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Ireland's worst blackspot: patients in Cork are waiting 5 years for surgery

The shortest waiting list still sees patients wait more than a year for treatment, according to the Association of Optometrists Ireland.

THE AVERAGE WAITING time for cataract surgery across the country is 29 months, but in some parts of the country people could be waiting as long as five years, according to a survey carried out by members of the Association of Optometrists Ireland (AOI).

The longest waits for this surgery can be found in Cork, with some in west Cork waiting 60 months according to the survey. 

The shortest delay was found in Sligo-Leitrim, where the waiting list is 14 months but the survey also found that more and more people were travelling to Northern Ireland to avail of cataract surgery. 

When it comes to children’s eye care, long waiting lists there could be solved with a national scheme allowing them to be treated by optometrists, the AOI argued. 

Seán McCave, CEO of the AOI, said in a statement that these figures show it’s time that “we stopped tolerating these terrible delays and took action”.

‘Belfast or go blind’

The latest figures from the National Treatment Purchase Fund (NTPF) show an ophthalmology waiting list of 42,700 at the end of April 2019, having already rose 5% this year.

The issue of long waiting lists for cataract surgery has been highlighted on a number of occasions over the past few years. 

Kerry TD Michael Healy-Rae has said he has booked buses to Belfast for constituents for over two years to get cataract surgery. 

Other politicians such as Cork South-West TD Michael Collins have also booked bus trips for constituents. 

“We’ve taken action by bringing a bus to Belfast for a simple procedure for a cataract operation that could have taken place here in Bantry Hospital. Really it’s a case of Belfast or go blind,” Collins said in late 2017.

Just under three-quarters (74%) of optometrists reported an increase in the number of patients travelling to Northern Ireland, the survey found. 

Looking at the treatment of children, optometrists said the average wait for public eye-care for under-12s was 14 months, with the highest waiting time of 25 months in Wexford.

Optometrists were also asked if their local HSE office or clinic had arrangements to provide an eye examination to a child aged 8-12 if they were discharged from the HSE service. 62% said they didn’t have such arrangements.

AOI president Patricia Dunphy said: “The cause of our massive and worsening waiting times is an over-reliance on public eye clinics and hospital ophthalmology departments to provide even the most basic care.

Optometrists can provide routine eye examinations, glasses fitting, pre and post-surgery check-ups in the community. Only more complex cases need be referred to clinics or hospitals. This is the model in operation across the UK and Europe and the one Ireland needs.

The association’s CEO McCave added that optometrists should be given prescribing rights alongside their UK counterparts to help drive down the waiting lists. 

“AOI has estimated that in excess of €30 million could be saved while at the same time delivering an accessible and clinically effective service,” he said.

“In Scotland, optometrists are utilised as the front line for public eye-care and they do not have waiting list problems. AOI is calling on the HSE, under the leadership of the Minister for Health Simon Harris, to reform Irish eye-care and better serve the interest of patients.”

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    Mute paul kelly
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    Jun 13th 2019, 12:37 AM

    9 years to see a Urologist in Waterford.

    83
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    Mute Dublin Wings
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    Jun 13th 2019, 12:43 AM

    @paul kelly: That’s taking the pi$$

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    Mute Adrian
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    Jun 13th 2019, 7:01 AM

    @paul kelly: leo wouldn’t believe that now if he heard it, coming especially from waterford. He said as much a few months ago.

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    Mute Charles McGuire
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    Jun 13th 2019, 4:35 AM

    Cataract surgery waiting lists is ridiculous, maybe the government need to contact sight savers all over Africa doing this simple quick operation on how best to do it.

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    Mute Tommy C
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    Jun 13th 2019, 1:14 AM

    Or maybe we could just continue the circle of health getting totally out of control (we are there now) and watch on as the government offer up the head of the minister who took the poisoned chalice fully knowing that he/she will be looked after following the inevitable outcome and go on to do very well for themselves. Maybe even finding themselves giving out on behalf of the public about the new minister who received the chalice in full knowledge that they will be looked after. The cycle needs to be smashed

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    Mute TRUMPS#BLIMP
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    Jun 13th 2019, 7:07 AM

    @Tommy C: we have one of the best funded health services in the world. Something very wrong with the HSE.

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    Mute Dave Barrett
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    Jun 13th 2019, 7:46 AM

    @Tommy C: more like circle of death by the time you are called for a operation.

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    Mute Neuville-Kepler62F
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    Jun 13th 2019, 10:17 PM

    @TRUMPS#BLIMP: Metrics used by HSE are daft.

    Trolleys as a metric of waiting lists is wrong as it measures inputs.
    You must measure the outputs of each and every HSE process …

    Procedures per day per unit staff (10 or 100 or x staff .. whatever the international benchmark is …)

    8 per day in UK NHS
    6 per day in Irish private hospitals
    4 per day in Irish public system

    A few process specialists could solve this by reduction of number of handoffs, reduce in inter handoff dead times, …. there are experts who know how to fix the dreadful Irish health care system waiting lists …

    Procedures per day as a key metric is a must to reduce waiting lists. HSE have enough money … 11% of GDP v 9% for other countries.

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    Mute Dave Doyle
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    Jun 13th 2019, 5:30 AM

    Go private, that’s the FG way.

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    Mute Tim Oleary
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    Jun 13th 2019, 5:23 PM

    @Dave Doyle: If you pay you get the service. Nothing to do with politics. He HSE does its best.

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    Mute Paula Mackie Senior
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    Jun 13th 2019, 12:21 AM

    Unfortunate sentence that cataract patients waiting for surgery *see* waiting lists blah blah…. if the waiting list are so long they’ll see bugger all by the time they get a slot. Where is the editor?

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    Mute Sirius
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    Jun 13th 2019, 7:52 AM

    That’s because we don’t have enough staff or funding. Every section of medical staff is going abroad for better money and better working conditions. Our hospitals are like cesspits. The HSE needs to be torn down, all the dead weight disposed of and a new, non corrupt organisation put together. There’s still far too much nepotism and corruption in the HSE, this means someone’s mate is getting the job over the right person, the most qualified and experienced person.

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    Mute Frank O Regan
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    Jun 13th 2019, 7:57 AM

    “That’s the standard technique of privatization: defund, make sure things don’t work, people get angry, you hand it over to private capital.”

    Noam Chomsky,

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    Mute Charlie
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    Jun 13th 2019, 2:12 AM

    Should of seen this coming

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    Mute davey boy
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    Jun 13th 2019, 7:48 AM

    Patients on waiting lists don’t cost any money. It’s that simple.

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    Mute Seeking Truth
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    Jun 13th 2019, 8:48 AM

    This is dangerous and upsetting. Being on a waiting list with the HSE is like awaiting a prison sentence.

    19
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