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ANNUAL REPORT 2020 the National Maternity Hospital The National Maternity Hospital • ANNUAL REPORT ANNUAL • Hospital Maternity The National 2020 The National Maternity Hospital ANNUAL REPORT 2020 NMH Cover.indd 1 13/06/2021 15:12 1 The National Maternity Hospital Holles Street ANNUAL REPORT 2020 This Annual Report should be read in conjunction with the Annual Financial Statements which provide certain additional information required under the Code of Practice for the Governance of State Bodies Business and Financial Reporting Requirements purposes. NMH Annual Report | 2020 NMH _Reports_2021_Master.indd 1 14/06/2021 11:36 2 Mission and Vision Statement The NMH Mission and Vision Statements Mission As the leading Maternity Hospital in Ireland and a national referral centre for complicated pregnancies, premature and sick babies, our mission is to ensure our patients receive high quality, safe, evidence based care whilst respecting their dignity and rights. This will be achieved through fostering excellence and innovation in patient care, training, education and research, in a culture of quality and safety where each person is valued, respected and facilitated for personal and professional growth. Vision To be renowned as a world class hospital for the care of women and babies. 2020 | NMH Annual Report NMH _Reports_2021_Master.indd 2 14/06/2021 11:36 3 Births: Babies: Outpatient Patient Satisfaction: 7,263 7,400 Attendances: 95% 90,621 Ultrasound Scans: Emergency Room Radiology exams: Specimens received: 33,420 Attendances: 6,513 183,209 11,115 Staff: Beds: Breastfeeding Rate: Medications 916 200 72% dispensed: 24,498 NMH Annual Report | 2020 NMH _Reports_2021_Master.indd 3 14/06/2021 11:36 4 Contents GOVERNANCE REPORTS 6 Deputy Chairman Nicholas Kearns 8 Master Shane Higgins 11 Honorary Treasurer 36 BOARD OF GOVERNORS 92 Maternal Mortality/Severe Maternal Michele Connolly Governor's Ex-Officio Morbidity 12 Executive Committee (The Board) Nominated by the Minister for Health Mary Higgins William Johnston Nominated by Dublin City Council 94 Maternal Medicine Service 19 Secretary/General Manager Governors Elected Fionnuala McAuliffe Ronan Gavin 37 PROFESSIONAL ADVISORS 98 Maternity Outpatient Clinics 21 Director of Midwifery and Nursing Annabel Murphy Mary Brosnan NEONATOLOGY 100 Multiple Pregnancy 24 SUB COMMITTEES OF THE BOARD 38 Neonatal and Infant Mortality Stephen Carroll REPORTS Lisa McCarthy, Eoghan Mooney, 103 Perineal Clinic 24 Audit Shane Higgins Myra Fitzpatrick, Linda Kelly Frank Downey 46 Neonatal Encephalopathy 105 Placenta Accreta Spectrum 25 Quality, Risk and Patient Safety Deirdre Sweetman, Eoghan Mooney, Dónal Brennan Patricia O'Shea Shane Higgins 108 Postnatal Clinic (The Poppy Clinic) 26 C0-Location 54 Neonatal Unit Laoise O’Brien Stephen Vernon Anne Twomey, Claudine Vavasseur 109 Preterm Birth Clinic 27 Medical Fund Siobhán Corcoran William Johnston MATERNITY AND OBSTETRICS 111 Shoulder Dystocia 28 MASTERS OF THE NATIONAL 60 Antenatal Education Martina Cronin MATERNITY HOSPITAL Margaret Fanagan 112 Termination of Pregnancy 29 CHARTER DAY LECTURES 61 Bereavement Mary Higgins 31 EXECUTIVE COMMITTEE Bereavement Team 113 Ultrasound and Fetal Medicine Unit (THE BOARD) 62 Breastfeeding Support Services Peter McParland 34 COMMITTEE MEMBERS Breastfeeding Team Executive (The Board) 63 Community Midwifery Service GYNAECOLOGY AND COLPOSCOPY Finance Teresa McCreery 122 Colposcopy and Gynaecology Clinics Audit 68 Diabetes in Pregnancy Jennifer Fitzgerald Quality Risk & Patient Safety Diabetes Team 123 Colposcopy Co-location 71 Labour and Birthing Unit Gráinne Flannelly Nominations Martina Cronin 126 Gynaecology Oncology House 74 Labour and Delivery including Dónal O'Brien Medical Fund Caesarean Section 127 Outpatient Hysteroscopy NMH Executive Ethics Michael Robson Venita Broderick 128 Trophoblastic Disease Dónal O'Brien 129 Paediatric and Adolescent Gynaecology Venita Broderick 131 Reproductive Medicine & Surgery Mary Wingfield, Louise Glover 138 Theatre Procedures Shane Higgins 140 Urogynaecology Declan Keane 2020 | NMH Annual Report NMH _Reports_2021_Master.indd 4 14/06/2021 11:36 5 SUPPORT SERVICES 192 Catering Elizabeth Byrne 193 Chaplaincy Helen Miley, Angela Neville 194 Facilities (Engineering, Maintenance & Environment) Neil Farrington 196 General Services (Portering, Laundry and Switch) 142 ANAESTHESIA, PAIN MEDICINE AND ALLIED HEALTH SERVICES Tony Thompson HIGH DEPENDENCY CARE 169 Clinical Nutrition and Dietetics Larry Crowley Roberta McCarthy, Sinead Curran EDUCATION 144 MATERNAL AND NEWBORN 172 Clinical Engineering 198 Hospital Education CLINICAL MANAGEMENT SYSTEM Eoghan Hayden Mary Higgins MN-CMS Team 173 Medical Social Work 199 Midwifery and Nursing Education and 146 EMERGENCY DEPARTMENT Kaylene Jackson Practice Development Emily Flynn 174 Pharmacy Lucille Sheehy 148 PERINATAL MENTAL HEALTH David Fitzgerald 200 Royal College of Surgeons in Ireland Anthony McCarthy 177 Physiotherapy Declan Keane 149 PATHOLOGY AND LABORATORY Judith Nalty 201 University College Dublin Obstetrics MEDICINE 179 Psychosexual Therapy & Gynaecology Marie Culliton Meg Fitzgerald Fionnuala McAuliffe 156 PRE-ASSESSMENT CLINIC 180 Radiology 204 Research Ethics Committee Ann Rath Gabrielle Colleran John Murphy 205 Development Project Office QUALITY AND SAFETY SERVICES ADMINISTRATION NMH @ Elm Park 157 Hospital Sterile Services 181 Compliance & Data Protection 207 eLearning Hub Pam Hutchings Carl Alfvag 208 Healthy Ireland 158 Quality, Risk & Legal 182 Hospital Inpatient Enquiry (HIPE) 209 COVID-19 Commemerative Medals Luke Feeney Elizabeth Mahon 163 Health and Safety 183 Human Resources APPENDICES Martin Creagh Yvonne Connolly 210 Financial Statements 164 Occupational Health 186 Information Technology 216 Clinical & Administrative Activity Carmel Flaherty Con Grimes Analysis 165 COVID-19 Occupational Health 188 Information Management 224 Publications and Research Gillian Canty Fionnuala Byrne 236 Candidacy Checklist for Neonatal 166 Infection Surveillance, Prevention & 189 Patient Services and FOI Therapeutic Hypothermia Control Alan McNamara 237 Staff Susan Knowles 190 Purchasing and Supplies 245 Definitions Lorraine McLoughlin, Linda Mulligan 248 References 191 Tendering 249 Glossary Gwen Montague NMH Annual Report | 2020 NMH _Reports_2021_Master.indd 5 14/06/2021 11:36 6 enane Report eput aan Report During the year we managed to acquire onsite testing and with the support of all staff, the COVID-19 pandemic has been well managed despite the site constraints. At year end we had 100 patients and 100 staff who had been diagnosed as COVID-19 positive. Despite the COVID-19 crisis the SVUH project continued to progress with a significant milestone being reached with the preparation and finalisation of the Business Case early in the year which was then submitted to the HSE in June. In addition, the first phase of the Operation Readiness Programme continued throughout the year and was signed-off at year-end. The initial phase of enabling works including the new Pharmacy and the extension of the car parks of the SVUH campus were nearing completion with handover by the end of year. In parallel with these workstreams, the discussions continued with the legal teams from both Hospitals and the HSE in relation to various legal documents such as the Lease and Operating License and by the year-end significant progress had been made and there only have great pleasure in presenting the Annual remained a few clauses for finalisation. Report of the Hospital for the twelve months ended 31st December 2020. The Board continues to have concerns in relation to I certain provisions in the SA (Service Arrangement) with The report outlines the main activities of the the HSE/IEHG. In the interim the Board continues to Hospital during the year in which activity, in terms rely on the HSE letter recognising the independence of mothers delivered, has decreased. During the year of the Hospital and our right to independent operations 7,263 women gave birth to 7,402 infants; a decrease outside of the HSE/IEHG SA. A number of these of 7.7% on 2019. concerns and the need for a more collaborative and partnership approach were reflected in the report of the The Hospital’s financial performance is set out in detail Independent Review Group and we look forward to this in the report of the Finance Committee. approach for future SA’s which is to be initiated through the Voluntary Hospital Forum. As a Voluntary Hospital, Similar to many organisations and individuals both in the Hospital’s Board fully recognise our obligations in Ireland and worldwide, 2020 was a very challenging relation to the provision of patient care. Funding of circa year for the NMH and our staff. As has been the €60M is provided by the State whereby they contract case in the past, the staff in the NMH not only rose with us to provide public services to patients and this to the challenges but continued to show their spirit is supplemented by the private income generated by and dedication in developing work practices so that the Hospital. The Hospital’s Board is also very aware of clinical care could be delivered to our patients in a safe the voluntary and independent nature of our role and environment for all concerned. the obligations in relation to the funds and incomes that are not provided by the State. The Board is fully In late February concerns began to be raised about committed to the provision of the highest level of care the potential for COVID-19 spread, by early March the to all our patients and to ensuring that this is provided in NMH COVID-19
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