advent o f

new pr i va te hosp i ta l s in recent years has opened the

marke t for purchasers and has enab led more


2

Access fo r pub l i c pa t ien ts to consu l tants at ou t-pat ient

c l i n i cs for the i r i n i t i a l consu l ta t ion i s one o f the

cur rent bot t l enecks in our hosp i ta l sys tem and in

many ways mi r ro rs the i ssues in e lec t i ve in -pat ient

surgery when the NTPF was f i r s t es tab l i shed . Whi le

our invo l vement in th i s a rea has been l im i ted, over

the years 2005 to 2009, more than 82,000 pat ients

have been contac ted v ia the NTPF and o f fe red

appo in tments a t out -pa t ien t c l i n i cs . I wou ld l i ke to see

improved access for pub l i c pat ients to out -pat ient

c l i n i c s and I am sure much more can be ach ieved in

th i s area.

Whi le 2009 was a cha l l eng ing year in many ways,

much progress can be repor ted. In conc lud ing I wou ld

l i ke to thank the M in i s te r fo r he r cont i nued suppor t . I

wou ld l i ke to acknowledge the ass i s tance prov ided by

the Depar tment o f Hea l th & Ch i ld ren. F i na l l y to the

Board o f the NTPF, i t has been a p leasure to work w i th

you and to the s ta f f o f the NTPF, thank you.

O u t - P a t i e n t A c c e s s

C o n c l u s i o n

I s ceann de na ba i c rea tha inár gcóras osp idéa l é

r o ch ta i n a r c homha i r l e o i r í d ’ o t ha i r p ho i b l í a

fh reas ta la í onn a r ch l in i c í o thar seacht rach dá

gcomhai r l i úchán tosa igh agus a r go l eor bea la í

cu i reann sé i gcu imhne na fadhbanna a bh í ann maid i r

l e máin l i acht roghnach d ’o tha i r chóna i theacha nua i r a

buna íodh an CNCC ar d tús . Cé nach ra ibh mórán

rannphá i r teacha i s aga inn sa ré imse s i n , l e l i nn na

t ré imhse ó 2005 go 2009, r inneadh teagmhái l l e b re i s

i s 82,000 othar t r íd an CNCC agus tá i rgeadh co inn í dó

i gc l i n i c í o thar seachtrach . Is mian l i om go mbeadh

rochta in n í os fear r ag otha i r pho ib l í a r ch l in i c í o thar

seachtrach agus tá im c innte gur fé i d i r i bh fad n íos mó

du l chun c inn a bha int amach sa ré imse seo.

Cé go ra ibh go l eor dúsh lán ag ba int l e i s an mbl ia i n

2009, i s fé id i r du l chun c inn an-mhai th a thua i r i sc iú .

Mar fhoca l sco i r ba mhai th l i om bu íochas a ghabhá i l

l e i s an A i re as a taca íoch t i gcóna í . Ba mhai th l i om

bu íochas a ghabhá i l l e i s an Ro inn S lá in te & Leana í as

a cúnamh. Sa de i readh ba mhai th l i om a rá l e Bord an

CNCC gur tha i t in sé go mór l i om o ibr iú l i bh agus

gabha im bu íochas le fo i reann an CNCC.

Rochtain na nOthar Seachtrach

Conclúid

compet i t i on to opera te toge ther w i th a ca lmer

env i ronment in wh i ch to negot ia te procedure pr i ces .

I t i s a l so no sec ret that as the fund ing a l l oca ted to

the NTPF has grown, so too has i t s ab i l i t y to seek

g reate r sav ings f rom hosp i ta l s th rough greate r vo lume

d i scount purchas ing and fur ther income oppor tun i t i es

fo r the pr iva te sec tor . N ine ty- f i ve percent o f NTPF

fund ing i s expended on d i rec t pa t ien t care and we are

anx ious that th i s ra t io i s main ta ined and improved

upon i f poss ib le . We wi l l cont inue to l ook a t ways o f

ge t t ing the most f rom the taxpayer funds made

ava i lab le to us . Va lue fo r money i s a l so one o f our

core ob jec t i ves in our negot i a t i ons w i th pr iva te

nurs ing homes under the nurs ing homes suppor t

scheme. I t goes w i thout say ing tha t the more va lue

obta ined in the nurs ing homes sec tor , the more p laces

can be funded under the Fa i r Dea l and the qu i cker

persons who no longer requ i re acu te care can be

d i scharged f rom our hosp i ta l s in to a more appropr ia te

se t t ing .

cumasa íodh n íos mó i omaíochta chomh mai th l e

t impea l l acht n í os éasca chun praghsanna gnátha imh a

cha ib id l iú . I s l é i r f re i s in , de ré i r mar a thagann

méadú ar an mao in iú a l e i thdhá i l tear don CNCC, go

bh fu i l n íos mó cumhachta a ige chun co ig i l t i s n íos fear r

a l o rg ó osp idé i l t r í cheannach nua i r a thugtar l asca ine

as l í on n íos mó agus t r í dhe i seanna bre i se ionca im don

earná i l phr íobhá ideach . Ca i tear 95% de mhao in iú an

CNCC go d í reach ar chúram othar agus i s mian l i nn an

có imheas s i n a cho imeád agus a fheabhsú más fé id i r .

Lean fa imid ora inn ag scrúdú bea la í chun an leas i s

fearr a bha in t as c i s t í na gcá in íocó i r í a chu i r tear a r

fá i l dú inn. Tá luach ar a i rgead mar chuspó i r l á rnach

aga inn f re i s in i nár gcu id ca ib id l í l e t i the a l t rana i s

p r íobhá ideacha fao in scé im um thaca íocht t i the

bana l t ra i s . N í gá a rá f re i s in gurb amhla idh dá mhó

luach ar a i rgead a bha in tear amach i n earná i l na

d t i the a l t rana i s , i s é i s mó á i teanna a r fé id i r i ad a

mhao in iú fao i Cothrom na Fé inne agus i s é i s tapa a

mbe i fear in ann dao ine nach dteasta íonn géarchúram

uathu a thu i l l eadh a scao i l eadh ón osp idéa l chu ig á i t

n í os o i r i úna í .


3

The NTPF has a lways mainta ined that i t i s no t the

number o f peop le wa i t ing but the l ength o f t ime they

have to wa i t , that i s the c r i t i ca l fac tor . The reason

the NTPF was es tab l i shed was to shor ten the wa i t ing

t ime fo r pub l i c pa t ien ts and to secure fo r them qu icker

access to surgery . I am p leased to say that a t end

2009 the med ian wa i t ing t ime in I re land for med i ca l

and surg i ca l pa t ien ts was down to two and a ha l f

months .

W a i t i n g T i m e

Throughout 2009 as w i th every o ther year , the focus

o f the work o f the NTPF has been improv ing access to

t rea tment for pub l i c pa t ients who have been wai t ing

longest . We a im to p rov ide access to h igh qua l i ty

ca re tha t pat ients f ind acceptab le and tha t represents

good va lue for money. Pa t ien ts have to ld us aga in in

2009 that they are ve ry sat i s f i ed w i th the t reatment

o f fe red to them under th is in i t i a t i ve .

P a t i e n t s

2009 ac t i v i ty ta rge ts agreed fo r i n-pat ient p rocedures ,

ou t-pat ien t consu l ta t ions and rad io logy tes ts were

ach ieved and a re se t out in the s ta t i s t i c s sect ion o f

th i s repor t . Ex t ra demands p l aced on the NTPF dur ing

the year were such tha t i t was not poss ib le to meet a l l

o f them. I t i s no secre t tha t more cases cou ld have

been fac i l i ta ted i f fund ing permi t ted. However , th i s

was not poss ib le and as a s ign o f the t imes we l i ve in ,

ac t i v i ty had to be t r immed back fur ther to the 10%

reduc t ion in the budget rece ived.

F a i r D e a l

A c t i v i t y

In 2009 the NTPF rece i ved new respons ib i l i t i es under

Sec t ion 40 o f the Nurs ing Homes Suppor t Scheme Act ,

2009, o therw ise known as “Fa i r Dea l ” . The NTPF i s

mandated to negot i a te p r i ces wh ich the S ta te w i l l pay

pr iva te nurs ing homes in respec t o f l ong te rm e lder ly

ca re . In the l ead up to the commencement day, the

NTPF conc luded ind iv idua l agreements w i th

approx imate ly 440 pr i va te nurs ing homes. I t was a l so

necessary to de fend a cha l l enge to proposed NTPF

t ime l ines in the H igh Cour t . The negot ia t ion o f pr i ces

w i th the pr i va te nurs ing homes i s now an ongo ing

par t o f the NTPF remi t .

Pat O’Byrne

Príomhfheidhmeannach Chief Executive

Tuarascáil an Príomhfheidhmeannaigh

Chief Executive’s Report

I r i th 2009, mar a bh í amhla idh gach b l i a in , d í r í odh

oba i r an CNCC ar rochta in a r chó i reá i l a fheabhsú do

na hotha i r pho ib l í i s fa ide a tá ag fanacht . Tá sé mar

a idhm aga inn rochta in a sho lá thar a r chúram

a rdcha ighdeá in a bh íonn ingh lac tha d ’o tha i r agus a

l é i r í onn luach mai th ar a i rgead. D ’ in i s na hotha i r

dú inn ar í s e i l e in 2009 go ra ibh s iad an-sás ta l e i s an

gcó i reá i l a tá i rgeadh dó ibh fao in t i onscnamh seo.

Othair

Ái t í onn an CNCC i gcóna í nach é an l í on dao ine a tá ag

fanacht ach an t ré imhse ama a bh íonn s i ad ag fanacht

a tá r í thábhachtach. Is é an fá th ar buna íodh an CNCC

ná chun an t ré imhse fe i th imh a gh ior rú d ’o tha i r pho ib l í

agus rochta in n íos tapa a r mháin l i ach t a fhá i l dó ibh.

Tá á thas orm a rá go ra ibh an mheántré imhse fe i th imh

d ’o tha i r mhíocha ine agus mháin l i achta in É i r i nn

l aghda i the go d t í dhá mhí go l e i th fao i dhe i readh

2009.

Tréimhse Feithimh

Baineadh amach na spr iocanna gn íomhaíochta do 2009

a aonta í odh maid i r l e gnátha imh o thar cóna i theach,

comhai r l i úchá in othar seachtrach agus tás tá lacha

ra ideo la íoch ta agus tá s iad l eag tha amach sa rannóg

s ta i t i s t i c í den tuarascá i l seo. Cu i readh an o i read s in

é i l eamh bre ise ar an CNCC i r i th na b l i ana nach

rabhthas i n ann f reas ta l o r thu go l é i r . I s l é i r go

bh féadfa í dé i leá i l l e n íos mó cásanna dá mbeadh

an mao in iú a r fá i l . N í rabhthas in ann é s in a

dhéanamh, á fach, agus mar chomhar tha de na cú ins í

a tá i ré im i l á tha i r na hua i re , n ío rbh mhór

gn íomhaíocht a gh ior rú n íos mó mar ghea l l ar l aghdú

10% ar an mbuiséad a fuar thas .

Cothrom na Féinne

Gníomhaíocht

In 2009 tugadh f reagrachta í nua don CNCC fao i A l t 40

den Acht fán Scé im um Thaca íocht T i the Bana l t ra i s ,

2009, a r a d tugtar “Cothrom na Fé inne” f re i s i n .

Tugtar sa inordú don CNCC chun ca ib id l í a dhéanamh

maid i r l e i s na praghsanna a íoc fa idh an Stá t as t i the

a l t rana i s pr íobhá ideacha maid i r l e cúram fadtéarmach

do dhao ine sco thaosta. Ag dru id im le i s an l á tosach

fe idhme, bha in an CNCC comhaontu i the aona i r amach

le tua i r im i s 400 teach a l t rana i s p r íobhá ideacha. Bh í

sé r i achtanach f re i s in dúsh lán i gco inne aml ín te

bear ta i the an CNCC a chosa in t san Ard-Chú i r t . Tá

c a i b i d l i ú p r a g h s a n n a l e i s n a t i t h e a l t r a n a i s

p r íobhá ideacha mar chu id l eanúnach de sha inchúram

an CNCC ano is .


4

Among our pr imary targets for 2010 are to cont inue to

ach ieve a h igh leve l o f pa t ien t sat i s fac t ion, to

cont inue to ge t pat ients t rea ted more qu i ck l y and to

main ta in h igh qua l i ty s tandards o f care for NTPF

pa t ien ts . In 2009 a l o t o f our t ime was focused on the

longest wa i te rs , i . e . those pat ients wa i t i ng more than

twe lve months on in -pat ien t wa i t ing l i s t s for surgery .

In co-operat ion w i th pub l i c hosp i ta l s much was

ach ieved i n th i s area. I t i s t ime to move on and to

l ower the barr ie r fur ther in re la t ion to the longest

wa i te rs . In the current economic c l imate i t i s even

more impor tant to cont inue to s t r i ve for g reate r va lue

fo r money. We there fore need to ob ta in more act i v i ty

fo r the fund ing prov ided whi l e at the same t ime not

compromis ing on the qua l i ty o f care . In 2010 we

p ropose to fac i l i t a te 30,000 pat ients . Once aga in I

wou ld l i ke to thank a l l the NTPF l i a i son personne l i n

the var ious hosp i ta l s around the country and

acknowledge the good work they do in the i n te res ts o f

pa t ien t care . I wou ld l i ke to say thank you to the

Board o f the NTPF fo r the i r ass i s tance and gu idance

dur ing 2009. I a l so w ish to acknowledge the work o f

the s ta f f o f the NTPF.

N e w Y e a r 2 0 1 0

I measc na bpr íomhspr iocanna atá aga inn le hagha idh

2010 tá le ibhéa l a rd sás tachta othar a bha int amach,

l eanú int ora inn ag fá i l có i reá l a n íos tapa d ’o tha i r agus

ca ighdeá in ardchá i l í och ta cúra im a cho imeád d ’o tha i r

an CNCC. In 2009 dh í r igh muid den chu id i s mó ar na

dao ine ab fha ide a bh í ag fanacht , i .e . na ho tha i r s iúd

a bh í ag fanacht l e máin l i ach t ar l i os ta í f e i th imh na

n-othar cóna i theach le bre i s i s dhá mhí déag.

Ba ineadh amach du l chun c i nn an-mhai th sa ré imse

s i n i gcomhphá i r t l e i s na hosp idé i l pho ib l í . Tá sé

in am dú inn bogadh ar agha idh agus an bhaca inn

maid i r l e i s na dao ine i s fa ide a tá ag fanacht a í s l i ú

n í os mó. Le s ta id rea tha an ghe i l l eaga i r tá sé n íos

tábhachta í fós l eanú in t o ra inn ag ia r ra idh luach n íos

fearr ar a i rgead a bha in t amach. Mar s in n í mór dú inn

n í os mó gn íomhaíochta a fhá i l l e i s an mao in iú a

chu i r tear ar fá i l agus ca ighdeán an chúra im a

cho imeád ag an am céanna. Tá sé bear ta i the aga inn

cabhrú le 30,000 o thar in 2010. Ar í s ba mhai th l i om

bu íochas a ghabhá i l l e pearsanra id i rcha id r imh

an CNCC sna hosp idé i l éagsú la a r fud na t í re agus

a i theantas a thabha i r t don tsároba i r a dhéanann s iad

a r mhai the l e cúram othar . Ba mhai th l i om mo

bhu íochas a chur in iú l do Bhord an CNCC as a

gcúnamh agus a d t reo i r le l i nn 2009. F re i s in i s mian

l i om oba i r fho i reann an CNCC a a i th in t .

W a i t i n g L i s t M a n a g e m e n t P o l i c y

In December 2009 a new nat i ona l po l i cy for the

management o f in -pat ient and day case wa i t ing l i s ts i n

pub l i c hosp i ta l s , suppor t ing the Pa t ient Trea tment

Reg i s te r was l aunched. Th is po l i cy was deve loped to

enab le cons i s tent management o f in -pat ien t , day case

surg i ca l and med ica l wa i t ing l i s t data in the pub l i c

hosp i ta l sys tem. The po l i cy was deve loped in

con junct ion w i th the Hea l th Serv i ce Execut ive and the

Depar tment o f Hea l th & Ch i ld ren. I t i s the

respons ib i l i ty o f each ind iv idua l hosp i ta l to imp lement

th i s po l i cy and to manage i t s wa i t ing l i s t s accord ing ly .

An Beartas um Bainist iú Liostaí Feithimh

I No l l a ig 2009 seo ladh bear tas ná i s iúnta nua chun

ba in i s t í och t a dhéanamh ar l i os ta í fe i th imh d ’o tha i r

chóna i theacha agus o tha i r l ae in osp idé i l pho ib l í , ag

tacú le i s an an gC lár do Chó i reá i l O thar . Fo rbra íodh an

bear tas s i n chun go mbe i f í i n ann ba in i s t í och t

chomhsheasmhach a dhéanamh ar shonra í na l ios ta í

f e i th imh d ’o tha i r chóna i theacha, chásanna l ae máin l i a -

ch ta agus míocha ine i gcóras na n-osp idéa l po ib l í . Fo r -

bra íodh an bear tas i gcomhphá i r t l e Fe idhmeannacht

na Se i rbh í se S lá in te agus le i s an Ro inn S lá in te &

Leana í . Is é an t -osp idéa l aona i r a tá f reagrach as an

mbeartas a chur i bhfe idhm agus as a chu id l i os ta í

f e i th imh a bha in i s t iú dá ré i r .

An Athbhliain 2010


5

Rialachas Corparáideach / Corporate Governance Comhaltaí an Bhoird / Members of the Board

Mary Brazil Tony O’ Sullivan John Stephens

Rita Hayes Dermot Mullane John Horan Victor Boyhan

Sean McCarthy

P a t i e n t C a r e S u b - C o m m i t t e e

The Board sets the s t ra teg i c d i rec t ion and overa l l

po l i cy for the organ i sat i on and i s respons ib le for the

genera l contro l o f the o rgan i sa t ion and works to

ensure tha t good management s t ruc tures and prac t i ces

a re in p l ace . The Board de legates to i t ’ s sub-

commi t tees and to Management the implementat ion o f

po l i cy . In i t s work the Board operates toward best

p rac t i ce s tandards o f Corporate Governance.

B o a r d o f D i r e c t o r s ’ R o l e

Members: Members: Ms. Mary Braz i l (Cha i rperson) , Dr . Sean

McCar thy, Dr . Tony O ’Su l l ivan, Mr . John Stephens.

The Pat ient Care Sub-Commit tee has respons ib i l i t y fo r

oversee ing the pat ien t care func t ion. I t s te rms o f

re fe rence are:

(1) To p rov ide overs ight fo r the pa t ien t care

d i v i s ion o f the NTPF.

(2) To work, as par t o f the Board, to cont inuous l y rev iew and deve lop the pat ient care func t ion o f the NTPF.

(3) To adv i se on matters re l a t i ng to cus tomer care and serv i ce , qua l i ty assurance and systems and processes under ly i ng the Pat ient Care Func t ion .

(4) To l i a i se w i th the Board, Ch ie f Execut ive ,

D i rec to r o f Pa t ient Care and Ch ie f Med ica l

Adv i so r i n the execut ion o f these terms o f

re fe rence.

John O’Dwyer

Cathaoirleach

Chairman

F i n a n c e & A u d i t S u b - C o m m i t t e e

M e m b e r s : M e m b e r s : M r . J o h n Ho r a n ( Ch a i rm a n ) , M s . R i t a

H a y e s , M r . V i c t o r B o yh a n , M r . De rm o t M u l l a ne .

T h e F i n a n c e a n d Au d i t S u b -C o mmi t t e e a s s i s t s t h e

B o a r d i n d i s c h a r g i ng i t s l e g a l , f i n an c i a l a n d

a c c ou n t i n g r e s p on s i b i l i t i e s an d i t s t e rm s o f

r e f e r e n c e a r e t h e f o l l ow i n g :

An Fochoiste um Chúram Othar

I s é an Bord a cheapa inn t reo s t ra i té i seach agus an

bear tas i omlán don eagra íoch t agus tá sé f reagrach as

r i a lú g ineará l ta na heagra íochta agus o ib r íonn s iad

c h u n c i n n t i ú g o b h f u i l d e a - s t r u c h t ú i r a g u s

deach leachta i s bha in i s t í och ta i bhfe idhm. Tarml igeann

an Bord an fh reagracht as bear tas a chur i bh fe idhm

dá fhocho i s t í agus don Bha in i s t í och t . C lo íonn an Bord

l e c a i g h d e á i n d e a - c h l e a c h t a i s a n R i a l a c h a i s

Chorpará id igh agus é i mbun a chu id o ib re .

Ról an Bhoird St iúrthóir í

Comhalta í : Comhalta í : An tUas . Mary Braz i l , (Cathao i r l each) An

Dr Sean McCar thy, An Dr Tony O ’Su l l i van, An tUas .

John Stephens .

Tá an Focho i s te um Chúram Othar f reagrach as

mao i r s iú a dhéanamh ar an bh fe idhm cúra im othar . I s

i ad seo a l eanas a théarmaí tagar tha:

(1) Mao i r seacht a dhéanamh ar rannán cúra im other

an CNCC.

(2) O ibr iú mar chu id den Bhord chun a thbhre i thn iú

l eanúnach agus forba i r t a dhéanamh ar fhe idhm

cúra im o thar an CNCC.

(3) Comhai r l e a thabha i r t fao i ruda í a bha ineann le

cúram agus l e se i rbh í s cus ta imé i r í , f ao i

dhearbhú agus chóra i s cá i l í och ta agus fao i na

p ró i s i s s in a r a bh fu i l an fhe idhm Cúra im Othar

buna i the .

(4) Du l i mbun id i r cha id r imh le i s an mBord, l e i s an

bP r í omhfhe idhmeannach , l e i s an S t i ú r thó i r

Cúra im Othar agus l e i s an bPr íomhchomhai r l eo i r

M íocha ine maid i r l e cur i bh fe idhm na téarmaí .

tagar tha seo.

An Fochoiste Airgeadais & Iniúchta

Comhalta í : Comhalta í : An tUas. John Horan (Cathao i r l each) , An

tUas. R i ta Hayes, An tUas. V i c tor Boyhan, An tUas.

Dermot Mul l ane .

Cabhra íonn an Focho i s te A i rgeada i s agus In iúchta l e i s

an mBord a chu id f reagrachta í d l í th iú l a , a i rgeada i s

agus cuntasa íochta a chomhl íonadh agus i s i ad seo a

l eanas a théarmaí tagar tha:


6

Tabha i r f a o i dea r a : C i a l l a í o nn N /A na ch bh f u i l a n c omha l t a s i n d en Bho r d a r an g co i s t e s i n N o t e : N / A m e a n s t h a t t h e B o a r d m e m b e r i s n o t o n t h a t c o m m i t t e e

Ó C h l é / L e f t t o R i g h t ;

A n n a L l o y d , S t i ú r t h ó i r C ú r a i m O t h a r / D i r e c t o r o f P a t i e n t C a r e ,

P a t O ’ B y r n e , P r í o m h f h e i d h m e a n n a c h / C h i e f E x e c u t i v e ,

L i z L o t t e r i n g , B a i n i s t e o i r a n C h l á í r N á i s i ú n t a C ó i r e á l a O t h a r / N a t i o n a l T r e a t m e n t R e g i s t e r M a n a g e r ,

D a v i d A l l e n , S t i ú r t h ó i r A i r g e a d a i s / D i r e c t o r o f F i n a n c e ,

M a r i a T y r r e l l , B a i n i s t e o i r T F / I T M a n a g e r

B o a r d M e e t i n g s & A t t e n d a n c e

Comhaltaí an Bhoird Cruinnithe an Bhoird 9 Cruinnithe Airgeadais & Iniúchta 4 Cruinnithe Cúraim Othar 4 Board Members Board Meetings 9 Finance & Audit Meetings 4 Patient Care Meetings 4

F o i r e a n n B a i n i s t í o c h t a a n C N C C

T h e N T P F M a n a g e m e n t T e a m

The Board ho lds regu lar meet ings in order to progress

the Fund ’s bus iness . In 2009 the Board he ld n ine

meet ings and a t tendance was as fo l l ows:

(1) To rev iew in te rna l cont ro l s and the i r

e f fec t i veness .

(2) To rev iew in te rna l aud i t and eva luate i t s

repor ts .

(3) To rev iew the Comptro l l e r and Aud i to r Genera l

repor ts and ensure recommendat ions are

imp lemented.

(4) To approve changes i n account ing po l i c i es ,

compl iance w i th l eg i s la t ion and a l l o ther

mat te rs that re la te to the f i nanc ia l and

i n terna l cont ro l o f the NTPF .

John O’Dwyer 7 N/A N/A Mary Brazil 8 N/A 4 Victor Boyhan 7 3 N/A John Stephens 9 N/A 4 John Horan 8 4 N/A Dr. Sean McCarthy 6 N/A 2 Dermot Mullane 9 4 N/A Dr. Tony O’Sullivan 7 N/A 3 Rita Hayes 8 3 N/A

Reáchtá lann an Bord cru inn i the r i a l ta chun gnó an

Ch is te a chur chun c inn. In 2009 reáchtá i l an Bord

nao i gc ru inn iú agus seo a l eanas mar a r inneadh

f reas ta l or thu:

(1) Athbhre i thn iú a dhéanamh ar na r i a l achá in

inmheánacha agus a r a n-é i feacht .

(2) A thbhre i thn iú a dhéanamh ar an in iúchadh

inmheánach agus a thuarascá l acha a mheas.

(3) Tuarascá lacha an Ard-Reachta i re Cuntas agus

C i s te a a thbhre i thn iú agus a ch innt iú go

gcu i r tear mol ta í i bh fe idhm.

(4) A thru i the sna bear ta i s cuntasa íochta, agus

a thru i the maid i r l e gé i l l i ú lacht don reachta íocht ,

agus gach rud e i l e a bha ineann l e r i a lú

a i rgeada i s agus l e r i a lú inmheánach an CNCC a

fhaomhadh.

Cruinnithe Boird & Freastal


7

An Fhoireann Cúraim Othar / Patient Care Team

The Pat ient Care Team can repor t a cha l l eng ing and

product i ve year for 2009. The core funct i ons for the

team remained cons tant – to opera te , manage and

deve lop a l l NTPF pat ien t re l a ted processes in pursu i t

o f our remi t to prov ide fas te r access to sa fe t reatment

fo r those pub l i c pat ients wa i t ing longest fo r surgery.

Whi l e our core func t ions remained unchanged the

s t ra tegy, s t ruc tures and p rocesses under ly i ng our

ac t i v i t i es cont i nued to be rev iewed and re f ined i n l i ne

w i th our corporate p r io r i t i es and in order to remain

“ f i t fo r purpose” .


• Co-ord ina t ion o f a l l pa t ient re fer ra l s and s t reams o f c l in i ca l ac t i v i ty

• L i a i son wi th pat ien ts , GPs, consu l tan ts and the

pub l i c and pr iva te hosp i ta l s • De l iver NTPF Qua l i ty P rogramme • Manage and opera te NTPF Lo-Ca l l l i ne fo r the

pub l i c • Manage and opera te the case author i zat i on

p rocess • Deve lop and mainta in h igh qua l i ty t rea tment

capac i ty • Deve lop and s t rengthen re la t ionsh ips tha t underp in sa fe care • Prov ide fo r the pro fess i ona l deve lopment o f

team members

C o r e F u n c t i o n s

2 0 0 9 T e a m A c t i v i t y S t a t i s t i c s

• In - Pa t ien ts T reated 19,857 • MRIs Prov ided 2 ,513 • Out - Pa t ien ts Re fer red 6,388 • Tota l Refer ra l s Processed 27,936* • % Drop in Wai te rs Over 12 months dur ing 2009 54% • E l ig ib le Lo-Ca l l s 4,420 • In-coming & Outgo ing Pat ient L i a i son Ca l l s 24,487 • Pat ient Sat i s fac t ion Surveys 19,690/ Sent/Returned 9,005

Anna Lloyd

Stiúrthóir Cúraim Othar Director of Patient Care

Maid i r l e 2009 féadann an Fho i reann Cúra im thar

tua i r i s c a thabha i r t ar bh l i a i n dhúsh lánach agus

thá i rg iú i l . Bh í fe idhmeanna l á rnacha na fo i rne mar an

gcéanna – ba i ad s in ná gach pró i seas an CNCC a

bha ineann le ho tha i r a o i br iú , a bha in i s t iú agus a

fhorba i r t agus muid ag c leachtadh á r sa inchúra im chun

rochta in n íos tapa a r chó i reá i l shábhá i l te a sho lá tha i r

do na hotha i r pho ib l í i s f a ide a tá ag fanacht l e

máin l i ach t . Cé nár thá in ig a thrú a r ár gcu id

fe idhmeanna lá rnacha, l eanadh ar agha idh ag déanamh

athbhre i thn iú agus co igear tú a r an s t ra i té i s , a r na

s t ruchtú i r agus na bpró i s i s ar a bh fu i l á r gcu id

gn íomhaíochta í buna i the de ré i r á r d tosa íochta í

corpará ideacha agus chun fanacht “o i r iúnach don

fhe idhm”.

Réamhrá

• Comhordú a dhéanamh ar gach at reorú othar agus gach sru th de ghn íomhaíocht ch l in i c iú i l

• Dul i mbun id i r cha id r imh le ho tha i r , l e dochtú i r í

g i neará l ta , l i anna comhai r l eacha agus le hosp idé i l i d i r phr íobhá ideach agus pho ib l í .

• Clár Cá i l í och ta an CNCC a sheachadadh • L íne Íosgh lao an CNCC don phoba l a bha in i s t iú

agus a o ibr iú • An pró i seas um údarú cásanna a bha in i s t iú agus

a o ibr i ú • Acmhainn a rdcha ighdeá in có i reá l a a fhorba i r t

agus a cho imeád • Caidr imh a thaca íonn l e cúram sábhá i l te a

fhorba i r t agus a near tú • Solá thar d ’ fhorba i r t gha i rmiú i l na mbal l f o i rne

Feidhmeanna Lárnacha

Stait ist ic í Gníomhaíochta Foirne 2009

• Otha i r Chóna i theacha a Có i reá l adh 19,857 • ÍAM a So láthra íodh 2 ,513 • Otha i r Sheacht racha a A t reora íodh 6,388 • Iomlán na n-Othar A t reora i the 27,936*

a P ró i seá ladh • Laghdú % ar Dhao ine ag Fanacht n íos

mó ná 12 mhí i r i th 2009 54% • Íosgh laonna Inchá i l i the 4,420 • Glaonna Id i rcha id r imh Othar

I s teach & Amach 24,487 • Sui rbhéanna maid i r l e Sástacht 19,690/

O thar Seo l ta/Fa ighte a r a i s 9,005


8

• % of responders who rated NTPF care as Good, Very Good o r Exce l l en t 99% • Discharge Summar ies Rece i ved 35,651*

• New Consu l tan t Reg i s t ra t ions 289 • Cur rent Prov ider Re– inspec t ions 4

• Po l i c i es rev iewed / In t roduced 16

• Team Deve lopment Sess ions 5 * Number o f re fe r ra ls / d i scharges i s no t necessar i ly the same as number o f pa t ien ts

t rea ted

Whi le the ta rgets se t throughout 2009 in te rms

o f pa t ien t care were met there are a number o f

i tems that mer i t spec i f i c ment i on:

• In August 2009 the NTPF fac i l i t a ted the

t rea tment o f i t ’ s 150,000th pat ient , Mr John

Keegan, f rom the Mid lands who had been

wa i t ing 6 months fo r a uro logy p rocedure . Mr

Keegan k ind ly agreed to speak w i th the med ia i n

o rder to h igh l igh t the NTPF op t ion to the pub l i c .

By the end o f 2009 a lmost 165,000 pat ien ts

have had access to fas te r t rea tment v ia the

NTPF.

• The Pat ient Care and F inance teams fu r ther

deve loped processes to cont inua l l y ach ieve

va lue for money whi l e ensur ing qua l i ty o f care .

• In te rna l team re-organ i sa t i on was under taken in

o rder to main ta in and de l i ve r a cons i s tent l eve l

o f se rv i ce w i th in the cur rent s ta f f complement.

The pos i t i v i ty o f team members in th i s i s

acknowledged.

Ó C h l é / L e f t / R i g h t

A r c ú l / B a c k - S . F o s k i n , S . H e h i r , S . A n d e r s o n , V . F a r r i n g t o n , O . P o w e r ,

A . B e n n e t t , S . M o r a n , K . B r e e z e ,

C h u n t o s a i g h / F r o n t - H . L e n e h a n , F . O ’ C o n n o r , A . E g a n ,

J . N e w m a n , A . O ’ H a g a n & G . S m i t h

A n F h o i r e a n n C ú r a i m O t h a r / P a t i e n t C a r e T e a m

• % díobh s i úd a d ’ fhreaga i r a mheas go ra ibh cúram an CNCC Go Mai th , An-mhai th nó Ar Fheabhas 99% • L íon na n-Acho imr í um 35,651* Scao i l eadh Abha i l e a Fuar thas • L íon na L i anna Comhai r l eacha nua 289 a C lára íodh • L íon na So lá thra i the Reatha a 4 ndearnadh Athch ig i reacht o r thu • L íon na mBear tas a a thbhre i thn íodh 16 / a Tugadh Is teach • L íon na Se i s iún Forbar tha Fo i rne 5 * N í ga go mbeadh l íon na n-othar a at reora íodh

nó a scao i l eadh abha i le comh ionann le i s an l íon o thar a có i reá ladh

Cé gur comhl íonadh na spr iocanna maid i r l e

cúram othar i r i th 2009 tá ro innt mí reanna ar

chear t i ad a lua go spe i s i a l ta :

• I Lúnasa 2009 chabhra igh an CNCC lena

150,000ú o thar a chó i reá i l , an tUas . John

Keegan, ó Lár na T í re a bh í ag fe i theamh ar

feadh 6 mhí l e gnáthamh ú i reo la í ochta. Ba

dheas ag an tUas. Keegan l abha i r t l e i s na meá in

chumarsá ide chun a i rd an phoba i l a tharra ing t

a r an CNCC. Fao i dhe i readh 2009 bh í rochta in

n í os tapa tugtha do 165,000 othar t r íd an CNCC.

• Rinne na fo i rne Cúra im Othar agus A i rgeada i s

tu i l l eadh forbar tha a r phró i s i s chun leanú int

o r thu ag fá i l l uach a r a i rgead agus

a rdcha ighdeán cúra im á ch innt iú .

• Rinneadh atheagrú inmheánach ar fho i rne chun

l e ibhéa l comhsheasmhach se i rbh í se a cho imeád

agus a sheachadadh la i s t igh den l í on rea tha ba l l

f o i rne . A i thn í tear meon dear fach na mbal l

f o i rne maid i r l e i s an oba i r s i n .


9

Achoimre ar Staitisticí Gníomhaíochta Go Dtí Seo

Summary Activity Statistics To Date

5,000

10,000

15,000

20,000

25,000

30,000

0

35,000

2002 2003 2004 2005 2006 2007 2008 2009

32,638 36,269 28,758 24,411

40,000

14,580 22,069 22,370 16,931 23,927

Líon na nOthar a Cóireáladh in aghaidh na bliana 2002 - 2009 (Othair Chónaitheacha, Othair Sheachtracha + Othair Raideolaíochta) Iomlán = 164,449 Total Patients Treated Per Year 2002 - 2009 (In - Patients, Out - Patients + Radiology Patients) Total =164,449

5,000

10,000

15,000

20,000

25,000

30,000

0

35,000

2002 2003 2004 2005 2006 2007 2008 2009

13,627 7,832 1,920

40,000

Líon na nOthar Cónaithe a Cóireáladh de réir na Bliana 2002 - 2009 (Raideolaíocht san áireamh) Iomlán = 123, 256 Total In - Patients Treated Per Year 2002 - 2009 (Including Radiology) Total = 123,256

13,627 7,832 1,920

18,994


10

Cairdiach / Cardiac

Cluas, Srón agus Scornach / ENT

Máinliacht Ghinearálta / General Surgery

Gíneiceolaíocht / Gynaecology

Bainistiú Péine / Pain Management

Neareolaíocht / Neurosurgery

Oftaílmeolaíocht / Ophthalmology

Ortaipeideach / Orthopaedic

Máinliacht Phlaisteach / Plastic Surgery

Uireolaíocht / Urology

Máinliacht shoithíoch / Vascular

Raideolaíocht / Radiology

Eile / Other

Mascaille agus Béil / Max Fax

Cairdiach / Cardiac Cluas, Srón agus Scornach / ENT Máinliacht Ghinearálta / General Surgery Gíneiceolaíocht / Gynaecology Inchríneolaíocht / Endocrinology Near - mháinliacht / Neurosurgery Oftaílmeolaíocht / Ophthalmology Ortaipeideach / Orthopaedic Máinliacht Phlaisteach / Plastic Surgery Uireolaíocht / Urology Máinliacht shoithíoch / Vascular Réamaiteolaíocht / Rheumatology

Deirmeolaíocht / Dermatology

Neareolaíocht / Neurology

Riospráide / Respiratory

Líon na nOthar Seachtrach a Cóireáladh in 2002 - 2009 de réir Speisialtachta - Iomlán = 41,193 Volume of Out - Patients Treated Per Specialty 2005 - 2009 - Total = 41,193

5% 10% 15% 20% 25% 30%

14.7%

9.5%

0.7%

0.3%

0.4%

16.6%

9.6%

4.8%

1.3%

24.2%

4.1%

6.2%

4.3%

1.9%

1.4%

5% 10% 15% 20% 25% 30%

18%

17%

3%

0.5%

1%

6.5%

5%

7 %

2 %

7%

3 %

9%

7%

14%

Líon na nOthar Conaitheach a Cóireáladh de réir Speisialtachta (Raideolaíocht san áireamh) - Iomlán = 123, 256 Volume of In - Patients Treated Per Specialty (Including Radiology) 2002 - 2009 - Total = 123,256

*Á i r í o dh Ra i deo l a í o ch t f a o i “ e i l e ” r o imh 2009 * B e f o r e 2 0 0 9 R a d i o l o g y w a s i n c l u d e d u n d e r “ o t h e r ”


11

3%

Othair Chónaitheacha / In - Patients

Othair Sheachtracha / Out - Patients

Othair ÍAM / MRI Patients

Staitisticí Gníomhaíochta 2009

2009 Activity Statistics

Cairdiach / Cardiac

Cluas, Srón agus Scornach / ENT

Máinliacht Ghinearálta / General Surgery

Gíneiceolaíocht / Gynaecology

Mascaille agus Beil / Max Fax

Neareolaíocht / Neurosurgery

Oftaílmeolaíocht / Ophthalmology

Eile / Other

Ortaipeideach / Orthopaedic

Bainistiú Péine / Pain Management

Máinliacht Phlaisteach / Plastic

Uireolaíocht / Urology

Máinliacht shoithíoch / Vascular

5% 10% 15% 20% 25% 30%

Líon na nOthar Cónaitheach de réir Speisialtachta a Cóireáladh in 2009 Iomlán = 19,857 Volume of In - Patients Treated Per Specialty 2009 Total = 19,857

22%

27%

3%

3%

1%

1%

1%

8%

7%

7%

12%

5%

5,000 10,000 15,000 20,000 25,000 30,000

19,857

6,388

2,513

Líon Iomlán na n-Othar a Cóireáladh in 2009 Iomlán = 28,758 Total Patients Treated in 2009 Total = 28,758


12

Próifíl Aoise na nOthar Cónaitheach a Cóireáladh in 2009 Iomlán = 19,857 Age Profile of In - Patients Treated in 2009 Total = 19,857

80+ 61 - 80 41 - 60 19 - 40 0 - 18

5% 10% 15% 20% 25% 30% 35%

10%

22%

28%

32%

8%

Cluas, Srón agus Scornach / ENT Oftaílmeolaíocht / Ophthalmology Ortaipéideach / Orthopaedic Úireolaíocht / Urology Máinliacht Ghinearálta / General Surgery Réamaiteolaíocht / Rheumatology Máinliacht Phlaisteach / Plastic Surgery Cairdeolaíocht / Cardiology Máinliacht shoithíocht / Vascular Deirmeolaíocht / Dermatology Neareolaíocht / Neurology Gínéiceolaíocht / Gynaecology Riospráide / Respiratory

5% 10% 15% 20% 25% 30%

Líon na nOthar Seachtrach a Cóireáladh de réir Speisialtachta in 2009 Iomlán = 6,388 Volume of Out - Patients Treated Per Specialty 2009 Total = 6,388

15.8%

20.8%

10.1%

1.6%

5.6%

8.6%

1.5%

6.4%

0.8%

17.2%

3.8%

1.0%

6.8%

Staitisticí Gníomhaíochta 2009

2009 Activity Statistics


13

Eagraíodh 6,388 Comhairl iúchán

6 , 3 8 8 C o n s u l t a t i o n s A r r a n g e d

Tionscnamh na nOthar Seachtrach 2009

Out - Patient Initiative 2009

S e o l a d h a r a i s c h u i g D o c h t ú i r

G i n e a r á l t a / D i s c h a r g e d t o G P 4 6 %

O b r á i d R i a c h t a n a c h

R e q u i r e d S u r g e r y 2 0 %

I n ú c h a d h B r e i s e a g T e a s t á i l

R e q u i r e d F u r t h e r I n v e s t i g a t i o n 2 3 %

N í o r F h r e a s t a l a r D h á

Ó c á i d - B a i n e a d h d e n L i o s t a

D i d N o t A t t e n d o n T w o O c c a s i o n s ,

R e m o v e d f r o m W a i t i n g L i s t 1 1 %

A G h l a c l e T a i r i s c i n t C o i n n e

A c c e p t e d O f f e r o f A p p o i n t m e n t 6 3 %

A B a i n e a d h d e L i o s t a F e i t h i m h

R e m o v e d f r o m W a i t i n g L i s t 2 9 %

A D h i ú l t a i g h d o T h a i r i s c i n t C o i n n e

D e c l i n e d O f f e r 4 %

G a n F r e a g r a / A t e a g m h á i l D é a n t a

N o R e s p o n s e / R e c o n t a c t e d 4 %

The goa l o f the out -pat ient programme (OPD) i s

to reduce the wa i t ing t imes fo r ou t -pat ient

consu l ta t ions fo r an agreed vo lume o f pub l i c

pa t ien ts on pub l i c hosp i ta l wa i t ing l i s ts and to

operate th i s p rogramme over a number o f

surg i ca l and med ica l spec ia l t i es .

I s é cuspó i r ch lá r na n-othar cóna i theach (COC)

n á n a t r é i m h s í f e i t h i m h a l a g h d ú d o

chomhai r l i úchá in i Rannóg na nOthar Seachtrach

le hagha idh l í on aonta i the d ’o tha i r pho ib l í ar

l i os ta í fe i th imh osp idéa l po ib l í agus an c l ár s in a

o i br iú thar raon de spe i s i a l tachta í máin l i ach ta

agus míocha ine .

Rinneadh Teagmháil le 10,166 Othar

1 0 , 1 6 6 P a t i e n t s C o n t a c t e d

I n t r o d u c t i o n R é a m h r á


14

Suirbhé maidir le Sástacht Othar Patient Satisfaction Survey

The Pat ien t Sat i s fac t i on Survey i s an impor tant

par t o f the NTPF qua l i ty assurance programme.

Our qua l i ty assurance programme i s des igned to

ensure that the care and t rea tment pat ients

rece i ve under th i s in i t i a t i ve i s o f a h igh

s tandard. Each pat ient who has been t rea ted

rece i ves a survey to comple te . The NTPF

we lcomes and va lues feedback f rom pat ien ts .

The char t be low shows how pat ien ts rated the i r

overa l l exper ience o f care in 2009. Quar ter l y

pa t ien t sat i s fac t ion survey resu l ts are pub l i shed

on the NTPF webs i te , www.ntp f . i e

A r F h e a b h a s

E x c e l l e n t 7 6 %

A n - m h a i t h

V e r y G o o d 1 9 %

G o M a i t h

G o o d 4 %

G o D o n a

P o o r 1 %

76%

19%

4%

1%

L e i b h é i l S á s t a c h t a O t h a r

B u n a i t h e a r 9 , 0 0 5 S u i r b h é

T u g a d h a m a c h 1 9 , 6 9 0 c e i s t n e o i r

- T u g a d h 4 6 % d í o b h a r a i s

P a t i e n t S a t i s f a c t i o n L e v e l s

B a s e d o n 9 , 0 0 5 S u r v e y s

1 9 , 6 9 0 S u r v e y s I s s u e d

- R e t u r n R a t e 4 6 %


Tá an Su i rbhé maid i r l e Sástacht Othar mar

chu id thábhachtach de ch lár an CNCC um

dhearbhú cá i l í ochta. Tá á r gc lá r um dhearbhú

cá i l í ochta ceaptha le c inn t iú go bhfa igheann

o tha i r cúram agus có i reá i l a rdcha ighdeá in fao in

t i onscnamh. Tugtar su i rbhé le comhlánú do gach

o thar a fua i r có i reá i l . Cu i reann an CNCC fá i l te

ro imh a i seo las ó otha i r agus l eagann sé l uach

a i r . Lé i r í onn an cha i r t th íos tua i r imí na n-o thar

maid i r l ena d ta i th í i omlán ar chúram in 2009.

Fo i l s í tear to r tha í na su i rbhéanna rá i th iú l a maid i r

l e sástacht o thar a r l á i threán gréasá in an CNCC

www.ntp f . i e .

Réamhra


15

Cad a deir Othair faoin CNCC

What patients say about the NTPF

Char lo t te had been on the wa i t i ng l i s t a t S l i go

Genera l Hosp i ta l fo r a knee procedure fo r 14

months when she contac ted the NTPF Lo-ca l l

l i ne . Char lo t te was re fer red to S t Joseph ’s

Hosp i ta l , Garden H i l l and was t reated w i th in a

shor t number o f weeks. Char lo t te i s now pa in

f ree and th rough phys io therapy t rea tment , w i l l

re turn to fu l l mob i l i ty .

“ I was in te r r ib le pa in , par t i cu lar ly when

d r i v ing . I t was jus t wear and tear o f the knee

jo in t but i t was ge t t ing worse by the day. When

I was on the wa i t ing l i s t fo r more than a year , I

began to wonder whether I ’d ever be seen. A f ter

wa i t ing so long, I cou ldn ’ t be l ieve how qu ick ly I

was ca l led to Garden H i l l once I contac ted the

NTPF. And I was t reated l i ke roya l ty . I wou ld

have no hes i ta t ion in say ing to anybody on a

long wa i t ing l i s t they shou ld contac t the NTPF.

I t can make a rea l d i f fe rence. ”

“ I was ve ry p leased w i th how qu ick the hosp i ta l

appo in tment and subsequent opera t ion was

ca r r ied out a f te r jus t one phone ca l l to the

NTPF” .

“ I was de l igh ted a t how we l l me and my son

were t rea ted by the peop le in the NTPF and a l l

the s ta f f a t the hosp i ta l . They made my son

fee l so re laxed and safe in the i r hands . Thank

you a l l so much” .

“ I wou ld recommend the NTPF to everyone I

know. I f i t wasn ’ t for the NTPF my ch i ld wou ld

p robab ly s t i l l be wa i t ing fo r he r tons i l l ec tomy

and be on ant ib io t i cs every few weeks, so I am

s incere ly grate fu l . Thank you” .

“We were very happy w i th the speed at wh ich

every th ing was ar ranged. The nurs ing s ta f f a t

the hosp i ta l were exce l lent and very f r iend ly .

Our s tay a t the hosp i ta l was p leasant and

comfor tab le” .

“The p rocess was exce l lent and e f f i c ient , i t took

a lo t o f s t ress out o f a very worry ing t ime when

you know you are ge t t ing surgery , I w i l l

recommend i t to everyone I know”.

“ I th ink the NTPF i s an exce l len t scheme as I

was t reated very we l l and a lso ex t reme ly

qu ick ly . I cou ld have been wa i t ing fo r a very

long t ime i f i t wasn ’ t for th is . Now I am back

to be ing a very hea l thy woman aga in” .

“Exce l len t serv ice f rom s tar t to f in i sh” .

A P a t i e n t ’ s S t o r y

C h a r l o t t e C u l l e n

O t h e r P a t i e n t s ’ C o m m e n t s

Scéal Othair

C h a r l o t t e C u l l e n

Bh í Char lo t te ar l i os ta fe i th imh Osp idéa l

G ineará l ta Sh l ig igh l e hagha idh gnáthamh g lú ine

a r feadh 14 mhí nua i r a r i nne s í teagmhái l l e

l í ne Íosgh lao an CNCC. R inneadh Char lo t te a

a t reorú chu ig Osp idéa l Iósaf , Cnoc an Gharra í

agus tugadh có i reá i l d i tar é i s cúp la seachta ine .

Ano i s n í l p i an dá l aghad ar Char lo t te agus t r í

mheán f i s i te i r i pe , t i oc fa i dh sogh lua i s teacht

i omlán ar a i s chu i c i .

“Bh íodh p ian mhi l l t eanach orm, go há i r i the nua i r

a bh ínn ag t iomá int . N í ra ibh ann ach ca i theamh

agus cu imi l t a r a l t na g lú ine ach bh í sé ag du l

chun dona i s gach lá . Nua i r a bh í mé ar an l ios ta

fe i th imh ar feadh bre is i s b l i a in , bh í mé ag

ceapadh nach bhfa igh inn co inne cho í che.

Tar é is dom fanacht chomh fada, n íor chre id mé

cé chomh tapa agus a g laodh chu ig Cnoc an

Gharra í mé nua i r a r inne mé teagmhái l le i s an

CNCC. Agus ca i theadh ar nós banr íona mé. N í

bheadh le i s ce orm a rá l e haon du ine atá ar

l i os ta fe i th imh fada gur chear t dó ibh teagmhá i l

a dhéanamh le i s an CNCC. Féadann sé an-athrú

a dhéanamh.”

“Bh í an-á thas o rm lena thapa agus a fuar thas an

co inne osp idé i l agus an o ibr íocht ina dh ia idh ta r

é is dom gan ach g lao amhá in a chur ar an

CNCC”.

“Bh í an-á thas o rm le is an gcó i reá i l ion tach a

fua i r mé fé in agus mo mhac ó fho i reann an

CNCC agus ó na ba i l l fo i rne go lé i r san osp idéa l .

Chu i r s iad mo mhac ar a shua imhneas agus

mhotha igh sé sábhá i l te fao ina gcúram. Go ra ibh

mí le ma i th aga ibh” .

“Mho l fa inn an CNCC do gach du ine . Murach an

CNCC chu i l e sheans go mbeadh mo leanbh fós ag

fanacht lena cé i s l í neachtó ime agus go mbeadh s í

ag tógá i l anta ibheathach gach cúp la seachta in ,

mar s in tá im f i o rbhu íoch dao ibh. Go ra ibh ma i th

aga ibh” .

Bh í an-á thas o ra inn lena thapa agus a soc ra íodh

gach rud. Bh í na ha l t ra í san osp idéa l go

h ion tach agus an-cha i rd iú i l . Cha i theamar

t ré imhse dheas chompordach san osp idéa l . ”

“Bh í an p ró iseas i on tach é i feachtú i l , thóg sé go

leor brú ua im i r i th t ré imhse an- imníoch nua i r a

bh íonn a fh ios agat go bh fa igh idh tú má in l i ach t ,

mho l fa inn do gach du ine é” .

“Ceapa im gur sárscé im í an CNCC mar go bhfua i r

mé có i reá i l ion tach agus an- tapa. Murach s in

d ’ fhéadfadh go mbe inn ag fanacht an- fhada.

Ano is tá im i mbarr mo sh lá in te a r í s ” .

“Sárshe i rbh ís ó thús de i readh” .

Tráchta Othar Ei le


16

Ospidéil Fhaofa Chóireála

Approved Treating Hospitals

Béal Feirste / Belfast

Sligeach / Sligo

Gaillimh / Galway

Ciarraí/ Kerry

Corcaigh / Cork

Port Láirge / Waterford

Baile Átha Cliath / Dublin

An larmhí / Co. Westmeath

Cill Chainnigh / Kilkenny

Ospidéal Beacon / Beacon Hospital Clinic na Carraige Duibhe / Blackrock Clinic Ospidéal Bon Secours, Baile Átha Cliath / Bon Secours, Dublin Clinic Hampton / Hampton Clinic Clinic an Hermitage / Hermitage Clinic Ospidéal Príobháideach an Mater / Mater Private Hospital Ospidéal Mount Carmel / Mount Carmel Private Hospital Clinic Northbrook / Northbrook Clinic An Clinic Máinliachta Spóirt / Sports Surgery Clinic, Santry Ospidéal Príobháideach Naomh Uinseann / St. Vincent’s Private Hospital

Ospidéal Bon Secours / Bon Secours Private Hospital, Cork Ospidéal Príobháideach Shanakiel / Shanakiel Private Hospital

Doire / Derry

Ospidéal Príobháideach Naomh Iósaf, Cnoc an Gharraí / St. Joseph’s Private Hospital, Garden Hill

Clinic Bhaile an Fhuitialaigh / Whitfield Clinic

Clinic All Clear, Béal Feirste / All Clear Clinic, Belfast Clinic Hillsborough / Hillsborough Clinic

Ospidéal Bon Secours Tra Lí / Bon Secours Tralee

Ospidéal Bon Secours / Bon Secours Hospital, Galway Clinic na Gaillimhe / Galway Clinic

Ospidéal Príobháideach Aut Even / Aut Even Private Luimneach / Limerick Ospidéal Barrington / Barrington's Hospital

Northwest Independent Hospital, Baile Uí Cheallaigh Northwest Independent Hospital, Ballykelly

Ospidéal Príobháideach San Proinsias, An Muileann gCearr / St. Francis Private Hospital, Mullingar


17

Anailís de réir Contae ar 164,449 Othar

a Coireáladh 2002-2009

2,000 4,000 10,000 6,000 8,000 12,000 14,000 16,000

18,000

Co. Cheatharlach / Co. Carlow

Co. an Chabháin / Co. Cavan

Co. an Chláir / Co. Clare

Co. Chorcaí / Co. Cork

Co. Dhún na nGall / Co. Donegal

Co. Baile Átha Cliath / Co. Dublin

Co. na Gaillimhe / Co. Galway

Co. Chiarraí / Co. Kerry

Co. Chill Dara / Co. Kildare

Co. Chill Chainnigh / Co. Kilkenny

Co. Laoise / Co. Laois

Co. Liatroma / Co. Leitrim

Co. Luimnigh / Co. Limerick

Co. an Longfoirt / Co. Longford

Co. Lú / Co. Louth

Co. Mhaigh Eo / Co. Mayo

Co. na Mí / Co. Meath

Co. Mhuineacháin / Co. Monaghan

Co. Uíbh Fhailí / Co. Offaly

Co. Ros Comáin / Co. Roscommon

Co. Shligigh / Co. Sligo

Co. Thiobraid Arann / Co. Tipperary

Co. Port Láirge / Co. Waterford

Co. Na hlarmhí / Co. Westmeath

Co. Loch Garman / Co. Wexford

Co. Chill Mhantáin / Co. Wicklow

Baile Átha Cliath 1 / Dublin 1






Baile Átha Cliath 6W / Dublin 6W
















Breakdown by County of 164,449 Patients

Treated 2002—2009

3,024

3,157

1,779

11,252

8,516

8,081

18,042

4,263

5,852

3,631

2,414

781

4,620

1,390

5,597

5,529

5,106

2,636

3,321

2,281

1,493

4,075

5,401

3,463

5,760

4,674

1,105

574

1,280

1,065

2,577

824

461

2,973

2,188

1,882

1,675

3,462

3,890

1,117

1,255

2,414

1,186

749

514

623

2,284

4,213

IOMLÁN:164,449 TOTAL:164,449


18

W a i t i n g L i s t s a t a G l a n c e

D e c e m b e r 2 0 0 9

An Clár Náisiúnta Cóireála Othar

The National Patient Treatment Register

Liz Lottering Bainisteoir An Chláir Náisiúnta Cóireála Othar National Patient Treatment Register Manager

Sracfhéachaint ar Liostaí Feithimh

Nol laig 2009

• Déantar fa i sné i s fao i th ré imhs í fe i th imh le hagha idh na 44 osp idéa l a nuashonrú gach mí ar l á i th reán gréasá in an CCO www.pt r . i e

• Ba é an mheántré imhse fe i th imh ná i s iún ta

d ’o tha i r ag de i readh 2009 ná 2 .5 M í • Tá meántré imhse fe i th imh de id i r 2-5 mhí i

gce i s t do na 20 gnáthamh i s co i t i an ta do dhao ine fás ta

• Tá meántré imhse fe i th imh de i d i r 2-5 mhí ag

ba in t l e 8 gc inn de na 10 ngnáthamh i s co i t i an ta do l eana í

• Tá l aghdú 54% i gcompará id le 2008 tagtha ar an l í on dao ine i s fa ide a bh íonn ag fanacht l e máin l i ach t .

• Tá 4 osp idéa l ar fud na t í re f reagrach as l ea th

de na hotha i r s i úd a bh íonn ag fanacht a r feadh bre i s i s 12 mhí l e hagha idh máin l i ach ta*

* Srá id Teampai l l (117) , Tamhlacht (117) , C romghl inn (71) , Tu lach Mhór (57)

The Nat iona l Pat ient Trea tment Reg i s ter (PTR) i s a

reg i s te r o f a l l pa t ien ts on in -pat ien t and day case

wa i t ing l i s ts in I re land. The reg i s te r co l l ec ts , co l l a tes

and presents in fo rmat ion rece ived d i rec t l y f rom

hosp i ta l s e lec t ron i ca l l y . Wai t ing t imes a re pub l i shed

month l y on the PTR webs i te wh ich can be accessed on

www.pt r . ie . The NTPF a l so pub l i shes de ta i l ed

ana lys i s on wa i t ing l i s ts tw i ce year l y th rough i ts

Nat iona l Pat ient Treatment Reg i s ter Repor t .


National Pol icy for the Management of

In-Patient and Day-Case Wait ing List Data

Launched by the M in i s te r fo r Hea l th and Ch i ld ren

on 4 t h December 2009, the Nat iona l Po l i cy for

Management o f In-pat ient and Day Case Wai t ing L i s t

Data i s a manua l o f agreed de f in i t i ons and s tandards

fo r the management o f i n-pat ien t wa i t ing l i s t data.

Th i s new po l i cy has been agreed by hosp i ta l s , the

Nat iona l Hosp i ta l s ’ Of f i ce , the HSE and i s endorsed by

the Depar tment o f Hea l th and Ch i ld ren. I t rep l aces

the Ju l y 2007 Gu ide l ines . The PTR team run a t ra in ing

and deve lopment p rogramme on the new po l i cy and

th i s i s ava i l ab le to a l l hosp i ta l s .

Accurate and Consistent Reporting

The Rev iew and Ana lys i s program rev iews the accuracy

o f da ta p resented to the Pat ient Treatment Reg i s te r

and the adherence o f hosp i ta l s to the nat i ona l po l i cy

on the management o f wa i t i ng l i s t da ta.

• Wai t ing t ime in fo rmat ion fo r 44 hosp i ta l s i s updated month l y on the PTR Webs i te www.pt r . i e

• Nat iona l med ian wa i t ing t ime fo r pa t ients a t end 2009 was 2.5 Months

• The top 20 adu l t p rocedures have a median

wa i t ing t ime o f be tween 2-5 months • 8 o f the top 10 ch i ld procedures have a med ian

wa i t ing t ime between 2-5 months • Longest surg ica l wa i ters a re down by 54% when

compared w i th 2008.

• 4 hosp i ta l s na t i ona l l y account for ha l f o f those pat ien ts wa i t ing over 12 months fo r surgery*

*Temple St ree t (117) , Ta l laght (117) , Cruml in (71) ,Tu l l amore (57)

I s éard a tá sa C lár Ná i s iún ta do Chó i reá i l O thar (CCO)

go bunúsach ná c lá r de na hotha i r a tá a r l i os ta í

f e i th imh máin l i ach ta agus míocha ine mar o tha i r

chóna i theacha nó mar o tha i r l ae . Déanann an c lá r

fa i sné i s a fuar thas d í reach ó osp idé i l ar bhea lach

le i c t reonach a bha i l i ú , a th i omsú agus a chur i l á tha i r .

Fo i l s í tear t ré imhs í fe i th imh gach mí a r l á i th reán

gréasá in an CCO ar fé id i r rochta in a fhá i l a i r ag

www.pt r . ie . F re i s i n fo i l s í onn an CNCC ana i l í s shonrach

a r l i os ta í f e i th imh dhá ua i r sa bh l i a in t r í na Thuarascá i l

Ná i s iún ta a r an gC lár do Chó i reá i l Othar .

Réamhrá

An Beartas Náisiúnta um Bainist íocht ar

Shonraí faoi L iostaí Feithimh Othar

Cónaitheach agus Othar Lae

I s é a tá sa Bhear tas Ná i s iúnta um Ba in i s t í ocht ar

Shonra í fao i L i os ta í Fe i th imh Othar Cóna i theach agus

Othar Lae a sheo l an tA i re S lá in te agus Leana í an 4ú

No l l a i g 2009 ná l ámhleabhar de sha inmhín i the agus

ca ighdeá i n chomhaon ta i the chun ba i n i s t í o ch t a

dhéanamh ar shonra í fao i l i os ta í f e i th imh othar

cóna i theach. Tá an bear tas nua s in comhaonta i the ag

O i f i g na nOsp idéa l Ná i s iún ta, FSS agus taca íonn an

Ro inn S lá in te agus Leana í l e i s . Téann sé in i onad na

d t reo i r l í n te ó Iú i l 2007. Reáchtá l ann fo i reann an CCO

c l ár o i l i úna agus fo rbar tha fao in mbear tas nua agus

cu i r tear é s in a r fá i l do gach osp idéa l .

Tuair isciú Cruinn agus Comhsheasmhach

Déanann an C lár A thbhre i thn i the agus Ana i l í se

a thbhre i thn iú a r chru inneas na sonra í a chu i r tear i

l á tha i r don Ch lár do Chó i reá i l O thar agus a r ch l o í na

n-osp idéa l le i s an mbear tas ná i s iún ta i l e i th

ba in i s t í och ta a r shonra í f ao i l i os ta í fe i th imh.


19

In 2009 a sample o f over 6 ,000 o f the longest wa i te rs

was examined. The resu l ts were as fo l lows : -

• 38% - were awa i t i ng admin i s t ra t i ve fo l l ow up

i . e . the pat ien t had not responded to

cor respondence f rom the hosp i ta l o r had not

a t tended a schedu led appo in tment .

• 33% - were awa i t ing t rea tment inc lud ing

pa t ien ts who were repor ted, because o f

c l i n i ca l complex i ty , as be ing unsu i tab le fo r

re fe r ra l and those who had dec l ined an o f fe r of

NTPF t rea tment .

• 29% - were no t awa i t ing t rea tment and were

re-categor i zed i .e . these pat ien ts shou ld not

have been l i s ted as wa i t ing as they had e i ther

had t rea tment or were cur rent l y unsu i tab le for

t rea tment .

L i o s t a F e i t h i m h R o i n n t e d e r é i r a n L í o n L e a n a í / D a o i n e F á s t a N o l l a i g , 2 0 0 9

W a i t i n g L i s t s D i v i d e d b y C h i l d / A d u l t V o l u m e s D e c e m b e r , 2 0 0 9

D E I G H I L T I D I R L E A N A I / D A O I N E F Á S T A /C H I L D / A D U L T S P L I T

3 - 6 M H Í / M T H S 6 - 1 2 M H Í / M T H S 1 2 - 2 4 M H Í / M T H S I O M L Á I N / T O T A L S

D A O I N E F Á S T A / A D U L T

L I O S T A F E I T H I M H M Á I N L I A C H T A / S U R G I C A L 6 , 733 4 , 485 489 11 ,707

L I O S T A F E I T H I M H M Í O C H A I N E / M E D I C A L 2 , 088 1 , 261 361 3 , 710

I O M L Á N / T O T A L 8 ,821 5 ,746 850 15 ,417

L E A N A Í / C H I L D

L I O S T A F E I T H I M H

M Á I N L I A C H T A / S U R G I C A L 1 , 340 1 , 174 230 2 , 744 L I O S T A F E I T H I M H M Í O C H A I N E /

M E D I C A L 152 176 28 356

I O M L Á N / T O T A L 1 ,492 1 ,350 258 3 ,100

M Ó R I O M L Á N / G R A N D T O T A L 10 ,313 7 ,096 1 ,108 18 ,517

Ó C h l é - L e f t / R i g h t

L . M a h e r , J . S i b l e y ,

L . L o t t e r i n g , E . P o w e l l a n d K - A . G a l v i n

F o i r e a n n a n C h l á i r C h ó i r e á l a O t h a r

N a t i o n a l P a t i e n t T r e a t m e n t R e g i s t e r T e a m

In 2009 sc rúda íodh sampla de bhre i s i s 6 ,000 de na

dao ine ab fha ide a bh í ag fanacht . Seo a l eanas na

to r tha í : -

• Bhí 38% ag fe i theamh le hoba i r l eantach

r i arachá in i . e . n ío r thug an t -o thar f reagra ar

chomhfhreagras ón osp idéa l nó n í or fh reas ta i l

sé/s í ar cho inne sce idea la i the .

• Bhí 33% ag fanacht l e có i reá i l l ena n-á i r í tear

o tha i r a tua i r i sc íodh, mar thoradh ar chas tacht

ch l in i c iú i l , nach ra ibh s iad o i r iúnach d ’a t reorú

agus i ad s i úd a dh iú l ta igh do tha i r i sc in t maid i r

l e có i reá i l an CNCC.

• Ní ra ibh 29% ag fanacht l e có i reá i l agus bh í s i ad

cur tha i gcatagó i r nua i .e . na hotha i r s i úd nár

chear t a bhe i th ar l i os ta fe i th imh mar go ra ibh

có i reá i l f a ighte acu cheana fé in nó go ra ibh s i ad

mí -o i r iúnach do chó i reá i l .


20

Líon Náisiúnta na nOthar Máinliachta ar liostaí

feithimh de réir Réigiún Nollaig 2009

National Surgical Waiting List Volumes by Region

December 2009

An tOirthuaisceart/Limistéar Thuaisceart Bhaile Átha Cliath 3-6 mhí 6-12mhí os cionn 12 mhí Iomlán North East Area/Dublin North 3-6 mths 6-12 mths 12 mths + Total

Ospidéal Beaumont / Beaumont Hospital 271 128 36 435 Ospidéal Náisiúnta Ortaipéideach na Ceapaí / Cappagh National Orthopaedic Hospital 234 138 8 380 Ospidéal Ginearálta an Chabháin / Cavan General Hospital 15 8 7 30 Ospidéal Uí Conghaile (Bhaile Bhlainséir) / Connolly Hospital (Blanchardstown) 74 7 0 81 Ospidéal Chontae Lú, Dún Dealgan / Louth County Hospital, Dundalk 82 33 4 119 Ospidéal Mater Misericordiae / Mater Misericordiae Hospital 906 770 9 1,685 Ospidéal Ginearálta Mhuineacháin / Monaghan General Hospital 124 33 4 161 Ospidéal Mhaighdean Lourdes, Droichead Átha / Our Lady of Lourdes Hospital, Drogheda 212 97 44 353 Ospidéal Mhuire, An Uaimh / Our Lady’s Hospital Navan 91 52 21 164 Ospidéal Ollscoile na Leanaí, Sráid Teampaill / Children’s University Hospital Temple Street 172 250 117 539 IOMLÁN / TOTAL 2,181 1,516 250 3,947

Ospidéal Ginearálta Leitir Ceanainn / Letterkenny General Hospital 388 92 16 496 Ospidéal Ginearálta Mhaigh Eo / Mayo General Hospital 165 150 0 315 Ospidéal Pháirc Merlin, Gaillimh / Merlin Park Hospital, Galway 209 159 0 368 Ospidéal Réigiúnach an larthair Láir, Tuar an Daill / Mid-West Regional Hospital, Doordadoyle 291 272 50 613 Ospidéal Réigiúnach an larthair Láir, Cromadh / Mid-West Regional Hospital Croom 14 9 1 24 Ospidéal Réigiúnach an larthair Láir, Inis / Mid-West Regional Hospital, Ennis 0 0 0 0 Ospidéal Réigiúnach an larthair Láir, An tAonach / Mid-West Regional Hospital, Nenagh 0 0 0 0 Ospidéal Ginearálta Portiuncula / Portiuncula General Hospital 0 0 0 0 Ospidéal Chontae Ros Comáin / Roscommon County Hospital 0 0 0 0 Ospidéal Ginearálta Shligigh / Sligo General Hospital 234 93 0 427 Ospidéal Naomh Eoin, Luimneach / St. John’s Hospital, Limerick 5 3 9 17 Ospidéal na hOllscoile, Gaillimh / University College Hospital Galway 1,188 1,086 9 2,283 IOMLÁN / TOTAL 2,494 1,964 85 4,543

An tIarthar/An tIarthuaisceart/An tIarthar Láir 3-6 mhí 6-12mhí os cionn 12 mhí Iomlán West/North West/Mid-West 3-6 mths 6-12 mths 12 mths + Total

Cósta Thoir Bhaile Átha Cliath/Iar-Dheisceart Bhaile Átha Cliath 3-6 mhí 6-12mhí os cionn 12 mhí Iomlán An Lár Tíre/Dublin East Coast/Dublin South West/Midlands 3-6 mths 6-12 mths 12 mths + Total

Ospidéal Réigiúnach Lár Tíre, an Muileann gCearr / Midland Regional Hospital, Mullingar 40 42 0 82 Ospidéal Réigiúnach Lár Tíre, Port Laoise / Midland Regional Hospital, Portlaoise 91 75 11 177 Ospidéal Réigiúnach Lár Tíre Tulach Mhór / Midland Regional Hospital, Tullamore 445 262 57 764 Ospidéal Ginearálta Nás / Naas General Hospital 3 0 0 3 Ospidéal Mhuire, Cromghlinn / Our Lady’s Hospital, Crumlin 406 498 71 975 Ospidéal Súil is Cluas Victoria Ríoga / Royal Victoria Eye and Ear Hospital 366 216 20 602 Ospidéal Naomh Colmcille, Baile Uí Lachnáin / St. Colmcille’s Hospital, Loughlinstown 0 0 0 0 Ospidéal Naomh Micheál, Dun Laoghaire / St. Michael’s Hospital, Dun Laoghaire 0 0 0 0 Ospidéal San Séamas / St. James’s Hospital 240 23 0 263 Ospidéal na hOllscoile Naomh Uinseann / St. Vincent’s University Hospital 149 62 22 233 AMNCH (Tamhlacht) / AMNCH (Tallaght) Hospital 375 443 117 935 IOMLÁN / TOTAL 2,115 1,621 298 4,034

Ospidéal Ginearálta Bheanntraí / Bantry General Hospital 0 0 0 0 Ospidéal Ollscoil Chorcaí / Cork University Hospital 330 146 32 508 Ospidéal Ginearálta Chiarraí / Kerry General Hospital 42 9 0 51 Ospidéal Ortaipéideach na Cille Críne / Kilcreene Orthopaedic Hospital 43 5 2 50 Ospidéal Ginearálta Mhala / Mallow General Hospital 0 0 0 0 Ospidéal na Trócaire, Ollscoil Chorcaí / Mercy Hospital 201 191 43 435 An Otharlann Theas - Ospidéal Victoria, Corcaigh / South Infirmary—Victoria Hospital 100 50 9 159 Ospidéal Ginearálta Thiobraid Árann Theas / South Tipperary General Hospital 5 0 0 5 Ospidéal Naomh Lúcas, Cill Chainnigh / St. Luke’s Hospital, Kilkenny 182 64 0 246 Ospidéal Réigiúnach Phort Láirge / Waterford Regional Hospital 338 85 0 423 Ospidéal Ginearálta Loch Garman / Wexford General Hospital 42 8 0 50 Iomlán / Total 1,283 558 86 1,927

An Oirdheiscirt/Limistear an Deiscirt 3-6 mhí 6-12mhí os cionn 12 mhí Iomlán South East/Southern Area 3-6 mths 6-12 mths 12 mths + Total

IOMLÁN FORIOMLÁN / OVERALL TOTAL 8,073 5,659 719 14,451


21

Anailís ar Athruithe i Líon na nOthar

Máinliachta > 3 Mhí 2008 i gcomparáid le 2009

Ospidéal Ginearálta Leitir Ceanainn / Letterkenny General Hospital -472

Ospidéal Ginearálta Shligigh / Sligo General Hospital -314

Ospidéal Ollscoile Chorcaí / Cork University Hospital -262

Ospidéal Uí Conghaile, Baile Bhlainséir / Connolly Hospital Blanchardstown -157

Ospidéal Réigiúnach an larthair Láir, Tuar an Daill / Midwestern Regional, Dooradoyle -152

Ospidéal Ortaipéideach na Ceapaí / Cappagh Orthopaedic Hospital -118

Ospidéal San Séamus / St. James’s Hospital -108

Ospidéal Ginearálta Chiarraí / Kerry General Hospital -103

Ospidéal Beaumont, Baile Átha Cliath / Beaumont Hospital Dublin -102

Ospidéal na hOllscoile Naomh Uinseann/ St. Vincent’s University Hospital, Elm Park -97

Ospidéal Reigiúnach Lár Tíre, Port Laoise / Midland Regional Hospital Portlaoise -95

Ospidéal Loch Garman / Wexford General Hospital -60

Ospidéal Ginearálta an Náis / Naas General Hospital -29

Ospidéal Naomh Eoin, Luimneach / St. John’s Hospital Limerick -16

Ospidéal Mhaighdean Lourdes, Droichead Átha / Our Lady of Lourdes Hospital Drogheda -14

Ospidéal Ginearálta an Chabháin / Cavan General Hospital -10

Ospidéal Ortaipéideach Lourdes na Cille Críne / Lourdes Orthopaedic Hospital Kilcreene -9

Ospidéal Ginearálta Thiobraid Árann Theas / South Tipperary General -4

Ospidéal Réigiúnach an larthair Láir, Cromadh / Midwestern Regional, Croom 3

Ospidéal Réigiúnach Lár Tíre, an Muileann gCearr / Midland Regional, Mullingar 8

Ospidéal Mhuire, an Uaimh / Our Lady’s Hospital Navan 12

Ospidéal Réigiúnach Lár Tíre, Tulach Mhór / Midland Regional Hospital, Tullamore 13

Ospidéal Ollscoile na Leanaí, Sráid Teampaill / Children’s University Hospital Temple St. 24

Ospidéal Chontae Lú / Louth County Hospital 24

Ospidéal Réigiúnach Phort Láirge / Waterford Regional Hospital 27

Ospidéal Ginearálta Naomh Lúcas, Cill Chainnigh / St. Luke’s General Hospital Kilkenny 47

An Otharlann Theas, Ospidéal Ríoga Victoria Corcaigh / South Infirmary Hospital Cork 57

Ospidéal Ginearálta Mhaigh Eo / Mayo General Hospital 74

Ospidéal Ginearálta Mhuineacháin / Monaghan General Hospital 77

Ospidéal Pháirc Merlin, Gaillimh / Merlin Park Hospital, Galway 123

Ospidéal na Trócaire, Ollscoil Chorcaí / Mercy University Hospital, Cork 157

Ospidéal Súil is Cluas Victoria Ríoga / Royal Victoria Eye and Ear Hospital 202

Ospidéal Thamhlachta (AMNCH) / Tallaght Hospital (AMNCH) 256

Ospidéal Naomh Mhuire um Leanaí Breoite Cromghlinn / Our Lady’s Hospital, Crumlin 274

Ospidéal an Mater, Baile Átha Cliath / Mater Hospital, Dublin 534

Ospidéal na hOllscoile, Gaillimh / University College Hospital Galway 798

800 _

7

00

600

500

400

300

200

100

0 _

-1

00

-200

-300

-400

-500 _

Analysis of Variation in Surgical Volumes > 3 Months

2008 Vs 2009


22

Anailís ar Athruithe i Líon na nOthar

Máinliachta > 12 Mhí 2008 i gcomparáid le 2009

Analysis of Variation in Surgical Volumes > 12 Months

2008 Vs 2009

Ospidéal Ginearálta Leitir Ceanainn / Letterkenny General Hospital -191

Ospidéal Ginearálta Shligigh / Sligo General Hospital -126

Ospidéal an Mater, Baile Átha Cliath / Mater Hospital Dublin -115

Ospidéal Ollscoil Chorcaí / Cork University Hospital -86

Ospidéal Réigiúnach an larthair Láir, Tuar an Daill / Mid Western Regional, Dooradoyle -81

Ospidéal Beaumont, Baile Átha Cliath / Beaumont Hospital, Dublin -65

Ospidéal Ginearálta Mhaigh Eo / Mayo General Hospital -46

Ospidéal Ollscoile na Leanaí, Sráid Teampaill / Children’s University Hospital, Temple Street -43

Ospidéal Réigiúnach Phort Láirge / Waterford Regional Hospital -32

Ospidéal Réigiúnach Lár Tíre, Port Laoise / Midland Regional Hospital, Portlaoise -29

Ospidéal Naomh Mhuire um Leanaí Breoite Cromghlinn / Our Lady’s Hospital, Crumlin -22

Ospidéal Ortaipéideach na Ceapaí / Cappagh Orthopaedic Hospital -19

Ospidéal Ortaipéideach Lourdes na Cille Crine / Lourdes Orthopaedic Hospital, Kilcreene -18

Ospidéal na hOllscoile, Gaillimh / University College Hospital, Galway -16

Ospidéal Loch Garman / Wexford General Hospital -14

Ospidéal Ginearálta Naomh Lúcas, Cill Chainnigh / St. Luke’s General Hosp, Kilkenny -10

Ospidéal Thamhlachta (AMNCH) / Tallaght Hospital -5

Ospidéal Ginearálta Chiarraí / Kerry General Hospital -5

Ospidéal Chontae Lú / Louth County Hospital -5

Ospidéal An Otharlann Theas, Corcaigh / South Infirmary Hospital, Cork -4

Ospidéal San Séamus / St. James’s Hospital -4

Ospidéal Ginearálta Thiobraid Árann Theas / South Tipperary General Hospital -2

Ospidéal Uí Conghaile, Baile Bhlainséir / Connolly Hospital, Blanchardstown -1

Ospidéal Pháirc Merlin, Gaillimh / Merlin Park Hospital, Galway -1

Ospidéal Ginearálta an Náis / Naas General Hospital -1

Ospidéal na hOllscoile Naomh Uinseann / St. Vincent’s University Hosp 1

Ospidéal Ginearálta an Chabháin / Cavan General Hospital 3

Ospidéal Réigiúnach Lár Tíre, Tulach Mhór / Midland Regional Hospital , Tullamore 3

Ospidéal Ginearálta Mhuineacháin / Monaghan General Hospital 4

Ospidéal Naomh Eoin, Luimneach / St. John’s Hospital, Limerick 4

Ospidéal Mhuire, an Uaimh / Our Lady’s Hospital, Navan 7

Ospidéal Súil is Cluas Victoria Ríoga / Royal Victoria Eye and Ear Hospital 8

Ospidéal na Trócaire, Ollscoil Chorcaí / Mercy University Hospital, Cork 23

Ospidéal Mhaighdean Lourdes, Droichead Átha / Our Lady of Lourdes Hosp, Drogheda 31

800 _

7

00

600

500

400

300

200

100

0 _

-1

00

-200

-3

00

-400

-500 _

` `

`


23

Forbhreathnú Faisneise Airgeadais

Summary Financial Information

• Ach iev ing va lue fo r money remains a key

ob jec t i ve for the NTPF . In 2009 we cont i nued to

work w i th p r i va te hosp i ta ls to max imise the

vo lume o f pat ien ts that cou ld be t rea ted. I f

par t i cu la r t rea tment pr i ces o f fe red to the NTPF

by a hosp i ta l a re h igher than the marke t ra te we

w i l l source an a l te rnat i ve supp l i e r . Th i s means

that when and where i t makes sense to do so

NTPF pat ients are s teered to qua l i t y prov iders

that represent bet te r va lue for money.

• Th i s s imple p r inc ip le o f “vo lume fo l lows va lue”

has an add i t i ona l pos i t i ve consequence because

p r i va te hosp i ta l s can p lan in a way tha t the

t rea tment pr i ce l owers as the vo lume o f NTPF

author i sed pat ien t re fer ra l s increase.

• Th is means the NTPF can both negot ia te vo lume

d i scount dea l s and cont i nue to l everage the

e f fec t o f i ncreases in capac i ty due to newer

p r i va te hosp i ta l s and c l in i cs in I re land. We h a v e

seen the impact o f th i s approach w i th a 15%

reduc t ion in the overa l l inpat ient and day-case

average cos t s i nce 2006. A t a t ime when

med ica l i n f l a t i on over the same per iod was

increas ing and our case pro f i l e remained

b road ly unchanged, th i s represents a very rea l

sav ing .

• Benchmark ing i s a l so an impor tant i ngred ient i n

mak ing sure we get va lue fo r money. P r i ces

o f fered by hosp i ta l s are sub jected to a number

o f tes ts inc lud ing compar i son aga inst pr i ces for

s imi la r t rea tments in o ther peer p r ivate

hosp i ta l s and, when pub l i c l y ava i l ab le , pr i ces

pa id by med ica l i nsure rs . P r i ces are a l so

compared w i th pub l i c hosp i ta l average cos ts

( “casemix data”) .

• Dur ing 2009 the Of f i ce o f the Comptro l le r &

Aud i tor Genera l conduc ted an extens ive three

month rev iew o f NTPF tha t i nc luded an

i ndependent check on a r rangements for the cos t

e f fec t ive p rocurement o f t reatments . H is rev iew

conc luded tha t most procedures purchased by

NTPF f rom pr i vate hosp i ta l s cost l ess than the

comparab le pub l i c benchmark cos t .

P u r c h a s i n g T r e a t m e n t f r o m

H o s p i t a l s

David Allen An Stiúrthóir Airgeadais

Director of Finance

• Tá l uach ar a i rgead a bha int amach fós mar

chuspó i r l á rnach don CNCC. In 2009 leanamar

o ra inn ag oba i r l e hosp idé i l phr íobhá ideacha

chun an l í on o thar ar fé id i r i ad a chó i reá i l a

uasmhéadú. Má tá na p raghsanna á i r i the um

chó i reá i l a thá i rgeann osp idéa l don CNCC n íos

a i rde ná an rá ta marga idh a imseo imid so l áthra í

mala r tach. C i a l l a íonn sé s in go gcu i r tear o tha i r

an CNCC chu ig so l á thra i the a rdcha ighdeá in a

thugann luach n íos fear r a r a i rgead sa chás ina

lu íonn sé l e réasún é a dhéanamh.

• Tagann toradh dear fach bre i se as an bpr i onsaba l

s impl í “ leanann l í on luach” mar féadann osp idé i l

phr íobhá ideacha p leaná i l a dhéanamh i onas go

d t ioc fa idh l aghdú ar phraghas na có i reá la de

ré i r mar a th ioc fa idh méadú ar l í on na

n -a t reoru i the údara i the othar ón CNCC.

• Cia l l a íonn sé s i n go bhféadann an CNCC marga í

l asca ine as l íon a cha ib id l iú agus l eanú in t a i r ag

déanamh g iará l a ar é i feacht na méadu i the ar

á i teanna d ’o tha i r mar thoradh ar osp idé i l

phr íobhá ideacha agus c l i n i c í nua in É i r inn.

Chona i ceamar t i onchar an chur chu ige s i n nua i r

a thá in ig l aghdú 15% ó 2006 ar an meánchos tas

i omlán as o tha i r chóna i the agus o tha i r l ae . I s

i onann é s in agus co ig i l teas an-mhór nua i r a

mheas tar go ra ibh bo i l sc iú míocha ine ag du l i

mé id thar an t ré imhse chéanna agus nach bh fu i l

a thrú tag tha ar ár bpró i f í l cásanna.

• I s gné an-tábhachtach f re i s in í tagarmharcá i l

maid i r l e c innt iú go bh fa igh imid luach a r

a i rgead . Cu i r tear na praghsanna a thá i rgeann

osp idé i l f ao i ro innt tás tá l acha lena n-á i r í tear

compará id i gco inne praghsanna as có i reá i l

chosú i l i n osp idé i l phr íobhá ideacha e i l e , agus i

gco inne p raghsanna a í ocann árachó i r í

míocha ine , nua i r a chu i r tear ar fá i l go po ib l í

i ad . Fre i s in cu i r tear p raghsanna i gcompará id l e

meánchos ta i s na n-osp idéa l po ib l í ( “ sonra í

cásmheascá in” ) .

• I r i th 2009 r inne O i f i g an Ard-Reachta i re Cuntas

& C i s te a thbhre i thn iú fa i rs i ng t r í mhíosa ar an

CNCC a chu ims igh se i ceá i l neamhsp leách ar na

soc ru i the chun có i reá i l a fhá i l ar bhea lach

cos té i feachtach. Thá in ig a a thbhre i thn iú a r an

gconc lú id go ra ibh cos tas an chu id i s mó de

ghnátha imh a cheanna íonn an CNCC ó osp idé i l

phr íobhá ideacha n íos lú ná an cos tas

compará ideacha tagarmharcá l a po ib l í .

Cóireái l a Cheannach ó Ospidéi l


24

The NTPF ’s admin i s t rat ion expenses remain re la t i ve ly

l ow at 5% o f g rant i ncome. To ta l admin i s t ra t ion

expenses for 2009 have a lso been mainta ined a t 2008

leve l s even though add i t i ona l cos ts were incur red as a

resu l t o f NTPF ’ s new ro le w i th nurs ing homes.

M a n a g i n g A d m i n i s t r a t i o n E x p e n s e s

Bui ld ing on progress so far , we are look ing fo rward to

work ing w i th hosp i ta l s and nurs ing homes in

cont inu ing to ach ieve fur ther va lue fo r money and

qua l i ty ca re .

L o o k i n g F o r w a r d t o 2 0 1 0

On the 3rd Ju ly 2009 the M in i s te r fo r Hea l th &

Ch i ld ren commenced sec t ions 40 & 41 o f the Nurs ing

Homes Suppor t Scheme Act 2009. Th i s l ega l l y enab led

the NTPF to negot ia te and agree pr i ces w i th pr i vate

and vo luntary nurs ing home owners for the purposes

o f the new nurs ing homes suppor t scheme (“Fa i r

Dea l ” ) .

The NTPF has a spec i f i c remi t w i th in th i s , HSE -

admin i s te red scheme. I f the NTPF a re o f the v iew that

p r i ces o f fe red by a nurs ing home represent va lue for

money a p r i c ing agreement i s reached w i th the nurs ing

home and in tu rn we prov ide the HSE wi th the re levant

p r i c ing de ta i l s .

Agreements were reached on pr i ces w i th a lmost a l l

p r i va te nurs ing homes in the country be fo re the

commencement o f the scheme on 27th Oc tober 2009.

A t the t ime o f wr i t ing 440 (99%) pr ivate and vo luntary

nurs ing homes have agreed pr i ces w i th the NTPF. We

Are a l so sa t i s f i ed tha t the ra tes agreed compare

favourab ly w i th the average amounts pa id by res idents

and fami l i es p r ior to the commencement o f the

scheme.

A g r e e i n g P r i c e s w i t h P r i v a t e N u r s i n g

H o m e s

Ceannlínte Nuachta 2009 maidir le Cothrom na Féinne

F a i r D e a l N e w s H e a d l i n e s 2 0 0 9

Publication: Kildare Times South Date: Tuesday, October 13, 2009 ___________________________

Publication: Irish Examiner Date: Thursday, August 6, 2009 __________________________

Publication: Westmeath Independent Date: Saturday, August 29, 2009 ______________________________

An 3 Iú i l 2009 thug an tA i re S lá in te & Leana í fe idhm

d ’a i l t 40 & 41 den Acht fán Scé im um Thaca íocht T i the

Bana l t ra i s 2009. Chu i r sé s i n a r chumas an CNCC, de

ré i r an d l í , p raghsanna a cha ib id l iú agus a aontú l e

hú iné i r í t i the a l t rana i s pr íobhá ideacha agus deonacha

chun cr íocha na scé ime nua um thaca íocht t i the

bana l t ra i s ( “Cothrom na Fé inne”)

Tá sa inchúram sonrach ag an CNCC la i s t igh den scé im

s in a r i a rann FSS. Má chre ideann an CNCC go dtugann

na praghsanna a thá i rgeann teach a l t rana i s luach ar

a i rgead tag tar a r chomhaontú p raghsá la l e i s an teach

a l t rana i s agus so l áthra ímid fao i seach na sonra í

ábhar tha fao i phraghsá i l do FSS.

Thángthas a r chomhaontu i the maid i r l e p raghsanna le

beagnach gach teach a l t rana i s pr í obhá ideach sa t í r

su la r tugadh fe idhm don scé im an 27 De i readh Fómhai r

2009.

Agus é seo á sc r íobh, tá 440 (99%) teach a l t rana i s

p r íobhá ideacha agus deonacha ta r é i s praghsanna a

aontú l e i s an CNCC. Tá imid c inn te f re i s in gur fé id i r

compará id fhabhrach a dhéanamh id i r na ráta í agus na

meánmhé ideanna a d ’ í oc cóna i theo i r í agus teagh la igh

su la r tugadh fe idhm don scé im.

Praghsanna a Aontú le Tithe Altranais

Príobháideacha

Costais Riaracháin a Bhainist iú

Ag cur l e i s an du l chun c i nn a r inneadh go dt í seo,

tá imid ag tnúth l e ho ibr i ú l e hosp idé i l agus t i the

a l t rana i s agus muid ag leanú in t ora inn ag ba in t amach

l u a c h n í o s f e a r r a r a i r g e a d a g u s c ú r a m

ardcha ighdeá in .

Ag Breathnú ar 2010

Tá cos ta i s r i a rachá in an CNCC fós réasúnta í sea l agus

i ad ag 5% d ’ i oncam deonta i s . Co imeádadh na cos ta i s

i omlána r i arachá in l e hagha idh 2009 ar l e ibhé i l 2008

cé gur tabha íodh cos ta i s bhre i se mar thoradh a r ró l

nua an CNCC le t i the a l t rana i s .


25

National Treatment Purchase Fund Board Receipts and

Payments Account for year ended 31 December 2009

Cuntas Fáltas agus Íocaíochtaí Bhord an Ciste Náisiúnta um

Cheannach Cóireála don bhliain dar chríoch 31 Nollaig 2009

2009 2008

Deontas a fuarthas ón Oireachtas: € €

Oireachtas grant rece ived:

Ioncam - Revenue 90,350,000 104,641,000

Caip i teal - Capi tal 218,100

90 ,350,000 104,859,100

Cai teachas íoctha:

Expendi ture pa id:

Ioncam - Revenue 90 ,416,607 104,500,392

Caip i teal - Capi tal 218,100

90 ,416,607 104,718,492

(Laghdú) Méadú in a i rgead g lan don bhl ia in:

(Decrease) Increase in net cash for the year: (66,607) 140,608

The annua l f i nanc i a l s ta tements o f the NTPF Board

a re sub ject to aud i t by the o f f i ce o f the

Comptro l l e r and Aud i to r Genera l . Once th i s aud i t

has been comple ted for 2009 separa te f inanc ia l

s tatements w i l l be submi t ted and presented in

accordance w i th sec t ion 11 o f the Comptro l l e r and

Aud i tor Genera l (Amendment) Ac t 1993.

Déanann o i f i g an tArd-Reachta i re Cuntas agus

C i s te in iúchadh ar rá i t i s a i rgeada i s bh l i an tú l a

Bhord an CNCC. Cu i r fear rá i t i s a i rgeada i s ar

l e i th l i gh ar fá i l agus tabhar fa r a r l á imh iad (de

ré i r a l t 11 d ’Acht an Ard-Reachta i re Cuntas agus

C i s te (Leasú) , 1993 nua i r a chr íochnó far an

t - in i úchadh s in l e hagha idh 2009.


26

Ceannlínte Nuachta CNCC 2009

NTPF News Headlines 2009

Publication: Leitrim Observer Date: Friday, May 22, 2009 _________________________________________________________

Publication: Leitrim Observer Date: Friday, September 4, 2009 ______________________________________________

Publication: Athlone Advertiser Date: Friday, June 12, 2009 ____________________________________________________________

Publication: Tipperary Star Date: Friday, June 4, 2009 _____________________________________________

TAKE THE FAST TRACK TO BETTER HEALTH THROUGH THE NTPF Carrick-on-Shannon lady tells her story

WESTMEATH’S LONGEST-WAITING PATIENTS OPT FOR FASTER TREATMENT

1,376 KERRY PATIENTS TREATED BY PURCHASE FUND

3,780 PATIENTS TREATED THROUGH NTPF

MAJOR PROGRESS MADE IN SLIGO AND LETTERKENNY WAITING LISTS

Publication: Kerry’s Eye Date: Thursday, May 21, 2009 ________________________________________

Publication: Irish Independent Date: Thursday, August 20, 2009 ______________________________________________________

WHY WAIT IN LINE? THIS PRESCRIPTION IS JUST WHAT THE DOCTOR ORDERED

Publication: Galway City Tribune Date: Friday, May 22, 2009 ___________________________________________________

WAIT TIMES FALL AT CITY HOSPITALS TO ALL–TIME LOW Purchase Fund speeds up treatment for patients

5,403 MAYO PATIENTS TREATED BY NATIONAL TREATMENT PURCHASE FUND

Publication: Connaught Telegraph Date: Tuesday, May5, 2009 _______________________________________________________


27

As a lways the NTPF i s ve ry consc ious o f pa t ien t sa fe ty

and in keep ing w i th th i s Mrs . Murphy was the keynote

speaker a t the Annua l NTPF Sympos ium, he ld in

December . The Sympos ium br ings toge ther key peop le

f rom the pub l i c and pr iva te hosp i ta l s . The theme for

2009 was “Pat ien t Safe ty” . Mrs. Murphy i s a pat ient

advocate fo r pa t ien t sa fe ty and works w i th loca l , s ta te

and in te rnat iona l agenc ies (WHO) to promote sa fe ty .

The focus o f her work i s hea l thcare . The mot ivat ion

fo r her work came fo l l owing the death o f her son,

Kev in , as the resu l t o f a med ica l er ro r . Margare t ’ s

address on the day was both power fu l and moving.

She te l l s the s tory o f her son ’s l i fe and death to

p romote the sa fe ty o f o thers .

Te l l me a fac t …and I ’ l l l earn Te l l me a t ruth …and I ’ l l be l ieve Te l l me a s tory …and i t w i l l l i ve in my hear t forever”

Buaicphointí an CNCC 2009

NTPF Highlights 2009

M A R G A R E T M U R P H Y

Mr Keegan had been wai t ing fo r s ix months fo r a

u ro l ogy procedure when he was re fe r red to a p r ivate

hosp i ta l under the NTPF. He commented on the

hosp i ta l where he had h i s surgery:-

“They cou ld no t have been be t ter , they were ve ry

approachab le . On ly for them I wou ld s t i l l be in agony” .

Abhcóide Othar

um Shábháilteacht Othar

Patient Advocate

for

Patient Safety

Ár 150,000ú Othar

Our 150,000th Patient

J O H N K E E G A N

B h í a n t U a s . K e e g a n a g f a n a c h t l e g n á t h a m h

ú i r e o l a í o c h t a a r f e a d h 6 m h í n u a i r a a t r e o r a í o d h

c h u i g o s p i d é a l p r í o b h á i d e a c h é f a o i n C N C C . S e o

a n m é i d a b h í l e r á a i g e f a o i n o s p i d é a l i n a

n d e a r n a d h m á i n l i a c h t a i r : -

“ N í f h é a d f a i d í s a b h e i t h n í o s f e a r r , b h í s é é a s c a

l a b h a i r t l e o . M u r a c h i a d b h e i n n f ó s c r á i t e a g a n

b p i a n ”

Bíonn an CNCC i gcóna í meabhrach ar shábhá i l teacht

an otha i r , agus dá ré i r s in ba í an tUasa l Murphy an

pr íomhcha in teo i r ag S iompóis iam b l i antú i l an CNCC, a

reáchtá ladh i M í na No l l ag . Tógann an s iompóis iam

dao ine lá rnacha ó na hosp idé i l phr í obhá ideacha agus

pho ib l í l e ché i l e . Ba é an téama le hagha idh 2009 ná

“Sábhá i l teacht Othar” . Tá an tUasa l Murphy ina

habhcó ide o thar um shábhá i l teacht o thar agus o ib r íonn

s í l e gn íomhai reachta í á i t iú l a , s tá i t agus id i rná i s iún ta

(An Eagra íoch t Dhomhanda S lá in te) chun sábhá i l teacht

a chur chun c inn. D í r í onn s í a r chúram s lá in te ina

cu id o ibre . Is é an fá th gur spreagadh í chun an oba i r

s i n a dhéanamh ná go bh fua i r a mhac, Kev in , bás mar

thoradh ar bhotún míocha ine . Bh í órá id Margare t

cumhachtach agus cor ra i theach. Ins íonn s í an scéa l

fao i bheatha agus bhás a mic chun sábhá i l teacht

dao ine e i l e a chur chun c inn .

“ In i s f í r i c dom …agus fogh la imeo idh mé In is an fh í r inne dom …agus c re id f idh mé In is scéa l dom …agus fanfa idh sé i mo chro í go deo”

( Ind ian P roverb) ( Ind ian P roverb)


28

Mar thoradh ar an CNCC tá cóireáil tugtha do

bhreis is 164,449 othar (Nollaig 2009) agus

mar sin tá siad bainte de liostaí feithimh na

n-ospidéal poiblí. I gcás na n-othar siúd atá

ag fanacht le hoibríocht agus a bhfuil imní

orthu fúithi agus a roghnaíonn cóireáil a

fháil leis an CNCC, faigheann siad a

n-oibríocht nó gnáthamh SAOR in aisce.

Ní chuirfidh sé isteach ar bhealach ar bith ar

a dteidlíochtaí maidir le cártaí leighis agus

cabhraíonn an CNCC le hothair a theastaíonn

idir mórghnáthaimh agus mionghnáthaimh

uathu.

As a result of the NTPF 164,449 patients

(December 2009) have been treated and

thus removed from public hospital waiting

lists. For those patients who are waiting

and worrying about an operation and choose

to have their treatment with the NTPF, they

receive their operation or procedure FREE of

charge. Medical card entitlements are not

affected in any way and the NTPF helps

patients who require major as well as minor

procedures.

Socraímid go bhfaighidh

na hothair sin atá incháilithe

cóireáil SAOR IN AISCE agus is

in ospidéil hríobháideacha is mó

a fhaigheann siad í

For those public

patients who are

eligible we arrange

FREE treatment mainly

in private hospitals

Ní gá d’othair ach glaoch a chur ar

ár líne Íosghlao ar: 1890 720 820

Patients can simply phone our

Lo-call line on: 1890 720 820


29



Tá an tuarascáil seo á heisiúint ag:

An Ciste Náisiúnta um Cheannach

Cóireála, Teach Ashford, Sráid na

Teamhrach, Baile Átha Cliath 2

Íosghlao: 1890 720 820

Teileafón: + 353 1 6427101

Facs: + 353 1 6247102

www.ntpf.ie

This report was issued by:

The National Treatment Purchase

Fund, Ashford House, Tara Street,

Dublin 2

Lo-Call: 1890 720 820

Telephone + 353 1 6427101

Fax: + 353 1 6427102

www.ntpf.ie



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