29 Jun 2022

45,000 people on waiting lists for assessment or treatment in Sligo and Letterkenny hospitals

45,000 people on waiting lists for assessment or treatment in Sligo and Letterkenny hospitals

Irish Hospital Consultants Association (IHCA) President Prof Alan Irvine has ststed, “Failing to recruit Consultant medical and surgical specialists in the North West will inevitably lead to patient harm, poor clinical outcomes, exposure to high compensation costs and increased spending on temporary agency staff. The growing waiting lists and Consultant vacancies in the region highlight once again the false economies that exist in our health system which benefit no one."

The Irish Hospital Consultants Association (IHCA) has today warned that the ongoing shortage of hospital Consultants across a large number of specialties in the North West is restricting patients from accessing timely, high-quality medical and surgical care and is contributing massively to growing waiting lists.

Letterkenny University Hospital (LUH) and Sligo University Hospital (SUH) combined have more than 45,000 people currently on waiting lists for hospital treatment or an outpatient appointment with a Consultant.1 This is an increase of 12,300 people (37%) since 2015.

The number of patients awaiting inpatient or day case treatment at LUH and SUH has increased by 57% over the past seven years to 6,200, with a worrying five- and six-fold increase respectively in the number waiting longer than a year for essential treatment.

Of the 37,200 people on outpatient waiting lists at both Letterkenny and Sligo Hospitals, a quarter (9,300) are waiting longer than 18 months – the HSE’s maximum wait time target due to be in place by the end of 2022.

In total, between April 2015 and April 2022, there have been an increase of 8,200 people in the outpatient waiting lists at the two hospitals, an increase of 28%. These waiting lists are likely to worsen in the coming months as more people who have put off seeking care during the pandemic need treatment.

The Consultant recruitment crisis in the North West is evident as one in three permanent Consultant posts at LUH are either vacant or filled on a temporary or agency basis, with one in four not filled as needed at SUH.

In fact, there were no applicants at all last year for the following Consultant posts:

  • Physician in Geriatric Medicine at SUH and Older Persons Services Sligo/Leitrim;
  • Clinical Neurophysiologist at SUH/UHG;
  • Two Child & Adolescent Psychiatrists in Sligo/ Leitrim Mental Health Service (MHS);
  • Consultant in Old Age Psychiatry in Donegal West MHS. 
  • In addition, a joint ENT Surgeon post for SUH and LUH remains unfilled despite three extensions to its deadline, while a
  • Consultant Microbiologist post at Letterkenny remains unfilled even though it was advertised for over a year and extended seven times.

The IHCA says the failure to recruit Consultants to fill these and many other vacant posts across the country has led to the HSE’s medical/dental agency spend increasing from €37m in 2012 to €95m in 2021.4 This increase of €58m per annum, or more than two-and-a-half times the 2012 costs, does not include additional agency spend by voluntary hospitals.

Letterkenny spent the third highest amount on medical agency doctors in the country last year, at a cost of €5.025m.  Combining that figure with the medical agency spend at SUH (€2.339m) and in CHO1 (€1.823m) gives an overall bill of €9.187m for the region - almost 10% of the national total.

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