![Letterkenny General Hospital]()
Letterkenny General Hospital
The Donegal Action for Cancer Care has slammed the Department of Health after it scheduled a meeting for December 22nd - in Dublin.
The group, which is a voluntary committee, was due to hold the meeting at the beginning of December.
But the group has now been told the meeting is scheduled for three days before Christmas at 3.30pm.
A furious DACC spokesperson Betty Holmes has said the group will not be attending the meeting because of their commitment to their families.
In this impassioned response to the Department of Health's move, Mrs Holmes said the Minister must come clean on the future of cancer services in Donegal.
This is the group's statement in full.
“Donegal Action for Cancer Care have worked very hard this year as we have for the last 10 years 8 months”, says Betty Holmes. “We are all voluntary unpaid and this year we continued to have very serious concerns regarding the future of key cancer services for Donegal patients at Letterkenny Hospital.”
"Such was our concern regarding cancer services for Donegal patients back at the start of this year that we requested a meeting at the Dept. of Health which we had in February with a follow meeting in August and at that meeting we requested another follow up in the first week of December……we have worked hard ensuring that we got these follow up meetings, they just didn’t happen!
We started chasing the beginning of December meeting in early November and two weeks ago we are now told that this meeting will be held on Wednesday 22nd December at 3.30pm in the Dept. of Health Dublin. We asked that it be changed but it’s a no! Maybe the start of 2016 has another agenda for them?
“We were more than annoyed & upset when we were told this. We still are. This was not what was agreed at the August meeting” said Betty.
“DACC will not be able to make this meeting due to it being 3 days before Christmas!! On this occasion we must put our families first. It is to us in DACC a “tick box” exercise to say it happened. Definitely highlights again that there is no understanding of where Donegal is at on the map!!”
"We must also ask what is the Minister for Health’s agenda expecting Consultant Surgeons to travel from Letterkenny & Galway Hospitals to Dublin for this meeting 3 days before Christmas. Surely these Consultants should in their professional roles have their patients in hospital as their primary concern?
"We then followed up this information with a detailed email with our questions attached on the 23rd November for a written reply. We have also sent the Bus Eireann timetable highlighting bus times to get to a 3.30pm meeting in Dublin…what it means is DACC members would have to leave home at approx. 8.30am get the 9.20am bus to Dublin so that they could be sure to be at the Dept. of Health for 3.30pm and then get home on the 6.45pm bus back to Letterkenny at approx..11pm…..no odds about our families who support us so much during the year with our DACC work.
“We think the public have a right to know what is happening & where DACC genuine concerns for cancer services are at” said Betty.” No point in saying you are committed to cancer services at Letterkenny Hospital and then this date for a meeting.” Total disregard for the people of Donegal! Imagine how the patients feel. Below is our introduction to the questions we have forwarded for this meeting to the Minister for Health, the Ministers Advisor, the Dept. of Health, to The Soalta & The Cancer Control Programme & The General Manager Letterkenny Hospital…
"DACC sincerely regret that due to family commitments we are unable to make the meeting at the Dept. of Health in Dublin on the 22nd December 3 days before Christmas. We are very aware that it was DACC who initially requested these 3 meetings as we felt it was very important to have questions & concerns regarding the future of key services at Letterkenny Hospitals answered.
"DACC have never in our ten year & 8 month existence requested a meeting or been invited to one we did not attend. 3 days to Christmas for a meeting, well you know our views on it. We will challenge minutes any more that do not reflect what was requested and agreed at a meeting. In August when we requested that the meeting would be held in first week in December, this was supported by Mr. Sugrue. The minutes didn’t reflect this.
On this occasion so close to Christmas Day our families, our children & grand children must come first.
Below are the questions we have already submitted when date was given for the meeting & we have requested written answers to please:
1) Update on the agreed actions from the 27th February meeting.
2) The Centralisation of the Referral Process for appointments to the Breast Unit at Letterkenny Hospital.
This new system is not working and is definitely not in the best interest of Donegal Breast Cancer Patients or indeed the Breast Unit at LGH. Saolta as you know tell us it is all working well, it is not the case.
What we are asking please for the following information please:
• The number of patents referred to the Breast Unit at Letterkenny Hospital?
• The number of patients when requests received are considered urgent & non urgent?
• The number of patients whose appointment request is sent to Galway on a daily basis?
• The number of patients whose appointments are allocated by Galway twice weekly that are Urgent & Non Urgent?
• The number of patients whose appointments are given to attend at the Breast Unit Letterkenny?
• The number of patients whose appointments are given to attend at Galway from Letterkenny’s referrals?
3) Prostate/ Urology Services at Letterkenny Hospital.
While we are delighted that there has been action on this with surgery starting again at LGH on Friday 13th November and promises that the clinics would start with a “couple of weeks”.
In Feb this year there are 425 men with prostate cancers & 160 women & men with bladder cancers that needed to be followed up. We were assured that the resources that were needed to treat the patients at Letterkenny Hospital would be made available.
• What is the official start date for the clinics to resume at Letterkenny Hospital? Couple of weeks is now.
• How often will clinics be held at Letterkenny Hospital?
• How many of these patients from Feb. have now 9 months later been seen by a consultant elsewhere?
• How many new patients are there since February? We believe this figure is in hundreds.
• How many of these have been seen if any to date?
4) Re re-introduction of Prostate/ Urology Surgery at Letterkenny Hospital.
We have some concerns that the weekend appears to be the only time available at Letterkenny Hospital for this surgery and do wonder why it has changed to the weekend when it wasn’t before?
• Is this intentional weekends so that it is hoped that it will not succeed?
“We have been told that this is an interim arrangement whilst The Saolta Group finalise a group wide strategy for urology services – end of 2015”.
For us in DACC we did raise our concerns that the group wide strategy for Urology Services will not mean taking them from Letterkenny Hospital to Galway…..this would not be acceptable to us in DACC at all. The Saolta Group reassure us that they are committed to maintaining a urology service in Letterkenny for the patients of Donegal.
• What does “committed to maintaining urology services at Letterkenny Hospital” actually mean? Details please.
5) Letterkenny University Hospital- New Name
With Letterkenny Hospital now re-named as part of the Saolta University Hospital Group can you outline to us the benefits this will have for Letterkenny Hospital?
• What additional resources/ services will this re-branding provide to Letterkenny Hospital?
• Is this about strengthening services at University Hospital Galway?
6) Letterkenny Hospital as 9th Centre of Excellence
DACC are now calling on you all clearly within your professional roles please to very seriously look at Letterkenny Hospital becoming the 9th Centre of Excellence. We first raised this back in 2009 and while it appears to have fallen on deaf ears we have & are keeping it to the fore please.
• We now ask for your support with this & that very serious consideration is given to it.
• And if not why not to be outlined in great detail please.
We have attached our DACC map again, with pages outlining distances & indeed discrimination for Donegal patients & Letterkenny Hospital…… Not just a reason by any means to have a Centre of Excellence but with the excellence that already exists at Letterkenny University Hospital including its top rate Cancer Services as well as its Clinical & Research Academy and now Radiotherapy at Altnagelvin Hospital in the autumn next year, LGH as the 9th Centre is another major step forward in healthcare.
No reason Belfast can’t be the 10th completing the circle around Ireland??
We are sure that you all will want to do what is in the best interest of the cancer & other patients; it’s about health care and not unrealistic strategic plans while services are removed, become unstable & patients unable to access treatments & care.
7)We note with interest that within the previous Minister for Health’s document “The Establishment of Hospital Groups as a transition to Independent Hospital Trusts” “ recognition of the geography of the region, Sligo and Letterkenny General Hospitals will be managed as a distinct unit within the West/North West. The precise management arrangements will be determined and agreed by the interim board of the group. The synergistic service model developed between Sligo and Letterkenny hospitals should be retained. Letterkenny Hospital, because of its geographic location, similar to Kerry and Wexford General Hospitals, should retain its full range of ED, medical, surgical, maternity and paediatric services”.
Another point the reports reference to Kerry & Wexford Hospitals geographical location is nothing like Letterkenny Hospitals.
*From Kerry Hospital to Cork University Hospital is 1 hour 42 minutes, 115 km.
*From Kerry Hospital to Limerick University Hospital is 1hour 22 minutes 95.5 km
*From Wexford Hospital to Waterford University Hospital is 58 minutes 60.6km.
*From Letterkenny Hospital to University Hospital Galway see attached in this document.
“ We really felt that we have a responsibility to let the people of Donegal know where the cancer service needs of Donegal people are at on the Ministers agenda, we won’t let any of those in highly paid jobs with responsibility for these vital services off the hook , we will keep working hard in 2016 & beyond. We are repeatedly told that cancer services are secure at Letterkenny Hospital we do not believe so. What we see is that the focus is on building up the so called 8 Centres of Excellence and nothing else. All you have to do is look at how health services across the board are being cut, withdrawn, waiting lists, operations cancelled, etc. Health affects everyone of us from before we are born till we die, how our health is affects everything else we do in life. It should be the number one priority for all Governments” said Betty.