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Hse Dublin Mid-Leinster Regional Service Plan

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Hse Dublin Mid-Leinster Regional Service Plan HSE DUBLIN MID-LEINSTER REGIONAL SERVICE PLAN 2011 Easy Access z Public Confidence z Staff Pride Regional Director of Operations HSE Dublin Mid-Leinster Oak House Millennium Park Naas Co. Kildare Tel: 045 882597 Email: [email protected] Based on the HSE National Service Plan 2011 submitted to the Minister for Health and Children on 17th December 2010 and approved on 21st December 2010 Contents Introduction from the Regional Director of Operations ........................................................1 Resource Framework..............................................................................................................10 Finance.............................................................................................................................................................10 Human Resources............................................................................................................................................12 Improving our Infrastructure .............................................................................................................................13 Monitoring and Measuring NSP2011 ...............................................................................................................13 Risks for Delivering on NSP2011 and DML Business Plan 2011 ....................................................................13 Quality and Safety ..................................................................................................................15 Service Delivery.......................................................................................................................18 Delivering Integrated Services – Primary, Community and Hospital Care .....................................................18 Primary Care Services in the Community..................................................................................................19 Acute Services and Pre-hospital Emergency Care ...................................................................................24 National Cancer Control Programme.........................................................................................................37 Children and Families.......................................................................................................................................40 Mental Health ...................................................................................................................................................44 Disability ...........................................................................................................................................................47 Older Persons...................................................................................................................................................51 Palliative Care ..................................................................................................................................................55 Social Inclusion ................................................................................................................................................57 National Performance Indicator and Activity Suite..............................................................61 Regional Balanced Scorecard (Non-Acute Services)......................................................74 Key Result Areas & Deliverable Outputs – Responsible Appointment Holders……..…….. 88 Appendices Appendix 1 Financial Information...................................................................................................................104 Appendix 2 a) Additional DoHC Funding Allocation for HSE National Priority Services ............................................105 b) HSE National Strategic Priorities Funded: Internal Resource Realignment .......................................105 c) HSE National Strategic Priorities: Internal Reconfiguration through Existing WTEs and Funding .....107 Appendix 3 DML HR Information....................................................................................................................108 Appendix 4 DML Capital Projects 2011 by Programme.................................................................................109 Appendix 5 Acute Hospitals in HSE Dublin Mid-Leinster (including Specialties)...........................................112 Appendix 6 Public Service Agreement – DML Action Plan............................................................................113 Abbreviations ........................................................................................................................124 Bibliography ..........................................................................................................................125 INTRODUCTION Introduction from the Regional Director of Operations The National Service Plan 2011 (NSP2011), which was published on 22 December 2010, sets out the type and volume of service the Health Service Executive (HSE) will provide directly, and through a range of agencies funded by us, during 2011, within the funding provided by Government and within the stipulated employment levels. In developing the NSP2011, the HSE’s national priorities for 2011 are to: Maintain the levels of service provided in 2010 Deliver the cost reduction and restructuring programmes to enable the maintenance of these service levels on a total reduced budget basis of €962m (€683m net) Seek to ensure the delivery of high quality and safe services Accelerate our reform programme to reconfigure core services and in line with our strategy, deliver an appropriate balance between hospital and community services as well as best care models in childcare, disability, mental health and older person’s services, and Implement the national clinical change programmes and new service developments. In this context, HSE Dublin Mid-Leinster (DML) has commenced the process of implementing the NSP2011, the detail of which is outlined in this document HSE Dublin Mid-Leinster – Regional Service Plan 2011. This service plan outlines the type and volume of services, key priorities and actions at regional and local level across hospitals and community services, arising out of the NSP2011, to be implemented in DML in 2011. DML Demographic Profile DML is the largest of the four Regional Director of Operations (RDO) areas within the HSE with a total population of 1,216,848 as per the 2006 CSO Census. The area ranges from Dublin City south of the River Liffey, South County Dublin, Dun Laoghaire/Rathdown, and all of counties Kildare, Wicklow, Laois, Offaly, Longford and Westmeath. The region is currently divided into nine Local Health Office (LHO) areas as shown in the population table hereunder: Local Health Office (LHO) Total Population Dublin South 126,382 Dublin South East 110,487 Dublin South City 134,344 Dublin South West 147,422 Dublin West 134,020 Kildare/West Wicklow 203,327 Laois/Offaly 137,927 Longford/Westmeath 113,737 Wicklow 109,202 Total 1,216,848 Source: CSO Census 2006 It is acknowledged that there are many areas of deprivation located within the Dublin Mid-Leinster Region. According to the National Deprivation Index for Health & Health Services Research (SAHRU Technical Report Dec 2007) some 45.5% of the 803,719 persons living in the most deprived Electoral Divisions (EDs) are in the Greater Dublin Region comprising Dublin City & County and Counties Wicklow and Kildare. In addition, of the 50 most deprived EDs nationally, 12 are located in the Dublin Mid-Leinster region. This presents additional challenges for DML in the provision of health and personal social services to the community. DML Regional Service Plan 2011 1 INTRODUCTION DML Regional Structure In 2011, I will be supported in my role as DML RDO by a Regional Team which comprises Integrated Service Area Managers (ISAMs) x 5, Assistant National Director for Finance (DML), Assistant National Director for Human Resources (DML), Assistant National Director for Estates (DML), Business Manager and Communications Manager. In addition, 2 Local Health Managers – 1 each in the areas of Disabilities and Mental Health respectively – will lead out on the provision of these services in DML. The Integrated Service Area (ISA) structure will be implemented in DML over the coming year. The 9 LHOs and the 2 Hospital Networks will be grouped into 4 ISAs and an ISA for the Paediatric Hospitals. The ISAMs will have full accountability and responsibility for all health and social care services (acute and non-acute) in each of these ISAs. They will also work closely with the National Care Group leads for Children and Families, Disability, Mental Health and Older Persons Services to ensure that the delivery of services to these groups is in line with policies agreed by Government and within the agreed targets and resources of the HSE, as set out in NSP2011 and this Service Plan. It is the intention that the Integrated Service Areas will: • Be empowered to deliver an integrated service to patients. • Support and deliver services and resources consistent with best practice. • Ensure strong local accountability and adherence to robust national planning processes. • Support high quality clinical and business decisions. • Support consistent management of performance, quality and outcomes. • Have a public leadership and communications role to support staff morale and public confidence. In 2011, DML will concentrate on a number of key areas in order to ensure that our services are
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