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cost of attending an outpatient appointment, including coming from a different part of Ireland and not Dublin, having to perhaps take a day off work to arrange childcare for other children, the cost of petrol, etc. There is also the emotional cost of planning for a particular outpatient … wait to be seen by a consultant. A dedicated referral pathway for GPs has been introduced for urgent cases. Alongside that, national and international outsourcing arrangements have been expanded. For non-complex spinal procedures, pathways to Blackrock and Cappagh hospitals are being used to free up capacity