Issue 15 - Spring 2004 (2.04Mb)
Rights Eastern Regional Health Authority
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ERHA TIMES www.erha.ie
ISSUE 15 - spring 2004 ISSN: 1649-346X
TAOISEACH AT OPENING OF HeBE OFFICES PLANNING APPROVAL FOR NEW €320 MILLION MATER AND CHILDREN’S HOSPITAL DEVELOPMENT.
A major new €320 million acute hospital complex on Dublin’s Northside has been given planning approval by Dublin City Council. The approval has been warmly welcomed by the Chairman of the Eastern Regional Health Authority, Ald. Joe Doyle.
Pictured at the official opening of the Central Business Park in Tullamore and the new Health Boards’ Executive (HeBE) offices were, from left, the Minister for Foreign Affairs, Mr. Brian Cowen, T.D.; the Regional Chief Executive of the Eastern Regional Health Authority, Mr. Michael Lyons, and An Taoiseach, Mr. Bertie Ahern, T.D.
€3.310 BILLION PLAN AGREED FOR HEALTH AND PERSONAL SOCIAL SERVICES IN THE EAST
A €3.310 billion plan for the provision of health and personal social services in the eastern region in 2004 has been agreed by the Board of the Eastern Regional Health Authority and the Minister for Health & Children, Mr. Micheál Martin, T.D.
This plan covers the provision of services for the of non-national births in the region is increasing 1.4 million people who live in the eastern at approximately 50 per cent annually. region, as well as those who come to Dublin In addition to open-heart surgery, heart from all over the country for highly complex transplantations, the new Heartwatch procedures such as transplants, metabolic programme of secondary rehabilitation in screening, adult cystic fibrosis treatment, spinal The development will provide a significantly Children. A helipad is especially needed for association with family doctors will continue to injury treatment and high tech cardiac services. extended and developed Adult Hospital for the Trauma and Neo-Natal Retrieval. be implemented, heart failure programmes will Mater Misericordiae University Hospital and a The Authority also provides services for a very be enhanced and diabetic patients will be Non Clinical Services, Teaching/Training/ purpose-built Children’s Hospital to replace the significant number of people who come to the targeted to reduce their risk of heart disease. Education and services such as Laboratory and Children’s University Hospital in Temple Street. east for procedures routinely available in their Pharmacy will be provided through a Shared own areas. Day Services will be provided to over 8,000 clients with an intellectual disability and autism Funded by the Department of Health and Services model. The ERHA allocation from the Department of Children, through the Eastern Regional Health in the region, and residential services to The new Mater Hospital will have 542 in-patient Health & Children this year is an increase of Authority, it is the largest health project in the over 2,500. beds, 98 day surgery beds (an increase of 50 on 13.5% on the original allocation last year. National Development Plan. However, the Authority received additional An additional €14.7 million will be spent this the number currently available) and 16 theatres monies in the course of 2003. This year’s original year on extending services for persons with Both Hospitals will have new and improved (an increase of seven on the current number). allocation represents an increase of 4% on the intellectual disability and with autism. accident and emergency services, new The new Children’s Hospital will have 184 beds total received last year. outpatients facilities, new theatres, new wards, An additional €4.38 million will be spent on (an increase of 33 on the current number), 20 Additional money is to be spent this year on new radiology departments, as well as improved services for persons with physical and sensory day surgery beds and seven theatres compared providing cancer, renal and disability services and disability. Current services include Personal extensions to current services, including to four in the present building. services for older persons. Assistance, Home Care Assistance, Home pathology, pharmacy, stores, catering, etc. The Support, Day Activity Services, Community Based It is anticipated that there will be over 1.6 expansion of these facilities generally should The exciting and innovative design places therapy and Outreach Services, Respite Services, million attendances at acute hospitals in the allow for improved activity rates, diminished an emphasis on natural light, ventilation and Residential Accommodation, Rehabilitation and region this year. waiting lists and improved patient care. energy efficiency. Specialised Services. Of these, almost one third of the elective in- Ald. Joe Doyle, Chairman of the ERHA said that Additional alcohol treatment services will be The new Hospital Campus will also have a patients treated in the major Dublin adult provided and up to 7,000 people will be treated helipad on the roof of the main concourse. This the development will provide expanded acute hospitals will be from outside the region while for drug misuse. is very important, as the Mater Misericordiae hospital services for children and adults from 44% of those treated in children’s hospitals will University Hospital is a National Care Centre for this catchment area and in respect of national be from outside the region. Initiatives are planned to improve access by Travellers to primary health care. Cardio Thoracic Surgery and Spinal Injuries, specialties. The ERHA will continue to support Over 23,000 babies are expected to be born in among others. Equally the Children's the development, which will bring much the eastern region this year. This includes the (continued on page 11) University Hospital is a National Centre for needed capacity into the acute hospital vast majority of non-national births. The number Neurological, Ophthalmic, Cranofacial, Renal, system in the region. Airways, Ear Nose and Throat disorders in APPROVAL FOR DISPOSAL OF ASSETS
The Board of the ERHA has given approval in principle to the disposal of a number of the Authority’s assets which are surplus to requirements. SPECIAL SUPPLEMENT ON REFORM
The assets which include six acres at St. Loman’s The money raised will be used for the Hospitals, other small portions of land and sites development of the health services and the Pages 4 – 8 and a number of houses are expected to raise Authority is now in discussions with the over €50 million. Department of Health & Children on this.
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At the opening of the new Rehabilitative Unit were, from left, Mr. Henry Murdoch, Seated in the new unit are, from left, Ms. Elizabeth Hayes, support tutor; The Minister for Health and Children, Mr. Micheal Martin, T.D., and Dr. Mark Delargy, Chairman of the National Rehabilitation Hospital; Mr. Tony Fox, Chairman of the East Ms. Angela Browne, administrative support, Mr. Michael Doran, student, Mr. Joe Barrry, Consultant in Rehabilitation Medicine at the NRH, who both spoke at the Coast Area Health Board; Mr. Micheal Martin, T.D., Minister for Health and Children, and trainee, and Mr. Gregory Leonard, trainee. official opening. Ald Joe Doyle, Chairman of the Eastern Regional Health Authority.
OPENING OF REHABILITATIVE TRAINING UNIT
The Minister for Health and Children, Mr. Micheál Martin, T.D., has officially opened the new Rehabilitative Training Unit in the National Rehabilitation Hospital, Dunlaoghaire. The unit provides training for people who have an Acquired Brain Injury, and may need to explore their vocational options, or develop their skills for independent living.
The purpose of rehabilitative training for clients "Rehabilitative training is integral in the provision Eastern Regional Health Authority, is that it example of how the voluntary sector contributes with Acquired Brain Injury is to bridge the gap of a full range of rehabilitation services." Dr incorporates the specially designed Corofin and enriches lives, giving individuals the means between clinical rehabilitation and further Delargy said. He went on: "Good evidence is Millenium Lodge. This twelve-bed facility will by which they can live and enjoy life training, educational options, or existing now available showing the effectiveness of provide supported accommodation for those independently and with dignity in the employment. According to Consultant in rehabilitation, and illustrating that the initial people attending a training programme, who live community" he said. Rehabilitation Medicine, Dr Mark Delargy: "The investment in specialist brain injury programmes too far from the hospital to commute each day. Where it is necessary for a carer or family incidence of Acquired Brain Injury as a result of for vocational rehabilitation is repaid in cost At the opening the Minister stated: "This new member to accompany a trainee, provision can an accident, illness or injury is increasing every benefits." accommodation will mean an expanded and be made for them to stay in the Lodge also. year. The effects of ABI are long-lasting, and A unique aspect of the Rehabilitative Training developed programme serving a greater number Having family members nearby during the patients and their families require continued care Unit, which has been built with the help of of clients with Acquired Brain Injury. The work of rehabilitation process can help recovery and support, often for the rest of their lives". funding from the Millennium Fund and the the National Rehabilitation Hospital is a shining outcomes enormously.
At the launch of the video were, from left, Ms. Rita Collins, Director of Nursing, Also attending the launch of the video were, from left, Ms. Eithne Cusack, Assistant Enjoying the showing of the new video to promote sick children's nursing as Children's University Hospital, Temple Street; Ms Liz Roche, (East Coast) Nursing and Director of Nursing & Midwifery, Nursing and Midwifery Planning and Development Unit, a career at the official launch. Midwifery Planning and Development Unit, ERHA; Ms. Marian Connolly, Assistant Director ERHA; the Chairman of the ERHA, Ald. Joe Doyle; Ms. Rita Collins, Director of Nursing, of Nursing, AMNCH; Mr. Paul Collins, Assistant Director of Nursing Children's University Children's University Hospital, Temple Street; Ms. Geraldine Regan, Director of Nursing, Hospital, Temple Street; Ms. Sarah Condell, Research Officer, National Council for Our Lady's Hospital for Sick Children, Crumlin; Ms Emily Logan, Director of Nursing at the Professional Development, and Health Research Board; and Dr. Ann Sheridan (South National Children's Hospital, AMNCH; Mr. Jim Breslin, Director, Planning Commissioning Western) Nursing and Midwifery Planning and Development Unit, ERHA. and Change, ERHA, and Ms. Shiela O'Malley, Director, Nursing and Midwifery Planning and Development Unit, ERHA.
PAEDIATRIC VIDEO LAUNCH
Video launched to promote sick children’s nursing as a career
A video to promote sick children’s nursing as a special healthcare needs arise from the fact that in it show the challenges and joys of working It is essential to listen to parents and take career: "There is no such thing as an average they are continually growing and developing, in these hospitals. They also highlight the • on board their concerns. day", has been launched by the Chairman of the and their health needs differ from those of the following: Eastern Regional Health Authority, Ald. Joe Doyle. adult population." Nursing children is also a career for men There is no such thing as an average day in • The video was developed in partnership with the • There are also opportunities for career He added that the latest medical advances mean their work – each is different • three children’s hospitals in the region and the development and further education in that some children who would previously have Excellent communication skills are essential Nursing & Midwifery Unit, in the ERHA. children’s nursing. died now require special and complex care, • The emphasis must be on the holistic At the launch, the Chairman said that there are sometimes on an ongoing basis. Nurses must • In the video the nurses show how rewarding approach to caring for the whole family just over 1 million children and young people in therefore develop their skills to meet the ever- their careers are and how nursing enables them when a child is ill Ireland, representing nearly one-third of our total changing health needs of our children, he said. to practice in a wide variety of areas. A nursing population. "Children must be valued as they There are many different specialty areas career allows them to travel the world with the The video was filmed in the three Dublin • are the future of our nation" he said. "Their where nurses practice expertise they have gained. Children’s Hospitals and the nurses featured
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Special Supplement on Health Service Restructuring
QUICK GUIDE TO THE GROUPS WORKING ON THE HEALTH REFORM PROGRAMME
The following groups are now in place to spearhead the health structures re-organisation • The Board of the Interim Health Services Executive, chaired by Mr. Kevin Kelly, which is planning for the establishment of the Health Service Executive, which will take over responsibility for the health services on January 1, 2005 • The National Steering Committee for the Health Reform Programme, chaired by Mr. Kevin Kelly, which is overseeing the different strands of the Health Reform Programme, confirming objectives and ensuring objectives are delivered • The Acute Hospitals’ Review Group chaired by Mr. Hugh Cawley, Head of the Change Management Team Mr. David Hanly which is preparing a plan for the reorganisation of acute hospital services, A Change Management Team chaired by Mr. taking into account the recommendations of • Hugh Cawley, to devise the organisational the Hanly Report on medical staffing The Minister for Health and Children with the Interim Board of the Health Services Executive: from left, back row, Dr. Donal de Buitleir, architecture for the new structures An Implementation Group, chaired by Mr. General Manager of the Office of the Chief Executive, AIB; Prof. John A Murray, Professor of Business Studies TCD; Professor Niamh • In addition, the department of Health and Brennan, Professor of Management, UCD; Mr. Eugene McCague, Solicitor and Partner with Arthur Cox; Professor P Anne Scott, Blaise Treacy, to oversee the pilot • Children is engaged in developing the Professor of Nursing and Head of the School of Nursing, DCU; Mr. P.J. FitzPatrick, CEO of the Courts Service; and Mr. Michael McLoone, implementation of the Hanly Report in the legislation necessary to underpin the new County Manager, Donegal County Council; front row, from left, Mr. Liam Downey, member of the Labour Relations Commission; the East Coast Area Health Board Minister for Health and Children, Mr. Micheal Martin, T.D.; Mr. Kevin Kelly, Chair of the Board; and Dr. Maureen Gaffney, Chair of the organisational arrangements. An implementation Group, chaired by Mr. National Economic and Social Forum. • The Health Strategy Implementation Team Stiofain de Burca, to oversee the pilot • implementation of the Hanly Report in the Mid Western Health Board region
COLLATION OF REPORTS OF 13 ACTION GROUPS COMPLETED.
The Project Office consisted of a number of dedicated staff from the existing Health Strategy Implementation Team, and additional DoHC staff assigned to the office on a full or part time basis. In October last, a number of health board employees were recruited to further the work of the Health Reform Project Office. These are from different professional backgrounds and this diversity allows for a great deal of shared learning and results in a wide range of perspectives available on every topic.
The thirteen action groups have now completed the transition management framework for the their work. A composite report, which is a whole programme – engaging directly with the collation of the individual action project reports, people who best understand current systems and is being produced, and this will provide a road structures and who are best place to manage map for the way forward. and carry out the changes required.
The action groups were jointly chaired by a CEO No decision has yet been made on where the from one of the Health Boards, and a nominee new regional boundaries will be located. The from the Department of Health and Children. Minister has asked the Board of the Interim Membership included staff from the DOHC, Health service Executive to make a Health Boards, Voluntary Providers and specialist recommendation for submission to Government agencies and the Health Service National in relation to the boundaries and the location of Partnership Forum. the HSE corporate and regional offices.
A number of action projects looked at the Health In making their recommendation they will be Service Executive and its component parts. taking into account the decentralisation policy, Staff of the original Project Office, front row, from left: Mary Morrissey, SWAHB; Louise McMahon, ERHA; Liz Canavan, Princpal Officer of the DoHC (head of the Project office); Therese Dalchan, NEHB; John O’Farrell, DoHC; back row, from left, Nora Lynch, DoHC, Brenda These projects outlined a proposal about the role and the other socio-economic, geographical and Kelly, NWHB; Kilian McGrane, DoHC; Siobhan O’Halloran, DoHC; Louise Donnelly, DoHC; Liam Preston, DoHC; Cate Hartigan, ECAHB; and function of the HSE. The reports also infra-sturctural considerations already contained Eileen Duffy, DoHC. considered how the organisation might be in the Action Project Reports. When they have
The other members of the team include: Dara Purcell, SEHB, Winifred Ryan SEHB, Edel O'Connor, DoHC; Eileen Keogh, DoHC; Pauline structured at corporate level and within each of concluded their deliberations, their proposal will Redmond, DoHC; Angela Noonan, DoHC; Marie Dullea, DoHC; Simonetta Ryan, DoHC; Fiona Prendergast, DoHC; Margaret Corroon, DoHC; the divisions. These proposals will be assessed be submitted to Government for decision. Siobhain Phelan, DoHC; David Moloney, DoHC; Joan McKenna, DoHC; Sinead Scanlan, DoHC; Emma-Jane Morgan, DoHC; Sheila Kulkarni, by the Board of the Interim HSE. DoHC;Paul Hearty,DoHC; Frank Hughes, DoHC. Even when the HSE has made its initial From October to Christmas, the focus was on has now begun and the emphasis has shifted to assessment, there will still be much more detail supporting the work of senior people from the work on communications, project planning and to be worked through. Putting new structures action committees ind eveloping their proposals change management. into place will need a lot of input from for Phase 1 of the reform programme. Phase 11 practitioners ‘on the ground’. This will be part of
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MESSAGE FROM KEVIN KELLY
The road will not be easy but it will lead to a better health service
From the 1st of January 2005, the HSE will will not always be easy, and it won’t be appreciated. I strongly believe that these reforms become responsible for the delivery of all health completed within the next year or two, but at will not be successful unless a thorough and and personal social services. There is a lot to be the end I believe we will have a better health comprehensive process of communications at done before then and many decisions have yet service. Our success in delivering these reforms each stage underpins them. We are committed to be made. At this point I want to outline our to our patients and clients will depend on the to ongoing communications with you and your guiding principles in this ambitious and important mutual efforts of all – this is the only way that representative bodies through the partnership process. the reform programme will work. process.
Unless the outcome of the reform process creates Whilst Government has indicated the roadmap, Already I have been enormously impressed by a better environment for both patients and staff, this journey will not be successful unless we all the dedication, commitment and enthusiasm of it will have been a fruitless exercise. Value for work in partnership to achieve our ultimate aim. all involved in the services, and this gives the money is also an important element in Decisions will not be taken in isolation. Already interim executive grounds for optimism that the enhancing the delivery of quality services. over 20,000 people took the time to engage in reforms can and will be delivered. an information sharing process over the summer The government is always totally committed to Mr. Kevin Kelly, Chair of the National Steering Committee and last year, and your inputs were greatly the Interim Board of the HSE ensuring that these reforms take place. The road
MINISTER ESTABLISHES ACUTE HOSPITALS REVIEW GROUP
The Minister for Health Mr. Micheal MartinT.D., has appointed a group tp prepare a national plan for acute hospitals.
Mr David Hanly Dr. Richard Brennan Ms. Ann Marie O’Grady Dr. Eamon Tierney Mr. Tony McNamara Mr. Pat McLoughlin
of the National Task Force on Medical Dr. Peter Kelly, Consultant Histopathologist, Staffing including spatial, demographic Mater Hospital and geographic factors. Dr. Geoff King, Chief Executive, Pre Hospital Emergency Care Council The membership of the group is as follows: Prof Gerry Loftus, Consultant Paediatrician, Mr. David Hanly, Chair University College Hospital, Galway Mr. Paul Barron, Assistant Secretary, Department Mr. Pat McLoughlin, CEO, South Eastern Health of Health and Children Board Dr. Richard Brennan, Chairperson, Irish College of Mr. Tony McNamara, General Manager, Cork General Practitioners University Hospital Group, Southern Health Board Mr. Niall Cussen, Senior Adviser on Spatial Dr. Maire Milner, Consultant Dr. Tony Holohan Mr. Paul Barron Dr. Jim Kiely Planning, Department of the Environment and Obstetrician/Gynaecologist, Louth/Meath Local Government Hospital Group Dr. Joe Ennis, Consultant Radiologist (retired) Ms. Orla O’Brien, Director of Nursing, Tullamore Mr. Chris Flood, representative of public interest General Hospital The Hanly Report concluded that a reorganisation medicine, nursing, health and social care Dr. Fergal Hickey, Consultant in Emergency Ms. Ann Marie O’Grady, Chief Physiotherapist, of acute hospital services is needed to professions and management. It also includes an Medicine, Sligo General Hospital Beaumont Hospital implement a consultant-provided service based expert in spatial planning and representation of Dr. Tony Holohan, Deputy CMO, Department of Dr. Eamon Tierney, Consultant Anaesthetist, on consultants working in teams and, as required the public interest. Health and Children Wexford General Hospital under the European Working Time Directive, to Dr. Mary Hynes, Regional Manager, Acute Dr. Cillian Twomey, Consultant Geriatrician, Cork The Minister said that he was very pleased that reduce the average working hours of non Hospital Services, Western Health Board University Hospital Mr. David Hanly had agreed to chair the group. consultant hospital doctors. Dr. Jim Kiely, Chief Medical Officer, Department of The group’s terms of reference are: Health and Children The group announced by the Minister contains a Mr. John Kelly, Consultant Surgeon, South wide range of expertise from the areas of To prepare a plan for the Interim Health Services Infirmary, Cork Executive for the reorganisation of acute hospital services, taking account of the recommendations
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CHANGE MANAGEMENT TEAM
Ms. Cate Hartigan Mr. Hugh Kane Mr. Jim Breslin Ms. Sile Fleming Ms. Mary Morrisey, SWAHB Ms. Anne Carrigy
A number of people from the eastern region McGuinness, Asst. Chief Executive, NAHB and will be working with the new Change Mary Morrissey, Director of Services for Children Management Team. on the Autistic Spectrum. Ms. Anne Carrigy, Director of Nursing at the Mater Hospital and Working with the team will be Jim Breslin, Mr. Kevin McConville, Deputy Chief of Eastern Director of Planning, Commissioning & Change Health Shared Services with the ERHA, Sile Fleming, Director of HR with the ERHA, Louise McMahon, Senior Jim Breslin, will retain responsibility as Director Commissioner with the ERHA, Hugh Kane, Asst of Planning, Commissioning and Change with Chief Executive with the SWAHB, Cate Hartigan, the ERHA. Asst. Chief Executive with the ECAHB, Laverne Ms. Laverne McGuinnes Ms. Louise McMahon Mr. Kevin McConville
PILOT PROJECT IMPLEMENTATION GROUPS APPOINTED
These two groups, recently appointed by 109 to 304 consultants in the Mid Western of sub groups to deal with detailed account of the views expressed by the the Minister for Health and Children, will region. The implementation will lead to an individual aspects of their work. The people in both regions. The Minister has assess the detailed staffing and capital increase in the range of specialties in both Groups are representative of all the asked both implementation groups, and requirements necessary for implementation regions and will also mean an expansion of stakeholders in the region, including the Acute Hospitals Review Group to take of the report. both the primary care and ambulances representatives of the public interest. account of the public debate that has taken services. place on the proposals so far. This includes A doubling in the number of consultants is The Minister said that he wanted to ensure ensuring that medical cover will continue recommended in both regions from 178 to In both cases, the implementation groups that the Hanly recommendations were to be provided overnight in each acute 307 posts in the East Coast area and from will be supported as required by a number implemented in a way that takes full hospital.
EAST COAST AREA HEALTH BOARD REGION
Ms. Fionnuala Duffy Mr. Martin Gallagher Mr. Nicky Jermyn Mr. Tom Mernagh Ms. Mary O'Connell
Membership of the implementation group for the Mr. Eamon Fitzgerald, Deputy Chief Executive, St. Mr. Pat McCreanor, Chief Ambulance Officer, A Director of Nursing representative from East coast area health board region is as follows: Vincent's University Hospital Eastern region the region Mr. Martin Gallagher, CEO, East Coast Area Mr. Gavin Maguire, Assistant CEO, Acute Hospitals, Mr. Blaise Treacy, Former County Manager, The consultant representation on the group, Health Board East Coast Area Health Board Wicklow Co. Council, Chairperson which will be drawn from St.Vincent's University Mr. Nicky Jermyn, Chief Executive, St. Vincent's Mr. Tom Mernagh, Manager, St. Columcille's Dr. Richard Aboud, GP Unit doctor, East Coast Area Hospital Dublin, St. Michael's Hospital Dun University Hospital Hospital, Loughlinstown Health Board Laoghaire and St. Columcille's Hospital, Mr. Desmond D. McCabe, Chair, Dun Laoghaire Ms. Mary O'Connell, Assistant CEO, Primary Care, Ms. Fionnuala Duffy, Senior Commissioner, Loughlinstown, will be announced shortly. Business Association East Coast Area Health Board Eastern Regional Health Authority
MID WESTERN HEALTH BOARD REGION Membership of the implementation group for the Mr. P.J. Cleary, Director of Nursing, Nenagh Dr. Kieran Murphy, General Practitioner, Athea, representative of the public interest Mid Western Health board region is as follows: General Hospital Limerick Ms. Joan Somers-Meany, Director of Nursing, Mr. Ger Crowley, Assistant Chief Executive Officer, Ms. Jacqueline Noonan, Radiology Services Ennis General Hospital Mr. Stiofán de Búrca, Chief Executive Officer, Mid Primary, Community and Continuing Care Manager, Nenagh General Hospital Western Health Board,Chairperson The consultant representation on the group, Ms. Maura Fitzgerald, Deputy Director of Nursing, Mr. John O'Brien, Assistant Chief Executive Officer, Mr. Gerry Buckley, Senior Laboratory Technician, which will be drawn from all acute hospitals in Mid Western Regional Hospital, Limerick Acute Services, Mid Western Health Board Ennis General Hospital the region (Mid Western Regional Hospital Ms. Kay Hogan, Director of Nursing, St. John's Ms. Jean Quinn-McDonagh, Physiotherapy Mr. Padraig Callaghan, Chief Ambulance Officer, Limerick, St.John's Hospital Limerick, Ennis Hospital, Limerick Manager, Mid Western Regional Hospital, Mid Western region General Hospital and Nenagh General Hospital) Mr. Tim Kennelly, Chief Executive, St. John's Limerick Mr. Joe Chambers, Solicitor, West Clare, will be announced shortly. Hospital, Limerick Mr. Matt Shinners, Castletown, Nenagh, representative of the public interest
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NATIONAL STEERING COMMITTEE FOR HEALTH REFORM PROGRAMME APPOINTED
Mr. Kevin Kelly Mr Michael Kelly Mr Dermot McCarthy Mr David Doyle
Ms Maura McGrath Mr. Denis Doherty Mr. Michael Dempsey Mr. Sean Hurley, CEO, SHB
The Minister for Health and Children has appointed a National Steering Committee to oversee the Health Reform Programme.
Minister for Health and Children and the Cabinet Mr Kevin Kelly - Chair (Mr Kelly has also been The work of the Acute Hospitals Review Group, Committee on a regular basis. Reports will • appointed as Executive Chair of the Board of the which has also been announced and which is comment on progress achieved and should Interim Health Service Executive) chaired by Mr David Hanly; and surface, in particular, any issues which require a Mr David Hanly - (Mr Hanly is also being response at Government level. It will liaise with The legislative, mainstreaming, human • appointed to Chair the Acute Hospitals Review the Health Reform Project Office (within the resource and industrial relations aspects of the Group) Department of Health and Children) and the Reform Programme for which the Department Board of the Interim Health Service Executive in of Health and Children will continue to have Mr Michael Kelly - Secretary General, Department the implementation process. lead responsibility. of Health and Children He described the rationale for the National The Minister noted that the Health Reform Mr Dermot McCarthy - Secretary General, Steering Group as a means of ensuring Programme was unprecedented in its scale, Department of the Taoiseach coherence and joint planning between these four breadth, complexity and that an ambitious time- separate but linked work streams during 2004. table was being adopted for this year. It
Mr David Hanly therefore required co-ordination and leadership The Minister commented that quite deliberately Mr David Doyle - Second Secretary General, at the highest level and an ongoing link with the composition of the National Steering Public Expenditure, Department of Finance Government through the Cabinet Sub-Committee. Committee has been kept tightly focussed Mr Denis Doherty - Chairman, Health Boards reflecting the main tasks to be achieved over the The Minister identified four distinct but related Executive Announcing the setting up of the committee, the next twelve months in particular. The Minister streams of activity planned for 2004: Minister said the role of the National Steering expressed his thanks to the members of the Mr Seán Hurley - Chief Executive Officer, Southern Committee will be to oversee the different • The on-going management of the health Steering Group and wished them well in their Health Board strands of the Health Reform Programme, system and internal preparations for the new work over the coming period. Mr Michael Dempsey - Managing Director, confirming direction and ensuring objectives are organisation and governance arrangements Bristol-Myers Squibb delivered. being led by the Chief Executive Officers of Health Boards and the Health Boards Ms Maura McGrath - McGrath Associates, It will provide a co-ordinating forum for actions The following are the members of the Steering Executive; Management Consultant being led by the Hanly Group, Interim HSE and Committee: Department respectively. It will provide guidance • The set-up of the Health Service Executive on programme planning and ensure that being led by the board of the Interim Health direction and progress is in line with the Service Executive, chaired by Mr Kevin Kelly Government’s decisions. It will report to the
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CHANGE MANAGEMENT TEAM AND THE OFFICE FOR HEALTH MANAGEMENT.
Standing, from left, are Winifred Ryan, (SEHB), Dearbhla Casey (OHM), Caroline O'Regan, (OHM), Sile Fleming (ERHA), Helen Franklin, (HSNPF), John O'Brien (MWHB), Tony McNamara (SHB), Noel Brett (WHB), Tony Holohan (DOHC), Diarmuid Collins (MHB), Colum Bracken (NEHB), Kilian McGrane (DOHC), John Cregan (MHB), Brenda Kelly (NWHB), Hugh Kane (SWAHB), Ger Crowley (MWHB), Willie Murphy (NWHB), Martin McDonald (HSEA) and Tina Joyce (OHM). Sitting, from left, are Anne Carrigy (Mater Hospital), Mary Morrissey (SWAHB), Tom Kelly (NWHB), Louise McMahon (ERHA), Hugh Cawley (HSE), Laverne McGuinness (NAHB), Aidan Browne (NEHB), Jackie Crinion (OHM). Not in picture: John Magner (SEHB), Raymonde O'Sullivan (SHB), Cate Hartigan (ECAHB), Jim Breslin (ERHA), Tom Foley (NFVB), Tadgh O'Brien (NEHB) and Kevin McConville (EHSS).
NEW HEALTH CENTRE BRINGS BENEFITS TO BRAY
A new state-of-the-art health centre has been officially opened in Bray, offering a variety of services in a modern, pleasant environment. Cllr. Tony Fox, Chairman of the East Coast Area Health Board, performing the official opening, welcomed the benefits that the new facility, located in the Civic Centre on Bray’s main street would bring to the people of the town. Welcoming the new health centre, Cllr Fox said: A wide range of clinics and other services will be "Most of the clients of our health service, never held in the centre including community welfare, darken the door of a hospital in any given year. audiology, ophthalmology, ante-natal, Indeed most of them come to buildings such as occupational therapy, Physiotherapy, child this. It is because of their importance in this development, parent-craft, and the breastfeeding regard, that the quality of its Health Centre support group. Other services provided from the defines a Health Board’s commitment to its health centre include: environmental health, clients. psychology, speech & language, registration of births, deaths & marriages, social work services, With this new facility, occupational therapy and issuing of E1-11 forms for travel, and applications physiotherapy services previously provided in the for medical cards. The Chairman of the East Coast Area Health Board, Cllr. Tony Fox, with the Minister of State at the Department of Foreign Affairs, home, on a domicilary care basis, in the Bray Mr. Dick Roche, T.D., and the CEO of the ECAHB, Mr. Martin Gallagher. area will now be provided in the health centre.
REPORT ON MENTAL HEALTH IN PRIMARY CARE LAUNCHED AT NEW TALLAGHT MENTAL HEALTH CENTRE
The Minister for State at the Department of Health and Children Mr. Tim O’Malley T.D. has officially opened the new Tallaght Mental Health Centre. At the opening the Minister also launched the Joint Report Mental Health in Primary Care carried out by the South Western Area Health Board and the Irish College of General Practitioners.
The Minister paid tribute to the South Western difficulties" he said. Area Health Board on the provision of the new Almost 80% of the GPs surveyed for the report facility in Tallaght. said that more than 10% of their patients had The Minister also launched the Joint Report of the mental or psychological problems with anxiety At the joint launch of the Mental Health in Primary Care report by the South Western Area Health Board and the Irish College of General SWAHB and the ICGP 'Mental Health in Primary disorder, depression and emotional difficulties Practitioners which coincided with the official opening of the new Tallaght Mental Health Centre were (l-r) Ms. Mary Mooney, Chairman, Care'. This study is the first of its kind undertaken being the top three presenting conditions. SWAHB; Mr. Pat Donnelly, CEO of the SWAHB; Mr. Tim O’Malley, TD, Minister of State at the Department of Health and Children; Mr. in Ireland to determine the needs of those who More than 8 in ten GPs indicated that they Charlie O’Connor, T.D.; Mr. Martin Rogan, Assistant Chief Executive, SWAHB; Ald. Joe Doyle, Chairman of the Eastern Regional Health receive their mental health care directly from referred less than 5% of their patients to mental Authority, and Ms. Regina Buckley, Assistant Chief Executive, SWAHB their GPs and to ascertain how these needs health specialists. The majority of psychiatrists might best be met in the future. indicated that at least 80% of their patients were The report’s recommendations include the need and discharge of patients; and improved referred to them by GPs. Over one-third of for increased mental health training among GPs; communication and better exchange of "I believe that the development of primary psychiatrists felt that between 40-60% of their agreed clinical protocols for detection, information between mental health providers care services as recommended in the Report patients could be treated within primary care if assessment, treatment, referral, follow-up and GPs. will contribute significantly to enhanced levels given adequate support. of care and treatment for those suffering mental
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NEW €3 MILLION DROGHEDA MEMORIAL HOSPITAL AND ST. BRIGID’S HOSPICE OFFICIALLY OPENED
The New Drogheda Memorial Hospital and St. Brigid’s Hospice on the Curragh has been officially opened. The ceremony was carried out by Ald. Mary Mooney, the Chairman of the South Western Area Health Board, in association with the Friends of St. Brigid’s Hospice and the Governors of the Hospital.
At the opening of the new Drogheda Memorial Hospital were, from left, the Regional Chief Executive of the ERHA, Mr. Michael Lyons, At the official opening of the Drogheda Memorial Hospital were Ms. Regina Buckley Assistant Chief Executive, SWAHB; Ms. Mary Mooney, with his wife Rosemary, and Mr. Pat Bennett, CEO of the Family Support Agency. Chairman of the SWAHB, and Ald Joe Doyle, Chairman of the ERHA
Designed by John P Delaney Architects Ltd. and built by Ellen A multi-denominational oratory for patients and visitors provides facility was first suggested for people with advanced cancer. Construction Ltd. at a cost of €3m, the expanded facility provides space for prayer and meditation. It features a recently restored and The aim of palliative care is to provide the highest possible quality 20 long stay beds for older persons and 7 beds for palliative care. re-leaded stained glass window, The Ascension, originally made by of life for such patients and to respond to their physical, It provides a crucial service and is part of a wider strategy to meet the Clarke Studios in Dublin circa 1910. psychological, social and spiritual needs. the increasing demands for palliative care in the area. The original hospital was founded in memory of Lord Drogheda, a In 1990, the Friends of St. Brigid’s Hospice was established and The re-development of what is locally known as the Jockey Hospital former Senior Steward of the Turf Club, and operated by a Board of in 1991 the first palliative care bed was opened. This was later to began in September 2001 and it was occupied in July 2003. Governors. It saw its first patients in 1899 and provided medical expand to four beds and a home care team was also established Operating under the auspices of the public health nursing service, it and surgical treatment for the people of Kildare and for those to deliver specialist care and support to people with cancer in includes 4-bed- and 6-bed- rooms, a day room, a dining room and members of the racing community, particularly jockeys, injured on Kildare and West Wicklow, thereby enabling patients remain with a meeting room. The palliative care facilities include en-suite single the nearby racecourse. Among the staff at the time was a part-time their families. Last year the team cared for almost 350 people rooms with hoists for lifting patients, family rooms with overnight surgeon who performed procedures in the hospital’s theatre. in the area. facilities and a counselling room. One of the building’s new features In more recent times – the late 1980s – services were expanded at is an outdoor fountain symbolising the water of life. It is made up the hospital to provide extended care beds for older persons. It was of three large round granite stones and forms the centrepiece of a also around this time that the development of a palliative care quiet landscaped courtyard.
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DEDICATED STOKE UNIT OPENED AT MATER HOSPITAL
The Minister of State at the Department of Health and has been shown to decrease death and disability by 25%" Children, Mr Ivor Callely T.D., has officially opened The Mr. Martin Cowley, Chief Executive Officer, Mater Hospital said, "Not Mater Misericordiae University Hospital’s first dedicated only does co-ordinated care of patients with acute strokes decrease Stroke Unit. mortality and morbidity but it is cost-effective. It is a highly Stroke is the third most common fatal disease in Ireland, killing over efficient model of care and feedback from patients and relatives 5,000 people annually - nearly as many as all forms of cancer regarding their care has been uniformly positive." combined. Stroke also particularly affects low-income groups and Co-ordinated care in the Stroke Unit has resulted in the the elderly. However, it has been shown that the co-ordinated care development of a multidisciplinary team comprising of nursing, approach of dedicated units, such as the newly opened one at the physiotherapy, occupational therapy, speech and language therapy, Mater, can decrease death and disability rates by 25%. dietetics, social services, pharmacy, vascular laboratory, radiology The Stroke Unit, set-up by the Mater in conjunction with the Eastern and medicine. Regional Health Authority and the Northern Area Health Board, will The official function at the unit was part of the Mater Hospital’s admit all emergency stroke cases from the Hospital’s Accident and Nurses Week 2004, a dedicated week promoting the nursing Emergency Department for acute medical treatment, management profession. Ms. Mary McCarthy, Chief Nursing Officer, Department of The Minister of State at the Department of Health and Children, Mr.Ivor Callely, T.D., and early rehabilitation. Approximately 300 patients with strokes Health and Children formally opened the week. The Taoiseach Mr. cuts the ribbon at the official opening of the New Stroke Unit at the Mater Hospital. are admitted to the Mater Hospital annually. To his right is the Hospital's Chief Executive Mr. Martin Cowley. Bertie Ahern, T.D., was in attendance, along with Mr. Callely. Mr. Callely congratulated the Mater Hospital, the Northern Area Nurses Week, which is now an annual event, comprises of lectures, Health Board and the Eastern Regional Health Authority for their exhibitions, workshops and presentations celebrating the foresight in proposing and supporting the development and said, importance of nursing in medical care. "Organized care of stroke patients within a single unit, such as this,
OUR LADY'S HOSPITAL NEW CEO
Our Lady’s Hospital for Sick Children Crumlin, has announced the appointment of Mr Gerard T. O’Dwyer as hospital Chief Executive. Mr O’Dwyer, whose appointment is for a seven-year term, took up his post at the end of January.
He has extensive experience in the Health hospital has approximately 20,000 admissions, Our Lady’s Hospital for Sick Children is a major Services and was formerly Deputy General 68,000-outpatient attendances and 30,000 centre for medical undergraduate teaching of Manager in the Cork University Group of Emergency department attendances per annum. Paediatrics. Students from University College Hospitals, where the total number of staff is It has 243 beds, a revenue allocation of €88 Dublin, the Royal College of Surgeons in Ireland 3,440 and the revenue budget is €240 million million and employs more than 1,200 staff. and Trinity College Dublin receive their training in per annum, over 5 different hospitals. paediatrics at Our Lady's Hospital. Consultant In accepting the appointment Mr O’ Dwyer staff at the hospital are pro-actively involved in Mr. O’Dwyer has been responsible for a number stated: "This hospital is among the best children’s postgraduate teaching of medical and surgical of significant management projects, and is hospitals in the world. All the teams here are personnel. The hospital is a recognised centre for currently President of the Irish Health Services devoted to providing family-centred health care senior registrar training and participates in pre- Management Institute and is the Irish at tertiary, secondary and primary level in an fellowship and post-fellowship training schemes. Representative at the European Association of environment, where each child receives the Hospital Managers. highest standards of healthcare. The foundations The School of Nursing at Our Lady's Hospital for for growth are the commitment, the loving care, Sick Children with University College Dublin Our Lady’s Hospital for Sick Children, Crumlin is the innovative approach and holistic ethos that provides Higher Diploma Postgraduate training in the largest children’s hospital in the country. It is are characteristic of the staff. My challenge is to paediatric nursing. a national and tertiary referral centre as well as continue to support the staff to plan a the local hospital serving much of the The new Chief Executive at Our Lady's Hospital for Sick Children, sustainable course for growing the range of Crumlin, Mr. Gerry O'Dwyer community of the southern part of Dublin. The services."
HOW NURSING CAN ENABLE AND SUPPORT PERSONS WITH INTELLECTUAL DISABILITY
Services for people with Intellectual Disability must respect those persons’ dignity and promote their inclusion in society as far as possible, the Chairman of the Eastern Regional Health Authority, Ald. Joe Doyle said, when he launched Looking Into The Future – Maximising The Nursing Contribution To A Comprehensive Intellectual Disability Service carried out by the Nursing and Midwifery Planning and Development Unit of the ERHA.
"I believe that this partnership approach has The development of a clinical career pathway been of great benefit to clients and their • in mental handicap nursing families" he said.
The report provides a framework and creates a The Chairman said that all of these present vision for policy makers, managers and nurses challenges as well as opportunities for the working with individuals with intellectual Authority, service providers and the nursing disabilities. profession. Issues examined in the report include - "I hope this report will do much to enable all the • How the role of the mental handicap nurse relevant people to make progress in a more can be expanded to meet the changing and informed and planned way" he said. . diverse healthcare needs of persons with The report was carried out by Aisling Culhane intellectual disabilities and Eithne Cusack of the Nursing and Midwifery At the launch of the Reporton the Nursing Contribution to the Intellectual Disability Services were Ms. Shiela O'Malley, Director of the The challenge of recruiting and retaining Nursing and Midwifery Planning and Development Unit, ERHA, Mr. Michael Lyons, Regional Chief Executive, ERHA, Ms. Eithne Cusack, • Planning and Development Unit of the ERHA mental handicap nurses. Assistant Director NMPDU, ERHA, and Ms. Aishling Culhane, NMPDU, ERHA • The need to match clients’ needs with "Such services should also be provided in the Mr. Doyle said that a wide range of residential professional skills least restrictive environment", the Chairman said. and community services for persons with • The potential contribution of the mental "The report demonstrates how mental handicap intellectual disability are provided in the eastern handicap nurse in primary care services nursing can contribute to enabling and region. These are provided by the Area Health The professional development of nurses and supporting persons with intellectual disability in Boards and by voluntary organisations funded • this respect". either by the ERHA or the Health Boards.
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SOCIAL AND PERSONAL
NEW BOARD ‘KEEPING PEOPLE WELL’ PROJECT TO BE PRESENTED MEMBERS AT EU QUALITY CONFERENCE
The innovative pilot project ‘Keeping People Well’ based in Carnew, Co. Wicklow, which is funded by the Eastern Regional Health Authority, has been selected as one of only six Irish projects to be presented at 3QC, the Quality Conference for Public Administrations in the EU in Rotterdam in September next.
designed to recognise and share good practice These activities have resulted in the across the Irish public service. The showcase will development of new inter-generational be organised in Dublin and also around the relationships and the exchange of knowledge, country, and will include representatives of the information and ideas between the groups. 20 best submitted. By supporting people to take responsibility for ‘Keeping People Well’ is an initiative aiming to their own health and well-being the health empower, enable and encourage people to take professionals in Carnew have noticed that older Mr. Christy Lynch, who is Cllr Mary Murphy is a responsibility for their own health care. It grew and younger people have a much greater sense Chief Executive of KARE, is a member of the Northern Area out of a review of services for older people in of their self-worth and value and their sense of member of the Northern Area Health Board. She was ‘Keeping People Well’ was chosen from more Health Board. He was appointed to the Board of the which Carnew, a village in Co. Wicklow, was confidence is growing. than 80 projects submitted from across the nominated as a pilot site for an innovative appointed to the Board of Eastern Regional Health It is hoped that the Carnew project will provide a the Eastern Regional Health Authority when she replaced public sector. approach to health promotion. template for the provision of health and personal Authority when he replaced Cllr Roisin Shortall. The 3QC conference is hosted every two years by Mr. Joe Fallon. Working with younger people in their social services that can be applied elsewhere in a EU member state holding the Presidency. It community, the older people in Carnew have the eastern region in the future. seeks to highlight innovative projects that have taken initiatives in their own health promotion resulted in improved services or improved decision-making. These have included healthy TWO NEW SENIOR administration. It allows people from the eating, organising a programme of activity and COMMISSIONERS representative projects to share their experiences physical exercise, smoking cessation and with 1,200 public servants from around the EU moderation of alcohol consumption. and to benefit from attending workshops and other networking opportunities at the three-day Older and younger people now participate event. together in many activities, including swimming, walking, golf, water-polo and indoor bowls. ‘Keeping People Well’, organised by the East They also enjoy amateur dramatics together, Coast Area Health Board, will also be part of a producing shows in the local town hall. national showcase in July of innovative projects
HOSPITAL POSTER COMPETITION RAISES AWARENESS OF DANGERS OF
Fionnuala Duffy who joined Willie Rattigan has been TOBACCO SMOKE FOR CHILDREN the ERHA in April 2000, appointed as a Senior shortly after its establishment, Commissioner with the ERHA. has been appointed Senior He was administrator of A children’s art competition to highlight the dangers of environmental tobacco smoke has been organised by Our Lady’s Hospital for Sick Commissioner. She is a Clonskeagh Hospital for two Children Crumlin, following on research that shows that children and babies who are exposed to ETS are at an increased risk of respiratory former Service Planner in the years and spent a number of diseases such as asthma. Planning and Commissioning years as Personnel Manager Directorate. and Hospital Manager in Local primary schools and patients at the hospital Fionnuala has a Diploma in James Connolly Memorial "It will always be fair if there is no smoke Applied Physics, A BA in Hospital. Willie worked in the were invited to take part in a poster competition • in the air". Public Management, and an drug treatment services at a to highlight these dangers. There was an M Sc in Health Service time when those services overwhelming response to the competition and • "Don’t smoke live life to the full. When you Management. She has over were expanding rapidly. He winning posters were displayed in an exhibition smoke every day is dull". ten years’ experience in the has been with the ERHA since at the hospital. private sector, where she its establishment, working as The smoke free policy at Our Lady’s is designed to improve the quality of the hospital worked for a major supplier Service Planner initially for To mark National No Smoking Day the Principal of medical equipment in older people and in more environment for all patients by removing the of the Hospital School Ms Mary McCarron technical, customer support, recent times for acute very serious health risk associated with tobacco and equipment services prior to this presented the art competition winners with their smoke. commissioning roles. She appointment. Willie holds prizes on Ash Wednesday. worked for several years in qualifications in Public Some of the slogans included on winning posters the acute hospital division Administration, Human Where To Find Us and the change management Resource Management and were: unit of the Department She an MBA in health service You can contact us at ERHA Communications, will have responsibility for Management. He will have Pictured with some of the entries in the No Smoking Mill Lane, Palmerstown, Dublin 20. acute hospital services in the responsibility for competition at Our Lady’s Hospital for Sick Children in Crumlin eastern region disability services in the was one of the winners in the over-11 category, Suzanne Swift, Email: [email protected]; eastern region. Loreto Snr National School, Crumlin Rd., Dublin. telephone 01 620 1830.
€3.3 billion plan agreed
Continued from page 1 The ERHA is to bring a Regional Health Strategy These include primary care, general hospital care Over 40,000 contacts are expected to be made for Ethnic Minorities to its Board for approval this and extended care. There are over 7,500 with GP Out of Hours cop-Ops this year, over Mental health services include those provided in year. It is estimated that there are approximately extended care beds in the region. 5,000 people will receive orthodontic treatment, 200,000 persons from various ethnic minority over 42,000 schoolchildren will receive dental acute psychiatric hospitals, the psychiatric units of Up to 10,000 children are expected to receive groups living in Ireland at present, the majority treatment, over 269,000 dental treatments will general hospitals, day hospitals, day centres, social services in the east this year. These in the eastern region. This new Strategy will be carried out and about 94,000 treatments will longstay/continuing care services in the include day nursery/pre schools, Neighbourhood facilitate the Authority in promoting and guiding be carried out under the community ophthalmic community and forensic services. Youth Projects, Parent Support Schemes, Family implementation of an integrated comprehensive services. More than 43,000 people are covered Support Projects, Child Welfare and Protection A sum of €1 million is being allocated to response to their health and social care needs. under the Long Term Illness Scheme and claims Services, Community Mothers Programmes, increase the capacity of the Central Mental for about 2.7 million items under the Drugs A wide range of health and personal social residential and foster care. Hospital to admit mentally ill patients from the Payment Scheme are expected to be made. services will be provided to the increasing prisons. Services are provided by almost 800 GPs, over number of older persons in the eastern region. 1,000 nurses and a wide range of therapists.
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