Northwest Surgical Hub: Donegal Clinicians Raise Concerns as Proposal Still Awaits Minister's Approval

2025-06-06
Northwest Surgical Hub: Donegal Clinicians Raise Concerns as Proposal Still Awaits Minister's Approval
Irish Medical Times

Growing Anxiety Over Proposed Surgical Hub Location

The push for a much-needed surgical hub in the Northwest of Ireland is facing a critical hurdle as the Minister for Health has yet to receive a formal business case from the Health Service Executive (HSE). This delay is fueling significant concern among healthcare professionals, particularly in County Donegal.

This week, over 170 clinicians from Donegal penned a strong statement expressing their worries that the proposed hub will be located in Sligo, a decision they believe is detrimental to the wider Northwest region. Their argument centers on the fact that Letterkenny University Hospital (LUH) serves a considerably larger and more geographically dispersed population than Sligo University Hospital.

Why Letterkenny Needs the Hub

Letterkenny University Hospital acts as a vital healthcare provider for a vast catchment area, encompassing numerous smaller towns and rural communities. The clinicians argue that locating the surgical hub in Sligo would create significant access barriers for patients in Donegal, leading to increased travel times, higher costs, and potential delays in receiving essential surgical care.

The proposed surgical hub is envisioned as a dedicated facility providing a range of surgical procedures, reducing waiting lists, and improving overall surgical outcomes. Its establishment has been widely welcomed as a crucial step in addressing the growing demand for surgical services in the Northwest.

The Clinicians' Plea

The clinicians' letter highlights the importance of a thorough and data-driven assessment of the optimal location for the hub. They emphasize that the decision should prioritize patient access and the efficient allocation of resources, rather than being influenced by factors unrelated to healthcare needs. They are urging the Minister for Health and the HSE to carefully consider the arguments presented and to ensure that the final decision reflects the best interests of the entire Northwest community.

What's Next?

The HSE is reportedly working on finalizing the business case, which will outline the proposed location, scope of services, and financial implications of the surgical hub. The delay in submitting this case to the Minister for Health is raising questions about the timeline for the project and whether the concerns of Donegal clinicians will be adequately addressed. The situation is being closely monitored by local representatives and patient advocacy groups who are keen to see a swift and equitable resolution.

The Minister's office has yet to comment directly on the clinicians' concerns, but it is anticipated that the business case will be reviewed thoroughly once received, with a focus on ensuring that it aligns with the government's healthcare priorities and delivers the best possible outcomes for patients across the Northwest.

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