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JULY 2005

'Donegal on the back burner again'

Following the announcement that cancer treatment services will be available in Belfast to patients from Donegal by next year, local campaigners for improved cancer services in the north west have suggested that Donegal has been 'put on the back burner once again'.

Mary Harney, An Tánaiste and Minster for Health, indicated in an announcement, that those in need of treatment for cancer will be able to use the resources at Belfast City Hospital from next year. She also rejected claims that the northwest is being excluded from cancer treatment services.

Members of the Donegal Action for Cancer Care, who will travel to meet the Minister today, (Wednesday, 27th July) include John Day, Bríd Gillespie and Lynn McDevitt as well as the North West's Regional Director of Cancer Services, Mr, Kevin Moran and Consultant Radiation Oncologist at St Luke's Hospital, Dr Ian Frazer. The Chairperson, Noelle Duddy, who will be part of the delegation, said the Minister's announcement was 'purely aspirational.' "From what we can gather from the announcement there has been nothing concrete agreed upon and even if an agreement is reached there are so many other issues to be resolved before this could be viewed as a solution to the problems here." The DACC Chairperson said if these issues were resolved then there would be no problem in sharing resources across Ireland, but she said it would have to happen as a matter of urgency. "If this were to happen it would have to happen next year, but they have been talking about sharing resources since 1992 and nothing has happened. Unless somebody has waved a magic wand I can't see how all the issues have been resolved."

The local group will meet the Minister today to press for a specialist breast cancer unit, which they say is vital in order for Letterkenny General Hospital to retain and develop cancer services. The group will also seek more details from the Minister following her announcement. "From what we have heard so far, there is nothing to suggest that this is a real solution and we will want details from the Minister of how these cross-border arrangements will work. At the minute though we feel as if the whole thing is just another way of putting the people of Donegal on the back burner once again." Said Noelle. Those sentiments however have been dismissed by the Tániste who said yesterday it was wrong to say that Donegal is not being catered for in the announcement made by her during the week. She also insisted that the announcement was 'not just an aspiration, but a plan that would be backed up with resources.'

Noelle Duddy said in order for Letterkenny General Hospital to retain and develop cancer services it is necessary that it be awarded the status of a Regional Specialist Breast Unit. The Tániste must do this immediately. "Letterkenny Hospital and the population it serves have been left in limbo for long enough. The O'Higgins Report on breast cancer services was published five years ago, and still no decision has been made."

The patient based campaign group, which has set up 19 branches across the county since the start of April says the Government must give Letterkenny Hospital the capital funding for the infrastructure it needs to develop cancer services in the region. Delaying the decision is costing lives, says Noelle. "Patients continue to have unnecessary surgery, delays in treatment, no treatment and/or long painful journeys to Dublin or Galway." DACC believe that Letterkenny Hospital should be designated as a Specialist Breast Unit, in partnership with its sister hospital, sligo Regional Hospital. The combined populations of Donegal, Sligo and Leitrim are in excess of 221,500 people and Letterkenny alone treats at least 50 cases of breast cancer per year.

The campaign has repeatedly expressed concern that recent reports on hospital and radiotherapy services have minimised the problems experienced by patients and their families with travelling and staying for long periods away from their local areas. "Results from a survey carried out by DACC amongst cancer patients in Donegal "strongly" indicate that travelling, isolation, loneliness and financial difficulties are major factors in adding to the distress of cancer patients", says Noelle. "Many women, up to five per year, in Donegal, are 'opting' to have a mastectomy instead of a recommended wide excision lumpectomy with radiotherapy treatment because they cannot travel to Dublin or Galway leaving their children and family behind. Patients requiring palliative radiation treatment to help alleviate their symptoms are not getting these treatments because they are unable to travel. This is an intolerable situation and must not be allowed to continue."

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