Data on number of patients who abandon their visit to emergency departments without being formally discharged

THE number of patients walking out of emergency departments without ever being formally discharged has reached record levels.

More than 13,500 people simply abandoned their visit to the accident and emergency ward during January of this year and December last.

It means that nearly one in sixteen patients who arrived seeking emergency medical care left instead, either frustrated by lengthy queues, going elsewhere for treatment, or returning home.

The figures for January 2018 and December 2017 include 859 children, whose parents thought they were sick enough to bring to hospital but later left without officially being told they were healthy enough to go.

In a statement, the HSE said there were a variety of reasons why patients might leave an emergency department, not only wait times.

However, the numbers have been climbing during precisely the same period as waiting lists in Irish hospitals reached their highest levels yet.

In January, 6,499 people were classified as “did not waits” compared to 4,777 people in the same month in 2017.
The figure was actually even worse in December when 7,055 people – or 6.3% of all patients presenting – went home without formal discharge from hospital.

There has been a steady rise in the percentage of patients not waiting for emergency treatment, from 4.8% in January 2017 to 6% and above in the two most recent months for which figures are available.

Ministerial pre-budget submissions on generous tax incentive regimes for executives from multinational companies

THE Department of Finance rejected a proposal to double the length of time a generous tax incentive applies to executives from multinational companies.

Minister Paschal Donohoe was also discouraged from allowing extension of another tax relief scheme for top executives amid fears it could create a “significant loophole”.

In a budgetary submission, Minister Paschal Donohoe was briefed on a plan to allow senior personnel benefit from ten years of a special tax scheme instead of the five years currently available.

Under the arrangement – known as the special assignee relief (SARP) – 30% of income above €75,000 is exempt from income tax.

Those who benefit are also allowed a €5,000 per child tax-free allowance for school fees, if those fees are paid by their employer.

A budgetary submission explained how the Department of Business had asked for the extension of the scheme to “facilitate the attraction and embedding of mobile investment and high calibre individuals”.

The document explained how the SARP scheme was designed to ensure that Ireland remained competitive when vying with other countries for foreign investment.