Cancer services in Ireland are organised on the basis of a centralised model of care rather than a per-county basis. That enables the specialists to support the specialist centres. There are eight designated adult centres, 26 systemic anti-cancer therapy centres and three public radiation oncology centres. While performance data is collected at each centre, it is not based on where the person lives; it is based on the performance of the centre. Patients from Cavan and Monaghan are referred to the most appropriate c…

The timeline is the one we have all set in relation to the Sláintecare targets. We are all working towards that. As we discussed earlier, I would appreciate those specific examples so I can follow them up much better.

Across 2025, in Beaumont Hospital, where many patients would be referred, 80% of urgent breast cancer referrals were seen within ten working days and 98% of the non-urgent referrals were seen within 12 weeks. It sounds so impersonal to talk about the metrics, but you have to look at how everybody is experiencing it and not an individual to see how we are doing over time. In December 2025, Beaumont Hospital increased its capacity for urgent outpatient slots by ten per day to try to clear any backlog. In addition, ne…

I might separate that into two things. I do not know what I was doing ten years ago, or what the Deputy was doing ten years ago. I do not know what that has to do with anything. I do not know who wrote that for the Deputy as a political point.

If we could get to the reality of the delivery of cancer services, this Oireachtas agreed Sláintecare. I am here at the moment - there will be somebody after me, as there was somebody before me - to try to implement that and make sure we have a public system that meets people's needs as close to home as possible and in a timely way. We are making good progress with that. If the Deputy looks at our cancer strategies and how they have contributed to that, she will see that when the first cancer strategy was launched …

I thank the Deputy for allowing me to update the House on this matter. Primary care centres form an important part of our health infrastructure and provide a single point of access to primary and community care services for individuals. As the Deputy is more than aware, the need for a new primary care centre in Gorey was identified as part of the overall primary care centre development programme. The development of that centre had previously been progressing under the operational lease model. A tender process was u…

The Deputy is well aware of the circumstances in which the previous process lapsed. We will continue to make sure it progresses at the appropriate pace. I will speak to the HSE about it. We will all be very pleased when we see a tender awarded and progress beginning on the site.

I appreciate the absolute commitment to this issue by Deputy Byrne and the other Deputies from the area on behalf of the people of the region. I think we will end up with a good-sized primary care centre but we want to see progress on that and facilities expedited as much as possible. I certainly will continue to work with the Deputy and with the HSE to try to maintain the appropriate schedule to ensure the project progresses.

I appreciate the Deputy's question. My Department is committed to ensuring there is safe and equitable access to termination of pregnancy services. We have taken a number of important actions to give effect to that, on which I will update the House. In line with the programme for Government, all 19 maternity hospitals are now providing termination of pregnancy services. There has also been a continuous increase in the number of community providers, which currently stands at 487. That is hugely significant in the co…

I really do hear the Deputy. I respect that there are so many different views on this issue. I am broadly pro-choice and voted that way but I am not unreservedly pro-choice. Certainly, there are many elements of Deputy Murphy's Bill I simply do not agree with and cannot find a way to agree with. As Minister, I have tried to facilitate the broadest debate. I really do respect the very different opinions and the very different articulations of those opinions on all sides of the House. Prior to becoming Minister, I wa…

I apologise.

The very essence of democratic choice is that those who are elected by the people may come into this House and freely choose how they wish to vote. I have every respect for Deputy Coppinger's vote, just as I have every respect for the votes of the Minister of State, Deputy Butler, and of Deputies O'Shea, Ó Muirí, Kerrane and every single person in this House. I respect their vote, their perspective, how they represent their constituents and what they are doing here. That is the democratic process. Citizens' assembl…

I propose to take Questions Nos. 12 and 104 together. I thank the Deputy. I acknowledge how consistently she raises this. She had a Topical Issue on it last week and I acknowledge her complete commitment to this issue and to the people of Roscommon. As she will be aware, the National Ambulance Service serves County Roscommon from three 24-7 bases located in Roscommon, Boyle and Loughglynn. Emergency ambulances services at these bases are staffed by NAS paramedics, advanced paramedics and emergency medical technicia…

I would be very pleased to speak with the Deputy about that in more detail. I think there is still a vacancy, based on the information I have, and I am glad the second vacancy has been filled. I would be very happy to discuss this with the Deputy more directly, but I am advised RRVs across the country are routinely crewed by paramedics or advanced paramedics and that is in accordance with the Pre-Hospital Emergency Care Council emergency dispatch crewing standards. Obviously, we want them to be advanced paramedics …

I do not disagree with the Deputy and I respect the manner in which she consistently raises this and the concerns she has as a result of this not being resolved. I will it discuss it with the NAS and the region more generally. I will try to follow up and get this resolved. The Deputy and I will be pleased when that is so, for the benefit of the people of Roscommon and their safety.

I thank the Deputy for giving me the opportunity to provide an update to the House on the capital works ongoing at Mallow General Hospital. In 2023, a new ward block for Mallow General Hospital was constructed and opened. As part of that project, two additional floors were constructed to facilitate subsequent infrastructure investment at the hospital, as the Deputy is aware. The subsequent development of the ward block is being progressed in two phases. Phase 1 involves the fit-out of the additional space to provid…

It is an acute step-down unit for the larger model 3 and model 4 hospitals in the Cork and Kerry region that accepts patients who still require hospital care but no longer require an acute bed is absolutely critical. I have been looking at its usage. For example, during the fourth quarter of 2025, on average there were four vacant beds every day in Mallow hospital. There were 12 days in the fourth quarter of 2025 - remember that was a peak flu season in the early part of December - when ten or more beds were vacant…

I totally agree. Of course they would and of course they want access. Two weeks later on Saturday, 27 December, there were 15 beds in Mallow. That is not the fault of Mallow hospital. The beds are there. What is important for the region is that people are moved out of other hospitals that are under pressure to make sure they get good care in Mallow hospital. Fifteen beds were vacant in Mallow hospital on Saturday, 27 December. Ten beds were vacant on Sunday, 28 December and the following week, Mercy University Hosp…

I thank the Deputy. I am happy to talk to him about the accident and emergency department in Beaumont Hospital. Following recent investments, there are a number of significant proposals for capital investment and all are progressing through the requisite design and planning stages. As a live hospital campus, it is more complex as things have to be moved where patients are being seen. The planning, sequencing and enabling of these projects are all being managed through the HSE capital development process, in line wi…

It is contributing to PET, which is too long in Beaumont Hospital, twice what it should be. It is approximately eight hours; it should be four hours.