At Letterkenny University Hospital, 0.2% of the Ear, nose and throat list and 51.8% of the Neurology list have already waited over a year.

One referral. Two possible queues.

Two readers. When they disagree, Vouch asks.

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“…a three month history of recurrent episodes of rotational vertigo, each lasting several minutes, with headache…”

Reader A

Neurology

Same answer on every reading

Reader B

Ear, nose and throat

Same answer on every reading

They disagree, so Vouch asks.

It will not choose between them; the GP does.

Read two ways, it leads to two lists.

Route one

Ear, nose and throat

about one in 500

Route two

Neurology

about one in two

Share of each list already waiting over a year at Letterkenny. NTPF, published 2026-10-09.

The dangerous case is not when a reading is wrong. It is when two readings are both defensible.

Write the referral

Read twice, separately

Neither reader sees the other.

They agree

They differ. Vouch asks; the GP chooses.

The published evidence opens

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The letter is invented, and the reading shown is the one recorded on 3 September 2026. The waiting-list figures are live NTPF data. The narration voice is AI-generated.

This is not one hospital, and not one month.

In adult endocrinology, across 13 monthly releases, the gap between the hospital with the lowest share waiting over a year and the one with the highest never closed below 72.7 points.

See every hospital, every specialty · How we checked · Check the numbers yourself ↗

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Figures for the Republic of Ireland © National Treatment Purchase Fund, from its published waiting-list reports. UK figures contain public sector information licensed under the Open Government Licence v3.0. Hospital positions © OpenStreetMap contributors, ODbL. No publisher is associated with or endorses Vouch. Vouch does not diagnose, set urgency, or send referrals.

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