Health Services
Dail Éireann — 2026-05-06
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Marian Harkin (IND), Sligo-Leitrim

The Minister for Health has asked me to thank the Deputy for raising this important matter and for the opportunity to update the House on it. He has outlined it very clearly. On behalf of the Minister, I fully acknowledge that waiting lists for primary care therapies, including occupational therapy, are far too long. She recognises that people waiting years to access these services is simply unacceptable.
It is important to recognise that overall activity within the eight core primary care therapies is significant, with approximately 1.3 million appointments having been provided across occupational therapy, physiotherapy, dietetics, psychology, speech and language therapy, audiology, ophthalmology and podiatry services in 2025. However, the HSE has advised that the increased pressure and demands on primary care therapy services are related to an increase in referrals, the increasing complexity of presentations, which of course leads to longer interventions, and challenges related to the recruitment and retention of healthcare professionals.
The recruitment and retention of healthcare professionals, in particular therapy professionals, remain a challenge across the health, education and disability sectors and comprise one of the key causal factors impacting primary care therapy waiting lists.
The HSE has advised that, in integrated healthcare area, IHA, Dublin South West and IHA Dublin South City and West, waiting times are particularly long because demand exceeds the current service capacity. In response, referrals are being triaged and prioritised on the basis of assessed clinical need so those most in need are seen as soon as possible.
The HSE has confirmed that the IHAs in the Dublin Mid-West area continue to progress recruitment and service improvement measures aimed at reducing the current waiting times for primary care therapy services. However, the Minister acknowledges that a lot more needs to be done to reduce waiting times. To that end, the Department of Health is currently working with the HSE on a focused joint programmatic approach to primary care therapy waiting list management to put in place considerable standardised infrastructure to address both the long waiting times and long-term capacity planning.
As part of this programme of work, in September of last year the Minister approved proposals to address occupational therapy, physiotherapy and speech and language therapy waiting lists through a national initiative supported by the enhanced community care programme. The goal of this initiative is to reduce the waiting times for these three therapies to less than ten months. The initiative aims to remove over 60,000 people from the waiting lists across these three therapies by the end of this year, with efforts currently under way in a number of IHAs. The initiative has been rolled out on a phased basis to include all IHAs nationally over the coming months.
Initial results show a reduction of 12,700 patients from these waiting lists for physiotherapy, occupational therapy and speech and language therapy since the initiative commenced. It is very welcome news that both waiting list numbers and the waiting periods of those waiting longest are reducing. For the first time since 2021, waiting lists have decreased month on month over a three-year period. As the work continues throughout the year, we expect to see waiting lists nationally reduce and improved access times for all, including those in Dublin Mid-West.

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Record URI: https://data.oireachtas.ie/akn/ie/debateRecord/dail/2026-05-06/debate/main
Retrieved: 2026-08-14T04:54:54+00:00
Sitting date: 2026-05-06