Eastern Regional Health Authority annual report 2003 Item Type Report Authors Eastern Regional Health Authority (ERHA) Rights ERHA Download date 26/09/2021 08:24:43 Link to Item http://hdl.handle.net/10147/44836 Find this and similar works at - http://www.lenus.ie/hse Area Health Boards Acute Hospitals Ambulance Services Physical and Sensory Disability Services Services for the Elderly Rehabilitation Services Orthopaedic Services Mental Health Services 2003 ERHA Annual Report Maternity Hospitals Children's Hospitals Public Health Intellectual Disabilities Services Children's Services Cancer Treatments Drug Treatments Primary Care Buying and assuring best health for you Do chúram ár gcúram 01 Regional Maps p2 02 Chairman’s Report p4 03 Authority Board Members p8 04 Board Meetings p12 05 Board Committees p13 06 Area health Boards p15 07 Voluntary Service Providers p16 08 Management Team p22 09 Regional Chief Executives Report p24 10 Health Status/Socia-Demographic trends p28 11 Customer Services p40 12 Cardiovascular Strategy p42 13 Children/Families p48 14 Physical & Sensory Disabilities p59 15 Intellectual Disabilities p67 16 Older Persons p72 17 Adult Homelessness p80 18 Youth Homelessness p83 2003 19 Social Inclusion p86 20 Addiction p91 21 Mental Health p100 22 Primary Care p106 23 EHSS p117 24 Acute Hospitals p119 25 National Supra/Regional Specialities p135 26 Ambulance and Emergency Planning p142 27 Capital Development p144 28 Public Health p147 29 NMPDU p156 30 Corporate Services p162 31 M&E p171 32 Finance Directorate p173 33 ICT p178 34 PCC p182 35 Communications p184 36 Human Resources p187 Area Boundary County Boundary Roads Drogheda Kells Area Boardregional HQ maps Dowth Bettystown Laytown N 1 Duleek Mosney Navan Gormanstown Balscadden Balbriggan Delvin N2 Clonalvy Naul Tara Balrothery Skerries Garristown Northern Area Trim Damastown PAGE Health Board 2 Oldtown Lusk Ashbourne Rush Ballyboghal Dunshaughlin Donaghmore Donabate Killsallaghan N3 Swords Milltownpass Kinnegad Cloghran Kinsealey Moyvally Saint Margarets Portmarnock Dunboyne Enfield N4 Kilcock Sutton Maynooth Lucan Edenderry Celbridge Donnybrook South Western Area Blackrock Health Board Stillorgan Rathcoole Dundrum Dalkey Saggart Sandyford Cornelscourt Foxrock Killiney Cabinteely Carrickmines Kill Kiltiernan Shankill Rathangan Naas Rathmore Kilbride Enniskerry Bray Droichead Nua Blessington N7 Kilmacanogue Greystones ERHAPortarlington Monasterevin REPORT Kilcullen Ballymore Eustace 2003 SECTION Newtown- 01 Hollywood Mountkennedy N78 Roundwood Vicarstown Glendalough Stradbally Rathnew 1 Athy 8 N East Coast Area Health Board Baltinglass N9 Rathdrum N 1 1 Rathvilly Moyne Aughrim Avoca Carlow Gorteen Carnew Arklow Castlecomer Tullow Ballon Mohill Kilbride Bagenalstown Regional Maps PAGE 3 N2 Darndale Mulhuddart Donaghmede M50 Ballymun Coolock Finglas M1Beaumont Raheny Blanchardstown Glasnevin Kells N3 Killester Castleknock Drumcondra Cabra Clontarf Phibsborough N4 Stoneybatter East Wall Chapelizod Navan Ringsend Ballyfermot Kilmainham M5 0 Bluebell Delvin Rathmines Ballsbridge N7 Crumlin Rathgar Tara Walkinstown Belfield Trim Blackrock Greenhills Rathfarnham N1 1 Templeogue ERHA Dundrum REPORT Tallaght 2003 Firhouse SECTION Sandyford 01 < Eastern Region As I come to the end of my second year as Chairman of the Eastern Regional Health Authority I think it appropriate to Section 02 reflect on the achievements of the Authority since its establishment less than four years ago. When the ERHA was established on March 1, 2000 the Minister for Health & Chairman’s Report Children, Mr. Micheál Martin, T.D challenged us to look for new and imaginative solutions to chronic problems. The record shows that this was achieved by the Authority. I am proud that in the three and a half years since the ERHA's establishment there has been a significant increase in the number of people treated and cared for in the Eastern Region. There were over 5.3 million attendances at acute hospitals in the east in the last three years, while innovative treatments have resulted in much better outcomes for patients. There has been a significant drop of eight to nine percent in death rates from the common cancers. Death rates in women under 65 from breast cancer and death rate from lung cancer in men have dropped by well over a fifth. The numbers waiting for hospital admission have decreased and day cases have been dramatically increased. Most importantly there has been a major reduction in the waiting times for hospital admission. As a result of a review we carried out into Accident & Emergency services an additional 10 A&E consultants were appointed for the region and minor injuries units and Ald. Joe Doyle Chairman of the ERHA specialist clinics have been opened in the acute hospitals. These are to ensure rapid treatment of people coming to Accident and Emergency Units with minor injuries, and are taking pressure off the A&E departments. Chairman’s Report A total of 56 heart transplants have been performed at as automated doors, security cameras, etc. The year also PAGE 5 the Mater Hospital since the establishment of the ERHA saw the development of a personal care service for older and outcomes from transplants are on par with people. Some older people are now receiving over 90 international standards, 15 transplants were carried out hours care each week in their own homes to enable in 2003 alone. them to continue to live independently which is their choice. A total of 80 high dependency patients have Since march 2000 a total of 43 Lung Transplants have been enabled to return home from Beaumont Hospital been carried out in Newcastle Hospital on patients sent with round the clock care packages under the Homefirst from Ireland In 2003 16 lung transplants were carried Initiative. The Slan Abhaile project was initiated in May out, one of these was a heart and lung transplant 13 2003 to provide vulnerable older people with the were bilateral lungs and two were single lung necessary supports to remain living at home. The project transplants. involves a partnership approach between the East Coast In the last three years 113 liver transplants have been Area Health Board, Royal Hospital Donnybrook, St. carried out at St. Vincent’s University Hospital and results Vincent’s University Hospital and Rehabcare in the National Liver Transplant Programme there The number of older people who benefited from this compare very favourably with the results in the seven UK project was 34 at the end of 2003. The project will be centres. mainstreamed and expanded in 2004 and will be The new National Centre for Haemophilia & Hereditary evaluated independently. Early evidence suggests that Coagulation Disorders in St. James’s Hospital provides a the project is achieving its stated objective, i.e. that Slan comprehensive diagnostic and treatment centre for all Abhaile is responsive to the needs of older people and coagulation disorders while the National Cochlear their carers who require more than the limited Implant Programme in Beaumont Hospital is considered community services routinely on offer, in order to remain one of the largest facilities in Europe with 2,600 patient living in their own homes. ERHA attendances per year. REPORT There has been an increase of over 27% in the number 2003 Hundreds of patients have received orthodontic of addiction treatment places and the number on the SECTION treatment, and waiting times for this service were cut waiting list for methadone treatment has decreased by 02 dramatically in the last three-and-a-half years. New almost 26% since 2000. There are now over 6,000 health centres have been established and four GP Out of drug treatment places in the area. Hours Services have been established. We have welcomed thousands of asylum seekers to our Since our establishment, 438 new residential places have region. When I was Lord Mayor just a few short years been established for persons with intellectual disability ago I launched a booklet on the entitlements of asylum- and a further 126 additional respite places and 735 day- seekers, which was printed in seven languages. Now places have been provided. there are 100 languages being spoken in the region. Three new Community Nursing Units for older people I have long been concerned at the effects of overuse of were opened. alcohol and particularly binge drinking on our young people and on our society generally. Alcohol related Extended care is now provided in over 2,200 beds in problems are now costing Irish society approximately public and voluntary hospitals and homes and over 3,000 €2.4 billion per year. Therefore, I am delighted that in beds in private nursing homes are either fully or partially 2003 the Board of Our Authority adopted a €3.7 million subvented. action plan to develop an integrated and enhanced A number of initiatives were established aimed at response to alcohol abuse within the region helping older people to live independently at home for In view of the very significant body of work carried out as long as possible. These included a pilot scheme on by the ERHA I regret that it was decided in 2003 to assistive technology whereby the homes of elderly abolish the Authority and the country’s health boards, as disabled people can be adapted with high-tech aids such Chairman’s Report PAGE I believe they play a very important role in the Agus mé ag druidim le deireadh an dara bliain 6 development of policy, in highlighting gaps in services dom mar Chathaoirleach ar an Údarás Slainte and developments required and exercising critical Réigiúnda an Oirthir [ERHA], ceapaim gur governance and accountability for actions. oiriúnach an mhaise dom féachaint siar ar na nithe a chuir an tÚdarás i gcrích óna bhunú For example Board Members of the ERHA through beagnach ceithre bliana ó shoin. regular visits to various health agencies were in a position to raise and debate pertinent issues and were Tráth ar bunaíodh an ERHA, thug an tAire also very supportive of the executive in opening and Slainte agus Leanaí, An tUas.