October 2018

Management Data Report

Heat Map: Performance RAG Rating Finance RAG Rating HR - Absence HR - Indicative Workforce Red • > 10% of target Red • ≥ 0.75% Red • > 4% Red • > 1.5% of target Amber • > 5% ≤ 10% of target Yellow/Amber • ≥ 0.10% to < 0.75% Amber • ≥3.7%<4.0% Amber • > 0.5% ≤1.5% of target Green • ≤ 5% of target Green • < 0.10% Green • <3.7% Green • ≤ 0.5% of target Grey • No result expected Contents Acute Hospitals Services Community Healthcare Services NSP KPI Overview 4 Health & Wellbeing 89 Inpatient Cases 8 Primary Care 91 Daycase Cases 10 Social Inclusion 99 Emergency Discharges 12 Palliative Care 100 Elective Discharges 14 Mental Health 103 Maternity Discharges 16 Older Persons 109 Inpatient Discharges greater or equal to 75 years 18 Disabilities 113 Daycase Discharges greater or equal to 75 years 20 National Services Inpatient & Day Case Profiles 22 PCRS 118 All Emergency Presentations 24 Human Resources New ED Attendances 26 HR Summary 121 Return ED Attendances 27 Employment by Service Area 122 Injury Units 28 Employment by Staff Group 123 Other Emergency Presentations 29 Employment by Administration/Section 38 124 Births 30 Employment by Acute, Community 125 Outpatient Attendances (New & Return) 31 Employment by HG & CHO 126 Adult In Patient Waiting List 33 Employment by HG and Hospital 134 Adult Day Case Waiting List 35 Hospital Group Absence 135 Child In Patient Waiting List 37 Absence Rates by Service / Staff Category & Division 136 Child Day Case Waiting List 38 Absence Rates by CHO and Divisions YTD 137 Outpatient Waiting List 39 Absence by Staff Category 139 Urgent Colonoscopy 41 EWTD Acute Hospitals 140 GI Waiting List 43 EWTD Mental Health Services 141 ED PET - All Patients 45 EWTD Disability Services 142 ED PET - Patients over 75 years 46 Finance ED Patients who leave before completion of Treatment 47 Gross Debtor Days for Private Charges 144 ALOS excluding over 30 days 48 Service Level Arrangements 145 Medical ALOS 50 Net Expenditure by Division 146 AMAU within 6 hours 51 Hospital Groups 147 Acute Medical Admissions 52 CHOs 149 Emergency Re-admissions: Medical 53 National Ambulance Service 151 Surgical ALOS 55 Health & Wellbeing 152 Surgical Day of Admission 56 Primary Care (Total) by CHO 153 Laparoscopic Cholecystectomy 58 Primary Care (excl Social Inclusion & Pall Care) by CHO 154 Emergency Hip Fracture Surgery 60 Primary Care (Social Inclusion) by CHO 155 Emergency Re-admissions: Surgical 61 Palliative Care by CHO 156 Delayed Discharges 63 Mental Health by CHO 157 HCAI - Hospital acquired S. Aureus infection 64 Social Care (Older Persons) by CHO 158 HCAI - Hospital acquired C. Difficile infection 66 Social Care (Disabilities) by CHO 159 Number of New Cases of CPE 68 Support Services 160 Cancer Services - Breast 70 PCRS 161 Cancer Services - Lung 75 Demand Led Schemes 162 Cancer Services - Prostate 78 Net Expenditure (Pay) 163 Cancer Services - Radiotherapy 81 Net Expenditure (Non Pay) 164 National Screening Service 83 Net Expenditure (Income) 165 NAS 84 Income by Category 166 Ambulance Turnaround Times 85 Agency & Overtime 167 National Ambulance Service NSP KPI Overview 86 Data used in this report refers to the latest performance information available at the time of publication

2 Acute Hospitals

3 NSP KPI Overview Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Aug-18 Sep-18 Oct-18 Discharge Activity Inpatient Cases * M-1M 634,993 633,786 475,598 478,750 0.7% 476,121 0.6% 54,928 52,710 0 Inpatient Weighted Units * M-1M 652,519 635,439 474,965 480,506 1.2% 486,133 -1.2% 54,501 50,745 0 Daycase Cases (includes dialysis) * M-1M 1,072,981 1,056,880 800,708 801,015 0.0% 808,218 -0.9% 90,814 86,299 0 Daycase Weighted Units (includes dialysis) * M-1M 1,058,492 1,026,007 779,770 786,242 0.8% 798,164 -1.5% 89,186 84,180 0 Total inpatient & Daycase Cases * M-1M 1,707,974 1,690,666 1,276,306 1,279,765 0.3% 1,284,339 -0.4% 145,742 139,009 0 Emergency Inpatient Discharges * M-1M 431,505 430,859 323,449 327,264 1.2% 322,971 1.3% 37,575 35,549 0 Elective Inpatient Discharges * M-1M 92,293 91,427 69,032 69,458 0.6% 69,430 0.0% 8,097 8,197 0 Maternity Inpatient Discharges * M-1M 111,195 111,500 83,117 82,028 -1.3% 83,720 -2.0% 9,256 8,964 0 Inpatient Discharges ≥ 75 years * M-1M 119,952 119,166 89,458 93,018 4.0% 89,667 3.7% 10,732 9,653 0 Daycase discharges ≥ 75 years * M-1M 186,046 183,538 139,395 143,394 2.9% 140,187 2.3% 16,587 15,701 0 Emergency Care New ED attendances M 1,182,844 1,178,977 979,262 1,020,166 4.2% 982,387 3.8% 101,774 100,444 105,586 Return ED attendances M 96,981 97,371 81,527 82,633 1.4% 80,986 2.0% 8,336 8,090 8,501 Injury Unit attendances M 89,326 91,588 77,994 80,301 3.0% 76,043 5.6% 8,103 8,247 8,441 Other emergency presentations M 48,741 48,709 41,116 41,650 1.3% 40,965 1.7% 4,238 3,705 3,953 Births Total Number of births M 61,753 61,720 51,405 51,510 0.2% 51,642 -0.3% 5,266 5,349 5,263 Outpatients Number of new and return outpatient attendances M 3,287,693 3,337,967 2,811,610 2,804,602 -0.2% 2,764,567 1.4% 281,949 270,955 303,088

Outpatient Attendances - New : Return Ratio (excluding obstetrics, warfarin and M 2.5 1 : 2 2.0 2.5 25.0% 2.5 0.0% 2.5 2.4 2.4 haematology clinics) Activity Based Funding (MFTP) model HIPE Completeness - Prior month: % of cases entered into HIPE M-1M 94% 100% 100% 92% -8.0% 90% 92% Inpatient & Daycase Waiting Times % of adults waiting <15 months for an elective procedure (inpatient) M 86.5% 90% 90% 82.6% -8.2% 85.9% -3.8% 82.1% 82.6% 82.6% % of adults waiting <15 months for an elective procedure (daycase) M 92.6% 95% 95% 91.6% -3.6% 93.5% -2.0% 90.6% 90.6% 91.6% % of children waiting <15 months for an elective procedure (inpatient) M 88.7% 90% 90% 86.8% -3.6% 87.0% -0.2% 83.8% 84.6% 86.8% % of children waiting <15 months for an elective procedure (daycase) M 85.9% 90% 90% 81.9% -9.0% 88.3% -7.2% 82.9% 82.2% 81.9% % of people waiting < 52 weeks for first access to OPD services M 72.4% 80% 80% 70.7% -11.7% 73.6% -3.9% 71.2% 71.0% 70.7% Colonoscopy / Gastrointestinal Service Number of people waiting greater than 4 weeks for an urgent colonoscopy M 68 0 0 252 67 21 18 25

% of people waiting < 13 weeks following a referral for routine colonoscopy or M 57.8% 70% 70% 57.3% -18.2% 51.5% 11.3% 52.7% 53.3% 57.3% OGD Emergency Care and Patient Experience Time

% of all attendees at ED who are discharged or admitted within six hours of M 66.3% 75% 75% 64.7% -13.7% 66.2% 65.4% 65.8% registration

% of all attendees at ED who are discharged or admitted within nine hours of M 80.9% 100% 100% 79.5% -20.5% 80.9% 80.1% 80.4% registration

% of all attendees aged 75 years and over at ED who are discharged or admitted M 43.2% 95% 95% 42.7% -55.1% 45.8% 43.9% 44.1% within six hours of registration

% of all attendees aged 75 years and over at ED who are discharged or admitted M 62.0% 100% 100% 60.8% -39.2% 64.7% 62.1% 62.4% within nine hours of registration

% of all attendees aged 75 years and over at ED who are discharged or admitted M 92.4% 100% 100% 91.4% -8.6% 93.6% 92.6% 92.6% within 24 hours of registration

4 NSP KPI Overview Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Aug-18 Sep-18 Oct-18 % of all attendees at ED who are in ED <24 hours M 96.9% 100% 100% 96.5% -3.5% 97.2% 96.9% 96.9% % of ED patients who leave before completion of treatment M 5.6% <5% <5% 6.4% 28.0% 6.3% 6.4% 6.0% Length of Stay ALOS for all inpatient discharges excluding LOS over 30 days M-1M 4.7 4.3 4.3 4.7 9.3% 4.6 4.5 0.0 Medical Medical patient average length of stay M-1M 6.8 ≤6.3 ≤6.3 7.1 12.7% 6.7 6.5 0.0

% of medical patients who are discharged or admitted from AMAU within six M 63.1% 75% 75% 61.3% -18.3% 62.3% 63.6% 64.7% hours AMAU registration % of all medical admissions via AMAU M-1M 33.4% 45% 45% 30.9% -31.3% 31.1% 32.6% 0.0%

% of emergency re-admissions for acute medical conditions to the same hospital M-1M 11.1% ≤11.1% ≤11.1% 11.3% 1.8% 10.8% 10.6% 0.0% within 30 days of discharge Surgery Surgical patient average length of stay M-1M 5.4 ≤5 ≤5 5.5 10.0% 5.5 5.1 0.0

% of elective surgical inpatients who had principal procedure conducted on day M-1M 74.1% 81.7% 82% 74.6% -9.0% 75.1% 74.3% 0.0% of admission % daycase rate for Elective Laparoscopic Cholecystectomy M-1M 45.0% >60% >60% 45.9% -23.5% 39.0% 46.6% 0.0% % of emergency hip fracture surgery carried out within 48 hours M-1M 85.7% 95% 95% 87.1% -8.3% 85.9% 83.8% 0.0%

M-1M 2.0% <3% <3% 2.0% -33.3% 1.9% 2.1% 0.0% % of surgical re-admissions to the same hospital within 30 days of discharge Delayed Discharges Number of bed days lost through delayed discharges M 191,898 ≤182,500 152,000 172,377 13.4% 18,408 17,968 18,170 Number of beds subject to delayed discharges M 480 500 500 595 19.0% 563 5.7% 564 606 595 Health Care Associated Infections (HCAI) <1/10,000 M 0.9 <1 0.7 -31.1% 1.1 0.8 0.7 Rate of new cases of Hospital acquired Staph. Aureus bloodstream infection BDU <2/ 10,000 M 1.8 <2 2.4 22.2% 2.0 2.6 2.4 Rate of new cases of Hospital acquired C. difficile infection BDU Reporting to Reporting to New KPI M commence in commence in 430 50 49 81 2018 Number of new cases of CPE 2018 2018 New KPI % of acute hospitals implementing the requirements for screening of patients with Q 100% 100% 48.9% -51.1% 48.9% CPE guidelines 2018 New KPI % of acute hospitals implementing the national policy on restricted anti-microbial Q 100% 100% 38.3% -61.7% 38.3% agents 2018 Quality

Rate of slip, trip or fall incidents as reported to NIMS that were classified as M 0.01 N/A N/A 0.01 0.00 0.00 0.00 major or extreme

Rate of medication incidents as reported to NIMS that were classified as major or M 0.00 N/A N/A 0.00 0.00 0.00 0.00 extreme New KPI % of Acute Hospitals which have completed and published monthly hospital M-2M 100% 100% 71.4% -28.6% 80.0% patient safety indicator report 2018 % Maternity Units which have completed and published Maternity Patient Safety Statements and discussed at Hospital Management team/ Hospital Group/ M-2M 95.2% 100% 100% 96.1% -3.9% 100% NWIHP meetings each month

5 NSP KPI Overview Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Aug-18 Sep-18 Oct-18 Symptomatic Breast Cancer Services

M 19,266 19,600 16,333 16,826 3.0% 16,122 4.4% 1,772 1,669 1,806 Number of patients triaged as urgent presenting to symptomatic breast clinics

Number of attendances whose referrals were triaged as urgent by the cancer M 14,518 18,620 15,517 12,122 -21.9% 11,827 2.5% 1,038 1,174 1,609 centre and adhered to the national standard of 2 weeks for urgent referrals

% of attendances whose referrals were triaged as urgent by the cancer centre M 75.4% 95% 95% 72.0% -24.2% 73.4% -1.8% 58.6% 70.3% 89.1% and adhered to the national standard of 2 weeks for urgent referrals

M 21,543 22,500 18,750 18,427 -1.7% 18,297 0.7% 1,637 1,786 2,157 Number of Non-urgent attendances presenting to Symptomatic Breast clinics

Number of attendances whose referrals were triaged as non-urgent by the cancer M 15,305 21,375 17,813 12,664 -28.9% 12,943 -2.2% 1,109 1,019 1,298 centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals M 71.0% 95% 95% 68.7% -27.7% 70.7% -2.8% 67.7% 57.1% 60.2% (% offered an appointment that falls within 12 weeks)

Clinical detection rate: Number of new attendances to clinic, triaged as urgent, Rolling 12M 1,918 1,176 1,176 1,833 1,845 1,512 which have a subsequent primary diagnosis of breast cancer

% of new attendances to clinic, triaged as urgent,that have a subsequent primary Rolling 12M 10.0% >6% >6% 9.9% 10.0% 0.0% diagnosis of breast cancer Lung Cancer

Number of patients attending the rapid access lung clinic in designated cancer M 3,447 3,700 3,083 3,134 1.6% 2,913 7.6% 278 294 338 centres Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated M 2,852 3,515 2,929 2,739 -6.5% 2,386 14.8% 248 262 299 cancer centres % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer M 82.7% 95% 95% 87.4% -8.0% 81.9% 6.7% 89.2% 89.1% 88.5% centres

Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M 1,120 925 925 1,074 1,063 1,065 subsequent primary diagnosis of lung cancer

% of new attendances to clinic, that have a subsequent primary diagnosis of lung Rolling 12M 32.5% >25% >25% 30.0% 29.4% 29.1% cancer Prostate

Number of patients attending the prostate rapid access clinic in the cancer M 3,015 3,100 2,583 2,770 7.2% 2,550 8.6% 328 267 320 centres

Number of patients attending prostate rapid clinics who attended or were offered M 1,853 2,790 2,325 2,101 -9.6% 1,482 41.8% 225 206 266 an appointment within 20 working days of receipt of referral in the cancer centres

% of patients attending prostate rapid clinics who attended or were offered an M 61.5% 90% 90% 75.8% -15.7% 58.1% 30.5% 68.6% 77.2% 83.1% appointment within 20 working days of receipt of referral in the cancer centres

Clinical detection rate: Number of new attendances to clinic that have a Rolling 12M 1,097 930 930 1,098 1,047 1,066 subsequent primary diagnosis of prostate cancer

% of new attendances to clinic that have a subsequent primary diagnosis of Rolling 12M 36.4% >30% >30% 31.9% 0.0% 0.0% prostate cancer

6 NSP KPI Overview Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD V Performance Activity / KPI Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY SPLY Aug-18 Sep-18 Oct-18 Radiotherapy

Number of patients who completed radical radiotherapy treatment (palliative care M 5,178 5,200 4,333 4,430 2.2% 4,260 4.0% 465 450 406 patients not included) Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation M 3,952 4,680 3,900 3,614 -7.3% 3,257 11.0% 427 391 348 oncologist (palliative care patients not included) % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation M 76.3% 90% 90% 81.6% -9.4% 76.5% 6.7% 91.8% 86.9% 85.7% oncologist (palliative care patients not included) Ambulance Turnaround Times % of ambulances that have a time interval of ≤ 60 minutes from arrival at ED to when the ambulance crew declares the readiness of the ambulance to accept M 92% 95% 95% 89.5% -5.8% 92.7% -3.5% 90.0% 90.5% 89.6% another call (clear and available)

1. Mortality clinical conditions listed separately are not adjusted for differences in age profile or co-morbidities. These are the only diagnoses with publicly reported figures 2. Detection rate data is not available for Oct 18 for the following hospitals- Mater (Prostate) and excluded from national detection rate total. 3. Outstanding the following NCCP for Oct 18- LUH (Breast), CUH, Waterford & Altnagelvin (Radiation) 4. Quarterly CPE KPI's are still subject to review by the HCAI Governance Team and Q3 will be reported in October cycle * Activity targets in the Operational Plan differ slightly (0.03%-0.8%) from those published in NSP 2018 following analysis by Health Pricing Office based on a later version of the national HIPE file

7 Discharge Activity - Inpatient * Reporting Period October 2018

Reporting Outturn Previous Target/EA Full % Var YTD V Activity YTD % Var YTD V Frequency Year Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY SPLY Jul-18 Aug-18 Sep-18 No. of No. of No. of No. of No. of No. of No. of No. of W/Units W/Units W/Units W/Units Cases W/Units W/Units Cases W/Units W/Units W/Units W/Units Cases Cases Cases Cases Cases Cases Cases Cases National Total M-1M 634,993 652,519 633,786 635,439 475,598 474,965 478,750 480,506 0.7% 1.2% 476,121 486,133 0.6% -1.2% 53,571 53,292 54,928 54,501 52,710 50,745 Children's Hospital Group M-1M 24,787 30,312 25,169 29,742 18,484 21,985 18,655 22,061 0.9% 0.3% 18,483 22,113 0.9% -0.2% 1,952 2,073 1,976 2,523 1,997 2,399 National Children's Hospital at Tallaght M-1M University Hospital 6,166 3,273 6,315 3,327 4,553 2,375 4,197 2,241 -7.8% -5.6% 4,554 2,361 -7.8% -5.1% 371 205 386 208 443 219 Our Lady's Children's Hospital, Crumlin M-1M 11,257 18,079 11,350 17,738 8,400 13,180 8,809 13,237 4.9% 0.4% 8,400 13,358 4.9% -0.9% 935 1,258 938 1,500 948 1,543 Temple Street Children's University Hospital M-1M 7,364 8,960 7,504 8,677 5,531 6,429 5,649 6,583 2.1% 2.4% 5,529 6,392 2.2% 3.0% 646 611 652 815 606 636 Dublin Midlands Hospital Group M-1M 97,072 116,369 96,063 113,316 72,847 85,383 72,497 83,654 -0.5% -2.0% 72,848 86,905 -0.5% -3.7% 8,195 9,216 8,541 9,787 7,850 8,842 Coombe Women and Infants University M-1M Hospital 18,632 10,391 18,643 10,109 14,062 7,593 14,302 7,688 1.7% 1.3% 14,062 7,769 1.7% -1.0% 1,588 859 1,697 883 1,557 811 MRH Portlaoise M-1M 14,264 7,481 13,791 7,278 10,808 5,560 10,766 5,563 -0.4% 0.1% 10,808 5,624 -0.4% -1.1% 1,213 611 1,170 614 1,135 554 MRH Tullamore M-1M 11,741 11,977 11,696 11,584 8,711 8,772 8,468 8,658 -2.8% -1.3% 8,726 8,914 -3.0% -2.9% 982 966 988 1,033 918 995 Naas General Hospital M-1M 9,265 8,628 9,269 8,515 6,961 6,284 7,445 6,974 7.0% 11.0% 6,961 6,391 7.0% 9.1% 829 773 882 781 845 793 St. James's Hospital M-1M 23,614 46,764 23,441 46,207 17,615 34,348 17,622 33,435 0.0% -2.7% 17,616 35,012 0.0% -4.5% 1,998 3,602 2,062 3,766 1,825 3,308 St. Luke's Radiation Oncology Network M-1M 1,382 3,135 1,374 3,257 1,022 2,396 1,055 2,328 3.2% -2.8% 1,026 2,395 2.8% -2.8% 119 239 147 336 98 224 Tallaght University Hospital M-1M 18,174 27,989 17,849 26,366 13,668 20,430 12,839 19,010 -6.1% -7.0% 13,649 20,797 -5.9% -8.6% 1,466 2,166 1,595 2,374 1,472 2,156 Ireland East Hospital Group M-1M 129,781 138,158 128,763 133,328 96,826 99,881 99,227 103,366 2.5% 3.5% 96,938 102,583 2.4% 0.8% 11,078 11,432 11,271 11,438 10,984 10,950 Cappagh National Orthopaedic Hospital M-1M 2,808 6,478 2,940 6,453 2,161 4,814 1,842 4,055 -14.8% -15.8% 2,161 5,028 -14.8% -19.4% 200 483 201 428 208 443 Mater Misericordiae University Hospital M-1M 22,128 40,875 21,317 38,200 16,276 29,121 17,065 29,270 4.8% 0.5% 16,370 30,503 4.2% -4.0% 1,967 3,266 1,905 3,488 1,828 3,141 MRH Mullingar M-1M 18,474 10,884 18,194 10,624 13,827 8,012 13,706 8,124 -0.9% 1.4% 13,827 8,114 -0.9% 0.1% 1,455 824 1,590 883 1,595 842 National Maternity Hospital M-1M 15,444 10,126 15,557 9,836 11,624 7,390 10,685 6,805 -8.1% -7.9% 11,641 7,588 -8.2% -10.3% 1,268 823 1,157 749 1,213 783 Our Lady's Hospital Navan M-1M 6,715 5,900 6,637 5,709 5,110 4,327 4,970 4,017 -2.7% -7.2% 5,110 4,424 -2.7% -9.2% 578 468 568 384 507 396 Royal Victoria Eye and Ear Hospital M-1M 2,273 2,406 2,247 2,345 1,701 1,773 1,693 1,752 -0.5% -1.2% 1,701 1,805 -0.5% -2.9% 190 182 159 182 205 214 St. Columcille's Hospital M-1M 5,187 3,180 5,470 3,080 3,925 2,306 4,287 2,663 9.2% 15.5% 3,927 2,314 9.2% 15.1% 464 230 506 276 511 301 St. Luke's General Hospital Kilkenny M-1M 17,762 10,617 17,832 10,596 13,277 7,820 14,209 8,850 7.0% 13.2% 13,278 7,911 7.0% 11.9% 1,572 939 1,612 884 1,509 874 St. Michael's Hospital M-1M 3,280 3,080 3,191 3,012 2,389 2,212 2,513 2,494 5.2% 12.8% 2,388 2,258 5.2% 10.5% 229 237 246 256 245 276 St. Vincent's University Hospital M-1M 20,357 33,327 19,948 32,268 15,070 23,863 16,150 26,239 7.2% 10.0% 15,070 24,285 7.2% 8.0% 1,832 3,073 1,882 2,868 1,807 2,707 Wexford General Hospital M-1M 15,353 11,288 15,430 11,204 11,466 8,244 12,107 9,093 5.6% 10.3% 11,465 8,357 5.6% 8.8% 1,323 907 1,445 1,040 1,356 971 RCSI Hospitals Group M-1M 102,411 101,067 102,655 99,231 76,959 74,196 77,198 73,723 0.3% -0.6% 76,983 75,374 0.3% -2.2% 8,613 8,176 9,125 8,651 8,668 7,790 Beaumont Hospital M-1M 24,583 43,618 24,405 42,837 18,346 32,044 18,819 31,598 2.6% -1.4% 18,338 32,547 2.6% -2.9% 2,150 3,583 2,281 3,660 2,062 3,179 Cavan General Hospital M-1M 16,970 11,182 16,969 11,010 12,767 8,286 13,122 8,173 2.8% -1.4% 12,773 8,405 2.7% -2.8% 1,519 906 1,572 933 1,395 778 Connolly Hospital M-1M 15,420 14,729 15,144 14,252 11,467 10,678 10,388 9,871 -9.4% -7.6% 11,485 10,840 -9.6% -8.9% 1,128 1,090 1,191 1,204 1,142 1,105 Louth County Hospital M-1M 63 60 73 69 51 48 35 31 -31.4% -34.9% 51 50 -31.4% -38.0% 3 3 6 5 3 2 Monaghan Hospital M-1M 1 0 1 0 1 0 0 0 -100.0% 1 0 Our Lady of Lourdes Hospital M-1M 31,426 21,638 31,816 21,295 23,774 15,867 23,512 16,488 -1.1% 3.9% 23,781 16,053 -1.1% 2.7% 2,555 1,741 2,600 1,884 2,490 1,690 Rotunda Hospital M-1M 13,948 9,839 14,247 9,768 10,553 7,274 11,322 7,564 7.3% 4.0% 10,554 7,479 7.3% 1.1% 1,258 853 1,475 965 1,576 1,035

8 Discharge Activity - Inpatient * Reporting Period October 2018

Reporting Outturn Previous Target/EA Full % Var YTD V Activity YTD % Var YTD V Frequency Year Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY SPLY Jul-18 Aug-18 Sep-18 No. of No. of No. of No. of No. of No. of No. of No. of W/Units W/Units W/Units W/Units Cases W/Units W/Units Cases W/Units W/Units W/Units W/Units Cases Cases Cases Cases Cases Cases Cases Cases Saolta University Health Care Group M-1M 113,253 104,010 113,064 99,558 84,503 74,261 86,461 76,821 2.3% 3.4% 84,883 77,678 1.9% -1.1% 9,862 8,977 9,808 8,541 9,553 8,217 Galway University Hospitals M-1M 37,669 46,082 37,990 43,586 28,525 32,764 29,173 34,626 2.3% 5.7% 28,484 34,791 2.4% -0.5% 3,436 4,173 3,477 3,951 3,200 3,636 Letterkenny University Hospital M-1M 23,723 16,951 23,987 16,703 17,838 12,480 18,021 12,823 1.0% 2.7% 17,837 12,662 1.0% 1.3% 2,035 1,420 1,990 1,406 2,007 1,367 Mayo University Hospital M-1M 18,753 14,356 18,168 13,225 13,635 9,781 14,552 10,160 6.7% 3.9% 13,909 10,325 4.6% -1.6% 1,612 1,089 1,661 1,154 1,667 1,162 Portiuncula University Hospital M-1M 12,826 8,909 12,806 8,953 9,582 6,627 9,646 6,487 0.7% -2.1% 9,582 6,701 0.7% -3.2% 1,033 723 1,038 688 1,077 736 Roscommon University Hospital M-1M 1,734 1,787 1,784 1,844 1,335 1,302 1,278 1,387 -4.3% 6.5% 1,335 1,350 -4.3% 2.7% 161 162 155 146 136 171 Sligo University Hospital M-1M 18,548 15,929 18,329 15,246 13,588 11,308 13,791 11,340 1.5% 0.3% 13,736 11,851 0.4% -4.3% 1,585 1,409 1,487 1,196 1,466 1,145 South/South West Hospital Group M-1M 115,476 118,885 116,311 117,406 87,094 87,389 85,316 88,582 -2.0% 1.4% 87,104 88,973 -2.1% -0.4% 9,482 9,864 9,740 9,961 9,346 9,123 Bantry General Hospital M-1M 4,690 3,158 4,718 3,091 3,566 2,315 3,224 2,299 -9.6% -0.7% 3,562 2,336 -9.5% -1.6% 323 329 376 275 348 286 Cork University Hospital M-1M 44,076 49,145 44,240 48,176 32,942 35,700 32,916 36,732 -0.1% 2.9% 32,938 36,558 -0.1% 0.5% 3,727 3,976 3,909 4,289 3,494 3,575 Lourdes Orthopaedic Hospital Kilcreene M-1M 864 1,706 850 1,598 659 1,249 666 1,214 1.1% -2.8% 659 1,296 1.1% -6.3% 69 123 39 65 86 156 Mallow General Hospital M-1M 4,251 2,470 4,259 2,445 3,139 1,835 3,207 1,752 2.2% -4.5% 3,139 1,856 2.2% -5.6% 301 171 333 206 332 177 Mercy University Hospital M-1M 10,364 12,414 10,515 12,630 7,894 9,421 7,425 8,892 -5.9% -5.6% 7,900 9,427 -6.0% -5.7% 796 953 807 984 816 979 South Infirmary Victoria University Hospital M-1M 4,680 6,942 4,671 6,764 3,505 5,006 3,741 5,300 6.7% 5.9% 3,505 5,177 6.7% 2.4% 399 629 393 515 426 553 South Tipperary General Hospital M-1M 11,862 9,427 11,854 9,400 8,970 6,941 8,894 7,022 -0.8% 1.2% 8,970 7,029 -0.8% -0.1% 939 716 920 709 1,030 779 UH Kerry M-1M 14,793 11,476 14,884 11,456 11,180 8,453 11,159 8,981 -0.2% 6.2% 11,190 8,569 -0.3% 4.8% 1,272 1,088 1,278 1,025 1,229 951 UH Waterford M-1M 19,896 22,147 20,320 21,845 15,239 16,468 14,084 16,391 -7.6% -0.5% 15,241 16,728 -7.6% -2.0% 1,656 1,878 1,685 1,895 1,585 1,666 UL Hospitals Group M-1M 52,213 43,718 51,761 42,857 38,885 31,870 39,396 32,299 1.3% 1.3% 38,882 32,507 1.3% -0.6% 4,389 3,554 4,467 3,600 4,312 3,424 Croom Orthopaedic Hospital M-1M 1,683 3,098 1,665 2,953 1,230 2,178 1,060 1,829 -13.8% -16.0% 1,229 2,255 -13.8% -18.9% 125 216 109 194 95 175 Ennis Hospital M-1M 5,438 2,379 5,285 2,332 4,083 1,728 4,375 1,922 7.2% 11.3% 4,083 1,763 7.2% 9.0% 437 184 522 231 479 217 Nenagh Hospital M-1M 3,132 1,741 2,995 1,758 2,342 1,286 2,603 1,229 11.1% -4.5% 2,342 1,332 11.1% -7.7% 262 116 310 130 291 143 St. John's Hospital Limerick M-1M 4,641 3,645 4,617 3,563 3,432 2,643 3,706 2,802 8.0% 6.0% 3,433 2,729 8.0% 2.7% 387 327 435 300 429 309 UH Limerick M-1M 30,073 27,908 29,801 27,351 22,305 20,424 22,143 20,894 -0.7% 2.3% 22,301 20,732 -0.7% 0.8% 2,531 2,300 2,490 2,337 2,369 2,157 UMH Limerick M-1M 7,246 4,948 7,398 4,900 5,493 3,612 5,509 3,618 0.3% 0.2% 5,494 3,698 0.3% -2.2% 647 410 601 407 649 422 Notes: 1. Data source HPO HIPE 2. Targets displayed are ABF Targets 3. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. CUH data is inclusive of CUMH. * Activity targets in the Operational Plan differ slightly (0.03%-0.8%) from those published in NSP 2018 following analysis by Health Pricing Office based on a later version of the national HIPE file

9 Daycase Cases (including Dialysis) *Reporting Period October 2018

Reporting Outturn Previous % Var YTD V % Var YTD V Reporting Level Frequency Year Target/EA Full Year Target/EA YTD Activity YTD Tgt/EA YTD Activity YTD SPLY SPLY Jul-18 Aug-18 Sep-18 No. of No. of No. of No. of No. of No. of No. of No. of No. of No. of W/Units W/Units W/Units W/Units W/Units W/Units W/Units W/Units W/Units W/Units Cases Cases Cases Cases Cases Cases Cases Cases Cases Cases National Total M-1M 1,072,981 1,058,492 1,056,880 1,026,007 800,708 779,770 801,015 786,242 0.0% 0.8% 808,218 798,164 -0.9% -1.5% 91,020 89,086 90,814 89,186 86,299 84,180 Children's Hospital Group M-1M 28,443 37,419 28,037 36,788 21,463 28,447 21,438 28,168 -0.1% -1.0% 21,350 28,388 0.4% -0.8% 2,373 3,138 2,341 3,082 2,264 2,931 National Children's Hospital at Tallaght M-1M University Hospital 2,171 3,254 2,169 3,258 1,655 2,560 1,576 2,251 -4.8% -12.1% 1,659 2,552 -5.0% -11.8% 171 255 148 190 170 253 Our Lady's Children's Hospital, Crumlin M-1M 18,320 23,035 18,220 23,203 13,886 17,733 14,132 17,594 1.8% -0.8% 13,770 17,503 2.6% 0.5% 1,624 2,081 1,568 1,910 1,491 1,842 Temple Street Children's University Hospital M-1M 7,952 11,129 7,648 10,327 5,922 8,153 5,730 8,322 -3.2% 2.1% 5,921 8,333 -3.2% -0.1% 578 801 625 982 603 836 Dublin Midlands Hospital Group M-1M 225,056 181,205 224,486 179,423 168,763 135,380 168,618 136,626 -0.1% 0.9% 169,177 136,055 -0.3% 0.4% 19,072 15,552 19,455 15,851 18,535 14,962 Coombe Women and Infants University M-1M Hospital (6) 8,284 7,084 7,776 5,911 5,871 4,526 6,084 4,616 3.6% 2.0% 6,297 5,419 -3.4% -14.8% 665 553 674 518 647 490 MRH Portlaoise M-1M 6,601 6,094 6,558 5,982 5,023 4,646 5,024 4,720 0.0% 1.6% 5,023 4,701 0.0% 0.4% 577 563 625 573 517 500 MRH Tullamore M-1M 32,298 29,184 32,989 29,611 24,466 22,036 24,518 22,212 0.2% 0.8% 24,378 22,035 0.6% 0.8% 2,822 2,541 2,773 2,448 2,637 2,349 Naas General Hospital M-1M 7,656 8,062 7,654 8,200 5,763 6,174 5,823 6,434 1.0% 4.2% 5,763 6,080 1.0% 5.8% 662 720 644 712 661 765 St. James's Hospital M-1M 51,495 52,650 50,322 50,757 37,683 38,475 40,837 42,497 8.4% 10.5% 37,691 38,546 8.3% 10.3% 4,588 4,806 4,644 4,961 4,254 4,373 St. Luke's Radiation Oncology Network M-1M 72,128 28,588 72,501 29,127 54,708 21,927 51,346 20,654 -6.1% -5.8% 54,797 21,766 -6.3% -5.1% 5,787 2,284 5,918 2,321 6,004 2,429 Tallaght University Hospital (6) M-1M 46,594 49,542 46,686 49,834 35,249 37,594 34,986 35,494 -0.7% -5.6% 35,228 37,508 -0.7% -5.4% 3,971 4,085 4,177 4,317 3,815 4,056 Ireland East Hospital Group M-1M 191,554 209,575 190,679 207,394 145,696 158,248 145,544 158,221 -0.1% 0.0% 144,934 158,718 0.4% -0.3% 16,599 17,878 16,890 18,395 15,424 16,750 Cappagh National Orthopaedic Hospital M-1M 7,290 9,851 7,332 10,028 5,413 7,340 5,712 7,685 5.5% 4.7% 5,412 7,393 5.5% 3.9% 604 827 641 869 662 848 Mater Misericordiae University Hospital M-1M 55,179 59,814 55,042 59,063 42,098 44,944 43,032 45,955 2.2% 2.3% 41,627 44,985 3.4% 2.2% 4,909 4,997 4,863 5,385 4,535 4,804 MRH Mullingar M-1M 10,442 10,216 10,656 10,459 8,164 8,013 7,486 7,769 -8.3% -3.0% 8,127 7,958 -7.9% -2.4% 855 900 834 963 747 834 National Maternity Hospital (6) M-1M 3,453 4,344 2,664 3,102 2,105 2,444 2,235 2,462 6.2% 0.7% 2,620 3,295 -14.7% -25.3% 278 288 286 274 244 253 Our Lady's Hospital Navan M-1M 5,815 8,482 5,523 8,167 4,336 6,374 4,499 6,436 3.8% 1.0% 4,336 6,306 3.8% 2.1% 539 815 518 689 540 799 Royal Victoria Eye and Ear Hospital M-1M 11,271 20,232 11,584 19,575 8,915 15,017 9,199 15,658 3.2% 4.3% 8,540 15,359 7.7% 1.9% 1,087 1,796 1,131 1,888 964 1,635 St. Columcille's Hospital M-1M 2,751 4,352 2,744 4,332 2,088 3,299 2,261 3,261 8.3% -1.1% 2,091 3,316 8.1% -1.7% 281 436 271 397 245 367 St. Luke's General Hospital Kilkenny M-1M 9,635 10,150 9,868 10,449 7,574 8,001 8,168 8,652 7.8% 8.1% 7,304 7,671 11.8% 12.8% 925 977 1,018 1,121 867 889 St. Michael's Hospital M-1M 6,145 6,927 6,051 6,980 4,635 5,289 4,393 5,004 -5.2% -5.4% 4,635 5,305 -5.2% -5.7% 415 458 455 510 454 501 St. Vincent's University Hospital M-1M 69,327 62,918 69,969 63,845 53,128 48,647 51,657 47,283 -2.8% -2.8% 52,435 47,680 -1.5% -0.8% 5,872 5,506 6,148 5,508 5,339 4,946 Wexford General Hospital (6) M-1M 10,246 12,292 9,246 11,394 7,240 8,880 6,902 8,053 -4.7% -9.3% 7,807 9,452 -11.6% -14.8% 834 877 725 790 827 873 RCSI Hospitals Group M-1M 156,242 146,832 151,496 139,417 115,138 105,907 116,841 107,820 1.5% 1.8% 117,681 110,577 -0.7% -2.5% 13,443 12,421 13,593 12,840 12,467 11,729 Beaumont Hospital M-1M 88,166 77,365 87,645 75,910 66,370 57,379 67,996 59,732 2.4% 4.1% 66,228 57,951 2.7% 3.1% 7,768 6,820 7,917 7,007 7,241 6,463 Cavan General Hospital M-1M 17,630 16,565 18,061 17,099 13,371 12,800 14,345 12,990 7.3% 1.5% 13,174 12,563 8.9% 3.4% 1,680 1,565 1,668 1,546 1,531 1,339 Connolly Hospital M-1M 13,978 16,282 14,375 3,329 11,064 12,820 10,015 11,814 -9.5% -7.9% 10,731 12,362 -6.7% -4.4% 1,171 1,412 1,150 1,426 1,050 1,287 Louth County Hospital (6) M-1M 11,397 13,070 8,912 16,785 6,938 7,864 6,925 7,996 -0.2% 1.7% 8,486 9,711 -18.4% -17.7% 793 922 725 853 731 847 Monaghan Hospital M-1M 3,923 3,463 3,612 10,099 2,798 2,567 3,457 2,796 23.6% 8.9% 2,798 2,561 23.6% 9.2% 412 287 394 332 347 294 Our Lady of Lourdes Hospital M-1M 9,683 9,395 9,546 9,149 7,385 7,114 7,229 6,937 -2.1% -2.5% 7,322 7,106 -1.3% -2.4% 832 830 873 858 774 759 Rotunda Hospital (6) M-1M 11,465 10,689 9,345 7,046 7,212 5,362 6,874 5,557 -4.7% 3.6% 8,942 8,321 -23.1% -33.2% 787 585 866 819 793 738 Saolta University Health Care Group M-1M 196,040 196,091 189,571 181,041 142,580 137,599 142,995 141,036 0.3% 2.5% 147,664 148,303 -3.2% -4.9% 16,163 15,791 15,538 15,493 15,533 15,037 Galway University Hospitals (6) M-1M 87,793 85,452 84,921 75,338 63,540 57,627 63,801 61,251 0.4% 6.3% 66,250 64,701 -3.7% -5.3% 7,289 6,933 6,515 6,451 7,003 6,514 Letterkenny University Hospital (6) M-1M 30,814 28,789 30,015 27,816 22,637 21,049 23,237 21,538 2.7% 2.3% 23,204 21,742 0.1% -0.9% 2,700 2,511 2,589 2,414 2,543 2,373 Mayo University Hospital M-1M 25,571 23,887 25,544 23,920 19,249 18,150 19,228 17,407 -0.1% -4.1% 19,177 18,053 0.3% -3.6% 2,143 1,924 2,273 1,975 2,089 1,798 Portiuncula University Hospital M-1M 9,503 10,100 9,576 10,333 7,155 7,632 7,152 7,857 0.0% 2.9% 7,129 7,558 0.3% 4.0% 810 862 791 823 770 922 Roscommon University Hospital M-1M 8,227 9,720 7,690 9,098 6,082 7,139 6,709 7,680 10.3% 7.6% 6,084 7,264 10.3% 5.7% 678 721 789 934 743 851 Sligo University Hospital (6) M-1M 34,132 38,138 31,825 34,537 23,917 26,002 22,868 25,302 -4.4% -2.7% 25,820 28,982 -11.4% -12.7% 2,543 2,839 2,581 2,897 2,385 2,580

10 Daycase Cases (including Dialysis) *Reporting Period October 2018

11 Emergency Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 431,505 430,859 323,449 327,264 1.2% 322,971 1.3% 35,345 36,349 37,575 35,549 Children's Hospital Group M-1M 18,533 19,120 13,723 13,369 -2.6% 13,723 -2.6% 1,507 1,357 1,301 1,380 National Children's Hospital at Tallaght University M-1M 5,549 5,696 4,064 3,692 -9.2% 4,065 -9.2% 393 300 306 400 Hospital Our Lady's Children's Hospital, Crumlin M-1M 7,557 7,895 5,699 5,590 -1.9% 5,700 -1.9% 661 597 565 556 Temple Street Children's University Hospital M-1M 5,427 5,529 3,960 4,087 3.2% 3,958 3.3% 453 460 430 424 Dublin Midlands Hospital Group M-1M 61,764 60,758 46,252 46,381 0.3% 46,253 0.3% 4,948 5,195 5,422 4,895 Coombe Women and Infants University Hospital M-1M 1,129 1,135 840 846 0.7% 840 0.7% 88 99 94 96 MRH Portlaoise M-1M 8,945 8,392 6,772 7,045 4.0% 6,772 4.0% 731 783 782 721 MRH Tullamore M-1M 9,213 9,160 6,846 6,703 -2.1% 6,847 -2.1% 743 729 766 723 Naas General Hospital M-1M 8,578 8,594 6,442 6,969 8.2% 6,442 8.2% 708 761 817 794 St. James's Hospital M-1M 18,563 18,295 13,801 13,880 0.6% 13,803 0.6% 1,496 1,576 1,620 1,354 St. Luke's Radiation Oncology Network M-1M 233 230 168 158 -6.0% 168 -6.0% 12 16 20 20 Tallaght University Hospital M-1M 15,103 14,952 11,383 10,780 -5.3% 11,381 -5.3% 1,170 1,231 1,323 1,187 Ireland East Hospital Group M-1M 86,465 85,625 64,336 67,693 5.2% 64,430 5.1% 7,211 7,497 7,737 7,470 Cappagh National Orthopaedic Hospital M-1M 18 16 14 6 -57.1% 14 -57.1% 1 Mater Misericordiae University Hospital M-1M 17,424 16,732 12,744 13,547 6.3% 12,823 5.6% 1,442 1,554 1,526 1,418 MRH Mullingar M-1M 11,095 11,035 8,339 8,421 1.0% 8,339 1.0% 893 897 974 985 National Maternity Hospital M-1M 2,278 2,234 1,703 1,256 -26.2% 1,719 -26.9% 127 142 137 136 Our Lady's Hospital Navan M-1M 5,632 5,539 4,252 4,161 -2.1% 4,252 -2.1% 424 478 481 429 Royal Victoria Eye and Ear Hospital M-1M 679 633 487 521 7.0% 487 7.0% 60 54 42 57 St. Columcille's Hospital M-1M 4,947 5,240 3,746 4,062 8.4% 3,750 8.3% 453 440 460 474 St. Luke's General Hospital Kilkenny M-1M 14,397 14,461 10,786 11,625 7.8% 10,782 7.8% 1,251 1,259 1,304 1,235 St. Michael's Hospital M-1M 2,200 2,152 1,609 1,718 6.8% 1,608 6.8% 185 174 151 160 St. Vincent's University Hospital M-1M 15,949 15,759 11,854 12,833 8.3% 11,854 8.3% 1,412 1,457 1,513 1,484 Wexford General Hospital M-1M 11,846 11,824 8,802 9,543 8.4% 8,802 8.4% 963 1,042 1,149 1,092 RCSI Hospitals Group M-1M 69,562 69,794 52,240 52,339 0.2% 52,244 0.2% 5,708 5,734 6,227 5,856 Beaumont Hospital M-1M 18,659 18,634 13,940 14,257 2.3% 13,935 2.3% 1,622 1,629 1,731 1,556 Cavan General Hospital M-1M 12,374 12,275 9,210 9,759 6.0% 9,214 5.9% 995 1,142 1,187 1,021 Connolly Hospital M-1M 13,343 13,323 10,012 8,685 -13.3% 10,009 -13.2% 949 911 978 950 Our Lady of Lourdes Hospital M-1M 23,158 23,431 17,495 17,490 0.0% 17,502 -0.1% 1,975 1,862 1,905 1,811 Rotunda Hospital M-1M 2,028 2,131 1,583 2,148 35.7% 1,584 35.6% 167 190 426 518 Saolta University Health Care Group M-1M 79,312 79,792 59,980 61,219 2.1% 59,410 3.0% 6,692 6,939 6,964 6,629 Galway University Hospitals M-1M 23,622 23,805 18,046 18,875 4.6% 17,783 6.1% 2,139 2,224 2,336 2,059 Letterkenny University Hospital M-1M 17,726 17,907 13,378 13,128 -1.9% 13,378 -1.9% 1,417 1,489 1,438 1,412 Mayo University Hospital M-1M 14,414 14,144 10,674 11,506 7.8% 10,668 7.9% 1,194 1,264 1,340 1,322 Portiuncula University Hospital M-1M 8,710 8,822 6,589 6,396 -2.9% 6,587 -2.9% 678 677 674 698 Roscommon University Hospital M-1M 929 954 706 660 -6.5% 706 -6.5% 67 92 78 67 Sligo University Hospital M-1M 13,911 14,160 10,587 10,654 0.6% 10,288 3.6% 1,197 1,193 1,098 1,071

12 Emergency Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 South/South West Hospital Group M-1M 77,613 78,111 58,551 56,913 -2.8% 58,542 -2.8% 6,192 6,341 6,545 6,113 Bantry General Hospital M-1M 4,468 4,506 3,413 3,070 -10.0% 3,399 -9.7% 335 310 355 324 Cork University Hospital M-1M 27,233 27,252 20,350 20,286 -0.3% 20,352 -0.3% 2,206 2,314 2,396 2,125 Mallow General Hospital M-1M 3,795 3,810 2,807 2,835 1.0% 2,807 1.0% 290 258 299 301 Mercy University Hospital M-1M 7,872 8,037 5,989 5,657 -5.5% 5,980 -5.4% 641 606 622 594 South Infirmary Victoria University Hospital M-1M 955 953 735 695 -5.4% 735 -5.4% 80 82 78 74 South Tipperary General Hospital M-1M 8,558 8,569 6,486 6,590 1.6% 6,487 1.6% 724 699 690 781 UH Kerry M-1M 10,618 10,603 7,969 7,992 0.3% 7,977 0.2% 784 921 925 868 UH Waterford M-1M 14,114 14,381 10,802 9,788 -9.4% 10,805 -9.4% 1,132 1,151 1,180 1,046 UL Hospitals Group M-1M 38,256 37,659 28,367 29,350 3.5% 28,369 3.5% 3,087 3,286 3,379 3,206 Croom Orthopaedic Hospital M-1M 356 364 258 358 38.8% 258 38.8% 30 46 46 40 Ennis Hospital M-1M 5,202 5,061 3,906 4,193 7.3% 3,908 7.3% 452 420 491 461 Nenagh Hospital M-1M 2,734 2,589 2,051 2,260 10.2% 2,051 10.2% 232 226 271 244 St. John's Hospital Limerick M-1M 2,936 2,927 2,188 2,430 11.1% 2,188 11.1% 266 269 289 288 UH Limerick M-1M 26,153 25,806 19,304 19,419 0.6% 19,304 0.6% 2,043 2,237 2,194 2,091 UMH Limerick M-1M 875 912 660 690 4.5% 660 4.5% 64 88 88 82 Notes: 1. Data source HPO HIPE 2. All Hospitals who report Emergency Discharges are included in this report. 3. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. CUH data is inclusive of CUMH. * Activity targets in the Operational Plan differ slightly (0.03%-0.8%) from those published in NSP 2018 following analysis by Health Pricing Office based on a later version of the national HIPE file

13 Elective Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 92,293 91,427 69,032 69,458 0.6% 69,430 0.0% 8,211 7,891 8,097 8,197 Children's Hospital Group M-1M 6,254 6,049 4,761 5,286 11.0% 4,760 11.1% 671 595 675 617 National Children's Hospital at Tallaght University M-1M 617 619 489 505 3.3% 489 3.3% 68 71 80 43 Hospital Our Lady's Children's Hospital, Crumlin M-1M 3,700 3,455 2,701 3,219 19.2% 2,700 19.2% 396 338 373 392 Temple Street Children's University Hospital M-1M 1,937 1,975 1,571 1,562 -0.6% 1,571 -0.6% 207 186 222 182 Dublin Midlands Hospital Group M-1M 13,530 13,452 10,141 9,740 -4.0% 10,139 -3.9% 1,201 1,163 1,225 1,162 Coombe Women and Infants University Hospital M-1M 684 679 521 454 -12.9% 521 -12.9% 48 49 39 46 MRH Portlaoise M-1M 524 523 402 468 16.4% 402 16.4% 46 44 68 48 MRH Tullamore M-1M 2,528 2,535 1,865 1,764 -5.4% 1,879 -6% 217 253 222 194 Naas General Hospital M-1M 652 645 492 452 -8.1% 492 -8.1% 61 66 63 48 St. James's Hospital M-1M 5,016 5,115 3,789 3,732 -1.5% 3,788 -1.5% 465 422 441 471 St. Luke's Radiation Oncology Network M-1M 1,149 1,144 854 897 5.0% 858 5% 118 103 127 78 Tallaght University Hospital M-1M 2,977 2,811 2,218 1,973 -11.0% 2,199 -10.3% 246 226 265 277 Ireland East Hospital Group M-1M 18,389 18,328 13,850 13,528 -2.3% 13,857 -2.4% 1,576 1,499 1,492 1,509 Cappagh National Orthopaedic Hospital M-1M 2,790 2,924 2,147 1,836 -14% 2,147 -14.5% 201 200 201 208 Mater Misericordiae University Hospital M-1M 4,609 4,504 3,472 3,443 -0.8% 3,487 -1.3% 413 406 364 403 MRH Mullingar M-1M 972 973 756 634 -16.1% 756 -16.1% 81 65 75 71 National Maternity Hospital M-1M 437 463 335 295 -11.9% 335 -11.9% 33 24 26 53 Our Lady's Hospital Navan M-1M 1,082 1,097 858 809 -5.7% 858 -5.7% 87 100 87 78 Royal Victoria Eye and Ear Hospital M-1M 1,594 1,614 1,214 1,172 -3.5% 1,214 -3.5% 117 136 117 148 St. Columcille's Hospital M-1M 240 230 179 225 25.7% 177 27.1% 30 24 46 37 St. Luke's General Hospital Kilkenny M-1M 487 540 365 421 15.3% 360 16.9% 41 64 55 50 St. Michael's Hospital M-1M 1,080 1,039 780 795 2% 780 2% 102 55 95 85 St. Vincent's University Hospital M-1M 4,302 4,098 3,143 3,277 4.3% 3,143 4.3% 397 367 362 319 Wexford General Hospital M-1M 796 846 601 621 3.3% 600 3.5% 74 58 64 57 RCSI Hospitals Group M-1M 10,898 10,479 8,103 8,898 9.8% 8,118 9.6% 1,001 983 1,148 1,225 Beaumont Hospital M-1M 5,915 5,766 4,402 4,553 3.4% 4,398 3.5% 504 521 549 505 Cavan General Hospital M-1M 1,060 1,054 818 916 12% 819 11.8% 99 89 109 164 Connolly Hospital M-1M 2,046 1,796 1,437 1,692 17.7% 1,457 16.1% 231 216 210 191 Louth County Hospital M-1M 63 73 51 35 -31.4% 51 -31.4% 3 3 6 3 Monaghan Hospital M-1M 1 1 1 0 -100% 1 -100% Our Lady of Lourdes Hospital M-1M 1,396 1,344 1,058 1,023 -3.3% 1,056 -3% 121 119 101 123 Rotunda Hospital M-1M 417 445 336 679 102.1% 336 102.1% 43 35 173 239 Saolta University Health Care Group M-1M 16,140 15,878 11,798 12,097 2.5% 12,164 -0.6% 1,393 1,497 1,416 1,414 Galway University Hospitals M-1M 8,289 8,610 6,360 6,302 -0.9% 6,292 0.2% 749 795 745 724 Letterkenny University Hospital M-1M 1,921 1,929 1,426 1,668 17.0% 1,425 17.1% 204 200 192 188 Mayo University Hospital M-1M 2,080 1,731 1,279 1,551 21.3% 1,542 0.6% 161 186 178 210 Portiuncula University Hospital M-1M 602 561 433 380 -12.2% 435 -12.6% 39 45 41 46 Roscommon University Hospital M-1M 805 830 629 618 -1.7% 629 -1.7% 66 69 77 69 Sligo University Hospital M-1M 2,443 2,217 1,671 1,578 -5.6% 1,841 -14.3% 174 202 183 177

14 Elective Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 South/South West Hospital Group M-1M 19,614 19,753 14,791 14,769 -0.1% 14,809 -0.3% 1,769 1,619 1,578 1,742 Bantry General Hospital M-1M 216 210 151 149 -1.3% 160 -6.9% 17 11 21 23 Cork University Hospital M-1M 6,363 6,392 4,779 4,752 -0.6% 4,772 -0.4% 579 550 571 541 Lourdes Orthopaedic Hospital Kilcreene M-1M 864 850 659 666 1.1% 659 1.1% 84 69 39 86 Mallow General Hospital M-1M 456 449 332 372 12.0% 332 12% 41 43 34 31 Mercy University Hospital M-1M 2,491 2,477 1,904 1,768 -7.1% 1,919 -7.9% 236 190 185 222 South Infirmary Victoria University Hospital M-1M 3,725 3,718 2,770 3,046 10.0% 2,770 10% 362 317 315 352 South Tipperary General Hospital M-1M 1,335 1,270 953 899 -5.7% 953 -5.7% 122 93 77 88 UH Kerry M-1M 1,338 1,419 1,039 1,011 -2.7% 1,041 -2.9% 90 103 106 106 UH Waterford M-1M 2,826 2,968 2,204 2,106 -4.4% 2,203 -4.4% 238 243 230 293 UL Hospitals Group M-1M 7,468 7,488 5,588 5,140 -8.0% 5,583 -7.9% 600 535 563 528 Croom Orthopaedic Hospital M-1M 1,327 1,301 972 702 -28% 971 -27.7% 87 79 63 55 Ennis Hospital M-1M 235 222 176 182 3.4% 174 4.6% 23 17 31 18 Nenagh Hospital M-1M 398 406 291 343 17.9% 291 17.9% 30 36 39 47 St. John's Hospital Limerick M-1M 1,705 1,690 1,244 1,276 2.6% 1,245 2.5% 143 118 146 141 UH Limerick M-1M 3,790 3,855 2,895 2,626 -9.3% 2,892 -9.2% 315 284 283 265 UMH Limerick M-1M 13 14 10 11 10.0% 10 10.0% 2 1 1 2

Notes: 1. Data source HPO HIPE 2. All Acute Hospitals who provide Inpatient Services are included in this report. 3. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. CUH data is inclusive of CUMH. * Activity targets in the Operational Plan differ slightly (0.03%-0.8%) from those published in NSP 2018 following analysis by Health Pricing Office based on a later version of the national HIPE file

15 Maternity Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 111,195 111,500 83,117 82,028 -1.3% 83,720 -2.0% 9,137 9,331 9,256 8,964 Dublin Midlands Hospital Group M-1M 21,778 21,853 16,454 16,376 -0.5% 16,456 -0.5% 1,826 1,837 1,894 1,793 Coombe Women and Infants University Hospital M-1M 16,819 16,829 12,701 13,002 2.4% 12,701 2.4% 1,394 1,440 1,564 1,415 MRH Portlaoise M-1M 4,795 4,876 3,634 3,253 -10.5% 3,634 -10.5% 407 386 320 366 MRH Tullamore M-1M 0 1 0 1 0 1 Naas General Hospital M-1M 35 30 27 24 -11.1% 27 -11.1% 6 2 2 3 St. James's Hospital M-1M 35 31 25 10 -60.0% 25 -60.0% 1 1 Tallaght University Hospital M-1M 94 86 67 86 28.4% 69 24.6% 18 9 7 8 Ireland East Hospital Group M-1M 24,927 24,810 18,640 18,006 -3.4% 18,651 -3.5% 2,029 2,082 2,042 2,005 Mater Misericordiae University Hospital M-1M 95 81 60 75 25.0% 60 25.0% 8 7 15 7 MRH Mullingar M-1M 6,407 6,186 4,732 4,651 -1.7% 4,732 -1.7% 536 493 541 539 National Maternity Hospital M-1M 12,729 12,860 9,586 9,134 -4.7% 9,587 -4.7% 1,009 1,102 994 1,024 Our Lady's Hospital Navan M-1M 1 1 0 0 0 St. Luke's General Hospital Kilkenny M-1M 2,878 2,831 2,126 2,163 1.7% 2,136 1.3% 247 249 253 224 St. Vincent's University Hospital M-1M 106 91 73 40 -45.2% 73 -45.2% 3 8 7 4 Wexford General Hospital M-1M 2,711 2,760 2,063 1,943 -5.8% 2,063 -5.8% 226 223 232 207 RCSI Hospitals Group M-1M 21,951 22,382 16,616 15,961 -3.9% 16,621 -4.0% 1,801 1,896 1,750 1,587 Beaumont Hospital M-1M 9 5 4 9 125.0% 5 80.0% 1 1 1 Cavan General Hospital M-1M 3,536 3,640 2,739 2,447 -10.7% 2,740 -10.7% 261 288 276 210 Connolly Hospital M-1M 31 25 18 11 -38.9% 19 -42.1% 1 3 1 Our Lady of Lourdes Hospital M-1M 6,872 7,041 5,221 4,999 -4.3% 5,223 -4.3% 555 574 594 556 Rotunda Hospital M-1M 11,503 11,671 8,634 8,495 -1.6% 8,634 -1.6% 984 1,033 876 819 Saolta University Health Care Group M-1M 17,801 17,394 12,725 13,145 3.3% 13,309 -1.2% 1,388 1,426 1,428 1,510 Galway University Hospitals M-1M 5,758 5,575 4,119 3,996 -3.0% 4,409 -9.4% 428 417 396 417 Letterkenny University Hospital M-1M 4,076 4,151 3,034 3,225 6.3% 3,034 6.3% 317 346 360 407 Mayo University Hospital M-1M 2,259 2,293 1,682 1,495 -11.1% 1,699 -12.0% 157 162 143 135 Portiuncula University Hospital M-1M 3,514 3,423 2,560 2,870 12.1% 2,560 12.1% 322 311 323 333 Sligo University Hospital M-1M 2,194 1,952 1,330 1,559 17.2% 1,607 -3.0% 164 190 206 218

16 Maternity Inpatient Discharges * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 South/South West Hospital Group M-1M 18,249 18,447 13,752 13,634 -0.9% 13,753 -0.9% 1,567 1,522 1,617 1,491 Bantry General Hospital M-1M 6 2 2 5 150.0% 3 66.7% 1 2 1 Cork University Hospital M-1M 10,480 10,596 7,813 7,878 0.8% 7,814 0.8% 916 863 942 828 Mercy University Hospital M-1M 1 1 0 1 South Tipperary General Hospital M-1M 1,969 2,015 1,531 1,405 -8.2% 1,530 -8.2% 145 147 153 161 UH Kerry M-1M 2,837 2,862 2,172 2,156 -0.7% 2,172 -0.7% 255 248 247 255 UH Waterford M-1M 2,956 2,971 2,233 2,190 -1.9% 2,233 -1.9% 250 262 275 246 UL Hospitals Group M-1M 6,489 6,614 4,930 4,906 -0.5% 4,930 -0.5% 526 568 525 578 Ennis Hospital M-1M 1 2 1 0 -100.0% 1 -100.0% UH Limerick M-1M 130 140 106 98 -7.5% 105 -6.7% 12 10 13 13 UMH Limerick M-1M 6,358 6,472 4823 4,808 -0.3% 4,824 -0.3% 514 558 512 565 Notes: 1. Data source HPO HIPE 2. All Hospitals who report Maternity Discharges are included in this report. 3. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. CUH data is inclusive of CUMH. * Activity targets in the Operational Plan differ slightly (0.03%-0.8%) from those published in NSP 2018 following analysis by Health Pricing Office based on a later version of the national HIPE file

17 Inpatient Discharges ≥ 75 years * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 119,952 119,166 89,458 93,018 4.0% 89,667 3.7% 10,247 10,284 10,732 9,653 Dublin Midlands Hospital Group M-1M 17,487 17,404 13,098 13,406 2.4% 13,098 2.4% 1,436 1,447 1,537 1,350 Coombe Women and Infants University Hospital M-1M 36 43 29 41 41.4% 29 41.4% 4 3 3 3 MRH Portlaoise M-1M 1,857 1,795 1,421 1,546 8.8% 1,421 8.8% 151 177 178 153 MRH Tullamore M-1M 3,174 3,170 2,357 2,371 0.6% 2,358 1% 267 251 255 256 Naas General Hospital M-1M 2,509 2,519 1,853 2,083 12.4% 1,853 12.4% 215 229 243 228 St. James's Hospital M-1M 5,721 5,723 4,280 4,303 0.5% 4,279 0.6% 448 464 494 403 St. Luke's Radiation Oncology Network M-1M 305 304 230 245 6.5% 231 6% 29 24 27 28 Tallaght University Hospital M-1M 3,885 3,850 2,928 2,817 -3.8% 2,927 -3.8% 322 299 337 279 Ireland East Hospital Group M-1M 26,119 25,949 19,457 20,916 7.5% 19,525 7.1% 2,306 2,337 2,336 2,207 Cappagh National Orthopaedic Hospital M-1M 608 627 455 392 -14% 455 -13.8% 40 50 39 39 Mater Misericordiae University Hospital M-1M 5,402 5,228 3,987 4,065 2.0% 4,055 0.2% 437 462 423 409 MRH Mullingar M-1M 2,772 2,777 2,078 2,102 1.2% 2,078 1.2% 244 223 257 234 National Maternity Hospital M-1M 18 19 14 16 14.3% 14 14.3% 6 1 2 Our Lady's Hospital Navan M-1M 1,881 1,879 1,436 1,543 7.5% 1,436 7.5% 162 182 161 154 Royal Victoria Eye and Ear Hospital M-1M 303 279 211 242 14.7% 211 14.7% 30 28 18 25 St. Columcille's Hospital M-1M 1,609 1,651 1,217 1,387 14.0% 1,218 13.9% 165 154 171 152 St. Luke's General Hospital Kilkenny M-1M 3,317 3,432 2,517 2,730 8.5% 2,517 8.5% 293 334 306 276 St. Michael's Hospital M-1M 1,243 1,199 916 908 -1% 915 -1% 105 80 84 89 St. Vincent's University Hospital M-1M 5,630 5,545 4,147 4,714 13.7% 4,147 13.7% 542 520 536 502 Wexford General Hospital M-1M 3,336 3,313 2,479 2,817 13.6% 2,479 13.6% 282 303 341 325 RCSI Hospitals Group M-1M 18,177 18,026 13,486 14,099 4.5% 13,487 4.5% 1,581 1,513 1,689 1,515 Beaumont Hospital M-1M 6,472 6,459 4,826 5,001 3.6% 4,825 3.6% 576 532 578 566 Cavan General Hospital M-1M 3,664 3,595 2,683 2,878 7% 2,686 7.1% 292 334 375 273 Connolly Hospital M-1M 3,288 3,197 2,407 2,334 -3.0% 2,406 -3.0% 250 230 279 277 Louth County Hospital M-1M 2 2 2 0 -100.0% 2 -100.0% Our Lady of Lourdes Hospital M-1M 4,736 4,753 3,554 3,866 8.8% 3,554 9% 459 416 453 399 Rotunda Hospital M-1M 15 20 14 20 42.9% 14 42.9% 4 1 4 Saolta University Health Care Group M-1M 24,036 23,736 17,877 18,429 3.1% 18,013 2.3% 2,040 2,121 2,202 1,846 Galway University Hospitals M-1M 6,545 6,540 4,923 5,212 5.9% 4,922 5.9% 605 590 679 543 Letterkenny University Hospital M-1M 4,712 4,731 3,557 3,566 0.3% 3,557 0.3% 378 416 399 335 Mayo University Hospital M-1M 4,794 4,674 3,524 3,609 2.4% 3,612 -0.1% 369 415 446 378 Portiuncula University Hospital M-1M 2,350 2,334 1,758 1,815 3.2% 1,758 3.2% 206 209 210 178 Roscommon University Hospital M-1M 862 892 664 657 -1.1% 664 -1.1% 73 89 79 62 Sligo University Hospital M-1M 4,773 4,565 3,451 3,570 3.4% 3,500 2.0% 409 402 389 350

18 Inpatient Discharges ≥ 75 years * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 South/South West Hospital Group M-1M 23,527 23,471 17,641 17,661 0.1% 17,647 0.1% 1,944 1,920 1,993 1,860 Bantry General Hospital M-1M 1,752 1,733 1,293 1,299 0.5% 1,291 0.6% 137 140 138 142 Cork University Hospital M-1M 6,504 6,507 4,885 5,001 2.4% 4,886 2.4% 564 569 602 520 Lourdes Orthopaedic Hospital Kilcreene M-1M 208 199 153 104 -32.0% 153 -32.0% 9 13 2 15 Mallow General Hospital M-1M 1,550 1,556 1,146 1,209 5.5% 1,146 5% 116 117 149 131 Mercy University Hospital M-1M 2,739 2,728 2,081 2,012 -3.3% 2,086 -3.5% 259 204 198 213 South Infirmary Victoria University Hospital M-1M 825 813 605 627 3.6% 605 4% 70 65 61 80 South Tipperary General Hospital M-1M 2,816 2,805 2,108 2,118 0.5% 2,108 0.5% 236 201 219 230 UH Kerry M-1M 3,013 2,957 2,261 2,312 2.3% 2,263 2.2% 217 265 249 222 UH Waterford M-1M 4,120 4,173 3,109 2,979 -4.2% 3,109 -4.2% 336 346 375 307 UL Hospitals Group M-1M 10,606 10,580 7,899 8,507 7.7% 7,897 7.7% 940 946 975 875 Croom Orthopaedic Hospital M-1M 345 343 249 247 -1% 249 -0.8% 27 30 28 23 Ennis Hospital M-1M 1,893 1,905 1,429 1,540 7.8% 1,429 7.8% 192 153 169 165 Nenagh Hospital M-1M 1,043 1,035 801 851 6.2% 801 6.2% 84 90 95 87 St. John's Hospital Limerick M-1M 1,412 1,414 1,060 1,193 12.5% 1,060 12.5% 147 136 141 123 UH Limerick M-1M 5,913 5,883 4,360 4,676 7.2% 4,358 7.3% 490 537 542 477

19 Daycase Discharges ≥ 75 years * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 186,046 183,538 139,395 143,394 2.9% 140,187 2.3% 15,852 16,717 16,587 15,701 Dublin Midlands Hospital Group M-1M 36,000 35,890 27,326 28,805 5.4% 27,364 5.3% 3,378 3,290 3,201 3,318 Coombe Women and Infants University Hospital M-1M 23 16 13 36 176.9% 13 176.9% 7 7 3 5 MRH Portlaoise M-1M 574 566 435 461 6.0% 435 6.0% 61 58 49 49 MRH Tullamore M-1M 7,850 7,975 5,882 6,424 9.2% 5,881 9% 703 706 720 684 Naas General Hospital M-1M 1,019 972 751 757 0.8% 751 0.8% 71 83 83 89 St. James's Hospital M-1M 7,005 6,904 5,314 5,486 3.2% 5,316 3.2% 583 666 611 609 St. Luke's Radiation Oncology Network M-1M 11,750 11,803 8,998 9,176 2.0% 9,033 2% 1196 1029 972 1193 Tallaght University Hospital M-1M 7,779 7,654 5,933 6,465 9.0% 5,935 8.9% 757 741 763 689 Ireland East Hospital Group M-1M 36,455 36,309 27,782 27,966 0.7% 27,713 0.9% 2,958 3,212 3,403 2,996 Cappagh National Orthopaedic Hospital M-1M 881 917 659 698 6% 659 5.9% 71 69 83 86 Mater Misericordiae University Hospital M-1M 13,150 13,287 10,048 9,707 -3.4% 10,054 -3.5% 1069 1090 1189 993 MRH Mullingar M-1M 746 776 597 567 -5.0% 597 -5.0% 59 84 67 70 National Maternity Hospital M-1M 7 2 2 9 350.0% 2 350.0% 1 1 1 1 Our Lady's Hospital Navan M-1M 662 620 483 508 5.2% 483 5.2% 61 62 59 71 Royal Victoria Eye and Ear Hospital M-1M 4,810 4,803 3,754 3,806 1.4% 3,679 3.5% 380 460 490 400 St. Columcille's Hospital M-1M 295 303 221 251 13.6% 221 13.6% 26 30 31 24 St. Luke's General Hospital Kilkenny M-1M 1,246 1,155 924 976 5.6% 924 5.6% 119 121 125 115 St. Michael's Hospital M-1M 697 622 505 481 -5% 505 -5% 50 44 61 47 St. Vincent's University Hospital M-1M 12,737 12,658 9,652 10,045 4.1% 9,652 4.1% 1021 1136 1200 1060 Wexford General Hospital M-1M 1,224 1,166 937 918 -2.0% 937 -2.0% 101 115 97 129 RCSI Hospitals Group M-1M 27,528 26,974 20,518 20,971 2.2% 20,520 2.2% 2,169 2,421 2,496 2,286 Beaumont Hospital M-1M 17,918 17,508 13,359 13,702 2.6% 13,357 2.6% 1,399 1,562 1,615 1,507 Cavan General Hospital M-1M 4,602 4,571 3,422 3,617 6% 3,423 5.7% 381 418 412 400 Connolly Hospital M-1M 1,392 1,427 1,084 910 -16.1% 1,084 -16.1% 104 102 112 96 Louth County Hospital M-1M 1,430 1,356 1,038 1,090 5.0% 1,039 4.9% 101 137 132 103 Monaghan Hospital M-1M 455 431 332 319 -4% 332 -4% 38 26 35 36 Our Lady of Lourdes Hospital M-1M 1,715 1,662 1,272 1,312 3.1% 1,272 3% 141 174 186 142 Rotunda Hospital M-1M 16 19 11 21 90.9% 13 61.5% 5 2 4 2 Saolta University Health Care Group M-1M 37,829 36,801 27,714 28,912 4.3% 28,457 1.6% 3,257 3,398 3,311 3,180 Galway University Hospitals M-1M 15,793 14,898 11,235 12,253 9.1% 11,836 3.5% 1,357 1,437 1,313 1,346 Letterkenny University Hospital M-1M 6,210 6,399 4,790 4,719 -1.5% 4,788 -1.4% 536 535 531 517 Mayo University Hospital M-1M 5,266 5,197 3,926 4,058 3.4% 3,921 3.5% 472 447 481 416 Portiuncula University Hospital M-1M 1,080 1,098 822 800 -2.7% 822 -2.7% 84 113 97 86 Roscommon University Hospital M-1M 1,308 1,220 962 1,061 10.3% 962 10.3% 147 134 138 131 Sligo University Hospital M-1M 8,172 7,989 5,979 6,021 0.7% 6,128 -1.7% 661 732 751 684

20 Daycase Discharges ≥ 75 years * Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jun-18 Jul-18 Aug-18 Sep-18 South/South West Hospital Group M-1M 37,526 37,389 28,050 28,348 1.1% 28,127 0.8% 3,144 3,404 3,169 2,985 Bantry General Hospital M-1M 508 489 371 395 6.5% 371 6.5% 47 39 55 35 Cork University Hospital M-1M 12,648 12,895 9,527 9,533 0.1% 9,585 -0.5% 1,054 1,132 1,053 996 Lourdes Orthopaedic Hospital Kilcreene M-1M 217 224 168 140 -16.7% 168 -16.7% 17 18 4 11 Mallow General Hospital M-1M 641 615 483 432 -10.6% 483 -11% 51 57 31 47 Mercy University Hospital M-1M 3,207 3,147 2,370 2,481 4.7% 2,371 4.6% 282 285 258 265 South Infirmary Victoria University Hospital M-1M 4,828 4,753 3,650 3,864 5.9% 3,650 6% 462 495 466 405 South Tipperary General Hospital M-1M 787 774 587 582 -0.9% 592 -1.7% 88 61 63 69 UH Kerry M-1M 2,964 3,022 2,221 2,207 -0.6% 2,223 -0.7% 229 252 251 247 UH Waterford M-1M 11,726 11,470 8,673 8,714 0.5% 8,684 0.3% 914 1,065 988 910 UL Hospitals Group M-1M 10,708 10,175 8,005 8,392 4.8% 8,006 4.8% 946 992 1,007 936 Croom Orthopaedic Hospital M-1M 272 277 214 183 -14% 214 -14.5% 18 21 20 24 Ennis Hospital M-1M 1,080 1,043 799 828 3.6% 799 3.6% 92 80 95 94 Nenagh Hospital M-1M 833 803 604 713 18.0% 604 18.0% 80 71 96 75 St. John's Hospital Limerick M-1M 502 483 362 412 13.8% 362 13.8% 35 59 52 50 UH Limerick M-1M 8,021 7,569 6,026 6,256 3.8% 6,027 3.8% 721 761 744 693

21 Inpatient & Daycase Profiles (Public / Private) Reporting Period October 2018 Reporting Inpatient Discharges Cumulative September YTD Inpatient Discharges Cumulative September YTD Day Case Cumulative September YTD Frequency

% % % Public % Public % Private % Private Emergency Emergency % Elective % Elective % Public % Public % Private % Private Reporting Level 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var National Total M-1M 82.0% 83.6% 2.0% 18.0% 16.4% -8.9% 82.3% 82.5% 0.2% 17.7% 17.5% -1.1% 85.9% 86.6% 0.8% 14.1% 13.4% -5.0% Children's Hospital Group M-1M 77.8% 80.9% 4.0% 22.2% 19.1% -14.0% 74.2% 71.7% -3.4% 25.8% 28.3% 9.7% 82.8% 85.4% 3.1% 17.2% 14.6% -15.1% National Children's Hospital at Tallaght M-1M University Hospital 71.7% 72.0% 0.4% 28.3% 28.0% -1.1% 89.3% 88.0% -1.5% 10.7% 12.0% 12.1% 79.5% 77.3% -2.8% 20.5% 22.7% 10.7% Our Lady's Children's Hospital, Crumlin M-1M 76.8% 83.3% 8.5% 23.2% 16.7% -28.0% 67.9% 63.5% -6.5% 32.1% 36.5% 13.7% 81.3% 86.1% 5.9% 18.7% 13.9% -25.7% Temple Street Children's University Hospital M-1M 84.4% 83.6% -0.9% 15.6% 16.4% 5.1% 71.6% 72.3% 1.0% 28.4% 27.7% -2.5% 87.2% 85.7% -1.7% 12.8% 14.3% 11.7% Dublin Midlands Hospital Group M-1M 81.5% 82.3% 1.0% 18.5% 17.7% -4.3% 82.0% 82.6% 0.7% 18.0% 17.4% -3.3% 83.4% 84.9% 1.8% 16.6% 15.1% -9.0% Coombe Women and Infants University M-1M Hospital 79.3% 80.3% 1.3% 20.7% 19.7% -4.8% 61.7% 65.1% 5.5% 38.3% 34.9% -8.9% 76.1% 70.9% -6.8% 23.9% 29.1% 21.8% MRH Portlaoise M-1M 88.1% 87.5% -0.7% 11.9% 12.5% 5.0% 94.4% 93.8% -0.6% 5.6% 6.2% 10.7% 85.0% 86.2% 1.4% 15.0% 13.8% -8.0% MRH Tullamore M-1M 79.1% 79.5% 0.5% 20.9% 20.5% -1.9% 78.5% 79.2% 0.9% 21.5% 20.8% -3.3% 88.2% 89.5% 1.5% 11.8% 10.5% -11.0% Naas General Hospital M-1M 84.6% 86.0% 1.7% 15.4% 14.0% -9.1% 92.9% 93.9% 1.1% 7.1% 6.1% -14.1% 86.8% 86.6% -0.2% 13.2% 13.4% 1.5% St. James's Hospital M-1M 81.6% 81.9% 0.4% 18.4% 18.1% -1.6% 78.5% 78.8% 0.4% 21.5% 21.2% -1.4% 76.2% 78.4% 2.9% 23.8% 21.6% -9.2% St. Luke's Radiation Oncology Network M-1M 81.2% 78.8% -3.0% 18.8% 21.2% 12.8% 16.4% 15.0% -8.5% 83.6% 85.0% 1.7% 84.2% 87.0% 3.3% 15.8% 13.0% -17.7% Tallaght University Hospital M-1M 78.6% 81.1% 3.2% 21.4% 18.9% -11.7% 83.8% 84.5% 0.8% 16.2% 15.5% -4.3% 87.1% 88.3% 1.4% 12.9% 11.7% -9.3% Ireland East Hospital Group M-1M 82.3% 84.6% 2.8% 17.7% 15.4% -13.0% 82.3% 83.3% 1.2% 17.7% 16.7% -5.6% 91.3% 91.8% 0.5% 8.7% 8.2% -5.7% Cappagh National Orthopaedic Hospital M-1M 86.8% 83.7% -3.6% 13.2% 16.3% 23.5% 0.6% 0.3% -50.0% 99.4% 99.7% 0.3% 72.6% 73.6% 1.4% 27.4% 26.4% -3.6% Mater Misericordiae University Hospital M-1M 87.1% 90.1% 3.4% 12.9% 9.9% -23.3% 78.6% 79.7% 1.4% 21.4% 20.3% -5.1% 94.3% 95.2% 1.0% 5.7% 4.8% -15.8% MRH Mullingar M-1M 88.0% 88.6% 0.7% 12.0% 11.4% -5.0% 91.7% 93.0% 1.4% 8.3% 7.0% -15.7% 82.5% 81.2% -1.6% 17.5% 18.8% 7.4% National Maternity Hospital M-1M 66.4% 66.6% 0.3% 33.6% 33.4% -0.6% 83.7% 81.0% -3.2% 16.3% 19.0% 16.6% 73.5% 70.1% -4.6% 26.5% 29.9% 12.8% Our Lady's Hospital Navan M-1M 91.9% 93.3% 1.5% 8.1% 6.7% -17.3% 83.2% 83.7% 0.6% 16.8% 16.3% -3.0% 80.2% 82.8% 3.2% 19.8% 17.2% -13.1% Royal Victoria Eye and Ear Hospital M-1M 61.1% 68.4% 11.9% 38.9% 31.6% -18.8% 28.6% 30.8% 7.7% 71.4% 69.2% -3.1% 82.2% 81.5% -0.9% 17.8% 18.5% 3.9% St. Columcille's Hospital M-1M 99.6% 99.8% 0.2% 0.4% 0.2% -50.0% 95.5% 94.8% -0.7% 4.5% 5.2% 15.6% 90.2% 94.0% 4.2% 9.8% 6.0% -38.8% St. Luke's General Hospital Kilkenny M-1M 78.9% 82.0% 3.9% 21.1% 18.0% -14.7% 96.8% 96.5% -0.3% 3.2% 3.5% 9.4% 90.7% 92.5% 2.0% 9.3% 7.5% -19.4% St. Michael's Hospital M-1M 73.7% 79.2% 7.5% 26.3% 20.8% -20.9% 67.3% 68.4% 1.6% 32.7% 31.6% -3.4% 86.5% 86.3% -0.2% 13.5% 13.7% 1.5% St. Vincent's University Hospital M-1M 79.6% 82.6% 3.8% 20.4% 17.4% -14.7% 79.0% 79.7% 0.9% 21.0% 20.3% -3.3% 97.8% 98.1% 0.3% 2.2% 1.9% -13.6% Wexford General Hospital M-1M 86.3% 88.5% 2.5% 13.7% 11.5% -16.1% 93.6% 93.9% 0.3% 6.4% 6.1% -4.7% 80.4% 79.5% -1.1% 19.6% 20.5% 4.6% RCSI Hospitals Group M-1M 87.1% 87.7% 0.7% 12.9% 12.3% -4.7% 86.6% 85.5% -1.3% 13.4% 14.5% 8.2% 91.1% 91.9% 0.9% 8.9% 8.1% -9.0% Beaumont Hospital M-1M 82.5% 85.2% 3.3% 17.5% 14.8% -15.4% 76.0% 75.8% -0.3% 24.0% 24.2% 0.8% 93.8% 94.6% 0.9% 6.2% 5.4% -12.9% Cavan General Hospital M-1M 85.8% 86.1% 0.3% 14.2% 13.9% -2.1% 91.8% 91.4% -0.4% 8.2% 8.6% 4.9% 89.6% 91.4% 2.0% 10.4% 8.6% -17.3% Connolly Hospital M-1M 92.4% 94.7% 2.5% 7.6% 5.3% -30.3% 87.3% 83.7% -4.1% 12.7% 16.3% 28.3% 87.3% 89.1% 2.1% 12.7% 10.9% -14.2% Louth County Hospital M-1M 86.3% 88.6% 2.7% 13.7% 11.4% -16.8% 0.0% 0.0% 100.0% 100.0% 0.0% 89.8% 90.1% 0.3% 10.2% 9.9% -2.9% Monaghan Hospital M-1M 79.0% 84.0% 6.3% 21.0% 16.0% -23.8% Our Lady of Lourdes Hospital M-1M 89.7% 90.4% 0.8% 10.3% 9.6% -6.8% 94.3% 94.5% 0.2% 5.7% 5.5% -3.5% 87.1% 89.7% 3.0% 12.9% 10.3% -20.2% Rotunda Hospital M-1M 85.2% 82.0% -3.8% 14.8% 18.0% 21.6% 82.5% 76.0% -7.9% 17.5% 24.0% 37.1% 85.8% 77.8% -9.3% 14.2% 22.2% 56.3% Saolta University Health Care Group M-1M 85.6% 87.2% 1.9% 14.4% 12.8% -11.1% 83.0% 83.5% 0.6% 17.0% 16.5% -2.9% 88.4% 88.5% 0.1% 11.6% 11.5% -0.9% Galway University Hospitals M-1M 81.7% 83.9% 2.7% 18.3% 16.1% -12.0% 73.9% 75.0% 1.5% 26.1% 25.0% -4.2% 91.4% 91.3% -0.1% 8.6% 8.7% 1.2% Letterkenny University Hospital M-1M 91.7% 91.5% -0.2% 8.3% 8.5% 2.4% 90.4% 88.7% -1.9% 9.6% 11.3% 17.7% 91.1% 90.3% -0.9% 8.9% 9.7% 9.0% Mayo University Hospital M-1M 86.3% 86.3% 0.0% 13.7% 13.7% 0.0% 87.4% 88.1% 0.8% 12.6% 11.9% -5.6% 89.5% 90.2% 0.8% 10.5% 9.8% -6.7% Portiuncula University Hospital M-1M 85.6% 89.8% 4.9% 14.4% 10.2% -29.2% 93.8% 94.4% 0.6% 6.2% 5.6% -9.7% 72.6% 74.2% 2.2% 27.4% 25.8% -5.8% Roscommon University Hospital M-1M 80.2% 82.2% 2.5% 19.8% 17.8% -10.1% 52.9% 51.6% -2.5% 47.1% 48.4% 2.8% 77.4% 78.3% 1.2% 22.6% 21.7% -4.0% Sligo University Hospital M-1M 85.7% 88.5% 3.3% 14.3% 11.5% -19.6% 84.8% 87.1% 2.7% 15.2% 12.9% -15.1% 84.5% 84.9% 0.5% 15.5% 15.1% -2.6%

22 Inpatient & Daycase Profiles (Public / Private) Reporting Period October 2018 Reporting Inpatient Discharges Cumulative September YTD Inpatient Discharges Cumulative September YTD Day Case Cumulative September YTD Frequency

% % % Public % Public % Private % Private Emergency Emergency % Elective % Elective % Public % Public % Private % Private Reporting Level 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var 2017 2018 % Var South/South West Hospital Group M-1M 78.9% 80.3% 1.8% 21.1% 19.7% -6.6% 79.8% 79.4% -0.5% 20.2% 20.6% 2.0% 81.6% 81.6% 0.0% 18.4% 18.4% 0.0% Bantry General Hospital M-1M 91.5% 92.6% 1.2% 8.5% 7.4% -12.9% 95.5% 95.4% -0.1% 4.5% 4.6% 2.2% 84.6% 96.9% 14.5% 15.4% 3.1% -79.9% Cork University Hospital M-1M 79.9% 81.3% 1.8% 20.1% 18.7% -7.0% 81.0% 81.0% 0.0% 19.0% 19.0% 0.0% 87.9% 88.2% 0.3% 12.1% 11.8% -2.5% Lourdes Orthopaedic Hospital Kilcreene M-1M 80.3% 78.1% -2.7% 19.7% 21.9% 11.2% 0.0% 0.0% 0.0% 100.0% 100.0% 0.0% 82.7% 83.5% 1.0% 17.3% 16.5% -4.6% Mallow General Hospital M-1M 68.4% 74.1% 8.3% 31.6% 25.9% -18.0% 89.4% 88.4% -1.1% 10.6% 11.6% 9.4% 67.5% 69.0% 2.2% 32.5% 31.0% -4.6% Mercy University Hospital M-1M 68.0% 69.1% 1.6% 32.0% 30.9% -3.4% 75.7% 76.2% 0.7% 24.3% 23.8% -2.1% 57.2% 59.1% 3.3% 42.8% 40.9% -4.4% South Infirmary Victoria University Hospital M-1M 57.5% 62.1% 8.0% 42.5% 37.9% -10.8% 21.0% 18.6% -11.4% 79.0% 81.4% 3.0% 69.3% 68.3% -1.4% 30.7% 31.7% 3.3% South Tipperary General Hospital M-1M 84.1% 84.3% 0.2% 15.9% 15.7% -1.3% 87.2% 88.0% 0.9% 12.8% 12.0% -6.3% 83.3% 80.5% -3.4% 16.7% 19.5% 16.8% UH Kerry M-1M 82.4% 84.9% 3.0% 17.6% 15.1% -14.2% 88.5% 88.8% 0.3% 11.5% 11.2% -2.6% 95.2% 94.0% -1.3% 4.8% 6.0% 25.0% UH Waterford M-1M 81.2% 81.3% 0.1% 18.8% 18.7% -0.5% 83.1% 82.3% -1.0% 16.9% 17.7% 4.7% 87.7% 87.9% 0.2% 12.3% 12.1% -1.6% UL Hospitals Group M-1M 73.5% 76.1% 3.5% 26.5% 23.9% -9.8% 83.6% 85.1% 1.8% 16.4% 14.9% -9.1% 72.3% 74.2% 2.6% 27.7% 25.8% -6.9% Croom Orthopaedic Hospital M-1M 47.9% 54.2% 13.2% 52.1% 45.8% -12.1% 21.0% 33.8% 61.0% 79.0% 66.2% -16.2% 70.5% 76.3% 8.2% 29.5% 23.7% -19.7% Ennis Hospital M-1M 91.7% 93.4% 1.9% 8.3% 6.6% -20.5% 95.7% 95.8% 0.1% 4.3% 4.2% -2.3% 72.9% 73.1% 0.3% 27.1% 26.9% -0.7% Nenagh Hospital M-1M 80.8% 85.8% 6.2% 19.2% 14.2% -26.0% 87.6% 86.8% -0.9% 12.4% 13.2% 6.5% 76.5% 75.9% -0.8% 23.5% 24.1% 2.6% St. John's Hospital Limerick M-1M 77.5% 79.1% 2.1% 22.5% 20.9% -7.1% 63.7% 65.6% 3.0% 36.3% 34.4% -5.2% 63.6% 64.3% 1.1% 36.4% 35.7% -1.9% UH Limerick M-1M 68.0% 71.0% 4.4% 32.0% 29.0% -9.4% 87.0% 88.1% 1.3% 13.0% 11.9% -8.5% 72.6% 75.3% 3.7% 27.4% 24.7% -9.9% UMH Limerick M-1M 82.3% 80.5% -2.2% 17.7% 19.5% 10.2% 98.5% 98.4% -0.1% 1.5% 1.6% 6.7% 77.5% 76.6% -1.2% 22.5% 23.4% 4.0%

Notes: 1. Data source HPO HIPE

23 Emergency Care - All Emergency Presentations Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 1,417,892 1,416,645 1,179,899 1,224,750 3.8% 1,180,381 3.8% 126,264 122,451 120,486 126,481 Children's Hospital Group M 120,928 117,734 95,914 98,257 2.4% 98,538 -0.3% 8,774 8,000 9,544 10,428 National Children's Hospital at Tallaght University M 33,188 32,487 26,581 26,833 0.9% 27,155 -1.2% 2,361 2,155 2,646 2,919 Hospital Our Lady's Children's Hospital, Crumlin M 37,517 36,459 29,648 31,021 4.6% 30,508 1.7% 2,797 2,594 2,994 3,241 Temple Street Children's University Hospital M 50,223 48,788 39,686 40,403 1.8% 40,875 -1.2% 3,616 3,251 3,904 4,268 Dublin Midlands Hospital Group M 201,050 201,348 168,011 171,343 2.0% 167,749 2.1% 17,920 17,292 17,169 18,142 MRH Portlaoise M 37,931 38,269 31,890 32,329 1.4% 31,599 2.3% 3,274 3,051 3,133 3,312 MRH Tullamore M 33,214 33,482 28,060 28,852 2.8% 27,835 3.7% 3,152 3,036 2,918 2,988 Naas General Hospital M 29,844 29,999 25,109 25,280 0.7% 24,978 1.2% 2,610 2,661 2,383 2,651 St. James's Hospital M 49,503 49,401 41,040 42,093 2.6% 41,123 2.4% 4,448 4,300 4,259 4,602 Tallaght University Hospital M 50,558 50,196 41,912 42,789 2.1% 42,214 1.4% 4,436 4,244 4,476 4,589 Ireland East Hospital Group M 303,148 304,466 254,037 264,766 4.2% 252,842 4.7% 27,513 26,893 26,248 27,317 Mater Misericordiae University Hospital M 76,132 76,117 63,476 68,908 8.6% 63,489 8.5% 7,225 7,116 6,913 7,144 MRH Mullingar M 35,911 35,989 29,898 30,185 1.0% 29,833 1.2% 2,959 2,879 2,955 3,042 Our Lady's Hospital Navan M 20,141 20,647 17,367 16,835 -3.1% 16,926 -0.5% 1,778 1,752 1,631 1,725 St. Columcille's Hospital M 7,570 7,976 6,837 6,445 -5.7% 6,489 -0.7% 695 639 731 683 St. Luke's General Hospital Kilkenny M 48,304 49,158 41,125 41,451 0.8% 40,410 2.6% 4,311 4,134 4,130 4,268 St. Michael's Hospital M 18,765 18,544 15,425 16,513 7.1% 15,556 6.2% 1,819 1,664 1,646 1,846 St. Vincent's University Hospital M 54,008 53,261 44,118 47,792 8.3% 44,736 6.8% 4,950 4,907 4,744 4,954 Wexford General Hospital M 42,317 42,773 35,791 36,637 2.4% 35,403 3.5% 3,776 3,802 3,498 3,655 RCSI Hospitals Group M 210,588 209,692 174,399 181,446 4.0% 174,974 3.7% 18,371 18,366 17,710 18,589 Beaumont Hospital M 57,008 56,474 46,932 48,930 4.3% 47,368 3.3% 5,076 5,160 4,872 5,079 Cavan General Hospital M 38,654 38,894 32,384 32,875 1.5% 32,060 2.5% 3,238 3,203 3,067 3,349 Connolly Hospital M 39,198 38,504 31,943 34,032 6.5% 32,519 4.7% 3,395 3,491 3,390 3,456 Louth County Hospital M 11,083 11,435 9,705 9,621 -0.9% 9,406 2.3% 1,072 982 962 985 Monaghan Hospital M 4,566 4,706 4,079 4,435 8.7% 3,943 12.5% 535 421 421 461 Our Lady of Lourdes Hospital M 60,079 59,678 49,356 51,553 4.5% 49,678 3.8% 5,055 5,109 4,998 5,259 Saolta University Health Care Group M 222,263 223,762 187,197 195,649 4.5% 185,847 5.3% 20,805 20,336 18,779 19,796 Galway University Hospitals M 63,308 63,884 53,357 55,233 3.5% 52,874 4.5% 5,747 5,815 5,321 5,647 Letterkenny University Hospital M 41,872 42,962 36,445 38,072 4.5% 35,451 7.4% 4,245 4,055 3,568 3,925 Mayo University Hospital M 37,077 36,922 30,611 32,541 6.3% 30,739 5.9% 3,417 3,420 3,141 3,219 Portiuncula University Hospital M 25,617 25,284 20,943 21,667 3.5% 21,215 2.1% 2,151 2,046 2,008 2,191 Roscommon University Hospital M 6,195 6,502 5,561 5,652 1.6% 5,298 6.7% 634 654 585 569 Sligo University Hospital M 48,194 48,207 40,281 42,484 5.5% 40,270 5.5% 4,611 4,346 4,156 4,245

24 Emergency Care - All Emergency Presentations Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 South/South West Hospital Group M 261,673 262,094 218,959 225,565 3.0% 218,499 3.2% 23,810 22,946 22,203 22,927 Bantry General Hospital M 5,052 5,233 4,440 4,954 11.6% 4,286 15.6% 608 585 514 496 Cork University Hospital M 64,717 65,297 54,110 56,386 4.2% 53,630 5.1% 5,942 5,767 5,480 5,882 Mallow General Hospital M 6,318 6,638 5,741 5,529 -3.7% 5,465 1.2% 598 550 503 561 Mercy University Hospital M 51,616 50,942 42,407 45,036 6.2% 42,965 4.8% 4,596 4,478 4,481 4,566 South Tipperary General Hospital M 41,161 41,581 34,694 33,199 -4.3% 34,344 -3.3% 3,406 3,188 3,271 3,197 UH Kerry M 37,385 36,641 30,894 32,725 5.9% 31,420 4.2% 3,495 3,388 3,228 3,291 UH Waterford M 55,424 55,761 46,672 47,736 2.3% 46,389 2.9% 5,165 4,990 4,726 4,934 UL Hospitals Group M 98,242 97,550 81,382 87,724 7.8% 81,932 7.1% 9,071 8,618 8,833 9,282 Ennis Hospital M 10,631 11,039 9,439 9,582 1.5% 9,090 5.4% 1,136 996 977 1,005 Nenagh Hospital M 8,699 8,832 7,543 8,250 9.4% 7,429 11.1% 930 786 913 907 St. John's Hospital Limerick M 11,094 11,217 9,451 9,780 3.5% 9,347 4.6% 976 929 973 1,083 UH Limerick M 67,818 66,462 54,949 60,112 9.4% 56,066 7.2% 6,029 5,907 5,970 6,287

Notes: 1. Data source BIU Acute 2. Royal Victoria Eye & Ear is excluded from report as it does not have an Acute Emergency Department 3. Emergency Care - All Emergency presentations includes new, return, LIU and other emergency presentations

25 New ED Attendances Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 1,182,844 1,178,977 979,262 1,020,166 4.2% 982,387 3.8% 104,260 101,774 100,444 105,586 Children's Hospital Group M 112,736 109,776 89,519 92,087 2.9% 91,942 0.2% 8,243 7,510 9,006 9,707 National Children's Hospital at Tallaght University M 30,640 29,968 24,534 24,861 1.3% 25,085 -0.9% 2,216 2,008 2,477 2,660 Hospital Our Lady's Children's Hospital, Crumlin M 34,735 33,670 27,385 28,845 5.3% 28,251 2.1% 2,588 2,409 2,797 3,006 Temple Street Children's University Hospital M 47,361 46,139 37,600 38,381 2.1% 38,606 -0.6% 3,439 3,093 3,732 4,041 Dublin Midlands Hospital Group M 183,445 183,497 152,976 156,955 2.6% 152,925 2.6% 16,292 15,967 15,766 16,679 MRH Portlaoise M 31,771 31,814 26,401 27,705 4.9% 26,362 5.1% 2,724 2,644 2,684 2,881 MRH Tullamore M 31,603 31,922 26,764 27,176 1.5% 26,497 2.6% 2,952 2,873 2,768 2,822 Naas General Hospital M 28,148 28,249 23,607 23,943 1.4% 23,522 1.8% 2,447 2,518 2,256 2,501 St. James's Hospital M 47,519 47,396 39,383 40,374 2.5% 39,483 2.3% 4,246 4,118 4,098 4,402 Tallaght University Hospital M 44,404 44,117 36,821 37,757 2.5% 37,061 1.9% 3,923 3,814 3,960 4,073 Ireland East Hospital Group M 260,640 261,520 218,014 228,679 4.9% 217,267 5.3% 23,649 23,289 22,646 23,716 Mater Misericordiae University Hospital M 72,102 71,946 60,014 65,564 9.2% 60,145 9.0% 6,884 6,803 6,585 6,766 MRH Mullingar M 31,703 31,766 26,368 26,782 1.6% 26,316 1.8% 2,610 2,574 2,625 2,698 Our Lady's Hospital Navan M 18,674 18,885 15,788 15,730 -0.4% 15,611 0.8% 1,651 1,613 1,514 1,608 St. Luke's General Hospital Kilkenny M 37,069 37,907 31,729 32,099 1.2% 31,027 3.5% 3,279 3,219 3,163 3,356 St. Michael's Hospital M 14,655 15,130 12,808 11,841 -7.6% 12,406 -4.6% 1,299 1,176 1,178 1,396 St. Vincent's University Hospital M 52,260 51,479 42,627 46,109 8.2% 43,274 6.6% 4,769 4,733 4,551 4,768 Wexford General Hospital M 34,177 34,408 28,680 30,554 6.5% 28,488 7.3% 3,157 3,171 3,030 3,124 RCSI Hospitals Group M 174,821 172,731 142,930 151,165 5.8% 144,657 4.5% 15,232 15,281 14,778 15,487 Beaumont Hospital M 52,696 51,931 43,052 45,530 5.8% 43,687 4.2% 4,687 4,784 4,549 4,715 Cavan General Hospital M 30,248 29,693 24,307 26,932 10.8% 24,762 8.8% 2,737 2,704 2,550 2,685 Connolly Hospital M 36,549 35,869 29,744 31,613 6.3% 30,308 4.3% 3,156 3,166 3,081 3,245 Our Lady of Lourdes Hospital M 55,328 55,238 45,825 47,090 2.8% 45,900 2.6% 4,652 4,627 4,598 4,842 Saolta University Health Care Group M 191,090 191,394 159,441 166,029 4.1% 159,182 4.3% 17,324 16,932 16,102 16,784 Galway University Hospitals M 59,236 59,711 49,795 51,602 3.6% 49,399 4.5% 5,284 5,447 5,004 5,268 Letterkenny University Hospital M 38,054 38,447 32,254 33,505 3.9% 31,925 4.9% 3,639 3,413 3,300 3,446 Mayo University Hospital M 35,809 35,633 29,539 31,328 6.1% 29,685 5.5% 3,243 3,258 3,052 3,112 Portiuncula University Hospital M 23,708 23,321 19,244 20,118 4.5% 19,563 2.8% 1,967 1,911 1,891 1,999 Sligo University Hospital M 34,283 34,281 28,609 29,476 3.0% 28,610 3.0% 3,191 2,903 2,855 2,959 South/South West Hospital Group M 196,262 197,229 164,371 169,119 2.9% 163,559 3.4% 17,901 17,248 16,592 17,341 Cork University Hospital M 61,229 61,886 51,273 53,261 3.9% 50,728 5.0% 5,632 5,447 5,159 5,609 Mercy University Hospital M 29,713 29,146 24,055 25,813 7.3% 24,523 5.3% 2,611 2,600 2,523 2,571 South Tipperary General Hospital M 25,844 26,088 21,920 21,255 -3.0% 21,715 -2.1% 2,260 2,047 2,119 2,191 UH Kerry M 32,003 32,411 27,250 28,068 3.0% 26,907 4.3% 3,018 2,909 2,718 2,742 UH Waterford M 47,473 47,698 39,874 40,722 2.1% 39,686 2.6% 4,380 4,245 4,073 4,228 UL Hospitals Group M 63,850 62,830 52,010 56,132 7.9% 52,855 6.2% 5,619 5,547 5,554 5,872 UH Limerick M 63,850 62,830 52,010 56,132 7.9% 52,855 6.2% 5,619 5,547 5,554 5,872

Notes: 1. Data source BIU Acute 2. Royal Victoria Eye & Ear is excluded from report as it does not have an Acute Emergency Department

26 Return ED Attendances Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 96,981 97,371 81,527 82,633 1.4% 80,986 2.0% 8,705 8,336 8,090 8,501 Children's Hospital Group M 7,914 7,689 6,168 5,902 -4.3% 6,361 -7.2% 518 460 519 694 National Children's Hospital at Tallaght University M 2,270 2,250 1,819 1,704 -6.3% 1,835 -7.1% 132 117 150 232 Hospital Our Lady's Children's Hospital, Crumlin M 2,782 2,789 2,263 2,176 -3.8% 2,257 -3.6% 209 185 197 235 Temple Street Children's University Hospital M 2,862 2,650 2,086 2,022 -3.1% 2,269 -10.9% 177 158 172 227 Dublin Midlands Hospital Group M 14,438 14,570 12,260 12,140 -1.0% 12,145 0.0% 1,368 1,156 1,184 1,250 MRH Portlaoise M 3,149 3,341 2,859 2,449 -14.3% 2,695 -9.1% 299 244 238 228 MRH Tullamore M 1,611 1,561 1,296 1,676 29.4% 1,338 25.3% 200 163 150 166 Naas General Hospital M 1,696 1,750 1,502 1,337 -11.0% 1,456 -8.2% 163 143 127 150 St. James's Hospital M 1,984 2,005 1,657 1,719 3.7% 1,640 4.8% 202 182 161 200 Tallaght University Hospital M 5,998 5,914 4,945 4,959 0.3% 5,016 -1.1% 504 424 508 506 Ireland East Hospital Group M 23,366 23,108 19,128 20,656 8.0% 19,279 7.1% 2,139 2,041 2,063 2,134 Mater Misericordiae University Hospital M 4,030 4,171 3,461 3,344 -3.4% 3,344 0.0% 341 313 328 378 MRH Mullingar M 4,208 4,224 3,530 3,403 -3.6% 3,517 -3.2% 349 305 330 344 Our Lady's Hospital Navan M 1,467 1,762 1,579 1,105 -30.0% 1,315 -16.0% 127 139 117 117 St. Luke's General Hospital Kilkenny M 3,281 3,213 2,686 2,701 0.6% 2,743 -1.5% 254 262 313 298 St. Michael's Hospital M 4,110 3,414 2,617 4,672 78.5% 3,150 48.3% 520 488 468 450 St. Vincent's University Hospital M 1,748 1,783 1,491 1,683 12.9% 1,462 15.1% 181 174 193 186 Wexford General Hospital M 4,522 4,541 3,764 3,748 -0.4% 3,748 0.0% 367 360 314 361 RCSI Hospitals Group M 13,776 14,483 12,500 11,151 -10.8% 11,776 -5.3% 1,092 1,293 1,124 1,118 Beaumont Hospital M 3,742 3,971 3,404 3,010 -11.6% 3,207 -6.1% 342 348 291 326 Cavan General Hospital M 2,634 3,437 3,366 1,259 -62.6% 2,580 -51.2% 108 138 124 164 Connolly Hospital M 2,649 2,635 2,199 2,419 10.0% 2,211 9.4% 239 325 309 211 Our Lady of Lourdes Hospital M 4,751 4,440 3,531 4,463 26.4% 3,778 18.1% 403 482 400 417 Saolta University Health Care Group M 10,663 10,938 9,348 9,119 -2.4% 9,110 0.1% 1,118 978 900 921 Galway University Hospitals M 3,119 3,202 2,770 2,933 5.9% 2,698 8.7% 386 300 266 287 Letterkenny University Hospital M 1,780 1,902 1,651 1,296 -21.5% 1,545 -16.1% 158 144 138 132 Mayo University Hospital M 1,268 1,289 1,071 1,213 13.2% 1,054 15.1% 174 162 89 107 Portiuncula University Hospital M 1,103 1,139 1,002 865 -13.7% 971 -10.9% 106 82 68 111 Sligo University Hospital M 3,393 3,407 2,853 2,812 -1.5% 2,842 -1.1% 294 290 339 284 South/South West Hospital Group M 22,856 22,951 19,185 19,685 2.6% 19,104 3.0% 2,060 2,048 1,884 1,969 Cork University Hospital M 3,484 3,408 2,835 3,125 10.2% 2,898 7.8% 310 320 321 273 Mercy University Hospital M 3,460 3,447 2,862 2,928 2.3% 2,873 1.9% 296 282 265 282 South Tipperary General Hospital M 4,679 4,712 3,905 3,802 -2.6% 3,878 -2.0% 358 395 390 433 UH Kerry M 3,574 3,599 3,013 3,068 1.8% 2,992 2.5% 332 330 281 296 UH Waterford M 7,659 7,785 6,569 6,762 2.9% 6,463 4.6% 764 721 627 685 UL Hospitals Group M 3,968 3,632 2,939 3,980 35.4% 3,211 23.9% 410 360 416 415 UH Limerick M 3,968 3,632 2,939 3,980 35.4% 3,211 23.9% 410 360 416 415

Notes: 1. Data source BIU Acute 2. Royal Victoria Eye & Ear is excluded from report as it does not have an Acute Emergency Department

27 Injury Unit attendances Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 89,326 91,588 77,994 80,301 3.0% 76,043 5.6% 8,853 8,103 8,247 8,441 Ireland East Hospital Group M 7,570 7,976 6,837 6,445 -5.7% 6,489 -0.7% 695 639 731 683 St. Columcille's Hospital M 7,570 7,976 6,837 6,445 -5.7% 6,489 -0.7% 695 639 731 683 RCSI Hospitals Group M 15,649 16,141 13,784 14,056 2.0% 13,349 5.3% 1,607 1,403 1,383 1,446 Louth County Hospital M 11,083 11,435 9,705 9,621 -0.9% 9,406 2.3% 1,072 982 962 985 Monaghan Hospital M 4,566 4,706 4,079 4,435 8.7% 3,943 12.5% 535 421 421 461 Saolta University Health Care Group M 6,195 6,502 5,561 5,652 1.6% 5,298 6.7% 634 654 585 569 Roscommon University Hospital M 6,195 6,502 5,561 5,652 1.6% 5,298 6.7% 634 654 585 569 South/South West Hospital Group M 29,488 29,880 25,380 26,536 4.6% 25,041 6.0% 2,875 2,696 2,685 2,748 Bantry General Hospital M 5,052 5,233 4,440 4,954 11.6% 4,286 15.6% 608 585 514 496 Mallow General Hospital M 6,318 6,638 5,741 5,529 -3.7% 5,465 1.2% 598 550 503 561 Mercy University Hospital M 18,118 18,010 15,199 16,053 5.6% 15,290 5.0% 1,669 1,561 1,668 1,691 UL Hospitals Group M 30,424 31,088 26,432 27,612 4.5% 25,866 6.8% 3,042 2,711 2,863 2,995 Ennis Hospital M 10,631 11,039 9,439 9,582 1.5% 9,090 5.4% 1,136 996 977 1,005 Nenagh Hospital M 8,699 8,832 7,543 8,250 9.4% 7,429 11.1% 930 786 913 907 St. John's Hospital Limerick M 11,094 11,217 9,451 9,780 3.5% 9,347 4.6% 976 929 973 1,083

Note: 1. Data source BIU Acute 2. Dublin Midlands Hospital Group and Childrens Hospital Group do not have Injury Units

28 Other Emergency Presentations Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 48,741 48,709 41,116 41,650 1.3% 40,965 1.7% 4,446 4,238 3,705 3,953 Children's Hospital Group M 278 269 227 268 17.9% 235 14.0% 13 30 19 27 National Children's Hospital at Tallaght University M 278 269 227 268 17.9% 235 14.0% 13 30 19 27 Hospital Dublin Midlands Hospital Group M 3,167 3,280 2,776 2,248 -19.0% 2,679 -16.1% 260 169 219 213 MRH Portlaoise M 3,011 3,115 2,631 2,175 -17.3% 2,542 -14.4% 251 163 211 203 Tallaght University Hospital M 156 165 145 73 -49.7% 137 -46.7% 9 6 8 10 Ireland East Hospital Group M 11,572 11,862 10,057 8,986 -10.7% 9,807 -8.4% 1,030 924 808 784 St. Luke's General Hospital Kilkenny M 7,954 8,038 6,710 6,651 -0.9% 6,640 0.2% 778 653 654 614 Wexford General Hospital M 3,618 3,824 3,348 2,335 -30.2% 3,167 -26.3% 252 271 154 170 RCSI Hospitals Group M 6,342 6,337 5,186 5,074 -2.2% 5,192 -2.3% 440 389 425 538 Beaumont Hospital M 570 572 476 390 -18.0% 474 -17.7% 47 28 32 38 Cavan General Hospital M 5,772 5,765 4,710 4,684 -0.6% 4,718 -0.7% 393 361 393 500 Saolta University Health Care Group M 14,315 14,927 12,847 14,849 15.6% 12,257 21.1% 1,729 1,772 1,192 1,522 Galway University Hospitals M 953 970 791 698 -11.8% 777 -10.2% 77 68 51 92 Letterkenny University Hospital M 2,038 2,614 2,540 3,271 28.8% 1,981 65.1% 448 498 130 347 Portiuncula University Hospital M 806 825 697 684 -1.8% 681 0.4% 78 53 49 81 Sligo University Hospital M 10,518 10,519 8,819 10,196 15.6% 8,818 15.6% 1,126 1,153 962 1,002 South/South West Hospital Group M 13,067 12,033 10,023 10,225 2.0% 10,795 -5.3% 974 954 1,042 869 Cork University Hospital M 4 3 3 0 -100.0% 4 -100.0% Mercy University Hospital M 325 339 291 242 -17.0% 279 -13.3% 20 35 25 22 South Tipperary General Hospital M 10,638 10,782 8,869 8,142 -8.2% 8,751 -7.0% 788 746 762 573 UH Kerry M 1,808 631 631 1,589 151.9% 1,521 4.5% 145 149 229 253 UH Waterford M 292 278 228 252 10.3% 240 5.0% 21 24 26 21

Note: 1. Data source BIU Acute 2. Due to reclassification Our Lady of Lourdes no longer return activity under 'Other EP' 3. Other Emergency Presentation includes all Emergency presentations outside of the Emergency Department and injury Unit 4. Query sent to UHK regarding increase in September. Awaiting response

29 Number of Births Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 61,753 61,720 51,405 51,510 0.2% 51,642 -0.3% 5,481 5,266 5,349 5,263 Dublin Midlands Hospital Group M 9,695 9,511 7,922 8,140 2.8% 8,060 1.0% 851 845 803 835 Coombe Women and Infants University Hospital M 8,163 7,973 6,640 6,953 4.7% 6,766 2.8% 725 732 686 708 MRH Portlaoise M 1,532 1,538 1,281 1,187 -7.3% 1,294 -8.3% 126 113 117 127 Ireland East Hospital Group M 13,932 13,959 11,626 10,921 -6.1% 11,580 -5.7% 1,174 1,110 1,105 1,148 MRH Mullingar M 2,114 2,044 1,703 1,632 -4.1% 1,732 -5.8% 172 150 173 173 National Maternity Hospital M 8,433 8,628 7,186 6,593 -8.3% 7,022 -6.1% 713 680 673 680 St. Luke's General Hospital Kilkenny M 1,613 1,547 1,289 1,308 1.5% 1,328 -1.5% 155 139 134 129 Wexford General Hospital M 1,772 1,739 1,449 1,388 -4.2% 1,498 -7.3% 134 141 125 166 RCSI Hospitals Group M 13,064 13,137 10,941 10,872 -0.6% 10,997 -1.1% 1,180 1,098 1,116 1,115 Cavan General Hospital M 1,596 1,637 1,364 1,268 -7.0% 1,371 -7.5% 132 129 140 152 Our Lady of Lourdes Hospital M 3,059 3,046 2,537 2,519 -0.7% 2,575 -2.2% 282 249 257 230 Rotunda Hospital M 8,409 8,454 7,041 7,085 0.6% 7,051 0.5% 766 720 719 733 Saolta University Health Care Group M 9,047 8,999 7,495 8,297 10.7% 7,587 9.4% 943 828 985 816 Galway University Hospitals M 2,854 2,855 2,378 2,388 0.4% 2,404 -0.7% 247 225 270 250 Letterkenny University Hospital M 1,668 1,645 1,370 1,994 45.6% 1,405 41.9% 234 218 276 232 Mayo University Hospital M 1,547 1,561 1,300 1,246 -4.1% 1,294 -3.7% 121 120 150 117 Portiuncula University Hospital M 1,668 1,642 1,367 1,471 7.6% 1,400 5.1% 127 161 155 111 Sligo University Hospital M 1,310 1,296 1,080 1,198 11.0% 1,084 10.5% 214 104 134 106 South/South West Hospital Group M 11,588 11,665 9,715 9,585 -1.3% 9,692 -1.1% 958 1,040 963 967 Cork University Maternity Hospital M 7,389 7,402 6,165 6,260 1.5% 6,150 1.8% 627 699 600 630 South Tipperary General Hospital M 983 1,009 841 788 -6.3% 838 -6.0% 75 72 89 81 UH Kerry M 1,374 1,406 1,171 1,040 -11.2% 1,152 -9.7% 91 103 109 106 UH Waterford M 1,842 1,848 1,539 1,497 -2.7% 1,552 -3.5% 165 166 165 150 UL Hospitals Group M 4,427 4,449 3,706 3,695 -0.3% 3,726 -0.8% 375 345 377 382 UMH Limerick M 4,427 4,449 3,706 3,695 -0.3% 3,726 -0.8% 375 345 377 382

Notes: 1. Data source BIU Acute 2. All 19 Maternity Units are included in this report. 3. Number of births above is inclusive of stillbirths.

30 Outpatient Attendances (New + Return) Reporting Period October 2018

Reporting Outturn Previous Target/EA Full % Var YTD V Activity YTD % Var YTD V Reporting Level Frequency Year Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY SPLY Aug-18 Sep-18 Oct-18 No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio No. Ratio National Total M 3,287,693 2.5 3,337,967 2.0 2,811,610 2.0 2,804,602 2.5 -0.2% 25.0% 2,764,567 2.5 1.4% 0.0% 281,949 2.5 270,955 2.4 303,088 2.4 Children's Hospital Group M 147,641 2.7 142,877 2.0 120,138 2.0 122,485 2.5 2.0% 25.0% 124,401 2.6 -1.5% -3.8% 11,824 2.3 12,185 2.3 13,308 2.5 National Children's Hospital at Tallaght University M 19,883 1.6 18,675 2.0 15,452 2.0 18,328 1.4 18.6% -30.0% 16,456 1.6 11.4% -12.5% 1,742 1.4 1,816 1.4 1,969 1.5 Hospital Our Lady's Children's Hospital, Crumlin M 68,531 2.9 67,260 2.0 56,258 2.0 57,062 2.7 1.4% 35.0% 57,332 2.9 -0.5% -6.9% 5,513 2.4 5,667 2.5 6,152 2.6 Temple Street Children's University Hospital M 59,227 3.0 56,942 2.0 48,428 2.0 47,095 2.9 -2.8% 45.0% 50,613 2.9 -7.0% 0.0% 4,569 2.6 4,702 2.5 5,187 3.1 Dublin Midlands Hospital Group M 616,146 2.8 645,177 2.0 541,297 2.0 548,613 2.8 1.4% 40.0% 512,894 2.8 7.0% 0.0% 55,911 2.8 50,391 2.7 56,612 2.6 Coombe Women and Infants University Hospital M 115,968 1.6 116,927 2.0 98,074 2.0 99,093 1.6 1.0% -20.0% 97,270 1.6 1.9% 0.0% 10,202 1.7 9,013 1.7 10,033 1.5 MRH Portlaoise M 41,500 2.6 41,957 2.0 35,496 2.0 37,220 2.5 4.9% 25.0% 35,122 2.6 6.0% -3.8% 3,342 2.8 3,144 2.8 3,739 2.6 MRH Tullamore M 70,691 2.6 72,254 2.0 61,517 2.0 59,601 2.5 -3.1% 25.0% 60,183 2.6 -1.0% -3.8% 6,308 2.5 5,695 2.6 6,264 2.3 Naas General Hospital M 50,459 2.9 51,066 2.0 42,275 2.0 42,876 2.7 1.4% 35.0% 41,773 2.9 2.6% -6.9% 4,667 2.9 2,840 2.5 3,154 2.4 St. James's Hospital M 185,376 2.8 210,537 2.0 176,112 2.0 183,015 2.8 3.9% 40.0% 150,888 2.8 21.3% 0.0% 18,725 2.8 17,364 2.8 19,863 2.8 St. Luke's Radiation Oncology Network M 30,174 6.9 30,614 2.0 25,702 2.0 25,501 6.5 -0.8% 225.0% 25,333 7.0 0.7% -7.1% 2,522 6.9 2,529 7.4 2,753 6.1 Tallaght University Hospital M 121,978 3.3 121,822 2.0 102,120 2.0 101,307 3.2 -0.8% 60.0% 102,325 3.3 -1.0% -3.0% 10,145 3.1 9,806 2.9 10,806 2.9 Ireland East Hospital Group M 717,398 2.4 732,421 2.0 619,867 2.0 613,693 2.4 -1.0% 20.0% 607,151 2.4 1.1% 0.0% 62,952 2.5 59,437 2.4 66,811 2.3 Cappagh National Orthopaedic Hospital M 7,659 1.7 7,876 2.0 6,667 2.0 6,420 1.6 -3.7% -20.0% 6,484 1.7 -1.0% -5.9% 704 1.7 600 1.7 677 1.5 Mater Misericordiae University Hospital M 220,983 2.1 225,738 2.0 190,873 2.0 186,667 2.2 -2.2% 10.0% 186,852 2.1 -0.1% 4.8% 18,860 2.3 18,088 2.1 20,723 2.1 MRH Mullingar M 51,994 2.6 52,238 2.0 44,136 2.0 41,868 2.5 -5.1% 25.0% 43,942 2.5 -4.7% 0.0% 4,345 2.5 4,067 2.4 4,356 2.5 National Maternity Hospital M 115,997 2.0 122,392 2.0 104,961 2.0 97,279 2.0 -7.3% 0.0% 99,477 2.1 -2.2% -4.8% 10,071 1.8 9,263 1.9 9,866 1.7 Our Lady's Hospital Navan M 29,836 2.3 29,889 2.0 24,989 2.0 25,073 2.8 0.3% 40.0% 24,945 2.4 0.5% 16.7% 2,837 2.8 2,499 2.9 2,895 2.8 Royal Victoria Eye and Ear Hospital M 37,863 3.9 38,148 2.0 32,198 2.0 35,102 4.2 9.0% 110.0% 31,957 3.9 9.8% 7.7% 3,674 3.6 3,456 3.8 3,849 3.9 St. Columcille's Hospital M 11,788 2.2 11,931 2.0 9,939 2.0 10,225 2.3 2.9% 15.0% 9,874 2.2 3.6% 4.5% 853 1.9 991 2.5 1,214 2.1 St. Luke's General Hospital Kilkenny M 33,418 2.2 32,919 2.0 27,541 2.0 31,171 2.0 13.2% 0.0% 27,958 2.2 11.5% -9.1% 3,244 1.9 2,964 2.0 3,463 2.0 St. Michael's Hospital M 18,494 2.0 18,524 2.0 15,522 2.0 18,894 2.0 21.7% 0.0% 15,497 1.9 21.9% 5.3% 2,147 2.4 1,955 2.5 2,395 1.8 St. Vincent's University Hospital M 151,184 3.1 153,677 2.0 130,026 2.0 128,742 3.0 -1.0% 50.0% 127,917 3.1 0.6% -3.2% 13,079 3.2 12,490 3.3 13,992 2.9 Wexford General Hospital M 38,182 1.6 39,088 2.0 33,013 2.0 32,252 1.6 -2.3% -20.0% 32,248 1.6 0.0% 0.0% 3,138 1.8 3,064 1.6 3,381 1.6 RCSI Hospitals Group M 498,646 2.6 505,482 2.0 427,169 2.0 419,243 2.5 -1.9% 25.0% 420,350 2.6 -0.3% -3.8% 42,336 2.5 40,676 2.4 46,270 2.4 Beaumont Hospital M 160,773 3.0 161,945 2.0 136,214 2.0 138,782 2.8 1.9% 40.0% 135,229 3.0 2.6% -6.7% 13,972 2.8 13,653 2.7 15,394 2.5 Cavan General Hospital M 34,946 3.1 35,614 2.0 29,976 2.0 28,262 2.9 -5.7% 45.0% 29,415 3.1 -3.9% -6.5% 2,884 2.8 2,754 2.7 2,958 2.9 Connolly Hospital M 66,309 2.6 66,975 2.0 56,268 2.0 54,824 2.6 -2.6% 30.0% 55,709 2.6 -1.6% 0.0% 4,903 2.5 4,827 2.5 6,214 2.7 Louth County Hospital M 19,185 2.1 19,641 2.0 16,690 2.0 16,772 1.7 0.5% -15.0% 16,303 2.0 2.9% -15.0% 1,733 1.9 1,726 1.9 2,072 2.7 Monaghan Hospital M 11,988 2.3 11,960 2.0 9,946 2.0 10,202 1.8 2.6% -10.0% 9,961 2.1 2.4% -14.3% 1,274 1.4 1,048 1.4 1,173 1.5 Our Lady of Lourdes Hospital M 97,909 2.6 100,090 2.0 84,503 2.0 80,218 2.4 -5.1% 20.0% 82,662 2.6 -3.0% -7.7% 8,317 2.5 7,711 2.3 8,693 2.4 Rotunda Hospital M 107,536 1.9 109,259 2.0 93,572 2.0 90,183 1.8 -3.6% -10.0% 91,071 1.7 -1.0% 5.9% 9,253 1.8 8,957 1.7 9,766 1.6 Saolta University Health Care Group M 506,798 2.4 509,603 2.0 428,432 2.0 437,538 2.5 2.1% 25.0% 426,026 2.4 2.7% 4.2% 44,362 2.5 42,643 2.4 47,118 2.4 Galway University Hospitals M 246,391 2.7 246,867 2.0 207,408 2.0 215,722 2.8 4.0% 40.0% 207,008 2.7 4.2% 3.7% 21,338 2.9 21,391 2.7 23,822 2.8 Letterkenny University Hospital M 63,210 2.4 63,001 2.0 52,752 2.0 55,682 2.3 5.6% 15.0% 52,927 2.4 5.2% -4.2% 5,951 2.4 5,515 2.3 5,770 2.3 Mayo University Hospital M 57,402 2.0 59,195 2.0 50,281 2.0 46,439 2.4 -7.6% 20.0% 48,727 2.1 -4.7% 14.3% 4,939 2.6 4,461 2.4 4,654 2.3 Portiuncula University Hospital M 35,857 2.5 35,979 2.0 30,171 2.0 29,511 2.3 -2.2% 15.0% 30,069 2.5 -1.9% -8.0% 2,913 2.3 2,675 2.3 2,980 2.1 Roscommon University Hospital M 16,958 3.2 16,903 2.0 14,114 2.0 15,449 4.1 9.5% 105.0% 14,160 3.2 9.1% 28.1% 1,702 3.7 1,452 4.6 1,671 4.0 Sligo University Hospital M 86,980 1.9 87,659 2.0 73,706 2.0 74,735 1.8 1.4% -10.0% 73,135 2.0 2.2% -10.0% 7,519 1.7 7,149 1.8 8,221 1.8

31 Outpatient Attendances (New + Return) Reporting Period October 2018

Notes: 1. Data source BIU Acute 2. New : Return Ratio excludes obstetrics and warfarin haematology clinics 3. The number shown in the New: Return ratio column is the actual number of return attendances to every new attendance during the reporting period

32 Adult Inpatient Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months National Total M 90% 6,134 4,014 2,429 1,493 1,029 783 2,406 18,288 3,300 82.9% 3,365 82.1% 3,229 82.6% 3,189 82.6% Dublin Midlands Hospital Group M 90% 783 603 420 292 247 152 490 2,987 704 78.3% 690 77.2% 656 77.8% 642 78.5% MRH Portlaoise M 90% 11 9 6 5 1 2 0 34 1 97.4% 1 97.3% 1 97.3% 2 94.1% MRH Tullamore M 90% 211 199 102 57 62 48 158 837 199 77.5% 204 75.3% 205 75.7% 206 75.4% Naas General Hospital M 90% 0 1 0 0 1 2 0 4 0 100.0% 0 100.0% 1 75.0% 2 50.0% St. James's Hospital M 90% 273 176 162 130 114 59 162 1,076 256 76.7% 249 77.3% 235 78.0% 221 79.5% Tallaght University Hospital M 90% 288 218 150 100 69 41 170 1,036 248 79.5% 236 77.7% 214 78.7% 211 79.6% Ireland East Hospital Group M 90% 1,951 1,271 660 348 217 179 516 5,142 608 88.5% 625 88.0% 618 88.2% 695 86.5% Cappagh National Orthopaedic Hospital M 90% 504 412 183 68 14 3 8 1,192 19 98.5% 15 98.8% 14 98.9% 11 99.1% Mater Misericordiae University Hospital M 90% 580 369 226 159 149 130 341 1,954 431 77.9% 454 76.4% 452 76.0% 471 75.9% MRH Mullingar M 90% 1 1 1 0 0 0 0 3 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Lady's Hospital Navan M 90% 137 107 61 23 4 1 0 333 0 100.0% 0 100.0% 1 99.7% 1 99.7% Royal Victoria Eye and Ear Hospital M 90% 84 32 18 9 0 2 0 145 15 92.4% 13 93.4% 9 95.0% 2 98.6% St. Luke's General Hospital Kilkenny M 90% 25 11 7 10 3 4 1 61 10 80.0% 7 85.4% 9 87.5% 5 91.8% St. Michael's Hospital M 90% 259 170 77 32 19 7 7 571 48 93.1% 54 92.6% 59 92.5% 14 97.5% St. Vincent's University Hospital M 90% 358 166 87 47 28 32 159 877 85 89.0% 82 88.6% 74 89.8% 191 78.2% Wexford General Hospital M 90% 3 3 0 0 0 0 0 6 0 100.0% 0 100.0% 0 100.0% 0 100.0% RCSI Hospitals Group M 90% 838 621 345 227 100 66 236 2,433 393 86.0% 384 85.8% 351 86.6% 302 87.6% Beaumont Hospital M 90% 622 449 273 211 98 65 236 1,954 388 82.0% 383 81.7% 350 83.0% 301 84.6% Cavan General Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Connolly Hospital M 90% 74 66 56 16 2 1 0 215 0 100.0% 1 99.5% 0 100.0% 1 99.5% Louth County Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Lady of Lourdes Hospital M 90% 142 106 16 0 0 0 0 264 5 98.8% 0 100.0% 1 99.7% 0 100.0% Saolta University Health Care Group M 90% 1,293 944 591 405 301 273 891 4,698 1,182 76.0% 1,243 74.4% 1,187 74.9% 1,164 75.2% Galway University Hospitals M 90% 781 592 405 291 220 180 645 3,114 853 73.7% 903 72.8% 846 73.0% 825 73.5% Letterkenny University Hospital M 90% 166 121 50 43 22 31 51 484 79 82.1% 97 77.9% 92 80.4% 82 83.1% Mayo University Hospital M 90% 88 84 49 18 11 11 23 284 39 88.5% 37 88.0% 39 86.8% 34 88.0% Portiuncula University Hospital M 90% 13 4 0 1 0 0 0 18 0 100.0% 0 100.0% 0 100.0% 0 100.0% Roscommon University Hospital M 90% 1 1 1 3 0 3 3 12 3 75.0% 4 66.7% 5 61.5% 6 50.0% Sligo University Hospital M 90% 244 142 86 49 48 48 169 786 208 76.4% 202 73.5% 205 74.7% 217 72.4% South/South West Hospital Group M 90% 815 387 248 105 93 65 176 1,889 258 86.0% 261 85.6% 254 86.2% 241 87.2% Bantry General Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Cork University Hospital M 90% 132 70 41 18 16 5 63 345 81 75.5% 82 76.6% 80 77.4% 68 80.3% Cork University Maternity Hospital M 90% 89 49 38 16 13 9 17 231 28 88.2% 24 88.4% 23 89.3% 26 88.7% Lourdes Orthopaedic Hospital Kilcreene M 90% 126 25 1 3 0 0 0 155 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mallow General Hospital M 90% 1 0 16 1 0 0 0 18 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mercy University Hospital M 90% 67 21 8 6 3 2 11 118 17 86.9% 15 88.1% 14 89.3% 13 89.0% South Infirmary Victoria University Hospital M 90% 191 103 60 30 28 25 38 475 51 88.8% 59 85.0% 57 86.6% 63 86.7% South Tipperary General Hospital M 90% 11 5 1 0 1 0 0 18 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Kerry M 90% 63 59 42 1 3 0 0 168 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Waterford M 90% 135 55 41 30 29 24 47 361 81 78.2% 81 80.3% 80 78.9% 71 80.3%

33 Adult Inpatient Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months UL Hospitals Group M 90% 454 188 165 116 71 48 97 1,139 155 86.9% 162 85.9% 163 85.7% 145 87.3% Croom Orthopaedic Hospital M 90% 56 10 2 2 2 0 0 72 0 100.0% 0 100.0% 0 100.0% 0 100.0% Ennis Hospital M 90% 0 0 1 0 1 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% Nenagh Hospital M 90% 4 0 0 0 0 0 0 4 0 100.0% 0 100.0% 0 100.0% 0 100.0% St. John's Hospital Limerick M 90% 235 110 59 34 13 11 0 462 5 98.9% 8 98.3% 6 98.7% 11 97.6% UH Limerick M 90% 159 68 103 80 55 37 97 599 150 76.6% 154 75.0% 157 74.1% 134 77.6%

Notes: 1. Data Source is NTPF

34 Adult Daycase Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months National Total M 95% 19,843 11,187 6,529 3,535 2,275 1,469 2,533 47,371 4,591 90.9% 4,571 90.6% 4,482 90.6% 4,002 91.6% Dublin Midlands Hospital Group M 95% 2,794 1,477 903 744 479 410 670 7,477 1,127 85.9% 1,183 84.6% 1,224 83.5% 1,080 85.6% MRH Portlaoise M 95% 180 99 56 45 28 23 7 438 13 96.4% 26 93.8% 24 94.1% 30 93.2% MRH Tullamore M 95% 289 188 65 46 31 44 19 682 34 94.8% 40 94.0% 49 92.4% 63 90.8% Naas General Hospital M 95% 115 15 14 10 9 2 0 165 0 100.0% 0 100.0% 0 100.0% 2 98.8% St. James's Hospital M 95% 1,399 658 403 306 210 192 378 3,546 531 85.6% 555 83.7% 619 81.9% 570 83.9% Tallaght University Hospital M 95% 811 517 365 337 201 149 266 2,646 549 82.7% 562 81.7% 532 81.2% 415 84.3% Ireland East Hospital Group M 95% 4,136 2,555 1,389 592 328 220 422 9,642 802 92.5% 838 91.9% 839 91.6% 642 93.3% Cappagh National Orthopaedic Hospital M 95% 148 45 31 11 1 0 0 236 1 99.4% 1 99.5% 0 100.0% 0 100.0% Mater Misericordiae University Hospital M 95% 1,380 1,092 738 336 169 143 339 4,197 441 90.5% 440 89.8% 453 89.2% 482 88.5% MRH Mullingar M 95% 229 117 26 2 2 1 0 377 0 100.0% 0 100.0% 2 99.5% 1 99.7% Our Lady's Hospital Navan M 95% 249 169 34 12 3 0 0 467 1 99.8% 0 100.0% 0 100.0% 0 100.0% Royal Victoria Eye and Ear Hospital M 95% 696 525 256 74 29 17 9 1,606 26 98.7% 34 98.2% 34 98.1% 26 98.4% St. Columcille's Hospital M 95% 260 134 23 32 24 8 34 515 222 66.5% 221 68.5% 224 68.2% 42 91.8% St. Luke's General Hospital Kilkenny M 95% 263 119 80 40 23 5 1 531 27 95.8% 32 94.8% 8 98.5% 6 98.9% St. Michael's Hospital M 95% 11 6 1 2 0 0 0 20 17 82.8% 19 80.0% 19 75.0% 0 100.0% St. Vincent's University Hospital M 95% 810 329 196 83 77 46 39 1,580 67 95.3% 91 93.9% 99 93.3% 85 94.6% Wexford General Hospital M 95% 90 19 4 0 0 0 0 113 0 100.0% 0 100.0% 0 100.0% 0 100.0% RCSI Hospitals Group M 95% 2,884 1,325 718 442 137 34 13 5,553 62 98.9% 75 98.7% 69 98.8% 47 99.2% Beaumont Hospital M 95% 1,714 941 519 347 94 33 12 3,660 62 98.3% 74 98.0% 69 98.1% 45 98.8% Cavan General Hospital M 95% 283 63 0 0 0 0 0 346 0 100.0% 0 100.0% 0 100.0% 0 100.0% Connolly Hospital M 95% 447 203 161 87 38 1 1 938 0 100.0% 1 99.9% 0 100.0% 2 99.8% Louth County Hospital M 95% 332 56 11 5 5 0 0 409 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Lady of Lourdes Hospital M 95% 108 62 27 3 0 0 0 200 0 100.0% 0 100.0% 0 100.0% 0 100.0% Saolta University Health Care Group M 95% 4,268 2,888 1,604 866 690 395 637 11,348 1,201 90.2% 1,135 90.4% 1,096 90.7% 1,032 90.9% Galway University Hospitals M 95% 1,954 1,492 833 416 384 236 463 5,778 825 86.8% 826 86.9% 771 87.0% 699 87.9% Letterkenny University Hospital M 95% 584 401 150 77 46 22 12 1,292 39 97.3% 35 97.5% 27 98.1% 34 97.4% Mayo University Hospital M 95% 645 395 258 167 83 36 21 1,605 43 97.2% 47 96.9% 58 96.1% 57 96.4% Portiuncula University Hospital M 95% 107 46 26 10 11 1 0 201 4 97.8% 4 97.9% 0 100.0% 1 99.5% Roscommon University Hospital M 95% 377 167 46 36 56 30 48 760 193 84.2% 101 88.4% 79 92.1% 78 89.7% Sligo University Hospital M 95% 601 387 291 160 110 70 93 1,712 97 94.1% 122 92.3% 161 90.6% 163 90.5% South/South West Hospital Group M 95% 3,830 1,987 1,279 612 439 323 703 9,173 1,162 87.9% 1,155 87.5% 1,094 88.0% 1,026 88.8% Bantry General Hospital M 95% 67 1 0 0 0 0 0 68 0 100.0% 0 100.0% 0 100.0% 0 100.0% Cork University Hospital M 95% 409 215 110 65 46 49 100 994 125 86.9% 142 86.0% 144 85.9% 149 85.0% Cork University Maternity Hospital M 95% 71 34 20 7 2 2 1 137 5 96.6% 5 96.3% 5 96.4% 3 97.8% Lourdes Orthopaedic Hospital Kilcreene M 95% 99 8 1 0 0 0 0 108 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mallow General Hospital M 95% 44 28 20 10 3 5 3 113 2 98.4% 4 96.9% 7 95.3% 8 92.9% Mercy University Hospital M 95% 335 216 118 61 36 24 40 830 81 92.8% 89 91.1% 83 90.6% 64 92.3% South Infirmary Victoria University Hospital M 95% 939 473 233 78 34 22 27 1,806 37 98.0% 49 97.1% 57 96.8% 49 97.3% South Tipperary General Hospital M 95% 107 24 7 0 1 0 0 139 0 100.0% 5 96.6% 0 100.0% 0 100.0% UH Kerry M 95% 93 10 1 0 3 0 0 107 1 99.1% 0 100.0% 0 100.0% 0 100.0% UH Waterford M 95% 1,666 978 769 391 314 221 532 4,871 911 81.7% 861 82.4% 798 83.0% 753 84.5%

35 Adult Daycase Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months UL Hospitals Group M 95% 1,931 955 636 279 202 87 88 4,178 237 94.2% 185 95.4% 160 95.9% 175 95.8% Croom Orthopaedic Hospital M 95% 150 33 2 1 0 0 0 186 0 100.0% 0 100.0% 0 100.0% 0 100.0% Ennis Hospital M 95% 351 204 195 44 22 5 0 821 3 99.6% 3 99.6% 5 99.4% 5 99.4% Nenagh Hospital M 95% 471 294 192 80 28 12 8 1,085 11 98.7% 13 98.4% 15 98.1% 20 98.2% St. John's Hospital Limerick M 95% 210 112 106 46 41 24 0 539 18 96.6% 2 99.6% 11 97.9% 24 95.5% UH Limerick M 95% 749 312 141 108 111 46 80 1,547 205 88.0% 167 90.1% 129 92.1% 126 91.9%

Notes: 1. Data Source is NTPF

36 Child Inpatient Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months National Total M 90% 873 542 315 208 168 121 199 2,426 375 85.8% 408 83.8% 381 84.6% 320 86.8% Children's Hospital Group M 90% 518 340 220 154 126 81 116 1,555 217 86.1% 243 84.6% 225 85.8% 197 87.3% National Children's Hospital at Tallaght University M 90% 68 85 56 33 28 1 5 276 1 99.6% 5 98.2% 1 99.6% 6 97.8% Hospital Our Lady's Children's Hospital, Crumlin M 90% 278 161 90 62 48 50 86 775 156 78.3% 173 77.8% 167 78.6% 136 82.5% Temple Street Children's University Hospital M 90% 172 94 74 59 50 30 25 504 60 89.5% 65 87.6% 57 89.1% 55 89.1% Dublin Midlands Hospital Group M 90% 52 23 2 0 0 0 0 77 1 98.6% 1 98.6% 0 100.0% 0 100.0% MRH Tullamore M 90% 51 23 1 0 0 0 0 75 0 100.0% 0 100.0% 0 100.0% 0 100.0% Tallaght University Hospital M 90% 1 0 1 0 0 0 0 2 1 50.0% 1 50.0% 1 50.0% 0 100.0% Ireland East Hospital Group M 90% 51 23 5 1 1 0 0 81 0 100.0% 0 100.0% 0 100.0% 0 100.0% Cappagh National Orthopaedic Hospital M 90% 15 6 3 0 0 0 0 24 0 100.0% 0 100.0% 0 100.0% 0 100.0% MRH Mullingar M 90% 15 6 1 1 0 0 0 23 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Ladys Hospital - Navan M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Royal Victoria Eye and Ear Hospital M 90% 21 11 1 0 1 0 0 34 0 100.0% 0 100.0% 0 100.0% 0 100.0% RCSI Hospitals Group M 90% 42 25 6 3 4 1 1 82 4 95.9% 4 96.4% 5 94.3% 2 97.6% Beaumont Hospital M 90% 39 24 6 3 4 1 1 78 4 95.1% 4 95.8% 5 93.8% 2 97.4% Cavan General Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Lady of Lourdes Hospital M 90% 3 1 0 0 0 0 0 4 0 100.0% 0 100.0% 0 100.0% 0 100.0% Saolta University Health Care Group M 90% 102 84 62 20 15 22 72 377 114 77.1% 112 72.9% 105 74.3% 94 75.1% Galway University Hospitals M 90% 40 34 23 2 2 13 33 147 43 80.3% 50 74.6% 51 71.3% 46 68.7% Letterkenny University Hospital M 90% 2 1 0 0 0 0 0 3 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mayo University Hospital M 90% 1 0 0 0 1 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% Portiuncula University Hospital M 90% 2 0 0 0 0 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% Sligo University Hospital M 90% 57 49 39 18 12 9 39 223 71 74.3% 62 70.9% 54 76.0% 48 78.5% South/South West Hospital Group M 90% 81 36 11 6 3 3 4 144 17 91.9% 18 88.8% 14 90.0% 7 95.1% Cork University Hospital M 90% 7 3 3 1 1 0 0 15 0 100.0% 0 100.0% 0 100.0% 0 100.0% Cork University Maternity Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mercy University Hospital M 90% 1 1 0 0 0 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% South Infirmary Victoria University Hospital M 90% 26 7 0 1 0 0 0 34 0 100.0% 0 100.0% 0 100.0% 0 100.0% South Tipperary General Hospital M 90% 1 0 0 0 0 0 0 1 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Kerry M 90% 7 0 2 0 0 0 0 9 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Waterford M 90% 39 25 6 4 2 3 4 83 17 86.5% 18 82.5% 14 84.9% 7 91.6% UL Hospitals Group M 90% 27 11 9 24 19 14 6 110 22 84.6% 30 76.2% 32 71.2% 20 81.8% Croom Orthopaedic Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Ennis Hospital M 90% 0 1 0 0 0 0 0 1 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Limerick M 90% 27 10 9 24 19 14 6 109 22 84.5% 30 75.8% 32 70.9% 20 81.7%

Notes: 1. Data Source is NTPF

37 Child Daycase Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 15 % < 15 > 15 % < 15 > 15 % < 15 > 15 % < 15 Months Months Months Months Months Months Months Months National Total M 90% 1,348 719 516 357 269 220 487 3,916 619 84.5% 692 82.9% 697 82.2% 707 81.9% Children's Hospital Group M 90% 712 447 334 236 193 171 390 2,483 481 80.5% 546 78.7% 554 78.1% 561 77.4% National Children's Hospital at Tallaght University M 90% 50 29 45 22 28 34 51 259 75 74.6% 82 72.3% 87 68.9% 85 67.2% Hospital Our Lady's Children's Hospital, Crumlin M 90% 480 308 225 169 133 120 315 1,750 366 78.0% 423 76.2% 428 75.6% 435 75.1% Temple Street Children's University Hospital M 90% 182 110 64 45 32 17 24 474 40 92.1% 41 91.6% 39 92.1% 41 91.4% Dublin Midlands Hospital Group M 90% 44 17 8 1 0 0 0 70 0 100.0% 0 100.0% 0 100.0% 0 100.0% MRH Portlaoise M 90% 4 3 2 0 0 0 0 9 0 100.0% 0 100.0% 0 100.0% 0 100.0% MRH Tullamore M 90% 38 14 6 0 0 0 0 58 0 100.0% 0 100.0% 0 100.0% 0 100.0% Naas General Hospital M 90% 1 0 0 0 0 0 0 1 0 100.0% 0 100.0% 0 100.0% 0 100.0% Tallaght University Hospital M 90% 1 0 0 1 0 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% Ireland East Hospital Group M 90% 44 19 10 8 6 2 0 89 2 97.8% 0 100.0% 1 98.9% 2 97.8% Cappagh National Orthopaedic Hospital M 90% 3 5 0 0 0 0 0 8 0 100.0% 0 100.0% 0 100.0% 0 100.0% MRH Mullingar M 90% 5 1 0 0 0 0 0 6 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Ladys Hospital - Navan M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Royal Victoria Eye and Ear Hospital M 90% 34 12 10 8 6 2 0 72 2 97.2% 0 100.0% 1 98.5% 2 97.2% St. Luke's General Hospital Kilkenny M 90% 0 1 0 0 0 0 0 1 0 100.0% 0 100.0% 0 100.0% 0 100.0% Wexford General Hospital M 90% 2 0 0 0 0 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% RCSI Hospitals Group M 90% 88 34 16 7 3 0 0 148 0 100.0% 0 100.0% 0 100.0% 0 100.0% Beaumont Hospital M 90% 3 0 0 0 1 0 0 4 0 100.0% 0 100.0% 0 100.0% 0 100.0% Cavan General Hospital M 90% 65 11 0 0 0 0 0 76 0 100.0% 0 100.0% 0 100.0% 0 100.0% Our Lady of Lourdes Hospital M 90% 20 23 16 7 2 0 0 68 0 100.0% 0 100.0% 0 100.0% 0 100.0% Saolta University Health Care Group M 90% 166 85 78 45 32 23 48 477 63 87.3% 66 86.2% 70 84.7% 71 85.1% Galway University Hospitals M 90% 119 61 50 32 29 22 46 359 60 83.8% 63 82.3% 66 81.0% 68 81.1% Letterkenny University Hospital M 90% 19 8 1 1 0 0 0 29 0 100.0% 0 100.0% 0 100.0% 0 100.0% Mayo University Hospital M 90% 5 0 1 0 0 0 0 6 0 100.0% 0 100.0% 0 100.0% 0 100.0% Portiuncula University Hospital M 90% 3 1 6 0 0 0 0 10 0 100.0% 0 100.0% 0 100.0% 0 100.0% Sligo University Hospital M 90% 20 15 20 12 3 1 2 73 3 96.3% 3 96.0% 4 94.5% 3 95.9% South/South West Hospital Group M 90% 183 63 30 32 18 17 25 368 33 91.3% 38 89.8% 41 89.1% 42 88.6% Cork University Hospital M 90% 30 24 7 2 5 5 11 84 0 100.0% 18 79.3% 17 81.1% 16 81.0% Mallow General Hospital M 90% 0 0 0 0 0 0 0 0 13 86.3% 0 100.0% 0 100.0% 0 100.0% Mercy University Hospital M 90% 69 12 2 6 2 1 0 92 1 98.2% 2 97.4% 3 96.3% 1 98.9% South Infirmary Victoria University Hospital M 90% 45 10 4 5 2 2 6 74 7 93.5% 7 92.5% 8 89.7% 8 89.2% South Tipperary General Hospital M 90% 1 1 0 0 0 0 0 2 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Kerry M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% UH Waterford M 90% 38 16 17 19 9 9 8 116 12 90.1% 11 90.4% 13 89.3% 17 85.3% UL Hospitals Group M 90% 111 54 40 28 17 7 24 281 40 87.6% 42 86.3% 31 87.4% 31 89.0% Croom Orthopaedic Hospital M 90% 0 0 0 0 0 0 0 0 0 100.0% 0 100.0% 0 100.0% 0 100.0% Ennis Hospital M 90% 22 8 8 1 0 0 0 39 0 100.0% 0 100.0% 0 100.0% 0 100.0% Nenagh Hospital M 90% 32 12 6 5 1 0 0 56 1 97.9% 0 100.0% 0 100.0% 0 100.0% UH Limerick M 90% 57 34 26 22 16 7 24 186 39 84.0% 42 80.7% 31 81.4% 31 83.3%

Notes: 1. Data Source is NTPF

38 Outpatient Waiting List Reporting Period October 2018

Reporting Target/EA 0 - 3 3-6 6-9 9-12 12-15 15-18 18 + Reporting Level Frequency Full Year Months Months Months Months Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 52 % < 52 > 52 % < 52 > 52 % < 52 > 52 % < 52 Weeks Weeks Weeks Weeks Weeks Weeks Weeks Weeks National Total M 80% 159,747 96,481 64,863 43,840 35,413 29,386 86,633 516,363 148,850 70.9% 148,212 71.2% 149,766 71.0% 151,432 70.7% Children's Hospital Group M 80% 10,505 7,466 5,477 4,119 3,543 3,212 10,693 45,015 17,512 61.2% 16,862 62.2% 16,915 62.0% 17,448 61.2% National Children's Hospital at Tallaght University M 80% Hospital 1,744 1,115 1,099 920 849 708 1,301 7,736 2,548 65.7% 2,671 64.8% 2,718 64.0% 2,858 63.1% Our Lady's Children's Hospital, Crumlin M 80% 4,852 3,404 2,319 1,599 1,369 1,119 4,686 19,348 7,727 61.4% 6,843 64.4% 6,966 63.7% 7,174 62.9% Temple Street Children's University Hospital M 80% 3,909 2,947 2,059 1,600 1,325 1,385 4,706 17,931 7,237 59.0% 7,348 58.8% 7,231 59.3% 7,416 58.6% Dublin Midlands Hospital Group M 80% 23,782 15,169 9,476 6,797 5,693 4,606 14,540 80,063 23,083 70.3% 23,738 70.0% 24,311 69.4% 24,839 69.0% Coombe Women's and Infants University Hospital M 80% 770 509 288 239 234 167 78 2,285 556 77.6% 576 77.4% 600 77.3% 479 79.0% MRH Portlaoise M 80% 1,924 1,367 867 691 493 241 146 5,729 557 89.3% 651 87.7% 782 85.8% 880 84.6% MRH Tullamore M 80% 3,207 2,392 1,874 1,344 860 1,046 3,803 14,526 5,456 61.9% 5,604 61.1% 5,655 60.4% 5,709 60.7% Naas General Hospital M 80% 2,580 1,272 857 718 692 449 1,671 8,239 2,655 66.5% 2,785 65.6% 2,833 65.2% 2,812 65.9% St. James's Hospital M 80% 8,408 4,608 2,124 1,283 898 772 2,414 20,507 3,607 81.5% 3,772 81.2% 3,932 80.6% 4,084 80.1% Tallaght University Hospital M 80% 6,893 5,021 3,466 2,522 2,516 1,931 6,428 28,777 10,252 63.9% 10,350 63.9% 10,509 63.2% 10,875 62.2% Ireland East Hospital Group M 80% 32,463 18,900 12,130 8,079 6,437 5,793 14,494 98,296 26,531 73.0% 26,114 73.5% 26,684 72.9% 26,724 72.8% Cappagh National Orthopaedic Hospital M 80% 1,008 471 288 132 102 131 72 2,204 344 84.0% 326 85.1% 321 85.5% 305 86.2% Mater Misericordiae University Hospital M 80% 11,035 7,389 5,087 3,209 2,760 2,637 7,121 39,238 11,149 70.7% 11,918 69.6% 12,323 68.6% 12,518 68.1% MRH Mullingar M 80% 2,400 1,440 1,008 829 582 438 1,073 7,770 1,804 76.4% 1,916 75.2% 1,981 74.7% 2,093 73.1% Our Lady's Hospital Navan M 80% 1,614 1,140 1,032 697 661 558 512 6,214 1,512 74.4% 1,617 73.2% 1,664 72.6% 1,731 72.1% Royal Victoria Eye and Ear Hospital M 80% 2,265 1,490 1,201 1,054 1,026 931 3,288 11,255 6,443 49.0% 5,477 52.7% 5,513 52.5% 5,245 53.4% St. Columcille's Hospital M 80% 976 601 304 201 167 228 908 3,385 1,353 60.3% 1,369 60.4% 1,327 62.2% 1,303 61.5% St. Luke's General Hospital Kilkenny M 80% 2,137 719 250 93 46 13 5 3,263 74 97.8% 118 96.7% 65 98.1% 64 98.0% St. Michael's Hospital M 80% 1,182 726 348 162 113 44 45 2,620 180 93.2% 193 92.7% 198 92.7% 202 92.3% St. Vincent's University Hospital M 80% 8,368 4,337 2,488 1,692 980 813 1,470 20,148 3,671 81.9% 3,179 83.8% 3,291 83.2% 3,263 83.8% Wexford General Hospital M 80% 1,478 587 124 10 0 0 0 2,199 1 100.0% 1 100.0% 1 100.0% 0 100.0% RCSI Hospitals Group M 80% 22,826 13,873 8,370 4,563 3,146 2,324 4,653 59,755 11,718 80.2% 11,452 81.1% 10,903 82.1% 10,123 83.1% Beaumont Hospital M 80% 9,799 5,393 3,084 1,885 1,409 1,102 2,215 24,887 5,364 77.9% 5,273 79.0% 5,097 79.8% 4,726 81.0% Cavan General Hospital M 80% 2,298 1,446 844 618 441 395 833 6,875 2,193 71.4% 2,155 72.2% 2,029 73.9% 1,669 75.7% Connolly Hospital M 80% 4,269 2,439 1,304 569 493 293 836 10,203 1,716 83.5% 1,724 83.3% 1,664 83.6% 1,622 84.1% Louth County Hospital M 80% 845 397 204 142 52 16 0 1,656 80 95.4% 92 94.9% 85 95.3% 68 95.9% Our Lady of Lourdes Hospital M 80% 4,343 3,200 2,385 1,118 554 367 768 12,735 1,966 83.6% 1,778 85.5% 1,631 87.1% 1,689 86.7% Rotunda Hospital M 80% 1,272 998 549 231 197 151 1 3,399 399 87.0% 430 86.6% 397 88.0% 349 89.7% Saolta University Health Care Group M 80% 27,639 15,211 10,383 6,834 5,783 4,669 13,503 84,022 22,189 73.1% 22,701 72.7% 23,249 72.1% 23,955 71.5% Galway University Hospitals M 80% 13,133 7,094 4,674 3,457 2,846 2,311 6,015 39,530 10,487 73.2% 10,713 73.1% 10,911 72.4% 11,172 71.7% Letterkenny University Hospital M 80% 4,436 2,790 2,036 1,408 1,179 922 2,771 15,542 4,481 70.3% 4,617 69.9% 4,727 69.3% 4,872 68.7% Mayo University Hospital M 80% 2,755 1,224 946 501 485 393 2,418 8,722 3,182 63.5% 3,073 62.7% 3,178 61.7% 3,296 62.2% Portiuncula University Hospital M 80% 1,548 890 474 195 147 151 260 3,665 576 84.6% 580 84.6% 576 84.4% 558 84.8% Roscommon University Hospital M 80% 1,029 338 250 188 207 209 742 2,963 1,090 61.1% 1,132 62.1% 1,144 60.6% 1,158 60.9% Sligo University Hospital M 80% 4,738 2,875 2,003 1,085 919 683 1,297 13,600 2,373 81.6% 2,586 80.1% 2,713 79.8% 2,899 78.7% South/South West Hospital Group M 80% 31,305 18,645 13,671 9,937 7,915 6,322 20,759 108,554 35,021 67.9% 34,618 68.4% 34,849 68.0% 34,996 67.8% Bantry General Hospital M 80% 593 277 187 137 76 34 0 1,304 77 94.2% 100 92.6% 98 92.9% 110 91.6% Cork University Hospital M 80% 7,991 4,470 2,817 1,898 1,383 1,109 2,980 22,648 5,250 76.7% 5,393 76.5% 5,417 76.0% 5,472 75.8% Cork University Maternity Hospital M 80% 1,260 749 383 256 168 200 281 3,297 959 75.0% 776 78.5% 673 80.4% 649 80.3% Mallow General Hospital M 80% 854 605 529 305 226 94 249 2,862 536 81.3% 590 80.1% 643 78.5% 569 80.1% Mercy University Hospital M 80% 1,932 982 703 435 307 230 405 4,994 924 81.7% 917 81.9% 961 81.0% 942 81.1% South Infirmary Victoria University Hospital M 80% 6,404 3,256 2,485 2,044 1,708 1,605 5,190 22,692 8,500 62.4% 8,617 62.7% 8,495 63.0% 8,503 62.5% South Tipperary General Hospital M 80% 1,509 992 509 313 165 165 313 3,966 623 84.0% 634 84.1% 633 84.0% 643 83.8% UH Kerry M 80% 2,478 1,831 1,648 867 801 687 1,672 9,984 2,909 70.1% 3,069 69.1% 3,118 68.5% 3,160 68.3% UH Waterford M 80% 8,284 5,483 4,410 3,682 3,081 2,198 9,669 36,807 15,243 59.0% 14,522 60.3% 14,811 59.8% 14,948 59.4%

39 Outpatient Waiting List Reporting Period October 2018

Notes: 1. Data Source is NTPF

40 Urgent Colonoscopy waiting > 28 Days Reporting Period October 2018 Reporting Target/EA Reporting Level Frequency Full Year Jul-18 Aug-18 Sep-18 Oct-18 Total New Total Total New Total New Total New Total Patients Total Patients Total Patients Total Patients Patients Breaches Patients Patients Patients Breached Breached Breached Breached Breaching Reported Breaching Breaching Breaching National Total M 0 41 29 39 29 21 21 18 34 25 Children's Hospital Group M 0 0 0 0 0 0 0 0 0 0 National Children's Hospital at Tallaght University Hospital M 0 0 0 0 0 0 0 0 0 0 Our Lady's Children's Hospital, Crumlin M 0 0 0 0 0 0 0 0 0 0 Temple Street Children's University Hospital M Dublin Midlands Hospital Group M 0 0 0 0 0 0 0 0 0 0 MRH Portlaoise M 0 0 0 0 0 0 0 0 0 0 MRH Tullamore M 0 0 0 0 0 0 0 0 0 0 Naas General Hospital M 0 0 0 0 0 0 0 0 0 0 St. James's Hospital M 0 0 0 0 0 0 0 0 0 0 Tallaght University Hospital M 0 0 0 0 0 0 0 0 0 0 Ireland East Hospital Group M 0 33 21 29 24 17 20 17 18 9 Mater Misericordiae University Hospital M 0 0 0 0 0 0 0 0 0 0 MRH Mullingar M 0 0 0 0 0 0 0 0 0 0 Our Lady's Hospital Navan M 0 0 0 0 0 0 0 0 0 0 St. Columcille's Hospital M 0 33 21 29 24 17 20 17 18 9 St. Luke's General Hospital Kilkenny M 0 0 0 0 0 0 0 0 0 0 St. Michael's Hospital M 0 0 0 0 0 0 0 0 0 0 St. Vincent's University Hospital M 0 0 0 0 0 0 0 0 0 0 Wexford General Hospital M 0 0 0 0 0 0 0 0 0 0 RCSI Hospitals Group M 0 0 0 0 0 0 0 0 0 0 Beaumont Hospital M 0 0 0 0 0 0 0 0 0 0 Cavan General Hospital M 0 0 0 0 0 0 0 0 0 0 Connolly Hospital M 0 0 0 0 0 0 0 0 0 0 Louth County Hospital M 0 0 0 0 0 0 0 0 0 0 Our Lady of Lourdes Hospital M 0 0 0 0 0 0 0 0 0 0 Saolta University Health Care Group M 0 7 7 4 2 2 0 0 16 16 Galway University Hospitals M 0 0 0 0 0 0 0 0 0 0 Letterkenny University Hospital M 0 0 0 4 2 2 0 0 0 0 Mayo University Hospital M 0 7 7 0 0 0 0 0 16 16 Portiuncula University Hospital M 0 0 0 0 0 0 0 0 0 0 Roscommon University Hospital M 0 0 0 0 0 0 0 0 0 0 Sligo University Hospital M 0 0 0 0 0 0 0 0 0 0 South/South West Hospital Group M 0 1 1 6 3 2 1 1 0 0

41 Urgent Colonoscopy waiting > 28 Days Reporting Period October 2018 Reporting Target/EA Reporting Level Frequency Full Year Jul-18 Aug-18 Sep-18 Oct-18 Total New Total Total New Total New Total New Total Patients Total Patients Total Patients Total Patients Patients Breaches Patients Patients Patients Breached Breached Breached Breached Breaching Reported Breaching Breaching Breaching Bantry General Hospital M 0 0 0 0 0 0 0 0 0 0 Cork University Hospital M 0 0 0 0 0 0 0 0 0 0 Mallow General Hospital M 0 0 0 0 0 0 0 0 0 0 Mercy University Hospital M 0 0 0 0 0 0 0 0 0 0 South Infirmary Victoria University Hospital M 0 0 0 0 0 0 0 0 0 0 South Tipperary General Hospital M 0 1 1 6 3 2 0 0 0 0 UH Kerry M 0 0 0 0 0 0 1 1 0 0 UH Waterford M 0 0 0 0 0 0 0 0 0 0 UL Hospitals Group M 0 0 0 0 0 0 0 0 0 0 Ennis Hospital M 0 0 0 0 0 0 0 0 0 0 Nenagh Hospital M 0 0 0 0 0 0 0 0 0 0 St. John's Hospital Limerick M 0 0 0 0 0 0 0 0 0 0 UH Limerick M 0 0 0 0 0 0 0 0 0 0

Notes: 1. Source: BIU Acute Monthly Urgent Colonoscopy Census 2. Total patients breached - The number of patients breached during the month. 3. Total new patients breaching - The number of new patients that have breached this month.

42 GI Waiting List Reporting Period October 2018 13 Weeks Reporting Target/EA 0 - 13 to 6 6-12 12+ Reporting Level Frequency Full Year Weeks Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 13 % < 13 > 13 % < 13 > 13 % < 13 > 13 % < 13 Weeks Weeks Weeks Weeks Weeks Weeks Weeks Weeks National Total M 70% 10,242 4,340 2,418 882 17,882 8,212 54.9% 8,450 52.7% 8,187 53.3% 7,640 57.3% Children's Hospital Group M 70% 171 80 59 7 317 151 51.8% 165 47.6% 147 50.8% 146 53.9% National Children's Hospital at Tallaght University M 70% 41 40 35 0 116 58 41.4% 60 42.3% 66 38.3% 75 35.3% Hospital Our Lady's Children's Hospital, Crumlin M 70% 128 40 24 7 199 93 56.1% 104 50.5% 81 57.4% 71 64.3% Temple Street Children's University Hospital M 70% 2 0 0 0 2 0 100.0% 1 0.0% 0 100.0% 0 100.0% Dublin Midlands Hospital Group M 70% 2,003 1,109 614 363 4,089 2,268 42.7% 2,558 40.5% 2,436 42.0% 2,086 49.0% MRH Portlaoise M 70% 175 119 85 27 406 169 45.7% 211 42.2% 198 43.9% 231 43.1% MRH Tullamore M 70% 184 99 46 12 341 187 51.9% 201 45.8% 191 48.7% 157 54.0% Naas General Hospital M 70% 378 248 251 300 1,177 1,119 20.8% 1,164 20.4% 1,104 23.5% 799 32.1% St. James's Hospital M 70% 375 65 10 3 453 25 90.4% 46 85.6% 49 84.6% 78 82.8% Tallaght University Hospital M 70% 891 578 222 21 1,712 768 51.6% 936 47.4% 894 47.8% 821 52.0% Ireland East Hospital Group M 70% 1,667 793 149 8 2,617 984 63.3% 1,004 56.5% 1,043 59.2% 950 63.7% Mater Misericordiae University Hospital M 70% 7 17 13 2 39 22 57.7% 14 68.2% 22 51.1% 32 17.9% MRH Mullingar M 70% 261 87 5 0 353 66 79.0% 68 75.5% 72 74.6% 92 73.9% Our Lady's Hospital Navan M 70% 47 0 1 0 48 2 97.3% 3 94.7% 1 98.7% 1 97.9% St. Columcille's Hospital M 70% 170 196 11 4 381 49 86.9% 184 48.5% 209 49.0% 211 44.6% St. Luke's General Hospital Kilkenny M 70% 151 12 2 0 165 110 63.7% 57 75.9% 34 84.2% 14 91.5% St. Michael's Hospital M 70% 429 328 96 2 855 592 39.0% 543 37.5% 569 39.1% 426 50.2% St. Vincent's University Hospital M 70% 333 1 0 0 334 3 98.7% 0 100.0% 0 100.0% 1 99.7% Wexford General Hospital M 70% 269 152 21 0 442 140 62.5% 135 62.6% 136 62.4% 173 60.9% RCSI Hospitals Group M 70% 1,828 137 3 0 1,968 270 87.1% 280 86.2% 223 88.9% 140 92.9% Beaumont Hospital M 70% 305 44 3 0 352 55 88.8% 74 84.5% 62 83.6% 47 86.6% Cavan General Hospital M 70% 369 5 0 0 374 13 95.5% 18 93.8% 4 98.8% 5 98.7% Connolly Hospital M 70% 597 3 0 0 600 110 83.8% 95 86.1% 66 89.8% 3 99.5% Louth County Hospital M 70% 443 78 0 0 521 67 86.4% 53 87.7% 89 83.8% 78 85.0% Our Lady of Lourdes Hospital M 70% 114 7 0 0 121 25 82.3% 40 71.6% 2 98.1% 7 94.2% Saolta University Health Care Group M 70% 2,128 1,082 609 311 4,130 2,254 48.1% 2,200 48.6% 2,039 47.4% 2,002 51.5% Galway University Hospitals M 70% 768 535 334 303 1,940 1,316 39.3% 1,220 42.1% 1,184 36.4% 1,172 39.6% Letterkenny University Hospital M 70% 551 361 221 4 1,137 665 43.9% 681 36.2% 578 47.1% 586 48.5% Mayo University Hospital M 70% 143 43 36 3 225 183 34.2% 163 41.6% 127 42.5% 82 63.6% Portiuncula University Hospital M 70% 79 19 7 0 105 24 76.2% 20 81.5% 19 81.2% 26 75.2% Roscommon University Hospital M 70% 175 7 1 0 183 6 96.1% 7 96.6% 14 85.7% 8 95.6% Sligo University Hospital M 70% 412 117 10 1 540 60 86.9% 109 78.7% 117 76.6% 128 76.3%

43 GI Waiting List Reporting Period October 2018 13 Weeks Reporting Target/EA 0 - 13 to 6 6-12 12+ Reporting Level Frequency Full Year Weeks Months Months Months Total Jul-18 Aug-18 Sep-18 Oct-18 Number Number Number Number > 13 % < 13 > 13 % < 13 > 13 % < 13 > 13 % < 13 Weeks Weeks Weeks Weeks Weeks Weeks Weeks Weeks South/South West Hospital Group M 70% 1,306 495 95 3 1,899 703 68.3% 644 68.5% 587 69.5% 593 68.8% Bantry General Hospital M 70% 141 13 1 0 155 6 96.0% 13 90.6% 14 90.4% 14 91.0% Cork University Hospital M 70% 45 36 14 2 97 37 66.4% 43 63.2% 58 47.3% 52 46.4% Mallow General Hospital M 70% 44 29 2 0 75 51 57.5% 47 58.0% 53 57.3% 31 58.7% Mercy University Hospital M 70% 262 100 10 1 373 145 63.8% 90 75.4% 83 74.8% 111 70.2% South Infirmary Victoria University Hospital M 70% 61 4 0 0 65 1 99.3% 1 98.3% 0 100.0% 4 93.8% South Tipperary General Hospital M 70% 218 125 14 0 357 79 79.7% 126 67.4% 121 67.0% 139 61.1% UH Kerry M 70% 306 0 0 0 306 9 97.1% 6 98.0% 10 96.9% 0 100.0% UH Waterford M 70% 229 188 54 0 471 375 38.2% 318 43.1% 248 45.5% 242 48.6% UL Hospitals Group M 70% 1,139 644 889 190 2,862 1,582 38.8% 1,599 39.0% 1,712 35.5% 1,723 39.8% Ennis Hospital M 70% 322 18 4 0 344 29 89.3% 12 94.8% 15 94.7% 22 93.6% Nenagh Hospital M 70% 187 101 190 1 479 230 42.5% 272 37.3% 261 29.6% 292 39.0% St. John's Hospital Limerick M 70% 170 167 139 4 480 270 41.8% 301 38.6% 330 33.7% 310 35.4% UH Limerick M 70% 460 358 556 185 1,559 1,053 27.4% 1,014 30.8% 1,106 26.6% 1,099 29.5% Notes: 1. Data Source is NTPF 2. Figures relate to GI Endoscopy only

44 ED Patient Experience Time (All Patients) Reporting Period October 2018

Reporting Reporting Level Frequency Target/EA Activity YTD Aug-18 Sep-18 Oct-18 % Within % Within % <24 % Within % Within % <24 No. > % Within % Within % <24 No. > % Within % Within % <24 No. > % Within % Within % <24 No. > 6 Hours 9 Hours Hours 6 Hours 9 Hours Hours 24hrs 6 Hours 9 Hours Hours 24hrs 6 Hours 9 Hours Hours 24hrs 6 Hours 9 Hours Hours 24hrs

National Total M 75% 100% 100% 64.7% 79.5% 96.5% 39,053 66.2% 80.9% 97.2% 3,130 65.4% 80.1% 96.9% 3,366 65.8% 80.4% 96.9% 3,513 Children's Hospital Group M 75% 100% 100% 87.0% 96.4% 99.6% 354 91.5% 98.1% 100.0% 2 89.9% 97.3% 99.8% 15 87.9% 96.8% 99.6% 38 National Children's Hospital at Tallaght M University Hospital 75% 100% 100% 89.3% 98.8% 99.95% 11 95.0% 99.5% 100.0% 0 95.1% 99.8% 100.0% 0 91.7% 99.1% 100.0% 1 Our Lady's Children's Hospital, Crumlin M 75% 100% 100% 86.7% 96.0% 99.9% 28 92.4% 98.3% 100.0% 1 89.8% 96.9% 99.9% 2 87.9% 97.0% 100.0% 0 Temple Street Children's University Hospital M 75% 100% 100% 85.7% 95.2% 99.2% 315 88.5% 97.0% 100.0% 1 86.3% 96.0% 99.7% 13 85.3% 95.0% 99.1% 37 Dublin Midlands Hospital Group M 75% 100% 100% 55.3% 71.9% 95.5% 7,612 60.6% 77.2% 96.8% 547 57.5% 74.4% 96.1% 661 56.4% 73.4% 96.8% 579 MRH Portlaoise M 75% 100% 100% 71.8% 84.5% 96.8% 977 74.1% 86.3% 97.7% 67 74.6% 87.6% 97.5% 74 73.0% 85.3% 96.2% 118 MRH Tullamore M 75% 100% 100% 68.4% 81.3% 95.2% 1,415 72.0% 83.8% 95.6% 134 67.3% 81.6% 95.3% 137 70.5% 83.7% 97.6% 73 Naas General Hospital M 75% 100% 100% 51.5% 67.1% 92.6% 1,838 54.2% 67.9% 93.8% 163 44.3% 58.8% 90.0% 234 49.2% 66.8% 96.1% 101 St. James's Hospital M 75% 100% 100% 49.8% 70.2% 98.4% 672 52.6% 74.8% 99.6% 18 51.7% 73.3% 99.5% 23 48.3% 66.9% 98.7% 61 Tallaght University Hospital M 75% 100% 100% 42.0% 61.0% 93.6% 2,710 55.6% 74.6% 96.3% 165 52.5% 70.2% 95.7% 193 48.5% 68.9% 95.3% 226 Ireland East Hospital Group M 75% 100% 100% 70.2% 82.7% 97.0% 7,428 72.1% 84.9% 98.0% 508 71.1% 83.1% 97.4% 643 71.3% 83.4% 97.0% 783 Mater Misericordiae University Hospital M 75% 100% 100% 59.2% 72.4% 94.3% 3,931 62.7% 76.7% 96.4% 258 60.6% 72.9% 94.3% 394 61.5% 73.3% 93.5% 462 MRH Mullingar M 75% 100% 100% 65.8% 83.0% 98.0% 603 69.5% 87.9% 99.3% 20 64.1% 81.5% 98.2% 52 67.0% 84.8% 98.6% 42 Our Lady's Hospital Navan M 75% 100% 100% 65.4% 81.5% 98.0% 337 70.7% 88.9% 99.7% 6 71.5% 86.8% 99.1% 15 72.2% 87.3% 99.2% 13 St. Luke's General Hospital Kilkenny M 75% 100% 100% 90.9% 97.5% 99.98% 5 91.7% 97.8% 100.0% 0 92.3% 98.0% 100.0% 0 89.9% 97.6% 100.0% 1 St. Michael's Hospital M 75% 100% 100% 92.2% 99.0% 100.0% 0 95.0% 99.7% 100.0% 0 94.5% 99.4% 100.0% 0 91.0% 98.9% 100.0% 0 St. Vincent's University Hospital M 75% 100% 100% 66.7% 77.4% 95.4% 2,190 66.7% 77.1% 96.3% 182 66.0% 76.8% 96.9% 148 65.8% 76.3% 95.3% 234 Wexford General Hospital M 75% 100% 100% 71.7% 87.8% 98.9% 362 71.6% 87.5% 98.8% 42 72.6% 89.4% 99.0% 34 72.3% 88.1% 99.1% 31 RCSI Hospitals Group M 75% 100% 100% 57.5% 75.6% 97.6% 3,872 57.3% 76.0% 98.3% 280 55.9% 74.6% 97.9% 340 58.0% 76.3% 98.3% 288 Beaumont Hospital M 75% 100% 100% 48.4% 68.4% 97.9% 1,010 49.1% 68.3% 98.8% 59 47.0% 67.6% 97.3% 132 48.5% 67.6% 97.0% 150 Cavan General Hospital M 75% 100% 100% 69.5% 86.0% 99.8% 66 69.3% 89.1% 99.9% 2 72.5% 88.9% 99.8% 6 73.4% 88.2% 99.7% 9 Connolly Hospital M 75% 100% 100% 49.2% 68.8% 95.2% 1,642 46.0% 68.7% 96.2% 133 45.1% 66.2% 96.1% 131 49.1% 70.2% 97.6% 83 Our Lady of Lourdes Hospital M 75% 100% 100% 65.0% 81.2% 97.8% 1,154 66.5% 81.5% 98.3% 86 62.8% 79.3% 98.6% 71 64.6% 82.2% 99.1% 46 Saolta University Health Care Group M 75% 100% 100% 66.7% 83.1% 97.5% 4,527 65.9% 81.8% 97.2% 514 65.3% 81.9% 97.0% 511 67.1% 83.1% 97.6% 439 Galway University Hospitals M 75% 100% 100% 52.8% 68.4% 92.4% 4,251 50.6% 65.7% 91.5% 502 50.4% 66.4% 91.2% 481 53.1% 68.1% 92.9% 409 Letterkenny University Hospital M 75% 100% 100% 73.0% 89.0% 99.7% 100 74.8% 90.0% 99.9% 2 68.8% 85.4% 99.7% 11 73.0% 88.1% 99.7% 11 Mayo University Hospital M 75% 100% 100% 74.0% 90.7% 99.7% 88 70.8% 88.9% 99.9% 4 73.3% 90.2% 99.6% 14 76.5% 93.0% 99.7% 10 Portiuncula University Hospital M 75% 100% 100% 73.3% 91.0% 99.9% 23 67.6% 87.3% 100.0% 1 75.5% 92.5% 99.8% 3 70.3% 89.5% 100.0% 1 Sligo University Hospital M 75% 100% 100% 72.0% 89.4% 99.8% 65 77.2% 91.2% 99.8% 5 72.6% 89.3% 99.9% 2 74.0% 90.0% 99.8% 8 South/South West Hospital Group M 75% 100% 100% 62.1% 76.1% 94.5% 10,352 64.2% 78.1% 96.1% 762 64.0% 78.3% 95.9% 757 64.3% 78.2% 95.8% 821 Cork University Hospital M 75% 100% 100% 58.9% 74.3% 96.5% 1,959 59.9% 75.9% 98.8% 67 56.9% 73.0% 96.2% 206 60.6% 76.7% 97.8% 128 Mercy University Hospital M 75% 100% 100% 56.5% 73.6% 94.4% 1,592 60.1% 75.6% 95.5% 130 59.9% 77.2% 97.0% 83 57.9% 76.4% 97.7% 66 South Tipperary General Hospital M 75% 100% 100% 61.8% 75.7% 91.6% 2,093 66.1% 80.9% 94.8% 126 68.0% 81.0% 94.2% 146 65.0% 77.8% 93.6% 168 UH Kerry M 75% 100% 100% 57.7% 73.0% 92.3% 2,335 62.2% 76.5% 93.3% 218 64.0% 78.7% 93.9% 177 61.5% 76.3% 93.5% 200 UH Waterford M 75% 100% 100% 72.4% 82.0% 95.0% 2,373 72.1% 81.9% 95.6% 221 72.4% 83.3% 96.9% 145 73.7% 82.5% 94.7% 259 UL Hospitals Group M 75% 100% 100% 54.2% 70.0% 91.8% 4,908 55.0% 70.7% 91.2% 517 55.1% 71.0% 92.6% 439 54.2% 70.2% 91.0% 565 UH Limerick M 75% 100% 100% 54.2% 70.0% 91.8% 4,908 55.0% 70.7% 91.2% 517 55.1% 71.0% 92.6% 439 54.2% 70.2% 91.0% 565

Injury Unit Patient Experience Time St. Columcille's Hospital M 75% 100% 100% 99.7% 99.9% 100.0% 0 99.7% 99.7% 100.0% 0.0% 99.4% 99.8% 100.0% 0.0% 99.7% 99.9% 100.0% 0.0% Notes: 1. Data source BIU Acute 2. Resubmission of PET data from the Mater to include the Eye Emergency Dept from January to May 2017 3. PET data missing for Tallaght University Hospital and National Childrens Hospital at Tallagh Hospital for 15th May due to the cyber issue 4. Resubmission of PET data from St Columcilles from January to June 2017

45 ED Patient Experience Time (Patients aged 75 years +) Reporting Period October 2018

Reporting Reporting Level Frequency Target/EA Activity YTD Aug-18 Sep-18 Oct-18 % Within % Within % <24 % Within % Within % <24 Number % Within % Within % <24 Number % Within % Within % <24 Number % Within % Within % <24 Number 6 Hours 9 Hours Hours 6 Hours 9 Hours Hours > 24hrs 6 Hours 9 Hours Hours > 24hrs 6 Hours 9 Hours Hours > 24hrs 6 Hours 9 Hours Hours > 24hrs National Total M 95% 100% 100% 42.7% 60.8% 91.4% 11,881 45.8% 64.7% 93.6% 913 43.9% 62.1% 92.6% 988 44.1% 62.4% 92.6% 1,024 Dublin Midlands Hospital Group M 95% 100% 100% 36.5% 56.1% 92.1% 1,689 43.2% 64.5% 94.7% 116 37.8% 59.3% 92.2% 159 36.9% 58.4% 95.6% 95 MRH Portlaoise M 95% 100% 100% 48.4% 75.5% 97.3% 80 56.6% 85.9% 99.3% 2 52.7% 84.4% 99.3% 2 48.3% 75.3% 96.0% 12 MRH Tullamore M 95% 100% 100% 42.7% 60.9% 89.3% 461 46.3% 65.0% 89.6% 46 41.2% 63.6% 88.3% 46 44.0% 67.3% 95.5% 17 Naas General Hospital M 95% 100% 100% 37.2% 49.2% 82.5% 637 39.2% 50.9% 87.7% 46 28.1% 39.2% 74.9% 93 39.9% 53.3% 92.1% 29 St. James's Hospital M 95% 100% 100% 33.9% 56.4% 98.1% 111 41.2% 67.1% 99.5% 3 36.3% 63.3% 99.8% 1 30.8% 52.6% 98.4% 10 Tallaght University Hospital M 95% 100% 100% 25.5% 43.5% 90.9% 400 37.6% 57.8% 96.0% 19 35.4% 52.2% 96.4% 17 29.3% 52.0% 94.1% 27 Ireland East Hospital Group M 95% 100% 100% 54.2% 69.8% 93.2% 2,456 59.2% 75.4% 95.9% 148 55.3% 70.6% 95.0% 179 56.3% 71.3% 93.5% 238 Mater Misericordiae University Hospital M 95% 100% 100% 45.0% 57.1% 84.7% 1,249 53.7% 67.1% 90.8% 77 46.1% 57.8% 88.1% 99 45.4% 56.7% 83.2% 146 MRH Mullingar M 95% 100% 100% 40.4% 64.8% 95.5% 163 44.1% 75.4% 98.9% 4 35.6% 61.1% 96.4% 12 41.0% 71.9% 97.6% 8 Our Lady's Hospital Navan M 95% 100% 100% 49.8% 70.3% 96.4% 97 58.3% 83.3% 99.2% 2 56.9% 78.2% 98.9% 3 64.0% 83.0% 99.2% 2 St. Luke's General Hospital Kilkenny M 95% 100% 100% 85.6% 94.8% 99.98% 1 86.6% 94.1% 100.0% 0 86.7% 96.5% 100.0% - 84.9% 95.0% 100.0% - St. Michael's Hospital M 95% 100% 100% 87.2% 98.1% 100.0% 0 92.4% 99.8% 100.0% 0 91.3% 99.2% 100.0% - 86.4% 98.3% 100.0% - St. Vincent's University Hospital M 95% 100% 100% 43.2% 56.4% 90.1% 869 45.5% 59.2% 93.5% 57 41.8% 55.4% 93.3% 57 44.1% 55.6% 91.7% 74 Wexford General Hospital M 95% 100% 100% 47.9% 74.7% 98.3% 77 50.9% 77.1% 98.2% 8 50.1% 75.8% 98.2% 8 53.6% 75.6% 98.4% 8 RCSI Hospitals Group M 95% 100% 100% 34.3% 53.7% 93.4% 1,459 35.6% 54.8% 95.7% 101 32.1% 52.9% 94.0% 128 35.5% 55.7% 94.8% 114 Beaumont Hospital M 95% 100% 100% 33.6% 52.6% 94.5% 455 35.0% 52.4% 97.3% 24 29.6% 47.9% 93.7% 52 32.2% 49.8% 92.4% 64 Cavan General Hospital M 95% 100% 100% 42.2% 66.5% 99.4% 25 50.5% 76.9% 99.5% 2 46.9% 76.4% 99.7% 1 46.0% 69.4% 99.0% 4 Connolly Hospital M 95% 100% 100% 28.3% 42.5% 86.8% 565 22.2% 37.6% 88.6% 52 24.0% 40.7% 88.1% 52 32.1% 49.5% 94.3% 25 Our Lady of Lourdes Hospital M 95% 100% 100% 34.1% 54.7% 92.3% 414 36.1% 55.6% 95.8% 23 32.1% 54.2% 95.4% 23 36.1% 60.5% 95.9% 21 Saolta University Health Care Group M 95% 100% 100% 46.8% 70.4% 94.1% 1,504 47.3% 70.3% 94.0% 157 48.5% 70.5% 93.6% 154 46.0% 69.6% 94.4% 140 Galway University Hospitals M 95% 100% 100% 30.2% 42.8% 78.2% 1,419 27.3% 39.3% 77.4% 154 32.0% 43.1% 75.6% 147 30.6% 41.9% 80.5% 130 Letterkenny University Hospital M 95% 100% 100% 50.9% 77.4% 99.4% 32 56.8% 82.3% 99.8% 1 47.5% 74.0% 99.6% 2 53.4% 75.9% 99.6% 2 Mayo University Hospital M 95% 100% 100% 55.7% 82.1% 99.4% 30 55.2% 82.1% 100.0% 0 60.2% 83.4% 99.0% 5 55.6% 84.7% 99.1% 5 Portiuncula University Hospital M 95% 100% 100% 50.8% 80.2% 99.8% 6 45.6% 72.5% 100.0% 0 58.4% 87.2% 100.0% 0 41.1% 74.5% 100.0% 0 Sligo University Hospital M 95% 100% 100% 51.9% 79.8% 99.7% 17 56.4% 84.3% 99.6% 2 52.0% 77.2% 100.0% 0 52.1% 81.7% 99.3% 3 South/South West Hospital Group M 95% 100% 100% 39.0% 54.4% 87.3% 3,203 41.6% 59.1% 91.3% 224 42.0% 57.8% 90.6% 226 42.4% 57.8% 90.2% 252 Cork University Hospital M 95% 100% 100% 37.1% 51.0% 89.7% 778 40.1% 57.9% 96.8% 26 38.6% 50.0% 88.5% 83 42.3% 56.9% 94.0% 48 Mercy University Hospital M 95% 100% 100% 31.3% 50.9% 90.7% 305 35.8% 55.8% 94.6% 19 35.6% 55.4% 97.0% 9 32.9% 57.2% 98.5% 5 South Tipperary General Hospital M 95% 100% 100% 41.0% 61.0% 86.3% 508 43.8% 68.3% 89.7% 34 45.2% 63.2% 87.8% 46 47.7% 65.5% 88.4% 45 UH Kerry M 95% 100% 100% 35.3% 51.2% 84.6% 661 38.2% 53.8% 85.8% 60 42.7% 61.2% 89.8% 42 36.4% 53.7% 86.9% 61 UH Waterford M 95% 100% 100% 46.5% 58.6% 85.0% 951 47.8% 61.1% 87.0% 85 46.8% 62.9% 92.1% 46 48.6% 57.7% 84.6% 93 UL Hospitals Group M 95% 100% 100% 27.5% 40.8% 78.7% 1,570 30.1% 45.4% 78.6% 167 31.3% 42.2% 80.5% 142 28.2% 40.5% 75.2% 185 UH Limerick M 95% 100% 100% 27.5% 40.8% 78.7% 1,570 30.1% 45.4% 78.6% 167 31.3% 42.2% 80.5% 142 28.2% 40.5% 75.2% 185

Injury Unit Patient Experience Time St. Columcille's Hospital M 95.0% 100.0% 100.0% 99.8% 100.0% 100.0% 0 100.0% 100.0% 100.0% 0 100.0% 100.0% 100.0% 0 98.5% 100.0% 100.0% 0 Notes: 1. Data source BIU Acute 2. Resubmission of PET data from the Mater to include the Eye Emergency Dept from January to May 2017 3. Resubmission of PET data from St Columcilles from January to June 2017

46 % of ED patients who leave before completion of treatment Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA Reporting Level Frequency Year Full Year YTD Activity YTD Jul-18 Aug-18 Sep-18 Oct-18 No. % No. % No. % No. % No. % National Total M 5.6% <5% <5% 70,783 6.4% 7,191 6.4% 6,882 6.3% 6,998 6.4% 6,833 6.0% Children's Hospital Group M 2.8% <5% <5% 2,161 2.5% 140 1.6% 107 1.3% 168 1.8% 245 2.4% National Children's Hospital at Tallaght University M 2.7% Hospital <5% <5% 428 1.7% 23 1.0% 8 0.4% 16 0.6% 24 0.8% Our Lady's Children's Hospital, Crumlin M 2.5% <5% <5% 639 2.2% 48 1.7% 23 0.9% 48 1.6% 49 1.5% Temple Street Children's University Hospital M 3.0% <5% <5% 1,094 3.1% 69 1.9% 76 2.3% 104 2.7% 172 4.0% Dublin Midlands Hospital Group M 9.3% <5% <5% 15,881 10.5% 1,722 9.8% 1,511 8.8% 1,782 10.5% 1,858 10.4% MRH Portlaoise M 4.3% <5% <5% 1,198 4.5% 146 4.8% 145 5.0% 120 4.1% 154 5.0% MRH Tullamore M 2.5% <5% <5% 1,045 4.0% 152 4.8% 121 4.0% 156 5.3% 113 3.8% Naas General Hospital M 6.1% <5% <5% 1,794 8.0% 235 9.0% 237 8.9% 221 9.3% 221 8.3% St. James's Hospital M 16.9% <5% <5% 6,291 17.1% 697 15.7% 656 15.3% 804 18.9% 906 19.7% Tallaght University Hospital M 11.9% <5% <5% 5,553 14.1% 492 11.1% 352 8.3% 481 10.8% 464 10.1% Ireland East Hospital Group M 6.9% <5% <5% 17,422 7.7% 2,021 7.8% 1,860 7.3% 1,905 7.7% 1,779 6.9% Mater Misericordiae University Hospital M 19.0% <5% <5% 12,617 20.2% 1,427 19.8% 1,328 18.7% 1,336 19.3% 1,272 17.8% MRH Mullingar M 3.6% <5% <5% 1,134 4.1% 139 4.7% 97 3.4% 140 4.7% 117 3.8% Our Lady's Hospital Navan M 2.4% <5% <5% 682 4.5% 100 5.6% 80 4.6% 69 4.2% 74 4.3% St. Luke's General Hospital Kilkenny M 1.4% <5% <5% 395 1.3% 42 1.2% 33 0.9% 38 1.1% 45 1.2% St. Michael's Hospital M 1.6% <5% <5% 303 2.0% 31 1.7% 28 1.7% 33 2.0% 34 1.8% St. Vincent's University Hospital M 2.9% <5% <5% 1,472 3.4% 201 4.1% 174 3.5% 186 3.9% 148 3.0% Wexford General Hospital M 2.3% <5% <5% 819 2.6% 81 2.3% 120 3.4% 103 3.1% 89 2.6% RCSI Hospitals Group M 5.0% <5% <5% 9,632 6.6% 935 5.7% 1,118 6.7% 1,144 7.2% 1,032 6.2% Beaumont Hospital M 3.9% <5% <5% 2,292 5.2% 200 4.0% 240 4.7% 258 5.3% 230 4.6% Cavan General Hospital M 3.6% <5% <5% 1,428 5.5% 147 5.2% 148 5.2% 133 5.0% 132 4.6% Connolly Hospital M 7.3% <5% <5% 2,746 9.0% 253 7.5% 349 10.0% 373 11.0% 315 9.1% Our Lady of Lourdes Hospital M 5.3% <5% <5% 3,166 6.8% 335 6.6% 381 7.5% 380 7.6% 355 6.8% Saolta University Health Care Group M 3.7% <5% <5% 6,149 3.9% 845 4.6% 844 4.7% 716 4.2% 670 3.8% Galway University Hospitals M 4.5% <5% <5% 2,722 5.6% 310 5.5% 430 7.5% 316 6.0% 340 6.1% Letterkenny University Hospital M 2.7% <5% <5% 855 2.8% 162 4.3% 73 2.1% 115 3.3% 110 3.1% Mayo University Hospital M 2.8% <5% <5% 848 2.8% 132 3.9% 133 3.9% 93 3.0% 69 2.1% Portiuncula University Hospital M 4.6% <5% <5% 774 4.1% 85 4.1% 117 5.9% 79 4.0% 77 3.6% Sligo University Hospital M 3.6% <5% <5% 950 3.2% 156 4.5% 91 2.8% 113 3.5% 74 2.3% South/South West Hospital Group M 4.2% <5% <5% 8,396 4.8% 1,052 5.3% 945 4.9% 811 4.4% 703 3.6% Cork University Hospital M 3.4% <5% <5% 2,566 4.8% 298 5.0% 298 5.2% 298 5.4% 167 2.8% Mercy University Hospital M 8.2% <5% <5% 2,142 8.2% 242 8.3% 201 7.0% 221 7.9% 214 7.5% South Tipperary General Hospital M 4.0% <5% <5% 801 3.5% 87 3.3% 78 3.2% 77 3.1% 68 2.6% UH Kerry M 5.3% <5% <5% 1,950 6.7% 295 8.8% 218 6.7% 120 4.0% 137 4.5% UH Waterford M 2.2% <5% <5% 937 2.2% 130 2.5% 150 3.0% 95 2.0% 117 2.4% UL Hospitals Group M 5.5% <5% <5% 4,304 8.1% 476 7.9% 497 8.4% 472 7.9% 546 8.7% UH Limerick M 5.5% <5% <5% 4,304 8.1% 476 7.9% 497 8.4% 472 7.9% 546 8.7%

Note: 1. Data source BIU Acute 2. Midland Regional Hospital Mullingar started to provide this data in January 2017. 3. St Michaels Hospital started to provide this data in July 2017.

47 ALOS for all inpatient discharges excluding LOS over 30 days Reporting Period October 2018 Outturn Reporting Previous Target/EA Reporting Level Frequency Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 4.7 4.3 4.7 4.6 4.6 4.6 4.5 Children's Hospital Group M-1M 3.9 4.3 3.8 3.6 3.5 3.9 3.6 Our Lady's Children's Hospital, Crumlin M-1M 4.4 4.3 4.2 3.9 4.1 4.5 4.1 Temple Street Children's University Hospital M-1M 3.2 4.3 3.1 3.1 2.5 3.0 3.0 Dublin Midlands Hospital Group M-1M 5.3 4.3 5.3 5.3 5.2 5.3 5.0 Coombe Women and Infants University Hospital M-1M 2.7 4.3 2.6 2.7 2.7 2.6 2.6 MRH Portlaoise M-1M 2.8 4.3 2.8 2.7 2.8 2.9 2.6 MRH Tullamore M-1M 5.0 4.3 5.2 4.8 4.7 5.1 5.1 Naas General Hospital M-1M 5.8 4.3 5.7 5.5 5.7 5.3 5.4 St. James's Hospital M-1M 7.7 4.3 7.7 7.9 7.3 7.3 7.2 St. Luke's Radiation Oncology Network M-1M 17.6 4.3 16.6 17.0 16.9 18.8 17.7 Tallaght University Hospital M-1M 5.6 4.3 5.9 5.9 6.0 6.0 5.4 Ireland East Hospital Group M-1M 4.5 4.3 4.6 4.5 4.5 4.4 4.3 Cappagh National Orthopaedic Hospital M-1M 6.6 4.3 6.1 5.8 7.0 5.5 5.4 Mater Misericordiae University Hospital M-1M 6.1 4.3 6.1 5.9 6.0 5.9 5.9 MRH Mullingar M-1M 3.2 4.3 3.3 3.2 3.2 3.1 2.9 National Maternity Hospital M-1M 2.8 4.3 2.8 2.7 2.9 2.8 2.8 Our Lady's Hospital Navan M-1M 4.0 4.3 4.3 4.2 4.3 3.5 3.9 Royal Victoria Eye and Ear Hospital M-1M 2.1 4.3 2.3 2.7 2.0 2.4 2.0 St. Columcille's Hospital M-1M 4.0 4.3 4.0 4.1 4.0 4.1 3.6 St. Luke's General Hospital Kilkenny M-1M 3.5 4.3 3.5 3.5 3.5 3.3 3.2 St. Michael's Hospital M-1M 5.8 4.3 5.9 5.5 5.9 6.2 5.2 St. Vincent's University Hospital M-1M 6.7 4.3 6.7 6.6 6.4 6.4 6.2 Wexford General Hospital M-1M 3.7 4.3 3.8 3.8 3.6 3.8 3.8 RCSI Hospitals Group M-1M 4.6 4.3 4.7 4.5 4.6 4.5 4.4 Beaumont Hospital M-1M 7.8 4.3 7.7 7.6 7.6 7.2 7.1 Cavan General Hospital M-1M 4.0 4.3 3.9 3.9 3.5 3.9 3.7 Connolly Hospital M-1M 4.3 4.3 4.7 4.3 4.5 4.8 4.7 Louth County Hospital M-1M 1.0 4.3 0.9 1.0 1.0 1.0 1.0 Our Lady of Lourdes Hospital M-1M 3.3 4.3 3.6 3.4 3.5 3.5 3.6 Rotunda Hospital M-1M 3.2 4.3 3.2 2.9 3.3 3.1 3.1

48 ALOS for all inpatient discharges excluding LOS over 30 days Reporting Period October 2018 Outturn Reporting Previous Target/EA Reporting Level Frequency Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 Saolta University Health Care Group M-1M 4.5 4.3 4.5 4.4 4.4 4.4 4.2 Galway University Hospitals M-1M 4.8 4.3 4.8 4.8 4.6 4.6 4.6 Letterkenny University Hospital M-1M 4.1 4.3 4.2 4.2 4.1 4.4 4.0 Mayo University Hospital M-1M 4.3 4.3 4.1 3.7 4.0 4.0 3.7 Portiuncula University Hospital M-1M 3.8 4.3 3.7 3.6 3.9 3.9 3.6 Roscommon University Hospital M-1M 8.0 4.3 8.5 8.9 8.1 6.9 9.1 Sligo University Hospital M-1M 4.5 4.3 4.6 4.4 4.4 4.7 4.5 South/South West Hospital Group M-1M 4.8 4.3 5.0 4.9 4.9 4.9 4.8 Bantry General Hospital M-1M 4.2 4.3 4.5 4.3 4.7 4.3 4.9 Cork University Hospital M-1M 4.8 4.3 5.0 4.9 4.9 4.8 5.0 Lourdes Orthopaedic Hospital Kilcreene M-1M 3.6 4.3 3.1 2.9 2.9 2.4 3.4 Mallow General Hospital M-1M 3.9 4.3 3.8 4.0 3.8 4.0 3.6 Mercy University Hospital M-1M 5.6 4.3 5.7 5.2 5.3 6.0 5.3 South Infirmary Victoria University Hospital M-1M 4.5 4.3 4.2 4.3 4.2 4.0 3.7 South Tipperary General Hospital M-1M 4.7 4.3 4.9 4.7 4.6 5.1 4.5 UH Kerry M-1M 4.2 4.3 4.5 4.4 4.5 4.3 4.2 UH Waterford M-1M 5.4 4.3 5.9 5.6 5.7 5.8 5.1 UL Hospitals Group M-1M 4.3 4.3 4.4 4.3 4.3 4.4 4.2 Croom Orthopaedic Hospital M-1M 4.8 4.3 5.7 5.3 6.2 6.2 5.3 Ennis Hospital M-1M 3.4 4.3 3.1 3.2 2.7 3.0 3.1 Nenagh Hospital M-1M 4.4 4.3 3.9 3.7 3.6 3.6 3.6 St. John's Hospital Limerick M-1M 4.5 4.3 5.0 4.9 5.7 4.3 4.6 UH Limerick M-1M 4.5 4.3 4.7 4.6 4.5 4.8 4.5 UMH Limerick M-1M 3.9 4.3 3.8 4.0 3.7 3.9 3.7

Notes: 1. Source : HPO HIPE Data 2. This is the ALOS for all inpatients discharges excluding LOS over 30 days 3. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. Tallaght data is inclusive of Tallaght Children's Hospital. 5. CUH data is inclusive of CUMH.

49 Medical patient average length of stay Reporting Period October 2018 Outturn Reporting Previous Target/EA Reporting Level Frequency Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 6.8 ≤6.3 7.1 7.0 6.9 6.7 6.5 Dublin Midlands Hospital Group M-1M 8.6 ≤7.6 8.9 9.1 8.8 8.6 8.1 MRH Portlaoise M-1M 4.4 ≤6 4.0 4.0 3.9 3.9 3.6 MRH Tullamore M-1M 6.7 ≤5.8 7.4 6.4 7.0 7.9 7.4 Naas General Hospital M-1M 7.3 ≤6.3 7.4 7.1 7.8 6.9 7.0 St. James's Hospital M-1M 10.8 ≤9.1 11.0 11.7 10.1 10.4 10.1 Tallaght University Hospital M-1M 9.5 ≤8 10.5 11.0 11.1 10.0 8.7 Ireland East Hospital Group M-1M 6.9 ≤6.4 6.9 6.7 6.5 6.2 6.3 Mater Misericordiae University Hospital M-1M 8.8 ≤8.2 8.3 7.2 8.3 8.1 7.6 MRH Mullingar M-1M 5.0 ≤5.1 5.0 5.1 4.3 4.5 3.9 Our Lady's Hospital Navan M-1M 4.5 ≤4.6 4.7 4.5 4.8 3.4 4.2 St. Columcille's Hospital M-1M 6.2 ≤4 6.2 5.3 4.8 5.2 5.8 St. Luke's General Hospital Kilkenny M-1M 4.2 ≤4.3 4.3 4.4 3.9 3.3 3.7 St. Michael's Hospital M-1M 9.7 ≤9.7 11.0 11.0 10.1 12.7 12.6 St. Vincent's University Hospital M-1M 10.1 ≤9.7 10.0 9.6 9.8 9.2 8.8 Wexford General Hospital M-1M 4.8 ≤4.5 5.1 6.7 4.5 4.5 5.3 RCSI Hospitals Group M-1M 7.2 ≤6.4 7.5 7.5 7.2 7.1 7.0 Beaumont Hospital M-1M 11.7 ≤8.9 11.6 11.7 11.1 10.8 10.5 Cavan General Hospital M-1M 5.3 ≤5.1 5.2 4.9 4.8 4.6 4.5 Connolly Hospital M-1M 6.2 ≤6.4 7.5 7.3 7.3 7.9 7.5 Our Lady of Lourdes Hospital M-1M 4.9 ≤4.6 5.5 5.4 5.2 4.9 5.3 Saolta University Health Care Group M-1M 6.4 ≤5.9 6.6 6.5 6.8 6.1 6.2 Galway University Hospitals M-1M 7.0 ≤6.6 7.2 7.7 7.4 6.2 6.5 Letterkenny University Hospital M-1M 6.5 ≤5.3 6.9 6.6 6.6 6.6 6.8 Mayo University Hospital M-1M 5.1 ≤5.1 5.0 4.6 4.7 4.6 4.4 Portiuncula University Hospital M-1M 5.8 ≤5 5.8 5.8 6.4 6.0 5.4 Roscommon University Hospital M-1M 11.0 ≤10 12.0 11.6 10.6 8.4 13.7 Sligo University Hospital M-1M 6.3 ≤6 6.7 6.0 7.4 6.6 6.2 South/South West Hospital Group M-1M 6.5 ≤5.7 6.9 6.6 6.6 6.7 6.4 Bantry General Hospital M-1M 4.8 ≤4.7 5.3 4.7 7.7 5.3 6.0 Cork University Hospital M-1M 6.7 ≤6 6.9 6.6 6.2 6.4 6.5 Mallow General Hospital M-1M 3.9 ≤3.5 3.8 3.9 3.7 3.9 3.4 Mercy University Hospital M-1M 7.3 ≤6.4 7.4 6.3 6.4 8.3 6.2 South Infirmary Victoria University Hospital M-1M 7.3 ≤5.9 5.2 4.1 6.2 2.3 4.9 South Tipperary General Hospital M-1M 6.5 ≤5.6 6.7 6.5 6.4 6.9 5.8 UH Kerry M-1M 5.7 ≤5.2 6.7 7.1 7.2 5.7 6.7 UH Waterford M-1M 8.2 ≤7.1 9.9 9.5 8.4 9.4 9.0 UL Hospitals Group M-1M 5.0 ≤5 5.2 5.2 5.1 5.3 5.0 Ennis Hospital M-1M 3.2 ≤3.9 2.9 3.1 2.4 2.8 3.1 Nenagh Hospital M-1M 5.0 ≤6.3 4.4 4.0 4.5 3.7 4.2 St. John's Hospital Limerick M-1M 5.3 ≤4.7 5.9 6.2 7.0 4.8 5.4 UH Limerick M-1M 5.6 ≤5.2 6.2 6.0 5.7 6.9 5.9 Notes: 1. Source : HPO HIPE Data 3. This metric does not apply to patients under 16 2. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. This is the Medical ALOS as per the Acute Medical Programme definitions and guidelines.

50 % of medical patients who are discharged or admitted from AMAU within 6 hours AMAU registration Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA Activity Reporting Level Frequency Year Full Year YTD YTD Jul-18 Aug-18 Sep-18 Oct-18 National Total M 63.1% 75% 75% 61.3% 61.8% 62.3% 63.6% 64.7% Dublin Midlands Hospital Group M 81.8% 75% 75% 79.5% 77.1% 82.7% 84.3% 80.5% MRH Tullamore M 39.2% 75% 75% 65.6% 53.3% 69.6% Naas General Hospital M 78.5% 75% 75% 70.1% 59.4% 73.4% 90.4% 75.8% Tallaght University Hospital M 86.2% 75% 75% 86.7% 86.8% 87.2% 82.7% 85.4% Ireland East Hospital Group M 63.3% 75% 75% 61.3% 65.6% 65.3% 67.2% 68.3% Mater Misericordiae University Hospital M 43.7% 75% 75% 41.6% 52.4% 48.5% 35.2% 44.4% MRH Mullingar M 86.9% 75% 75% 83.4% 83.4% 86.8% 83.3% 87.1% Our Lady's Hospital Navan M 83.4% 75% 75% 82.7% 89.8% 86.6% 87.4% 87.2% St. Columcille's Hospital M 84.7% 75% 75% 83.3% 85.9% 89.4% 86.3% 90.1% St. Luke's General Hospital Kilkenny M 62.0% 75% 75% 63.6% 65.9% 69.7% 77.2% 73.1% St. Vincent's University Hospital M 38.7% 75% 75% 25.8% 30.1% 18.9% 29.6% 27.0% Wexford General Hospital M 61.1% 75% 75% 61.1% 69.7% 66.5% 69.6% 70.9% RCSI Hospitals Group M 50.3% 75% 75% 47.7% 52.8% 44.8% 48.8% 57.2% Cavan General Hospital M 43.5% 75% 75% 49.0% 59.3% 43.8% 40.2% 65.2% Connolly Hospital M 56.6% 75% 75% 39.1% 38.1% 32.1% 39.3% 42.9% Our Lady of Lourdes Hospital M 51.7% 75% 75% 50.5% 54.9% 50.3% 57.2% 58.3% Saolta University Health Care Group M 58.7% 75% 75% 52.4% 48.4% 56.0% 53.8% 51.7% Galway University Hospitals M 63.8% 75% 75% 48.3% 41.5% 56.3% 51.3% 51.6% Letterkenny University Hospital M 62.3% 75% 75% 59.0% Mayo University Hospital M 51.2% 75% 75% 51.8% 47.0% 57.5% 50.9% 48.8% Portiuncula University Hospital M 48.4% 75% 75% 50.9% 42.7% 39.8% 52.4% 59.6% Roscommon University Hospital M 87.2% 75% 75% 90.0% 91.4% 88.2% 86.5% 91.3% Sligo University Hospital M 52.5% 75% 75% 48.7% 48.0% 49.2% 52.8% 41.5% South/South West Hospital Group M 61.3% 75% 75% 64.3% 63.9% 62.9% 63.2% 67.4% Bantry General Hospital M 79.2% 75% 75% 83.3% 85.2% 83.1% 87.5% 82.4% Cork University Hospital M 43.4% 75% 75% 29.5% 31.6% 28.6% 26.4% 31.9% Mallow General Hospital M 93.0% 75% 75% 91.9% 90.5% 89.3% 89.1% 94.6% Mercy University Hospital M 16.6% 75% 75% 3.8% South Tipperary General Hospital M 63.6% 75% 75% 63.3% 63.6% 74.4% UH Kerry M 54.4% 75% 75% 57.6% 58.6% 49.7% 56.1% 62.8% UH Waterford M 41.0% 75% 75% UL Hospitals Group M 78.4% 75% 75% 76.7% 70.7% 78.0% 73.8% 71.2% Ennis Hospital M 94.7% 75% 75% 94.1% 93.3% 94.4% 91.3% 84.4% Nenagh Hospital M 66.4% 75% 75% 67.4% 64.2% 66.5% 70.4% St. John's Hospital Limerick M 75.1% 75% 75% 72.0% 70.5% 72.0% 77.0% UH Limerick M 48.0% 75% 75% 58.6% 52.4% 56.5% 53.2% 56.0%

Notes: 1. Source: Acute Medicine Programme 2. LUH closed for Jan-18 to accommodate boarders 3. Tullamore did not report Jan - Aug-18, UHW did not report Jan - Sep-18 4. Mercy, LUH and UHK did not report data during Apr-18 5. Mercy, Ennis and LUH did not report data during May-18 6. Mercy, GUH and LUH did not report data during Jun-18 7. Mercy, Sth Tipperary, LUH, did not report during Jul-18 8. Mercy, Mullingar, LUH, Sth Tipperary, St. John's, Nenagh did not report during Aug-18 9. Mercy, Mullingar, LUH, St. John's did not report during Sep-18 10. Tullamore reopened AMAU unit from Sept-18. Mercy, LUH, St. John's did not report during Oct-18

51 % of all medical admissions via AMAU Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA Reporting Level Frequency Year Full Year YTD Activity YTD YTD (%) Jun-18 Jul-18 Aug-18 Sep-18 No % No % No % No % No % National Total M-1M 33.4% 45% 45% 217,605 30.9% 23,274 30.2% 24,107 31.1% 25,443 31.1% 23,355 32.6% Dublin Midlands Hospital Group M-1M 8.8% 45% 45% 33,528 8.3% 3,552 7.3% 3,713 9.1% 3,976 8.9% 3,475 10.2% MRH Portlaoise M-1M 0.0% 45% 45% 3,792 0.0% 368 0.0% 427 0.0% 433 0.0% 375 0.0% MRH Tullamore M-1M 2.0% 45% 45% 4,684 0.3% 514 0.0% 506 0.0% 528 0.0% 473 3.2% Naas General Hospital M-1M 20.3% 45% 45% 6,204 18.6% 646 18.6% 679 18.4% 746 16.0% 704 18.3% St. James's Hospital M-1M 0.0% 45% 45% 10,895 0.0% 1,135 0.0% 1,219 0.0% 1,284 0.0% 1,073 0.0% Tallaght University Hospital M-1M 20.5% 45% 45% 7,953 20.4% 889 15.9% 882 24.1% 985 24.0% 850 24.7% Ireland East Hospital Group M-1M 42.9% 45% 45% 51,191 43.2% 5,399 42.8% 5,688 44.3% 5,839 45.5% 5,589 45.8% Mater Misericordiae University Hospital M-1M 24.8% 45% 45% 11,592 26.6% 1,218 26.6% 1,316 30.9% 1,264 28.8% 1,218 26.8% MRH Mullingar M-1M 25.7% 45% 45% 4,906 26.6% 517 27.9% 542 31.2% 595 29.7% 566 32.9% Our Lady's Hospital Navan M-1M 47.5% 45% 45% 4,281 45.5% 438 45.0% 492 41.9% 490 49.2% 441 49.2% St. Columcille's Hospital M-1M 95.7% 45% 45% 4,275 95.1% 482 94.0% 463 94.8% 504 91.5% 509 93.5% St. Luke's General Hospital Kilkenny M-1M 79.3% 45% 45% 8,014 80.2% 834 80.0% 866 81.3% 858 81.2% 833 81.2% St. Vincent's University Hospital M-1M 30.0% 45% 45% 9,792 28.0% 1,075 29.1% 1,083 28.6% 1,142 29.8% 1,083 30.1% Wexford General Hospital M-1M 37.9% 45% 45% 6,784 37.2% 684 31.3% 776 37.1% 856 44.0% 786 44.4% RCSI Hospitals Group M-1M 36.9% 45% 45% 32,714 34.2% 3,499 33.5% 3,608 34.9% 3,886 33.6% 3,485 33.7% Beaumont Hospital M-1M 0.0% 45% 45% 9,390 0.0% 1,025 0.0% 1,053 0.0% 1,134 0.0% 995 0.0% Cavan General Hospital M-1M 56.5% 45% 45% 7,891 48.4% 776 41.5% 879 43.1% 966 44.3% 830 46.6% Connolly Hospital M-1M 41.7% 45% 45% 6,202 40.0% 668 39.7% 661 45.2% 705 39.4% 657 37.4% Our Lady of Lourdes Hospital M-1M 54.4% 45% 45% 9,231 53.1% 1,030 56.8% 1,015 57.3% 1,081 55.5% 1,003 54.1% Saolta University Health Care Group M-1M 31.4% 45% 45% 39,490 29.6% 4,297 29.9% 4,506 28.5% 4,703 30.4% 4,225 30.2% Galway University Hospitals M-1M 33.0% 45% 45% 12,731 31.5% 1,413 30.1% 1,493 28.9% 1,634 32.7% 1,349 34.2% Letterkenny University Hospital M-1M 24.8% 45% 45% 7,629 22.1% 819 23.9% 854 17.4% 891 21.9% 811 21.7% Mayo University Hospital M-1M 35.4% 45% 45% 7,719 34.6% 818 37.0% 871 38.7% 941 38.7% 871 36.5% Portiuncula University Hospital M-1M 17.6% 45% 45% 3,648 17.0% 396 12.4% 402 14.4% 407 14.3% 406 16.7% Roscommon University Hospital M-1M 62.4% 45% 45% 1,077 60.5% 109 60.6% 141 66.0% 126 61.9% 118 56.8% Sligo University Hospital M-1M 33.7% 45% 45% 6,686 30.8% 742 32.9% 745 29.1% 704 28.7% 670 28.1% South/South West Hospital Group M-1M 35.5% 45% 45% 37,963 27.3% 4,132 26.0% 4,117 25.4% 4,356 25.2% 4,146 29.1% Bantry General Hospital M-1M 84.2% 45% 45% 3,203 85.8% 351 85.8% 318 86.8% 373 83.9% 342 85.4% Cork University Hospital M-1M 25.8% 45% 45% 12,926 22.0% 1,405 20.6% 1,456 21.5% 1,556 22.8% 1,369 22.1% Mallow General Hospital M-1M 87.1% 45% 45% 3,134 85.6% 325 86.2% 288 84.0% 329 83.9% 326 85.9% Mercy University Hospital M-1M 6.6% 45% 45% 4,212 0.1% 501 0.0% 449 0.0% 462 0.0% 463 0.0% South Tipperary General Hospital M-1M 27.6% 45% 45% 4,632 15.2% 512 18.4% 458 13.1% 471 0.6% 553 33.8% UH Kerry M-1M 29.3% 45% 45% 4,665 27.2% 438 24.9% 544 28.1% 538 28.3% 523 27.5% UH Waterford M-1M 33.3% 45% 45% 5,116 2.0% 592 0.0% 599 0.0% 623 0.0% 561 0.2% UL Hospitals Group M-1M 47.2% 45% 45% 20,997 42.8% 2,220 41.4% 2,311 45.8% 2,449 43.7% 2,273 46.0% Ennis Hospital M-1M 79.5% 45% 45% 4,368 77.7% 474 74.1% 436 79.8% 522 78.4% 475 79.4% Nenagh Hospital M-1M 73.6% 45% 45% 2,602 72.6% 261 72.8% 262 76.7% 310 72.6% 291 71.8% St. John's Hospital Limerick M-1M 57.2% 45% 45% 3,012 50.7% 327 50.8% 330 47.9% 354 54.0% 339 51.9% UH Limerick M-1M 27.9% 45% 45% 11,015 19.8% 1,158 18.2% 1,283 27.4% 1,263 19.5% 1,168 24.3%

Notes: 1. Source : HPO HIPE Data 2. The total number refers to all medical admissions

52 % of Emergency Re-admissions for acute medical conditions to the same hospital within 30 days of discharge Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year YTD Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % No. % No. % No. % No. % No. % National Total M-1M 30,645 11.1% ≤11.1% 23,718 11.3% 2,427 10.2% 2,568 11.3% 2,614 10.8% 2,520 10.6% Children's Hospital Group M-1M 82 4.0% ≤11.1% 53 3.1% 5 2.4% 4 2.3% 2 1.2% 7 3.1% Our Lady's Children's Hospital, Crumlin M-1M 55 3.5% ≤11.1% 37 2.6% 5 2.8% 3 2.2% 2 1.4% 5 2.6% Temple Street Children's University Hospital M-1M 27 5.4% ≤11.1% 16 5.5% 0 0.0% 1 2.7% 0 0.0% 2 5.7% Dublin Midlands Hospital Group M-1M 4,759 11.2% ≤11.1% 3,740 11.5% 386 10.8% 383 11.1% 381 10.3% 382 10.3% MRH Portlaoise M-1M 524 11.5% ≤11.1% 414 11.2% 40 10.4% 43 11.8% 46 10.7% 45 10.9% MRH Tullamore M-1M 825 13.6% ≤11.1% 621 13.6% 69 14.3% 56 11.2% 54 10.7% 65 13.3% Naas General Hospital M-1M 716 10.1% ≤11.1% 628 10.7% 69 10.3% 59 9.4% 57 8.3% 78 11.2% St. James's Hospital M-1M 1,559 11.1% ≤11.1% 1,172 11.2% 125 10.4% 124 11.4% 132 11.0% 101 8.5% Tallaght University Hospital M-1M 1,135 10.6% ≤11.1% 905 11.7% 83 9.8% 101 11.8% 92 10.5% 93 10.1% Ireland East Hospital Group M-1M 6,878 11.0% ≤11.1% 5,811 11.8% 624 11.2% 643 12.1% 648 11.3% 603 11.0% Mater Misericordiae University Hospital M-1M 1,644 11.7% ≤11.1% 1,396 12.5% 150 11.8% 152 12.7% 154 11.6% 138 11.8% MRH Mullingar M-1M 714 11.4% ≤11.1% 556 11.8% 56 10.7% 53 10.4% 62 11.3% 58 10.4% Our Lady's Hospital Navan M-1M 532 9.5% ≤11.1% 447 10.7% 50 10.5% 44 10.2% 61 12.1% 39 8.6% St. Columcille's Hospital M-1M 655 12.6% ≤11.1% 590 14.3% 70 15.6% 69 14.3% 58 12.0% 64 13.5% St. Luke's General Hospital Kilkenny M-1M 1,220 12.4% ≤11.1% 966 12.4% 102 11.5% 114 13.9% 97 11.2% 87 10.7% St. Michael's Hospital M-1M 149 7.8% ≤11.1% 114 7.5% 13 7.6% 8 5.4% 13 9.0% 8 6.2% St. Vincent's University Hospital M-1M 970 8.4% ≤11.1% 874 9.5% 88 8.2% 103 9.9% 100 9.4% 92 8.6% Wexford General Hospital M-1M 994 12.6% ≤11.1% 868 13.4% 95 12.7% 100 14.9% 103 13.1% 117 14.8% RCSI Hospitals Group M-1M 4,533 10.8% ≤11.1% 3,310 10.5% 315 8.9% 337 9.9% 346 9.5% 366 10.1% Beaumont Hospital M-1M 1,467 12.6% ≤11.1% 1,083 12.0% 105 10.6% 111 11.3% 120 11.3% 121 11.5% Cavan General Hospital M-1M 1,051 10.5% ≤11.1% 803 10.5% 83 9.9% 82 10.7% 88 9.8% 102 11.3% Connolly Hospital M-1M 859 9.7% ≤11.1% 528 8.7% 48 7.3% 49 7.6% 45 6.7% 40 6.0% Louth County Hospital M-1M 0 0.0% ≤11.1% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Our Lady of Lourdes Hospital M-1M 1,156 10.2% ≤11.1% 896 10.2% 79 7.4% 95 9.5% 93 9.2% 103 10.1% Saolta University Health Care Group M-1M 6,369 12.6% ≤11.1% 4,691 12.3% 485 11.3% 532 12.7% 524 11.6% 494 11.3% Galway University Hospitals M-1M 1,790 11.5% ≤11.1% 1,433 11.7% 143 10.2% 155 11.3% 173 11.5% 155 10.3% Letterkenny University Hospital M-1M 1,352 13.7% ≤11.1% 962 13.0% 100 12.1% 112 13.8% 102 11.7% 91 11.0% Mayo University Hospital M-1M 1,433 14.2% ≤11.1% 989 13.4% 97 11.4% 107 13.3% 112 13.0% 117 13.3% Portiuncula University Hospital M-1M 490 10.3% ≤11.1% 352 10.1% 44 12.3% 50 13.1% 38 9.0% 38 10.2% Roscommon University Hospital M-1M 58 4.0% ≤11.1% 31 3.1% 3 3.1% 3 2.8% 1 0.7% 1 0.8% Sligo University Hospital M-1M 1,246 14.4% ≤11.1% 924 14.1% 98 12.8% 105 14.5% 98 13.2% 92 13.9%

53 % of Emergency Re-admissions for acute medical conditions to the same hospital within 30 days of discharge Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year YTD Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % No. % No. % No. % No. % No. % South/South West Hospital Group M-1M 5,608 11.2% ≤11.1% 4,206 11.6% 410 9.9% 452 11.2% 490 12.0% 438 10.8% Bantry General Hospital M-1M 561 12.3% ≤11.1% 362 11.6% 37 10.9% 40 11.5% 34 10.6% 41 11.7% Cork University Hospital M-1M 1,912 11.7% ≤11.1% 1,504 12.1% 166 11.5% 154 11.2% 198 13.7% 157 10.8% Mallow General Hospital M-1M 317 7.7% ≤11.1% 244 7.9% 16 5.1% 25 7.8% 25 8.4% 24 7.6% Mercy University Hospital M-1M 593 10.4% ≤11.1% 445 11.1% 37 8.0% 58 11.7% 46 10.3% 45 10.4% South Infirmary Victoria University Hospital M-1M 3 3.8% ≤11.1% - 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% South Tipperary General Hospital M-1M 726 12.5% ≤11.1% 535 12.0% 47 8.7% 60 12.0% 42 9.4% 50 11.2% UH Kerry M-1M 575 10.2% ≤11.1% 500 11.7% 49 10.4% 47 11.4% 64 12.2% 60 12.1% UH Waterford M-1M 921 12.0% ≤11.1% 616 12.8% 58 10.2% 68 11.9% 81 13.6% 61 10.7% UL Hospitals Group M-1M 2,416 9.1% ≤11.1% 1,907 9.3% 202 8.5% 217 9.9% 223 9.4% 230 10.0% Ennis Hospital M-1M 506 9.6% ≤11.1% 525 12.3% 58 11.9% 57 12.0% 65 14.2% 64 13.1% Nenagh Hospital M-1M 318 10.3% ≤11.1% 253 10.1% 37 11.9% 34 13.1% 24 8.9% 34 11.6% St. John's Hospital Limerick M-1M 190 5.4% ≤11.1% 149 5.1% 15 4.5% 17 5.3% 21 6.2% 22 6.6% UH Limerick M-1M 1,402 9.5% ≤11.1% 980 9.1% 92 7.4% 109 9.6% 113 8.7% 110 9.3% Notes: 1. Source : HPO HIPE Data 2. This is the actual number of Emergency Re-admissions to the same hospital within 30 days of discharge. 3. The percentage refers to the % of Emergency Re-admissions to the same hospital within 30 days of discharge. 4. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 5. This metric does not apply to patients under 16

54 Surgical patient average length of stay Reporting Period October 2018 Outturn Reporting Previous Target/EA Reporting Level Frequency Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 National Total M-1M 5.4 ≤5 5.5 5.3 5.4 5.5 5.1 Dublin Midlands Hospital Group M-1M 6.9 ≤6.2 6.8 7.0 5.9 6.6 6.7 MRH Portlaoise M-1M 2.6 ≤3.1 2.6 2.7 2.7 2.9 2.5 MRH Tullamore M-1M 4.8 ≤3.9 4.4 4.4 3.7 5.2 5.1 Naas General Hospital M-1M 4.7 ≤4.4 4.3 4.4 4.0 4.3 5.8 St. James's Hospital M-1M 10.4 ≤9.1 9.7 10.8 8.2 8.5 9.8 Tallaght University Hospital M-1M 6.5 ≤5.6 7 6.3 6.6 7.3 6.2 Ireland East Hospital Group M-1M 6.0 ≤5.4 6.0 5.7 6.1 6.0 6.0 Cappagh National Orthopaedic Hospital M-1M 4.4 ≤4 4 4.0 4.6 3.5 4.0 Mater Misericordiae University Hospital M-1M 8.6 ≤7.9 8.1 7.1 7.6 7.8 8.4 MRH Mullingar M-1M 3.6 ≤3.2 3.8 2.6 2.7 2.9 3.6 Our Lady's Hospital Navan M-1M 2.6 ≤2.4 2.6 2.3 2.6 2.3 2.3 St. Columcille's Hospital M-1M 0.6 ≤0.5 0.6 1.7 0.0 0.6 0.5 St. Luke's General Hospital Kilkenny M-1M 4.4 ≤3.8 5.5 4.3 6.0 4.9 4.3 St. Michael's Hospital M-1M 2.5 ≤2.6 2.1 2.5 1.9 2.3 1.9 St. Vincent's University Hospital M-1M 8.0 ≤6.7 8.0 8.3 8.0 7.6 7.9 Wexford General Hospital M-1M 3.0 ≤3.4 3.5 3.2 2.8 11.0 3.6 RCSI Hospitals Group M-1M 5.8 ≤5.3 5.8 5.6 5.6 5.8 5.5 Beaumont Hospital M-1M 6.9 ≤6 6.6 6.7 6.4 6.0 6.1 Cavan General Hospital M-1M 2.7 ≤2.9 2.7 2.4 2.6 2.6 2.3 Connolly Hospital M-1M 5.8 ≤5 5.8 5.0 5.6 6.2 5.8 Our Lady of Lourdes Hospital M-1M 4.7 ≤4.9 5.3 5.3 5.4 7.1 5.1 Saolta University Health Care Group M-1M 4.7 ≤4.2 4.7 4.5 4.7 4.8 4.3 Galway University Hospitals M-1M 5.7 ≤5.1 5.6 5.8 6.2 6.3 5.0 Letterkenny University Hospital M-1M 4.3 ≤3.5 4.4 4.0 4.4 4.5 4.0 Mayo University Hospital M-1M 4.9 ≤4.4 5.3 4.4 14.4 4.9 5.8 Portiuncula University Hospital M-1M 4.3 ≤3.4 4 3.5 3.9 3.9 3.8 Sligo University Hospital M-1M 2.9 ≤3.3 3.1 3.3 2.8 3.4 3.2 South/South West Hospital Group M-1M 4.6 ≤4.6 4.8 4.6 4.9 4.6 4.0 Cork University Hospital M-1M 7.8 ≤6.2 7.9 7.5 7.9 7.2 6.7 Lourdes Orthopaedic Hospital Kilcreene M-1M 2.8 ≤2.9 2.6 2.6 2.3 2.0 3.4 Mallow General Hospital M-1M 1.0 ≤0.9 0.9 1.2 0.7 0.8 0.6 Mercy University Hospital M-1M 5.3 ≤4.9 5.3 4.8 4.7 6.7 5.7 South Infirmary Victoria University Hospital M-1M 3.0 ≤2.9 2.9 3.2 3.3 2.6 2.3 South Tipperary General Hospital M-1M 3.4 ≤2.7 3.8 3.8 4.0 4.2 4.3 UH Kerry M-1M 4.2 ≤3.2 4.5 3.6 5.2 5.8 4.1 UH Waterford M-1M 4.5 ≤4.8 5.2 4.9 5.5 4.3 4.5 UL Hospitals Group M-1M 5.1 ≤4.1 5 4.4 4.6 4.7 4.7 Croom Orthopaedic Hospital M-1M 4.6 ≤3.9 5.3 5.0 5.4 4.8 4.3 St. John's Hospital Limerick M-1M 1.7 ≤1.5 1.6 1.4 1.5 1.6 1.6 UH Limerick M-1M 5.7 ≤4.4 5.6 4.9 5.0 5.2 5.4 Notes: 1. Source : HPO HIPE Data 3. Tallaght data is inclusive of Tallaght Children's Hospital. 2. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 4. This is the Surgical ALOS as per the Surgical Programme definitions and guidelines.

55 % of elective surgical inpatients who had principal procedure conducted on day of admission Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % National Total M-1M 39,303 74.1% 81.7% 28,850 74.6% 3,235 74.2% 3,074 73.5% 3,011 75.1% 3,192 74.3% Dublin Midlands Hospital Group M-1M 4,972 63.7% 79.7% 3,379 61.5% 386 56.4% 406 61.0% 450 64.1% 395 57.9% MRH Portlaoise M-1M 328 85.6% 85.0% 252 82.9% 23 76.7% 20 76.9% 37 84.1% 31 91.2% MRH Tullamore M-1M 1,742 92.2% 92.4% 1,121 90.7% 140 87.5% 154 88.0% 153 93.9% 121 91.0% Naas General Hospital M-1M 223 85.4% 86.3% 157 84.4% 23 88.5% 27 93.1% 12 63.2% 20 80.0% St. James's Hospital M-1M 672 23.9% 33.7% 632 29.7% 73 25.1% 81 32.5% 87 34.5% 84 29.1% Tallaght University Hospital M-1M 2,007 81.5% 83.5% 1,217 74.3% 127 71.3% 124 66.3% 161 71.9% 139 69.2% Ireland East Hospital Group M-1M 10,935 85.4% 89.2% 8,282 86.4% 909 87.4% 872 86.5% 846 84.9% 866 84.4% Cappagh National Orthopaedic Hospital M-1M 2,399 96.8% 97.0% 1,965 98.1% 226 97.8% 223 97.4% 224 98.7% 227 97.8% Mater Misericordiae University Hospital M-1M 2,681 78.9% 85.0% 1,967 78.8% 250 83.9% 232 78.4% 196 76.6% 208 71.7% MRH Mullingar M-1M 548 91.2% 90.3% 314 87.7% 23 92.0% 22 95.7% 24 82.8% 28 75.7% Our Lady's Hospital Navan M-1M 758 90.1% 85.7% 611 89.1% 63 91.3% 74 91.4% 60 82.2% 57 91.9% Royal Victoria Eye and Ear Hospital M-1M 1,126 72.2% 82.5% 797 75.1% 74 74.0% 68 74.7% 75 79.8% 74 80.4% St. Luke's General Hospital Kilkenny M-1M 239 86.3% 85.0% 169 80.5% 20 87.0% 33 82.5% 20 69.0% 20 74.1% St. Michael's Hospital M-1M 812 92.4% 91.7% 602 93.2% 61 83.6% 22 91.7% 55 94.8% 45 95.7% St. Vincent's University Hospital M-1M 1,987 84.8% 85.0% 1,649 87.2% 191 87.2% 194 88.2% 185 83.3% 188 87.0% Wexford General Hospital M-1M 385 91.9% 87.2% 208 88.9% 1 50.0% 4 100.0% 7 77.8% 19 82.6% RCSI Hospitals Group M-1M 3,935 66.0% 71.7% 3,100 68.4% 358 69.8% 339 66.7% 366 69.7% 399 72.2% Beaumont Hospital M-1M 2,228 59.6% 67.9% 1,841 62.0% 221 65.0% 207 59.3% 227 64.1% 246 67.6% Cavan General Hospital M-1M 210 77.5% 84.2% 141 79.7% 17 73.9% 11 78.6% 11 78.6% 16 100.0% Connolly Hospital M-1M 707 78.1% 84.6% 496 77.0% 77 82.8% 62 81.6% 63 76.8% 67 75.3% Louth County Hospital M-1M 61 100.0% 100% 34 100.0% 3 100.0% 3 100.0% 5 100.0% 3 100.0% Our Lady of Lourdes Hospital M-1M 729 74.0% 61.6% 588 83.5% 40 74.1% 56 84.8% 60 85.7% 67 82.7% Saolta University Health Care Group M-1M 5,430 61.0% 73.8% 4,061 60.9% 393 59.5% 416 60.2% 366 63.5% 433 62.8% Galway University Hospitals M-1M 2,222 45.3% 56.9% 1,638 45.0% 169 44.0% 169 44.2% 150 49.0% 205 49.6% Letterkenny University Hospital M-1M 704 73.8% 78.9% 608 70.2% 72 69.2% 74 73.3% 69 70.4% 66 75.0% Mayo University Hospital M-1M 929 78.5% 85.0% 684 79.7% 5 83.3% 5 45.5% 5 71.4% 17 85.0% Portiuncula University Hospital M-1M 282 68.8% 79.6% 174 71.9% 16 72.7% 21 65.6% 12 63.2% 19 63.3% Sligo University Hospital M-1M 1,293 89.2% 88.6% 957 90.5% 131 90.3% 147 89.1% 130 89.0% 126 90.6%

56 % of elective surgical inpatients who had principal procedure conducted on day of admission Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % South/South West Hospital Group M-1M 10,193 77.0% 82.0% 7,584 77.7% 895 78.6% 796 76.5% 744 78.1% 845 78.5% Cork University Hospital M-1M 2,445 64.7% 72.5% 1,602 60.1% 187 60.1% 168 59.2% 140 57.1% 124 53.9% Lourdes Orthopaedic Hospital Kilcreene M-1M 833 97.4% 95.8% 634 98.0% 83 100.0% 64 98.5% 39 100.0% 82 100.0% Mallow General Hospital M-1M 98 95.1% 97.1% 61 89.7% 4 100.0% 11 91.7% 3 75.0% 6 100.0% Mercy University Hospital M-1M 1,250 86.4% 86.7% 930 88.2% 120 85.1% 90 84.9% 98 89.9% 100 83.3% South Infirmary Victoria University Hospital M-1M 3,014 83.3% 83.4% 2,507 85.5% 300 86.2% 264 85.4% 257 84.8% 297 88.1% South Tipperary General Hospital M-1M 584 75.8% 85.0% 372 76.2% 48 80.0% 40 72.7% 34 85.0% 41 71.9% UH Kerry M-1M 591 61.0% 70.6% 446 70.9% 42 72.4% 46 70.8% 57 81.4% 47 74.6% UH Waterford M-1M 1,378 80.8% 85.0% 1,032 80.7% 111 83.5% 113 77.9% 116 81.1% 148 81.3% UL Hospitals Group M-1M 3,838 89.2% 88.0% 2,444 91.7% 294 91.3% 245 90.7% 239 92.6% 254 94.4% Croom Orthopaedic Hospital M-1M 1,225 94.9% 88.6% 639 94.2% 78 91.8% 68 89.5% 56 90.3% 53 98.1% St. John's Hospital Limerick M-1M 1,015 98.1% 96.4% 708 98.1% 85 97.7% 57 98.3% 80 98.8% 88 96.7% UH Limerick M-1M 1,598 80.7% 82.3% 1,097 86.7% 131 87.3% 120 88.2% 103 89.6% 113 91.1%

Notes: 1. Source : HPO HIPE Data 2. This is the actual number of surgical inpatient cases for the reporting period. 3. The percentage refers to % of elective surgical inpatients admitted on day of surgical procedure. 4. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 5. Coverage includes all acute hospitals except specialist paediatric and maternity hospitals

57 % Daycase rate for Elective Laparoscopic Cholecystectomy Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % National Total M-1M 3,856 45.0% >60% 2,579 45.9% 257 42.0% 241 49.8% 249 39.0% 277 46.6% Dublin Midlands Hospital Group M-1M 628 54.3% >60% 404 52.0% 50 42.0% 52 51.9% 44 45.5% 60 50.0% MRH Portlaoise M-1M 112 15% >60% 82 26.8% 14 28.6% 9 44.4% 9 11.1% 13 30.8% MRH Tullamore M-1M 122 68% >60% 63 61.9% 9 44.4% 7 71.4% 3 33.3% 5 20.0% Naas General Hospital M-1M 152 51.3% >60% 124 60.5% 14 71.4% 19 42.1% 13 69.2% 18 66.7% St. James's Hospital M-1M 90 61% >60% 48 47.9% 7 28.6% 4 50.0% 6 50.0% 8 25.0% Tallaght University Hospital M-1M 152 71.1% >60% 87 58.6% 6 16.7% 13 61.5% 13 46.2% 16 68.8% Ireland East Hospital Group M-1M 974 60% >60% 601 61.4% 47 70.2% 46 67.4% 51 52.9% 56 69.6% Mater Misericordiae University Hospital M-1M 114 39% >60% 90 52.2% 9 66.7% 10 50.0% 4 25.0% 9 33.3% MRH Mullingar M-1M 144 54.9% >60% 84 54.8% 5 80.0% 5 60.0% 10 30.0% 12 58.3% Our Lady's Hospital Navan M-1M 117 97% >60% 70 98.6% 8 100.0% 6 100.0% 7 100.0% 13 100.0% St. Columcille's Hospital M-1M 45 100% >60% 25 100.0% 2 100.0% 5 100.0% 3 100.0% 1 100.0% St. Luke's General Hospital Kilkenny M-1M 128 71.1% >60% 90 81.1% 8 100.0% 12 75.0% 12 83.3% 5 80.0% St. Michael's Hospital M-1M 146 6% >60% 88 0.0% 10 0.0% 2 0.0% 7 0.0% 4 0.0% St. Vincent's University Hospital M-1M 62 54.8% >60% 30 63.3% 2 100.0% 5 40.0% 4 50.0% 3 100.0% Wexford General Hospital M-1M 218 78% >60% 124 72.6% 3 100.0% 1 100.0% 4 25.0% 9 88.9% RCSI Hospitals Group M-1M 501 48% >60% 335 46.3% 46 37.0% 36 50.0% 29 44.8% 37 43.2% Beaumont Hospital M-1M 41 2% >60% 46 6.5% 11 0.0% 3 0.0% 5 0.0% 10 20.0% Cavan General Hospital M-1M 157 64% >60% 102 65.7% 9 66.7% 13 69.2% 8 87.5% 5 60.0% Connolly Hospital M-1M 144 52.1% >60% 57 49.1% 12 33.3% 9 44.4% 3 66.7% 7 57.1% Louth County Hospital M-1M 88 73% >60% 69 82.6% 10 70.0% 7 71.4% 5 80.0% 7 100.0% Our Lady of Lourdes Hospital M-1M 71 1% >60% 61 0.0% 4 0.0% 4 0.0% 8 0.0% 8 0.0% Saolta University Health Care Group M-1M 569 24.8% >60% 434 30.4% 35 31.4% 33 39.4% 35 28.6% 48 31.3% Galway University Hospitals M-1M 68 47% >60% 55 69.1% 4 75.0% 5 60.0% 8 62.5% 7 85.7% Letterkenny University Hospital M-1M 122 39% >60% 129 38.8% 14 35.7% 11 63.6% 13 15.4% 16 25.0% Mayo University Hospital M-1M 168 1% >60% 110 0.9% 2 0.0% 3 0.0% 1 0.0% 4 0.0% Portiuncula University Hospital M-1M 88 34% >60% 66 42.4% 5 60.0% 6 16.7% 6 33.3% 11 36.4% Roscommon University Hospital M-1M 25 44% >60% 10 60.0% 1 0.0% 1 100.0% 1 0.0% 1 0.0% Sligo University Hospital M-1M 98 18.4% >60% 64 14.1% 9 0.0% 7 14.3% 6 16.7% 9 11.1%

58 % Daycase rate for Elective Laparoscopic Cholecystectomy Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % South/South West Hospital Group M-1M 873 46.3% >60% 620 46.9% 55 45.5% 62 45.2% 62 40.3% 53 47.2% Bantry General Hospital M-1M 28 4% >60% 17 58.8% 1 0.0% 4 50.0% 0 0.0% 3 66.7% Cork University Hospital M-1M 55 29% >60% 39 28.2% 6 16.7% 3 0.0% 2 100.0% 1 100.0% Mallow General Hospital M-1M 125 66.4% >60% 70 62.9% 3 66.7% 12 66.7% 3 100.0% 8 62.5% Mercy University Hospital M-1M 240 52.9% >60% 182 45.1% 22 54.5% 12 50.0% 24 29.2% 13 38.5% South Infirmary Victoria University Hospital M-1M 87 50.6% >60% 72 72.2% 3 66.7% 8 50.0% 9 66.7% 9 77.8% South Tipperary General Hospital M-1M 131 5% >60% 99 5.1% 5 0.0% 8 0.0% 11 0.0% 9 22.2% UH Kerry M-1M 121 59% >60% 90 62.2% 10 60.0% 10 50.0% 8 62.5% 6 50.0% UH Waterford M-1M 86 65.1% >60% 51 60.8% 5 40.0% 5 60.0% 5 40.0% 4 0.0% UL Hospitals Group M-1M 311 8% >60% 185 15.1% 24 4.2% 12 25.0% 28 7.1% 23 17.4% Ennis Hospital M-1M 0 0% >60% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Nenagh Hospital M-1M 0 0% >60% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% St. John's Hospital Limerick M-1M 271 7% >60% 167 15.0% 22 0.0% 10 10.0% 22 9.1% 23 17.4% UH Limerick M-1M 40 10% >60% 18 16.7% 2 50.0% 2 100.0% 6 0.0% 0 0.0%

Notes: 1. Source : HPO HIPE Data 2. The percentage refers to % day case rate for Elective Laparoscopic Cholecystectomy. 3. The total number refers to number of Elective Laparoscopic Cholecystectomy. 4. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 5. Coverage includes all acute hospitals except specialist paediatric and maternity hospitals

59 % of emergency hip fracture surgery carried out within 48 hours Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % National Total M-1M 2,548 85.7% 95% 2,038 87.1% 209 88.9% 196 83.8% 238 85.9% 150 83.8% Dublin Midlands Hospital Group M-1M 409 89.7% 95% 330 90.2% 39 90.7% 29 93.5% 41 89.1% 34 94.4% Midland Regional Hospital Tullamore M-1M 144 84.7% 95% 115 82.1% 15 78.9% 10 83.3% 12 75.0% 14 93.3% St. James's Hospital M-1M 114 89.8% 95% 86 93.5% 11 100.0% 7 100.0% 9 100.0% 9 100.0% Tallaght University Hospital M-1M 151 95.0% 95% 129 96.3% 13 100.0% 12 100.0% 20 95.2% 11 91.7% Ireland East Hospital Group M-1M 388 94.2% 95% 337 95.7% 35 94.6% 34 97.1% 34 94.4% 31 100.0% Mater Misericordiae University Hospital M-1M 104 88.9% 95% 94 89.5% 15 93.8% 9 90.0% 6 75.0% 9 100.0% St. Vincent's University Hospital M-1M 284 96.3% 95% 243 98.4% 20 95.2% 25 100.0% 28 100.0% 22 100.0% RCSI Hospitals Group M-1M 442 85.7% 95% 358 88.8% 39 95.1% 44 89.8% 49 92.5% 17 85.0% Beaumont Hospital M-1M 140 81.9% 95% 104 83.2% 14 93.3% 14 82.4% 18 94.7% 4 66.7% Connolly Hospital M-1M 170 94.4% 95% 137 96.5% 13 92.9% 18 94.7% 15 88.2% 9 100.0% Our Lady of Lourdes Hospital M-1M 132 80.0% 95% 117 86.0% 12 100.0% 12 92.3% 16 94.1% 4 80.0% Saolta University Health Care Group M-1M 462 90.9% 95% 327 89.6% 34 82.9% 29 85.3% 32 86.5% 22 84.6% Galway University Hospitals M-1M 182 94.3% 95% 117 90.0% 19 90.5% 8 88.9% 14 93.3% 10 83.3% Letterkenny University Hospital M-1M 106 83.5% 95% 73 89.0% 8 88.9% 9 90.0% 8 80.0% 5 71.4% Mayo University Hospital M-1M 88 97.8% 95% 70 95.9% 1 100.0% 5 100.0% 2 100.0% 0 Sligo University Hospital M-1M 86 87.8% 95% 67 83.8% 6 60.0% 7 70.0% 8 80.0% 7 100.0% South/South West Hospital Group M-1M 658 80.0% 95% 556 84.4% 55 90.2% 42 71.2% 64 81.0% 32 74.4% Cork University Hospital M-1M 265 74.2% 95% 236 85.5% 26 89.7% 16 72.7% 23 88.5% 10 71.4% UH Kerry M-1M 111 88.1% 95% 84 84.0% 8 100.0% 7 77.8% 10 71.4% 7 100.0% UH Waterford M-1M 282 83.2% 95% 236 83.4% 21 87.5% 19 67.9% 31 79.5% 15 68.2% UL Hospitals Group M-1M 189 73.3% 95% 130 67.0% 7 58.3% 18 69.2% 18 69.2% 14 60.9% UH Limerick M-1M 189 73.3% 95% 130 67.0% 7 58.3% 18 69.2% 18 69.2% 14 60.9% Notes: 1. Source : HPO HIPE Data 2. The total number refers to the actual number of Emergency hip fracture surgery carried out within 48 hours. 3. The percentage refers to the % of Emergency hip fracture surgery carried out within 48 hours. 4. Data relates to patients greater than 65 years of age 5. There were no cases in MUH for Sept 19

60 % of surgical re-admissions to the same hospital within 30 days of discharge Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % National Total M-1M 9,800 2.0% <3% 7,100 2.0% 733 1.8% 753 1.9% 788 1.9% 787 2.1% Dublin Midlands Hospital Group M-1M 1,800 2.8% <3% 1,238 2.7% 153 2.8% 124 2.4% 135 2.3% 146 2.7% MRH Portlaoise M-1M 208 3.1% <3% 168 3.3% 17 2.7% 20 3.7% 27 4.0% 23 3.8% MRH Tullamore M-1M 341 3.0% <3% 240 3.0% 32 3.4% 26 2.8% 33 3.1% 31 3.5% Naas General Hospital M-1M 118 2.3% <3% 85 2.4% 10 2.6% 7 1.9% 9 2.0% 11 3.0% St. James's Hospital M-1M 629 3.1% <3% 417 2.7% 53 3.0% 39 2.2% 36 1.9% 50 2.8% Tallaght University Hospital M-1M 504 2.4% <3% 328 2.3% 41 2.4% 32 2.0% 30 1.7% 31 1.8% Ireland East Hospital Group M-1M 2,009 1.7% <3% 1,563 1.8% 156 1.6% 160 1.7% 153 1.6% 176 1.8% Cappagh National Orthopaedic Hospital M-1M 17 0.2% <3% 2 0.0% 1 0.1% 0 0.0% 0 0.0% 0 0.0% Mater Misericordiae University Hospital M-1M 698 2.4% <3% 467 2.2% 53 2.1% 56 2.4% 47 1.9% 43 1.7% MRH Mullingar M-1M 282 3.1% <3% 230 3.5% 19 2.8% 17 2.7% 17 2.6% 23 2.9% Our Lady's Hospital Navan M-1M 9 0.2% <3% 11 0.3% 0 0.0% 2 0.4% 0 0.0% 1 0.2% Royal Victoria Eye and Ear Hospital M-1M 94 0.7% <3% 78 0.7% 5 0.4% 7 0.6% 6 0.5% 7 0.6% St. Columcille's Hospital M-1M 0 0.0% <3% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% St. Luke's General Hospital Kilkenny M-1M 195 2.8% <3% 237 4.0% 26 3.3% 34 4.4% 28 3.9% 39 5.1% St. Michael's Hospital M-1M 37 0.7% <3% 17 0.4% 2 0.4% 1 0.2% 1 0.3% 1 0.3% St. Vincent's University Hospital M-1M 485 1.8% <3% 385 1.9% 45 1.9% 39 1.8% 47 1.9% 50 2.1% Wexford General Hospital M-1M 192 2.2% <3% 136 2.4% 5 1.4% 4 1.6% 7 2.4% 12 2.3% RCSI Hospitals Group M-1M 1,589 2.4% <3% 1,120 2.3% 99 1.8% 127 2.4% 136 2.3% 134 2.4% Beaumont Hospital M-1M 819 2.5% <3% 598 2.4% 54 1.9% 76 2.8% 77 2.5% 57 2.0% Cavan General Hospital M-1M 77 1.1% <3% 87 1.6% 8 1.2% 12 2.0% 14 2.0% 9 1.4% Connolly Hospital M-1M 213 2.1% <3% 110 1.6% 9 1.1% 9 1.1% 12 1.4% 16 1.9% Louth County Hospital M-1M 0 0.0% <3% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Our Lady of Lourdes Hospital M-1M 480 4.4% <3% 325 4.2% 28 3.4% 30 3.8% 33 3.5% 52 5.7% Saolta University Health Care Group M-1M 1,975 2.0% <3% 1,470 2.1% 147 2.0% 146 1.9% 167 2.2% 163 2.2% Galway University Hospitals M-1M 779 2.0% <3% 636 2.2% 56 1.8% 62 1.9% 76 2.4% 72 2.2% Letterkenny University Hospital M-1M 444 3.1% <3% 310 3.2% 37 3.0% 39 3.2% 45 3.8% 38 3.5% Mayo University Hospital M-1M 180 1.7% <3% 105 1.5% 1 0.9% 0 0.0% 1 0.8% 3 2.1% Portiuncula University Hospital M-1M 168 2.7% <3% 136 3.0% 17 3.1% 10 2.0% 15 2.8% 15 3.3% Roscommon University Hospital M-1M 4 0.1% <3% 1 0.0% 0 0.0% 1 0.1% 0 0.0% 0 0.0% Sligo University Hospital M-1M 400 2.0% <3% 282 2.1% 36 2.3% 34 2.1% 30 1.7% 35 2.2%

61 % of surgical re-admissions to the same hospital within 30 days of discharge Reporting Period October 2018

Reporting Target/EA Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Jun-18 Jul-18 Aug-18 Sep-18 No. % % No. % No. % No. % No. % No. % South/South West Hospital Group M-1M 1,894 1.9% <3% 1,295 1.8% 138 1.6% 152 1.9% 150 1.8% 126 1.7% Cork University Hospital M-1M 593 3.5% <3% 377 3.0% 43 3.0% 42 2.8% 43 3.1% 23 1.9% Mallow General Hospital M-1M 2 0.1% <3% 2 0.1% 1 0.3% 0 0.0% 0 0.0% 0 0.0% Mercy University Hospital M-1M 294 2.4% <3% 203 2.2% 28 2.5% 26 2.4% 15 1.3% 25 2.7% South Infirmary Victoria University Hospital M-1M 189 0.9% <3% 161 1.0% 9 0.5% 20 1.1% 17 0.9% 21 1.2% South Tipperary General Hospital M-1M 147 2.1% <3% 85 1.9% 7 1.2% 11 2.0% 6 1.2% 9 1.9% UH Kerry M-1M 229 2.0% <3% 150 2.0% 19 2.1% 18 2.1% 21 2.3% 18 2.1% UH Waterford M-1M 440 2.0% <3% 317 2.1% 31 1.6% 35 2.0% 48 2.6% 30 1.7% UL Hospitals Group M-1M 533 1.4% <3% 414 1.5% 40 1.3% 44 1.4% 47 1.4% 42 1.4% Croom Hospital M-1M 29 1.0% <3% 27 1.3% 2 0.9% 2 1.0% 4 1.6% 3 1.4% Ennis Hospital M-1M 0 0.0% <3% 1 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Nenagh Hospital M-1M 0 0.0% <3% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% St. John's Hospital Limerick M-1M 0 0.0% <3% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% UH Limerick M-1M 504 2.6% <3% 386 2.7% 38 2.4% 42 2.7% 43 2.5% 39 2.6%

Notes: 1. Source : HPO HIPE Data 2. This is the actual number of Surgical Emergency Re-admissions to the same hospital within 30 days of discharge. 3. The percentage refers to the % of Surgical Emergency Re-admissions to the same hospital within 30 days of discharge. 4. Beaumont data is inclusive of St Joseph's Hospital, Raheny. 5. Tallaght University Hospital includes Tallaght paediatric data

62 Number of Beds Subject to Delayed Discharges Reporting Period October 2018 Outturn Reporting Previous Target/EA Target/EA % Var YTD V Activity YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Total M 480 500 500 595 19.0% 563 5.7% 619 564 606 595 Children's Hospital Group M 11 7 7 8 14.3% 13 -38.5% 10 8 10 8 National Children's Hospital at Tallaght University Hospital M 0 0 0 0 0 0 0 0 0 Our Lady's Children's Hospital, Crumlin M 3 3 3 3 0.0% 4 -25.0% 3 3 3 3 Temple Street Children's University Hospital M 8 4 4 5 25.0% 9 7 5 7 5 Dublin Midlands Hospital Group M 100 105 105 141 34.3% 115 22.6% 159 132 141 141 MRH Portlaoise M 3 2 2 6 200.0% 0 7 4 3 6 MRH Tullamore M 6 9 9 10 11.1% 9 11.1% 13 10 10 10 Naas General Hospital M 16 10 10 11 10.0% 10 10.0% 12 16 9 11 St. James's Hospital M 44 54 54 75 38.9% 55 36.4% 80 67 77 75 Tallaght University Hospital M 31 30 30 39 30.0% 41 -4.9% 47 35 42 39 Ireland East Hospital Group M 140 146 146 161 10.3% 170 -5.3% 155 164 161 161 Cappagh National Orthopaedic Hospital M 8 7 7 13 85.7% 10 30.0% 6 8 12 13 Mater Misericordiae University Hospital M 36 40 40 49 22.5% 42 16.7% 45 55 48 49 MRH Mullingar M 4 2 2 1 -50.0% 1 0.0% 0 1 2 1 Our Lady's Hospital Navan M 7 7 7 12 71.4% 13 -7.7% 10 10 9 12 St. Columcille's Hospital M 14 18 18 13 -27.8% 18 -27.8% 10 12 16 13 St. Luke's General Hospital Kilkenny M 13 11 11 14 27.3% 16 -12.5% 10 7 9 14 St. Michael's Hospital M 5 8 8 5 -37.5% 7 -28.6% 8 6 5 5 St. Vincent's University Hospital M 28 30 30 30 0.0% 32 -6.3% 34 35 37 30 Wexford General Hospital M 25 23 23 24 4.3% 31 -22.6% 32 30 23 24 RCSI Hospitals Group M 98 112 112 139 24.1% 113 23.0% 140 133 145 139 Beaumont Hospital M 36 43 43 61 41.9% 42 45.2% 61 57 66 61 Cavan General Hospital M 12 17 17 13 -23.5% 20 -35.0% 12 10 10 13 Connolly Hospital M 18 17 17 31 82.4% 15 106.7% 36 31 29 31 Our Lady of Lourdes Hospital M 32 35 35 34 -2.9% 36 -5.6% 31 35 40 34 Saolta University Health Care Group M 55 61 61 60 -1.6% 74 -18.9% 57 58 52 60 Galway University Hospitals M 19 21 21 22 4.8% 22 0.0% 25 25 22 22 Letterkenny University Hospital M 11 14 14 14 0.0% 22 -36.4% 13 15 16 14 Mayo University Hospital M 10 11 11 10 -9.1% 13 -23.1% 7 5 1 10 Portiuncula University Hospital M 4 4 4 5 25.0% 5 3 4 3 5 Roscommon University Hospital M 6 6 6 3 -50.0% 6 -50.0% 1 2 3 3 Sligo University Hospital M 5 6 6 6 0.0% 6 0.0% 8 7 7 6 South/South West Hospital Group M 67 62 62 71 14.5% 72 -1.4% 88 60 87 71 Bantry General Hospital M 10 5 5 6 20.0% 7 -14.3% 10 6 4 6 Cork University Hospital M 23 23 23 20 -13.0% 19 5.3% 29 16 28 20 Mallow General Hospital M 1 2 2 4 100.0% 1 300.0% 0 1 1 4 Mercy University Hospital M 6 10 10 8 -20.0% 14 -42.9% 10 4 6 8 South Infirmary Victoria University Hospital M 3 2 2 1 -50.0% 1 0.0% 3 2 2 1 South Tipperary General Hospital M 7 7 7 8 14.3% 10 -20.0% 14 10 11 8 UH Kerry M 2 2 2 12 500.0% 2 500.0% 8 8 12 12 UH Waterford M 15 12 12 12 0.0% 18 -33.3% 14 13 23 12 UL Hospitals Group M 9 7 7 15 114.3% 6 150.0% 10 9 10 15 Ennis Hospital M 0 0 0 0 0 1 1 0 0 Nenagh Hospital M 1 1 1 1 0.0% 1 0.0% 1 1 1 1 St. John's Hospital Limerick M 1 1 1 0 -100.0% 1 -100.0% 1 1 1 0 UH Limerick M 7 5 5 14 180.0% 4 250.0% 7 6 8 14 Notes: 1. Data sourced from BIU Acute 2. Awaiting on individual hospital targets

63 HCAI Rate of new cases of Hospital acquired S. Aureus bloodstream infection Reporting Period October 2018

Reporting Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Target 2018

Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Cases Used new cases Cases Used new cases Cases Used new cases Cases Used new cases National Total M <1 26 307,051 0.8 34 308,909 1.1 24 305,554 0.8 22 319,242 0.7 Children's Hospital Group M <1 2 7,927 2.5 1 7,992 1.3 2 8,320 2.4 1 9,089 1.1 National Children's Hospital at Tallaght University <1 0 878 0.0 0 888 0.0 0 961 0.0 0 1,122 0.0 Hospital M Our Lady's Children's Hospital, Crumlin M <1 2 4,716 4.2 1 4,777 2.1 2 4,857 4.1 1 5,106 2.0 Temple Street Children's University Hospital M <1 0 2,333 0.0 0 2,327 0.0 0 2,502 0.0 0 2,861 0.0 Dublin Midlands Hospital Group M <1 6 56,623 1.1 8 55,849 1.4 4 54,475 0.7 6 57,317 1.0 Coombe Women and Infants University Hospital M <1 0 4,607 0.0 0 4,496 0.0 0 4,315 0.0 0 4,805 0.0 MRH Portlaoise M <1 0 3,671 0.0 0 3,507 0.0 0 3,341 0.0 0 3,741 0.0 MRH Tullamore M <1 1 5,447 1.8 1 5,378 1.9 0 5,236 0.0 4 5,383 7.4 Naas General Hospital M <1 0 5,561 0.0 0 5,754 0.0 1 5,886 1.7 0 5,755 0.0 St. James's Hospital M <1 3 20,087 1.5 4 19,955 2.0 2 19,696 1.0 2 20,889 1.0 St. Luke's Radiation Oncology Network M <1 0 3,667 0.0 0 3,624 0.0 0 3,350 0.0 0 3,759 0.0 Tallaght University Hospital M <1 2 13,583 1.5 3 13,135 2.3 1 12,651 0.8 0 12,985 0.0 Ireland East Hospital Group M <1 2 65,506 0.3 7 66,658 1.1 6 65,295 0.9 4 69,264 0.6 Cappagh National Orthopaedic Hospital M <1 0 2,288 0.0 0 2,308 0.0 0 2,293 0.0 0 2,361 0.0 Mater Misericordiae University Hospital M <1 1 18,478 0.5 5 18,130 2.8 0 17,761 0.0 4 18,375 2.2 MRH Mullingar M <1 0 5,265 0.0 1 5,157 1.9 2 5,448 3.7 0 5,643 0.0 National Maternity Hospital M <1 0 3,456 0.0 0 3,489 0.0 0 3,487 0.0 0 3,779 0.0 Our Lady's Hospital Navan M <1 0 2,699 0.0 0 2,457 0.0 1 2,502 4.0 0 2,636 0.0 Royal Victoria Eye and Ear Hospital M <1 0 386 0.0 0 537 0.0 0 413 0.0 0 488 0.0 St. Columcille's Hospital M <1 0 2,514 0.0 0 3,368 0.0 0 3,448 0.0 0 3,492 0.0 St. Luke's General Hospital Kilkenny M <1 0 6,514 0.0 0 6,796 0.0 1 6,474 1.5 0 7,155 0.0 St. Michael's Hospital M <1 0 1,876 0.0 0 1,750 0.0 0 1,570 0.0 0 2,018 0.0 St. Vincent's University Hospital M <1 1 15,978 0.6 1 16,172 0.6 2 15,876 1.3 0 16,974 0.0 Wexford General Hospital M <1 0 6,052 0.0 0 6,494 0.0 0 6,023 0.0 0 6,343 0.0 RCSI Hospitals Group M <1 2 48,915 0.4 5 49,158 1.0 2 48,711 0.4 3 49,934 0.6 Beaumont Hospital M <1 1 19,821 0.5 4 20,011 2.0 1 19,745 0.5 2 20,692 1.0 Cavan General Hospital M <1 1 6,133 1.6 0 6,130 0.0 1 6,240 1.6 1 6,593 1.5 Connolly Hospital M <1 0 7,844 0.0 0 7,755 0.0 0 7,516 0.0 0 7,674 0.0 Louth County Hospital M <1 0 5 0.0 0 5 0.0 0 4 0.0 0 3 0.0 Our Lady of Lourdes Hospital M <1 0 10,735 0.0 1 11,031 0.9 0 10,861 0.0 0 11,037 0.0 Rotunda Hospital M <1 0 4,377 0.0 0 4,226 0.0 0 4,345 0.0 0 3,935 0.0 Saolta University Health Care Group M <1 5 51,524 1.0 5 52,668 0.9 6 52,327 1.1 2 55,420 0.4 Galway University Hospitals M <1 1 21,737 0.5 5 22,129 2.3 4 21,760 1.8 1 22,367 0.4 Letterkenny University Hospital M <1 0 7,879 0.0 0 8,175 0.0 0 8,403 0.0 0 9,470 0.0 Mayo University Hospital M <1 1 7,223 1.4 0 7,202 0.0 1 7,210 1.4 1 7,690 1.3 Portiuncula University Hospital M <1 1 4,104 2.4 0 4,228 0.0 0 4,062 0.0 0 4,103 0.0 Roscommon University Hospital M <1 0 1,540 0.0 0 1,553 0.0 0 1,470 0.0 0 1,586 0.0 Sligo University Hospital M <1 2 9,041 2.2 0 9,381 0.0 1 9,422 1.1 0 10,204 0.0

64 HCAI Rate of new cases of Hospital acquired S. Aureus bloodstream infection Reporting Period October 2018

Reporting Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Target 2018

Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Cases Used new cases Cases Used new cases Cases Used new cases Cases Used new cases South/South West Hospital Group M <1 7 54,959 1.3 4 54,752 0.7 2 54,956 0.4 5 55,915 0.9 Bantry General Hospital M <1 0 1,523 0.0 0 1,466 0.0 0 1,381 0.0 0 1,330 0.0 Cork University Hospital M <1 1 21,063 0.5 2 21,338 0.9 1 21,463 0.5 2 21,763 0.9 Lourdes Orthopaedic Hospital Kilcreene M <1 0 200 0.0 0 111 0.0 0 307 0.0 0 299 0.0 Mallow General Hospital M <1 0 1,287 0.0 0 1,254 0.0 0 1,208 0.0 0 1,333 0.0 Mercy University Hospital M <1 0 5,395 0.0 1 5,359 1.9 1 5,364 1.9 1 5,643 1.8 South Infirmary Victoria University Hospital M <1 0 1,940 0.0 0 1,822 0.0 0 2,051 0.0 0 2,089 0.0 South Tipperary General Hospital M <1 0 5,088 0.0 0 5,194 0.0 0 5,304 0.0 0 5,468 0.0 UH Kerry M <1 1 7,234 1.4 0 6,746 0.0 0 6,560 0.0 1 6,378 1.6 UH Waterford M <1 5 11,229 4.5 1 11,462 0.9 0 11,318 0.0 1 11,612 0.9 UL Hospitals Group M <1 2 21,597 0.9 4 21,832 1.8 2 21,470 0.9 1 22,303 0.4 Croom Orthopaedic Hospital M <1 0 700 0.0 0 675 0.0 0 603 0.0 0 851 0.0 Ennis Hospital M <1 0 1,612 0.0 0 1,776 0.0 0 1,806 0.0 0 1,893 0.0 Nenagh Hospital M <1 0 1,187 0.0 0 1,467 0.0 0 1,381 0.0 0 1,399 0.0 St. John's Hospital Limerick M <1 0 2,321 0.0 0 2,258 0.0 0 2,378 0.0 0 2,433 0.0 UH Limerick M <1 2 13,202 1.5 4 13,360 3.0 2 12,882 1.6 1 13,160 0.8 UMH Limerick M <1 0 2,575 0.0 0 2,296 0.0 0 2,420 0.0 0 2,567 0.0

Notes: 1. Data source BIU Acute 2. Beaumont includes St Josephs Hospital 3. Cork University Hospital includes Cork University Maternity Hospital 4. No data from Cavan/Monaghan from Jan to July 2017

65 HCAI Rate of new cases of Hospital acquired new cases of C. difficile infection Reporting Period October 2018

Reporting Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Target 2018

Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Cases Used new cases Cases Used new cases Cases Used new cases Cases Used new cases National Total M <2 70 307,051 2.3 62 308,909 2.0 80 305,554 2.6 78 319,242 2.4 Children's Hospital Group M <2 0 7,927 0.0 0 7,992 0.0 1 8,320 1.2 1 9,089 1.1 National Children's Hospital at Tallaght University <2 0 878 0.0 0 888 0.0 0 961 0.0 0 1,122 0.0 Hospital M Our Lady's Children's Hospital, Crumlin M <2 0 4,716 0.0 0 4,777 0.0 0 4,857 0.0 0 5,106 0.0 Temple Street Children's University Hospital M <2 0 2,333 0.0 0 2,327 0.0 1 2,502 4.0 1 2,861 3.5 Dublin Midlands Hospital Group M <2 15 56,623 2.6 8 55,849 1.4 14 54,475 2.6 11 57,317 1.9 Coombe Women and Infants University Hospital M <2 0 4,607 0.0 0 4,496 0.0 0 4,315 0.0 0 4,805 0.0 MRH Portlaoise M <2 0 3,671 0.0 0 3,507 0.0 0 3,341 0.0 0 3,741 0.0 MRH Tullamore M <2 2 5,447 3.7 1 5,378 1.9 5 5,236 9.5 0 5,383 0.0 Naas General Hospital M <2 1 5,561 1.8 2 5,754 3.5 1 5,886 1.7 0 5,755 0.0 St. James's Hospital M <2 7 20,087 3.5 4 19,955 2.0 4 19,696 2.0 9 20,889 4.3 St. Luke's Radiation Oncology Network M <2 0 3,667 0.0 0 3,624 0.0 1 3,350 3.0 0 3,759 0.0 Tallaght University Hospital M <2 5 13,583 3.7 1 13,135 0.8 3 12,651 2.4 2 12,985 1.5 Ireland East Hospital Group M <2 18 65,506 2.7 13 66,658 2.0 19 65,295 2.9 19 69,264 2.7 Cappagh National Orthopaedic Hospital M <2 0 2,288 0.0 0 2,308 0.0 0 2,293 0.0 0 2,361 0.0 Mater Misericordiae University Hospital M <2 5 18,478 2.7 4 18,130 2.2 6 17,761 3.4 9 18,375 4.9 MRH Mullingar M <2 0 5,265 0.0 0 5,157 0.0 0 5,448 0.0 0 5,643 0.0 National Maternity Hospital M <2 0 3,456 0.0 0 3,489 0.0 0 3,487 0.0 0 3,779 0.0 Our Lady's Hospital Navan M <2 0 2,699 0.0 0 2,457 0.0 0 2,502 0.0 2 2,636 7.6 Royal Victoria Eye and Ear Hospital M <2 0 386 0.0 0 537 0.0 0 413 0.0 0 488 0.0 St. Columcille's Hospital M <2 0 2,514 0.0 1 3,368 3.0 0 3,448 0.0 0 3,492 0.0 St. Luke's General Hospital Kilkenny M <2 2 6,514 3.1 2 6,796 2.9 4 6,474 6.2 4 7,155 5.6 St. Michael's Hospital M <2 1 1,876 5.3 1 1,750 5.7 1 1,570 6.4 0 2,018 0.0 St. Vincent's University Hospital M <2 8 15,978 5.0 5 16,172 3.1 6 15,876 3.8 4 16,974 2.4 Wexford General Hospital M <2 2 6,052 3.3 0 6,494 0.0 2 6,023 3.3 0 6,343 0.0 RCSI Hospitals Group M <2 14 48,915 2.9 7 49,158 1.4 21 48,711 4.3 9 49,934 1.8 Beaumont Hospital M <2 11 19,821 5.5 5 20,011 2.5 13 19,745 6.6 4 20,692 1.9 Cavan General Hospital M <2 0 6,133 0.0 1 6,130 1.6 0 6,240 0.0 2 6,593 3.0 Connolly Hospital M <2 1 7,844 1.3 0 7,755 0.0 6 7,516 8.0 2 7,674 2.6 Louth County Hospital M <2 0 5 0.0 0 5 0.0 0 4 0.0 0 3 0.0 Our Lady of Lourdes Hospital M <2 2 10,735 1.9 1 11,031 0.9 2 10,861 1.8 1 11,037 0.9 Rotunda Hospital M <2 0 4,377 0.0 0 4,226 0.0 0 4,345 0.0 0 3,935 0.0 Saolta University Health Care Group M <2 4 51,524 0.8 11 52,668 2.1 9 52,327 1.7 19 55,420 3.4 Galway University Hospitals M <2 4 21,737 1.8 7 22,129 3.2 6 21,760 2.8 11 22,367 4.9 Letterkenny University Hospital M <2 0 7,879 0.0 2 8,175 2.4 1 8,403 1.2 4 9,470 4.2 Mayo University Hospital M <2 0 7,223 0.0 0 7,202 0.0 0 7,210 0.0 0 7,690 0.0 Portiuncula University Hospital M <2 0 4,104 0.0 1 4,228 2.4 2 4,062 4.9 0 4,103 0.0 Roscommon University Hospital M <2 0 1,540 0.0 0 1,553 0.0 0 1,470 0.0 3 1,586 18.9 Sligo University Hospital M <2 0 9,041 0.0 1 9,381 1.1 0 9,422 0.0 1 10,204 1.0

66 HCAI Rate of new cases of Hospital acquired new cases of C. difficile infection Reporting Period October 2018

Reporting Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Target 2018

Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Number of Bed Days Rate of Cases Used new cases Cases Used new cases Cases Used new cases Cases Used new cases South/South West Hospital Group M <2 14 54,959 2.5 16 54,752 2.9 15 54,956 2.7 15 55,915 2.7 Bantry General Hospital M <2 0 1,523 0.0 0 1,466 0.0 1 1,381 7.2 0 1,330 0.0 Cork University Hospital M <2 5 21,063 2.4 6 21,338 2.8 9 21,463 4.2 8 21,763 3.7 Lourdes Orthopaedic Hospital Kilcreene M <2 0 200 0.0 0 111 0.0 0 307 0.0 0 299 0.0 Mallow General Hospital M <2 0 1,287 0.0 1 1,254 8.0 0 1,208 0.0 0 1,333 0.0 Mercy University Hospital M <2 1 5,395 1.9 0 5,359 0.0 0 5,364 0.0 0 5,643 0.0 South Infirmary Victoria University Hospital M <2 1 1,940 5.2 0 1,822 0.0 0 2,051 0.0 0 2,089 0.0 South Tipperary General Hospital M <2 2 5,088 3.9 1 5,194 1.9 0 5,304 0.0 3 5,468 5.5 UH Kerry M <2 3 7,234 4.1 3 6,746 4.4 1 6,560 1.5 0 6,378 0.0 UH Waterford M <2 2 11,229 1.8 5 11,462 4.4 4 11,318 3.5 4 11,612 3.4 UL Hospitals Group M <2 5 21,597 2.3 7 21,832 3.2 1 21,470 0.5 4 22,303 1.8 Croom Orthopaedic Hospital M <2 0 700 0.0 0 675 0.0 0 603 0.0 0 851 0.0 Ennis Hospital M <2 0 1,612 0.0 1 1,776 5.6 0 1,806 0.0 0 1,893 0.0 Nenagh Hospital M <2 0 1,187 0.0 3 1,467 20.4 0 1,381 0.0 1 1,399 7.1 St. John's Hospital Limerick M <2 0 2,321 0.0 0 2,258 0.0 0 2,378 0.0 0 2,433 0.0 UH Limerick M <2 5 13,202 3.8 3 13,360 2.2 1 12,882 0.8 2 13,160 1.5 UMH Limerick M <2 0 2,575 0.0 0 2,296 0.0 0 2,420 0.0 1 2,567 3.9

Notes: 1. Data source BIU Acute 2. Beaumont includes St Josephs Hospital 3. Cork University Hospital includes Cork University Maternity Hospital 4. No data from Cavan/Monaghan from Jan to July 2017

67 HCAI - Number of new cases of CPE Reporting Period October 2018 Reporting Target/EA Activity Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Full Year YTD Number of Number of Number of Number of Number of Cases Cases Cases Cases Cases National Total M 430 56 50 49 81 Children's Hospital Group M 6 0 1 0 2 Our Lady's Children's Hospital, Crumlin M 6 0 1 0 2 Temple Street Children's University Hospital M 0 0 0 0 0 Dublin Midlands Hospital Group M 114 8 13 15 18 Coombe Women and Infants University Hospital M 0 0 0 0 0 MRH Portlaoise M 0 0 0 0 0 MRH Tullamore M 3 0 0 0 0 Naas General Hospital M 3 0 1 0 0 St. James's Hospital M 31 0 7 8 6 St. Luke's Radiation Oncology Network M 2 0 1 0 0 Tallaght University Hospital M 75 8 4 7 12 Ireland East Hospital Group M 53 10 4 5 7 Cappagh National Orthopaedic Hospital M 0 0 0 0 0 Mater Misericordiae University Hospital M 29 6 4 2 3 MRH Mullingar M 1 0 0 0 0 National Maternity Hospital M 0 0 0 0 0 Our Lady's Hospital Navan M 2 0 0 0 0 Royal Victoria Eye and Ear Hospital M 1 0 0 0 0 St. Columcille's Hospital M 0 0 0 0 0 St. Luke's General Hospital Kilkenny M 10 1 0 1 3 St. Michael's Hospital M 0 0 0 0 0 St. Vincent's University Hospital M 8 3 0 0 1 Wexford General Hospital M 2 0 0 2 0 RCSI Hospitals Group M 49 6 11 12 10 Beaumont Hospital M 35 2 10 9 8 Cavan General Hospital M 8 4 0 3 1 Connolly Hospital M 4 0 1 0 1 Louth County Hospital M 0 0 0 0 0 Our Lady of Lourdes Hospital M 1 0 0 0 0 Rotunda Hospital M 1 0 0 0 0

68 HCAI - Number of new cases of CPE Reporting Period October 2018 Reporting Target/EA Activity Jul-18 Aug-18 Sep-18 Oct-18 Reporting Level Frequency Full Year YTD Number of Number of Number of Number of Number of Cases Cases Cases Cases Cases Saolta University Health Care Group M 78 12 10 7 14 Galway University Hospitals M 48 10 5 5 5 Letterkenny University Hospital M 3 0 2 0 0 Mayo University Hospital M 4 2 1 0 0 Portiuncula University Hospital M 2 0 1 0 1 Roscommon University Hospital M 0 0 0 0 0 Sligo University Hospital M 21 0 1 2 8 South/South West Hospital Group M 71 8 5 4 25 Bantry General Hospital M 1 0 0 0 0 Cork University Hospital M 17 2 1 1 9 Lourdes Orthopaedic Hospital Kilcreene M 0 0 0 0 0 Mallow General Hospital M 2 0 2 0 0 Mercy University Hospital M 14 0 0 1 2 South Infirmary Victoria University Hospital M 2 0 1 0 1 South Tipperary General Hospital M 6 3 0 1 0 UH Kerry M 0 0 0 0 0 UH Waterford M 29 3 1 1 13 UL Hospitals Group M 59 12 6 6 5 Croom Orthopaedic Hospital M 0 0 0 0 0 Ennis Hospital M 2 0 0 0 0 Nenagh Hospital M 4 2 0 0 0 St. John's Hospital Limerick M 6 3 1 0 0 UH Limerick M 47 7 5 6 5 UHM Limerick M 0 0 0 0 0

Notes: 1. Targets not yet finalised 2. Data source BIU Acute 3. Beaumont includes St Josephs Hospital 4. Cork University Hospital includes Cork University Maternity Hospital 5. University Hospital Limerick included University Maternity Hospital Limerick until May 2018 6. Tallaght Hospital Adults includes National Children's Hospital at Tallaght Hospital

69 Cancer Services - Symptomatic Breast Cancer Services Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Number of patients triaged as urgent presenting to symptomatic breast clinics M 19,266 19,600 16,333 16,826 3.0% 16,122 4.4% 1,572 1,772 1,669 1,806 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 14,518 18,620 15,517 12,122 -21.9% 11,827 2.5% 944 1,038 1,174 1,609 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 75.4% 95% 95% 72.0% -24.2% 73.4% -1.8% 60.1% 58.6% 70.3% 89.1% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 21,543 22,500 18,750 18,427 -1.7% 18,297 0.7% 1,769 1,637 1,786 2,157 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 15,305 21,375 17,813 12,664 -28.9% 12,943 -2.2% 1,298 1,109 1,019 1,298 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 71.0% 95% 95% 68.7% -27.7% 70.7% -2.8% 73.4% 67.7% 57.1% 60.2%

Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 1,918 1176 1176 1,833 1,833 1,845 1,512

% of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 10.0% >6% >6% 9.9% 9.9% 10.0% Dublin Midlands Hospital Group St James Number of patients triaged as urgent presenting to symptomatic breast clinics M 2,849 Not Available Not Available 2,541 2,338 8.7% 225 276 264 273 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 835 Not Available Not Available 1,135 491 131% 25 48 115 269 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 29.3% Not Available Not Available 44.7% 21.0% 112.7% 11.1% 17.4% 43.6% 98.5% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 2,985 Not Available Not Available 2,261 2,616 -13.6% 174 208 202 327 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 1,357 Not Available Not Available 905 1,178 -23.2% 55 85 28 89 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 45.5% Not Available Not Available 40.0% 45.0% -11.1% 31.6% 40.9% 13.9% 27.2% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 224 Not Available Not Available 214 211 208 213 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 7.9% Not Available Not Available 7.1% 6.9% 6.8% 7.0% Ireland East Hospital Group Number of patients triaged as urgent presenting to symptomatic breast clinics M 5,392 Not Available Not Available 4,913 4,504 9.1% 478 551 469 500 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 4,422 Not Available Not Available 3,632 3,650 -0.5% 291 276 307 483 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 82.0% Not Available Not Available 73.9% 81.0% -8.8% 60.9% 50.1% 65.5% 96.6% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 5,879 Not Available Not Available 4,619 5,024 -8.1% 420 389 437 587 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 4,842 Not Available Not Available 3,687 4,199 -12.2% 346 331 357 418 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 82.4% Not Available Not Available 79.8% 83.6% -4.5% 82.4% 85.1% 81.7% 71.2% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 565 Not Available Not Available 554 546 555 570 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 10.5% Not Available Not Available 9.9% 9.5% 9.6% 9.8%

70 Cancer Services - Symptomatic Breast Cancer Services Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 Mater Number of patients triaged as urgent presenting to symptomatic breast clinics M 3,190 Not Available Not Available 2,997 2,638 13.6% 253 363 285 321 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 2,220 Not Available Not Available 1,719 1,784 -3.6% 66 89 123 304 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 69.6% Not Available Not Available 57.4% 67.6% -15.2% 26.1% 24.5% 43.2% 94.7% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 2,356 Not Available Not Available 1,746 2,039 -14.4% 140 160 164 304 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 1,320 Not Available Not Available 816 1,215 -32.8% 66 102 86 135 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 56.0% Not Available Not Available 46.7% 59.6% -21.6% 47.1% 63.8% 52.4% 44.4% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 281 Not Available Not Available 282 282 285 294 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 8.8% Not Available Not Available 8.4% 8.1% 8.1% 8.3% St Vincents Number of patients triaged as urgent presenting to symptomatic breast clinics M 2,202 Not Available Not Available 1,916 1,866 2.7% 225 188 184 179 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 2,202 Not Available Not Available 1,913 1,866 2.5% 225 187 184 179 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 100.0% Not Available Not Available 99.8% 100.0% -0.2% 100.0% 99.5% 100.0% 100.0% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 3,523 Not Available Not Available 2,873 2,985 -3.8% 280 229 273 283 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 3,522 Not Available Not Available 2,871 2,984 -3.8% 280 229 271 283 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 100.0% Not Available Not Available 99.9% 100.0% 0.0% 100.0% 100.0% 99.3% 100.0% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 284 Not Available Not Available 272 264 270 276 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 12.9% Not Available Not Available 12.1% 11.7% 12.0% 12.3% RCSI Hospital Group Beaumont Number of patients triaged as urgent presenting to symptomatic breast clinics M 2,261 Not Available Not Available 1,990 1,931 3.1% 222 199 199 236 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 2,259 Not Available Not Available 1,990 1,929 3.2% 222 199 199 236 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 99.9% Not Available Not Available 100.0% 99.9% 0.1% 100.0% 100.0% 100.0% 100.0% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 2,263 Not Available Not Available 2,301 1,852 24.2% 211 234 201 281 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 2,258 Not Available Not Available 2,286 1,847 23.8% 206 231 199 281 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 99.8% Not Available Not Available 99.3% 99.7% -0.4% 97.6% 98.7% 99.0% 100.0% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 207 Not Available Not Available 217 221 222 219 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 9.2% Not Available Not Available 9.4% 9.6% 9.6% 9.4%

71 Cancer Services - Symptomatic Breast Cancer Services Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 Saolta University Health Care Group Number of patients triaged as urgent presenting to symptomatic breast clinics M 3,046 Not Available Not Available 2,453 2,551 -3.8% 239 269 259 222 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 2,403 Not Available Not Available 2,294 1,943 18.1% 212 258 252 151 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 78.9% Not Available Not Available 93.5% 76.2% 22.8% 88.7% 95.9% 97.3% 68.0% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 4,011 Not Available Not Available 3,545 3,368 5.3% 287 323 438 298 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 2,157 Not Available Not Available 2,236 1,626 37.5% 193 143 146 118 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 53.8% Not Available Not Available 63.1% 48.3% 30.6% 67.2% 44.3% 33.3% 39.6% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 373 Not Available Not Available 349 355 366 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 12.5% Not Available Not Available 11.7% 12.2% 12.3% Galway Number of patients triaged as urgent presenting to symptomatic breast clinics M 1,906 Not Available Not Available 1,463 1,628 -10.1% 123 164 127 222 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 1,831 Not Available Not Available 1,355 1,570 -13.7% 117 157 121 151 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 96.1% Not Available Not Available 92.6% 96.4% -4.0% 95.1% 95.7% 95.3% 68.0% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 3,223 Not Available Not Available 2,745 2,709 1.3% 223 226 328 298 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 1,944 Not Available Not Available 2,023 1,450 39.5% 163 103 132 118 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 60.3% Not Available Not Available 73.7% 53.5% 37.7% 73.1% 45.6% 40.2% 39.6% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 297 Not Available Not Available 279 279 283 282 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 15.6% Not Available Not Available 16.2% 16.5% 16.8% 16.2% Letterkenny Number of patients triaged as urgent presenting to symptomatic breast clinics M 1,140 Not Available Not Available 990 923 7.3% 116 105 132 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 572 Not Available Not Available 939 373 151.7% 95 101 131 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 50.2% Not Available Not Available 94.8% 40.4% 134.7% 81.9% 96.2% 99.2% #DIV/0! Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 788 Not Available Not Available 800 659 21.4% 64 97 110 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 213 Not Available Not Available 213 176 21.0% 30 40 14 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 27.0% Not Available Not Available 26.6% 26.7% -0.3% 46.9% 41.2% 12.7% #DIV/0! Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 76 Not Available Not Available 70 76 83 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 7.0% Not Available Not Available 5.5% 6.3% 6.5%

72 Cancer Services - Symptomatic Breast Cancer Services Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 South/South West Hospital Group Number of patients triaged as urgent presenting to symptomatic breast clinics M 4,054 Not Available Not Available 3,464 3,408 1.6% 268 349 340 398 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 2,935 Not Available Not Available 1,612 2,424 -33.5% 54 130 163 293 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 72.4% Not Available Not Available 46.5% 71.1% -34.6% 20.1% 37.2% 47.9% 73.6% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 4,369 Not Available Not Available 3,801 3,679 3.3% 323 345 387 438 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 2,684 Not Available Not Available 1,837 2,363 -22.3% 144 181 169 168 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 61.4% Not Available Not Available 48.3% 64.2% -24.8% 44.6% 52.5% 43.7% 38.4% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 373 Not Available Not Available 339 337 331 345 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 9.3% Not Available Not Available 8.6% 8.4% 8.3% 8.5% Waterford Number of patients triaged as urgent presenting to symptomatic breast clinics M 1,607 Not Available Not Available 1,376 1,341 2.6% 109 158 133 153 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 1,232 Not Available Not Available 626 1,092 -42.7% 9 63 121 152 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 76.7% Not Available Not Available 45.5% 81.4% -44.1% 8.3% 39.9% 91.0% 99.3% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 1,122 Not Available Not Available 1,036 941 10.1% 89 73 95 145 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 413 Not Available Not Available 300 368 -18.5% 26 21 20 17 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 36.8% Not Available Not Available 29.0% 39.1% -26.0% 29.2% 28.8% 21.1% 11.7% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 167 Not Available Not Available 154 158 156 161 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 10.5% Not Available Not Available 9.9% 9.9% 9.8% 9.8% Cork Number of patients triaged as urgent presenting to symptomatic breast clinics M 2,447 Not Available Not Available 2,088 2,067 1.0% 159 191 207 245 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 1,703 Not Available Not Available 986 1,332 -26.0% 45 67 42 141 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 69.6% Not Available Not Available 47.2% 64.4% -26.7% 28.3% 35.1% 20.3% 57.6% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 3,247 Not Available Not Available 2,765 2,738 1.0% 234 272 292 293 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 2,271 Not Available Not Available 1,537 1,995 -23.0% 118 160 149 151 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 69.9% Not Available Not Available 55.6% 72.9% -23.7% 50.4% 58.8% 51.0% 51.5% Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 206 Not Available Not Available 185 179 175 184 % of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 8.5% Not Available Not Available 7.7% 7.5% 7.3% 7.6%

73 Cancer Services - Symptomatic Breast Cancer Services Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 UL Hospitals Group Limerick Not Available Not Available Number of patients triaged as urgent presenting to symptomatic breast clinics M 1,664 Not Available Not Available 1,465 1,390 5.4% 140 128 138 177 Number of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 1,664 Not Available Not Available 1,459 1,390 5.0% 140 127 138 177 % of attendances whose referrals were triaged as urgent by the cancer centre and adhered to the national standard of 2 weeks for urgent referrals M 100.0% Not Available Not Available 99.6% 100.0% -0.4% 100.0% 99.2% 100.0% 100.0% Number of Non-urgent attendances presenting to Symptomatic Breast clinics M 2,036 Not Available Not Available 1,900 1,758 8.1% 354 138 121 226 Number of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for Non-urgent referrals (Number offered an appointment that falls within 12 weeks) M 2,007 Not Available Not Available 1,713 1,730 -1.0% 354 138 120 224 % of attendances whose referrals were triaged as non-urgent by the cancer centre and adhered to the national standard of 12 weeks for non-urgent referrals (% offered an appointment that falls within 12 weeks) M 98.6% Not Available Not Available 90.2% 98.4% -8.4% 100.0% 100.0% 99.2% 99.1%

Clinical detection rate: Number of new attendances to clinic, triaged as urgent, which have Rolling 12M a subsequent primary diagnosis of breast cancer 176 Not Available Not Available 160 163 163 165

% of new attendances to clinic, triaged as urgent,that have a subsequent primary diagnosis Rolling 12M of breast cancer 10.6% Not Available Not Available 9.5% 9.7% 9.6% 9.5% Notes 1. Data source NCCP 4. Letterkenny - all data outstanding, so no detection rate for group or national

74 Cancer Services - Lung Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Number of patients attending the rapid access lung clinic in designated cancer centres M 3,447 3,700 3,083 3,134 1.6% 2,913 7.6% 314 278 294 338 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 2,852 3,515 2,929 2,739 -6.5% 2,386 14.8% 274 248 262 299 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 82.7% 95% 95% 87.4% -8.0% 81.9% 6.7% 87.3% 89.2% 89.1% 88.5% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 1120 925 925 1,084 1,074 1,063 1,065 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 32.5% >25% >25% 30.4% 30.0% 29.4% 29.1% Dublin Midlands Hospital Group St James Number of patients attending the rapid access lung clinic in designated cancer centres M 436 Not Available Not Available 443 376 17.8% 47 38 29 56 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 423 Not Available Not Available 432 365 18.4% 46 36 28 53 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 97.0% Not Available Not Available 97.5% 97.1% 0.5% 97.9% 94.7% 97% 94.6% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 140 Not Available Not Available 140 142 139 140 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 32.1% Not Available Not Available 27.6% 28.3% 28% 27.8% Ireland East Hospital Group Number of patients attending the rapid access lung clinic in designated cancer centres M 750 Not Available Not Available 783 628 24.7% 84 74 99 105 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 744 Not Available Not Available 780 622 25.4% 83 74 97 105 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 99.2% Not Available Not Available 99.6% 99.0% 0.6% 98.8% 100.0% 98.0% 100.0% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 280 Not Available Not Available 249 245 244 246 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 37.8% Not Available Not Available 31.9% 30.8% 28.6% 27.2% Mater Number of patients attending the rapid access lung clinic in designated cancer centres M 363 Not Available Not Available 341 308 10.7% 41 29 33 36 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 357 Not Available Not Available 338 302 11.9% 40 29 31 36 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 98.3% Not Available Not Available 99.1% 98.1% 1.1% 97.6% 100.0% 93.9% 100.0% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 110 Not Available Not Available 121 119 120 116 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 30.6% Not Available Not Available 30.9% 31.5% 31.0% 29.3%

75 Cancer Services - Lung Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 St Vincents Number of patients attending the rapid access lung clinic in designated cancer centres M 387 Not Available Not Available 442 320 38.1% 43 45 66 69 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 387 Not Available Not Available 442 320 38.1% 43 45 66 69 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 100.0% Not Available Not Available 100.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 170 Not Available Not Available 128 126 124 130 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 44.6% Not Available Not Available 32.8% 30.2% 26.7% 25.5% RCSI Hospital Group Beaumont Number of patients attending the rapid access lung clinic in designated cancer centres M 458 Not Available Not Available 259 400 -35.3% 23 17 24 30 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 342 Not Available Not Available 256 289 -11.4% 23 17 22 30 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 74.7% Not Available Not Available 98.8% 72.3% 36.8% 100.0% 100.0% 92% 100.0% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 144 Not Available Not Available 100 103 105 103 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 31.4% Not Available Not Available 27.6% 30.0% 32.0% 32.5% Saolta University Health Care Group Galway Number of patients attending the rapid access lung clinic in designated cancer centres M 560 Not Available Not Available 544 463 17.5% 68 50 39 45 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 525 Not Available Not Available 517 430 20.2% 67 48 38 42 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 81.0% Not Available Not Available 95.0% 92.9% 2.3% 98.5% 96.0% 97.4% 93.3% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 206 Not Available Not Available 224 216 209 216 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 36.8% Not Available Not Available 36.0% 33.6% 32.6% 33.7%

76 Cancer Services - Lung Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 South/South West Hospital Group Number of patients attending the rapid access lung clinic in designated cancer centres M 700 Not Available Not Available 593 598 -0.8% 42 53 45 46 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 486 Not Available Not Available 458 399 14.8% 28 45 43 42 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 69.4% Not Available Not Available 77.2% 66.7% 15.8% 66.7% 84.9% 95.6% 91.3% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 245 Not Available Not Available 267 266 272 276 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 35.0% Not Available Not Available 38.1% 37.3% 38.9% 39.8% Waterford Number of patients attending the rapid access lung clinic in designated cancer centres M 289 Not Available Not Available 248 248 0.0% 15 16 27 19 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 282 Not Available Not Available 241 241 0.0% 15 16 27 18 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 97.6% Not Available Not Available 97.2% 97.2% 0.0% 100.0% 100.0% 100.0% 94.7% Clinical detection rate: Number of new attendances to clinic, that have a subsequent primary diagnosis of lung cancer M 96 Not Available Not Available 134 135 135 137 % of new attendances to clinic, that have a subsequent primary diagnosis of lung cancer M 38.9% Not Available Not Available 45.6% 46.7% 45.8% 47.9% Cork Number of patients attending the rapid access lung clinic in designated cancer centres M 411 Not Available Not Available 345 350 -1.4% 27 37 18 27 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 204 Not Available Not Available 217 158 37.3% 13 29 16 24 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 49.6% Not Available Not Available 62.9% 45.1% 39.3% 48.1% 78.4% 88.9% 88.9% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 124 Not Available Not Available 133 131 137 139 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 30.1% Not Available Not Available 32.7% 30.9% 33.8% 34.2% UL Hospitals Group Limerick Number of patients attending the rapid access lung clinic in designated cancer centres M 543 Not Available Not Available 512 448 14.3% 50 46 58 56 Number of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 332 Not Available Not Available 296 281 5.3% 27 28 34 27 % of patients attending lung rapid access clinics who attended or were offered an appointment within 10 working days of receipt of referral in designated cancer centres M 61.1% Not Available Not Available 57.8% 62.7% -7.8% 54.0% 60.9% 58.6% 48.2% Clinical detection rate: Number of new attendances to clinic, that have a Rolling 12M subsequent primary diagnosis of lung cancer 105 Not Available Not Available 104 102 94 84 % of new attendances to clinic, that have a subsequent primary diagnosis of Rolling 12M lung cancer 19.3% Not Available Not Available 17.7% 17.5% 15.7% 13.8% Notes 1. Data source NCCP

77 Cancer Services - Prostate Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Number of patients attending the prostate rapid access clinic in the cancer centres M 3,015 3,100 2,583 2,770 7.2% 2,550 8.6% 301 328 267 320 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 1,853 2,790 2,325 2,101 -9.6% 1,482 41.8% 203 225 206 266 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 61.5% 90% 90% 75.8% -15.7% 58.1% 30.5% 67.4% 68.6% 77.2% 83.1%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 1097 930 930 1073 1098 1047 1066

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 36.4% >30% >30% 32.3% 31.9% Dublin Midlands Hospital Group St James's Number of patients attending the prostate rapid access clinic in the cancer centres M 132 Not Available Not Available 320 116 175.9% 44 39 25 31 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 3 Not Available Not Available 209 2 10350.0% 21 29 22 30 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 2.3% Not Available Not Available 65.3% 1.7% 3688.1% 47.7% 74.4% 88.0% 96.8%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 34 Not Available Not Available 67 73 69 71

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 25.8% Not Available Not Available 22.9% 22.5% 21.6% 21.1% Ireland East Hospital Group Number of patients attending the prostate rapid access clinic in the cancer centres M 808 Not Available Not Available 618 680 -9.1% 97 68 57 66 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 495 Not Available Not Available 474 371 27.8% 49 54 55 66 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 61.3% Not Available Not Available 76.7% 54.6% 40.6% 50.5% 79.4% 96.5% 100.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 235 Not Available Not Available 184 187 125 126

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 29.1% Not Available Not Available 24.4% 24.7% 23.0% Mater Number of patients attending the prostate rapid access clinic in the cancer centres M 426 Not Available Not Available 314 350 -10.3% 77 33 19 28 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 224 Not Available Not Available 171 152 12.5% 29 19 18 28 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 52.6% Not Available Not Available 54.5% 43.4% 25.4% 37.7% 57.6% 94.7% 100.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 97 Not Available Not Available 52 58

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 22.8% Not Available Not Available 12.5% 13.7%

78 Cancer Services - Prostate Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 St Vincents Number of patients attending the prostate rapid access clinic in the cancer centres M 382 Not Available Not Available 304 330 -7.9% 20 35 38 38 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 271 Not Available Not Available 303 219 38.4% 20 35 37 38 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 70.9% Not Available Not Available 99.7% 66.4% 50.2% 100.0% 100.0% 97.4% 100.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 138 Not Available Not Available 132 129 125 126

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 36.1% Not Available Not Available 38.8% 38.7% 35.9% 35.4% RCSI Hospital Group Beaumont Number of patients attending the prostate rapid access clinic in the cancer centres M 313 Not Available Not Available 311 263 18.3% 38 43 31 35 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 288 Not Available Not Available 301 238 26.5% 38 43 30 26 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 92.0% Not Available Not Available 96.8% 90.5% 7.0% 100.0% 100.0% 96.8% 74.3%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 82 Not Available Not Available 103 106 121 135

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 26.2% Not Available Not Available 29.9% 29.4% 33.8% 37.4% Saolta University Health Care Group Galway Number of patients attending the prostate rapid access clinic in the cancer centres M 602 Not Available Not Available 543 510 6.5% 62 54 43 73 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 598 Not Available Not Available 541 506 6.9% 62 54 43 73 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 99.3% Not Available Not Available 99.6% 99.2% 0.4% 100.0% 100.0% 100.0% 100.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 305 Not Available Not Available 313 308 319 306

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 50.7% Not Available Not Available 50.8% 49.4% 53.0% 48.3% South/South West Hospital Group Not Available Not Available Number of patients attending the prostate rapid access clinic in the cancer centres M 881 Not Available Not Available 668 748 -10.7% 42 69 82 59 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 441 Not Available Not Available 519 340 52.6% 33 37 47 46 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 50.1% Not Available Not Available 77.7% 45.5% 70.9% 78.6% 53.6% 57.3% 78.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 357 Not Available Not Available 317 333 321 331

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 40.5% Not Available Not Available 39.0% 41.4% 38.1% 41.3%

79 Cancer Services - Prostate Cancers Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Activity % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year Target/EA YTD YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 Waterford Number of patients attending the prostate rapid access clinic in the cancer centres M 385 Not Available Not Available 311 320 -2.8% 18 33 32 26 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 276 Not Available Not Available 298 212 40.6% 18 29 32 26 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 71.7% Not Available Not Available 95.8% 66.3% 44.6% 100.0% 87.9% 100.0% 100.0%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 147 Not Available Not Available 114 114 111 118

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 38.2% Not Available Not Available 30.3% 29.9% 29.1% 31.4% Cork Number of patients attending the prostate rapid access clinic in the cancer centres M 496 Not Available Not Available 357 428 -16.6% 24 36 50 33 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 165 Not Available Not Available 221 128 72.7% 15 8 15 20 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 33.3% Not Available Not Available 61.9% 29.9% 107.0% 62.5% 22.2% 30.0% 60.6%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 210 Not Available Not Available 203 219 210 213

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 42.3% Not Available Not Available 46.6% 51.7% 47.8% 50.1% UL Hospitals Group Limerick Number of patients attending the prostate rapid access clinic in the cancer centres M 279 Not Available Not Available 310 233 33.0% 18 55 29 56 Number of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 28 Not Available Not Available 57 25 128.0% 0 8 9 25 % of patients attending prostate rapid clinics who attended or were offered an appointment within 20 working days of receipt of referral in the cancer centres M 10.0% Not Available Not Available 18.4% 10.7% 71.4% 0.0% 14.5% 31.0% 44.6%

Clinical detection rate: Number of new attendances to clinic that have a subsequent Rolling 12M primary diagnosis of prostate cancer 84 Not Available Not Available 89 91 92 97

% of new attendances to clinic that have a subsequent primary diagnosis of prostate Rolling 12M cancer 30.1% Not Available Not Available 30.5% 28.0% 28.1% 27.2% Notes 1. Data source NCCP 2 Detection rate data is not available for Oct 18 for Mater

80 Cancer Services - Radiotherapy Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 National Number of patients who completed radical radiotherapy treatment (palliative care patients not included) M 5,178 5,200 4,333 4,430 2.2% 4,260 4.0% 501 465 450 406 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care patients not included) M 3,952 4,680 3,900 3,614 -7.3% 3,257 11.0% 422 427 391 348 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care patients not included) M 76.3% 90% 90% 81.6% -9.4% 76.5% 6.7% 84.2% 91.8% 86.9% 85.7% SLRON NETWORK Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 2,748 Available Available 2,309 2,305 0.2% 259 263 238 290 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 1,979 Available Available 1,993 1,659 20.1% 235 243 215 247 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 72.0% Available Available 86.3% 72.0% 19.9% 90.7% 92.4% 90.3% 85.2% Saolta University Health Care Group Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 712 Available Available 604 566 0 60 55 66 58 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 630 Available Available 505 509 0 54 49 55 44 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 88.5% Available Available 83.6% 89.9% 226.7% 90.0% 89.1% 83.3% 75.9% Galway Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 679 Available Available 520 546 -4.8% 46 49 58 58 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 602 Available Available 438 491 -10.8% 43 44 48 44 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 88.7% Available Available 84.2% 89.9% -6.3% 93.5% 89.8% 82.8% 75.9% Altnagelvin Hospital Londonderry Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 33 Available Available 84 20 14 6 8 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 28 Available Available 67 18 11 5 7 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 84.8% Available Available 79.8% 90.0% 78.6% 83.3% 87.5% #DIV/0!

81 Cancer Services - Radiotherapy Reporting Period October 2018 Outturn Activity Reporting Previous Target/EA Target/EA % Var YTD V YTD % Var YTD Reporting Level Frequency Year Full Year YTD Activity YTD Tgt/EA YTD SPLY V SPLY Jul-18 Aug-18 Sep-18 Oct-18 South/South West Hospital Group Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 1,191 Available Available 1,002 973 3.0% 121 104 113 0 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 821 Available Available 613 677 -9.5% 72 92 88 0 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 68.9% Available Available 61.2% 69.6% -12.1% 59.5% 88.5% 77.9% #DIV/0! Cork Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 889 Available Available 795 733 8.5% 94 80 91 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 520 Available Available 407 438 -7.1% 45 68 66 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 58.5% Available Available 51.2% 59.8% -14.3% 47.9% 85.0% 72.5% #DIV/0! UPMC, WHITFIELD, WATERFORD Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 302 Available Available 207 240 -13.8% 27 24 22 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 301 Available Available 206 239 -13.8% 27 24 22 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 99.7% Available Available 99.5% 99.6% -0.1% 100.0% 100.0% 100.0% #DIV/0! MID WESTERN RADIATION ONCOLOGY CENTRE, LIMERICK Number of patients who completed radical radiotherapy treatment (palliative care patients not Not Not included) M 527 Available Available 515 416 23.8% 61 43 33 58 Number of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative Not Not care patients not included) M 522 Available Available 503 412 22.1% 61 43 33 57 % of patients undergoing radical radiotherapy treatment who commenced treatment within 15 working days of being deemed ready to treat by the radiation oncologist (palliative care Not Not patients not included) M 99.1% Available Available 97.7% 99.0% -1.4% 100.0% 100.0% 100.0% 98.3% Notes 1. Data source NCCP 2. CUH, Waterford and Altnagelvin outstanding for Oct 18

82 National Screening Service Reporting Period October 2018 Outturn Reporting Reporting Previous Target/EA Target/EA Activity % Var YTD V Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Full Year YTD YTD Tgt/EA YTD YTD SPLY V SPLY Jul Aug Sept Oct BreastCheck No. of women in the eligible population who have had a HWB77 National M 164,187 170,000 143,000 142,663 -0.2% 135,472 5.3% 13,173 13,203 14,761 16,552 complete mammogram CervicalCheck No. of unique women who have had one or more smear HWB21 National M 259,099 255,000 221,000 300,902 36.2% 223,069 34.9% 29,146 27,353 24,104 26,545 tests in a primary care setting BowelScreen No. of clients who have completed a satisfactory HWB82 National M 120,764 125,000 109,000 91,512 -16.0% 101,829 -10.1% 8,432 8,408 7,206 7,547 BowelScreen FIT test Diabetic RetinaScreen No. of Diabetic RetinaScreen clients screened with final HWB23 National M 96,239 93,000 77,720 84,572 8.8% 79,986 5.7% 8,960 8,763 8,583 9,184 grading result

* Note: Due to a 3 week process involved, the current months provisional data and last months actual data is available at the end of each month following the reporting period (29th/30th)

83 % of ambulances that have a time interval of ≤ 60 minutes from arrival at ED to when the ambulance crew declares the readiness of the ambulance to accept another call (clear and available) Reporting Period October 2018 % Var % Var Reporting Target/EA YTD V Activity YTD V Reporting Level Frequency Outturn Previous Year Full Year Activity YTD Tgt/EA YTD SPLY SPLY Jul-18 Aug-18 Sep-18 Oct-18 No. % % No. % % % % No. % No. % No. % No. % National Total M 231,139 92.4% 95% 195,201 89.5% -5.8% 92.7% -3.5% 20,062 90.3% 19,882 90.0% 19,362 90.5% 19,808 89.6% Children's Hospital Group M 5,534 97.8% 95% 4,710 97.5% 2.6% 97.6% -0.1% 475 97.1% 415 97.9% 508 96.9% 511 98.1% National Children's Hospital at Tallaght University Hospital M 648 99.4% 95% 495 99.0% 4.2% 99.2% -0.2% 45 97.8% 27 100.0% 57 98.3% 65 98.5% Our Lady's Children's Hospital, Crumlin M 2,099 96.5% 95% 1,944 95.9% 0.9% 96.2% -0.3% 194 94.6% 178 97.3% 199 95.7% 212 97.2% Temple Street Children's University Hospital M 2,787 98.4% 95% 2,271 98.5% 3.7% 98.3% 0.2% 236 99.2% 210 98.1% 252 97.7% 234 98.7% Dublin Midlands Hospital Group M 40,041 95.9% 95% 33,799 94.4% -0.6% 95.9% -1.6% 3,436 95.0% 3,409 95.8% 3,383 95.0% 3,396 94.8% Coombe Women and Infants University Hospital M 411 98.8% 95% 318 97.8% 3.0% 98.6% -0.8% 33 100.0% 43 100.0% 33 89.2% 24 100.0% MRH Portlaoise M 4,022 93.7% 95% 3,589 94.2% -0.8% 93.0% 1.3% 375 95.4% 324 92.0% 348 96.4% 358 92.5% MRH Tullamore M 5,013 95.4% 95% 4,327 93.1% -2.0% 95.3% -2.4% 391 91.8% 420 93.5% 429 92.3% 428 93.4% Naas General Hospital M 7,240 95.5% 95% 5,901 93.1% -2.0% 95.5% -2.5% 621 95.8% 617 96.7% 580 94.0% 590 95.6% St. James's Hospital M 13,092 96.4% 95% 11,079 95.8% 0.8% 96.5% -0.7% 1,178 96.4% 1,116 97.1% 1,129 97.2% 1,156 95.4% Tallaght University Hospital M 10,263 96.5% 95% 8,585 94.2% -0.8% 96.9% -2.8% 838 93.8% 889 95.7% 864 93.9% 840 95.1% Ireland East Hospitals Group M 51,347 93.5% 95% 44,153 91.0% -4.2% 93.6% -2.7% 4,615 93.0% 4,456 91.3% 4,341 91.9% 4,408 89.9% Mater Misericordiae University Hospital M 12,858 92.8% 95% 11,241 92.1% -3.1% 92.6% -0.6% 1,164 93.6% 1,214 94.5% 1,094 92.6% 1,068 89.5% MRH Mullingar M 5,480 94.0% 95% 4,665 90.6% -4.6% 94.1% -3.7% 466 90.7% 441 90.2% 466 91.4% 470 89.5% National Maternity Hospital M 504 97.1% 95% 416 96.7% 1.8% 97.2% -0.4% 45 95.7% 40 97.6% 35 100.0% 32 97.0% Our Lady's Hospital Navan M 3,106 98.2% 95% 2,695 97.4% 2.5% 98.2% -0.9% 284 98.6% 269 97.8% 254 98.8% 250 98.0% St Luke's General Hospital Kilkenny M 6,328 87.5% 95% 5,278 82.2% -13.5% 87.8% -6.4% 586 88.8% 515 85.0% 568 88.9% 591 85.4% St. Michael's Hospital M 1,060 98.3% 95% 833 97.5% 2.7% 98.4% -0.9% 91 100.0% 77 98.7% 80 95.2% 94 96.9% St. Vincent's University Hospital M 15,240 96.1% 95% 13,315 95.1% 0.1% 96.2% -1.2% 1,422 96.6% 1,324 95.5% 1,262 94.6% 1,338 93.4% Wexford General Hospital M 6,771 91.6% 95% 5,710 85.6% -9.8% 92.1% -7.0% 557 86.2% 576 79.8% 582 84.8% 565 83.7% RCSI Hospitals Group M 41,925 96.3% 95% 34,976 94.9% -0.1% 96.4% -1.6% 3,487 95.9% 3,618 95.1% 3,432 94.2% 3,483 94.3% Beaumont Hospital M 12,721 94.9% 95% 10,509 94.4% -0.6% 94.6% -0.2% 1,054 94.2% 1,098 96.0% 1,009 92.7% 1,043 93.3% Cavan General Hospital M 5,834 94.8% 95% 4,710 91.1% -4.1% 95.4% -4.5% 463 95.3% 467 88.3% 452 89.2% 476 89.8% Connolly Hospital M 11,038 96.8% 95% 9,190 94.5% -0.6% 97.4% -3.0% 873 94.7% 935 95.2% 933 95.4% 933 94.2% Our Lady of Lourdes Hospital M 11987 98.0% 95% 10,284 97.6% 2.7% 98.0% -0.4% 1,068 98.9% 1,094 97.2% 1,012 96.9% 1,008 97.7% Rotunda Hospital M 345 98.3% 95% 283 97.6% 2.7% 97.9% -0.3% 29 100.0% 24 96.0% 26 96.3% 23 92.0% Saolta University Health Care Group M 36,299 85.2% 95% 30,455 84.1% -11.5% 85.8% -1.9% 3,219 84.6% 3,130 83.6% 2,953 84.7% 3,065 83.8% Galway University Hospitals M 9,399 82.8% 95% 7,924 80.9% -14.9% 82.6% -2.1% 852 86.3% 806 77.7% 767 82.2% 836 80.6% Letterkenny University Hospital M 7,751 81.9% 95% 6,420 81.7% -14.0% 83.2% -1.9% 676 79.0% 692 82.4% 616 78.6% 683 81.8% Mayo University Hospital M 6,709 85.7% 95% 5,827 88.0% -7.4% 86.6% 1.6% 621 86.4% 622 89.9% 553 87.2% 564 88.4% Portiuncula University Hospital M 4,275 87.1% 95% 3,626 84.6% -10.9% 87.7% -3.5% 355 82.2% 376 83.7% 344 85.6% 328 84.8% Sligo University Hospital M 8,165 90.3% 95% 6,658 87.2% -8.2% 90.6% -3.8% 715 88.2% 634 87.1% 673 91.7% 654 85.8% South/South West Hospital Group M 39,890 89.4% 95% 32,231 80.1% -15.7% 90.2% -11.2% 3,292 80.2% 3,346 81.4% 3,260 82.8% 3,343 81.4% Bantry General Hospital M 1,409 97.8% 95% 1,187 96.0% 1.1% 97.9% -1.9% 97 95.1% 126 97.7% 114 97.4% 118 95.9% Cork University Hospital M 13,037 89.2% 95% 10,041 76.2% -19.8% 90.0% -15.4% 1,074 79.3% 1,072 80.5% 972 77.6% 1,049 77.3% Mercy University Hospital M 6,487 90.5% 95% 5,088 82.2% -13.4% 91.1% -9.7% 537 86.5% 509 83.4% 491 82.0% 542 84.8% South Tipperary General Hospital M 5,113 88.7% 95% 4,312 84.2% -11.4% 88.9% -5.3% 436 86.3% 471 89.9% 467 86.8% 401 78.2% UH Kerry M 6,132 92.0% 95% 5,026 77.7% -18.2% 93.3% -16.7% 509 73.8% 529 76.9% 552 86.8% 567 84.2% UH Waterford M 7,712 86.0% 95% 6,577 81.7% -14.1% 86.9% -6.1% 639 76.8% 639 77.1% 664 83.7% 666 83.1% UL Hospitals Group M 16,103 94.9% 95% 14,877 94.6% -0.4% 94.8% -0.2% 1,538 96.1% 1,508 95.9% 1,485 98.0% 1,602 97.0% UH Limerick M 16,103 94.9% 95% 14,877 94.6% -0.4% 94.8% -0.2% 1,538 96.1% 1,508 95.9% 1,485 98.0% 1,602 97.0%

84 Ambulance Turnaround Times Reporting Period October 2018 Total 20 mins or less 0 - 30 mins 0 - 60 mins 1 - 2 hours 2 - 3 hours 3 - 4 hours 4 - 5 hours 5 - 6 hours 6 - 7 hours 7 - 14 hours Calls No. % No.2 % 3 No. % No. % No. % No. % No. % No. % No. % No. % No. National Total 4,439 20.1% 10,018 45.3% 19,808 89.6% 2,148 9.7% 144 0.7% 12 0.1% 2 0.01% 1 0.0% 0 0.0% 0 0.0% 22,116 Children's Hospital Group 280 53.7% 397 76.2% 511 98.1% 9 1.7% 1 0.2% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 521 National Children's Hospital at Tallaght 40 60.6% 56 84.8% 65 98.5% 1 1.5% 66 University Hospital Our Lady's Children's Hospital, Crumlin 98 45.0% 154 70.6% 212 97.2% 5 2.3% 1 0.5% 218

Temple Street Children's University Hospital 142 59.9% 187 78.9% 234 98.7% 3 1.3% 237 Dublin Midlands Hospital Group 906 25.3% 1,936 54.1% 3,396 94.8% 181 5.1% 4 0.1% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 3,581 Coombe Women and Infants University 9 37.5% 19 79.2% 24 100.0% 24 Hospital MRH Portlaoise 79 20.4% 197 50.9% 358 92.5% 28 7.2% 1 0.3% 387 MRH Tullamore 42 9.2% 164 35.8% 428 93.4% 30 6.6% 458 Naas General Hospital 132 21.4% 323 52.4% 590 95.6% 27 4.4% 617 St. James's Hospital 401 33.1% 738 60.9% 1,156 95.4% 54 4.5% 2 0.2% 1,212 Tallaght University Hospital 243 27.5% 495 56.1% 840 95.1% 42 4.8% 1 0.1% 883 Ireland East Hospitals Group 1,047 21.4% 2,231 45.5% 4,408 89.9% 462 9.4% 28 0.6% 5 0.1% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 4,903 Mater Misericordiae University Hospital 411 34.5% 677 56.7% 1,068 89.5% 111 9.3% 11 0.9% 3 0.3% 1,193 MRH Mullingar 86 16.4% 254 48.4% 470 89.5% 55 10.5% 525 National Maternity Hospital 20 60.6% 26 78.8% 32 97.0% 1 3.0% 33 Our Lady's Hospital Navan 144 56.5% 210 82.4% 250 98.0% 4 1.6% 1 0.4% 255 St Luke's General Hospital Kilkenny 42 6.1% 190 27.5% 591 85.4% 95 13.7% 6 0.9% 692 St. Michael's Hospital 24 24.7% 62 63.9% 94 96.9% 3 3.1% 97 St. Vincent's University Hospital 258 18.0% 604 42.1% 1,338 93.4% 90 6.3% 4 0.3% 1 0.1% 1,433 Wexford General Hospital 62 9.2% 208 30.8% 565 83.7% 103 15.3% 6 0.9% 1 0.1% 675 RCSI Hospitals Group 1,100 29.8% 2,161 58.5% 3,483 94.3% 208 5.6% 4 0.1% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 3,695 Beaumont Hospital 248 22.2% 576 51.5% 1,043 93.3% 74 6.6% 1 0.1% 1,118 Cavan General Hospital 177 33.4% 292 55.1% 476 89.8% 52 9.8% 2 0.4% 530 Connolly Hospital 319 32.2% 581 58.7% 933 94.2% 57 5.8% 990 Our Lady of Lourdes Hospital 341 33.0% 691 67.0% 1,008 97.7% 23 2.2% 1 0.1% 1,032 Rotunda Hospital 15 60.0% 21 84.0% 23 92.0% 2 8.0% 25 Saolta University Health Care Group 388 10.6% 1,264 34.5% 3,065 83.8% 536 14.6% 50 1.4% 5 0.1% 2 0.0% 1 0.0% 0 0.0% 0 0.0% 3,659 Galway University Hospitals 55 5.3% 260 25.1% 836 80.6% 192 18.5% 8 0.8% 1 0.1% 1,037 Letterkenny University Hospital 105 12.6% 294 35.2% 683 81.8% 119 14.3% 27 3.2% 4 0.5% 2 0.2% 835 Mayo University Hospital 71 11.1% 250 39.2% 564 88.4% 68 10.7% 6 0.9% 638 Portiuncula University Hospital 40 10.3% 142 36.7% 328 84.8% 53 13.7% 5 1.3% 1 0.3% 387 Sligo University Hospital 117 15.4% 318 41.7% 654 85.8% 104 13.6% 4 0.5% 762 South/South West Hospital Group 329 8.0% 1,063 25.9% 3,343 81.4% 704 17.1% 56 1.4% 2 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 4,106 Bantry General Hospital 16 13.0% 62 50.4% 118 95.9% 5 4.1% 123 Cork University Hospital 55 4.1% 262 19.3% 1,049 77.3% 288 21.2% 18 1.3% 1 0.1% 1,357 Mercy University Hospital 48 7.5% 167 26.1% 542 84.8% 96 15.0% 1 0.2% 639 South Tipperary General Hospital 24 4.7% 107 20.9% 401 78.2% 101 19.7% 11 2.1% 513 UH Kerry 31 4.6% 139 20.7% 567 84.2% 101 15.0% 5 0.7% 673 UH Waterford 155 19.4% 326 40.7% 666 83.1% 113 14.1% 21 2.6% 1 0.1% 801 UL Hospitals Group 389 23.6% 966 58.5% 1,602 97.0% 48 2.9% 1 0.1% 0 0.0% 1,651 UH Limerick 389 23.6% 966 58.5% 1,602 97.0% 48 2.9% 1 0.1% 1,651

¹ Provides the time interval from ambulance arrival time (through clinical handover in the Emergency Department or Specialist Unit) to when the ambulance crew declares the readiness of the ambulance to accept another call (clear and available).

85 National Ambulance Service Reporting Period October 2018 % Var Outturn YTD V Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Reporting Level Reporting Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct National M 321,379 318,370 265,300 279,687 5.4% 264,218 5.9% 28,547 28,145 27,260 28,159 North Leinster M 100,612 88,770 82,373 7.8% 8,888 8,992 8,647 8,771 NAS3 Total AS1 and AS2 (Emergency Ambulance) calls Dublin Fire Brigade M 78,606 65,677 64,835 1.3% 6,847 6,582 6,508 6,695 South M 71,334 63,422 58,773 7.9% 6,400 6,347 6,163 6,457 West M 70,827 61,818 58,237 6.1% 6,412 6,224 5,942 6,236 National M 4,981 5,787 4,823 4,256 -11.8% 4,071 4.5% 450 394 401 430 North Leinster M 1,539 1,315 1,267 3.8% 122 102 125 138 NAS6 Number of Clinical Status 1 ECHO calls - activated Dublin Fire Brigade M 1,544 1,329 1,262 5.3% 155 146 126 126 South M 985 835 800 4.4% 81 87 74 87 West M 913 777 742 4.7% 92 59 76 79 National M 4,770 5,494 4,580 4,075 -11.0% 3,893 4.7% 432 378 374 408 North Leinster M 1,434 1,252 1,181 6.0% 116 98 117 132 Number of Clinical Status 1 ECHO calls - arrived at NAS7 Dublin Fire Brigade M 1,465 1,228 1,193 2.9% 144 134 110 111 scene (excludes those stood down en route) South M 973 827 790 4.7% 81 87 73 87 West M 898 768 729 5.3% 91 59 74 78 National M 3,944 3,242 3,230 0.4% 331 290 306 319 Total number of Clinical Status 1 ECHO incidents North Leinster M 1,232 1,058 1,013 4.4% 93 84 101 108 NAS10 responded to by a patient-carrying vehicle in 18 Dublin Fire Brigade M 1,219 1,011 1,000 1.1% 114 102 91 89 minutes and 59 seconds or less South M 780 613 628 -2.4% 59 56 58 64 West M 713 560 589 -4.9% 65 48 56 58 National M 82.7% 80% 80% 79.6% -0.6% 83.0% -4.1% 76.6% 76.7% 81.8% 78.2% % of Clinical Status 1 ECHO incidents responded to North Leinster M 85.9% 80% 80% 84.5% 5.6% 85.8% -1.5% 80.2% 85.7% 86.3% 81.8% NAS11 by a patient-carrying vehicle in 18 minutes and 59 Dublin Fire Brigade M 83.2% 80% 80% 82.3% 2.9% 83.8% -1.8% 79.2% 76.1% 82.7% 80.2% seconds or less South M 80.2% 80% 80% 74.1% -7.3% 79.5% -6.8% 72.8% 64.4% 79.5% 73.6% West M 79.4% 80% 80% 72.9% -8.9% 80.8% -9.8% 71.4% 81.4% 75.7% 74.4% National M 128,701 129,036 107,530 115,548 7.5% 105,440 9.6% 11,646 11,504 11,377 11,844 North Leinster M 39,937 35,983 32,600 10.4% 3,538 3,608 3,543 3,606 NAS12 Number of Clinical Status 1 DELTA calls - activated Dublin Fire Brigade M 33,126 29,791 27,094 10.0% 3,064 2,942 2,970 3,055 South M 28,696 25,793 23,636 9.1% 2,567 2,540 2,551 2,705 West M 26,942 23,981 22,110 8.5% 2,477 2,414 2,313 2,478 National M 121,217 125,103 104,250 106,063 1.7% 99,368 6.7% 10,512 10,453 10,381 10,768 North Leinster M 37,297 32,709 30,527 7.1% 3,178 3,258 3,209 3,244 Number of Clinical Status 1 DELTA calls - arrived at NAS13 Dublin Fire Brigade M 30,693 26,487 25,042 5.8% 2,645 2,570 2,622 2,681 scene (excludes those stood down en route) South M 27,301 24,191 22,490 7.6% 2,366 2,371 2,395 2,529 West M 25,926 22,676 21,309 6.4% 2,323 2,254 2,155 2,314 National M 74,415 61,389 62,036 -1.0% 6,211 6,284 6,034 6,151 Total Number of Clinical Status 1 DELTA incidents North Leinster M 24,221 20,815 19,973 4.2% 2,050 2,070 2,055 2,112 NAS16 responded to by a patient-carrying vehicle in 18 Dublin Fire Brigade M 17,222 13,541 14,610 -7.3% 1,421 1,560 1,309 1,237 minutes and 59 seconds or less South M 16,789 13,744 13,933 -1.4% 1,369 1,340 1,343 1,421 West M 16,183 13,289 13,520 -1.7% 1,371 1,314 1,327 1,381 National M 61.4% 80% 80% 57.9% -27.7% 62.4% -7.3% 59.1% 60.1% 58.1% 57.1% % of Clinical Status 1 DELTA incidents responded North Leinster M 64.9% 80% 80% 63.6% -20.5% 65.4% -2.7% 64.5% 63.5% 64.0% 65.1% NAS17 to by a patient-carrying vehicle in 18 minutes and 59 Dublin Fire Brigade M 56.1% 80% 80% 51.1% -36.1% 58.3% -12.4% 53.7% 60.7% 49.9% 46.1% seconds or less South M 61.5% 80% 80% 56.8% -29.0% 62.0% -8.3% 57.9% 56.5% 56.1% 56.2% West M 62.4% 80% 80% 58.6% -26.7% 63.4% -7.6% 59.0% 58.3% 61.6% 59.7% National M 3,323 2,552 2,822 -9.6% 241 290 248 275 North Leinster M 1,714 1,222 1,468 -16.8% 132 152 112 132 NAS23 Emergency Ambulance South M 1,043 705 892 -21.0% 64 67 76 65 West M 566 625 462 35.3% 45 71 60 78 National M 27,073 28,000 23,330 24,875 6.6% 22,309 11.5% 2,321 2,457 2,380 2,582 North Leinster M 7,481 6,929 5,969 16.1% 635 678 672 753 NAS24 Intermediate Care Vehicle South M 7,714 7,282 6,398 13.8% 669 753 696 759 West M 11,878 10,664 9,942 7.3% 1,017 1,026 1,012 1,070 National M 30,396 31,100 25,910 27,427 5.9% 25,131 9.1% 2,562 2,747 2,628 2,857 North Leinster M 9,195 8,151 7,437 9.6% 767 830 784 885 NAS22 Total AS3 Calls South M 8,757 7,987 7,290 9.6% 733 820 772 824 West M 12,444 11,289 10,404 8.5% 1,062 1,097 1,072 1,148 National M 89.1% 90% 90% 90.7% 0.8% 88.8% 2.2% 90.6% 89.4% 90.6% 90.4% North Leinster M 81.4% 90% 90% 85.0% -5.5% 80.3% 5.9% 82.8% 81.7% 85.7% 85.1% NAS25 % ICV Transfer South M 88.1% 90% 90% 91.2% 1.3% 87.8% 3.9% 91.3% 91.8% 90.2% 92.1% West M 95.5% 90% 90% 94.5% 5.0% 95.6% -1.1% 95.8% 93.5% 94.4% 93.2% 86 National Ambulance Service Reporting Period October 2018 % Var Outturn YTD V Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Reporting Level Reporting Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct % of ambulance turnaround delays escalated, where ambulance crews were not cleared nationally in 60 minutes (from ambulance arrival time through clinical handover in ED or specialist unit to when the NAS28 National M 98.8% 100% 100% 97.2% -2.8% 98.9% -1.7% 96.4% 96.4% 96.7% 97.2% ambulance crew declares readiness of the ambulance to accept another call) in line with the process / flow path in the ambulance turnaround framework % of ambulance turnaround delays escalated, where ambulance crews were not cleared nationally in 30 minutes (from ambulance arrival time through clinical handover in ED or specialist unit to when the NAS64 National M 100% 100% 51.8% -48.2% 52.5% 51.0% 53.9% 54.9% ambulance crew declares readiness of the ambulance to accept another call) in line with the process / flow path in the ambulance turnaround framework National Emergency Operations Centre (NEOC)* - NAS31 % of control centres that carry out Advanced Quality National M 100.0% 100% 100% 100% 0.0% 100.0% 0.0% 100% 100% 100.0% 100.0% Assurance Audits (AQuA) National Emergency Operations Centre (NEOC)* - NAS38 % Medical Priority Dispatch System (MPDS) National M 92.7% 90% 90% 93.7% 4.1% 92.7% 1.1% 93.3% 93.1% 93.1% 94.0% Protocol Compliance Aeromedical Service - Hours (Department of NAS 61 National M 2,690 480 400 396 -1.0% 52 44 35 31 Defence) Irish Coast Guard - Calls (Department of NAS 62 National M 340 200 166 101 -39.2% 10 Transport,Tourism and Sport) 16 10 7 Note 1:There are no regional targets available for NAS3, NAS6,NAS7,NAS1,NAS24 and NAS22 Note 2:There are no national targets available for NAS10 and NAS16

87 Community Healthcare

88 Health & Wellbeing Reporting Period October 2018 % Var Outturn YTD V Reporting Previous Target/EA Full Target/EA Activity Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Reporting Level Frequency Year Year YTD YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Tobacco

No. of smokers who received intensive cessation HWB27 National M 11,952 13,000 11,353 9,306 -18.0% 10,397 -10.5% 812 803 984 952 support from a cessation counsellor

CHO 1 M 1,768 549 480 464 -3.3% 1,526 -69.6% 45 30 42 53 CHO 2 M 338 0 0 27 274 -90.1% 0 0 0 27 CHO 3 M 184 79 69 40 -42.0% 162 -75.3% 5 2 3 3 CHO 4 M 1,173 339 296 216 -27.0% 983 -78.0% 11 13 78 15 CHO 5 M 461 352 305 190 -37.7% 363 -47.7% 19 18 14 4 CHO 6 M 1,023 591 516 364 -29.5% 868 -58.1% 40 43 39 42 CHO 7 M 1,477 798 697 606 -13.1% 1,309 -53.7% 47 55 142 62 CHO 8 M 1,123 115 100 83 -17.0% 964 -91.4% 8 7 6 8 CHO 9 M 1,491 135 118 129 9.3% 1,346 -90.4% 3 2 37 13 National Quitline M 2,914 3,069 2,681 1,784 -33.5% 2,602 -31.4% 139 179 162 145 Dublin Midlands Hospital Group M 732 639 625 -2.2% 60 70 66 66 Ireland East Hospital Group M 1,505 1,315 1,188 -9.7% 114 105 107 128 RCSI Hospital Group M 2,165 1,891 1,574 -16.8% 134 130 115 170 SAOLTA Hospital Group M 1,162 1,015 898 -11.5% 81 89 64 102 South/South West Hospital Group M 940 822 931 13.3% 71 54 84 103 University Limerick Hospital Group M 469 409 187 -54.3% 35 6 25 11

Chronic Disease Management

No. of people who have completed a structured HWB64 National M 2,521 4,500 3,663 2,658 -27.4% 1,823 45.8% 261 185 176 495 patient education programme for diabetes

CHO 1 M 324 650 540 378 -30.0% 237 59.5% 52 25 23 47 CHO 2 M 208 647 540 284 -47.4% 147 93.2% 34 6 43 32 CHO 3 M 208 537 449 263 -41.4% 159 65.4% 20 38 17 33 CHO 4 M 501 523 417 438 5.0% 397 10.3% 38 0 0 122 CHO 5 M 193 345 277 171 -38.3% 135 26.7% 29 17 0 49 CHO 6 M 289 382 304 215 -29.3% 228 -5.7% 31 19 0 47 CHO 7 M 325 423 339 322 -5.0% 204 57.8% 34 32 44 32 CHO 8 M 264 605 485 424 -12.6% 163 160.1% 10 21 39 108 CHO 9 M 209 388 312 163 -47.8% 153 6.5% 13 27 10 25

Immunistations and Vaccines % of first year girls who have received two doses HWB78 National A 49.4% 85% 85% 59.4% -30.1% 49.4% 20.3% 59.4% of HPV Vaccine CHO 1 A 51.4% 85% 85% 56.7% -33.3% 51.4% 10.3% 56.7% CHO 2 A 48.4% 85% 85% 64.8% -23.7% 48.4% 33.9% 64.8% CHO 3 A 55.3% 85% 85% 68.7% -19.1% 55.3% 24.3% 68.7% CHO 4 A 46.3% 85% 85% 56.4% -33.7% 46.3% 21.7% 56.4% CHO 5 A 48.0% 85% 85% 59.7% -29.8% 48.0% 24.4% 59.7% CHO 6 A 59.8% 85% 85% 48.8% -42.6% 59.8% -18.5% 48.8% CHO 7 A 51.0% 85% 85% 62.3% -26.7% 51.0% 22.0% 62.3% CHO 8 A 44.9% 85% 85% 61.1% -28.1% 44.9% 36.1% 61.1% CHO 9 A 47.0% 85% 85% 56.7% -33.3% 47.0% 20.6% 56.7% Home Schooled A 0.0% 85% 85% 2.9% -96.6% 0.00% 2.9%

89 Health & Wellbeing Reporting Period October 2018 % Var Outturn YTD V Reporting Previous Target/EA Full Target/EA Activity Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Reporting Level Frequency Year Year YTD YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct % of Healthcare workers who have received HWB79 seasonal flu vaccine in the Current influenza National A 34.0% 65% 65% 44.8% -31.0% 34.0% 31.9% 44.8% season (acute hospitals) Children's Hospital Group A 55.1% 65% 65% 60.3% -7.2% 55.1% 9.5% 60.3% Dublin Midlands Hospital Group A 40.7% 65% 65% 43.6% -32.9% 40.7% 7.2% 43.6% Ireland East Hospital Group A 36.7% 65% 65% 45.9% -29.4% 36.7% 25.0% 45.9% RCSI Hospital Group A 43.2% 65% 65% 58.8% -9.6% 43.2% 35.9% 58.8% Saolta University Health Care Group A 20.7% 65% 65% 37.1% -43.0% 20.7% 79.4% 37.1% South / South West Hospital Group A 23.2% 65% 65% 36.1% -44.5% 23.2% 55.4% 36.1% University of Limerick Hospital Group A 25.2% 65% 65% 41.5% -36.1% 25.2% 65.1% 41.5%

% of Healthcare workers who have received HWB13 seasonal flu vaccine in the current influenza National A 27.1% 65% 65% 33.1% -49.0% 27.1% 22.1% 33.1% season (long term care facilities in the community) CHO 1 A 24.7% 65% 65% 26.0% -60.0% 24.7% 5.2% 26.0% CHO 2 A 19.9% 65% 65% 37.6% -42.1% 19.9% 89.5% 37.6% CHO 3 A 41.7% 65% 65% 35.3% -45.8% 41.7% -15.4% 35.3% CHO 4 A 24.0% 65% 65% 43.6% -32.9% 24.0% 81.9% 43.6% CHO 5 A 22.2% 65% 65% 28.7% -55.9% 22.2% 29.0% 28.7% CHO 6 A 30.3% 65% 65% 34.2% -47.4% 30.3% 12.6% 34.2% CHO 7 A 29.7% 65% 65% 37.2% -42.8% 29.7% 25.3% 37.2% CHO 8 A 31.7% 65% 65% 32.4% -50.2% 31.7% 2.2% 32.4% CHO 9 A 28.8% 65% 65% 51.0% -21.6% 28.8% 77.1% 51.0%

% uptake in Flu vaccine for those age 65 and HWB14 National A 54.5% 75% 75% 57.6% -23.2% 54.5% 5.7% 57.6% older with medical or doctor only card CHO 1 A 49.3% 75% 75% 52.5% -30.1% 49.3% 6.4% 52.5% CHO 2 A 50.6% 75% 75% 54.0% -28.0% 50.6% 6.6% 54.0% CHO 3 A 55.6% 75% 75% 58.8% -21.5% 55.6% 5.7% 58.8% CHO 4 A 54.1% 75% 75% 57.7% -23.0% 54.1% 6.8% 57.7% CHO 5 A 59.4% 75% 75% 61.7% -17.7% 59.4% 3.9% 61.7% CHO 6 A 67.7% 75% 75% 70.6% -5.8% 67.7% 4.3% 70.6% CHO 7 A 47.8% 75% 75% 52.1% -30.6% 47.8% 9.0% 52.1% CHO 8 A 52.6% 75% 75% 55.1% -26.5% 52.6% 4.9% 55.1% CHO 9 A 56.2% 75% 75% 58.7% -21.7% 56.2% 4.4% 58.7%

* Flu Vaccine Acutes - National Children's Hospital uptake is included in figure for Tallaght Hospital; St. Joseph's s uptake is included under Beaumont Hospital; Cork University Maternity Hospital uptake is included under Cork University Hospital **Flu Vaccine Acutes - The uptake for the National Rehabilitation is 53.7%. This is not included in the overall National Total for Acutes

90 Primary Care Reporting Period October 2018

Outturn % Var YTD Reporting Reporting Previous Target/EA Full Target/EA Activity V Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD YTD Tgt/EA YTD YTD SPLY V SPLY Jul Aug Sep Oct Community Intervention Teams

Community Intervention Teams (Referrals by referral PC122 National M 38,207 38,180 30,949 36,486 17.90% 31,232 16.8% 3,792 3,927 3,595 4,173 category)

CHO 1 M 612 372 268 -28.00% 82 68 65 53 CHO 2 M 2,856 3,095 2,507 3,617 44.30% 2,231 62.1% 374 413 360 395 CHO 3 M 6,618 5,533 4,562 6,971 52.80% 5,344 30.4% 751 745 705 797 CHO 4 M 4,378 4,957 3,914 3,941 0.70% 3,362 17.2% 397 497 396 496 CHO 5 M 6,898 5,709 4,634 6,753 45.70% 5,790 16.6% 656 728 619 809 CHO 6 M 1,833 1,300 1,082 1,710 58.00% 1,509 13.3% 183 180 155 192 CHO 7 M 7,594 7,896 6,507 6,302 -3.20% 6,353 -0.8% 712 641 618 671 CHO 8 M 2,448 3,290 2,576 2,273 -11.80% 1,938 17.3% 195 184 230 285 CHO 9 M 5,582 5,788 4,795 4,651 -3.00% 4,705 -1.1% 442 471 447 475

PC122A Admission Avoidance (includes OPAT) National M 754 1,186 956 499 -47.8% 649 -23.1% 53 41 43 42

CHO 1 M 22 13 7 -46.2% 7 CHO 2 M 54 105 85 50 -41.2% 48 4.2% 7 6 1 1 CHO 3 M 162 150 123 127 3.3% 134 -5.2% 4 13 8 14 CHO 4 M 194 278 224 68 -69.6% 183 -62.8% 11 10 8 7 CHO 5 M 166 257 211 123 -41.7% 143 -14.0% 16 8 8 15 CHO 6 M 5 56 46 19 -58.7% 3 533.3% 5 1 0 0 CHO 7 M 52 74 59 5 -91.5% 41 -87.8% 0 1 0 0 CHO 8 M 66 174 138 21 -84.8% 54 -61.1% 3 1 CHO 9 M 55 70 57 79 38.6% 43 83.7% 3 2 15 4

PC122B Hospital Avoidance National M 29,802 28,417 23,099 28,783 24.6% 24,443 17.8% 3,052 3,040 2,816 3,216

CHO 1 M 408 249 210 -15.7% 67 57 50 36 CHO 2 M 1,633 1,763 1,419 2,702 90.4% 1,194 126.3% 293 328 285 303 CHO 3 M 4,844 3,803 3,136 5,504 75.5% 3,895 41.3% 608 585 563 616 CHO 4 M 2,124 2,668 2,090 1,798 -14.0% 1,655 8.6% 199 172 181 202 CHO 5 M 5,875 4,489 3,643 5,985 64.3% 4,941 21.1% 594 672 564 727 CHO 6 M 1,762 1,109 923 1,596 72.9% 1,457 9.5% 173 170 146 184 CHO 7 M 7,086 7,018 5,800 6,047 4.3% 5,908 2.4% 685 611 591 649 CHO 8 M 1,497 2,137 1,671 1,180 -29.4% 1,185 -0.4% 93 105 106 131 CHO 9 M 4,981 5,022 4,168 3,761 -9.8% 4,208 -10.6% 340 340 330 368

PC122C Early Discharge (Includes OPAT) National M 5,323 5,997 4,842 4,404 -9.0% 4,333 1.6% 383 417 430 504

CHO 1 M 111 67 36 -46.3% 8 7 8 13 CHO 2 M 1,150 1,075 883 760 -13.9% 970 -21.6% 67 70 67 81 CHO 3 M 1,006 1,063 878 810 -7.7% 848 -4.5% 88 78 92 106 CHO 4 M 1,025 1,036 824 967 17.4% 765 26.4% 84 128 101 115 CHO 5 M 857 963 780 645 -17.3% 706 -8.6% 46 48 47 67 CHO 6 M 66 135 113 95 -15.9% 49 93.9% 5 9 9 8 CHO 7 M 398 644 523 218 -58.3% 347 -37.2% 23 20 21 16 CHO 8 M 439 501 388 548 41.2% 333 64.6% 30 20 55 66 CHO 9 M 382 469 386 325 -15.8% 315 3.2% 32 37 30 32

91 Primary Care Reporting Period October 2018

PC122D Unscheduled referrals from community sources National M 2,328 2,580 2,052 2,800 36.5% 1,807 55.0% 304 429 306 411

CHO 1 M 71 43 15 -65.1% 4 7 4 CHO 2 M 19 152 120 105 -12.5% 19 452.6% 7 9 7 10 CHO 3 M 606 517 425 530 24.7% 467 13.5% 51 69 42 61 CHO 4 M 1,035 975 776 1,108 42.8% 759 46.0% 103 187 106 172 CHO 5 M 0 0 CHO 6 M 0 0 CHO 7 M 58 160 125 32 -74.4% 57 -43.9% 4 9 6 6 CHO 8 M 446 478 379 524 38.3% 366 43.2% 72 59 66 87 CHO 9 M 164 227 184 486 164.1% 139 249.6% 67 92 72 71

GP Activity

PC11 No. of contacts with GP Out of Hours Service National M 1,065,230 1,024,152 826,962 861,411 4.2% 856,956 0.5% 76,093 73,608 81,025 81,789

DML M 150,313 144,118 116,370 121,303 4.2% 120,460 0.7% 10,418 9,917 11,386 11,735 DNE M 181,412 171,581 138,545 150,987 9.0% 143,648 5.1% 12,575 12,537 13,982 14,388 SOUTH M 488,161 471,973 381,099 387,862 1.8% 394,891 -1.8% 34,842 33,319 36,316 36,613 WEST M 245,344 236,480 190,948 201,259 5.4% 197,957 1.7% 18,258 17,835 19,341 19,053

Physiotherapy

% of new physiotherapy patients seen for PC15B National M 79.3% 80% 80% 80.3% 0.3% 79.2% 1.4% 81.8% 79.4% 78.2% 78.0% assessment within 12 weeks

CHO 1 M 85.4% 80% 80% 83.0% 3.7% 85.2% -2.5% 87.0% 82.7% 79.6% 81.7% CHO 2 M 78.5% 80% 80% 79.6% -0.5% 79.8% -0.2% 85.3% 81.4% 78.1% 77.1% CHO 3 M 74.0% 80% 80% 82.8% 3.5% 74.3% 11.4% 84.4% 84.9% 80.9% 81.5% CHO 4 M 87.7% 80% 80% 89.5% 11.8% 87.6% 2.2% 92.2% 89.6% 87.7% 86.7% CHO 5 M 76.6% 80% 80% 79.3% -0.9% 75.6% 4.9% 76.1% 80.8% 78.7% 80.7% CHO 6 M 85.0% 80% 80% 84.3% 5.4% 85.2% -1.1% 83.1% 86.2% 84.2% 83.7% CHO 7 M 79.8% 80% 80% 81.9% 2.3% 79.7% 2.7% 84.0% 79.2% 79.9% 79.8% CHO 8 M 79.0% 80% 80% 78.3% -2.1% 79.0% -0.8% 80.4% 72.3% 73.7% 73.3% CHO 9 M 58.6% 80% 80% 56.3% -29.6% 57.7% -2.4% 56.6% 55.6% 55.6% 52.2%

% of physiotherapy patients on waiting list for PC100G National M 94.8% 93% 93% 94.0% 1.1% 94.6% -0.6% 94.9% 94.6% 94.0% 94.0% assessment ≤ 52 weeks

CHO 1 M 94.0% 93% 93% 92.2% -0.9% 94.4% -2.3% 93.4% 93.9% 93.2% 92.2% CHO 2 M 83.4% 93% 93% 90.2% -3.0% 81.7% 10.4% 93.7% 91.9% 90.7% 90.2% CHO 3 M 99.7% 93% 93% 94.9% 2.0% 98.8% -4.0% 98.9% 97.7% 96.2% 94.9% CHO 4 M 100.0% 93% 93% 99.8% 7.3% 100.0% -0.2% 100.0% 100.0% 99.9% 99.8% CHO 5 M 98.3% 93% 93% 92.4% -0.7% 98.3% -6.1% 95.0% 94.2% 93.4% 92.4% CHO 6 M 100.0% 93% 93% 100.0% 7.5% 99.5% 0.5% 100.0% 100.0% 100.0% 100.0% CHO 7 M 98.3% 93% 93% 90.7% -2.4% 99.2% -8.5% 94.2% 92.8% 89.4% 90.7% CHO 8 M 96.3% 93% 93% 97.0% 4.3% 96.7% 0.3% 91.5% 93.3% 95.3% 97.0% CHO 9 M 92.5% 93% 93% 94.0% 1.0% 94.1% -0.2% 93.7% 93.3% 92.9% 94.0%

92 Primary Care Reporting Period October 2018

PC125 No of physiotherapy patients seen National M 587,626 581,663 486,217 483,220 -0.6% 490,680 -1.5% 48,155 46,850 47,640 51,448

Occupational Therapy

% of new occupational therapy service users seen PC20B National M 66.7% 68% 68% 64.7% -4.9% 67.5% -4.2% 64.8% 62.8% 63.5% 64.7% for assessment within 12 weeks

CHO 1 M 89.3% 68% 68% 87.0% 27.9% 88.6% -1.8% 89.1% 88.0% 86.2% 87.3% CHO 2 M 62.1% 68% 68% 67.3% -1.1% 64.9% 3.7% 67.5% 60.4% 72.1% 73.6% CHO 3 M 68.4% 68% 68% 69.0% 1.4% 67.9% 1.5% 69.5% 67.0% 75.5% 70.9% CHO 4 M 62.1% 68% 68% 54.4% -20.0% 62.5% -12.9% 52.8% 49.8% 51.3% 60.2% CHO 5 M 56.6% 68% 68% 60.2% -11.5% 57.7% 4.4% 60.3% 63.6% 60.8% 60.4% CHO 6 M 64.7% 68% 68% 59.0% -13.2% 65.3% -9.6% 65.2% 65.0% 53.5% 57.8% CHO 7 M 58.7% 68% 68% 62.1% -8.6% 58.5% 6.2% 56.7% 63.6% 65.1% 65.1% CHO 8 M 72.2% 68% 68% 66.8% -1.7% 74.9% -10.8% 67.9% 54.0% 68.5% 65.5% CHO 9 M 69.7% 68% 68% 59.8% -12.1% 70.5% -15.2% 66.4% 68.8% 45.8% 48.6%

% of occupational therapy service users on waiting PC101G National M 77.0% 85% 85% 75.1% -11.6% 76.2% -1.5% 75.9% 75.7% 74.9% 75.1% list for assessment ≤ to 52 weeks

CHO 1 M 59.1% 85% 85% 64.5% -24.1% 63.9% 0.9% 59.9% 59.5% 65.6% 64.5% CHO 2 M 87.1% 85% 85% 81.2% -4.4% 86.5% -6.1% 87.2% 86.0% 86.2% 81.2% CHO 3 M 97.3% 85% 85% 99.8% 17.4% 98.2% 1.6% 98.9% 99.0% 99.5% 99.8% CHO 4 M 69.0% 85% 85% 64.8% -23.8% 68.7% -5.7% 66.3% 65.1% 64.8% 64.8% CHO 5 M 76.3% 85% 85% 73.9% -13.0% 75.0% -1.5% 75.3% 75.6% 75.1% 73.9% CHO 6 M 81.3% 85% 85% 78.2% -8.0% 79.9% -2.0% 83.6% 82.4% 81.3% 78.2% CHO 7 M 82.3% 85% 85% 76.1% -10.5% 80.4% -5.4% 79.2% 77.9% 76.8% 76.1% CHO 8 M 70.1% 85% 85% 71.0% -16.5% 68.4% 3.8% 68.5% 69.5% 69.2% 71.0% CHO 9 M 81.2% 85% 85% 82.7% -2.8% 81.5% 1.5% 81.2% 81.6% 77.3% 82.7%

PC124 No of occupational therapy service users seen National M 335,389 336,836 280,947 297,958 6.1% 279,578 6.6% 29,347 27,496 29,519 32,555

Speech and Language Therapy

% of speech and language therapy patients on PC116B National M 96.7% 100% 100% 94.6% -5.4% 96.3% -1.8% 95.6% 95.0% 94.0% 94.6% waiting list for assessment ≤ to 52 weeks

CHO 1 M 95.2% 100% 100% 93.8% -6.2% 97.4% -3.7% 94.0% 93.7% 93.8% 93.8% CHO 2 M 98.3% 100% 100% 96.8% -3.2% 97.0% -0.2% 97.9% 96.1% 95.9% 96.8% CHO 3 M 100.0% 100% 100% 99.9% -0.1% 99.8% 0.2% 99.9% 100.0% 99.6% 99.9% CHO 4 M 93.3% 100% 100% 85.1% -14.9% 90.3% -5.7% 87.5% 86.7% 82.8% 85.1% CHO 5 M 98.6% 100% 100% 99.5% -0.5% 98.6% 0.9% 99.7% 99.7% 99.1% 99.5% CHO 6 M 100.0% 100% 100% 98.4% -1.6% 99.8% -1.4% 98.5% 99.0% 100.0% 98.4% CHO 7 M 91.1% 100% 100% 85.9% -14.1% 91.9% -6.6% 88.8% 87.4% 85.0% 85.9% CHO 8 M 98.1% 100% 100% 99.0% -1.0% 98.1% 0.9% 98.9% 98.6% 98.7% 99.0% CHO 9 M 98.9% 100% 100% 98.9% -1.1% 98.6% 0.4% 99.2% 99.0% 98.7% 98.9%

93 Primary Care Reporting Period October 2018

% of speech and language therapy patients on PC117B National M 92.3% 100% 100% 92.0% -8.0% 93.5% -1.6% 92.8% 90.9% 91.0% 92.0% waiting list for treatment ≤ to 52 weeks

CHO 1 M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 2 M 99.3% 100% 100% 99.4% -0.6% 100.0% -0.6% 99.5% 98.8% 97.8% 99.4% CHO 3 M 95.0% 100% 100% 98.4% -1.6% 98.6% -0.3% 97.2% 98.0% 97.4% 98.4% CHO 4 M 84.8% 100% 100% 82.9% -17.1% 84.3% -1.6% 86.3% 86.1% 83.6% 82.9% CHO 5 M 88.5% 100% 100% 87.3% -12.7% 90.0% -3.0% 85.4% 80.9% 85.9% 87.3% CHO 6 M 100.0% 100% 100% 100.0% 0.0% 99.6% 0.4% 100.0% 82.2% 100.0% 100.0% CHO 7 M 90.2% 100% 100% 87.9% -12.1% 92.9% -5.4% 92.4% 91.6% 88.5% 87.9% CHO 8 M 95.6% 100% 100% 99.7% -0.3% 97.7% 2.1% 99.3% 99.4% 99.6% 99.7% CHO 9 M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% 99.9% 99.6% 100.0%

PC126 No of speech and language therapy patients seen National M 279,023 279,811 233,962 233,848 -0.0% 232,889 0.4% 21,734 20,352 21,094 24,838

Podiatry

% of podiatry patients on waiting list for treatment ≤ PC104G National M 82.6% 77% 77% 71.3% -7.4% 73.3% -2.7% 75.4% 74.4% 72.8% 71.3% to 52 weeks

CHO 1 M 96.8% 77% 77% 82.5% 7.1% 95.8% -13.9% 87.3% 83.7% 84.6% 82.5% CHO 2 M 92.4% 77% 77% 100.0% 29.9% 65.0% 53.9% 100.0% 100.0% 100.0% 100.0% CHO 3 M 87.8% 77% 77% 95.5% 24.0% 85.7% 11.4% 84.8% 81.4% 97.2% 95.5% CHO 4 M 61.0% 77% 77% 43.5% -43.5% 60.3% -27.8% 52.7% 53.3% 39.3% 43.5% CHO 5 M 100.0% 77% 77% 75.4% -2.0% 100.0% -24.6% 81.9% 78.1% 77.1% 75.4% CHO 6 M CHO 7 M CHO 8 M 52.3% 77% 77% 51.6% -33.0% 54.1% -4.7% 62.3% 69.0% 65.1% 51.6% CHO 9 M

% of podiatry patients on waiting list for treatment ≤ PC104M National M 42.4% 26% 26% 26.3% 1.1% 37.2% -29.3% 34.9% 30.1% 31.5% 26.3% to12 weeks

CHO 1 M 44.0% 26% 26% 28.1% 7.9% 42.9% -34.6% 34.1% 31.6% 35.6% 28.1% CHO 2 M 70.4% 26% 26% 87.5% 236.5% 28.2% 210.7% 79.7% 79.8% 89.3% 87.5% CHO 3 M 30.3% 26% 26% 39.4% 51.7% 61.8% -36.2% 50.9% 32.8% 33.7% 39.4% CHO 4 M 21.1% 26% 26% 16.1% -38.0% 22.4% -27.9% 21.3% 18.4% 18.0% 16.1% CHO 5 M 34.8% 26% 26% 22.0% -15.4% 36.2% -39.3% 27.8% 26.4% 26.8% 22.0% CHO 6 M CHO 7 M CHO 8 M 15.1% 26% 26% 7.4% -71.6% 26.0% -71.6% 27.3% 27.5% 25.8% 7.4% CHO 9 M

PC127 No of podiatry patients seen National M 74,629 74,207 61,943 69,445 12.1% 62,104 11.8% 7,417 6,416 6,573 7,124

94 Primary Care Reporting Period October 2018

% of Opthalmology patients on waiting list for PC107G National M 61.5% 66.0% 66% 60.1% -8.9% 63.3% -5.0% 56.9% 56.9% 59.0% 60.1% treatment ≤ to 52 weeks

CHO 1 M 97.8% 66.0% 66% 87.8% 33.0% 98.7% -11.0% 89.4% 88.5% 87.2% 87.8% CHO 2 M 85.5% 66.0% 66% 84.6% 28.2% 62.8% 34.7% 84.8% 86.1% 82.4% 84.6% CHO 3 M 70.2% 66.0% 66% 75.6% 14.5% 74.1% 2.0% 61.4% 59.4% 79.1% 75.6% CHO 4 M 29.8% 66.0% 66% 33.1% -49.8% 26.0% 27.4% 31.2% 29.7% 30.9% 33.1% CHO 5 M 76.8% 66.0% 66% 89.4% 35.4% 78.8% 13.4% 77.3% 82.1% 83.5% 89.4% CHO 6 M 100.0% 66.0% 66% 100.0% 51.5% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 7 M 83.1% 66.0% 66% 58.6% -11.2% 90.0% -34.9% 63.3% 62.4% 60.4% 58.6% CHO 8 M 70.6% 66.0% 66% 65.5% -0.7% 77.9% -15.9% 67.5% 70.8% 66.1% 65.5% CHO 9 M 39.5% 66.0% 66% 39.7% -39.8% 58.5% -32.1% 36.1% 37.4% 39.4% 39.7%

% of Opthalmology patients on waiting list for PC107M National M 24.2% 26% 26% 22.6% -12.9% 20.8% 8.9% 21.2% 18.8% 19.4% 22.6% treatment ≤ to 12 weeks

CHO 1 M 41.5% 26% 26% 40.7% 56.5% 37.4% 8.7% 39.1% 37.6% 35.3% 40.7% CHO 2 M 28.7% 26% 26% 27.4% 5.3% 22.7% 20.5% 26.5% 23.5% 24.3% 27.4% CHO 3 M 28.1% 26% 26% 34.3% 32.0% 29.6% 16.1% 25.2% 24.7% 33.0% 34.3% CHO 4 M 11.9% 26% 26% 11.6% -55.3% 7.4% 56.5% 11.8% 9.3% 9.3% 11.6% CHO 5 M 41.9% 26% 26% 48.3% 85.8% 43.9% 9.9% 42.4% 41.0% 38.9% 48.3% CHO 6 M 100.0% 26% 26% 82.4% 217.0% 100.0% -17.6% 88.3% 76.7% 85.3% 82.4% CHO 7 M 17.6% 26% 26% 11.8% -54.8% 18.0% -34.7% 16.3% 15.0% 11.8% 11.8% CHO 8 M 19.9% 26% 26% 31.0% 19.4% 22.2% 39.8% 36.8% 35.1% 33.9% 31.0% CHO 9 M 13.3% 26% 26% 8.7% -66.6% 5.6% 55.8% 6.6% 3.9% 4.9% 8.7%

PC128 No. Of Opthalmology patients seen National M 96,484 96,404 80,585 84,117 4.4% 79,843 5.4% 9,017 7,777 7,486 8,711

Audiology

% of audiology patients on waiting list for treatment ≤ PC108G National M 86.5% 88% 88% 85.4% -3.0% 86.0% -0.7% 87.0% 86.9% 86.1% 85.4% to 52 weeks

CHO 1 M 98.5% 88% 88% 100.0% 13.6% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 2 M 100.0% 88% 88% 97.8% 11.1% 98.5% -0.7% 94.5% 94.4% 93.1% 97.8% CHO 3 M 78.1% 88% 88% 72.4% -17.7% 71.2% 1.7% 76.8% 74.4% 73.3% 72.4% CHO 4 M 94.6% 88% 88% 98.3% 11.7% 95.4% 3.0% 98.3% 99.3% 99.0% 98.3% CHO 5 M 68.1% 88% 88% 66.5% -24.5% 69.5% -4.3% 69.9% 69.0% 67.3% 66.5% CHO 6 M CHO 7 M 100.0% 88% 88% 98.7% 89.7% 89.9% 90.5% CHO 8 M 71.0% 88% 88% 69.4% -21.1% 68.6% 1.2% 70.3% 69.7% 69.9% 69.4% CHO 9 M 90.7% 88% 88% 99.2% 12.7% 96.2% 3.1% 100.0% 100.0% 100.0% 99.2%

95 Primary Care Reporting Period October 2018

% of audiology patients on waiting list for treatment ≤ PC108M National M 36.3% 41% 41% 36.2% -11.7% 38.8% -6.8% 38.0% 38.8% 36.5% 36.2% to 12 weeks

CHO 1 M 66.9% 41% 41% 61.4% 49.8% 68.5% -10.4% 65.3% 63.6% 63.2% 61.4% CHO 2 M 43.5% 41% 41% 32.4% -21.0% 43.9% -26.2% 33.7% 30.8% 29.7% 32.4% CHO 3 M 25.2% 41% 41% 24.9% -39.4% 25.7% -3.1% 27.7% 27.3% 25.4% 24.9% CHO 4 M 36.6% 41% 41% 49.9% 21.6% 37.1% 34.5% 47.6% 50.8% 49.6% 49.9% CHO 5 M 20.6% 41% 41% 21.7% -47.1% 24.2% -10.2% 24.5% 22.5% 21.1% 21.7% CHO 6 M CHO 7 M 43.2% 41% 41% 63.0% 34.7% 47.1% 40.5% CHO 8 M 24.3% 41% 41% 21.2% -48.2% 22.6% -6.1% 20.8% 19.6% 20.4% 21.2% CHO 9 M 24.2% 41% 41% 37.0% -9.7% 34.8% 6.5% 48.1% 55.6% 37.3% 37.0%

PC129 No of Audiology patients seen National M 52,984 52,548 43,324 42,111 -2.8% 44,112 -4.5% 4,375 4,416 3,768 4,059

Dietetics

% of patients on dietetic waiting list who are waiting PC109G National M 73.8% 79% 79% 75.2% -4.9% 75.2% 0.0% 70.1% 70.9% 70.5% 75.2% ≤ 52 weeks

CHO 1 M 98.0% 79% 79% 99.1% 25.4% 97.6% 1.5% 98.7% 98.2% 98.1% 99.1% CHO 2 M 57.8% 79% 79% 73.6% -6.8% 58.0% 27.0% 52.2% 53.0% 49.0% 73.6% CHO 3 M 70.7% 79% 79% 59.5% -24.7% 81.4% -26.8% 62.1% 62.0% 59.3% 59.5% CHO 4 M 94.9% 79% 79% 94.6% 19.7% 97.0% -2.5% 94.9% 95.6% 95.5% 94.6% CHO 5 M 57.4% 79% 79% 56.0% -29.1% 59.2% -5.4% 55.6% 55.4% 55.1% 56.0% CHO 6 M 100.0% 79% 79% 100.0% 26.6% 97.6% 2.4% 100.0% 100.0% 100.0% 100.0% CHO 7 M 95.8% 79% 79% 92.8% 17.5% 94.3% -1.6% 92.4% 93.3% 94.2% 92.8% CHO 8 M 61.6% 79% 79% 64.6% -18.2% 57.3% 12.9% 55.2% 60.7% 60.6% 64.6% CHO 9 M 92.3% 79% 79% 86.0% 8.9% 92.0% -6.5% 87.4% 86.5% 85.1% 86.0%

% of patients on dietetic waiting list who are waiting PC109M National M 35.2% 37% 37% 38.1% 2.9% 35.0% 8.9% 35.8% 36.5% 34.9% 38.1% ≤ 12 weeks

CHO 1 M 57.1% 37% 37% 53.9% 45.8% 58.1% -7.2% 54.4% 49.9% 51.2% 53.9% CHO 2 M 21.3% 37% 37% 34.1% -7.8% 20.4% 66.8% 23.5% 25.6% 17.6% 34.1% CHO 3 M 22.8% 37% 37% 28.6% -22.8% 26.5% 7.7% 27.7% 27.9% 27.0% 28.6% CHO 4 M 54.8% 37% 37% 59.4% 60.5% 56.3% 5.5% 63.4% 62.4% 61.2% 59.4% CHO 5 M 22.8% 37% 37% 16.5% -55.4% 20.5% -19.3% 19.8% 20.1% 16.0% 16.5% CHO 6 M 80.7% 37% 37% 77.2% 108.7% 83.8% -7.9% 94.8% 79.4% 79.1% 77.2% CHO 7 M 52.3% 37% 37% 51.7% 39.6% 44.7% 15.5% 50.7% 51.2% 53.5% 51.7% CHO 8 M 26.8% 37% 37% 35.9% -3.1% 21.0% 70.5% 26.7% 30.5% 33.2% 35.9% CHO 9 M 53.9% 37% 37% 36.7% -0.7% 62.7% -41.4% 35.7% 38.7% 34.3% 36.7%

PC130 No. of Dietetics patients seen National M 63,961 63,383 53,272 53,780 1.0% 53,372 0.8% 5,162 4,805 5,569 6,370

96 Primary Care Reporting Period October 2018

% of psychology patients on the waiting list for PC103G National M 72.2% 81% 81% 75.1% -7.2% 70.7% 6.2% 75.1% 75.6% 76.4% 75.1% treatment ≤ to 52 weeks

CHO 1 M 67.6% 81% 81% 87.7% 8.3% 64.1% 36.8% 87.0% 86.8% 87.8% 87.7% CHO 2 M 70.5% 81% 81% 72.2% -10.9% 65.4% 10.4% 71.7% 72.7% 72.0% 72.2% CHO 3 M 60.8% 81% 81% 61.8% -23.6% 57.0% 8.5% 66.5% 64.7% 63.8% 61.8% CHO 4 M 55.3% 81% 81% 63.3% -21.8% 53.4% 18.4% 58.6% 60.1% 62.2% 63.3% CHO 5 M 74.4% 81% 81% 82.0% 1.2% 73.7% 11.3% 80.9% 83.0% 80.8% 82.0% CHO 6 M 99.0% 81% 81% 84.9% 4.8% 99.3% -14.4% 92.3% 99.5% 99.6% 84.9% CHO 7 M 77.0% 81% 81% 69.2% -14.5% 79.8% -13.2% 69.4% 70.5% 70.6% 69.2% CHO 8 M 96.3% 81% 81% 92.3% 13.9% 82.8% 11.4% 86.4% 88.4% 88.9% 92.3% CHO 9 M 75.9% 81% 81% 75.5% -6.7% 77.0% -1.9% 78.0% 77.0% 79.0% 75.5%

% of psychology patients on waiting list for treatment PC103M National M 25.0% 36% 36% 26.5% -26.4% 22.3% 18.8% 28.2% 27.8% 27.8% 26.5% ≤ to 12 weeks

CHO 1 M 30.7% 36% 36% 47.7% 32.4% 21.5% 121.4% 39.5% 42.8% 42.8% 47.7% CHO 2 M 20.7% 36% 36% 19.6% -45.7% 16.8% 16.4% 27.3% 29.4% 26.7% 19.6% CHO 3 M 15.4% 36% 36% 17.2% -52.3% 16.9% 1.4% 18.5% 21.6% 19.8% 17.2% CHO 4 M 19.9% 36% 36% 16.7% -53.7% 16.6% 0.4% 20.9% 18.8% 16.8% 16.7% CHO 5 M 22.0% 36% 36% 25.1% -30.3% 23.6% 6.4% 26.7% 22.8% 23.3% 25.1% CHO 6 M 50.8% 36% 36% 43.7% 21.3% 38.6% 13.2% 48.8% 49.9% 49.6% 43.7% CHO 7 M 24.2% 36% 36% 18.4% -48.9% 23.6% -22.2% 20.0% 20.8% 20.3% 18.4% CHO 8 M 51.6% 36% 36% 49.7% 38.0% 35.4% 40.3% 40.1% 45.6% 43.7% 49.7% CHO 9 M 17.6% 36% 36% 24.6% -31.7% 18.9% 30.0% 27.1% 23.2% 28.0% 24.6%

PC131 No of Psychology patients seen National M 36,799 40,024 33,402 35,002 4.8% 30,477 14.8% 3,463 3,152 3,448 3,388

Nursing

% of new patients accepted onto the Nursing PC110A National M-1M 86.7% 96% 96% 101.3% 5.5% 95.2% 6.4% 100.0% 101.2% 101.3% caseload and seen within 12 weeks

CHO 1 M-1M 90.6% 96% 96% 99.3% 3.5% 81.8% 21.5% 98.3% 96.9% 99.3% CHO 2 M-1M 96.7% 96% 96% 110.4% 15.0% 99.3% 11.1% 111.3% 115.1% 110.4% CHO 3 M-1M 93.6% 96% 96% 103.0% 7.3% 95.8% 7.6% 104.0% 104.8% 103.0% CHO 4 M-1M 71.0% 96% 96% 100.2% 4.4% 700.0% -85.7% 95.8% 96.5% 100.2% CHO 5 M-1M 94.9% 96% 96% 101.0% 5.2% 91.9% 9.8% 102.1% 101.8% 101.0% CHO 6 M-1M 94.4% 96% 96% 87.9% -8.4% 92.1% -4.6% 92.4% 95.5% 87.9% CHO 7 M-1M 68.0% 96% 96% 102.4% 6.7% 80.8% 26.7% 99.0% 99.9% 102.4% CHO 8 M-1M 91.5% 96% 96% 100.0% 4.2% 89.0% 12.4% 98.1% 99.3% 100.0% CHO 9 M-1M 83.7% 96% 96% 98.9% 3.0% 97.8% 1.1% 98.0% 99.3% 98.9%

PC132 No of Nursing patients seen National M-1M 687,704 743,605 557,427 539,631 -3.2% 477,661 13.0% 55,491 55,692 54,239

97 Primary Care Reporting Period October 2018

No. of Therapies / Community Healthcare Network PC149 National M 1,526,895 1,524,876 1,273,646 1,299,481 2.0% 1,273,055 2.1% 128,670 121,264 125,097 138,493 Services patients seen

Child Health % of children reaching 10 months within the reporting period who have had their child PC134 National M-1M 92.8% 95% 95% 92.8% -2.3% 93.0% -0.2% 93.5% 91.9% 94.3% development health screening on time before reaching 10 months of age CHO 1 M-1M 91.6% 95% 95% 90.4% -4.8% 92.0% -1.6% 94.6% 92.6% 93.9% CHO 2 M-1M 94.2% 95% 95% 91.3% -3.9% 94.1% -3.0% 95.8% 87.0% 92.6% CHO 3 M-1M 85.2% 95% 95% 85.2% -10.3% 85.7% -0.5% 92.3% 92.7% 90.7% CHO 4 M-1M 93.8% 95% 95% 92.1% -3.1% 93.7% -1.8% 92.4% 89.0% 92.5% CHO 5 M-1M 93.7% 95% 95% 92.8% -2.3% 93.5% -0.7% 94.2% 87.4% 95.0% CHO 6 M-1M 91.0% 95% 95% 92.0% -3.1% 91.0% 1.2% 94.3% 92.0% 93.9% CHO 7 M-1M 93.6% 95% 95% 95.4% 0.4% 94.6% 0.7% 87.6% 94.4% 96.2% CHO 8 M-1M 93.1% 95% 95% 95.1% 0.1% 93.1% 2.1% 96.3% 93.3% 95.0% CHO 9 M-1M 94.8% 95% 95% 94.8% -0.2% 95.2% -0.3% 95.4% 95.5% 95.9%

Oral Health % of new Oral Health patients who commenced PC34A treatment within three months of scheduled oral National M 92.1% 92% 92% 90.4% -1.8% 92.1% -1.9% 91.3% 90.5% 89.0% 91.4% health assessment CHO 1 M 83.4% 92% 92% 81.6% -11.3% 82.5% -1.1% 77.1% 72.8% 77.8% 84.2% CHO 2 M 86.6% 92% 92% 87.5% -4.9% 87.0% 0.5% 93.5% 91.7% 93.1% 90.6% CHO 3 M 93.8% 92% 92% 96.6% 5.0% 99.9% 98.6% 95.0% 92.0% CHO 4 M 97.6% 92% 92% 96.1% 4.5% 97.6% -1.5% 98.5% 97.9% 97.8% 97.7% CHO 5 M 77.6% 92% 92% 75.7% -17.8% 76.6% -1.3% 82.9% 79.1% 59.5% 70.3% CHO 6 M 97.2% 92% 92% 98.6% 7.2% 97.1% 1.6% 99.3% 98.9% 99.8% 99.1% CHO 7 M 96.4% 92% 92% 95.6% 3.9% 96.1% -0.5% 93.3% 98.2% 98.0% 99.8% CHO 8 M 87.1% 92% 92% 77.8% -15.5% 89.2% -12.8% 69.9% 70.2% 81.4% 81.5% CHO 9 M 99.3% 92% 92% 99.5% 8.2% 99.4% 0.2% 99.4% 99.7% 99.5% 99.6% Paediatric Homecare Packages No of packages (based on average cost per PC147 National M 508 584 570 364 -36.1% 498 -26.9% 348 355 359 364 package of €0.075m) Virus Reference Lab PC148 No. of Tests National M 853,482 855,288 712,742 760,539 6.7% 75,709 72,570 78,007 85,376 GP PC150 No. of Trainees National A 170 198 198 194 -2% 170 14.1% 194

* GP Out of HoursTargets: Note that the 2018 full year target as per the National Service Plan 2018 is 1,105,151. Target of 1,024,152 above excludes the additional activity associated with the expansion of structured GP OOH provision in CHO 6 and will be updated on completion of the procurement process for this service.

98 Social Inclusion Reporting Period October 2018 % Var YTD Outturn V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Opioid substitution Total no. of clients in receipt of opioid substitution SI1 National M-1M 9,804 10,028 9,884 9,822 -0.6% 9,768 0.6% 9,755 9,789 9,822 treatment (outside prisons) CHO 1 M-1M 99 93 93 105 12.9% 93 12.9% 100 101 105 CHO 2 M-1M 143 143 143 157 9.8% 141 11.3% 154 153 157 CHO 3 M-1M 322 367 331 334 0.9% 310 7.7% 340 331 334 CHO 4 M-1M 516 500 500 532 6.4% 508 4.7% 505 516 532 CHO 5 M-1M 509 562 530 528 -0.4% 506 4.3% 514 529 528 CHO 6 M-1M 1,007 991 992 1,031 3.9% 1,005 2.6% 1,039 1,031 1,031 CHO 7 M-1M 3,607 3,716 3,665 3,563 -2.8% 3,605 -1.2% 3,544 3,577 3,563 CHO 8 M-1M 644 684 658 663 0.8% 648 2.3% 653 655 663 CHO 9 M-1M 2,957 2,972 2,972 2,909 -2.1% 2,952 -1.5% 2,906 2,896 2,909

Average waiting time (days) from referral to SI13 National M-1M 5.5 3 3 4.2 40.0% 3.1 35.5% 2.8 5.0 4.2 assessment for opioid substitution treatment CHO 1 M-1M 0.8 3 3 0.0 -100.0% 0.0 0.0 0.0 0.0 CHO 2 M-1M 15.0 3 3 -100.0% 0.0 CHO 3 M-1M 0.0 3 3 0.3 -90.0% 0.0 0.0 0.4 0.3 CHO 4 M-1M 25.0 3 3 16.9 463.3% 0.0 12.0 17.0 16.9 CHO 5 M-1M 10.7 3 3 8.2 173.3% 5.1 60.8% 16.7 12.3 8.2 CHO 6 M-1M 0.0 3 3 2.5 -16.7% 0.0 1.2 0.5 2.5 CHO 7 M-1M 5.6 3 3 1.6 -46.7% 4.5 -64.4% 1.2 2.5 1.6 CHO 8 M-1M 13.3 3 3 8.1 170.0% 3.0 170.0% 7.2 6.2 8.1 CHO 9 M-1M 0.7 3 3 0.0 -100.0% 5.7 -100.0% 2.9 4.8 0.0

Average waiting time (days) from opioid substitution SI14 assessment to exit from waiting list or treatment National M-1M 155.5 28 28 53.6 91.4% 16.0 235.0% 22.8 19.7 53.6 commenced CHO 1 M-1M 0.0 28 28 82.0 192.9% 128.0 -35.9% 0.0 0.0 82.0 CHO 2 M-1M 17.3 28 28 -100.0% 0.0 CHO 3 M-1M 0.0 28 28 87.9 213.9% 0.0 81.3 84.0 87.9 CHO 4 M-1M 25.7 28 28 27.4 -2.1% 0.0 184.0 32.6 27.4 CHO 5 M-1M 26.8 28 28 6.7 -76.1% 3.0 123.3% 7.4 10.2 6.7 CHO 6 M-1M 1.7 28 28 7.3 -73.9% 0.0 2.8 0.0 7.3 CHO 7 M-1M 179.4 28 28 71.5 155.4% 5.8 1132.8% 17.9 9.0 71.5 CHO 8 M-1M 0.0 28 28 159.4 469.3% 78.2 103.8% 142.5 118.0 159.4 CHO 9 M-1M 179.8 28 28 16.5 -41.1% 10.4 58.7% 14.2 21.1 16.5

99 Palliative Care Reporting Period October 2018 % Var YTD Outturn V Reporting Reporting Previous Target/EA Full Target/EA Activity Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Inpatient Pall Care Services Access to specialist inpatient bed within seven PAC1A National M 97.8% 98% 98% 98.2% 0.2% 97.7% 0.5% 96.3% 98.1% 98.3% 98.4% days(during the reporting month) CHO 1 M 99.7% 98% 98% 100.0% 2.0% 99.6% 0.4% 100.0% 100.0% 100.0% 100.0% CHO 2 M 99.7% 98% 98% 100.0% 2.0% 99.6% 0.4% 100.0% 100.0% 100.0% 100.0% CHO 3 M 100.0% 98% 98% 100.0% 2.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 4 M 100.0% 98% 98% 100.0% 2.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 5 M 100.0% 98% 98% 100.0% 2.0% 100.0% 0.0% 100.0% 100.0% 100.0% CHO 6 M 97.0% 98% 98% 97.6% -0.4% 96.3% 1.3% 100.0% 100.0% 100.0% 72.7% CHO 7 M 96.5% 98% 98% 97.6% -0.4% 96.6% 1.0% 88.9% 100.0% 98.2% 98.4% CHO 8 M CHO 9 M 93.0% 98% 98% 92.7% -5.4% 93.0% -0.3% 87.7% 88.5% 92.5% 98.2%

No. accessing specialist inpatient bed within seven PAC33 National M 3,402 3,595 2,999 3,164 5.5% 2,821 12.2% 311 316 290 307 days (during the reporting month) CHO 1 M 321 347 290 281 -3.1% 284 -1.1% 32 39 27 16 CHO 2 M 307 296 247 284 15.0% 251 13.1% 30 25 26 33 CHO 3 M 557 544 453 498 9.9% 453 9.9% 56 42 44 53 CHO 4 M 646 894 746 816 9.4% 547 49.2% 86 81 77 82 CHO 5 M 96 81 68 52 -23.5% 77 -32.5% 3 1 0 1 CHO 6 M 191 164 137 163 19.0% 157 3.8% 14 21 13 8 CHO 7 M 687 712 593 560 -5.6% 563 -0.5% 40 61 54 60 CHO 8 M CHO 9 M 597 557 465 510 9.7% 489 4.3% 50 46 49 54

% of patients triaged within one working day of PAC34 National M 97.1% 95% 95% 96.4% 1.5% 96.6% -0.2% 99.7% 100.0% 100.0% 99.7% referral (Inpatient Unit) CHO 1 M 100.0% 95% 95% 99.6% 4.9% 100.0% -0.4% 100.0% 100.0% 100.0% 100.0% CHO 2 M 94.2% 95% 95% 100.7% 6.0% 93.1% 8.2% 100.0% 100.0% 100.0% 100.0% CHO 3 M 100.0% 95% 95% 100.0% 5.3% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 4 M 97.2% 95% 95% 89.6% -5.7% 96.2% -6.9% 100.0% 100.0% 100.0% 100.0% CHO 5 M 78.1% 95% 95% 78.8% -17.0% 72.7% 8.4% 100.0% 100.0% 100.0% CHO 6 M 99.4% 95% 95% 100.0% 5.3% 99.7% 0.3% 100.0% 100.0% 100.0% 100.0% CHO 7 M 98.7% 95% 95% 96.0% 1.1% 98.7% -2.7% 98.2% 100.0% 100.0% 98.6% CHO 8 M CHO 9 M 95.0% 95% 95% 100.0% 5.3% 93.8% 6.6% 100.0% 100.0% 100.0% 100.0%

% of patients with a multidisciplinary care plan PAC35 documented within five working days of initial National M 80.6% 90% 90% 90.9% 1.0% 78.9% 15.2% 93.2% 91.0% 85.9% 96.0% assessment (Inpatient Unit) CHO 1 M 88.2% 90% 90% 94.7% 5.2% 87.7% 7.9% 90.6% 89.7% 92.6% 100.0% CHO 2 M 109.7% 90% 90% 100.7% 11.9% 111.9% -10.0% 100.0% 100.0% 100.0% 100.0% CHO 3 M 100.0% 90% 90% 100.0% 11.1% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 4 M 61.5% 90% 90% 91.8% 2.0% 52.1% 76.2% 100.0% 100.0% 100.0% 100.0% CHO 5 M 100.0% 90% 90% 78.8% -12.4% 100.0% -21.2% 100.0% 100.0% 100.0% CHO 6 M 100.0% 90% 90% 100.0% 11.1% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 7 M 77.4% 90% 90% 98.7% 9.7% 76.7% 28.7% 104.4% 106.6% 100.0% 104.9% CHO 8 M CHO 9 M 57.5% 90% 90% 60.9% -32.3% 58.2% 4.8% 63.8% 44.2% 39.1% 65.1%

100 Palliative Care Reporting Period October 2018 % Var YTD Outturn V Reporting Reporting Previous Target/EA Full Target/EA Activity Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Community Pall Care Services

Access to specialist palliative care services in the PAC9A community provided within seven days (normal place National M 92.1% 95% 95% 87.0% -8.4% 92.6% -6.1% 86.9% 85.4% 85.3% 82.5% of residence) (during the reporting month)

CHO 1 M 95.9% 95% 95% 92.5% -2.6% 96.0% -3.6% 92.4% 91.7% 95.5% 88.2% CHO 2 M 94.9% 95% 95% 92.5% -2.7% 95.3% -2.9% 97.9% 88.6% 87.8% 75.0% CHO 3 M 93.4% 95% 95% 76.5% -19.5% 96.3% -20.5% 79.7% 56.1% 75.4% 73.9% CHO 4 M 85.7% 95% 95% 80.3% -15.5% 86.0% -6.7% 75.4% 82.1% 68.8% 77.8% CHO 5 M 96.3% 95% 95% 94.0% -1.0% 97.1% -3.2% 99.0% 88.9% 90.5% 85.7% CHO 6 M 88.5% 95% 95% 86.6% -8.9% 87.5% -1.0% 83.6% 98.0% 98.1% 90.5% CHO 7 M 86.4% 95% 95% 80.6% -15.1% 87.2% -7.6% 79.1% 97.1% 95.1% 70.2% CHO 8 M 94.8% 95% 95% 87.9% -7.5% 95.5% -7.9% 87.1% 94.6% 90.8% 88.6% CHO 9 M 94.0% 95% 95% 92.4% -2.7% 94.3% -2.0% 89.2% 75.3% 78.9% 94.7%

% of patients triaged within one working day of PAC36 National M 94.7% 94% 94% 95.6% 1.8% 94.4% 1.3% 94.9% 95.9% 94.8% 98.7% referral (Community) CHO 1 M 97.5% 94% 94% 99.2% 5.5% 97.8% 1.5% 100.0% 100.0% 94.5% 100.0% CHO 2 M 92.2% 94% 94% 90.3% -3.9% 92.5% -2.3% 93.8% 84.4% 88.0% 93.3% CHO 3 M 95.4% 94% 94% 92.8% -1.3% 90.9% 2.1% 84.7% 98.0% 95.0% 100.0% CHO 4 M 93.7% 94% 94% 96.4% 2.6% 93.2% 3.4% 100.0% 97.4% 100.0% 100.0% CHO 5 M 98.2% 94% 94% 98.2% 4.5% 98.4% -0.2% 97.4% 96.5% 98.0% 98.1% CHO 6 M 97.6% 94% 94% 99.9% 6.2% 97.1% 2.9% 100.0% 100.0% 100.0% 100.0% CHO 7 M 87.7% 94% 94% 97.3% 3.5% 86.0% 13.1% 100.0% 100.0% 100.0% 100.0% CHO 8 M 97.9% 94% 94% 96.4% 2.5% 98.7% -2.3% 99.3% 97.0% 96.8% 95.0% CHO 9 M 92.7% 94% 94% 92.3% -1.8% 94.6% -2.4% 81.2% 92.9% 82.0% 102.7%

No. of patients who received specialist palliative care PAC14 treatment in their normal place of residence in the National M 3,331 3,376 3,376 3,544 5.0% 3,410 3.9% 3,598 3,452 3,535 3,544 month CHO 1 M 434 369 369 412 11.7% 379 8.7% 390 420 405 412 CHO 2 M 415 409 409 352 -13.9% 428 -17.8% 445 438 387 352 CHO 3 M 335 354 354 362 2.3% 324 11.7% 340 345 337 362 CHO 4 M 521 591 591 590 -0.2% 598 -1.3% 571 583 709 590 CHO 5 M 405 422 422 498 18.0% 429 16.1% 470 442 450 498 CHO 6 M 258 260 260 292 12.3% 298 -2.0% 290 254 263 292 CHO 7 M 291 234 234 307 31.2% 251 22.3% 331 295 281 307 CHO 8 M 371 437 437 392 -10.3% 393 -0.3% 437 353 398 392 CHO 9 M 301 300 300 339 13.0% 310 9.4% 324 322 305 339

101 Palliative Care Reporting Period October 2018 % Var YTD Outturn V Reporting Reporting Previous Target/EA Full Target/EA Activity Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Children Palliative Care No. of children in the care of the Clinical Nurse Co- PAC37 ordinator for Children with Life Limiting Conditions National M 219 280 280 195 -30.4% 294 -33.7% 223 210 214 195 (children’s outreach nurse) CHO 1 M 16 25 25 32 28.0% 26 23.1% 32 33 12 32 CHO 2 M 31 32 32 33 3.1% 26 26.9% 27 13 33 33 CHO 3 M 43 38 38 43 13.2% 40 7.5% 43 42 43 43 CHO 4 M 42 37 37 15 -59.5% 46 -67.4% 49 52 55 15 CHO 5 M 38 25 25 39 CHO 6 M 16 21 21 16 -23.8% 19 -15.8% 16 15 16 16 CHO 7 M 33 39 39 33 -15.4% 37 -10.8% 34 33 33 33 CHO 8 M 30 30 23 -23.3% 27 -14.8% 22 22 22 23 CHO 9 M 33 33 34

No. of children in the care of the acute specialist PAC39 paediatric palliative care team (during the reporting National M 55 97 97 61 -37.1% 56 8.9% 68 56 59 61 month) Our Lady's Children's M 55 97 97 61 -37.1% 56 8.9% 68 56 59 61 Hospital Crumlin

102 Mental Health Reporting Period October 2018

Outturn Reporting Reporting Previous Target/EA Full Target/EA Activity % Var YTD V Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD YTD Tgt/EA YTD YTD SPLY V SPLY Jul Aug Sep Oct Adult Mental Health Services

% of accepted referrals / re-referrals offered first MH1 appointment within 12 weeks / 3 months by General National M 93.2% 90% 90% 91.8% 2.0% 93.1% -1.4% 91.1% 91.4% 91.0% 92.7% Adult Community Mental Health Team

CHO 1 M 91.2% 90% 90% 92.8% 3.1% 90.5% 2.5% 93.7% 95.0% 95.8% 97.7% CHO 2 M 99.2% 90% 90% 99.0% 10.0% 99.2% -0.1% 99.7% 98.8% 99.2% 98.6% CHO 3 M 96.5% 90% 90% 95.4% 6.1% 96.8% -1.4% 94.3% 97.7% 94.0% 96.7% CHO 4 M 93.5% 90% 90% 92.6% 2.9% 93.6% -1.1% 97.0% 98.0% 91.3% 95.3% CHO 5 M 96.8% 90% 90% 95.3% 5.9% 96.8% -1.5% 98.3% 94.2% 91.9% 91.7% CHO 6 M 99.3% 90% 90% 99.0% 10.0% 99.3% -0.3% 100.0% 98.8% 97.4% 98.1% CHO 7 M 84.8% 90% 90% 85.3% -5.2% 84.0% 1.5% 78.9% 85.7% 85.0% 86.8% CHO 8 M 92.6% 90% 90% 88.7% -1.4% 92.8% -4.4% 84.8% 85.1% 88.5% 91.0% CHO 9 M 84.1% 90% 90% 81.0% -10.0% 84.5% -4.2% 78.9% 72.3% 80.8% 79.6%

% of accepted referrals / re-referrals offered first MH2 appointment and seen within 12 weeks / 3 months by National M 74.1% 75% 75% 72.3% -3.5% 74.2% -2.5% 70.7% 72.1% 71.2% 72.7% General Adult Community Mental Health Team

CHO 1 M 76.6% 75% 75% 78.8% 5.1% 75.7% 4.1% 79.3% 78.4% 78.4% 86.9% CHO 2 M 90.5% 75% 75% 88.6% 18.1% 90.4% -2.0% 87.9% 86.5% 90.0% 88.0% CHO 3 M 71.9% 75% 75% 69.6% -7.2% 72.1% -3.6% 67.9% 69.1% 72.6% 72.7% CHO 4 M 66.8% 75% 75% 66.6% -11.2% 67.3% -1.0% 71.2% 73.5% 62.7% 64.3% CHO 5 M 86.5% 75% 75% 86.3% 15.1% 86.5% -0.2% 89.0% 83.7% 84.2% 87.0% CHO 6 M 83.5% 75% 75% 84.0% 11.9% 83.3% 0.8% 81.7% 86.2% 81.3% 82.0% CHO 7 M 67.7% 75% 75% 67.3% -10.3% 67.3% -0.1% 57.6% 64.3% 70.7% 65.9% CHO 8 M 65.7% 75% 75% 61.2% -18.5% 65.9% -7.2% 56.6% 62.0% 59.6% 63.0% CHO 9 M 61.9% 75% 75% 57.7% -23.1% 61.8% -6.7% 54.6% 51.4% 54.7% 57.4%

%. of new (including re-referred) General Adult MH24 Community Mental Health Team cases offered National M 21.4% <20% <20% 22.6% 13.1% 21.3% 6.1% 24.4% 22.6% 23.1% 22.9% appointment and DNA in the current month

CHO 1 M 17.2% <20% <20% 15.9% -20.7% 17.4% -8.6% 17.1% 17.8% 18.6% 11.2% CHO 2 M 8.9% <20% <20% 10.8% -46.2% 9.0% 19.6% 11.8% 12.7% 9.7% 11.4% CHO 3 M 26.1% <20% <20% 28.0% 39.9% 26.1% 7.1% 30.5% 30.0% 24.7% 25.1% CHO 4 M 29.6% <20% <20% 29.1% 45.5% 29.2% -0.4% 26.3% 25.5% 32.0% 32.6% CHO 5 M 10.7% <20% <20% 10.4% -47.8% 10.6% -1.3% 9.6% 13.8% 11.4% 8.3% CHO 6 M 15.8% <20% <20% 15.3% -23.6% 15.9% -4.1% 18.3% 13.0% 17.1% 16.0% CHO 7 M 20.9% <20% <20% 22.9% 14.5% 20.8% 10.1% 30.0% 27.4% 18.9% 25.1% CHO 8 M 30.2% <20% <20% 32.9% 64.4% 30.0% 9.7% 35.2% 29.7% 32.5% 32.5% CHO 9 M 28.5% <20% <20% 30.3% 51.7% 28.9% 5.1% 34.6% 29.6% 33.1% 30.8%

103 Mental Health Reporting Period October 2018

No. of new (including re-referred) General Adult MH22 Community Mental Health Team cases seen in the National M 28,513 29,135 24,287 22,761 -6.3% 24,099 -5.6% 2,110 2,278 2,135 2,360 current month

CHO 1 M 2,699 2,754 2,296 1,995 -13.1% 2,276 -12.3% 184 213 192 190 CHO 2 M 4,812 5,134 4,282 3,596 -16.0% 4,084 -11.9% 335 356 324 436 CHO 3 M 2,485 2,468 2,058 1,946 -5.4% 2,079 -6.4% 182 215 162 206 CHO 4 M 4,006 4,104 3,420 3,220 -5.8% 3,396 -5.2% 266 292 312 328 CHO 5 M 3,408 3,528 2,940 2,669 -9.2% 2,891 -7.7% 272 238 242 232 CHO 6 M 1,977 2,016 1,680 1,796 6.9% 1,710 5.0% 156 221 160 173 CHO 7 M 2,751 2,832 2,360 2,249 -4.7% 2,341 -3.9% 226 193 249 233 CHO 8 M 3,572 3,636 3,030 2,910 -4.0% 2,983 -2.4% 260 298 264 315 CHO 9 M 2,803 2,663 2,221 2,380 7.2% 2,339 1.8% 229 252 230 247

Psychiatry of Later Life

% of accepted referrals / re-referrals offered first appointment within 12 weeks / 3 months by MH3 National M 97.7% 98% 98% 97.8% -0.2% 97.5% 0.3% 97.9% 98.2% 97.5% 98.1% Psychiatry of Later Life Community Mental Health Teams

CHO 1 M 97.3% 98% 98% 97.1% -0.9% 97.0% 0.2% 100.0% 99.0% 98.4% 96.7% CHO 2 M 100.0% 98% 98% 100.0% 2.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 3 M 100.0% 98% 98% 98.8% 0.8% 100.0% -1.2% 100.0% 97.5% 100.0% 94.4% CHO 4 M 93.2% 98% 98% 91.9% -6.3% 92.7% -0.9% 100.0% 96.8% 94.9% 100.0% CHO 5 M 99.9% 98% 98% 98.8% 0.8% 99.9% -1.1% 97.9% 97.5% 90.4% 100.0% CHO 6 M 99.3% 98% 98% 98.6% 0.6% 99.3% -0.6% 100.0% 99.0% 93.9% 100.0% CHO 7 M 98.2% 98% 98% 94.7% -3.4% 98.7% -4.1% 90.9% 95.6% 96.2% 93.8% CHO 8 M 98.4% 98% 98% 97.1% -0.9% 98.1% -1.1% 89.9% 100.0% 100.0% 97.0% CHO 9 M 89.3% 98% 98% 97.6% -0.4% 88.0% 10.9% 100.0% 95.3% 99.1% 100.0%

% of accepted referrals / re-referrals offered first appointment and seen within 12 weeks / 3 months by MH4 National M 95.4% 95% 95% 95.2% 0.2% 95.4% -0.2% 95.6% 96.3% 94.9% 96.2% Psychiatry of Later Life Community Mental Health Teams

CHO 1 M 95.4% 95% 95% 96.0% 1.1% 94.9% 1.2% 98.2% 99.0% 94.3% 95.9% CHO 2 M 99.0% 95% 95% 98.5% 3.7% 99.2% -0.6% 99.2% 100.0% 98.4% 100.0% CHO 3 M 98.4% 95% 95% 98.0% 3.2% 98.1% -0.1% 98.8% 96.2% 98.7% 93.5% CHO 4 M 85.4% 95% 95% 85.8% -9.7% 85.8% 0.0% 87.8% 83.9% 92.3% 100.0% CHO 5 M 99.0% 95% 95% 96.4% 1.5% 98.8% -2.4% 97.9% 97.5% 90.4% 100.0% CHO 6 M 98.9% 95% 95% 97.8% 3.0% 98.8% -1.0% 100.0% 98.0% 92.4% 100.0% CHO 7 M 95.7% 95% 95% 91.5% -3.7% 97.0% -5.7% 88.6% 88.9% 96.2% 93.8% CHO 8 M 95.3% 95% 95% 95.6% 0.6% 94.8% 0.8% 88.9% 100.0% 94.4% 92.4% CHO 9 M 83.8% 95% 95% 89.3% -6.0% 84.0% 6.3% 93.3% 89.5% 94.4% 92.0%

104 Mental Health Reporting Period October 2018

%. of new (including re-referred) Later Life Psychiatry MH32 Team cases offered appointment and DNA in the National M 2.3% <3% <3% 3.0% 0.6% 2.3% 33.4% 2.3% 2.1% 3.2% 1.8% current month

CHO 1 M 2.3% <3% <3% 1.8% -40.5% 2.3% -23.7% 1.8% 0.0% 4.9% 0.8% CHO 2 M 0.8% <3% <3% 1.5% -51.6% 0.8% 77.1% 0.8% 0.0% 1.6% 0.0% CHO 3 M 1.9% <3% <3% 0.8% -74.0% 1.9% -58.9% 1.3% 1.3% 1.3% 0.9% CHO 4 M 8.9% <3% <3% 9.0% 201.0% 8.9% 1.3% 12.2% 12.9% 2.6% 0.0% CHO 5 M 1.1% <3% <3% 2.5% -15.1% 1.1% 137.2% 0.0% 1.3% 1.4% 0.0% CHO 6 M 0.4% <3% <3% 1.1% -63.5% 0.4% 144.4% 0.0% 1.0% 4.5% 0.0% CHO 7 M 1.7% <3% <3% 3.5% 15.2% 1.7% 102.3% 2.3% 6.7% 0.0% 0.0% CHO 8 M 3.4% <3% <3% 1.5% -49.4% 3.4% -54.8% 1.0% 0.0% 5.6% 4.5% CHO 9 M 4.4% <3% <3% 8.7% 189.7% 4.4% 98.3% 6.7% 5.8% 4.7% 8.0%

No. of new (including re-referred) Psychiatry of Later MH30 National M 8,614 9,045 7,547 7,200 -4.6% 7,262 -0.9% 754 709 666 706 Life referrals seen by Mental Health services

CHO 1 M 1,280 1,351 1,127 991 -12.1% 1,128 -12.1% 107 96 116 121 CHO 2 M 1,455 1,568 1,308 1,222 -6.6% 1,210 1.0% 127 144 120 114 CHO 3 M 915 897 749 892 19.1% 776 14.9% 79 78 78 106 CHO 4 M 346 468 390 403 3.3% 276 46.0% 36 27 38 44 CHO 5 M 1,273 1,426 1,190 956 -19.7% 1,105 -13.5% 94 79 72 91 CHO 6 M 820 928 774 723 -6.6% 667 8.4% 72 99 63 43 CHO 7 M 539 526 440 363 -17.5% 460 -21.1% 43 42 26 32 CHO 8 M 1,004 892 746 778 4.3% 833 -6.6% 98 63 51 63 CHO 9 M 982 989 823 872 6.0% 807 8.1% 98 81 102 92

CAMHS Admissions of children to Child and Adolescent Acute Inpatient Units as a % of the total number of MH5 National M 73.5% 95% 95% 70.9% -25.4% 72.6% -2.3% 81.8% 72.0% 56.3% 75.0% admissions of children to mental health acute inpatient units.

Percentage of Bed days used in HSE Child and Adolescent Acute Inpatient Units as a total of Bed MH57 National M 96.9% 95% 95% 93.9% -1.1% 96.8% -3.0% 95.9% 92.2% 88.2% 87.6% days used by children in mental health acute inpatient units CHO 1 M 98.6% 95% 95% 89.6% -5.7% 98.6% -9.1% 100.0% 100.0% 96.1% 75.9% CHO 2 M 99.5% 95% 95% 100.0% 5.3% 99.4% 0.6% 100.0% 100.0% 100.0% 100.0% CHO 3 M 95.0% 95% 95% 99.3% 4.5% 93.6% 6.0% 100.0% 100.0% 100.0% 100.0% CHO 4 M 98.7% 95% 95% 81.7% -14.0% 98.4% -17.0% 75.6% 67.9% 69.5% 66.4% CHO 5 M 84.8% 95% 95% 86.3% -9.2% 85.1% 1.4% 94.7% 95.8% 76.1% 97.9% CHO 6 M 100.0% 95% 95% 100.0% 5.3% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 7 M 96.2% 95% 95% 98.4% 3.6% 96.4% 2.0% 100.0% 100.0% 92.9% 95.1% CHO 8 M 98.3% 95% 95% 97.2% 2.4% 98.2% -1.0% 98.9% 100.0% 90.1% 88.1% CHO 9 M 95.3% 95% 95% 93.6% -1.4% 94.5% -1.0% 98.9% 83.7% 84.0% 83.2%

105 Mental Health Reporting Period October 2018

% of accepted referrals / re-referrals offered first MH6 appointment within 12 weeks / 3 months by Child and National M 78.0% 78% 78% 78.9% 1.2% 76.9% 2.6% 75.0% 70.7% 73.7% 75.5% Adolescent Community Mental Health Teams

CHO 1 M 61.8% 78% 78% 80.3% 2.9% 59.4% 35.2% 84.8% 68.8% 82.8% 83.8% CHO 2 M 96.6% 78% 78% 98.4% 26.1% 96.0% 2.4% 100.0% 96.3% 98.9% 98.4% CHO 3 M 85.2% 78% 78% 83.7% 7.4% 85.2% -1.7% 91.1% 79.0% 82.9% 83.1% CHO 4 M 68.2% 78% 78% 63.6% -18.4% 66.9% -5.0% 61.7% 39.1% 56.7% 65.6% CHO 5 M 83.7% 78% 78% 90.1% 15.5% 82.4% 9.4% 91.7% 100.0% 98.3% 85.0% CHO 6 M 75.3% 78% 78% 70.4% -9.7% 74.6% -5.6% 64.6% 67.7% 61.5% 67.7% CHO 7 M 77.8% 78% 78% 75.8% -2.9% 76.7% -1.3% 80.7% 73.7% 69.0% 60.6% CHO 8 M 78.5% 78% 78% 78.6% 0.8% 77.3% 1.8% 68.0% 63.8% 71.7% 79.2% CHO 9 M 65.2% 78% 78% 78.2% 0.3% 63.0% 24.1% 59.0% 50.0% 60.0% 67.1%

% of accepted referrals / re-referrals offered first appointment and seen within 12 weeks / 3 months by MH7 National M 70.6% 72% 72% 71.6% -0.5% 69.5% 3.1% 67.0% 64.2% 68.6% 70.5% Child and Adolescent Community Mental Health Teams

CHO 1 M 58.8% 72% 72% 76.4% 6.1% 56.6% 35.0% 78.3% 65.6% 78.1% 81.3% CHO 2 M 91.5% 72% 72% 91.8% 27.4% 91.2% 0.6% 94.7% 90.2% 95.5% 95.2% CHO 3 M 80.6% 72% 72% 80.3% 11.5% 79.7% 0.8% 85.7% 74.3% 80.5% 81.7% CHO 4 M 63.9% 72% 72% 58.7% -18.4% 63.1% -6.9% 56.0% 36.8% 54.2% 61.7% CHO 5 M 73.4% 72% 72% 78.8% 9.4% 72.2% 9.1% 81.7% 86.9% 89.8% 71.3% CHO 6 M 71.2% 72% 72% 67.4% -6.4% 70.4% -4.3% 64.6% 64.6% 57.1% 63.8% CHO 7 M 69.4% 72% 72% 66.3% -7.9% 69.1% -4.1% 68.9% 63.6% 58.6% 55.5% CHO 8 M 64.8% 72% 72% 66.7% -7.3% 63.1% 5.7% 52.8% 53.2% 66.2% 71.0% CHO 9 M 55.7% 72% 72% 68.5% -4.9% 53.9% 27.1% 59.0% 50.0% 56.0% 61.4%

%. of new (including re-referred) child/adolescent MH48 referrals offered appointment and DNA in the current National M 10.4% <10% <10% 10.0% -0.1% 10.6% -5.4% 11.7% 9.9% 7.9% 7.4% month

CHO 1 M 8.5% <10% <10% 5.1% -49.0% 8.2% -38.1% 8.7% 4.7% 6.3% 2.5% CHO 2 M 5.4% <10% <10% 7.0% -29.6% 5.2% 36.5% 5.3% 7.3% 3.4% 4.8% CHO 3 M 4.9% <10% <10% 4.1% -58.5% 5.7% -27.7% 7.1% 6.7% 2.4% 1.4% CHO 4 M 9.8% <10% <10% 10.8% 7.7% 10.0% 7.7% 12.1% 11.5% 12.5% 8.4% CHO 5 M 12.9% <10% <10% 12.4% 24.1% 13.0% -4.3% 15.0% 13.1% 8.5% 16.3% CHO 6 M 6.0% <10% <10% 5.0% -49.8% 5.9% -15.1% 1.3% 6.1% 4.4% 5.9% CHO 7 M 10.5% <10% <10% 13.4% 33.7% 9.5% 40.3% 15.1% 13.6% 11.2% 8.0% CHO 8 M 17.7% <10% <10% 15.9% 58.7% 18.6% -14.5% 20.8% 17.0% 11.0% 12.6% CHO 9 M 15.8% <10% <10% 12.0% 19.8% 16.4% -27.1% 1.6% 0.0% 5.3% 5.7%

106 Mental Health Reporting Period October 2018

% of accepted referrals / re-referrals offered first appointment and seen within 12 months by Child and MH72 National M 95.5% 100% 100% 95.2% -4.8% 95.2% 0.0% 92.1% 93.2% 95.1% 96.9% Adolescent Community Mental Health Teams excluding DNAs

CHO 1 M 82.8% 100% 100% 94.3% -5.7% 79.7% 18.3% 95.2% 91.8% 96.7% 97.4% CHO 2 M 99.6% 100% 100% 99.9% -0.1% 99.5% 0.4% 100.0% 100.0% 100.0% 100.0% CHO 3 M 92.7% 100% 100% 95.8% -4.2% 93.0% 3.0% 100.0% 99.0% 97.5% 95.0% CHO 4 M 90.8% 100% 100% 82.2% -17.8% 91.0% -9.6% 75.8% 61.0% 81.9% 86.5% CHO 5 M 99.5% 100% 100% 99.4% -0.6% 99.7% -0.2% 98.0% 100.0% 100.0% 100.0% CHO 6 M 99.6% 100% 100% 97.7% -2.3% 99.7% -2.0% 92.3% 100.0% 98.9% 98.3% CHO 7 M 98.3% 100% 100% 98.5% -1.5% 98.1% 0.4% 100.0% 98.0% 97.1% 100.0% CHO 8 M 98.8% 100% 100% 96.2% -3.8% 98.7% -2.5% 90.1% 92.3% 98.4% 98.3% CHO 9 M 91.5% 100% 100% 96.4% -3.6% 90.1% 7.0% 93.3% 95.8% 87.3% 98.5%

No. of child / adolescent referrals (including re- MH43 National M 18,489 18,831 15,691 15,383 -2.0% 15,251 0.9% 1,173 1,114 1,424 1,786 referred) received by mental health services

CHO 1 M 1,189 1,236 1,030 1,205 17.0% 983 22.6% 63 103 116 151 CHO 2 M 1,740 1,692 1,410 1,461 3.6% 1,415 3.3% 113 99 136 193 CHO 3 M 2,375 2,124 1,770 1,638 -7.5% 1,954 -16.2% 136 109 140 173 CHO 4 M 2,177 2,160 1,800 1,891 5.1% 1,802 4.9% 173 95 150 238 CHO 5 M 1,961 2,112 1,760 1,545 -12.2% 1,595 -3.1% 102 79 112 145 CHO 6 M 2,024 2,004 1,670 1,636 -2.0% 1,664 -1.7% 125 126 199 171 CHO 7 M 2,360 2,448 2,040 2,142 5.0% 2,001 7.0% 178 162 187 239 CHO 8 M 2,971 3,096 2,580 2,573 -0.3% 2,451 5.0% 175 179 241 307 CHO 9 M 1,692 1,959 1,631 1,292 -20.8% 1,386 -6.8% 108 162 143 169

No. of new (including re-referred) child/adolescent MH46 National M 10,304 14,365 11,978 8,895 -25.7% 8,454 5.2% 720 725 774 1,158 referrals seen in the current month

CHO 1 M 842 977 813 707 -13.0% 691 2.3% 42 61 60 78 CHO 2 M 1,041 1,221 1,019 924 -9.3% 864 6.9% 71 76 85 120 CHO 3 M 1,571 3,273 2,729 1,132 -58.5% 1,265 -10.5% 52 98 80 140 CHO 4 M 1,008 1,302 1,086 1,226 12.9% 819 49.7% 124 77 105 141 CHO 5 M 1,079 1,339 1,117 706 -36.8% 873 -19.1% 51 53 54 67 CHO 6 M 1,185 1,692 1,410 1,040 -26.2% 986 5.5% 78 93 87 239 CHO 7 M 1,214 1,499 1,250 1,037 -17.0% 1,035 0.2% 101 102 103 126 CHO 8 M 1,658 2,070 1,726 1,484 -14.0% 1,347 10.2% 141 117 129 181 CHO 9 M 706 992 828 639 -22.8% 574 11.3% 60 48 71 66

107 CAMHS Waiting List Reporting Period October 2018

Total no. to be seen or waiting to be seen by CAMHS < 3 months >3-< 6 months >6-< 9 months >9- <12 months >12- <15 months >15- <18 months > 18 months Aug Sep Oct

Total waiting SPLY No. % No. % No. % No. % No. % No. % No. % National Total 2,250 2,319 932 41.4% 492 21.9% 373 16.6% 167 7.4% 94 4.2% 87 3.9% 105 4.7% 2,403 2,453 2,250 CHO 1 240 10.7% 217 145 60.4% 40 16.7% 38 15.8% 9 3.8% 8 3.3% 0 0.0% 0 0.0% 186 217 240 CHO 2 29 1.3% 28 27 93.1% 2 6.9% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 17 24 29 CHO 3 245 10.9% 268 69 28.2% 59 24.1% 39 15.9% 18 7.3% 17 6.9% 31 12.7% 12 4.9% 257 236 245 CHO 4 681 30.3% 782 179 26.3% 133 19.5% 141 20.7% 66 9.7% 40 5.9% 39 5.7% 83 12.2% 682 656 681 CHO 5 90 4.0% 116 54 60.0% 22 24.4% 10 11.1% 4 4.4% 0 0.0% 0 0.0% 0 0.0% 121 162 90 CHO 6 321 14.3% 301 127 39.6% 83 25.9% 63 19.6% 36 11.2% 5 1.6% 6 1.9% 1 0.3% 407 443 321 CHO 7 125 5.6% 185 83 66.4% 35 28.0% 7 5.6% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 226 201 125 CHO 8 342 15.2% 305 157 45.9% 75 21.9% 41 12.0% 25 7.3% 24 7.0% 11 3.2% 9 2.6% 338 346 342 CHO 9 177 7.9% 117 91 51.4% 43 24.3% 34 19.2% 9 5.1% 0 0.0% 0 0.0% 0 0.0% 169 168 177

108 Older Persons Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct % of CHO Quality and Safety Committees with responsibilities to include governance of the quality OP49 National M-1M 100% 100% 55.6% -44.4% 77.8% 55.6% 55.6% and safety of Older Persons' Services who have met in this reporting month

Home Support

No. of Home Support hours provided (excluding OP53 provision of hours from Intensive Home Care National M 17,094,000 14,270,347 14,265,407 0.0% 1,479,417 1,457,719 1,417,116 1,560,434 Packages (IHCPs))

CHO 1 M 1,800,000 1,496,466 1,369,698 -8.5% 141,125 152,326 140,400 137,140 CHO 2 M 1,930,000 1,607,459 1,482,320 -7.8% 151,885 156,900 147,148 157,379 CHO 3 M 1,439,000 1,198,509 1,211,158 1.1% 126,095 130,899 120,795 128,387 CHO 4 M 2,700,000 2,284,621 2,282,355 -0.1% 269,076 213,367 215,120 338,197 CHO 5 M 1,880,000 1,565,811 1,587,729 1.4% 164,289 166,670 168,714 167,622 CHO 6 M 1,135,000 945,321 1,081,007 14.4% 106,909 111,684 108,324 108,221 CHO 7 M 1,915,000 1,594,962 1,583,370 -0.7% 161,143 151,168 149,769 153,184 CHO 8 M 1,760,000 1,465,858 1,339,032 -8.7% 131,282 141,286 140,873 139,549 CHO 9 M 2,535,000 2,111,340 2,328,738 10.3% 227,614 233,419 225,974 230,756

No. of people in receipt of Home Support (excluding OP54 provision from Intensive Home Care National M 50,500 50,500 52,992 4.9% 52,624 52,851 52,915 52,992 Packages(IHCPs)) - each person counted once only

CHO 1 M 5,370 5,370 4,483 -16.5% 4,616 4,613 4,570 4,483 CHO 2 M 4,528 4,528 6,000 32.5% 5,925 5,926 5,951 6,000 CHO 3 M 3,979 3,979 4,679 17.6% 4,559 4,593 4,628 4,679 CHO 4 M 8,177 8,177 8,961 9.6% 8,792 8,869 8,881 8,961 CHO 5 M 5,861 5,861 6,086 3.8% 5,994 6,052 6,066 6,086 CHO 6 M 4,800 4,800 4,374 -8.9% 4,369 4,418 4,426 4,374 CHO 7 M 3,564 3,564 6,128 71.9% 6,194 6,140 6,110 6,128 CHO 8 M 5,597 5,597 5,556 -0.7% 5,449 5,492 5,550 5,556 CHO 9 M 8,624 8,624 6,725 -22.0% 6,726 6,748 6,733 6,725

Intensive Home Care Packages

Total No. of people in receipt of an Intensive Home OP4 National M 224 235 235 236 0.4% 230 2.6% 233 229 229 236 Care Package (IHCP)

CHO 1 M 2 7 2 250.0% 5 4 6 7 CHO 2 M 31 31 32 -3.1% 35 34 32 31 CHO 3 M 21 16 20 -20.0% 19 19 18 16 CHO 4 M 27 25 28 -10.7% 25 25 24 25 CHO 5 M 17 18 15 20.0% 19 18 19 18 CHO 6 M 35 24 31 -22.6% 27 25 25 24 CHO 7 M 23 35 31 12.9% 26 28 29 35 CHO 8 M 21 28 21 33.3% 24 26 28 28 CHO 9 M 47 52 50 4.0% 53 50 48 52

109 Older Persons Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct

% of clients in receipt of an IHCP with a Key Worker OP40 National M 82.1% 100% 100% 92.4% -7.6% 79.1% 16.7% 92.3% 91.7% 92.6% 92.4% Assigned

CHO 1 M 50.0% 100% 100% 100.0% 0.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 2 M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 3 M 100.0% 100% 100% 100.0% 0.0% 95.0% 5.3% 100.0% 100.0% 100.0% 100.0% CHO 4 M 88.9% 100% 100% 100.0% 0.0% 96.4% 3.7% 96.0% 100.0% 100.0% 100.0% CHO 5 M 100.0% 100% 100% 83.3% -16.7% 100.0% -16.7% 89.5% 83.3% 84.2% 83.3% CHO 6 M 62.9% 100% 100% 100.0% 0.0% 58.1% 72.2% 100.0% 100.0% 100.0% 100.0% CHO 7 M 0.0% 100% 100% 57.1% -42.9% 0.0% 42.3% 42.9% 51.7% 57.1% CHO 8 M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% CHO 9 M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0%

No. of Home Support hours provided from Intensive OP51 National M 360,000 299,835 333,534 11.2% 31,849 37,146 36,339 37,023 Home Care Packages

CHO 1 M 22,041 4,216 4,064 3,688 4,329 CHO 2 M 34,064 3,709 3,816 3,269 3,331 CHO 3 M 22,669 2,233 1,906 1,836 1,509 CHO 4 M 37,084 2,087 4,200 4,066 4,311 CHO 5 M 19,082 1,952 1,949 2,140 1,949 CHO 6 M 36,529 3,493 3,460 3,418 3,370 CHO 7 M 34,154 3,118 3,569 4,075 3,979 CHO 8 M 39,965 4,054 4,468 4,703 5,107 CHO 9 M 87,945 6,988 9,715 9,145 9,138

NHSS

No. of persons funded under NHSS in long term OP8 National M 22,949 23,334 23,142 23,255 0.5% 23,125 0.6% 22,941 23,047 23,233 23,255 residential care during the reporting month

CHO 1 M 2,074 2,128 2,093 1.7% 2,085 2,103 2,130 2,128 CHO 2 M 2,556 2,548 2,565 -0.7% 2,538 2,521 2,552 2,548 CHO 3 M 2,082 2,066 2,091 -1.2% 2,067 2,055 2,056 2,066 CHO 4 M 3,627 3,708 3,655 1.5% 3,657 3,670 3,690 3,708 CHO 5 M 2,423 2,384 2,436 -2.1% 2,370 2,354 2,389 2,384 CHO 6 M 1,867 1,929 1,896 1.7% 1,877 1,901 1,930 1,929 CHO 7 M 2,995 2,997 3,023 -0.9% 2,953 2,980 2,981 2,997 CHO 8 M 2,670 2,806 2,679 4.7% 2,748 2,784 2,814 2,806 CHO 9 M 2,655 2,689 2,687 0.1% 2,646 2,679 2,691 2,689

110 Older Persons Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct

% of clients with NHSS who are in receipt of Ancillary OP9 National M 13.2% 10% 10% 14.3% 43.5% 13.2% 9.0% 13.4% 13.7% 13.8% 14.3% State Support

CHO 1 M 3.6% 4.4% 3.6% 22.8% 3.7% 4.0% 4.0% 4.4% CHO 2 M 5.8% 5.9% 5.5% 7.1% 5.4% 5.5% 5.6% 5.9% CHO 3 M 8.8% 8.9% 8.5% 4.3% 8.5% 9.0% 9.1% 8.9% CHO 4 M 10.6% 11.4% 10.2% 11.7% 10.2% 10.7% 10.5% 11.4% CHO 5 M 6.5% 7.3% 6.3% 17.0% 7.0% 7.1% 7.1% 7.3% CHO 6 M 22.0% 24.6% 22.6% 9.2% 22.7% 22.7% 23.6% 24.6% CHO 7 M 23.4% 24.9% 23.5% 6.1% 23.1% 23.7% 24.1% 24.9% CHO 8 M 9.4% 11.1% 9.6% 16.1% 10.7% 10.9% 10.6% 11.1% CHO 9 M 28.1% 29.3% 27.9% 5.1% 28.5% 28.7% 28.6% 29.3%

% of population over 65 years in NHSS funded Beds OP15 National M <=4% <=4% 3.4% -13.9% 3.4% 3.5% 3.4% 3.4% (based on 2016 Census figures)

CHO 1 M 3.3% 3.3% 3.4% 3.4% 3.3% CHO 2 M 3.5% 3.5% 3.5% 3.5% 3.5% CHO 3 M 3.5% 3.5% 3.5% 3.5% 3.5% CHO 4 M 3.5% 3.5% 3.5% 3.5% 3.5% CHO 5 M 3.0% 3.0% 3.0% 3.0% 3.0% CHO 6 M 3.3% 3.3% 3.4% 3.3% 3.3% CHO 7 M 3.7% 3.7% 3.7% 3.6% 3.7% CHO 8 M 3.5% 3.5% 3.5% 3.5% 3.5% CHO 9 M 3.6% 3.6% 3.6% 3.6% 3.6%

% of clients who have Common Summary OP10 Assessment Report (CSARs) processed within 6 National M 90.9% 90% 90% 87.4% -2.9% 89.6% -2.5% 88.1% 88.4% 89.6% 87.4% weeks

CHO 1 M 84.9% 86.1% 88.5% -2.7% 83.3% 78.6% 95.2% 86.1% CHO 2 M 92.2% 89.2% 91.0% -2.0% 90.9% 86.6% 84.6% 89.2% CHO 3 M 98.4% 92.0% 94.4% -2.5% 91.9% 82.5% 90.5% 92.0% CHO 4 M 92.6% 91.2% 95.8% -4.8% 84.3% 93.8% 90.3% 91.2% CHO 5 M 83.3% 85.7% 89.9% -4.6% 92.6% 89.8% 90.7% 85.7% CHO 6 M 85.7% 78.6% 69.8% 12.6% 79.7% 88.6% 71.4% 78.6% CHO 7 M 86.7% 80.3% 90.1% -10.9% 91.2% 90.3% 90.6% 80.3% CHO 8 M 96.3% 96.3% 91.9% 4.9% 97.7% 95.8% 97.8% 96.3% CHO 9 M 93.1% 76.4% 82.4% -7.2% 82.4% 83.9% 85.5% 76.4%

111 Older Persons Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Public Beds

OP12 No. of NHSS Beds in Public Long Stay Units National M 4,973 5,096 5,096 4,949 -2.9% 4,964 -0.3% 4,989 4,985 4,960 4,949

CHO 1 M 533 517 517 535 3.5% 500 7.0% 537 537 537 535 CHO 2 M 555 598 598 563 -5.9% 571 -1.4% 559 559 563 563 CHO 3 M 343 343 343 346 0.9% 343 0.9% 346 346 346 346 CHO 4 M 1,011 1,043 1,043 1,014 -2.8% 994 2.0% 1,016 1,016 1,014 1,014 CHO 5 M 515 527 527 511 -3.0% 544 -6.1% 511 511 511 511 CHO 6 M 375 375 375 367 -2.1% 375 -2.1% 371 367 367 367 CHO 7 M 622 635 635 630 -0.8% 616 2.3% 635 635 630 630 CHO 8 M 578 593 593 588 -0.8% 576 2.1% 604 604 588 588 CHO 9 M 441 465 465 395 -15.1% 445 -11.2% 410 410 404 395

OP13 No. of Short Stay Beds in Public Long Stay Units National M 1,998 2,053 2,053 1,937 -5.7% 2,033 -4.7% 1,974 1,964 1,941 1,937

CHO 1 M 312 324 324 319 -1.5% 348 -8.3% 324 329 324 319 CHO 2 M 246 253 253 245 -3.2% 241 1.7% 245 246 245 245 CHO 3 M 179 179 179 183 2.2% 179 2.2% 183 183 183 183 CHO 4 M 315 323 323 306 -5.3% 349 -12.3% 313 313 306 306 CHO 5 M 249 243 243 245 0.8% 215 14.0% 245 245 245 245 CHO 6 M 159 159 159 145 -8.8% 160 -9.4% 159 145 145 145 CHO 7 M 198 202 202 165 -18.3% 176 -6.3% 165 165 165 165 CHO 8 M 77 87 87 68 -21.8% 87 -21.8% 71 71 67 68 CHO 9 M 263 283 283 261 -7.8% 278 -6.1% 269 267 261 261

Transitional Care Beds

No. of People at any given time being supported OP44 National M-1M 975 879 879 888 1.0% 835 6.3% 1,147 915 888 through transitional care in alternative care settings

No. of Persons in acute hospitals approved for OP46 National M-1M 8,930 9,160 6,869 8,367 21.8% 6,587 27.0% 875 811 682 transitional care to move to alternative care settings

112 Disability Services Reporting Period October 2018 % Var YTD V Reporting Outturn Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Reporting Frequency Previous Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Respite Services No. of overnights (with or without day respite) accessed by DIS57 people with a disability(ID/Autism and Physical and Sensory National Q-1M 162,779 182,505 136,877 113,631 -17.0% 125,030 -9.1% 35,473 Disability) CHO 1 Q-1M 10,215 11,585 8,689 6,982 -19.6% 7,710 -9.4% 2,308 CHO 2 Q-1M 38,548 40,626 30,468 28,841 -5.3% 29,521 -2.3% 9,538 CHO 3 Q-1M 13,873 14,996 11,247 10,765 -4.3% 10,707 0.5% 3,725 CHO 4 Q-1M 23,984 25,494 19,120 17,139 -10.4% 18,491 -7.3% 6,075 CHO 5 Q-1M 10,582 13,966 10,475 8,469 -19.2% 8,305 2.0% 2,853 CHO 6 Q-1M 10,797 13,766 10,325 7,590 -26.5% 8,535 -11.1% 2,584 CHO 7 Q-1M 22,878 26,122 19,591 11,856 -39.5% 17,501 -32.3% 1,848 CHO 8 Q-1M 16,312 18,008 13,506 9,411 -30.3% 13,183 -28.6% 1,834 CHO 9 Q-1M 15,590 17,942 13,456 12,578 -6.5% 11,077 13.6% 4,708

No of day only respite sessions accessed by people with a DIS59 National Q-1M 32,688 42,552 31,920 24,887 -22.0% 25,455 -2.2% 8,600 disability(ID/Autism and Physical and Sensory Disability)

CHO 1 Q-1M 4,073 6,081 4,563 3,302 -27.6% 2,907 13.6% 844 CHO 2 Q-1M 6,898 7,603 5,703 4,587 -19.6% 5,058 -9.3% 1,530 CHO 3 Q-1M 5,755 11,960 8,970 3,841 -57.2% 4,936 -22.2% 1,139 CHO 4 Q-1M 2,449 2,463 1,849 2,017 9.1% 2,046 -1.4% 930 CHO 5 Q-1M 2,227 1,255 942 1,220 29.5% 1,970 -38.1% 508 CHO 6 Q-1M 1,402 2,669 2,002 2,226 11.2% 1,055 111.0% 955 CHO 7 Q-1M 5,250 5,344 4,008 3,817 -4.8% 4,026 -5.2% 989 CHO 8 Q-1M 1,334 1,053 790 800 1.3% 1,023 -21.8% 214 CHO 9 Q-1M 3,300 4,124 3,093 3,077 -0.5% 2,434 26.4% 1,491

No of people with a disability in receipt of respite services DIS71 National Q-1M 5,836 6,320 6,320 5,152 -18.5% 6,206 -17.0% 5,152 (ID/Autism and Physical and Sensory Disability)

CHO 1 Q-1M 482 521 521 384 -26.3% 469 -18.1% 384 CHO 2 Q-1M 819 997 997 905 -9.2% 990 -8.6% 905 CHO 3 Q-1M 547 639 639 572 -10.5% 525 9.0% 572 CHO 4 Q-1M 689 743 743 933 25.6% 778 19.9% 933 CHO 5 Q-1M 532 592 592 559 -5.6% 581 -3.8% 559 CHO 6 Q-1M 380 418 418 383 -8.4% 404 -5.2% 383 CHO 7 Q-1M 817 838 838 328 -60.9% 774 -57.6% 328 CHO 8 Q-1M 581 849 849 308 -63.7% 829 -62.8% 308 CHO 9 Q-1M 989 723 723 780 7.9% 856 -8.9% 780

Home Support Service

No of people with a disability in receipt of Home Support DIS69 National Q-1M 6,790 7,447 7,447 6,426 -13.7% 7,270 -11.6% 6,426 Services (ID/Autism and Physical and Sensory Disability)

CHO 1 Q-1M 804 651 651 796 22.3% 801 -0.6% 796 CHO 2 Q-1M 717 527 527 695 31.9% 735 -5.4% 695 CHO 3 Q-1M 468 571 571 470 -17.7% 459 2.4% 470 CHO 4 Q-1M 624 967 967 656 -32.2% 632 3.8% 656 CHO 5 Q-1M 591 642 642 1,026 59.8% 555 84.9% 1,026 CHO 6 Q-1M 562 737 737 596 -19.1% 577 3.3% 596 CHO 7 Q-1M 1,058 923 923 619 -32.9% 1,123 -44.9% 619 CHO 8 Q-1M 798 1,164 1,164 531 -54.4% 1,283 -58.6% 531 CHO 9 Q-1M 1,168 1,265 1,265 1,037 -18.0% 1,105 -6.2% 1,037

113 Disability Services Reporting Period October 2018 % Var YTD V Reporting Outturn Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Reporting Frequency Previous Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct

No. of Home Support Service Hours delivered to people with DIS58 National Q-1M 2,927,647 2,930,000 2,197,502 2,162,223 -1.6% 2,219,649 -2.6% 658,554 a disability (ID/Autism and Physical and Sensory Disability)

CHO 1 Q-1M 310,745 357,639 268,230 235,165 -12.3% 231,780 1.5% 81,663 CHO 2 Q-1M 191,898 192,855 144,642 143,385 -0.9% 142,892 0.3% 47,294 CHO 3 Q-1M 149,587 149,507 112,131 118,554 5.7% 110,826 7.0% 41,518 CHO 4 Q-1M 211,738 223,317 167,487 156,341 -6.7% 160,649 -2.7% 51,350 CHO 5 Q-1M 269,337 255,741 191,806 307,864 60.5% 203,764 51.1% 108,312 CHO 6 Q-1M 363,270 326,276 244,706 270,561 10.6% 274,481 -1.4% 92,044 CHO 7 Q-1M 560,348 422,638 316,978 340,763 7.5% 417,788 -18.4% 76,383 CHO 8 Q-1M 457,426 547,095 410,323 240,791 -41.3% 366,588 -34.3% 43,002 CHO 9 Q-1M 413,299 454,932 341,199 348,799 2.2% 310,882 12.2% 116,989

Personal Assistance Hours

Number of PA Service hours delivered to adults with a DIS39 National Q-1M 1,516,727 1,460,000 1,095,002 1,209,014 10.4% 1,121,277 7.8% 394,476 physical and / or sensory disability

CHO 1 Q-1M 142,859 134,105 100,579 102,820 2.2% 103,596 -0.7% 34,222 CHO 2 Q-1M 282,419 271,970 203,977 222,112 8.9% 208,976 6.3% 74,918 CHO 3 Q-1M 317,997 302,495 226,872 239,860 5.7% 236,412 1.5% 78,785 CHO 4 Q-1M 120,848 127,156 95,367 94,663 -0.7% 90,151 5.0% 31,008 CHO 5 Q-1M 134,325 103,509 77,632 139,150 79.2% 97,845 42.2% 47,349 CHO 6 Q-1M 21,783 25,171 18,879 16,180 -14.3% 16,289 -0.7% 5,386 CHO 7 Q-1M 40,256 23,669 17,752 23,081 30.0% 28,075 -17.8% 3,494 CHO 8 Q-1M 166,780 166,850 125,137 134,868 7.8% 120,891 11.6% 40,267 CHO 9 Q-1M 289,460 305,075 228,807 236,281 3.3% 219,042 7.9% 79,047

No. of adults with a physical and / or sensory disability in DIS38 National Q-1M 2,470 2,357 2,357 2,492 5.7% 2,387 4.4% 2,492 receipt of a PA service CHO 1 Q-1M 243 233 233 251 7.7% 243 3.3% 251 CHO 2 Q-1M 421 397 397 441 11.1% 412 7.0% 441 CHO 3 Q-1M 438 410 410 427 4.1% 430 -0.7% 427 CHO 4 Q-1M 441 420 420 438 4.3% 429 2.1% 438 CHO 5 Q-1M 374 264 264 420 59.1% 352 19.3% 420 CHO 6 Q-1M 9 9 9 9 0.0% 9 0.0% 9 CHO 7 Q-1M 53 88 88 20 -77.3% 53 -62.3% 20 CHO 8 Q-1M 272 276 276 264 -4.3% 268 -1.5% 264 CHO 9 Q-1M 219 260 260 222 -14.6% 191 16.2% 222

Progressing Disability Services for children and Young people (0-18s)

DIS68 % of Children's Disability Network Teams established National M 100% 100% 0 0.0% 0 0.0% 0 0 0 0

CHO 1 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 2 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 3 M 100% 100% CHO 4 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 5 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 6 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 7 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 8 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0 CHO 9 M 100% 100% 0 0.0% 0 0.0% 0 0 0 0

114 Disability Services Reporting Period October 2018 % Var YTD V Reporting Outturn Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Reporting Frequency Previous Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct

No. of Childrens disability Network Teams established (total DIS65 of 138 by the end of 2018)(56 already established since 2016 National M 82 0 0 0.0% 0 0.0% 0 0 0 0 hence active target of 82 for 2018) CHO 1 M 8 0 0 0.0% 0 0.0% 0 0 0 0 CHO 2 M 6 0 0 0.0% 0 0.0% 0 0 0 0 CHO 3 M 0 0 CHO 4 M 9 0 0 0.0% 0 0.0% 0 0 0 0 CHO 5 M 25 0 0 0.0% 0 0.0% 0 0 0 0 CHO 6 M 7 0 0 0.0% 0 0.0% 0 0 0 0 CHO 7 M 8 0 0 0.0% 0 0.0% 0 0 0 0 CHO 8 M 7 0 0 0.0% 0 0.0% 0 0 0 0 CHO 9 M 12 0 0 0.0% 0 0.0% 0 0 0 0

No. of people (all disabilities) in receipt of Rehabilitative DIS14 National M 2,282 2,432 2,432 2,269 -6.7% 2,266 0.1% 2,299 2,198 2,342 2,269 Training (RT)

CHO 1 M 226 247 247 226 -8.5% 223 1.3% 220 212 219 226 CHO 2 M 202 434 434 215 -50.5% 197 9.1% 203 201 205 215 CHO 3 M 199 196 196 221 12.8% 221 0.0% 234 233 239 221 CHO 4 M 382 334 334 375 12.3% 352 6.5% 364 325 414 375 CHO 5 M 267 262 262 284 8.4% 271 4.8% 276 266 285 284 CHO 6 M 203 159 159 198 24.5% 199 -0.5% 212 208 213 198 CHO 7 M 261 307 307 250 -18.6% 257 -2.7% 261 247 266 250 CHO 8 M 204 172 172 181 5.2% 208 -13.0% 208 193 185 181 CHO 9 M 338 321 321 319 -0.6% 338 -5.6% 321 313 316 319

Quality % of CHO Quality and safety commitees in place with responsibilities to include governance of the quality and safety DIS95 National M-1M 100% 100% 66.70% -33.3% 77.80% 66.70% 66.70% of HSE provided Disability Services who have met in this reporting month Emergency and Support Places No. of new emergency places provided to people with a DIS 102 National M 176 130 130 194 49.2% 23 13 24 25 Disability

No. of new home support/in home respite supports for DIS 103 National M 147 255 255 203 -20.4% 40 18 11 8 emergency cases

DIS 104 Total No. of new emergency and support cases National M 323 385 385 397 3.1% 63 31 35 33 Additional Respite KPI's as per NSP 2018 One additional Respite House in each of the 9 CHO areas - DIS 105 National M New NSP 2018 251 251 381 51.8% 203 291 306 381 No. of Individuals supported. 3 Additional Respite Houses in the greater Dublin Region - DIS 106 National M New NSP 2018 143 143 175 22.4% 84 109 153 175 No. of Individuals supported. Alternative models of respite provision including Home DIS 107 Sharing, Saturday Club, Extended Day - No. of Individuals National M New NSP 2018 250 250 1,366 446.4% 606 857 1138 1,366 supported.

115 Older Persons and Disabilities Safeguarding Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct

% of Preliminary Screenings for adults aged 65 years and over with an outcome of reasonable SC6 grounds for concern that are submitted to the National Q-1M 99.6% 100% 100% 98.5% -1.5% 99.7% -1.2% 98.5% Safeguarding and Protection Teams accompanied by an interim Safeguarding Plan.

CHO 1 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 2 Q-1M 100.0% 100% 100% 100.0% 0.0% 95.7% 4.5% 100.0% CHO 3 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 4 Q-1M 100.0% 100% 100% 95.7% -4.3% 100.0% -4.3% 95.7% CHO 5 Q-1M 97.8% 100% 100% 96.4% -3.6% 100.0% -3.6% 96.4% CHO 6 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 7 Q-1M 100.0% 100% 100% 91.7% -8.3% 100.0% -8.3% 91.7% CHO 8 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 9 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0%

% of Preliminary Screenings for adults under 65 years with an outcome of reasonable grounds for concern that are submitted to the Safeguarding and SC7 National Q-1M 99.8% 100% 100% 98.8% -1.2% 99.7% -0.9% 98.8% Protection Teams accompanied by an interim Safeguarding Plan.

CHO 1 Q-1M 100.0% 100% 100% 99.2% -0.8% 100.0% -0.8% 99.2% CHO 2 Q-1M 100.0% 100% 100% 96.3% -3.7% 91.2% 5.6% 96.3% CHO 3 Q-1M 100.0% 100% 100% 96.9% -3.1% 100.0% -3.1% 96.9% CHO 4 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 5 Q-1M 98.9% 100% 100% 97.7% -2.3% 100.0% -2.3% 97.7% CHO 6 Q-1M 100.0% 100% 100% 97.6% -2.4% 100.0% -2.4% 97.6% CHO 7 Q-1M 100.0% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 8 Q-1M 99.4% 100% 100% 100.0% 0.0% 100.0% 0.0% 100.0% CHO 9 Q-1M 100.0% 100% 100% 95.8% -4.2% 100.0% -4.2% 95.8%

116 National Services

117 National Services Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Primary Care Reimbursement Scheme Medical Cards/GP Visit Cards No of persons covered by medical cards at the end of PCRS1 National M 1,609,820 1,564,230 1,572,470 1,579,693 0.5% 1,626,702 -2.9% 1,578,155 1,578,742 1,578,015 1,579,693 a reporting month

No of persons covered by GP Visit cards at the end PCRS2 National M 487,510 492,293 490,532 501,025 2.1% 484,674 3.4% 497,359 497,223 500,234 501,025 of a reporting month

% of completed Medical / GP Visit Card applications PCRS3 National M 99.6% 96% 96% 99.7% 3.8% 62.2% 60.2% 99.4% 99.8% 99.8% 99.7% processed within the 15 day turnaround

% of Medical Card / GP Visit Card applications, PCRS4 assigned for Medical Officer review, processed within National M 23.3% 91% 91% 92.8% 2.0% 18.5% 401.2% 99.2% 98.0% 98.7% 92.8% 5 days

% of medical card / GP Visit Card applications which PCRS5 are accurately processed from a financial perspective National M 94.1% 95% 95% 95.3% 0.3% 95.1% 0.2% 98.2% 95.4% 92.0% 95.3% by National Medical Card Unit staff

GMS No. of General Medical Services Scheme PCRS11 National M 18,883,872 18,721,471 15,639,514 15,513,320 -0.8% 15,775,180 -1.7% 1,550,774 1,517,139 1,559,059 1,510,221 prescriptions

PCRS12 No. of General Medical Services Schemes line items National M 58,129,657 56,854,793 47,475,198 48,297,860 1.7% 48,539,743 -0.5% 4,863,880 4,774,576 4,926,049 4,737,859

No. of General Medical Services Schemes claims – PCRS13 National M 1,220,119 1,233,540 987,793 1,048,950 6.2% 977,045 7.4% 74,620 67,464 125,474 333,667 special items of service

No. of General Medical Services Schemes claims – PCRS14 National M 1,235,101 1,293,151 1,081,162 1,025,907 -5.1% 1,032,629 -0.7% 94,413 92,591 92,681 103,004 special type of consultations

Long Term Illness Scheme PCRS7 No of Long Term Illness Scheme claims National M 2,349,027 2,342,248 1,938,013 2,085,951 7.6% 1,943,622 7.3% 211,038 213,411 219,540 208,092

PCRS8 No. Of Long Term Illness Scheme line items National M 8,259,643 8,241,730 6,822,748 7,353,865 7.8% 6,837,577 7.6% 743,825 749,148 771,411 730,157

Drug Payment Scheme PCRS9 No. of Drug Paymet Schemes claims National M 2,193,578 2,389,599 1,997,326 1,911,014 -4.3% 1,833,483 4.2% 191,684 190,567 194,461 186,815

PCRS10 No. of Drug Paymebnt Schemes items National M 7,163,687 7,872,735 6,574,249 6,278,104 -4.5% 5,982,147 4.9% 633,815 632,386 643,500 619,937

High Tech Drugs PCRS15 No. of High Tech Drug Scheme claims National M 654,867 650,150 532,614 590,239 10.8% 536,476 10.0% 59,410 61,199 61,514 60,115

118 National Services Reporting Period October 2018 % Var Outturn YTD V Reporting Reporting Previous Target/EA Full Target/EA Tgt/EA Activity % Var YTD KPI No. Performance Activity / KPI Level Frequency Year Year YTD Activity YTD YTD YTD SPLY V SPLY Jul Aug Sep Oct Primary Care Reimbursement Scheme DTSS No. of Dental Treatment Service Scheme treatments PCRS16 National M 1,131,347 1,197,998 1,012,125 879,897 -13.1% 955,924 -8.0% 85,589 82,904 78,327 81,982 (above the line/routine)

No. of Dental Treatment Service Scheme treatments PCRS17 National M 63,383 63,383 51,483 48,711 -5.4% 51,483 -5.4% 5,141 5,168 4,914 5,133 (below the line/complex)

Community Opthalmic Scheme No. of Community Ophthalmic Services Scheme PCRS20 National M 870,537 869,891 724,652 652,453 -10.0% 725,190 -10.0% 64,870 68,113 66,479 67,469 treatments:

PCRS20A a) Adult National M 772,200 771,554 643,005 569,783 -11.4% 643,543 -11.5% 57,114 59,580 57,191 58,419

PCRS20B b) Children National M 98,337 98,337 81,647 82,670 1.3% 81,647 1.3% 7,756 8,533 9,288 9,050

119 Human Resources

120 Human Resources Dublin Saolta South/ Children's Ireland East University of Ambulance Acute Mental Primary Human Resources Management Total Midlands RCSI HG Healthcare South West HG HG Limerick HG Services Services Health Care HG University HG HG Direct Staff WTE October 2018 116,910.34 3,317.04 10,337.85 11,693.16 9,133.38 8,999.62 10,286.49 4,104.62 1,889.57 59,849.36 9,831.47 11,271.52 Direct Staff WTE September 2018 116,495.72 3,270.70 10,351.19 11,620.86 9,098.42 8,977.52 10,272.91 4,099.66 1,897.05 59,672.84 9,829.85 11,173.48 Change Month +414.62 +46.34 -13.34 +72.30 +34.96 +22.10 +13.58 +4.96 -7.48 +176.52 +1.62 +98.04 Costs Staffing Direct Staff Headcount levels and levels and 135,089 3,880 11,620 13,022 10,150 10,199 11,753 4,625 1,942 67,280 10,734 13,382 Absenteeism - Medical /Dental 1.33% 2.75% 0.69% 0.70% 1.51% 1.10% 0.79% 1.06% 0.0861 1.07% 2.10% 2.52% Absenteeism - Nursing 4.76% 3.84% 4.09% 4.19% 4.35% 4.63% 4.27% 6.51% 0 4.42% 5.11% 4.72% Absenteeism - Health & Social Care Professionals 3.53% 2.25% 3.42% 2.34% 2.75% 3.35% 3.74% 4.90% 0.1001 3.16% 2.98% 3.52% Absenteeism - Management Admin 4.42% 3.30% 3.79% 4.61% 4.46% 4.22% 3.96% 4.27% 2.62% 4.13% 4.26% 5.47% Absenteeism - General Support Staff 5.57% 6.91% 6.36% 5.47% 4.89% 6.12% 5.80% 8.70% 5.56% 5.88% 4.22% 5.65% Absenteeism - Other Patient & Client Care 5.61% 8.51% 7.78% 6.27% 4.70% 5.17% 5.44% 9.66% 5.48% 6.34% 5.39% 4.00%

Absence RatesAbsence Absenteeism - Overall 4.46% 3.73% 4.10% 3.87% 3.83% 4.09% 3.95% 6.03% 5.34% 4.12% 4.47% 4.54% Absenteeism Cost €M*

Corporate Health & Human Resources Management Social Care CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9 and HBS Wellbeing Direct Staff WTE October 2018 31,398.26 3,985.74 573.99 5,488.90 5,461.22 4,298.02 8,106.50 5,225.57 3,787.97 6,522.19 6,060.86 6,569.12 Direct Staff WTE September 2018 31,311.01 3,940.10 568.44 5,481.27 5,438.53 4,265.80 8,052.55 5,209.39 3,774.80 6,514.00 6,064.54 6,542.01 Change Month +87.25 +45.64 +5.55 +7.63 +22.69 +32.22 +53.95 +16.18 +13.17 +8.19 -3.68 +27.11 Costs Staffing Direct Staff Headcount levels and levels and 38,762 4,290 641 6,483 6,488 5,277 10,134 6,357 4,407 7,708 7,377 7,604 Absenteeism - Medical /Dental 2.03% 0.38% 4.75% 3.30% 2.64% 3.13% 1.08% 3.09% 2.00% 1.54% 2.33% 2.79% Absenteeism - Nursing 5.71% 2.58% 1.20% 7.04% 5.85% 5.62% 3.70% 5.78% 5.00% 4.50% 6.66% 3.93% Absenteeism - Health & Social Care Professionals 4.22% 3.83% 2.29% 4.27% 4.25% 5.10% 3.56% 4.66% 2.90% 2.65% 4.31% 4.05% Absenteeism - Management Admin 3.67% 4.24% 4.41% 5.09% 3.22% 5.15% 3.54% 5.13% 4.00% 4.30% 5.05% 5.87% Absenteeism - General Support Staff 4.96% 6.06% 2.63% 7.23% 3.21% 4.72% 3.44% 3.66% 4.69% 6.02% 4.79% 5.48% Absenteeism - Other Patient & Client Care 5.45% 5.01% 2.85% 6.51% 4.73% 6.00% 4.90% 5.50% 6.80% 4.28% 6.17% 4.57%

Absence RatesAbsence Absenteeism - Overall 5.16% 4.16% 4.07% 6.25% 4.64% 5.48% 3.95% 5.20% 4.70% 4.12% 5.67% 4.44% Absenteeism Cost €M*

121 Health Service Employment Report: October 2018

by Service Area WTE WTE WTE % change Oct 2018 (Oct 2017 figure: WTE Oct change change change since Oct 113,316) 2018 since Oct since Dec since Sep 17 17 17 18 Overall 116,910.34 +3,594.16 +3.17% +2,613.69 +414.62 Ambulance 1,889.57 +45.37 +2.46% +46.63 -7.48 Children's Hospital Group 3,317.04 +230.99 +7.48% +212.61 +46.34 Dublin Midlands Hospital Group 10,337.85 +100.16 +0.98% +36.64 -13.34 Ireland East Hospital Group 11,693.16 +428.05 +3.80% +311.21 +72.30 RCSI Hospitals Group 9,133.38 +435.41 +5.01% +356.48 +34.96 Saolta University Hospital Care 8,999.62 +310.56 +3.57% +325.86 +22.10 South/South West Hospital Group 10,286.49 +395.77 +4.00% +307.97 +13.58 University of Limerick Hospital Gro 4,104.62 +224.21 +5.78% +130.26 +4.96 other Acute Services 87.63 +18.69 +27.11% +19.06 +3.10 Acute Services 59,849.36 +2,189.21 +3.80% +1,746.72 +176.52 CHO 1 5,488.90 +67.78 +1.25% +32.53 +7.63 CHO 2 5,461.22 +111.08 +2.08% +69.80 +22.69 CHO 3 4,298.02 +131.15 +3.15% +128.89 +32.22 CHO 4 8,106.50 +161.29 +2.03% +123.72 +53.95 CHO 5 5,225.57 +314.31 +6.40% +145.10 +16.18 CHO 6 3,787.97 +57.17 +1.53% +15.60 +13.17 CHO 7 6,522.19 +166.15 +2.61% +116.27 +8.19 CHO 8 6,060.86 +33.30 +0.55% -30.76 -3.68 CHO 9 6,569.12 +157.97 +2.46% +131.43 +27.11 PCRS 397.64 +8.37 +2.15% +5.17 -4.04 other Community Services 583.26 +43.90 +8.14% +42.74 +13.49 Community Services 52,501.25 +1,252.47 +2.44% +780.49 +186.91 Health & Wellbeing 573.99 +1.87 +0.33% -7.34 +5.55 Corporate 2,442.66 +45.62 +1.90% +40.24 +36.20 Health Business Services 1,543.08 +104.99 +7.30% +53.58 +9.44

122 Employment by Staff Group WTE % WTE WTE change change change change Oct 2018 (Oct 2017 figure: 113,316) WTE Oct 2018 since Oct since Oct since Dec since 17 17 17 Sep 18 Overall 116,910.34 +3,594.16 +3.17% +2,613.69 +414.62 Consultants 3,088.48 +120.53 +4.06% +117.85 +23.00 NCHDs 6,547.03 +229.96 +3.64% +216.40 +10.41 Medical (other) & Dental 806.60 -5.63 -0.69% -13.41 +8.56 Medical/ Dental 10,442.11 +344.86 +3.42% +320.84 +41.97 Nurse Manager 7,740.54 +350.09 +4.74% +306.82 +35.94 Nurse Specialist 1,838.22 +175.50 +10.55% +132.12 +23.12 Staff Nurse 25,211.94 +421.95 +1.70% -103.12 +123.50 Public Health Nurse 1,560.12 +47.32 +3.13% +45.95 +11.39 Nursing Student 685.30 -10.71 -1.54% +185.20 -69.56 Nursing (other) 311.97 +2.70 +0.87% +4.40 +3.80 Nursing 37,348.09 +986.85 +2.71% +571.37 +128.19 Therapists (OT, Physio, SLT) 4,504.50 +122.28 +2.79% +63.60 +35.69 Health Professionals (other) 11,832.62 +422.92 +3.71% +323.44 +108.71 Health & Social Care Professionals 16,337.12 +545.20 +3.45% +387.04 +144.40 Management (VIII+) 1,722.41 +133.51 +8.40% +112.63 +31.94 Clerical & Supervisory (III to VII) 16,601.88 +622.87 +3.90% +497.27 +96.40 Management/ Admin 18,324.29 +756.38 +4.31% +609.90 +128.34 General Support 9,414.97 -47.66 -0.50% -38.69 -60.76 Patient & Client Care 25,043.76 +1,008.53 +4.20% +763.23 +32.48

123 Employment by Administration (HSE / S38): October 2018 WTE WTE % change change change WTE change Oct 2018 (Oct 2017 figure: 113,316) WTE Oct 2018 since Oct since Oct since since Sep 18 17 17 Dec 17 Overall 116,910.34 +3,594.16 +3.17% +2,613.69 +414.62 HSE 75,843.83 +2,342.90 +3.19% +1,734.43 +280.33 Voluntary Hospitals 25,011.11 +766.05 +3.16% +582.73 +107.33 Voluntary Agencies (Non-Acute) 16,055.40 +485.21 +3.12% +296.53 +26.96 Section 38 41,066.51 +1,251.26 +3.14% +879.26 +134.29

HSE WTE WTE % change WTE Oct change change WTE change Oct 2018 (Oct 2017 figure: 73,501) since Oct 2018 since Oct since Dec since Sep 18 17 17 17 Overall 75,843.83 +2,342.90 +3.19% +1,734.43 +280.33 Consultants 1,795.43 +50.12 +2.87% +49.98 +11.66 NCHDs 4,207.67 +179.26 +4.45% +163.87 +15.59 Medical (other) & Dental 763.23 -4.58 -0.60% -10.70 +7.14 Medical/ Dental 6,766.33 +224.80 +3.44% +203.15 +34.39 Nurse Manager 4,823.46 +253.61 +5.55% +184.19 +24.39 Nurse Specialist 1,168.18 +93.09 +8.66% +94.44 +13.37 Staff Nurse 16,435.00 +311.67 +1.93% +1.02 +63.36 Public Health Nurse 1,560.12 +47.32 +3.13% +45.95 +11.39 Nursing Student 435.38 -4.44 -1.01% +122.95 -56.04 Nursing (other) 162.83 +3.23 +2.02% +4.71 +.20 Nursing 24,584.97 +704.48 +2.95% +453.26 +56.67 Therapists (OT, Physio, SLT) 3,230.09 +67.89 +2.15% +26.04 +36.14 Health Professionals (other) 6,090.64 +164.48 +2.78% +132.77 +74.01 Health & Social Care Professionals 9,320.73 +232.37 +2.56% +158.81 +110.15 Management (VIII+) 1,327.78 +110.41 +9.07% +86.38 +25.58 Clerical & Supervisory (III to VII) 11,609.68 +435.15 +3.89% +347.62 +80.90 Management/ Admin 12,937.46 +545.56 +4.40% +434.00 +106.48 General Support 5,807.51 -34.46 -0.59% -14.82 -50.49 Ambulance 1,785.21 +39.77 +2.28% +40.26 -9.22 Care 11,102.36 +474.06 +4.46% +422.41 +49.19 Home Help 3,539.26 +156.32 +4.62% +37.36 -16.84 Patient & Client Care 16,426.83 +670.15 +4.25% +500.03 +23.13

Section 38 WTE WTE % change WTE Oct change change WTE change Oct 2018 (Oct 2017 figure: 39,815) since Oct 2018 since Oct since Dec since Sep 18 17 17 17 Overall 41,066.51 +1,251.26 +3.14% +879.26 +134.29 Consultants 1,293.05 +70.41 +5.76% +67.87 +11.34 NCHDs 2,339.36 +50.70 +2.22% +52.53 -5.18 Medical (other) & Dental 43.37 -1.05 -2.36% -2.71 +1.42 Medical/ Dental 3,675.78 +120.06 +3.38% +117.69 +7.58 Nurse Manager 2,917.08 +96.48 +3.42% +122.63 +11.55 Nurse Specialist 670.04 +82.41 +14.02% +37.68 +9.75 Staff Nurse 8,776.94 +110.28 +1.27% -104.14 +60.14 Nursing Student 249.92 -6.27 -2.45% +62.25 -13.52 Nursing (other) 149.14 -.53 -0.35% -.31 +3.60 Nursing 12,763.12 +282.37 +2.26% +118.11 +71.52 Therapists (OT, Physio, SLT) 1,274.41 +54.39 +4.46% +37.56 -.45 Health Professionals (other) 5,741.98 +258.44 +4.71% +190.67 +34.70 Health & Social Care Professionals 7,016.39 +312.83 +4.67% +228.23 +34.25 Management (VIII+) 394.63 +23.10 +6.22% +26.25 +6.36 Clerical & Supervisory (III to VII) 4,992.20 +187.72 +3.91% +149.65 +15.50 Management/ Admin 5,386.83 +210.82 +4.07% +175.90 +21.86 General Support 3,607.46 -13.20 -0.36% -23.87 -10.27 Patient & Client Care 8,616.93 +338.38 +4.09% +263.20 +9.35

124 Employment Acute, Community: October 2018

Acute Services WTE % WTE WTE WTE Oct change change change change Oct 2018 (Oct 2017 figure: 57,660) 2018 since Oct since Oct since Dec since 17 17 17 Sep 18 Overall 59,849.36 +2,189.21 +3.80% +1,746.72 +176.52 Consultants 2,629.77 +122.46 +4.88% +114.56 +23.94 NCHDs 5,500.66 +167.10 +3.13% +153.48 +11.90 Medical (other) & Dental 56.33 -1.14 -1.98% +.59 -1.15 Medical/ Dental 8,186.76 +288.42 +3.65% +268.63 +34.69 Nurse Manager 4,459.82 +276.60 +6.61% +283.99 +32.47 Nurse Specialist 1,184.20 +147.52 +14.23% +112.01 +20.48 Staff Nurse 15,975.25 +465.57 +3.00% +28.69 +64.38 Public Health Nurse 1.39 +.39 +39.00% +.39 -.01 Nursing Student 509.61 +39.35 +8.37% +189.94 -26.74 Nursing (other) 200.27 +8.29 +4.32% +8.62 +6.19 Nursing 22,330.54 +937.72 +4.38% +623.64 +96.77 Therapists (OT, Physio, SLT) 1,411.41 +56.80 +4.19% +36.68 -.58 Health Professionals (other) 5,970.73 +220.39 +3.83% +179.08 +57.10 Health & Social Care Professionals 7,382.14 +277.19 +3.90% +215.76 +56.52 Management (VIII+) 487.24 +52.82 +12.16% +49.23 +12.79 Clerical & Supervisory (III to VII) 8,622.20 +277.21 +3.32% +240.02 +21.63 Management/ Admin 9,109.44 +330.03 +3.76% +289.25 +34.42 General Support 5,975.54 +22.05 +0.37% +33.12 -62.32 Ambulance 1,785.21 +39.77 +2.28% +40.26 -9.22 Care 5,079.73 +294.03 +6.14% +276.06 +25.66 Patient & Client Care 6,864.94 +333.80 +5.11% +316.32 +16.44

Community Services WTE % WTE WTE WTE Oct change change change change Oct 2018 (Oct 2017 figure: 51,249) 2018 since Oct since Oct since Dec since 17 17 17 Sep 18 Overall 52,501.25 +1,252.47 +2.44% +780.49 +186.91 Consultants 415.02 -1.17 -0.28% +3.03 -1.50 NCHDs 992.88 +57.38 +6.13% +58.87 +.04 Medical (other) & Dental 641.16 -1.09 -0.17% -9.04 +11.63 Medical/ Dental 2,049.06 +55.12 +2.76% +52.86 +10.17 Nurse Manager 3,164.74 +76.54 +2.48% +30.25 +.14 Nurse Specialist 639.89 +26.63 +4.34% +18.53 +2.34 Staff Nurse 9,234.07 -43.63 -0.47% -131.82 +59.23 Public Health Nurse 1,554.57 +46.49 +3.08% +45.12 +10.64 Nursing Student 175.69 -50.06 -22.17% -4.74 -42.82 Nursing (other) 58.18 -5.99 -9.33% -4.42 -1.82 Nursing 14,827.14 +49.98 +0.34% -47.08 +27.71 Therapists (OT, Physio, SLT) 3,090.71 +65.40 +2.16% +26.84 +36.19 Health Professionals (other) 5,154.84 +196.54 +3.96% +125.88 +37.79 Health & Social Care Professionals 8,245.55 +261.94 +3.28% +152.72 +73.98 Management (VIII+) 592.84 +26.87 +4.75% +19.56 +2.95 Clerical & Supervisory (III to VII) 5,560.32 +257.01 +4.85% +222.57 +51.32 Management/ Admin 6,153.16 +283.88 +4.84% +242.13 +54.27 General Support 3,107.80 -76.74 -2.41% -71.83 +6.24 Patient & Client Care 18,118.54 +678.29 +3.89% +451.69 +14.54

125 Employment by Hospital Group, CHO etc. Oct 2018

Ambulance WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 1,844) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 1,889.57 +45.37 +2.46% +46.63 -7.48 Medical/ Dental 1.00 .00 .0% .00 .00 Nurse Manager 1.00 +.26 +35.14% .00 .00 Staff Nurse 2.00 +1.26 +170.27% +1.00 .00 Nursing 3.00 +1.52 +102.70% +1.00 .00 Management (VIII+) 7.00 +.32 +4.79% +1.00 .00 Clerical & Supervisory (III to VII) 69.11 +4.87 +7.58% +4.45 +1.74 Management/ Admin 76.11 +5.19 +7.32% +5.45 +1.74 General Support 14.51 -1.00 -6.45% +.03 .00 Ambulance 1,785.21 +39.77 +2.28% +40.26 -9.22 Care 9.74 -.11 -1.12% -.11 .00 Patient & Client Care 1,794.95 +39.66 +2.26% +40.15 -9.22

Children's Hospital Group WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 3,086) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 3,317.04 +230.99 +7.48% +212.61 +46.34 Consultants 196.08 +19.11 +10.80% +19.54 +4.36 NCHDs 261.53 -2.84 -1.07% -.06 -.70 Medical (other) & Dental 2.39 +.50 +26.46% +.50 .00 Medical/ Dental 460.00 +16.77 +3.78% +19.98 +3.66 Nurse Manager 313.16 +2.21 +0.71% +38.09 +2.48 Nurse Specialist 136.00 +32.79 +31.77% +8.89 +2.26 Staff Nurse 758.88 +54.20 +7.69% +31.89 +19.11 Nursing Student 81.69 -2.70 -3.20% -.15 +14.80 Nursing (other) 8.58 +.77 +9.86% +1.16 +.17 Nursing 1,298.31 +87.27 +7.21% +79.88 +38.82 Therapists (OT, Physio, SLT) 69.77 -.94 -1.33% +1.50 +.71 Health Professionals (other) 463.21 +30.49 +7.05% +21.76 +7.95 Health & Social Care Professionals 532.98 +29.55 +5.87% +23.26 +8.66 Management (VIII+) 49.35 +14.37 +41.08% +12.62 -.05 Clerical & Supervisory (III to VII) 607.37 +55.33 +10.02% +46.47 -5.70 Management/ Admin 656.72 +69.70 +11.87% +59.09 -5.75 Support 208.83 +8.67 +4.33% +8.06 -.15 General Support 208.83 +8.67 +4.33% +8.06 -.15 Care 160.20 +19.03 +13.48% +22.34 +1.10 Patient & Client Care 160.20 +19.03 +13.48% +22.34 +1.10

Dublin Midlands Hospital Group

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 10,238) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18

Overall 10,337.85 +100.16 +0.98% +36.64 -13.34 Consultants 448.44 +25.28 +5.97% +24.71 +1.51 NCHDs 880.31 +21.88 +2.55% +31.85 +.44 Medical (other) & Dental 6.03 -.51 -7.80% -1.54 -1.48 Medical/ Dental 1,334.78 +46.65 +3.62% +55.02 +.47 Nurse Manager 859.46 +36.17 +4.39% +16.23 +10.22 Nurse Specialist 186.88 +19.59 +11.71% +29.32 +3.95 Staff Nurse 2,658.46 -16.87 -0.63% -82.82 +8.93 Nursing Student 36.61 +5.27 +16.82% +14.26 -41.12 Nursing (other) 26.91 +2.75 +11.38% +1.81 -.41 Nursing 3,768.32 +46.91 +1.26% -21.20 -18.43 Therapists (OT, Physio, SLT) 267.39 +2.37 +0.89% -1.91 -2.93 Health Professionals (other) 1,388.58 +39.51 +2.93% +39.45 +14.60 Health & Social Care Professionals 1,655.97 +41.88 +2.59% +37.54 +11.67 Management (VIII+) 107.82 +12.52 +13.14% +9.99 +3.77 Clerical & Supervisory (III to VII) 1,496.20 +28.10 +1.91% +18.29 +5.45 Management/ Admin 1,604.02 +40.62 +2.60% +28.28 +9.22 Support 856.27 -34.07 -3.83% -34.47 -14.79 General Support 856.27 -34.07 -3.83% -34.47 -14.79 Care 1,118.49 -41.83 -3.61% -28.53 -1.48 Patient & Client Care 1,118.49 -41.83 -3.61% -28.53 -1.48

126 Ireland East Hospital Group WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 11,265) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 11,693.16 +428.05 +3.80% +311.21 +72.30 Consultants 518.83 +19.90 +3.99% +16.95 +3.54 NCHDs 1,148.51 +32.17 +2.88% +27.99 +6.37 Medical (other) & Dental 26.79 +2.60 +10.75% +1.82 +.53 Medical/ Dental 1,694.13 +54.67 +3.33% +46.76 +10.44 Nurse Manager 867.42 +52.94 +6.50% +59.15 -1.06 Nurse Specialist 291.78 +38.14 +15.04% +22.90 +1.83 Staff Nurse 3,129.85 +9.95 +0.32% -33.74 +25.16 Nursing Student 57.18 +7.14 +14.27% +9.70 +2.46 Nursing (other) 69.11 -.78 -1.12% -.51 +2.10 Nursing 4,415.34 +107.39 +2.49% +57.50 +30.49 Therapists (OT, Physio, SLT) 313.67 +23.55 +8.12% +10.54 +2.29 Health Professionals (other) 1,104.62 +56.19 +5.36% +56.75 +12.90 Health & Social Care Professionals 1,418.29 +79.74 +5.96% +67.29 +15.19 Management (VIII+) 79.57 +2.94 +3.84% +2.84 +2.20 Clerical & Supervisory (III to VII) 1,695.81 +74.09 +4.57% +55.54 +16.58 Management/ Admin 1,775.38 +77.03 +4.54% +58.38 +18.78 Support 1,435.06 +38.30 +2.74% +36.04 -8.07 General Support 1,435.06 +38.30 +2.74% +36.04 -8.07 Care 954.96 +70.92 +8.02% +45.24 +5.47 Patient & Client Care 954.96 +70.92 +8.02% +45.24 +5.47

RCSI Hospitals Group WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 8,698) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 9,133.38 +435.41 +5.01% +356.48 +34.96 Consultants 437.00 +29.33 +7.19% +28.81 +7.76 NCHDs 883.06 +13.86 +1.59% +9.38 -6.92 Medical (other) & Dental 3.61 +.69 +23.63% +.28 +.21 Medical/ Dental 1,323.67 +43.88 +3.43% +38.47 +1.05 Nurse Manager 734.69 +67.84 +10.17% +64.35 -.69 Nurse Specialist 166.86 +19.41 +13.16% +21.35 +3.98 Staff Nurse 2,438.46 +72.49 +3.06% -16.29 +24.47 Nursing Student 89.70 +19.84 +28.40% +62.70 -8.91 Nursing (other) 42.80 +5.30 +14.13% +4.94 +3.42 Nursing 3,472.51 +184.88 +5.62% +137.05 +22.27 Therapists (OT, Physio, SLT) 258.31 +10.86 +4.39% +10.65 -1.13 Health Professionals (other) 822.02 +22.98 +2.88% +7.32 -5.43 Health & Social Care Professionals 1,080.33 +33.84 +3.23% +17.97 -6.56 Management (VIII+) 84.51 +12.12 +16.74% +14.00 +2.16 Clerical & Supervisory (III to VII) 1,332.52 +46.37 +3.61% +37.01 +9.45 Management/ Admin 1,417.03 +58.49 +4.31% +51.01 +11.61 Support 1,009.70 -2.48 -0.25% -2.32 -1.70 General Support 1,009.70 -2.48 -0.25% -2.32 -1.70 Care 830.14 +116.80 +16.37% +114.30 +8.29 Patient & Client Care 830.14 +116.80 +16.37% +114.30 +8.29

Saolta University Hospital Care

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 8,689) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 8,999.62 +310.56 +3.57% +325.86 +22.10 Consultants 413.35 +14.59 +3.66% +14.41 +1.09 NCHDs 953.57 +59.42 +6.65% +47.52 +6.38 Medical (other) & Dental 8.52 -2.58 -23.24% -3.14 -.46 Medical/ Dental 1,375.44 +71.43 +5.48% +58.79 +7.01 Nurse Manager 553.63 +30.30 +5.79% +31.29 +3.38 Nurse Specialist 198.32 +31.77 +19.08% +23.39 +2.87 Staff Nurse 2,659.64 +43.30 +1.65% +22.29 -1.31 Public Health Nurse 1.39 +.39 +39.00% +.39 -.01 Nursing Student 106.07 +48.86 +85.40% +80.96 +2.95 Nursing (other) 31.06 +.61 +2.00% +1.68 +.89 Nursing 3,550.11 +155.23 +4.57% +160.00 +8.77 Therapists (OT, Physio, SLT) 205.00 +5.24 +2.62% +4.34 +1.07 Health Professionals (other) 832.49 +22.15 +2.73% +9.46 -.93 Health & Social Care Professionals 1,037.49 +27.39 +2.71% +13.80 +.14 Management (VIII+) 48.38 +4.15 +9.38% +5.69 +3.01 Clerical & Supervisory (III to VII) 1,275.57 -5.46 -0.43% +24.31 +3.11 Management/ Admin 1,323.95 -1.31 -0.10% +30.00 +6.12 Support 898.73 -10.45 -1.15% +3.42 -8.34 General Support 898.73 -10.45 -1.15% +3.42 -8.34 Care 813.90 +68.27 +9.16% +59.85 +8.40 Patient & Client Care 813.90 +68.27 +9.16% +59.85 +8.40

127 South/South West Hospital Group WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 9,891) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 10,286.49 +395.77 +4.00% +307.97 +13.58 Consultants 458.44 +9.50 +2.12% +5.39 +3.79 NCHDs 1,006.58 +26.73 +2.73% +20.91 +5.85 Medical (other) & Dental 8.18 +2.75 +50.64% +2.70 .00 Medical/ Dental 1,473.20 +38.98 +2.72% +29.00 +9.64 Nurse Manager 783.05 +62.83 +8.72% +54.47 +13.67 Nurse Specialist 135.05 -7.33 -5.15% -6.51 +1.85 Staff Nurse 3,131.79 +214.98 +7.37% +76.05 -15.34 Nursing Student 127.08 -44.15 -25.78% +16.89 +11.58 Nursing (other) 10.78 -.13 -1.19% -.19 +.12 Nursing 4,187.75 +226.20 +5.71% +140.71 +11.88 Therapists (OT, Physio, SLT) 231.04 +8.98 +4.04% +5.14 -1.41 Health Professionals (other) 1,016.46 +23.69 +2.39% +31.25 +22.75 Health & Social Care Professionals 1,247.50 +32.67 +2.69% +36.39 +21.34 Management (VIII+) 48.00 +2.00 +4.35% +1.05 .00 Clerical & Supervisory (III to VII) 1,485.94 +40.11 +2.77% +37.94 -4.43 Management/ Admin 1,533.94 +42.11 +2.82% +38.99 -4.43 Support 1,224.61 +23.02 +1.92% +25.74 -28.32 General Support 1,224.61 +23.02 +1.92% +25.74 -28.32 Care 619.49 +32.79 +5.59% +37.14 +3.47 Patient & Client Care 619.49 +32.79 +5.59% +37.14 +3.47

University of Limerick Hospital Group

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 3,880) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 4,104.62 +224.21 +5.78% +130.26 +4.96 Consultants 156.63 +4.75 +3.13% +4.75 +1.89 NCHDs 367.10 +15.88 +4.52% +15.89 +.48 Medical (other) & Dental 0.81 -4.59 -85.00% -.03 +.05 Medical/ Dental 524.54 +16.04 +3.15% +20.61 +2.42 Nurse Manager 332.65 +17.14 +5.43% +13.50 +3.71 Nurse Specialist 69.31 +13.15 +23.42% +12.67 +3.74 Staff Nurse 1,196.17 +86.26 +7.77% +30.31 +3.36 Nursing Student 11.28 +5.09 +82.23% +5.58 -8.50 Nursing (other) 11.03 -.23 -2.04% -.27 -.10 Nursing 1,620.44 +121.41 +8.10% +61.79 +2.21 Therapists (OT, Physio, SLT) 65.23 +5.74 +9.65% +5.42 +.82 Health Professionals (other) 337.35 +22.38 +7.11% +9.09 +4.76 Health & Social Care Professionals 402.58 +28.12 +7.51% +14.51 +5.58 Management (VIII+) 34.10 +1.62 +4.99% -.52 -.33 Clerical & Supervisory (III to VII) 622.32 +28.80 +4.85% +11.42 -4.38 Management/ Admin 656.42 +30.42 +4.86% +10.90 -4.71 Support 327.83 +.06 +0.02% -3.38 -.95 General Support 327.83 +.06 +0.02% -3.38 -.95 Care 572.81 +28.16 +5.17% +25.83 +.41 Patient & Client Care 572.81 +28.16 +5.17% +25.83 +.41 other Acute Services WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 69) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 87.63 +18.69 +27.11% +19.06 +3.10 Nursing 14.76 +6.91 +88.03% +6.91 +.76 Health & Social Care Professionals 7.00 +4.00 +133.33% +5.00 +.50 Management (VIII+) 28.51 +2.78 +10.80% +2.56 +2.03 Clerical & Supervisory (III to VII) 37.36 +5.00 +15.45% +4.59 -.19 Management/ Admin 65.87 +7.78 +13.39% +7.15 +1.84

128 CHO 1 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 5,421) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 5,488.90 +67.78 +1.25% +32.53 +7.63 Consultants 33.95 -1.63 -4.58% +.56 -1.12 NCHDs 95.57 +12.92 +15.63% +14.25 +.29 Medical (other) & Dental 62.82 -1.05 -1.64% -2.15 +.47 Medical/ Dental 192.34 +10.24 +5.62% +12.66 -.36 Nurse Manager 352.99 +25.85 +7.90% +12.76 -3.64 Nurse Specialist 91.52 -.35 -0.38% -.71 -.38 Staff Nurse 1,046.58 -21.23 -1.99% -15.33 +4.47 Public Health Nurse 146.88 -2.47 -1.65% -5.92 -1.94 Nursing Student 20.17 +8.01 +65.87% +9.38 -9.86 Nursing (other) 4.80 +.04 +0.84% .00 .00 Nursing 1,662.94 +9.85 +0.60% +.18 -11.35 Therapists (OT, Physio, SLT) 294.52 +17.97 +6.50% +10.24 +7.78 Health Professionals (other) 215.07 -6.08 -2.75% -5.59 +.93 Health & Social Care Professionals 509.59 +11.89 +2.39% +4.65 +8.71 Management (VIII+) 51.91 +5.38 +11.56% +3.42 -.40 Clerical & Supervisory (III to VII) 574.85 +18.82 +3.38% +17.66 +2.78 Management/ Admin 626.76 +24.20 +4.02% +21.08 +2.38 General Support 362.15 -1.51 -0.42% -.36 -.19 Patient & Client Care 2,135.12 +13.11 +0.62% -5.68 +8.44

CHO 2 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 5,350) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 5,461.22 +111.08 +2.08% +69.80 +22.69 Consultants 41.66 +1.27 +3.14% +2.92 +.17 NCHDs 108.31 +6.43 +6.31% +2.64 +1.99 Medical (other) & Dental 63.79 +.81 +1.29% +1.31 +2.21 Medical/ Dental 213.76 +8.51 +4.15% +6.87 +4.37 Nurse Manager 308.73 +7.00 +2.32% +8.21 +1.11 Nurse Specialist 84.13 +5.32 +6.75% +3.02 +3.55 Staff Nurse 919.45 +2.92 +0.32% -15.71 +1.47 Public Health Nurse 191.77 +13.70 +7.69% +17.57 +7.76 Nursing Student 20.38 -16.00 -43.98% -8.76 -3.08 Nursing (other) 1.88 -.12 -6.00% -.12 -1.00 Nursing 1,526.34 +12.82 +0.85% +4.21 +9.81 Therapists (OT, Physio, SLT) 302.81 +14.34 +4.97% +9.94 +7.80 Health Professionals (other) 490.21 +40.01 +8.89% +27.74 +7.03 Health & Social Care Professionals 793.02 +54.35 +7.36% +37.68 +14.83 Management (VIII+) 57.74 +4.57 +8.60% +3.60 +2.47 Clerical & Supervisory (III to VII) 610.08 +32.71 +5.67% +22.32 +6.03 Management/ Admin 667.82 +37.28 +5.91% +25.92 +8.50 General Support 244.67 +1.50 +0.62% +1.09 +2.31 Patient & Client Care 2,015.61 -3.38 -0.17% -5.97 -17.13

CHO 3 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 4,167) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 4,298.02 +131.15 +3.15% +128.89 +32.22 Consultants 27.59 +1.68 +6.48% +.42 -.12 NCHDs 67.92 +4.28 +6.73% +4.26 +.35 Medical (other) & Dental 57.79 +4.79 +9.04% -.12 +1.48 Medical/ Dental 153.30 +10.75 +7.54% +4.56 +1.71 Nurse Manager 247.23 +2.42 +0.99% -.13 +1.96 Nurse Specialist 46.06 +1.62 +3.65% +.62 -1.10 Staff Nurse 766.52 -12.56 -1.61% -26.60 -7.85 Public Health Nurse 129.20 +10.73 +9.06% +9.25 +4.88 Nursing Student 15.98 -3.69 -18.76% +8.48 +5.60 Nursing (other) 4.00 -4.72 -54.13% -4.72 .00 Nursing 1,208.99 -6.20 -0.51% -13.10 +3.49 Therapists (OT, Physio, SLT) 195.91 +3.43 +1.78% +1.60 +3.73 Health Professionals (other) 473.60 +21.03 +4.65% +14.56 +11.48 Health & Social Care Professionals 669.51 +24.46 +3.79% +16.16 +15.21 Management (VIII+) 35.85 +3.64 +11.30% +2.64 +1.01 Clerical & Supervisory (III to VII) 459.86 +22.67 +5.19% +29.68 +3.92 Management/ Admin 495.71 +26.31 +5.61% +32.32 +4.93 General Support 249.59 -.17 -0.07% +1.94 -1.82 Patient & Client Care 1,520.92 +76.00 +5.26% +87.01 +8.70

129 CHO 4 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 7,945) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 8,106.50 +161.29 +2.03% +123.72 +53.95 Consultants 55.29 +4.21 +8.24% +4.23 +.73 NCHDs 136.04 +9.79 +7.75% +9.21 -3.50 Medical (other) & Dental 117.49 -4.79 -3.92% -4.00 +7.32 Medical/ Dental 308.82 +9.21 +3.07% +9.44 +4.55 Nurse Manager 384.94 -2.23 -0.58% +.36 -1.27 Nurse Specialist 71.82 +4.89 +7.31% +2.96 +2.30 Staff Nurse 1,565.16 -4.91 -0.31% -39.67 +.03 Public Health Nurse 219.75 +3.85 +1.78% +2.90 +.60 Nursing Student 30.25 -6.25 -17.12% +5.25 -3.87 Nursing (other) 0.50 .00 .0% .00 .00 Nursing 2,272.42 -4.65 -0.20% -28.20 -2.21 Therapists (OT, Physio, SLT) 406.53 -6.17 -1.50% -5.56 +10.97 Health Professionals (other) 597.38 +28.03 +4.92% +25.46 +9.22 Health & Social Care Professionals 1,003.91 +21.86 +2.23% +19.90 +20.19 Management (VIII+) 63.50 -2.12 -3.23% -1.62 +.42 Clerical & Supervisory (III to VII) 625.28 +43.32 +7.44% +30.54 +17.60 Management/ Admin 688.78 +41.20 +6.36% +28.92 +18.02 General Support 375.11 -24.39 -6.11% -20.31 -2.76 Patient & Client Care 3,457.46 +118.06 +3.54% +113.97 +16.16

CHO 5 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 4,911) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 5,225.57 +314.31 +6.40% +145.10 +16.18 Consultants 27.88 -5.21 -15.74% -4.12 -.62 NCHDs 65.60 -1.70 -2.53% -3.30 -.90 Medical (other) & Dental 64.53 +1.92 +3.07% +1.02 +.90 Medical/ Dental 158.01 -4.99 -3.06% -6.40 -.62 Nurse Manager 339.74 +14.61 +4.49% +14.97 +2.52 Nurse Specialist 60.71 +5.90 +10.76% +8.81 +1.21 Staff Nurse 950.27 +7.58 +0.80% -5.58 +14.13 Public Health Nurse 167.60 +2.62 +1.59% +3.35 -.02 Nursing Student 19.00 -2.32 -10.88% -2.30 -12.16 Nursing (other) 3.64 -.01 -0.27% -.01 .00 Nursing 1,540.96 +28.38 +1.88% +19.24 +5.68 Therapists (OT, Physio, SLT) 322.90 -1.66 -0.51% +.47 -7.07 Health Professionals (other) 356.33 +5.36 +1.53% +5.57 +.73 Health & Social Care Professionals 679.23 +3.70 +0.55% +6.04 -6.34 Management (VIII+) 43.12 +6.01 +16.20% +5.95 -.74 Clerical & Supervisory (III to VII) 429.37 +6.83 +1.62% +6.01 +1.25 Management/ Admin 472.49 +12.84 +2.79% +11.96 +.51 General Support 381.86 -19.56 -4.87% -16.70 -4.28 Patient & Client Care 1,993.02 +293.94 +17.30% +130.96 +21.23

CHO 6 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 3,731) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 3,787.97 +57.17 +1.53% +15.60 +13.17 Consultants 52.77 +.14 +0.27% +2.33 +.83 NCHDs 83.42 +1.99 +2.44% +3.46 -.09 Medical (other) & Dental 53.89 +.32 +0.60% -.83 +.32 Medical/ Dental 190.08 +2.45 +1.31% +4.96 +1.06 Nurse Manager 236.25 +16.09 +7.31% +7.01 -1.25 Nurse Specialist 19.94 -2.94 -12.85% -2.93 -.20 Staff Nurse 641.53 +14.37 +2.29% +18.21 +2.48 Public Health Nurse 122.53 +.64 +0.53% -.31 -2.54 Nursing Student 6.00 -14.00 -70.00% -13.35 +4.50 Nursing (other) 4.00 .00 .0% +1.00 .00 Nursing 1,030.25 +14.16 +1.39% +9.63 +2.99 Therapists (OT, Physio, SLT) 310.89 +17.39 +5.93% +10.98 +7.08 Health Professionals (other) 555.09 +12.91 +2.38% -6.89 -6.66 Health & Social Care Professionals 865.98 +30.30 +3.63% +4.09 +.42 Management (VIII+) 74.87 +1.15 +1.56% +4.35 +2.92 Clerical & Supervisory (III to VII) 452.73 +6.59 +1.48% +6.05 +5.50 Management/ Admin 527.60 +7.74 +1.49% +10.40 +8.42 General Support 262.76 +7.55 +2.96% -4.34 -1.48 Patient & Client Care 911.30 -5.03 -0.55% -9.14 +1.76

130 CHO 7

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 6,356) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18

Overall 6,522.19 +166.15 +2.61% +116.27 +8.19 Consultants 55.23 +.16 +0.29% -.69 -1.40 NCHDs 122.01 +7.68 +6.72% +11.57 +.48 Medical (other) & Dental 82.27 -4.56 -5.25% -6.13 -2.67 Medical/ Dental 259.51 +3.28 +1.28% +4.75 -3.59 Nurse Manager 400.30 +11.71 +3.01% +.56 +2.98 Nurse Specialist 79.40 +2.19 +2.84% -.68 -2.50 Staff Nurse 999.95 -25.15 -2.45% -24.93 +17.14 Public Health Nurse 198.74 +8.38 +4.40% +11.93 +5.10 Nursing Student 16.89 -7.06 -29.48% -7.22 -8.86 Nursing (other) 8.50 -1.00 -10.53% -.49 -.28 Nursing 1,703.78 -10.93 -0.64% -20.83 +13.58 Therapists (OT, Physio, SLT) 428.10 +12.69 +3.05% +7.83 +1.60 Health Professionals (other) 654.15 +22.03 +3.49% +24.39 +.14 Health & Social Care Professionals 1,082.25 +34.72 +3.31% +32.22 +1.74 Management (VIII+) 69.41 +.61 +0.89% +2.37 -1.18 Clerical & Supervisory (III to VII) 550.93 +11.60 +2.15% +8.29 -4.69 Management/ Admin 620.34 +12.21 +2.01% +10.66 -5.87 General Support 485.72 -10.63 -2.14% -7.52 +13.50 Patient & Client Care 2,370.59 +137.50 +6.16% +96.99 -11.17

CHO 8 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 6,028) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 6,060.86 +33.30 +0.55% -30.76 -3.68 Consultants 39.99 -1.06 -2.58% -.23 +1.96 NCHDs 130.53 +2.02 +1.57% +2.83 +1.08 Medical (other) & Dental 67.20 -1.15 -1.68% -.63 -.14 Medical/ Dental 237.72 -.19 -0.08% +1.97 +2.90 Nurse Manager 371.79 -4.37 -1.16% -13.78 -1.30 Nurse Specialist 98.92 +2.44 +2.53% +1.57 -1.75 Staff Nurse 981.98 -21.09 -2.10% -29.47 +5.07 Public Health Nurse 194.04 +2.83 +1.48% -4.43 -.36 Nursing Student 14.41 -4.40 -23.39% +.37 -12.92 Nursing (other) 7.44 -1.05 -12.37% -1.08 -.75 Nursing 1,668.58 -25.64 -1.51% -46.82 -12.01 Therapists (OT, Physio, SLT) 355.99 -8.01 -2.20% -15.48 +2.16 Health Professionals (other) 645.86 +27.87 +4.51% +11.89 +7.22 Health & Social Care Professionals 1,001.85 +19.86 +2.02% -3.59 +9.38 Management (VIII+) 58.46 -2.68 -4.38% -4.56 -.61 Clerical & Supervisory (III to VII) 679.73 +12.07 +1.81% +9.45 +6.38 Management/ Admin 738.19 +9.39 +1.29% +4.89 +5.77 General Support 202.00 -9.05 -4.29% -8.86 -1.41 Patient & Client Care 2,212.52 +38.93 +1.79% +21.65 -8.31

CHO 9 WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 6,411) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 6,569.12 +157.97 +2.46% +131.43 +27.11 Consultants 66.43 -1.73 -2.54% -3.39 -1.94 NCHDs 156.58 +13.51 +9.44% +13.72 +.42 Medical (other) & Dental 70.02 +1.62 +2.37% +1.49 +1.74 Medical/ Dental 293.03 +13.40 +4.79% +11.82 +.22 Nurse Manager 459.93 +2.13 +0.47% -3.13 -1.97 Nurse Specialist 82.39 +5.56 +7.24% +3.87 +1.21 Staff Nurse 1,211.31 +17.96 +1.51% +7.19 +14.93 Public Health Nurse 184.06 +6.21 +3.49% +10.78 -2.84 Nursing Student 32.61 -4.35 -11.77% +3.41 -2.17 Nursing (other) 23.42 +.87 +3.86% +1.00 +.21 Nursing 1,993.72 +28.38 +1.44% +23.12 +9.37 Therapists (OT, Physio, SLT) 462.66 +14.02 +3.12% +6.42 +1.74 Health Professionals (other) 1,099.35 +40.20 +3.80% +24.03 +7.61 Health & Social Care Professionals 1,562.01 +54.22 +3.60% +30.45 +9.35 Management (VIII+) 63.96 +3.12 +5.13% -1.79 -.90 Clerical & Supervisory (III to VII) 677.09 +70.07 +11.54% +62.54 +10.77 Management/ Admin 741.05 +73.19 +10.96% +60.75 +9.87 General Support 521.91 -21.52 -3.96% -17.92 +3.54 Patient & Client Care 1,457.40 +10.30 +0.71% +23.21 -5.24

131 PCRS

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 389) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18

Overall 397.64 +8.37 +2.15% +5.17 -4.04 Medical (other) & Dental 1.00 +1.00 -100.00% +1.00 .00 Medical/ Dental 1.00 +1.00 -100.00% +1.00 .00 Health Professionals (other) 19.80 +4.50 +29.41% +3.50 .00 Health & Social Care Professionals 19.80 +4.50 +29.41% +3.50 .00 Management (VIII+) 15.00 +1.00 +7.14% .00 .00 Clerical & Supervisory (III to VII) 358.84 +1.87 +0.52% +.67 -4.04 Management/ Admin 373.84 +2.87 +0.77% +.67 -4.04 General Support 3.00 .00 .0% .00 .00 other Community Services WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 539) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 583.26 +43.90 +8.14% +42.74 +13.49 Consultants 14.23 +1.00 +7.56% +1.00 +.01 NCHDs 26.90 +.46 +1.74% +.23 -.08 Medical (other) & Dental 0.36 .00 .0% .00 .00 Medical/ Dental 41.49 +1.46 +3.65% +1.23 -.07 Nurse Manager 62.84 +3.33 +5.60% +3.42 +1.00 Nurse Specialist 5.00 +2.00 +66.67% +2.00 .00 Staff Nurse 151.32 -1.52 -0.99% +.07 +7.36 Nursing 219.16 +3.81 +1.77% +5.49 +8.36 Therapists (OT, Physio, SLT) 10.40 +1.40 +15.56% +.40 +.40 Health Professionals (other) 48.00 +.68 +1.44% +1.22 +.09 Health & Social Care Professionals 58.40 +2.08 +3.69% +1.62 +.49 Management (VIII+) 59.02 +6.19 +11.72% +5.20 -.04 Clerical & Supervisory (III to VII) 141.56 +30.46 +27.42% +29.36 +5.82 Management/ Admin 200.58 +36.65 +22.36% +34.56 +5.78 Support 19.03 +1.04 +5.78% +1.15 -1.17 General Support 19.03 +1.04 +5.78% +1.15 -1.17 Care 44.60 -1.14 -2.49% -1.31 +.10 Patient & Client Care 44.60 -1.14 -2.49% -1.31 +.10

Health & Wellbeing

WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 572) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18

Overall 573.99 +1.87 +0.33% -7.34 +5.55 Consultants 1.00 .00 .0% .00 .00 NCHDs 27.50 -.91 -3.20% -1.34 -1.52 Medical (other) & Dental 87.07 -3.35 -3.70% -5.02 -1.53 Medical/ Dental 115.57 -4.26 -3.56% -6.36 -3.05 Nurse Manager 13.82 -.68 -4.69% -1.56 +.98 Nurse Specialist 3.71 -.25 -6.31% -.25 -.04 Staff Nurse 1.99 .00 .0% .00 +.12 Public Health Nurse 4.16 +.44 +11.83% +.44 +.76 Nursing 23.68 -.49 -2.03% -1.37 +1.82 Health Professionals (other) 107.63 -1.89 -1.73% -2.53 +3.32 Health & Social Care Professionals 107.63 -1.89 -1.73% -2.53 +3.32 Management (VIII+) 36.10 +2.90 +8.73% -.13 +2.18 Clerical & Supervisory (III to VII) 242.92 +4.57 +1.92% +4.28 +2.26 Management/ Admin 279.02 +7.47 +2.75% +4.15 +4.44 General Support 3.42 +2.05 +149.64% +2.00 -2.00 Patient & Client Care 44.67 -1.01 -2.21% -3.23 +1.02

132 Corporate WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 2,397) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 2,442.66 +45.62 +1.90% +40.24 +36.20 Consultants 42.69 -.76 -1.75% +.26 +.56 NCHDs 25.99 +6.39 +32.60% +5.39 -.01 Medical (other) & Dental 21.04 -.55 -2.55% +.06 -.39 Medical/ Dental 89.72 +5.08 +6.00% +5.71 +.16 Nurse Manager 96.62 -2.39 -2.41% -5.88 +2.33 Nurse Specialist 10.42 +2.60 +33.25% +2.83 +.34 Staff Nurse 0.63 +.01 +1.61% +.01 -.23 Public Health Nurse 0.00 .00 -100.00% .00 .00 Nursing (other) 51.73 +.40 +0.78% +.20 -.57 Nursing 159.40 +.62 +0.39% -2.84 +1.87 Therapists (OT, Physio, SLT) 2.38 +.08 +3.48% +.08 +.08 Health Professionals (other) 595.51 +7.97 +1.36% +20.60 +10.59 Health & Social Care Professionals 597.89 +8.05 +1.36% +20.68 +10.67 Management (VIII+) 446.80 +25.62 +6.08% +25.53 +12.84 Clerical & Supervisory (III to VII) 1,118.36 +9.45 +0.85% -5.76 +10.90 Management/ Admin 1,565.16 +35.07 +2.29% +19.77 +23.74 General Support 18.66 -1.67 -8.21% -2.55 -.73 Patient & Client Care 11.83 -1.53 -11.45% -.53 +.49

Health Business Services WTE WTE WTE % change WTE Oct change change change Oct 2018 (Oct 2017 figure: 1,438) since Oct 2018 since Oct since Dec since 17 17 17 Sep 18 Overall 1,543.08 +104.99 +7.30% +53.58 +9.44 Medical (other) & Dental 1.00 +.50 +100.00% .00 .00 Medical/ Dental 1.00 +.50 +100.00% .00 .00 Nurse Manager 5.54 +.02 +0.36% +.02 +.02 Nurse Specialist -1.00 -100.00% -1.00 Nursing (other) 1.79 .00 .0% .00 .00 Nursing 7.33 -.98 -11.79% -.98 +.02 Health Professionals (other) 3.91 -.09 -2.25% +.41 -.09 Health & Social Care Professionals 3.91 -.09 -2.25% +.41 -.09 Management (VIII+) 159.43 +25.30 +18.86% +18.44 +1.18 Clerical & Supervisory (III to VII) 1,058.08 +74.63 +7.59% +36.16 +10.29 Management/ Admin 1,217.51 +99.93 +8.94% +54.60 +11.47 General Support 309.55 +6.65 +2.20% +.57 -1.95 Patient & Client Care 3.78 -1.02 -21.25% -1.02 -.01

133 Employment by Hospital & Hospital Group Oct 2018

% change WTE change WTE change WTE change Oct 2018 (Oct 2017 figure: 113,316) WTE Oct 2018 since Oct since Oct 17 since Dec 17 since Sep 18 17

Overall 116,910.34 +3,594.16 +3.17% +2,613.69 +414.62 Ambulance 1,889.57 +45.37 +2.46% +46.63 -7.48 National Children's Hospital at Tallaght Hospital 211.89 +5.83 +2.83% +11.08 +2.67 Our Lady's Children's Hospital, Crumlin 1,873.51 +103.17 +5.83% +89.09 +17.69 Temple Street Children's University Hospital 1,223.64 +118.99 +10.77% +113.40 +25.98 other 8.00 +3.00 +60.00% -.96 .00 Children's Hospital Group 3,317.04 +230.99 +7.48% +212.61 +46.34 Coombe Women & Infants University Hospital 845.32 +23.06 +2.80% +16.22 -5.73 MRH Portlaoise 725.45 +36.08 +5.23% +21.38 -4.63 MRH Tullamore 1,035.08 -12.72 -1.21% -22.17 -13.99 Naas General Hospital 734.69 -20.91 -2.77% -18.06 -3.57 St. James's Hospital 3,870.02 +42.01 +1.10% +17.81 +4.92 St. Luke's Radiation Oncology Network 526.75 -7.04 -1.32% +3.59 +5.82 Tallaght Hospital - Adults 2,565.94 +18.31 +0.72% -2.28 +2.52 other 34.60 +21.37 +161.53% +20.15 +1.32 Dublin Midlands Hospital Group 10,337.85 +100.16 +0.98% +36.64 -13.34 Cappagh National Orthopaedic Hospital 409.39 +19.85 +5.10% +14.42 -2.54 Mater Misericordiae University Hospital 3,019.68 +84.49 +2.88% +85.98 +50.78 MRH Mullingar 914.29 +49.99 +5.78% +22.68 +2.40 National Maternity Hospital 856.69 +42.09 +5.17% +36.58 -5.80 Our Lady's Hospital Navan 510.00 +19.59 +3.99% +13.65 +4.99 Royal Victoria Eye and Ear Hospital 281.70 +8.57 +3.14% +8.28 +7.20 St. Columcille's Hospital 437.90 +25.11 +6.08% +27.09 -3.98 St Luke's General Hospital Kilkenny 1,119.69 +104.35 +10.28% +85.64 +8.26 St. Michael's Hospital 386.35 -.74 -0.19% +.37 -1.04 St. Vincent's University Hospital 2,739.18 +26.57 +0.98% -34.66 +2.11 Wexford General Hospital 986.57 +36.83 +3.88% +39.79 +9.14 other 31.72 +11.35 +55.72% +11.39 +.78 Ireland East Hospital Group 11,693.16 +428.05 +3.80% +311.21 +72.30 Beaumont Hospital 3,670.88 +189.24 +5.44% +169.57 +18.14 Cavan General Hospital 973.58 +42.59 +4.57% +41.41 +1.94 Connolly Hospital 1,277.30 +62.58 +5.15% +42.66 +5.99 Louth County Hospital 277.74 +1.19 +0.43% -.24 +2.06 Monaghan Hospital 105.56 -5.01 -4.53% -6.30 +.27 Our Lady of Lourdes Hospital 1,965.79 +124.38 +6.75% +96.90 +11.70 Rotunda Hospital 839.61 +14.50 +1.76% +7.30 -5.18 other 22.92 +5.94 +34.98% +5.18 +.04 RCSI Hospitals Group 9,133.38 +435.41 +5.01% +356.48 +34.96 Galway University Hospitals 3,556.62 +106.14 +3.08% +129.13 +16.79 Letterkenny University Hospital 1,564.71 +47.35 +3.12% +41.44 -5.48 Mayo University Hospital 1,132.99 +60.24 +5.62% +66.72 +2.76 Portiuncula University Hospital 768.54 +30.82 +4.18% +23.43 +9.21 Roscommon University Hospital 318.14 +15.98 +5.29% +14.16 -.65 Sligo University Hospital 1,593.95 +42.43 +2.73% +46.30 -.66 other 64.67 +7.60 +13.32% +4.68 +.13 Saolta University Hospital Care 8,999.62 +310.56 +3.57% +325.86 +22.10 Bantry General Hospital 274.73 +15.07 +5.80% +14.62 +6.73 Cork University Hospital 3,951.64 +198.76 +5.30% +142.41 -8.19 Lourdes Orthopaedic Hospital Kilcreene 72.34 +4.96 +7.36% +4.57 +.66 Mallow General Hospital 233.33 +5.68 +2.50% +.33 -1.03 Mercy University Hospital 1,149.57 +23.07 +2.05% +29.60 -.27 South Infirmary Victoria University Hospital 759.49 +22.36 +3.03% +14.54 -3.21 South Tipperary General Hospital 816.89 +21.99 +2.77% -.07 +6.77 UH Kerry 1,070.91 +55.68 +5.48% +49.91 -4.37 UH Waterford 1,927.07 +42.91 +2.28% +46.52 +16.58 other 30.52 +5.29 +20.97% +5.54 -.09 South/South West Hospital Group 10,286.49 +395.77 +4.00% +307.97 +13.58 Croom Orthopaedic Hospital 162.85 +3.21 +2.01% -1.51 -1.08 Ennis Hospital 226.65 +4.45 +2.00% +.58 +.14 Nenagh Hospital 246.67 +13.68 +5.87% +10.26 +3.81 St. John's Hospital Limerick 308.25 +24.68 +8.70% +5.43 -.91 UH Limerick 2,786.55 +162.81 +6.21% +91.46 +7.11 UMH Limerick 367.97 +32.04 +9.54% +26.28 -4.87 other 5.68 -16.66 -74.57% -2.24 +.76 University of Limerick Hospital Group 4,104.62 +224.21 +5.78% +130.26 +4.96 other Acute Services 87.63 +18.69 +27.11% +19.06 +3.10

134 Health Service Absence Rate - by Staff Category & Hospital, Hospital Group & CHO: YTD Sep 2018 Medical Health & Management General Patient & Nursing Overall Certified Service /Dental Social Care Admin Support Client Care Overall 1.22% 4.84% 3.60% 4.29% 5.65% 6.03% 4.56% 89.56% Ambulance 8.61% 0.00% 10.01% 3.01% 4.52% 6.59% 6.37% 86.14% National Children's Hospital at Tallaght Hospital 2.65% 4.65% 6.10% 4.92% 0.00% 2.20% 4.10% 89.00% Our Lady's Children's Hospital, Crumlin 1.41% 4.33% 3.27% 4.06% 6.37% 7.65% 4.05% 89.27% Temple Street Children's University Hospital 1.37% 3.75% 4.44% 4.13% 6.69% 3.42% 3.74% 92.00% Children's Hospital Group 1.53% 4.16% 3.76% 4.13% 6.44% 5.91% 3.94% 90.23% Coombe Women and Infants University Hospital 0.12% 3.16% 0.46% 2.72% 8.02% 7.97% 3.62% 83.51% MRH Portlaoise 1.58% 6.26% 5.81% 6.18% 9.78% 7.06% 5.93% 90.46% MRH Tullamore 0.57% 7.03% 7.15% 5.49% 4.86% 9.62% 6.49% 92.09% Naas General Hospital 0.63% 4.17% 1.55% 2.23% 5.71% 8.04% 3.94% 84.75% St. James's Hospital 0.69% 3.44% 1.98% 3.24% 5.41% 5.41% 3.14% 85.17% St. Luke's Radiation Oncology Network 0.85% 5.70% 3.96% 5.58% 9.26% 6.91% 5.17% 89.92% Tallaght Hospital - Adults 0.77% 4.49% 4.76% 4.83% 6.30% 8.09% 4.50% 89.76% Dublin Midlands Hospital Group 0.71% 4.23% 3.20% 3.98% 6.42% 7.31% 4.11% 87.86% Cappagh National Orthopaedic Hospital 4.15% 3.92% 2.01% 3.38% 6.38% 8.37% 4.29% 90.14% Mater Misericordiae University Hospital 0.78% 3.50% 2.25% 4.82% 6.42% 5.30% 3.50% 90.18% MRH Mullingar 2.02% 5.90% 4.91% 4.08% 6.73% 8.34% 5.42% 91.52% National Maternity Hospital 0.29% 3.43% 1.06% 4.07% 3.61% 5.55% 3.13% 86.76% Our Lady's Hospital Navan 1.40% 4.51% 2.06% 3.86% 3.21% 4.52% 3.68% 86.36% Royal Victoria Eye and Ear Hospital 0.76% 5.28% 3.02% 4.49% 2.87% 5.01% 3.80% 86.58% St. Columcille's Hospital 0.51% 6.29% 1.02% 2.92% 5.34% 2.48% 3.80% 90.53% St Luke's General Hospital Kilkenny 1.01% 5.84% 4.35% 4.59% 5.55% 5.22% 4.76% 89.45% St. Michael's Hospital 0.36% 2.75% 4.70% 2.20% 3.08% 2.51% 2.48% 83.87% St. Vincent's University Hospital 0.18% 3.42% 2.51% 3.43% 4.15% 5.95% 3.08% 86.23% Wexford General Hospital 0.75% 6.74% 4.28% 4.70% 6.68% 11.06% 5.68% 90.47% Ireland East Hospital Group 0.80% 4.22% 2.68% 4.01% 5.20% 5.95% 3.79% 88.82% Beaumont Hospital 0.70% 3.22% 2.44% 4.78% 4.61% 5.38% 3.30% 90.03% Cavan General Hospital 2.36% 5.86% 3.61% 4.92% 5.95% 5.95% 4.97% 90.46% Connolly Hospital 0.66% 3.47% 2.48% 4.28% 6.86% 4.19% 3.47% 87.88% Louth County Hospital 0.21% 6.59% 4.93% 5.14% 9.29% 7.62% 6.61% 90.72% Monaghan Hospital 0.00% 5.63% 1.83% 3.60% 3.74% 11.67% 5.82% 91.48% Our Lady of Lourdes Hospital 1.39% 6.28% 4.33% 4.99% 10.70% 9.93% 5.65% 89.57% Rotunda Hospital 0.45% 5.28% 1.58% 3.07% 3.23% 2.44% 3.48% 86.34% RCSI Hospitals Group 1.01% 4.42% 2.83% 4.59% 6.02% 6.11% 4.08% 89.45% Galway University Hospitals 1.17% 4.75% 2.90% 3.43% 5.43% 5.33% 3.80% 81.07% Letterkenny University Hospital 1.23% 5.63% 4.99% 5.71% 7.78% 6.17% 5.43% 90.35% Mayo University Hospital 1.87% 4.97% 3.44% 4.92% 5.17% 4.79% 4.30% 84.66% Portiuncula University Hospital 0.71% 4.25% 1.79% 2.75% 6.07% 3.00% 3.32% 79.34% Roscommon University Hospital 0.00% 4.77% 3.34% 1.06% 7.07% 6.73% 4.24% 82.51% Sligo University Hospital 1.13% 5.13% 4.05% 4.86% 6.09% 5.97% 4.62% 91.09% Saolta University Hospital Care Group 1.19% 4.94% 3.35% 4.05% 6.33% 5.40% 4.26% 85.37% Bantry General Hospital 1.39% 3.61% 5.24% 3.13% 2.81% 8.59% 4.51% 89.99% Cork University Hospital 0.78% 4.04% 3.81% 4.43% 6.29% 4.16% 3.92% 84.11% Lourdes Orthopaedic Hospital Kilcreene 0.09% 5.36% 0.81% 3.61% 3.93% 88.63% Mallow General Hospital 0.82% 5.11% 2.64% 3.39% 5.61% 10.03% 5.14% 92.57% Mercy University Hospital 0.26% 4.74% 2.88% 1.99% 6.37% 10.96% 4.06% 85.71% South Infirmary Victoria University Hospital 0.44% 4.00% 1.46% 2.18% 2.93% 3.57% 2.83% 88.23% South Tipperary General Hospital 1.09% 5.09% 5.38% 5.19% 4.62% 6.02% 4.51% 87.94% UH Kerry 1.20% 5.02% 4.73% 3.79% 2.70% 0.00% 3.88% 68.38% UH Waterford 1.03% 4.90% 3.24% 4.18% 6.54% 6.49% 4.14% 88.27% South/South West Hospital Group 0.83% 4.46% 3.59% 3.66% 5.24% 6.53% 3.96% 84.36% Croom Orthopaedic Hospital 0.14% 4.77% 1.21% 9.16% 2.19% 7.67% 5.44% 91.92% Ennis Hospital 1.74% 8.79% 8.37% 4.71% 2.46% 6.77% 6.87% 92.37% Nenagh Hospital 0.44% 5.93% 1.38% 4.47% 7.63% 4.18% 4.78% 89.75% St. John's Hospital Limerick 0.18% 3.24% 1.90% 2.11% 5.38% 5.17% 3.13% 93.77% UH Limerick 0.45% 6.57% 4.12% 5.53% 8.81% 9.33% 5.90% 90.48% UMH Limerick 1.18% 8.22% 12.38% 5.21% 8.68% 15.92% 8.11% 91.86% University of Limerick Hospital Group 0.52% 6.57% 4.14% 5.17% 7.93% 8.82% 5.86% 90.92% Acute Services 0.92% 4.57% 3.22% 4.12% 5.87% 6.59% 4.21% 87.63% Community Services 2.30% 5.29% 3.96% 4.44% 5.28% 5.77% 5.00% 91.51% Health & Wellbeing 5.32% 3.01% 3.98% 3.94% 0.69% 2.61% 4.57% 87.35% Corporate & HBS 0.07% 3.76% 3.57% 4.55% 4.86% 2.11% 4.30% 91.99% Overall 1.22% 4.84% 3.60% 4.29% 5.65% 6.03% 4.56% Certifed 84.60% 87.61% 90.33% 91.59% 91.56% 90.45% 89.56% 89.56%

135 Health Service Absence Rate - by Staff Category & Division: YTD Sep 2018

Patient & Client Service Medical /Dental Nursing Health & Social Care Management Admin General Support Overall Certified Care Acute Services 0.92% 4.57% 3.22% 4.12% 5.87% 6.59% 4.21% 87.63% Mental Health 2.02% 5.00% 3.52% 3.85% 5.87% 5.36% 4.60% 89.95% Primary Care 2.78% 5.17% 3.72% 4.79% 4.43% 5.33% 4.56% 92.46% Social Care 1.22% 5.49% 4.21% 3.80% 5.28% 5.84% 5.30% 91.54% Community Services 2.30% 5.29% 3.96% 4.44% 5.28% 5.77% 5.00% 91.51%

Health & Wellbeing 5.32% 3.01% 3.98% 3.94% 0.69% 2.61% 4.57% 87.35%

Corporate & HBS 0.07% 3.76% 3.57% 4.55% 4.86% 2.11% 4.30% 91.99%

Overall 1.22% 4.84% 3.60% 4.29% 5.65% 6.03% 4.56%

Certified 84.60% 87.61% 90.33% 91.59% 91.56% 90.45% 89.56% 89.56%

% Absence Rate/Proportion Certified YTD: Sep 2018

100.% 92.7% 89.9% 92.5% 91.5% 90.4% 92.2% 90.% 87.6% 87.4% 80.% 70.% 60.% 50.% 40.% 30.% 20.%

10.% 4.2% 4.6% 4.6% 5.3% 4.6% 4.0% 5.3% 3.8% 0.% Health HBS Services Health & Health Business Wellbeing Corporate Social Care Corporate & Primary Care Primary Mental Health Mental Acute Services

136 HSE & Section 38 Absence Rates- by Community Healthcare Organisation & by Division: YTD Sep 2018 by Administration

CHO / Staff Category certified Overall CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9 PCRS Health Service Executive 91.86% 5.31% 6.41% 4.15% 6.37% 3.64% 5.63% 5.84% 5.43% 6.48% 4.88% 4.57% Voluntary Agencies (Non-Acute) 90.76% 4.46% 5.03% 4.94% 5.02% 5.42% 3.87% 4.43% 4.02% 3.88% Overall 91.51% 5.00% 6.41% 4.35% 5.77% 4.08% 5.58% 4.53% 4.78% 5.78% 4.30% 4.57% Certified 91.51% 93.78% 93.35% 93.52% 88.85% 89.76% 88.34% 91.80% 92.20% 90.84% 89.81% by Staff Category

CHO / Staff Category certified Overall CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9 PCRS

Medical /Dental 89.69% 2.30% 2.74% 1.53% 2.92% 1.53% 2.38% 3.22% 2.22% 2.46% 2.90% Nursing 91.36% 5.29% 7.13% 4.80% 6.46% 4.24% 5.86% 4.95% 4.77% 6.01% 3.63% Health & Social Care Professionals 91.26% 3.96% 4.64% 4.18% 4.72% 3.43% 4.83% 3.45% 3.33% 4.25% 3.80% Management Admin 91.72% 4.44% 4.19% 3.38% 5.14% 3.18% 4.92% 3.83% 4.86% 5.12% 5.03% 4.60% General Support Staff 92.86% 5.28% 6.45% 2.89% 6.51% 4.33% 5.76% 4.88% 5.45% 5.70% 5.53% 0.48%

Other Patient & Client Care 91.34% 5.77% 7.30% 4.97% 5.96% 4.71% 6.21% 5.57% 5.43% 6.99% 5.11%

Overall 91.51% 5.00% 6.41% 4.35% 5.77% 4.08% 5.58% 4.53% 4.78% 5.78% 4.30% 4.57% Certified 91.51% 93.78% 93.35% 93.52% 88.85% 89.76% 88.34% 91.80% 92.20% 90.84% 89.81%

% Absence Rate: Sep 2018

6.4% 7.0% 5.8% 5.8% 6.0% 5.6% 4.5% 4.8% 4.6% 5.0% 4.3% 4.1% 4.3% 4.0% 3.0% 2.0% 1.0% 0.0% CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9 PCRS

137 Mental Health Division by Staff Category

Mental Health certified Overall CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9

Medical /Dental 86.81% 2.02% 3.10% 0.92% 3.59% 1.47% 2.54% 2.45% 0.31% 1.78% 3.66% Nursing 89.07% 5.00% 5.84% 3.65% 6.34% 3.97% 5.66% 6.60% 6.31% 5.78% 2.66% Health & Social Care 90.69% 3.52% 3.74% 2.41% 4.47% 2.37% 4.33% 5.13% 2.10% 3.82% 2.76% Management Admin 91.73% 3.85% 4.70% 3.07% 5.04% 2.95% 4.79% 2.77% 4.77% 4.50% 2.94% General Support 92.00% 5.87% 6.31% 2.41% 5.63% 3.48% 6.75% 6.35% 5.47% 9.42% 6.81% Patient & Client Care 91.20% 5.36% 6.36% 4.50% 4.94% 3.08% 6.62% 4.26% 12.55% 7.65% 7.04% Total 89.95% 4.60% 5.39% 3.39% 5.48% 3.36% 5.54% 5.27% 4.68% 5.59% 3.65% Certified 89.95% 91.47% 91.90% 91.75% 86.73% 89.26% 87.07% 91.80% 89.90% 91.48%

Primary Care Division by Staff Category

Primary Care certified Overall CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9 PCRS

Medical /Dental 91.48% 2.78% 3.01% 1.92% 2.68% 1.82% 2.13% 4.71% 3.71% 3.04% 3.47% Nursing 95.38% 5.17% 8.01% 4.86% 5.48% 3.47% 5.56% 5.27% 4.71% 5.94% 4.28% Health & Social Care 91.02% 3.72% 4.70% 4.11% 5.55% 2.86% 4.23% 3.09% 2.36% 4.16% 3.97% Management Admin 91.33% 4.79% 4.50% 3.25% 5.68% 3.20% 4.37% 5.00% 5.63% 6.03% 6.84% 4.60% General Support 92.97% 4.43% 5.41% 1.26% 4.00% 2.25% 2.23% 3.34% 6.34% 3.46% 7.81% 0.48% Patient & Client Care 91.20% 5.33% 4.44% 2.00% 7.60% 3.83% 4.33% 9.34% 5.73% 5.23% 5.87% Total 92.46% 4.56% 5.45% 3.61% 5.39% 3.08% 4.40% 4.92% 4.56% 5.18% 5.03% 4.57% Certified 92.46% 94.42% 95.27% 94.04% 88.51% 91.94% 92.37% 91.29% 94.07% 93.91% 89.81%

Social Care Division by Staff Category

Social Care certified Overall CHO 1 CHO 2 CHO 3 CHO 4 CHO 5 CHO 6 CHO 7 CHO 8 CHO 9

Medical /Dental 88.98% 1.22% 0.00% 3.59% 0.00% 0.08% 3.12% 2.60% 0.83% 0.31% 0.81% Nursing 91.01% 5.49% 7.58% 5.85% 6.80% 4.71% 6.19% 4.11% 4.62% 6.18% 3.63% Health & Social Care 91.51% 4.21% 5.49% 5.00% 4.58% 4.35% 5.59% 3.22% 4.00% 4.40% 3.76% Management Admin 92.90% 3.80% 3.34% 3.82% 4.44% 3.26% 5.84% 3.26% 3.97% 3.74% 3.34% General Support 93.15% 5.28% 6.82% 4.07% 7.36% 4.79% 5.20% 4.67% 5.24% 4.30% 4.73% Patient & Client Care 91.36% 5.84% 7.53% 5.26% 5.95% 4.89% 6.26% 5.33% 5.36% 7.07% 4.94% Total 91.54% 5.30% 7.12% 5.20% 5.96% 4.65% 6.04% 4.24% 4.86% 6.09% 4.11% Certified 91.54% 94.17% 93.24% 93.87% 89.47% 89.39% 87.42% 91.96% 92.23% 89.24%

138 Health Service Absence Rate- by Staff Category

Health & Manageme General Patient & Month Medica/Dental Nursing Overall Certified Social Care nt Admin Support Client Care September 1.33% 4.76% 3.53% 4.42% 5.57% 5.61% 4.46% 89.38% August 1.09% 4.79% 3.55% 4.17% 5.57% 5.96% 4.47% 90.71% July 1.02% 4.61% 3.34% 4.18% 5.24% 5.90% 4.34% 90.65% June 1.15% 4.43% 3.37% 3.92% 5.03% 5.66% 4.21% 90.13% May 1.30% 4.52% 3.43% 3.89% 5.06% 5.49% 4.21% 89.98% April 1.19% 4.46% 3.26% 3.80% 5.30% 5.64% 4.21% 89.59% March 1.21% 4.73% 3.36% 3.84% 5.67% 6.08% 4.44% 89.40% February 1.25% 5.32% 3.99% 4.61% 6.32% 6.53% 4.98% 88.73% January 1.46% 5.91% 4.53% 5.72% 7.07% 7.47% 5.67% 88.02% 2018 1.22% 4.84% 3.60% 4.29% 5.65% 6.03% 4.56% 89.56% December 1.85% 4.98% 3.94% 4.80% 5.79% 6.29% 4.83% 87.04% November 1.16% 4.83% 3.53% 4.32% 5.54% 5.64% 4.45% 88.50% October 1.05% 4.68% 3.57% 4.10% 5.55% 5.84% 4.42% 88.29% September 0.99% 4.63% 3.51% 4.05% 5.42% 6.01% 4.38% 89.47% August 0.99% 4.55% 3.32% 3.95% 5.61% 6.04% 4.33% 89.61% July 1.10% 4.48% 3.05% 3.68% 5.29% 5.79% 4.18% 90.40% June 1.27% 4.61% 3.14% 3.64% 5.08% 5.59% 4.20% 90.28% May 1.22% 4.58% 2.96% 3.68% 5.28% 5.77% 4.20% 89.63% April 1.12% 4.56% 3.07% 3.74% 5.18% 5.52% 4.17% 89.27% March 1.18% 4.59% 3.16% 3.99% 5.28% 5.55% 4.24% 88.99% February 1.23% 4.75% 3.39% 4.04% 5.51% 5.56% 4.35% 88.22% January 1.07% 5.34% 3.90% 4.89% 6.22% 6.61% 4.98% 87.84% 2017 1.19% 4.71% 3.38% 4.07% 5.48% 5.84% 4.39% 88.93% December 1.28% 5.48% 3.96% 4.58% 5.58% 6.34% 4.93% 85.23% November 1.20% 5.12% 3.65% 4.26% 4.98% 6.15% 4.66% 86.90% October 1.24% 4.79% 3.52% 4.35% 5.24% 5.95% 4.48% 86.99% September 1.23% 4.62% 3.24% 3.92% 5.23% 5.58% 4.25% 88.27% August 1.13% 4.89% 3.39% 3.65% 4.81% 5.96% 4.36% 89.00% July 1.03% 4.78% 3.39% 3.84% 5.21% 5.61% 4.32% 89.66% June 1.20% 4.75% 3.45% 3.54% 4.77% 5.58% 4.23% 88.53% May 1.15% 4.53% 3.42% 3.75% 4.59% 5.29% 4.14% 87.85% April 1.28% 4.74% 3.27% 3.72% 4.72% 5.28% 4.24% 87.68% March 1.23% 5.07% 3.75% 4.32% 5.57% 6.12% 4.69% 86.45% February 1.37% 5.27% 4.04% 4.95% 5.47% 4.48% 4.89% 85.49% January 1.33% 5.47% 3.97% 4.85% 5.46% 6.12% 5.01% 86.35% 2016 1.22% 4.96% 3.59% 4.15% 5.13% 5.67% 4.52% 87.30% Target 3.50% 100.00%

6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% May July April June March August October January February December November September 2018 2017 2016

139 % Compliance with an average % Compliance with a maximum 48 hour working week (EWTD 24 hour shift (EU Commission Acute Hospitals and Hospital Groups legal requirement - EU reporting requirement) - All Commission reporting NCHDs requirement) - All NCHDs St Vincent's University Hospital 100.0% 59.4% St Michael's Hospital St Columcille's Hospital Mater Misericordiae University Hospital 99.0% 63.8% Cappagh National Orthopaedic Hospital 100.0% 100.0% MRH Mullingar 99.0% 89.4% Our Lady's Hospital Navan 96.6% 84.7% Royal Victoria Eye and Ear Hospital 100.0% 93.4% National Maternity Hospital 100.0% 100.0% St Luke's General Hospital Kilkenny 100.0% 92.7% Wexford General Hospital 100.0% 90.6% Ireland East Hospital Group 99.4% 76.4% Tallaght Hospital - Adults 100.0% 64.4% St James's Hospital MRH Portlaoise MRH Tullamore 98.8% 89.2% Naas General Hospital 100.0% 78.9% Coombe Women and Infants University Hospital 100.0% 87.7% St Lukes Radiation Oncology Network 100.0% 92.9% Dublin Midlands Hospital Group 99.8% 75.8% Beaumont Hospital 100.0% 73.5% Connolly Hospital 100.0% 76.8% Cavan General Hospital 99.1% 80.0% Our Lady of Lourdes Hospital 96.6% 92.8% Rotunda Hospital 100.0% 90.3% RCSI Hospital Group 99.0% 81.1% Cork University Hospital (including Cork University 98.6% 94.3% Maternity Hospital) Mallow General Hospital 100.0% 23.8% South Infirmary Victoria University Hospital 100.0% 68.4% Mercy University Hospital 95.1% 100.0% Bantry General Hospital 100.0% 88.9% UH Kerry 100.0% 100.0% South Tipperary General Hospital 100.0% 86.0% UH Waterford 97.1% 89.4% South/South West Hospital Group 98.3% 91.2% UH Limerick (including UMH Limerick, Croom Orthopaedic 94.2% 74.3% Hospital, Ennis Hospital and Nenagh Hospital) St John's Hospital Limerick 100.0% 56.3% University of Limerick Hospital Group 94.5% 73.4% Galway University Hospitals 93.9% 94.4% Portiuncula University Hospital 96.6% 94.3% Roscommon University Hospital 100.0% 100.0% Mayo University Hospital 100.0% 90.3% Letterkenny University Hospital 100.0% 82.5% Sligo University Hospital 100.0% 93.3% Saolta Hospital Group 97.0% 92.0% National Childrens' Hospital at Tallaght Hospital 60.0% 54.3% Temple Street Children's University Hospital 95.7% 89.1% Our Lady's Children's Hospital, Crumlin 93.0% 70.3% The Children's Hospital Group 89.4% 74.9% National Cancer Screening Service Acute Hospitals Total 97.8% 82.8%

Note that a blank cell indicates no return from the hospital

140 % Compliance with an average % Compliance with a maximum 48 hour working week (EWTD 24 hour shift (EU Commission Mental Health Services legal requirement - EU reporting requirement) - All Commission reporting NCHDs requirement) - All NCHDs Donegal Mental Health Service 100.0% 100.0% Sligo Leitrim Mental Health Service 6.7% 6.7% Cavan Monaghan Mental Health Service 100.0% 100.0% Community Health Organisation 1 71.4% 71.4% Mayo Mental Health Service 100.0% 100.0% Roscommon Mental Health Service 100.0% CHO 2 Child & Adolescent Mental Health Service East Galway 100.0% 100.0% West Galway 100.0% 100.0% Community Health Organisation 2 100.0% 87.3% Community Health Organisation 3 Cork Mental Health Services Kerry Mental Health Services 100.0% 23.1% Community Health Organisation 4 100.0% 23.1% Waterford Wexford Mental Health Service 100.0% 100.0% South Tipperary Mental Health Service 100.0% 87.5% Carlow Kilkenny Mental Health Service 100.0% 92.3% Community Health Organisation 5 100.0% 95.2% Wicklow Mental Health Service 84.6% 100.0% St John of God's 92.6% 85.2% Community Health Organisation 6 90.0% 90.0% Dublin South Central Mental Health Service - St James's & Tallaght 85.2% 88.9% Linn Dara Child & Adolescent Mental Health Service 100.0% 100.0% National Drug Treatment Centre Kildare West Wicklow Mental Health Service Community Health Organisation 7 92.0% 94.0% Louth Meath Mental Health Service Longford Westmeath Mental Health Service Laois Offaly Mental Health Service Community Health Organisation 8 #DIV/0! #DIV/0! Dublin North Mental Health Service 100.0% 100.0% Dublin North City Mental Health Service 84.1% 77.3% St Vincent's Fairview CHO 9 Child & Adolescent Mental Health Service 100.0% 100.0% Community Health Organisation 9 92.0% 88.5% National Forensic Mental Health Service 100.0% 100.0% Mental Health Services total 91.7% 85.7%

Note that a blank cell indicates no return from the Mental Health Service

141 % Compliance with an average 48 % Compliance with a maximum 24 hour working week (EWTD legal Other Agencies hour shift (EU Commission reporting requirement - EU Commission requirement) - All NCHDs reporting requirement) - All NCHDs Donegal Hospice 100.0% 100.0%

Community Health Organisation 1 100.0% 100.0%

Community Health Organisation 2 Community Health Organisation 3

Community Health Organisation 4 Our Lady's Cashel

Community Health Organisation 5 National Rehabilitation Hospital

Community Health Organisation 6 Cheeverstown Peamount Our Lady's Hospice, Harold's Cross 100.0% 92.3%

Community Health Organisation 7 100.0% 92.3%

Community Health Organisation 8 St Mary's Hospital, Phoenix Park

Community Health Organisation 9

Other Agencies total 100.0% 93.8%

Note that a blank cell indicates no return from the Agency

142 Finance

143 Actual Cum Actual Cum 90% of Dec 2017 Oct 2018 Actual Oct Debtor Days Oct Variance Vs Primary Consultant Debtor Days Days Days 2018 Days Target 2018 Target Beaumont Hospital 38 44 39 20 -19 Our Lady of Lourdes Hospital Drogheda 37 36 33 20 -13 Connolly Hospital Blanchardstown 68 69 62 20 -42 Cavan Monaghan Hospitals 30 36 33 20 -13 Rotunda Hospital 17 19 17 20 3 Louth County Hospital 28 35 32 20 -12 RCSI Hospital Group 36 40 36 20 -16 St. James's Hospital 42 84 76 20 -56 Tallaght Hospital - Adults (incl Children) 22 31 28 20 -8 Midlands Regional Hospital Tullamore 61 55 50 20 -30 Naas General Hospital 44 65 58 20 -38 Midlands Regional Hospital Portlaoise 75 100 90 20 -70 Coombe Women's & Infants University Hospital 24 23 21 20 -1 St. Lukes Hospital, Rathgar 67 56 50 20 -30 Dublin Midlands Hospital Group 38 60 54 20 -34 Mater Misericordiae University Hospital 46 31 28 20 -8 St. Vincent's University Hospital Elm Park 75 53 48 20 -28 Midland Regional Hospital Mullingar 139 97 87 20 -67 St. Luke's Hospital Kilkenny 69 61 55 20 -35 Wexford General Hospital 37 58 53 20 -33 National Maternity Hospital Holles Street 24 15 14 20 6 Our Lady's Hospital Navan 30 37 34 20 -14 St Columcilles Hospital Loughlinstown 122 125 112 20 -92 St. Michael's Hospital Dun Laoghaire 45 40 36 20 -16 Cappagh National Orthopaedic Hospital 20 14 12 20 8 Royal Victoria Eye & Ear Hospital Dublin 48 74 67 20 -47 Ireland East Hospital Group 56 44 40 20 -20 Cork University Hospitals 50 57 52 20 -32 University Hospital Waterford 43 41 36 20 -16 Kerry General Hospital 68 69 62 20 -42 Mercy University Hospital Cork 41 38 34 20 -14 South Tipperary General Hospital 31 31 28 20 -8 South Infirmary University Hospital Cork 41 33 30 20 -10 Bantry General Hospital 51 30 27 20 -7 Mallow General Hospital 112 132 119 20 -99 Lourdes Orthopaedic Hospital Kilcreene 7 19 17 20 3 South / South West Hospital Group 48 49 44 20 -24 Galway University Hospitals 63 66 59 20 -39 Sligo General Hospital 44 41 37 20 -17 Letterkenny General Hospital 51 54 48 20 -28 Mayo General Hospital 38 33 29 20 -9 Portiuncula Hospital General & Maternity 35 38 34 20 -14 Roscommon County Hospital 47 34 31 20 -11 Saolta University Health Care Group 54 54 48 20 -28 University Hospital Limerick 106 127 114 20 -94 Ennis Hospital 78 113 102 20 -82 Nenagh Hospital 31 31 28 20 -8 St. John's Hospital 136 167 150 20 -130 University Maternity Hospital Limerick 80 78 71 20 -51 Croom Hospital 48 47 42 20 -22 University of Limerick Hospital Group 98 116 104 20 -84 Our Lady's Hosp for Sick Children Crumlin 80 80 72 20 -52 Children's University, Temple Street 18 21 19 20 1 Tallaght Hospital - Children (incl in Adults above) - - Children's Hospital Group 60 59 54 20 -34 Grand Total 52 57 51 20 -31

144 Voluntary Summary Service Arrangements Part 1 & 2 and Grant Aid Agreements completed 2018 Non Statutory Sector Assignment to Part 2 Schedule level Responsibility.* Schedule Numbers with Part 1 and Schedules 2018 Year to Date as at Agencies 2018 Funding completed 30.10.2018 (2018 Year End) Completed Completed Completed National Position Total No. % Total € % Total No. % * Divisions/Areas may be incomplete due to National Part 1 outstanding - see separate governance stats for Part 1 and Schedule Voluntary Summary

Acute Hospital 16 16 100.0% 2,025,706,579 2,025,706,579 100.00% 17 17 100.00% *

Acute Non Hospital 3 0 0.0% 545,000 0 0.00% 3 0 0.00%

Primary Care 173 159 91.9% 43,790,429 42,348,496 96.71% 193 177 91.71%

Social Inclusion 355 346 97.5% 87,427,148 84,372,994 96.51% 513 501 97.66%

Palliative Care / Chronic Illness 24 21 87.5% 62,068,548 60,028,568 96.71% 24 21 87.50%

Primary Care Division 541 516 95.4% 193,286,125 186,750,058 96.62% 730 699 95.75%

Health and Well Being 119 116 97.5% 8,721,867 8,651,897 99.20% 136 133 97.79%

Disability 292 248 84.9% 1,330,664,678 1,144,035,127 85.97% 724 593 81.91%

Older Persons 799 755 94.5% 176,198,803 170,469,843 96.75% 1,000 950 95.00%

Social Care 1,052 969 92.1% 1,506,863,480 1,314,504,969 87.23% 1,724 1,543 89.50% Mental Health 145 128 88.3% 81,496,745 79,188,300 97.17% 209 191 91.39%

Community Total 1,692 1,574 93.0% 1,790,368,217 1,589,095,225 88.76% 2,799 2,566 91.68%

Grand Total 1,711 1,586 92.7% 3,816,619,796 3,614,801,804 94.71% 2,819 2,583 91.63%

145 Net Expenditure by Division (Detailed) October 2018 YTD Actual Spend v YTD Budget Description Full Year Budget YTD Spend YTD Budget YTD Variance YTD Variance Budget Holder €000s €000s €000s €000s %

RCSI Hospital Group Ian Carter 734,020 643,509 608,194 35,315 5.81% Dublin-Midlands Hospital Group Trevor O'Callaghan 893,377 770,560 740,090 30,470 4.12% Ireland East Hospital Group Mary Day 945,098 838,950 785,093 53,856 6.86% South-South West Hospital Gerry O'Dwyer 816,159 711,900 677,780 34,120 5.03% Saolta University Health Care Maurice Power 766,979 677,395 638,124 39,271 6.15% University of Limerick Hospital Colette Cowan 312,083 281,893 258,988 22,905 8.84% The Children's Hospital Group Eilish Hardiman 297,879 259,752 245,662 14,090 5.74% Regional and National Services Liam Woods 34,547 6,160 10,882 (4,722) -43.39% Acute Hospitals Division Liam Woods 4,800,142 4,190,120 3,964,814 225,306 5.68%

National Ambulance Service Martin Dunne 164,691 137,315 136,508 808 0.59%

Acute Operations Liam Woods 4,964,832 4,327,435 4,101,322 226,114 5.51%

Community Total (CHO & Regional/National)

Primary Care Total 851,061 697,849 700,038 (2,189) -0.31% Social Inclusion Total 155,939 127,796 128,263 (466) -0.36% Palliative Care Total 80,986 67,022 67,302 (280) -0.42% Primary Care Division Total 1,087,985 892,667 895,603 (2,936) -0.33%

Mental Health Division - Total 907,635 748,204 750,424 (2,219) -0.30%

Older Persons Services - Total 834,145 710,211 681,532 28,679 4.21%

Nursing Home Support Scheme 944,403 784,264 785,890 (1,625) -0.21%

Disability Services - Total 1,817,004 1,535,662 1,494,839 40,823 2.73%

CHO HQs & Community 9,729 10,909 8,133 2,776 34.13%

Community Total (CHO & Anne O'Connor 5,600,902 4,681,918 4,616,421 65,497 1.42%

Clinical Strategy & Programmes Dr. Áine Carroll 47,290 29,023 34,770 (5,747) -16.53% Quality Assurance & Verification Patrick Lynch 5,530 3,854 4,647 (793) -17.06% Quality Improvement Division Philip Crowley 8,443 5,877 6,423 (546) -8.51% Programme (NCCP) Dr. Jerome Coffey 8,471 3,718 3,887 (169) -4.34% National Screening Service 64,255 56,642 52,837 3,805 7.20% Health & Wellbeing Division Stephanie O'Keeffe 109,397 87,128 89,631 (2,503) -2.79% Environmental Health David Molloy 41,442 34,921 34,505 416 1.20% Office of Tobacco Control David Molloy 452 288 371 (83) -22.50% Emergency Management Tom McGuinness 1,551 1,358 1,291 66 5.13% Support Services 292,734 273,001 238,588 34,413 14.42% Value Improvement Programme Joe Ryan (150,000) 0 (125,000) 125,000 100.00%

Other 429,564 495,809 341,950 153,858 44.99% Total Operational Service 10,995,298 9,505,162 9,059,693 445,469 4.92% Areas

Statutory Pensions 548,045 472,076 456,082 15,994 3.51% S.38 Pensions 122,820 100,049 102,288 (2,240) -2.19% Statutory Pension Levy (181,412) (150,442) (148,977) (1,465) -0.98% S.38 Pension Levy (86,378) (79,269) (71,978) (7,291) -10.13% Pensions 403,076 342,413 337,415 4,998 1.48%

State Claims Agency 274,000 242,298 228,333 13,965 6.12% Primary Care Reimbursement Anne-Marie Hoey 2,579,589 2,220,472 2,154,644 65,828 3.06% Demand Led Local Schemes John Hennessy 251,425 213,545 209,434 4,111 1.96% Treatment Abroad and Cross 14,157 32,783 11,794 20,989 177.97% EU Schemes: EHIC and E127 11,851 16,310 9,875 6,435 65.16% Total Pensions & Demand 3,534,099 3,067,821 2,951,495 116,325 3.94% Led Areas Overall Total 14,529,397 12,572,983 12,011,188 561,795 4.68%

Note 1: PCRS and Demand Led Schemes form part of the Primary Care Division but are reported under Pensions & Demand Led Areas

146 Acute Hospital Division October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD YTD Variance Description Budget Holder Budget Variance €000 €000 €000 €000 % Beaumont Hospital Ian Carter 296,661 262,900 247,087 15,813 6.40% Rotunda Hospital Prof Fergal Malone 56,117 47,835 46,369 1,466 3.16% Our Lady's of Lourdes Hospital, Drogheda Catriona Crowley 154,346 136,684 128,316 8,368 6.52% Connolly Hospital, Blanchardstown Margaret Boland 104,276 92,036 86,953 5,083 5.85% Cavan General Hospital Ray Bonar 88,873 76,132 73,637 2,494 3.39% Louth County Hospital Catriona Crowley 20,426 17,878 16,972 906 5.34% Monaghan Hospital Ray Bonar 7,695 6,558 6,402 156 2.44% RCSI Hosp Group HQ Ian Carter 5,627 3,487 2,459 1,028 41.81% RCSI Hospital Group Ian Carter 734,020 643,509 608,194 35,315 5.81% St. James's Hospital Lorcan Birthistle 355,143 304,628 293,577 11,051 3.76% Tallaght Hospital - Adults David Slevin 207,605 185,507 173,837 11,670 6.71% Coombe Women & Infants University Hospital Sharon Sheehan 57,334 49,773 47,548 2,225 4.68% St. Lukes Radiation Oncology Network Dr Orla McArdle 43,740 36,140 36,328 (188) -0.52% Midland Regional Hospital, Tullamore Orlagh Claffey 97,903 83,271 81,435 1,836 2.25% Naas General Hospital Alice Kinsella 63,666 55,629 52,938 2,690 5.08% Midland Regional Hospital, Portlaoise Michael Knowles 60,877 53,016 50,312 2,704 5.38% Dublin Midlands Hosp Grp HQ Dr. Susan O'Reilly 7,110 2,596 4,114 (1,518) -36.89% Trevor O'Callaghan Dublin Midlands Hospital Group 893,377 770,560 740,090 30,470 4.12% (Acting) Mater Misericordiae University Hospital Gordon Dunne 265,412 236,964 220,132 16,832 7.65% St Vincent's University Hospital, Elm Park Prof Michael Keane 244,747 212, 743 203, 356 9, 388 4.62% National Maternity Hospital, Holles Street Dr. Rhona Mahony 55,045 47,962 45,755 2,207 4.82% St. Michael's Hospital, Dun Laoghaire Seamus Murtagh 26,464 22,850 22,132 718 3.25% Cappagh National Orthopaedic Hospital Gordon Dunne 35,958 29,411 29,965 (555) -1.85% Royal Victoria Eye & Ear Hospital, Dublin Daniel Dunne 24,201 20,459 19,814 645 3.26% St. Columcilles Hospital, Loughlinstown Linda O'Leary 34,139 29,779 28,378 1,400 4.93% Midland Regional Hospital, Mullingar Shona Schneemann 73,068 64,305 60,751 3,554 5.85% St. Luke's General Hospital, Kilkenny Anne Slattery 70,855 67,816 58,893 8,923 15.15% Wexford General Hospital Lily Byrnes 67,578 61,253 56,214 5,039 8.96% Our Lady's Hospital, Navan Ken Fitzgibbon 44,763 40,540 37,314 3,227 8.65% Ireland East Hosp Group HQ Mary Day 2,867 4,868 2,390 2,478 103.67% Ireland East Hospital Group Mary Day 945,098 838,950 785,093 53,856 6.86% Mercy University Hospital, Cork Sandra Daly 80,950 72,534 67,310 5,224 7.76% South Infirmary University Hospital, Cork Helen Donovan 53,875 45,119 44,288 831 1.88% Cork University Hospital Tony McNamara 268,367 234,381 222,742 11,638 5.23% Waterford Regional Hospital Richard Dooley 180,206 153,895 149,881 4,014 2.68% Kerry General Hospital Fearghal Grimes 83,297 76,729 69,410 7,319 10.55% South Tipperary General Hospital Maria Barry 61,588 53,986 51,139 2,848 5.57% Bantry General Hospital Tony McNamara 18,257 15,828 15,205 624 4.10% Mallow General Hospital Claire Crowley 17,410 15,438 14,498 940 6.48% Lourdes Orthopaedic Hospital, Kilcreene Richard Dooley 6,966 6,399 5,795 603 10.41% South/South West Hosp Group HQ Gerry O'Dwyer 15,373 10,062 12,635 (2,573) -20.37% Cork University Maternity Hospital Prof. John Higgins 29,869 27,530 24,877 2,653 10.66% South/South West Hospital Group Gerry O'Dwyer 816,159 711,900 677,780 34,120 5.03% Galway University Hospitals Chris Kane 318,622 281,913 265,016 16,897 6.38% Sligo General Hospital Grainne McCann 123,422 113,602 102,653 10,949 10.67% Letterkenny General Hospital Sean Murphy 126,407 112,555 105,126 7,429 7.07% Mayo General Hospital Catherine Donohue 95,551 83,925 79,461 4,464 5.62% Portiuncula Hospital General and Maternity James Keane 64,963 58,154 54,017 4,137 7.66% Roscommon County Hospital Maary Garvey 23,006 19,689 19,136 553 2.89% Saolta Hosp Group HQ Maurice Power 15,009 7,557 12,715 (5,158) -40.56% Saolta University Health Care Group Maurice Power 766,979 677, 395 638, 124 39, 271 6.15%

147 Acute Hospital Division October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD YTD Variance Description Budget Holder Budget Variance €000 €000 €000 €000 % St. John's Hospital John Cummins (Acting) 17,740 16,715 14, 698 2, 017 13.72% Limerick University Hospital Prof. Colette Cowan 220,841 200,378 183,465 16,913 9.22% Ennis Hospital Prof. Colette Cowan 18,399 15,763 15,309 454 2.97% Nenagh Hospital Prof. Colette Cowan 17,625 16,160 14,392 1,768 12.28% University Maternity Hospital, Limerick Prof. Colette Cowan 22,906 20,988 19,032 1,956 10.28% Croom Hospital Prof. Colette Cowan 13,214 11,286 10,979 307 2.79% UL Hospital Group HQ/Ortho Prof. Colette Cowan 1,357 604 1,112 (508) -45.70% University of Limerick Hospital Group Prof. Colette Cowan 312,083 281,893 258,988 22,905 8.84% Temple Street, Children's University Hospital Mona Baker 100,305 90,702 83,329 7,373 8.85% Our Lady's Children's Hospital, Crumlin Helen Shortt 153,409 135,683 127,107 8,577 6.75% National Childrens Hospital, Tallaght David Slevin 20,898 18,273 17,415 857 4.92% NCH Development Programme Eilish Hardiman 21,000 14,671 17,299 (2,628) -15.19% Nat Childrens Hosp Group HQ Eilísh Hardiman 2,266 423 512 (89) -17.45% Children's Hospital Group Eilish Hardiman 297,879 259,752 245,662 14,090 5.74%

Regional and National Services Liam Woods 34,547 6,160 10,882 (4,722) 0.00%

Acute Hospitals Division Liam Woods 4,800,142 4,190,120 3,964,814 225,306 5.68%

148 Community Healthcare Organisations October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD YTD YTD Variance Description Budget Holder Budget Budget Variance €000 €000 €000 €000 %

Primary Care 86,674 74,550 71,154 3,396 4.77% Social Inclusion 3,161 2,333 2,388 (55) -2.29% Palliative Care 6,293 5,127 5,231 (104) -1.99% Primary Care Division (Note 1) 96,128 82,009 78,772 3,237 4.11%

Mental Health Division 75,027 62,056 61,307 749 1.22% Older Persons Services 81,222 72,143 66,415 5,728 8.62% Disability Services 135,014 110,719 110,104 615 0.56%

CHO HQs & Community Services 386 348 333 15 4.37% CHO 1 John Hayes 387,777 327,275 316,931 10,344 3.26%

Primary Care 88,128 80,194 73,069 7,125 9.75% Social Inclusion 7,170 5,941 5,786 155 2.67% Palliative Care 6,981 5,770 5,812 (42) -0.72% Primary Care Division (Note 1) 102,278 91,904 84,667 7,237 8.55%

Mental Health Division 106,314 90,400 88,195 2,205 2.50% Older Persons Services 78,446 67,808 65,165 2,643 4.06% Disability Services 172,687 147,045 143,725 3,320 2.31%

CHO HQs & Community Services 0 0 0 0 CHO 2 Tony Canavan 459,724 397,158 381,752 15,405 4.04%

Primary Care 61,218 51,092 50,933 160 0.31% Social Inclusion 9,250 7,703 7,703 0 0.00% Palliative Care 11,621 9,890 9,679 211 2.18% Primary Care Division (Note 1) 82,090 68,685 68,314 371 0.54%

Mental Health Division 67,364 55,001 55,613 (613) -1.10% Older Persons Services 70,621 58,981 58,687 294 0.50% Disability Services 158,141 134,701 131,462 3,239 2.46%

CHO HQs & Community Services 0 0 0 0 CHO 3 Bernard Gloster 378,216 317,367 314,077 3,291 1.05%

Primary Care 108,018 91,169 89,947 1,221 1.36% Social Inclusion 18,055 15,135 15,003 132 0.88% Palliative Care 10,822 9,396 8,976 420 4.68% Primary Care Division (Note 1) 136,895 115,700 113,927 1,774 1.56%

Mental Health Division 118,953 100,196 98,708 1,487 1.51% Older Persons Services 124,753 105,812 103,977 1,835 1.76% Disability Services 232,821 199,853 193,857 5,996 3.09%

CHO HQs & Community Services 147 127 122 5 4.20% CHO 4 Ger Reaney 613,569 521,688 510,591 11,097 2.17%

Primary Care 85,205 72,581 70,785 1,796 2.54% Social Inclusion 9,404 7,999 7,780 220 2.82% Palliative Care 1,435 1,195 1,195 0 0.00% Primary Care Division (Note 1) 96,044 81,776 79,760 2,016 2.53%

Mental Health Division 100,617 85,163 83,636 1,527 1.83% Older Persons Services 79,027 67,900 65,526 2,374 3.62% Disability Services 172,439 151,040 144,211 6,829 4.74%

CHO HQs & Community Services 1,122 1,580 935 646 69.08% CHO 5 Aileen Colley 449,249 387,459 374,067 13,391 3.58%

149 Community Healthcare Organisations October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD YTD YTD Variance Description Budget Holder Budget Budget Variance €000 €000 €000 €000 %

Primary Care 60,989 51,987 50,513 1,473 2.92% Social Inclusion 2,888 2,476 2,397 80 3.33% Palliative Care 503 379 419 (39) -9.40% Primary Care Division (Note 1) 64,381 54,843 53,329 1,514 2.84%

Mental Health Division 59,514 50,352 48,965 1,387 2.83% Older Persons Services 62,537 52,463 51,897 566 1.09% Disability Services 191,040 159,319 158,323 995 0.63%

CHO HQs & Community Services 884 1,552 766 787 102.80% CHO 6 Martina Queally 378,355 318,529 313,280 5,249 1.68%

Primary Care 89,248 71,319 73,791 (2,472) -3.35% Social Inclusion 50,299 41,555 41,553 1 0.00% Palliative Care 25,114 21,009 20,820 189 0.91% Primary Care Division (Note 1) 164,661 133,882 136,164 (2,282) -1.68%

Mental Health Division 93,775 75,951 77,638 (1,687) -2.17% Older Persons Services 95,962 87,015 77,481 9,534 12.31% Disability Services 228,219 200,179 188,103 12,076 6.42%

CHO HQs & Community Services 593 353 483 (130) -26.92% CHO 7 David Walsh 583,210 497,380 479,870 17,511 3.65%

Primary Care 119,199 98,295 98,799 (504) -0.51% Social Inclusion 8,086 6,309 6,542 (233) -3.56% Palliative Care 6,264 4,788 5,211 (423) -8.12% Primary Care Division (Note 1) 133,548 109,391 110,551 (1,160) -1.05%

Mental Health Division 96,543 80,899 80,276 623 0.78% Older Persons Services 67,709 57,226 55,633 1,594 2.87% Disability Services 216,364 186,218 178,304 7,915 4.44%

CHO HQs & Community Services 2,305 3,310 1,920 1,391 72.46% CHO 8 Pat Bennett 516,468 437,045 426,683 10,362 2.43%

Primary Care 86,861 70,729 71,022 (293) -0.41% Social Inclusion 37,120 30,638 30,473 165 0.54% Palliative Care 10,985 9,188 9,154 34 0.37% Primary Care Division (Note 1) 134,967 110,555 110,650 (95) -0.09%

Mental Health Division 117,557 97,694 97,723 (29) -0.03% Older Persons Services 106,137 93,293 88,420 4,873 5.51% Disability Services 283,167 240,727 235,407 5,320 2.26%

CHO HQs & Community Services 4,292 3,638 3,576 63 1.75% CHO 9 Mary Walshe 646,120 545,907 535,775 10,133 1.89%

Grand Total of Community Healthcare Organisations 4,412,688 3,749,809 3,653,026 96,782 2.65%

Note 1: PCRS and Demand Led Schemes form part of the Primary Care Division but are reported under Pensions & Demand Led Areas

Summary by CHO CHO 1 John Hayes 387,777 327,275 316,931 10,344 3.26% CHO 2 Tony Canavan 459,724 397,158 381,752 15,405 4.04% CHO 3 Bernard Gloster 378,216 317,367 314,077 3,291 1.05% CHO 4 Ger Reaney 613,569 521,688 510,591 11,097 2.17% CHO 5 Aileen Colley 449,249 387,459 374,067 13,391 3.58% CHO 6 Martina Queally 378,355 318,529 313,280 5,249 1.68% CHO 7 David Walsh 583,210 497,380 479,870 17,511 3.65% CHO 8 Pat Bennett 516,468 437,045 426,683 10,362 2.43% CHO 9 Mary Walshe 646,120 545,907 535,775 10,133 1.89%

Grand Total 4,412,688 3,749,809 3,653,026 96,782 2.65%

150 National Ambulance Service October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Variance Description Budget Holder Budget €000 €000 €000 €000 % Southern Regional Ambulance Paul Gallen 20,637 17,681 16,950 731 4.32% South Eastern Regional Ambulance Paul Gallen 15,468 12,344 12,812 (469) -3.66% Western Regional Ambulance Paudie O Riordan 17,888 15,246 14,759 487 3.30% North Western Regional Ambulance Paudie O Riordan 12,052 10,815 10,054 761 7.57% Mid Western Regional Ambulance Paudie O Riordan 13,298 10,972 11,075 (104) -0.94% North Eastern Regional Ambulance Willie Merriman 13,061 10,077 10,848 (771) -7.11% Midland Regional Ambulance Willie Merriman 11,137 8,775 9,263 (488) -5.26% East Coast Regional Ambulance Willie Merriman 20,319 18,621 16,861 1,760 10.44% Regional Ambulance Services 123,861 104,531 102,623 1,908 1.86%

Office of the National Director Martin Dunne 19,293 15,661 16,062 (401) -2.49% National Ambulance College Macartan Hughes 3,484 2,816 2,902 (86) -2.95% Emergency Care Control Pat Mc Creanor / Sean B 17,675 14,306 14,694 (387) -2.64% National Ambulance Service Critical Care 378 - 227 (227) Office of the Assistant National Director Martin Dunne 40,829 32,784 33,885 (1,101) -3.25%

National Ambulance Service Martin Dunne 164,691 137,315 136,508 808 0.59%

151 Health & Wellbeing October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Description Budget Holder Budget Variance €000 €000 €000 €000 % Health Surveillance Protection Service Dr Kevin Kelleher 4,691 3, 668 3, 359 309 9.20% Health Protection Vaccines Dr Kevin Kelleher 45,300 35, 882 36, 375 ( 493) -1.36% Public Health Dr Kevin Kelleher 18,288 14, 244 15, 149 ( 906) -5.98% Health Promotion Dr Cate Hartigan 17,779 14, 110 15, 028 ( 918) -6.11% Health Intelligence Ana Terres 2,718 2, 077 2, 212 ( 135) -6.10% National Library Service Ana Terres 4,456 3, 339 3, 703 ( 364) -9.83% Health & Wellbeing - (Regional) Various 8,498 7, 312 7, 075 237 3.35% Crisis Pregnancy Agency Dr Cate Hartigan 5,557 5, 166 5, 221 ( 55) -1.06% Health & Wellbeing Nat Dir Off Dr. Stephanie O'Keeffe 2,110 1, 330 1, 508 ( 178) -11.80% Health & Wellbeing Division Health & Wellbeing Division 109,397 87,128 89,631 (2,503) -2.79%

152 Primary Care (Overall Total) by CHO October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Description Budget Holder Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 96,128 82,009 78,772 3,237 4.11% CHO 2 Tony Canavan 102,278 91,904 84,667 7,237 8.55% CHO 3 Bernard Gloster 82,090 68,685 68,314 371 0.54% CHO 4 Ger Reaney 136,895 115,700 113,927 1,774 1.56% CHO 5 Aileen Colley 96,044 81,776 79,760 2,016 2.53% CHO 6 Martina Queally 64,381 54,843 53,329 1,514 2.84% CHO 7 David Walsh 164,661 133,882 136,164 (2,282) -1.68% CHO 8 Pat Bennett 133,548 109,391 110,551 (1,160) -1.05% CHO 9 Mary Walshe 134,967 110,555 110,650 (95) -0.09% Regional 12,276 13,274 10,226 3,048 29.80% National 64,718 30,647 49,242 (18,595) -37.76% Primary Care Division Total John Hennessy 1,087,985 892,667 895,603 (2,936) -0.33%

153 Primary Care (Primary Care excluding Social Inclusion & Palliative Care) by CHO October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Description Budget Holder Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 86,674 74,550 71,154 3,396 4.77% CHO 2 Tony Canavan 88,128 80,194 73,069 7,125 9.75% CHO 3 Bernard Gloster 61,218 51,092 50,933 160 0.31% CHO 4 Ger Reaney 108,018 91,169 89,947 1,221 1.36% CHO 5 Aileen Colley 85,205 72,581 70,785 1,796 2.54% CHO 6 Martina Queally 60,989 51,987 50,513 1,473 2.92% CHO 7 David Walsh 89,248 71,319 73,791 (2,472) -3.35% CHO 8 Pat Bennett 119,199 98,295 98,799 (504) -0.51% CHO 9 Mary Walshe 86,861 70,729 71,022 (293) -0.41% Regional 12,276 13,274 10,226 3,048 29.80% National 53,246 22,659 39,798 (17,139) -43.07% Primary Care John Hennessy 851,061 697,849 700,038 (2,189) -0.31%

154 Primary Care (Social Inclusion) by CHO October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Description Budget Holder Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 3,161 2,333 2,388 (55) -2.29% CHO 2 Tony Canavan 7,170 5,941 5,786 155 2.67% CHO 3 Bernard Gloster 9,250 7,703 7,703 0 0.00% CHO 4 Ger Reaney 18,055 15,135 15,003 132 0.88% CHO 5 Aileen Colley 9,404 7,999 7,780 220 2.82% CHO 6 Martina Queally 2,888 2,476 2,397 80 3.33% CHO 7 David Walsh 50,299 41,555 41,553 1 0.00% CHO 8 Pat Bennett 8,086 6,309 6,542 (233) -3.56% CHO 9 Mary Walshe 37,120 30,638 30,473 165 0.54% National 10,504 7,708 8,638 (930) -10.77% Regional 0 0 Social Inclusion John Hennessy 155,939 127,796 128,263 (466) -0.36%

155 Palliative Care by CHO October 2018

YTD Actual Spend vrs YTD Budget Description Budget Holder Full Year YTD Spend YTD Budget YTD Variance YTD Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 6,293 5,127 5,231 (104) -1.99% CHO 2 Tony Canavan 6,981 5,770 5,812 (42) -0.72% CHO 3 Bernard Gloster 11,621 9,890 9,679 211 2.18% CHO 4 Ger Reaney 10,822 9,396 8,976 420 4.68% CHO 5 Aileen Colley 1,435 1,195 1,195 0 0.00% CHO 6 Martina Queally 503 379 419 (39) -9.40% CHO 7 David Walsh 25,114 21,009 20,820 189 0.91% CHO 8 Pat Bennett 6,264 4,788 5,211 (423) -8.12% CHO 9 Mary Walshe 10,985 9,188 9,154 34 0.37% Regional 0 0 0 0 National 967 280 806 (526) -65.24% Palliative Care John Hennessy 80,986 67,022 67,302 (280) -0.42%

156 Mental Health by CHO October 2018

YTD Actual Spend vrs YTD Budget Description Budget Holder Full Year YTD Spend YTD Budget YTD Variance YTD Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 75,027 62,056 61,307 749 1.22% CHO 2 Tony Canavan 106,314 90,400 88,195 2,205 2.50% CHO 3 Bernard Gloster 67,364 55,001 55,613 (613) -1.10% CHO 4 Ger Reaney 118,953 100,196 98,708 1,487 1.51% CHO 5 Aileen Colley 100,617 85,163 83,636 1,527 1.83% CHO 6 Martina Queally 59,514 50,352 48,965 1,387 2.83% CHO 7 David Walsh 93,775 75,951 77,638 (1,687) -2.17% CHO 8 Pat Bennett 96,543 80,899 80,276 623 0.78% CHO 9 Mary Walshe 117,557 97,694 97,723 (29) -0.03% Central Mental Hospital 28,446 23,345 23,640 (295) -1.25% Suicide Prevention 9,414 7,045 7,999 (954) -11.93% Regional 0 0 0 0 National 34,113 20,102 26,723 (6,621) -24.78% Mental Health Division Anne O'Connor 907,635 748,204 750,424 (2,219) -0.30%

157 Older Persons by CHO October 2018

YTD Actual Spend vrs YTD Budget Description Budget Holder Full Year YTD Spend YTD Budget YTD Variance YTD Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 81,222 72,143 66,415 5,728 8.62% CHO 2 Tony Canavan 78,446 67,808 65,165 2,643 4.06% CHO 3 Bernard Gloster 70,621 58,981 58,687 294 0.50% CHO 4 Ger Reaney 124,753 105,812 103,977 1,835 1.76% CHO 5 Aileen Colley 79,027 67,900 65,526 2,374 3.62% CHO 6 Martina Queally 62,537 52,463 51,897 566 1.09% CHO 7 David Walsh 95,962 87,015 77,481 9,534 12.31% CHO 8 Pat Bennett 67,709 57,226 55,633 1,594 2.87% CHO 9 Mary Walshe 106,137 93,293 88,420 4,873 5.51% Regional 48,307 38,891 40,094 (1,203) -3.00% National 19,426 8,679 8,237 442 5.36% Older Persons Services Pat Healy 834,145 710,211 681,532 28,679 4.21%

158 Disabilties by CHO October 2018

YTD Actual Spend vrs YTD Budget Description Budget Holder Full Year YTD Spend YTD Budget YTD Variance YTD Budget Variance €000 €000 €000 €000 % CHO 1 John Hayes 135,014 110,719 110,104 615 0.56% CHO 2 Tony Canavan 172,687 147,045 143,725 3,320 2.31% CHO 3 Bernard Gloster 158,141 134,701 131,462 3,239 2.46% CHO 4 Ger Reaney 232,821 199,853 193,857 5,996 3.09% CHO 5 Aileen Colley 172,439 151,040 144,211 6,829 4.74% CHO 6 Martina Queally 191,040 159,319 158,323 995 0.63% CHO 7 David Walsh 228,219 200,179 188,103 12,076 6.42% CHO 8 Pat Bennett 216,364 186,218 178,304 7,915 4.44% CHO 9 Mary Walshe 283,167 240,727 235,407 5,320 2.26% Regional 0 0 0 National 27,113 5,862 11,343 (5,481) -48.32% Disability Services Pat Healy 1,817,004 1,535,662 1,494,839 40,823 2.73%

159 Support Services October 2018

YTD Actual Spend vrs YTD Budget Full Year YTD Spend YTD Budget YTD Variance YTD Variance Description Budget Holder Budget €000 €000 €000 €000 %

Health Business Services Jane Carolan 109,673 109,210 91,289 17,921 19.63% Finance Stephen Mulvany 46,063 30,616 36,840 (6,225) -16.90% Human Resources Rosarii Mannon 53,292 54,572 44,473 10,099 22.71% Office of Director General John Connaghan 4,213 1,531 3,477 (1,946) -55.97% Health System Reform 9,404 8,956 7,140 1,816 25.44% Legal Services 9,804 16,465 8,170 8,295 101.53% Office of Deputy Director General Stephen Mulvany 7,362 3,716 5,090 (1,374) -26.99% Compliance Brian Purcell 1,327 664 1,053 (389) -36.94% Communications Paul Connors 11,305 8,992 8,271 721 8.72% Audit Geraldine Smith 3,788 2,790 3,137 (347) -11.06% Health Repayment Scheme 500 228 416 (189) -45.32% Chief Information Officer Jane Carolan 34,398 33,648 28,500 5,148 18.06% Regional Services 1,605 1,614 732 882 120.40% Support Services 292,734 273,001 238,588 34,413 14.42%

160 PCRS October 2018

YTD Actual Spend vrs YTD Budget Approved YTD YTD YTD YTD Full Year Description YTD Spend YTD Budget YTD Variance YTD Variance Budget €000 €000 €000 €000 % General Medical Services GP Fees & Allowances 515,435 438,079 424,654 13,425 3.16% Drug Target Refund 630 241 525 (284) -54.11% GMS Pharmacy Fees 211,153 178,994 174,206 4,788 2.75% GMS Pharmacy Drugs/ Medicines 607,677 514,638 508,864 5,774 1.13% Dental Treatment/ Prescription Services 65,630 49,124 54,754 (5,630) -10.28% Community Ophthalmic Services 31,060 24,398 25,583 (1,185) -4.63% EEA Pharmacy Claims 1,020 682 811 (129) -15.85% High Tech Arrangement - Drugs/ Medicines 362,862 334,828 307,986 26,842 8.72% High Tech Arrangement - Patient Care Fees 21,198 19,117 17,664 1,453 8.23% Health Amendment Act Claims 1,850 1,432 1,556 (124) -7.97% Administration - Pay & Non Pay 45,479 32,477 37,730 (5,253) -13.92% Sub Total 1,863,994 1,594,010 1,554,332 39,678 2.55% Community Demand Led Schemes Drug Payment Scheme 64,000 54,860 53,018 1,842 3.47% Long Term Illness Scheme 220,860 196,138 182,161 13,977 7.67% High Tech Arrangement - Drugs/ Medicines 280,037 257,635 237,605 20,030 8.43% Methadone Treatment 22,330 17,830 18,607 (777) -4.18% Hardship Arrangements 14,720 11,274 12,031 (757) -6.29% Primary Childhood Immunisation 7,196 6,638 5,862 776 13.24% Heartwatch 969 762 803 (41) -5.11% NCSS Smear Test Fee 0 (4) 0 (4) Sub Total 610,113 545,133 510,087 35,046 6.87% Hospital / Home-Care Setting Arrangments OPAT Programme 8,130 5,206 6,775 (1,569) -23.16% OPIT Programme 3,912 3,290 3,260 30 0.93% NDMS - Oncology Drugs/Medicines 36,108 29,562 30,007 (445) -1.48% NDMS - Hep. C Programme 30,000 23,368 27,480 (4,112) -14.96% NDMS - MS Drugs/ Medicines 14,315 10,398 12,127 (1,729) -14.26% ERT Programme 1,008 460 569 (109) -19.11% Orphan Drugs/ Medicines 12,009 9,045 10,007 (962) -9.62% Sub Total 105,481 81,329 90,225 (8,896) -9.86%

Total PCRS 2,579,589 2,220,472 2,154,644 65,828 3.06%

161 Demand Led Schemes October 2018 YTD Actual Spend vrs YTD Budget Full Year YTD YTD Description YTD Spend YTD Budget Budget Variance Variance €000 €000 €000 €000 % Mobility 8,948 6,660 7,453 -793 -10.64% Capitation 11,056 9,826 9,208 618 6.71% Blind W.A. 11,501 9,172 9,579 -407 -4.25% Maternity 0 10 0 10 4912.51% L-Term Ill 11,669 9,839 9,720 119 1.23% Drug Payment 11,091 8,450 9,238 -788 -8.53% H'dship Med 111,450 96,208 92,833 3,374 3.63% Drug Refund 68,873 58,003 57,377 626 1.09% High Tech 10,592 8,339 8,821 -482 -5.47% Health Amendment 6,175 5,510 5,144 367 7.13% DTSS 71 68 59 9 14.61% Cervical Check Supports 1,460 1,460 Demand Led Local Schemes 251,425 213,545 209,434 4,111 1.96%

162 Net Expenditure by Division (Pay) October 2018

YTD Actual Spend vrs YTD Budget Description Full Year YTD Spend YTD Budget YTD Variance YTD Variance Budget €000s €000s €000s €000s % Acute Hospitals Division 3,903,581 3,280,562 3,232,993 47,570 1.47% National Ambulance Service 124,292 100,711 103,136 (2,425) -2.35%

Acute Operations 4,027,873 3,381,273 3,336,128 45,145 1.35%

Primary Care 574,163 463,785 471,580 (7,795) -1.65% Social Inclusion 53,191 42,674 43,921 (1,247) -2.84% Palliative Care 41,995 34,380 34,844 (464) -1.33% Primary Care Division (Note 1) 669,349 540,839 550,344 (9,506) -1.73%

Mental Health Division 713,929 588,331 591,404 (3,073) -0.52% Older Persons 722,626 604,313 599,361 4,952 0.83% Nursing Home Support Scheme ("Fair Deal") Disabilities 675,925 567,865 560,806 7,059 1.26% CHO HQs & Community Services 8,816 10,185 7,373 2,812 38.14%

Community Total (CHO & Regional/National) 2,790,645 2,311,533 2,309,289 2,244 0.10%

Clinical Strategy & Programmes Division 14,597 10,327 11,929 (1,602) -13.43% Quality Assurance & Verification 3,931 3,074 3,198 (124) -3.88% Quality Improvement Division 3,666 2,765 3,077 (313) -10.16% National Cancer Control Programme (NCCP) 3,218 2,484 2,677 (193) -7.21% National Screening Service 24,303 19,276 19,831 (555) -2.80% Health & Wellbeing Division 44,566 34,995 36,611 (1,616) -4.41% Environmental Health 35,258 29,306 29,354 (48) -0.16% Office of Tobacco Control 294 213 242 (29) -11.97% Emergency Management 1,331 974 1,104 (130) -11.80% Support Services 173,648 138,384 143,366 (4,981) -3.47% Value Improvement Programme (85,000) - (70,833) 70,833 100.00%

Other Operations/Services 219,812 241,797 180,555 61,242 33.92%

Total Operational Service Areas 7,038,330 5,934,603 5,825,972 108,630 1.86%

Pensions 883,187 770,608 735,600 35,007 4.76% State Claims Agency Primary Care Reimbursement Service (Note 1) 21,797 15,166 18,198 (3,032) -16.66% Demand Led Local Schemes (Note 1) 19 179 16 163 1009.74% Overseas Treatment 135 575 112 463 412.28% EU Schemes: EHIC and E127 413 244 344 (100) -29.00%

Total Pensions & Demand Led Areas 905,551 786,771 754,270 32,501 4.31%

Overall Total 7,943,881 6,721,374 6,580,242 141,131 2.14%

Note 1: PCRS and Demand Led Schemes form part of the Primary Care Division but are reported under Pensions & Demand Led Areas

163 Net Expenditure by Division (Non Pay) October 2018

YTD Actual Spend vrs YTD Budget Description Full Year YTD Spend YTD Budget YTD Variance YTD Variance Budget €000s €000s €000s €000s % Acute Hospitals Division 1,817,010 1,606,197 1, 499,204 106, 993 7.14% National Ambulance Service 40,548 36,966 33, 497 3, 469 10.36%

Acute Operations 1,857,558 1,643,163 1,532,701 110,462 7.21%

Primary Care 294,466 255,598 243, 065 12, 534 5.16% Social Inclusion 104,085 90,152 85, 455 4, 697 5.50% Palliative Care 46,857 38,675 39, 013 ( 338) -0.87% Primary Care Division (Note 1) 445,407 384,425 367, 532 16, 893 4.60%

Mental Health Division 213,000 174,905 175, 079 ( 174) -0.10% Older Persons 508,561 438,750 412, 804 25, 946 6.29% Nursing Home Support Scheme ("Fair Deal") 944,403 789,850 785, 890 3, 960 0.50% Disabilities 1,193,103 1,012,383 977, 323 35, 060 3.59% CHO HQs & Community Services 913 731 760 ( 30) -3.92%

Community Total (CHO & Regional/National) 3,305,386 2,801,044 2,719,388 81,656 3.00%

Clinical Strategy & Programmes Division 33,111 18,984 23, 154 ( 4,171) -18.01% Quality Assurance & Verification 1,599 780 1, 449 ( 669) -46.16% Quality Improvement Division 4,923 3,367 3, 468 ( 101) -2.90% National Cancer Control Programme (NCCP) 5,503 1,407 1, 418 ( 11) -0.76% National Screening Service 40,579 38,118 33, 528 4, 590 13.69% Health & Wellbeing Division 66,240 54,070 54,194 (124) -0.23% Environmental Health 9,828 8,189 8,187 1 0.02% Office of Tobacco Control 182 97 149 (52) -34.76% Emergency Management 521 592 438 154 35.21% Support Services 120,871 139,316 96, 710 42, 606 44.05% Value Improvement Programme (65,000) (54,167) 54, 167 100.00%

Other Operations/Services 218,356 264,920 168,528 96,391 57.20%

Total Operational Service Areas 5,381,301 4,709,127 4,420,617 288,509 6.53%

Pensions 31 96 26 70 266.82% State Claims Agency 274,000 242,298 228, 333 13, 965 6.12% Primary Care Reimbursement Service (Note 1) 2,655,271 2,284,703 2, 218,281 66, 422 2.99% Demand Led Local Schemes (Note 1) 251,408 213,372 209, 420 3, 952 1.89% Overseas Treatment 14,023 32,236 11, 681 20, 554 175.96% EU Schemes: EHIC and E127 12,890 20,026 10, 742 9, 285 86.44%

Total Pensions & Demand Led Areas 3,207,624 2,792,732 2,678,483 114,248 4.27%

Overall Total 8,588,925 7,501,858 7,099,101 402,757 5.67%

Note 1: PCRS and Demand Led Schemes form part of the Primary Care Division but are reported under Pensions & Demand Led Areas

164 Net Expenditure by Division (Income) October 2018

YTD Actual Spend vrs YTD Budget Description Full Year YTD Spend YTD Budget YTD Variance YTD Variance Budget €000s €000s €000s €000s % Acute Hospitals Division (920,449) (696,639) (767,382) 70,743 -9.22% National Ambulance Service (150) (361) (125) (236) 189.32%

Acute Operations (920,599) (697,000) (767,507) 70,507 -9.19%

Primary Care (17,568) (21,535) (14,606) (6,928) 47.43% Social Inclusion (1,336) (5,030) (1,113) (3,917) 351.90% Palliative Care (7,866) (6,033) (6,554) 521 -7.96% Primary Care Division (Note 1) (26,770) (32,597) (22,274) (10,324) 46.35%

Mental Health Division (19,293) (15,031) (16,059) 1,028 -6.40% Older Persons (397,042) (332,852) (330,633) (2,219) 0.67% Nursing Home Support Scheme ("Fair Deal") (5,586) (5,586) Disabilities (52,023) (44,586) (43,291) (1,295) 2.99% CHO HQs & Community Services (0) (6) (0) (6) 1830.14%

Community Total (CHO & Regional/National) (495,129) (430,659) (412,256) (18,402) 4.46%

Clinical Strategy & Programmes Division (418) (287) (313) 26 -8.29% Quality Assurance & Verification - - Quality Improvement Division (147) (255) (122) (133) 109.03% National Cancer Control Programme (NCCP) (250) (173) (208) 35 -17.04% National Screening Service (627) (753) (523) (230) 44.00% Health & Wellbeing Division (1,409) (1,937) (1,174) (764) 65.06% Environmental Health (3,644) (2,574) (3,036) 462 -15.22% Office of Tobacco Control (23) (22) (20) (3) 14.56% Emergency Management (300) (208) (250) 43 -17.00% Support Services (1,786) (4,699) (1,488) (3,211) 215.88% Value Improvement Programme

Other Operations/Services (8,605) (10,908) (7,133) (3,775) 52.92%

Total Operational Service Areas (1,424,332) (1,138,567) (1,186,896) 48,329 -4.07%

Pensions (480,142) (428,291) (398,212) (30,079) 7.55% State Claims Agency Primary Care Reimbursement Service (Note 1) (97,479) (79,397) (81,835) 2,438 -2.98% Demand Led Local Schemes (Note 1) (2) (6) (2) (4) 212.34% Overseas Treatment (27) (27) EU Schemes: EHIC and E127 (1,452) (3,961) (1,210) (2,751) 227.34%

Total Pensions & Demand Led Areas (579,076) (511,682) (481,258) (30,424) 6.32%

Overall Total (2,003,408) (1,650,249) (1,668,155) 17,906 -1.07%

Note 1: PCRS and Demand Led Schemes form part of the Primary Care Division but are reported under Pensions & Demand Led Areas

165 Income by Category October 2018

YTD Actual Spend vrs YTD Budget Description Full Year YTD YTD YTD Budget Spend Budget Variance €000 €000 €000 €000

Superannuation Income 0 0 0 0 Other Payroll Deductions (4,333) (3,777) (3,609) (168) Maintenance Charges (632,762) (436,470) (527,612) 91,142 In-Patient Charges (23,142) (24,819) (19,288) (5,531) Out-Patient Charges (16,163) (15,497) (13,460) (2,037) RTA (7,528) (7,160) (6,270) (890) Long Stay (11,496) (9,034) (9,573) 539 Other Patient Charge (973) (617) (812) 194 Agency/Services (12,417) (13,003) (10,343) (2,660) Canteen Receipts (16,219) (14,031) (13,525) (506) Other Income (195,072) (171,561) (162,595) (8,966) ESF Grants 0 (48) (9) (39) Other Grants (345) (623) (288) (336) Acute Hospitals Division (920,449) (696,639) (767,382) 70,743

Superannuation Income (1,267) (1,296) (1,056) (240) Other Payroll Deductions (2,192) (2,550) (1,825) (725) Maintenance Charges (5,433) (5,692) (4,507) (1,185) In-Patient Charges (14,829) (10,202) (12,356) 2,154 Out-Patient Charges (1) (0) (1) 1 RTA (1,227) (991) (1,018) 27 Long Stay (132,262) (108,801) (110,126) 1,325 Other Patient Charge (8,108) (6,288) (6,759) 470 Agency/Services (4,138) (3,790) (3,449) (341) Canteen Receipts (4,794) (3,972) (3,999) 27 Other Income (402,437) (337,407) (335,786) (1,621) ESF Grants (15) (15) Other Grants (15,653) (14,512) (12,995) (1,517) CHO Total & PCRS & DLS (592,341) (495,518) (493,877) (1,641)

Superannuation Income (474,668) (421,429) (393,652) (27,776) Other Payroll Deductions (370) (730) (308) (422) Maintenance Charges (4,850) (4,850) In-Patient Charges (734) (734) Out-Patient Charges 0 0 0 0 RTA 0 0 0 0 Long Stay 0 0 0 0 Other Patient Charge (1,451) (3,959) (1,209) (2,750) Agency/Services (3,546) (2,703) (2,954) 251 Canteen Receipts (55) (48) (46) (2) Other Income (10,245) (20,057) (8,490) (11,567) ESF Grants (148) (117) (123) 6 Other Grants (135) (3,465) (113) (3,352) Regional, National & Support Services (490,618) (458,092) (406,895) (51,197)

Superannuation Income (475,935) (422,724) (394,708) (28,016) Other Payroll Deductions (6,894) (7,057) (5,742) (1,315) Maintenance Charges (638,195) (447,012) (532,119) 85,107 In-Patient Charges (37,971) (35,755) (31,644) (4,111) Out-Patient Charges (16,164) (15,497) (13,461) (2,036) RTA (8,754) (8,151) (7,288) (863) Long Stay (143,757) (117,835) (119,699) 1,864 Other Patient Charge (10,532) (10,865) (8,780) (2,085) Agency/Services (20,101) (19,496) (16,745) (2,751) Canteen Receipts (21,068) (18,051) (17,569) (481) Other Income (607,754) (529,026) (506,871) (22,154) ESF Grants (148) (180) (132) (47) Other Grants (16,134) (18,601) (13,396) (5,205) Overall Total (2,003,408) (1,650,249) (1,668,155) 17,906

166 Overtime JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018 NOV 2018 DEC 2018 YTD 2018 YTD 2017 Variance % Difference

€'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 EUR Acute Hospitals Division 17,411 15,943 18,146 17,264 17,232 16,570 17,760 18,206 16,533 18,047 0 0 173,112 156,870 16,242 10% National Ambulance Service 1,148 1,417 1,840 1,319 1,316 1,400 1,375 1,310 1,400 1,442 0 0 13,965 13,780 185 1% National Cancer Control Programme (including NSS) 56 49 13 70 40 58 44 36 35 79 0 0 480 330 149 45% Acute Hospitals Operations 18,615 17,409 19,999 18,652 18,588 18,028 19,179 19,552 17,968 19,567 0 0 187,557 170,980 16,577 10% Health & Wellbeing Division 0 0 1 0 0 2 0 2 1 2 0 0 8 3 4 124% Environmental Health 3 4 7 7 9 6 5 8 9 4 0 0 61 86 -25 -29% Primary Care (excl Palliative Care & Social Inclusion) 49 96 78 80 87 80 110 88 78 85 0 0 832 806 26 3% Local Demand Led Schemes 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 -40518% PCRS 1 2 13 9 12 11 12 16 1 1 0 0 79 126 -47 -37% Social Inclusion 157 111 153 142 133 114 110 108 137 117 0 0 1,282 1,257 25 2% Palliative Care 125 5 82 81 126 20 95 55 94 50 0 0 735 660 75 11% Primary Care including PCRS & DLS 331 215 326 313 357 225 327 268 311 255 0 0 2,929 2,849 81 3% Mental Health Division 2,616 1,690 2,602 2,135 2,101 2,238 2,517 2,259 1,999 2,398 0 0 22,555 19,954 2,600 13% Older Persons 872 653 907 878 692 724 765 825 820 822 0 0 7,959 7,080 879 12% Disabilities 1,253 289 1,166 938 894 901 965 1,004 966 1,005 0 0 9,383 9,011 371 4% Other Services -23 137 138 129 110 117 89 108 104 113 0 0 1,024 994 30 3% Overall Total 23,668 20,398 25,145 23,053 22,751 22,241 23,848 24,027 22,179 24,167 0 0 231,475 210,959 20,517 10%

167 Agency JAN 2018 FEB 2018 MAR 2018 APR 2018 MAY 2018 JUN 2018 JUL 2018 AUG 2018 SEP 2018 OCT 2018 NOV 2018 DEC 2018 YTD 2018 YTD 2017 Variance % Difference

€'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 €'000 EUR Acute Hospitals Division 17,612 16,008 15,242 17,100 17,823 15,417 16,685 17,307 15,779 16,609 0 0 165,582 171,951 -6,370 -4% National Ambulance Service 66 56 78 121 77 58 61 116 108 234 0 0 976 792 184 23% National Cancer Control Programme (including NSS) 74 38 16 55 60 109 141 58 74 72 0 0 698 118 580 493% Acute Hospitals Operations 17,751 16,102 15,335 17,277 17,960 15,585 16,887 17,482 15,961 16,916 0 0 167,256 172,861 -5,606 -3% Health & Wellbeing Division 46 34 53 38 48 49 55 45 75 59 0 0 502 268 235 88% Environmental Health 17 23 20 16 28 23 10 20 26 18 0 0 200 77 122 158% Primary Care (excl Palliative Care & Social Inclusion) 1,717 1,556 1,808 1,817 1,711 1,711 2,047 2,090 1,839 2,326 0 0 18,622 11,420 7,202 63% Local Demand Led Schemes 0 0 0 0 0 2 3 3 1 2 0 0 12 1 12 1874% PCRS Social Inclusion 390 384 418 308 389 395 413 516 420 431 0 0 4,065 3,252 813 25% Palliative Care 103 89 80 95 158 107 88 154 129 97 0 0 1,099 687 411 60% Primary Care including PCRS & DLS 2,210 2,029 2,306 2,221 2,258 2,215 2,551 2,762 2,389 2,856 0 0 23,798 15,360 8,438 55% Mental Health Division 4,563 4,240 4,142 4,466 4,727 4,337 4,726 5,755 4,989 5,164 0 0 47,109 44,170 2,939 7% Older Persons 3,768 4,088 4,267 3,662 4,138 3,993 4,381 4,584 4,653 4,211 0 0 41,744 33,841 7,903 23% Disabilities 3,513 3,540 3,836 3,636 4,372 4,305 4,746 4,951 5,135 4,932 0 0 42,966 35,245 7,721 22% Other Services 441 587 611 569 725 660 675 798 691 796 0 0 6,553 4,750 1,803 38% Overall Total 32,310 30,643 30,571 31,885 34,255 31,166 34,030 36,396 33,919 34,951 0 0 330,127 306,572 23,555 8%

168 Agency Costs by Division - 2018 versus 2017 Acute Hospital Health & Primary Care Mental Health Older Persons Disabilites Other Services Total Operations Wellbeing incl DLS & (including PCRS Environmental Health) €000s €000s €000s €000s €000s €000s €000s €000s Jan-18 17,751 63 2,210 4,563 3,768 3,513 441 32,310 Feb-18 16,102 58 2,029 4,240 4,088 3,540 587 30,643 Mar-18 15,335 73 2,306 4,142 4,267 3,836 611 30,571 Apr-18 17,277 54 2,221 4,466 3,662 3,636 569 31,885 May-18 17,960 76 2,258 4,727 4,138 4,372 725 34,255 Jun-18 15,585 72 2,215 4,337 3,993 4,305 660 31,166 Jul-18 16,887 65 2,551 4,726 4,381 4,746 675 34,030 Aug-18 17,482 65 2,762 5,755 4,584 4,951 798 36,396 Sep-18 15,961 101 2,389 4,989 4,653 5,135 691 33,919 Oct-18 16,916 76 2,856 5,164 4,211 4,932 796 34,951 Total 2018 YTD 167,256 702 23,798 47,109 41,744 42,966 6,553 330,127

Average monthly cost 2018 to date 16,726 70 2,380 4,711 4,174 4,297 655 33,013

Z OLDPER Z DISABIL Jan-17 16,997 25 1,194 4,103 2,818 3,457 384 28,977 Feb-17 16,661 26 1,509 3,800 2,710 3,333 305 28,344 Mar-17 18,416 60 1,441 4,199 3,499 3,629 361 31,604 Apr-17 17,945 25 1,507 4,197 3,287 2,936 467 30,364 May-17 17,004 34 1,631 4,292 3,267 3,669 365 30,263 Jun-17 17,720 35 1,448 4,344 3,520 3,595 524 31,186 Jul-17 18,043 33 1,357 4,422 3,549 3,721 751 31,876 Aug-17 18,343 16 1,803 4,878 4,347 4,205 484 34,076 Sep-17 15,688 43 1,709 4,468 3,438 3,337 517 29,200 Oct-17 16,044 47 1,760 5,468 3,407 3,364 592 30,682 Total 2017 YTD 172,861 345 15,360 44,170 33,841 35,245 4,750 306,572

Average monthly cost 2017 to date 17,286 35 1,536 4,417 3,384 3,525 475 30,657

Change - YTD 2018 vrs 2017 (5,606) 357 8,438 2,939 7,903 7,721 1,803 23,555

169 Agency Costs - 2018 YTD v 2017 YTD Medical/ Nurses Care Allied Health Central Total Dental Assistants, Professionals Support Porters, etc

€000 €000 €000 €000 €000 €000 January 2018 cost 9,142 9,192 10,359 1,915 1,701 32,310 February 2018 cost 8,046 8,230 10,641 2,029 1,697 30,643 March 2018 cost 7,212 8,931 10,482 2,213 1,734 30,571 April 2018 cost 8,142 9,321 11,112 1,484 1,826 31,885 May 2018 cost 8,507 9,682 12,080 1,962 2,024 34,255 June 2018 cost 8,199 9,102 10,009 2,159 1,698 31,166 July 2018 cost 9,339 9,059 11,324 2,113 2,196 34,030 August 2018 cost 9,965 9,972 11,902 2,182 2,376 36,396 September 2018 cost 8,166 9,725 12,460 1,155 2,413 33,919 October 2018 cost 8,688 10,247 11,306 2,236 2,473 34,951 Year to Date Total 2018 85,406 93,461 111,675 19,449 20,137 330,127

Average monthly cost 2018 to date 8,541 9,346 11,168 1,945 2,014 33,013

January 2017 cost 9,411 8,102 9,104 1,170 1,191 28,977 February 2017 cost 9,559 7,808 8,413 1,365 1,200 28,344 March 2017 cost 9,833 8,380 10,430 1,583 1,379 31,604 April 2017 cost 10,202 8,169 9,438 1,420 1,135 30,364 May 2017 cost 9,799 8,398 9,161 1,519 1,386 30,263 June 2017 cost 10,148 8,384 9,719 1,441 1,494 31,186 July 2017 cost 11,029 8,114 9,481 1,588 1,665 31,876 August 2017 cost 10,646 9,102 11,022 1,714 1,592 34,076 September 2017 cost 8,795 7,959 9,511 1,339 1,595 29,200 October 2017 cost 8,670 8,719 10,066 1,573 1,654 30,682 Year to Date Total 2017 98,091 83,135 96,344 14,712 14,289 306,572

Average monthly cost 2017 9,809 8,314 9,634 1,471 1,429 30,657

Change - YTD 2018 v 2017 -12.9% 12.4% 15.9% 32.2% 40.9% 7.7%

170