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Mattie McGrath: Calls Centralised Ambulance Dispatch a 'Disaster'

Mattie McGrath: Calls Centralised Ambulance Dispatch a 'Disaster'

Deputy Mattie McGrath criticised the centralised ambulance dispatch system, saying it has produced chaotic triage, long delays and damaged paramedic morale. He accused the Minister for Health and government ministers of failing paramedics and local communities.

Chaotic triage and call-outs


He recounted a paramedic’s retirement-night story of repeatedly being rerouted - leaving Clonmel, told to head for Carrigan Shure, then Waterford, then New Ross and nearly to Innskarty before being stood down within five minutes. He described a triage system conducted over the phone that can leave ambulances hundreds of miles away and patients waiting for hours.

Paramedic burnout and working conditions


He attacked the system for burning out ambulances and staff, saying paramedics work long shifts, are called back after returning home, and face bullying and destroyed morale. He said working time directives and respect for staff are not being observed.

Accountability and criticism of ministers


He directly accused the Minister for Health and other ministers of knowing about the problems yet failing to act, saying they show contempt for the electorate in East Galway, West Galway, Roscommon and beyond. He condemned ministers for failing to answer questions and for what he described as disgraceful treatment of paramedics.

Mattie McGrath — clip from remarks: Mattie McGrath: Calls Centralised Ambulance Dispatch a 'Disaster' (28.02.2023)

Local control versus central control


He argued that when local control existed, Tipperary managed its own services effectively and response times were reasonable, but that centralised control from Dublin has become a "central control disaster" and urged a return to more local oversight.

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Transcript
Martin McGrath. I, too, have thanks for this motion. This situation has gone from bad to worse. Paramedics were telling me a number of years ago at a retirement due one night that he left because of utter confusion and disgraceful call-outs and ridiculousness of it. He was called out one day actually to leave Clonmel and head for Carrigan Shure. When he inquired heading to Carrigan Shure, oh, Carrigan head for Waterford. When he, near Waterford, oh, Carrigan head for New Ross. When New Ross Carrigan head for, um, head for Innskarty. He was almost within five minutes of Innskarty and he was stood down. It's a triage system. That's the 100 miles minister. It's a triage system that they're doing over the phone or whatever kind of a triage they have. And he says, patience. He didn't know, or never knew. There was a man falling into Sweden in Innskarty and he was there two hours waiting for an ambulance. Such a trauma and anguish. You should be utterly ashamed of yourself, Minister for Health and General Ministers as well. You know this is going on better than anyone. But you just want to have the trick of the loop is that once the call has gone in at two minutes past nine, ambulance dispatch at four minutes past nine. A paper exercise. The ambulance could be 200 miles away. It could be from Galway to Tipperary. It could be from Tipperary up to Sligo. That's how ridiculous it is. Burning out ambulances. I salute the paramedics and the professionals of them. But the hours they work, and then they're coming back to return home after a long shift, they get a car to go elsewhere again. They're being black-headed. They're being bullied. They're being destroyed. Their morale and their abuse. And working time directives and respect for people who are working in jobs, it's not happening. The system has failed and failed utterly. And you have failed as well. And then the Minister comes in and comes in and comes in and comes in and says, yes, he's comical every day because he answers no questions. Then you lined up with him during the Minister as well. I don't know what we describe you as. I'm going to say nothing. Or I might end up some person in the tribunal. But it's ridiculous and it's scandalous the way that you're treating the paramedics, but of all the contempt you have for your electorate. The contempt that you have for your electorate in East Galway, Minister, West Galway, and indeed in Roscommon and all over the country. Nothing other than contempt for the people that voted for you and voted for Minister Donnelly as well. And I know some of the late Count she got in, but you won't look after the people. Get rid of this Dublin. When we had local controls, the Tipperary had their own control. They managed fine and the ambulances did a good job and timely response and everybody was reasonably happy. Now it's a central control disaster.