94. Deputy Marie Sherlock asked the Minister for Health the action she is taking to address the dearth of nursing home beds and increase the number of step-down facilities in response to the crisis in delayed transfers of care in our acute hospital system; and if she will make a statement on the matter. [52270/26]
Sentiment score: -0.18
My question relates to delayed transfers of care and nursing home capacity. I understand that yesterday marked the highest number of delayed transfers of care across our acute hospitals in the year to date, with 555 patients who should have been discharged and were not. This marks 86 continuous days of over 500 delayed transfers of care in our hospitals. For the first four months of this year, almost 50% of those waiting to leave hospital were waiting for a nursing home place. What is the response to this crisis?
Sentiment score: -0.03
The average waiting time in DTOC is 24.8 days across all acute hospitals and in the midlands and north-east Dublin it is more than 30 days. This is a huge cause for alarm in terms of risk to the patients themselves and their prospects of recovery but also the cost to the hospital. We know that nursing home demand is the biggest driver of this, with more than 1,500 people waiting for a nursing home space, but I have to ask about the urgency with regard to the Government's response. In 2022, ESRI research identified that we would need somewhere between 54,000 and 60,000 nursing home beds. We had 33,000 beds back in 2022. We have gone backwards and in 2025 we had fewer beds at 32,408. We are not even running to stand still. I am glad to hear a capacity expansion plan will be put in place but, like the acute hospital expansion plan, it has been sitting there for a number of years and I am not hearing urgency with regard to this problem.
Sentiment score: 0.01
Obviously, there are a whole range of issues as to why people do not leave hospital. Almost 70% of the cases relate to a need for residential care or complex care such as dementia. The big issue is the cost. We know the HSE is running a significant deficit at the moment. It will not even make the savings it is supposed to make at the end of this year. We know the cost of an acute daybed is about €1,300, which is almost five times the cost of a community nursing unit bed. This has a very real financial implication for hospitals. The question being asked of me is about the tolerance and particularly the very long average waiting times across our acute hospitals. We need to see a much greater urgency with regard to a nursing home capacity plan, which would be a public nursing home capacity plan.
Sentiment score: 0.14
99. Deputy Marie Sherlock asked the Minister for Health the reason the national lipoedema working group is proposing to exclude surgical intervention from its guidelines on the management of lipoedema; and if she will make a statement on the matter. [52269/26]
Sentiment score: -0.07
My question concerns lipoedema. It is a condition experienced by an estimated 11% of women in this country. We understand a working group was set up in 2023 and was due to report in the second quarter of this year. We have not seen it yet. When will we see that report? I raise significant concern about the outcome of the report, in that the HSE has indicated it relates only to diagnosis and non-surgical management, when we understand surgery should be an important part of the care of these women.
Sentiment score: 0.12
Many in the medical community with expertise in this area are of the view that specialised sparing liposuction surgery - there is big distinction from other types of cosmetic liposuction - is the only intervention that can directly address the pathological adipose tissue issues. Many women have to travel to Cyprus and other countries to access those surgical interventions. Serious consideration has to be given to that surgical intervention in Ireland. Some women who believe they have this condition are seeking liposuction in a setting not specific to lipoedema, which is very worrying. We need to make sure we can provide for these women in this country.
Sentiment score: -0.03