Beaumont Hospital Annual Report 2008
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Beau mont Hospi Beaumont Hospital Annual Report 2008 | Beaumont Hospital Annual Report 2008 ■ Contents Chairman’s Report 2 Chief Executive’s Review 6 Finance Report 16 Medical Administration Department 26 Director of Nursing Report 30 Hospital Divisions 44 Division of Surgery 44 Division of Medicine 48 Department of Anaesthesia and Intensive Care 62 Department of Radiology 66 Neuroscience Division 70 Division of Laboratory Medicine 74 Clinical Services Division 80 Non-Clinical Services Division 100 Functional/Support Departments 106 St. Joseph’s Hospital, Raheny 120 RCSI Education & Research Centre Annual Report 2008 124 Research and Publications/Presentations 132 Celebrating 21 Years 144 1 Chairman’s Report We are committed to maintaining and enhancing our quality performance and to play a leading role in patient care and in the transformation of our national health service. 2 Beaumont Hospital Annual Report 2008 | Chairman’sReport ■ Chairman’s Report Beaumont Hospital continues to commitment to carry out a leading role in the provision of provide to international standards colorectal, urological, head and neck, and upper GI surgery. a wide range of medical services Work has already begun on the preparation for the building in more than 50 specialties, to of our new Radiation Oncology centre, one of four such our local, regional and national units, which together will provide the national service. catchment populations, and to Other units will be located at St James’s Hospital, Dublin, engage in extensive research and and at the University Hospitals in Cork and Galway. The educational programmes. We do radiotherapy service which will be provided at Beaumont this in an environment of rapidly will enable us to provide an integrated comprehensive developing medical technology, Mr. Donal 0 Shea, quality treatment programme for a range of cancers at our Chairman national restructuring and re- hospital. organisation of the health services and reducing budgets. We are committed to maintaining We have made very rapid and excellent progress in the and enhancing our quality performance and to play a programme to combat healthcare-associated infection in leading role in patient care and in the transformation of our the hospital. But serious challenges remain. Chief among national health service. them is the requirement to bring the structural and infrastructural aspects of our buildings up to 21st century The Health Service Executive is currently engaged in a international standards. This will require significant change restructuring of the health services and the re-introduction and development of buildings and layout, and the Board is of regionalisation into these arrangements. The new committed to availing of every opportunity afforded it to structures will bring the hospital services and the primary carry out these changes over the coming years. and continuing care services more closely together at regional level for the benefit of ongoing patient care. We One of the greatest challenges facing the patient services are working closely with the HSE in this context so as to of Beaumont Hospital is the virtual absence in our local maximise and optimise our contribution to both patient North Dublin catchment area of services for the care of care at national, regional and local level and to the progress patients who require continued high-dependency care of policy development and management arrangements. As following their discharge from acute consultant care. one of the five Dublin Academic Teaching Hospitals, we are Unlike most other areas in the country, North Dublin has playing an active role within this unique group as we work virtually no such services. As a result, we continue to together in partnership with the HSE to ensure that our care in our hospital for patients who are in need of high- collective resources, experience and expertise are used to dependency non-acute care. This of course impacts on our full effect in national progress. As a voluntary hospital, we emergency services and waiting lists, and increases our are fully aware of the important role that is being and has length-of-stay and inhibits our efficiency. We continue to been played by the wider voluntary sector in the provision address this problem. We are committed to working with of the health services and of the history of the voluntary the HSE to develop a range of new services for the elderly bodies in aspects of innovation, flexibility and economy. We in North Dublin and welcome the opportunity afforded by are also actively involved within this group. the new structures to participate in the development, the formulation and the provision of such services. Beaumont Hospital is the provider of a number of national services, including neurosurgery, renal transplantation For some time now we have been working with the Royal and cochlear implantation. We have been working to College of Surgeons in Ireland and with Connolly Hospital in significantly develop these services and to develop with the setting up of an Academic Health Centre which will link other hospitals a country-wide integrated network which our work as an acute hospital into a network comprising will support and coordinate patient care and treatment in other acute hospitals, services for primary, community these specialist fields. and continuing care, together with education, training and research. Much progress has already been made and we Beaumont Hospital is working in a lead capacity in the see great possibilities for maintaining patient benefit from development of world-class services for the diagnosis a more focused and coordinated programme involving and treatment of specific cancers. We are one of the eight these various elements of patient care. We foresee the AHC designated centres for breast cancer surgery and we are being expanded into a wider network within the Dublin/ extending our role to be designated as specialising in the North-East region with other educational and healthcare treatment of other cancers. We have the expertise and providers. 3 Beaumont Hospital Annual Report 2008 | Chairman’sReport The hospital has performed well in adhering to its A new Board was appointed by the Minister for Health budgetary limitations and in not exceeding the limits set and Children in 2009. We have made some changes in its for us by the HSE. However, this has not been an easy task structure to reflect the IPA review and to meet the changing and the successive curtailments in ongoing resources which challenges of the time. seem set to continue for some period to come will challenge I would also like to acknowledge the excellent work the ability of the Board, the management and the staff to performed by the Board’s sub-committees: Services and deliver an improving service, to meet increasing demands Governance Committee, Finance Committee and Audit and to develop new and more advanced technologies in the Committee. The members give generously of their time to care of patients. these committees which play a very important role in the The term of office of the Hospital Board expired during 2009. operation of the Board. New committees were appointed I wish to express our appreciation for the commitment of with the new Board in 2009; the membership of the time, effort and expertise given by each and every member previous and new committees is as follows: of the Board to the furtherance and advance of the hospital, I wish to pay tribute to the management and staff of given in a voluntary capacity and given over the demands Beaumont Hospital for the wonderful work they are doing in of other activities and services. The hospital greatly the care and treatment of patients and in the development appreciates their contribution and benefits enormously of the services being delivered by them, both on site and in from it. the wider community. Before the end of its term, the outgoing Board engaged Donal O Shea the Institute of Public Administration to carry out an Chairman independent review of the operation of the Board and an assessment of how well it carried out its functions. The results of this review are now being used to help the new Board in its work. Committee Up to May 2009 From May 2009 Services & Governance Ms Catherine Duffy (Chair) Ms Catherine Duffy (Chair) Dr John Casey Ms Raphaela Kane Ms Suzanne Dempsey Prof Gerry McElvaney Dr Liam Grogan Dr Ursula O’Brien Counihan Finance Committee Mr Patrick Mercer (Chair) Mr Patrick Mercer (Chair) Mr Alan Eustace Mr Alan Eustace Ms Detta Fanning Ms Mary Horgan Mr Matt Merrigan Mr Sean O’Brien Audit Committee Mr Matt Merrigan (Chair) Ms Jennifer Cullinane (Chair) Ms Mary Cullen Mr Maurice Ahern Ms Ita Green Ms Patricia McCann Planning Committee Dr Liam Grogan (Chair) Mr Donal O Shea (Chair) Mr Maurice Ahern Mr Gerard Barry Mr Michael Horgan Prof Arnold Hill Professor Gerry McElvaney 4 Beaumont Hospital Annual Report 2008 | Chairman’sReport ■ Members of Beaumont Hospital Board Board Members 2006 - 2009 Mr. Donal 0 Shea, Councillor Ms. Catherine Duffy Mr. Patrick Mercer Ms. Detta Fanning Chairman Maurice Ahern Mr. Matt Merrigan Ms. Ita Green Ms. Mary Cullen Mr. Michael Horgan Ms. Raphaela Kane Dr. John Casey Dr. Liam Grogan Professor Ms. Suzanne Dempsey Mr. Alan Eustace Gerry McElvaney Name Nominated by Term of Office Mr. Donal O Shea Chairman, nominee of Minister for Health and Children January 13, 2006 - December 31, 2008 Councillor Maurice Ahern Nominee of Minister for Health and Children May 17, 2006 - May 16, 2009 Ms. Catherine Duffy Nominee of Minister for Health and Children May 17, 2006 - May 16, 2009 Mr. Patrick Mercer Nominee of Minister for Health and Children May 17, 2006 - May 16, 2009 Ms. Detta Fanning Nominee of Minister for Health and Children March 4, 2008 - May 16, 2009 Mr.