Minister Donnelly publishes the Waiting List Action Plan for 2024
From Department of Health
Published on
Last updated on
From Department of Health
Published on
Last updated on
Minister for Health Stephen Donnelly has published the 2024 Waiting List Action Plan (WLAP). Total funding of €360 million has been provided for the WLAP this year and the WLAP sets out 19 actions across three themes, namely Delivering Capacity, Reforming Scheduled Care, and Enabling Scheduled Care Reform.
The 2024 Plan builds on progress achieved in 2021, 2022 and 2023 as part of the multi-annual WLAP approach, initiated by Minister Donnelly to sustainably reduce and reform hospital waiting lists and waiting times, and to move closer to achieving the Sláintecare maximum wait times.
Minister Donnelly stated:
"I am delighted to publish the 2024 Waiting List Action Plan. This ambitious Plan will continue the positive progress we have been making in relation to our waiting list performance in recent years.
"This Action Plan aims to achieve an almost 6% reduction in the overall number of patients on waiting lists by the end of December. This represents a significant increase on the 2.7% reduction delivered last year.
"Importantly from a patient perspective, in 2023, we achieved significant improvements in waiting times. This is an integral component of our work again this year, with three of the four overarching targets in the Action Plan specifically focused on improving waiting times."
This year’s Plan encompasses four overarching targets to reduce both waiting list numbers and also the time that people wait for their care, namely:
It is important that these targets are contextualised based on projected activity rates for 2024. In 2023, the overall removals target was exceeded by 5%, with over 1.74 million patients removed from hospital waiting lists. The 2024 WLAP expects to remove even more patients this year and is projecting that over 1.81 million patients will be removed from hospital waiting lists by the end of December 2024.
However, the rate of additions to the waiting list in 2024 is also projected to further increase beyond the levels experienced last year. The rate of additions in 2023, was 8% higher than targeted in the 2023 WLAP and over 12% higher than the rate of additions seen in 2022. For 2024, the HSE are projecting that the rate of additions will be approximately 5% higher than experienced in 2023.
Despite the increased rate of additions, the 2024 WLAP aims to deliver more removals this year compared to 2023, which would ultimately result in a reduction in the overall waiting list from 671,413 in January to 632,086 by the end of December 2024 (a reduction of approximately 39,000 people).
Minister Donnelly also noted that:
"The progress delivered over the last number of years, both in terms of reducing waiting times for patients and our waiting lists overall, was achieved against the backdrop of significantly increased demand for scheduled care services.
"Delivering the targets in this year’s Action Plan, will be underpinned by further increased activity in our hospitals.
"As such, I would like to thank healthcare staff for their huge efforts that enabled the significant improvements in waiting times and waiting lists to be realised to-date and for their continued commitment to addressing this challenge again in 2024."
Funding of €437 million has been allocated to address waiting lists in 2024. A total of €360 million of this funding has been provided for the 2024 Waiting List Action Plan (WLAP), which includes €179 million for the National Treatment Purchase Fund (NTPF). Funding of €77 million has also been allocated for primary care/community-based initiatives. This includes €3 million, specifically to address waiting lists in Child and Adolescent Mental Health Services (CAMHS), which is a priority for the Minister for Health in 2024.
The Department of Health worked closely with the HSE and the National Treatment Purchase Fund (NTPF) to develop the specific actions and targets set out in this year’s WLAP.
One of the ultimate objectives in reforming scheduled care is to ensure that people can access care in a timely manner, when needed. A critical metric to measuring progress towards achieving this goal is not the total number of people waiting, but rather the total number of people waiting longer than the Sláintecare waiting times. As such, it is worth noting that three of the four overarching targets for the 2024 WLAP are specifically focused on improving waiting times.
People waiting for an outpatient (OPD) appointment constitute the majority of the total waiting list figures, almost 84% (based on end December 2023 figures). As was the case last year, there will be strong focus on the OPD waiting list throughout 2024. Given that approximately one in five patients are referred on to the inpatient/daycase (IPDC) waiting lists after having an initial OPD appointment, this increased OPD focus will necessarily impact IPDC waiting lists. However, while the overall volume of patients on IPDC waiting lists is projected to increase during 2024, importantly from a patient perspective, the number of patients exceeding the Sláintecare wait time targets on these lists will decrease.
The WLAP multi-annual approach, initiated in 2021, encompasses a two-pronged approach of short-term actions to increase capacity and activity in the immediate term and longer-term reform measures to sustainably reduce and reform hospital waiting lists and waiting times. This WLAP approach is having a positive impact on hospital waiting lists. For example, each of the WLAPs to-date have achieved a reduction in the overall waiting list numbers at the end of each year, namely a 5.4% reduction from September to December 2021, a 4.1% reduction for WLAP 2022, and a 2.7% reduction for WLAP 2023.
Under the 2024 WLAP, the HSE is aiming to deliver increased activity levels above the 2023 out-turn, namely 5% increases in both IPDC and GI Scopes, and an 8% increase in OPD activity compared to 2023 levels.
The WLAP commits to deliver the extra 3% OPD activity, on top of the NSP activity commitments, through four specific initiatives in 2024. These four initiatives are as follows:
In addition, through the work of the new Productivity and Savings Task Force, further initiatives will be progressed to deliver additional care, which will also help to reduce waiting lists this year. For example, this will include considering opportunities for increased activity linked to the new public-only consultant contract, such as extra OPD clinics for new appointments.
The 2024 WLAP encompasses 19 actions under the themes of “Delivering Capacity”, “Enabling Scheduled Care Reform” and “Reforming Scheduled Care”: