Hse Community Services

Directory to Diabetes Services

Limerick , Clare and North Tipperary www.hse.ie/go/diabetes

Edition NO:2 March 2016

1 Contents

Adult Diabetes Care Referral Pathway Mid Western Area 3

Hospital Diabetes Services

University Hospital Limerick 4 University Limerick Nenagh Hospital 5 University Limerick Ennis Hospital 6 St John’s Hospital Limerick 6 Diabetes Integrated Care 7

Community Diabetes Services

Community Dietetic Service 8 Podiatry/Chiropody Service 9 Retinal Screening Service 10 Public Health Nursing 10 Counselling Service 11

Health Promotion Services

Physical Activity Support 12 Smoking Cessation Service 12

Patient Structured Education Programme

DESMOND (Type 2) 13 CODE (Type 2) 13 CHOICE (Type 1 Children service) 14

Support Services

Long Term Illness 14 Entitlement/Community Welfare Service 15 Domiciliary Care Allowance 15 Diabetes Ireland 15 Patient Support Group 16 Information for people with Visual Impairment 16 Sharp Disposal 16 Edition No:2 Updated by Anne O Sullivan CNS Diabetes Integrated Care March 2016

2 3 HOSPITAL DIABETES SERVICES MID WESTERN AREA

University Limerick Hospital Adult Diabetes Team

Consultant Endocrinologist Dr James O’Hare 061/301111 via switch board

Ms Sarah Fitzpatrick CNS Diabetes 061/482340

Anne O Sullivan CNS Diabetes Integrated Care 061/483023

Elizabeth Carrig Assumpta Coyle 061/482617 Emma Hynes Doireann Mac Loughlin Senior Podiatrist

Adult Diabetes Clinic Appointments 061/482524

Diabetes in Pregnancy Team University Limerick Maternity Hospital

Consultant Obstetrician 061/483123 Dr John Slevin

Yvonne Moloney 061/483481 RAMP Diabetes

Children Diabetes Team University Limerick Hospital

Professor of Paediatric Endocrinology 061/485276 Prof. Clodagh O’Gorman

Ms Anne Quinn CNS Diabetes 061/482022 Mary Norris CNS Diabetes

4 Maria Kelly –Conroy CNS Diabetes

Therase Dunne Senior Dietitian 061/482928

Children Diabetes Clinic Appointments 061/485276

Ophthalmologist

Dr Marie Hickey-Dwyer 061/482710 Dr Islim Tuwir 061/482378 Dr Philip O’Reilly 061/482358

Renal Services

Dr Con Cronin Dr Liam Casserly 061/462206/7 Prof Austin Stack Dr M Gaffney

Vascular

Mr P Burke 061/482121 Mr E Kavanagh 061/482761 Mr T Moloney 061/482121

Tissue Viability CNS 061/485308

University Limerick Nenagh Hospital Diabetes Team

Dr Haq Consultant Physician 067/31249

CNS Diabetes 067/31491 Consultant Endocrinologist Dr O’ Hare Specialist Diabetes Clinic 2nd Wednesday each Month

Ms Brigitte Hayden Senior Podiatrist 0504/21055

5 University Limerick Ennis Hospital Diabetes Team

Dr M Rahman 065/6863169 Consultant Physician

Fiona Johnston CNS Diabetes 065/6863336

Consultant Endocrinologist Dr O’ Hare Specialist Diabetes Clinic 3rd Thursday each Month

Administrative services 065/6863164

Tonya O Neill Community Dietitian 065/6863875

Senior Podiatrist 065/6828525 ext.4741

St John’s Hospital Limerick Diabetes Team

Medical Consultants Dr C Cronin 061/462206 Dr E Mulloy 061/462205 Dr L Casserly/Dr M Gaffney 061/462205

Brid Collins CNS Diabetes 061/462271

Aishling Collins 061/462175 Senior Dietician

Consultant Endocrinologist Dr O’ Hare Specialist Diabetes Clinic 2nd Thursday each Month Vascular Consultant Mr P Burke 061/462202

Tissue Viability Nurse 061/462221

6 Diabetes Integrated Care Service

Areas covered Network 7 North side Anne O Sullivan Limerick City CNS Diabetes Integrated care 061 483023 Network 3 Primary Care Area 1,2,3&4 Ennis

7 COMMUNITY DIABETES SERVICES MID WESTERN AREA

Community Dietetic Service

Community Dietetic Services provide group education plus, if indicated, one-to-one consultation to patients referred by GPs, PNs, PHNs or Area Medical Officers. Patients can self refer for structured education sessions. Referral forms and appointments available via:

Limerick Sinead Glover/Anne Geary Community Nutrition & 061/483448/483437 Dietetics Fax: 061/446653 St Joseph’s Hospital, North West Wing, Mulgrave Street, Limerick

Dietetic Clinic in the following Health Centres: Abbeyfeale HC, Ballynanty HC, Glin HC, King’s Island PC Centre, Moyross HC, Carnegie HC, Newcastle West, Southill HC, Rathkeale HC

Clare Tonya O Neill Community Dietitian 065 6863875 St Josephs Hospital Ennis Co Clare

North Tipperary Kay Finn 067/46477 Community Dietetic and Nutrition Service Health Centre, Tyone, Nenagh, Co Tipperary

Dietetic Clinic in the following Health Centres: Nenagh, Roscrea and Thurles

8 Podiatry/Chiropody Service

Limerick Podiatry Department UHL 061/482524 Mon-Fri.

Acute Active foot disease referred to the Podiatry service UHL. Chiropody service for Valerie Green/CareBright 061 602700 option 5 people >66yrs GMS The Health Centre holder and classified as Knockainey Road low risk feet Hospital Referral process by Co Limerick completing the PCCC referral form and forward to Valerie Green Clare Chiropody/Podiatry 065/6828525 Ext. 4741 Appointments, HSE-West, 065/6842828 Health Centre, Bindon Street, Ennis, Co Clare

Podiatry Clinic Locations in Clare Clinic Frequency Ennis-Health Centre, Bindon Street Daily Ennistymon Health Centre Twice Weekly Ennistymon Day Centre Weekly Kilrush Health Centre, Kilkee Road Weekly Scariff Health Centre Monthly Shannon Health Centre Monthly St. Joseph’s Hospital, Ennis Weekly

North Tipperary Podiatry Bridgette Hayden 0504/21055 Hospital of the Assumption Thurles Co Tipperary Podiatry Outreach Clinics Locations Clinic Frequency North Tipperary Community Hospital of Assumption One clinic per week for out patients only Thurles Referrals are via GP or PHN Nenagh General Hospital Monthly Roscrea Primary Care Centre Cre House Monthly Borrisokane Primary Care Centre Monthly

9 Diabetic Retinascreen The National Diabetic Retinal Screening Programme

This programme is a government funded Referral process programme that offers free, regular diabetic People with diabetes can be referred to the retinopathy screening to people with programme via Freephone 1800454555 or diabetes aged 12 years and older online at www.diabeticretinascreen.ie by a Health Care Professional or by patient self referral by downloading a referral form accessed via www.diabeticretinascreen.ie and signed by the patient general practitioner

Once the person with diabetes is registered with the retinascreen programme. An invitation letter will be sent to consent to the retinascreen programme. When this letter is received the person with diabetes must call the freephone number 1800454555 to consent to the programme. An appointment will then be sent for diabetic retinopathy screening. Results of the screening will be forward to the GP

Public Health Nursing

The Community Nursing Service offers a range of advice and support to all people with diabetes holding a Medical Card. This support and advice and education is in conjunction with acute diabetic services to:

 Newly and established people with diabetes of all ages who hold a medical card in the home or primary school setting.

 Women in the ante natal and post natal period who suffer from chronic diabetes or gestational diabetes.

10  Management of diabetic leg ulcers.

 Onward referral to Podiatry or G.P.

Every effort is made by hospital and PHN staff to train newly diagnosed people with diabetes to administer their own Insulin in order to make them independent. Where the person with diabetes cannot administer her/his insulin, the Public Health Nursing Service will provide this service.

Referrals on PCT referral form to

Contact details

Limerick Public Health Nursing, 061-483716/483718 HSE, Fax: 061-483994 Ballycummin Ave., Raheen, Limerick Clare Public Health Nursing, (065) 6868030 HSE, Sandfield Centre, Ennis, Co. Clare North Tipperary Public Health Nursing, (067)46474 Health Centre, Tyone,Nenagh, Co.Tipperary

Counselling Services

GMS Holder

Counselling in Primary Care service (CIPC) available to people aged 18years and over

Discuss with the patient & agreement confirmed

Give the patient a information leaflet on CIPC counselling in primary care and instruct the patient on importance of contacting the service to “opt in” this is essential for counselling to begin details available on the information leaflet

Referrals can be made by the GP or members of the PCT with the patient GP’s awareness

11 Complete the “Referral Form Counselling In Primary Care (CIPC)” and forward to the appropriate address

Non GMS Holders

Counselling service available via the Social Support Centre Henry Street Limerick 061 314111 Referrer to contact the counsellor in Social Support Centre

HEALTH PROMOTION SERVICES

Physical Activity Support/Exercise Referral Scheme

An Exercise Referral Referred by patient GP www.gpexercisereferral.ie Scheme

Get Ireland Walking Information available on www.getirelandwalking.ie physical activity www.getactive.ie

Smoking Cessation Support

All patients National Smokers www.quit.ie QUITLINE: 1800 201203 Facebook.com/HSEquit Mon-Sat 8am-10pm www.ash.ie www.givingupsmoking.co.uk

Clare Health Promotion HSE West 065/6865841 Services Slainte Office, Museum House, Francis Street, Ennis Limerick Health HPH Co-ordinator 061/483185 Promotion

12 STRUCTURED DIABETES EDUCATION PROGRAMMES IN THE HSE MID – WEST

DESMOND Diabetes Education& Self Management for On-going & Newly Diagnosed Type 2 diabetics

Available to patients in Limerick and North Tipperary

Limerick Anne Geary/Sinead Glover 061/483448 Anne T. Costello/Maria Barrett 069/61430

North Tipperary Johanna Burke RGN Community Borrisokane HC Kay Finn Community Dietitian Tyone HC 067/46477 Referrals via Margaret O Brien Borrisokane HC 067/49000

CODE Community Orientated Diabetes Education For Newly Diagnosed & On-going Management of Type 2 Diabetes

Available to Patients who attend UHL Sarah Fitzpatrick, CNS-Diabetes, UHL 061/482340 CODE facilitators.

Available to patients who attend GP’s in Network 7 Limerick & Network 3 Ennis Co Clare Anne O’Sullivan, CNS Diabetes Integrated 061/483023 Care, CODE facilitator.

North & West Clare and North Tipperary CODE facilitator: 071/9146001 and [email protected] Pauline Dunne, Diabetes Federation of Ireland

13 CHOICE Carbohydrate and Insulin Collaborative Education. For children and young people with diabetes (0-19 years) and their parents/careers. Available to all patients that attend the Paediatric Diabetes Services in UHL.

Delivered by a CNS/Paediatric Diabetes Anne 061 482022 Quinn, Mary Norris and Maria Kelly-Conroy & 061 482928 Diabetes Dietitian. Therese Dunne

SUPPORT SERVICES

Long Term Illness Scheme

All people diagnosed with diabetes are eligible for for a Long Term Illness Card (LTI) regardless if teh person has a GMS card, this will entitle the person with diabetes to free diabetes-related medication, devices and blood glucose monitoring strips. LTI application are available from the GP practice or Pharmacy

GMS/Medical card or GP visit card. The application form can be accessed from https://www.medicalcard.ie The application from is used for both the medical card and GP visit card Your eligibility will be checked for both. Medical card patients can also apply to the Long Term Illness scheme to avail of free prescription charge

Limerick & Long Term Illness Section 061/483707 North Tipperary Community Care HSE West Raheen Business Park Ballycummin Avenue Limerick Clare Long Term Illness Section 065/6868089 HSE West Medical Card Department Sandfield Centre Ennis Co Clare

14 Entitlements/Community Welfare Service

Limerick Community Welfare Service 061/461489 and 461491 HSE, Limerick PCCC St Joseph’s Hospital Mulgrave Street Limerick

Clare Community Welfare Services 065/6868090 HSE Sandfield Centre Ennis, Co Clare

North Tipperary Community Welfare Services 067/31003 HSE, PCCC Friar’s Court Nenagh Co Tipperary

Domiciliary Care Allowance

This service is provided by the Department of Social Welfare. Parents of diabetic children (or any other condition) are entitled to apply for Domiciliary Care Allowance. 071/9148200 In order to be considered medically eligible the following must be satisfied: “the child has a severe disability requiring continual or continuous care and attention substantially in excess of the care and attention normally required by a child of the same age..”

Diabetes Ireland

Diabetes Ireland has a network of support branches and groups Western Regional Office throughout the country. The Diabetes Ireland activities of the organisation include among others, 071/9146001 dissemination of non-judgmental [email protected] advice and information through meetings, workshops, website, www.diabetes.ie media and a quarterly magazine. 1850 909909 Support is available through literature lo-call helpline,

15 website and public meetings. Awareness of diabetes is raised through PR campaigns and lobbying on behalf of people with diabetes in areas where they are being discriminated.

Patient Support Group

Clare Diabetes Support and Grainne Flynn Clare Branch Diabetes Ireland 087/6415747 [email protected]

Limerick Parent Support Olivia Sweeny [email protected] Group Carmel Humphreys [email protected]

Visually Impaired information

NCBI gives advice, information and support on aids which are available for the visually impaired and how to obtain them.

Limerick/Clare/N Unit 2&3 061/310388 orth Tipperary Parkview Court Locall 1850334353 Lord Edward Street Email [email protected] Limerick www.ncbi.ie

Meters for Visually Impaired The only available There is no agent for Superchek 00441636831201 talking meter is 2 meter in Ireland. Meter can be www.apollomedicaltechnologies the Superchek 2 requested from the UK .co.uk Info@apollomedicaltechnologies .co.uk

Sharps Disposal

Sharps containers available from Local Health Centres.

BD safe clips available on prescription for injectable devices