I thank Deputy McGreehan for the opportunity to discuss this very practical issue, which is of huge importance to the people of Louth and wider north-east region. As she stated, minor injury units are a really practical response to an identified need to deal with small injuries away from hospital settings. This is a key part of Sláintecare. As the Deputy also stated, these units are particularly busy at weekends when kids are playing sport and so much activity is taking place. That is even more the case during the summer when people are out and about and getting injured as a result of being involved in sporting or other activities. The development of injury units is a key part of our hospital avoidance strategy. They provide a safe, convenient way for non-life threatening injuries such as broken bones, sprains, burns and all of those things that just happen as part of life to be treated. Crucially, they deliver the same level of care in respect of those conditions as emergency departments, but much closer to home and with much shorter waiting times. We cannot encourage people enough to attend injury units. Nationally, we have seen a great increase in attendances at injury units, reflecting, I hope, the high public confidence and the convenience of local access. Last year, for example, there were 222,000 attendances at injury units. That was a 5% increase over 2024. As the Deputy knows, the minor injury unit at Louth County Hospital in Dundalk provides treatment for patients aged five years and older in respect of suspected fractures, sprains, minor burns, wounds and other injuries that do not require treatment at an emergency department. It is open from 9 a.m. seven days a week, including on bank holidays, with the last patient seen at 8 p.m. It is one of the busiest units in the country. It is the fifth busiest of the 14 units nationally. The most important thing for the Deputy is increasing capacity at the unit at weekends. She is completely right, because that is exactly when it is needed. I have discussed this matter with the HSE and been informed that the minor injury unit has access to two digital X-ray machines, which is fine, and that radiology services are available 9 a.m. to 8 p.m. Monday to Friday. At weekends, however, those services are only available from midday to 8 p.m. The plan is to extend weekend availability. There is a plan to recruit additional resources to do precisely that. I expect that the resources to extend the radiology services to a fully operational model will be put in place during quarter 3 of this year, which is not that far away. I am glad to have this opportunity to discuss the matter with Deputy McGreehan and to outline the very real plan for the extension of this excellent injury unit.

Sentiment score: 0.02

I am delighted. I again thank Deputy McGreehan for raising this matter. Deputy Paula Butterly also raised it with me but in a different way. I just want to compliment the region in general and the hospital management in Louth, particularly Priya Madhu, who is the hospital manager there and who has done so much. Our Lady of Lourdes Hospital in Drogheda, which the minor injury unit supports, has done phenomenal work. There are zero people on trolleys there today. For the past ten days, the hospital as been completely within the green threshold in that regard. As a representative for County Louth for so long, the Deputy knows how that was very much not the case a year and a half ago or two years ago and that the emergency department in the hospital was really challenged. There were no people on trolleys in the hospital yesterday. I checked that at 8 a.m. this morning, and it is only just after 9 a.m now. There were also no people on trolleys on Saturday. As indicated, all week long, the hospital has been within the green threshold, which is the accepted safe level. We have given Drogheda hospital additional resources for a virtual ward that has 12 beds. I am pleased to say that Drogheda hospital is using that ward. There were eight people on the virtual ward yesterday. The figure for the ward has been in and around that each day. They could put a few more on because there are 12 beds on the ward. The point is that the hospital is using the resources it has been given intelligently, well and in a way that serves the people Deputy McGreehan represents in County Louth. I am so pleased to champion, highlight and promote what Priya Madhu and her team have done. It is absolutely fantastic. The Deputy is aware what has happened is a turnaround for both the hospital for the people she represents. We are so pleased to be able to do more to support that really excellent level of care. I thank the Deputy for raising this matter.

Sentiment score: 0.21

I am so glad to have the opportunity to discuss this matter with the Deputy. I want to compliment the work of Dr. Deirdre Jones and that of the hospital manager, Marie Doorly, who has transformed Roscommon University Hospital into an enormously important part of the infrastructure of the north west. The hospital is doing great work, and we want to see it doing more great work. Roscommon is a level 2 hospital. The Government is pleased to have been able to increase its budget by 63%, from €28 million in 2020 to €46 million in 2025. Staffing has grown by 31%. In-patient bed capacity has grown by 5%. As Deputy Daly is aware, what we are trying to do at the hospital is so much about day-case procedures. He referenced the endoscopy suite, which I am going to go to see. I think that unit could run harder in the evenings and that we could do more there. Where we see really efficient practice is what we want to support. As the Deputy stated, the clinic in question is run by Dr. Deirdre Jones. There is a lot of advanced nursing practitioner support within the clinic, which is a real example of what is good about and what is possible with Sláintecare. There is no reason for people from Roscommon to have to travel to Galway for this service when it can be and is being delivered so capably in Roscommon. The service is led by a consultant and provides day-case and outpatient care. Of course, it has the ancillary benefit of reducing pressure on the acute hospital in Galway, which does not need to see these day case procedures that can be supported so well elsewhere. What I really admire about this treatment process and the way the hospital is running it is that it is a direct access model. It is a "see and treat" service, which is fantastic for patients because they do not have to come back again and again. It also runs a skin cancer surveillance service under the national cancer control programme, which has been in operation for 15 years. It ensures that all patients who have had any sort of cancer diagnosis are kept actively under surveillance and monitored. In the past three years, it has introduced a photo triage element of the service, which is fantastic. It means that GPs can send in a GP referral as requested but also include a photo, so they are getting ahead of the question all the time. The clinical nurse manager reviews that in conjunction with the consultant. It is a really streamlined pathway to the correct model of care. In many cases, the patient may not need an appointment and the GP is advised as such. Therefore, it is a very efficient, productive and caring model, where patients are prioritised on the basis of clinical need. Roscommon hospital has excised twice as many skin cancers - 1,200 in 2024 - as benign lesions, and has also treated 10% of Ireland's melanoma patients. That is quite an output for the work in a model 2 hospital. We will continue to invest in the plastic services, and the opportunities for expansion of the services can be reviewed. I happen to be in Roscommon in July, and I might drop in and have a look.

Sentiment score: 0.25

I had the opportunity to see that for myself when Marie Doorly came to our regional meeting for the north west and presented on behalf of Roscommon hospital. It was clear to me. I have huge respect for Roscommon hospital and the role it is playing in the health architecture in the north west. As the Deputy knows, the local injury unit is highly regarded, with people coming from all over the north west - from Mayo and elsewhere - to that unit as an alternative to going to Castlebar. I am pleased to say there will be another injury unit in Ballina, which hopefully will take the pressure off Roscommon somewhat, because it has been filling that role. I know what it is doing in terms of endoscopy and helping with stepdown beds for the other hospitals to ensure the appropriate flow. What the Deputy is talking about is the excellent "see and treat" model of care, delivered away from acute hospitals in an excellent model 2 hospital for the people of Roscommon and beyond. It is an exemplar of Sláintecare. I compliment Marie Doorly, Dr. Deirdre Jones and all of the people working there who have delivered this. I will do anything I can to support that kind of committed Sláintecare focus they have had.

Sentiment score: 0.38

I appreciate the Deputy raising this matter. I feel as though I may be operating in something of a vacuum here. I might follow up with the Deputy in order to discover who exactly are the people who signed that letter. It is not a letter I have seen. It may have been sent to my Department, but I have not seen it yet. I certainly want to discover who they are and see the issue they are raising. Due to the fact that I am operating in a bit of a vacuum, I have to rely on information on what is happening at the same time. As the Deputy knows, we ceased third-party insourcing as of yesterday, 30 June. He stated three times an external group of people were coming in to CUH to do some diagnostic work, which is exactly what we were seeing with third-party insourcing. I can fairly infer that what the Deputy is describing may be a consequence of the ending of third-party insourcing of the kind that those on the health committee found so problematic. I do not know if it is the case that this was a third-party insourcing arrangement that has ceased. The Deputy is not sure. We can follow up and check the names.

Sentiment score: 0.04

Sure. What I would point out is that the south west has a more than ample number of ample staff at the moment. It has recruited 617 people this year alone, which is a nearly quarter of all the people who have been hired by the HSE this year. The HSE has recruited 2,700 people overall. As stated, 617 of them have been appointed in the south west, which is one of six regions. Those in the south west have dramatically increased their recruitment. They are still very high when it comes to agency staff and overtime, which means that there has been no lack of people available to work in the south west. As already stated, third-party insourcing ceased yesterday. I am not suggesting that this is directly related, because I do not have that information. However, some of that third-party insourcing in CUH related directly to diagnostics. The letter to which the Deputy referred relates to a diagnostic concern. That must be sorted out because the people who must not be prejudiced by what is happening in this regard are children who are awaiting diagnostic scans. The issue around the letter and the timing of everything certainly raises more questions for me to interrogate and investigate. As I said, the south west has recruited many more people than other regions. Dublin Mid-Leinster has recruited about 300 people, so the south west is well advanced in terms of its recruitment and the availability of people to do this work. We must figure out exactly what has happened and how that may be managed, but this does raise quite a number of new questions for me to investigate. The Deputy asked about developments relating to paediatric care at the hospital. The Government has invested significantly in paediatric care in CUH. Phase 1 of the paediatric department has been operational since 2017. Phase 2 will focus on the paediatric inpatient unit and will deliver 82 much-needed new and replacement inpatient paediatric beds. We continue to invest in and support that. It is very important that we get to the bottom of the situation relating to MRI scans.

Sentiment score: 0.14

I could not agree more.

Sentiment score: -0.28

I certainly will, and I could not agree with the Deputy more regarding the importance of resolving and identifying the issue and of making sure that children are getting the diagnostic scans they need. I could also not agree more with him regarding the importance of investing in paediatric care outside of Dublin. That is very important, and it is important to articulate it here this morning. I am in agreement with the Deputy in every possible way in relation to this matter. I just want to figure out exactly what is going on and how this has come to be. I should have said earlier that there are 269 children currently waiting for an MRI under general anaesthesia at CUH. Having an MRI under general anaesthesia requires a nurse and an anaesthetist as well as a radiologist. It is a more complicated team. I am aware that the south west has recruited ahead of everyone else. If there is a challenge in terms of where the resources are, it is one we have to figure out. Certainly, that area has recruited more than anybody else, so there should not be this issue. It may be that deployment is more the issue than availability. It is for me to figure that out and to get back to the Deputy. He is correct to raise the issue here today because we do not want children discriminated against in this way. CUH has invested in a Smileyscope distraction system, which works to develop children's tolerance - where possible; it is not always possible - of MRI without anaesthetic. Instead of sedating children, two play therapists distract and keep them occupied during the MRI. We do not want to have to sedate children where it is possible to avoid it. Eight children have successfully completed the MRI through that approach without the need for general anaesthetic. I thank the Deputy for raising this really important issue for children's care, including as it relates to resource deployment. I assure him that I will figure out what is going on and get back to him on it.

Sentiment score: 0.21