Irish National Health Promoting Hospitals Network annual report

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Authors Irish National Health Promoting Hospitals Network

Publisher Irish National Health Promoting Hospitals Network

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Link to Item http://hdl.handle.net/10147/75988

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WORK IRISH NATIONAL HEALTH PROMOTING HOSPITALS NETWORK Received

2 3 NDV 1999 Chairman's Report Regional Libraly E.H.B. Director's Report

The Development of the Irish National HPH Network

- DEVELOPMENTPLAN 1999

- CO-ORDINATINGCENTRE ACTIVITIES

- MAINACTIVITIES

Network Activities for 1999

Financial Report 1998

Appendices

- NETWORKMEMBERSHIP & BFHI MEMBERSHIP

- FORUMREPRESENTATIVES & HOSPITAL HPH COORD~NATORS

- COMMITTEES& SUB-COMMITTEES The year 1998.99 Hospitals have a hugely important and influential role in marked further pro~notinghealth in the community over and above their solid progress in traditional function to care for the sick and disabled. the affairs of our Progress in health promotion may appear to be slow but I National HPH am satisfied that the worldwide movement is an inexorable Network and of one. It is understandable that, after the millennia during the European which health professionals have been concerned solely networks with with treating the sick, the addition of health promotion to which we are our curricular and vocational comnlitments, however closely logical these may he, will take time. However, the Lime associated. required Lo bring about the necessary changes in political, professional and public attitudes will only be a small The Coordinating fraction of the time we spent treating but not preventing Centre at the ill-health. James Connolly / Memorial It is with sincere regret that f kave decided to retire as Hospital has been chairman of the Network this year. We are fortunate that further my cardiological colleague, Dr. Vincent Maher, Medical strengthened by a Director of the Irish Heart Foundation, and consultant fulltime attached to the Adelaide and Meath Hospital, Dublin, secretarial service incorporating the National Children's Hospital, has agreed and by the employment of a part-time Ieditorial and PR to accept the position for the next two years. He has had a assistant. We are in the process of establishing a website distinguished career already, not only in clinical Http.ilwww.ihph.ie thatbill be a valuable adjunct to our cardiology, but also in epidemiology, and particularly in information service. It will include full details of the the primary and secondary prevention of heart disease. I Network's activities and of the health promoting and wish him well and I am confident his will be an important relevant research activities of the participating hospitals in intluence in progressing the HPH movement. Ireland. It will also provide a valuable link with the international website wd access to the European national I am most grateful to all members of the HPH executive; networks. especially Jim Brown and Maureen Reed who reitred after several years of devoted service to the Network since its We continue our close association with the Department of early formative years. In their new positions they will Public Health Medicine and Epidemiology at University continue to work in health promotion. I am also grateful to College, Dublin and with the Health Promotion successive ministers and the Department of Health and its Department at the National University of Ireland, Galway. Health Promotion Unit, for continued suppol-t. The cui-rent The latter department will undertake a process evaluation head of HPU, Ch-is Fitzgerald, has made a seminal of the Network's organisation and activities to date and contribution to the organisation and deserves our thanks. I both departments are closely concerned with the welcome Shay McGovern who h:~sjoined the executive organisation of the scientific meetings and working parties from the HPU. that are an important part of the HPH programme. Finally, I thank Am ORiordan for her niajor contribution Programmes that received particular emphasis this year to the success of the Network since it was first mooted in included the Baby Friendly Hospital Initiative, hospital this country in 1994. I am also grateful to Marie Carroll- staff health and in-hospital nutritional policies :md Browne who is in charge of the secl-etarinl services. activities. We continue to be involved with other European networksl especially in the area of Mcntal Health and the implementation of smoking control prc?grammes within Professor Ristebrd Mulcahy hospitals. C/7~lj~177~ll Irish National HPH Network Annual Report

It is with great pleasure that I can report on the continued identify and and sustained growth within the National Health illustrate these Promoting Hospitals (HPH) Network in Ireland. The achievements Network continues to attract interest and participation at and to all levels: hospital, regional, national and international, encourage along with a steady increase in membership. This can he others to join attributed to a number of factors, not least of which has and become been Prof. Risteard Mulcahy's stewardship of the actively Network, since its inaugural meeting in 1995. The involved in the Network is deeply indebted to Prof. Mulcahy, who retires development of this year, for his persistent and invaluable support, the Network in personal commitment and active promotion of the health 2000. promoting hospitals concept and network in Ireland. Although, retiring from the visibly active role of chairman. Despite our his on-going involvement and panicipation in the successes, we network's future progress will be greatly welcomed. still acknowledge As we move towards the next millennium, the growing that the long tensions and challenges within the Irish health care sector journey towards needs to he acknowledged. While, it is a time of great a health gain orientation in Irish hospitals has only just change, it is also one of opportunity. It is imperative begun. Persistent growth in network membership is an therefore that this change period be given a sound and extremely encouraging sign, along with the growing coordinated direction. Many people believe that the evidence of documented health promotion activity within philosophy of the health promoting hospitals provides just hospitals. While the integration of health promotion activity such an approach. The HPH philosophy actively promotes in hospitals is to be welcomed, it is imperative that we do organisational change based on multidisciplinary not lose sight of our original vision and stated aim that of involvement in health service planning and delivery, reorienting hospitals within our health care system. greater integration and co-operation at community level and strongly advocates the use of project management I strongly believe that a cross-sectoral and comprehensive techniques in the development of new and existing communication system is an essential element for success. services. Unfortunately, due to the ever increasing demands being placed on the Coordinating Centre, inadequate and poor The World Health Organisation convincingly argues that communication has been identified as an area of concern. hospitalslhealth services can contribute substantially to the It is my intention and that of the Executive Committee to health and welfare of populations by widely adopting the further develop the Network's communication system next HPH approach within their setting and services. In our yeat; as it is an essential component of the network. Our endeavour to attain this end in Ireland, we wannly goal is to establish as many links as possible with the welcome Dr. Vincent Maher, our new chairman and look communication systems of other healthcare providers, in forward to his leadership and direction over the coming order to provide our membership with a complex and years. comprehensive communication system.

The network's focus during the year 1998-99 was to 1 firmly believe that it is only by heing aware of the support and strengthen the health promoting hospital approaches and initiatives heing undertaken by others that concept within network member hospitals, to build and we can truly begin to work together towards the foster existing relationships with other healthcare attainment of common health gain goals. providers, while also actively seeking new partners and alliances. In many ways, we have been successful in Ann O'Riordan achieving these objectives. This report sets out to clearly Director The HPH concept has its origin in the Healthy Cities movement of the World Hcalth Organisations and has been a ~nove~nentin its own right since 1992. Originally a multi-city action plan of the WHO-Healthy Cities Project, it was introduced to Ireland in 1992. James Connolly Memorial Hospital, with the assistance of the Eastern Health Board and Helath Promotion Unit of the Department of Health and Children, initiated the Irish national HPH Network in 1995. It was formally launched by the Minister for Health and Children, Mr. Brian Cowen T.D. in 1997.

The aim of the movement is to stimulate and influence hospitals to undertake, in addition to their responsibility for the provision of clinical and curative services, on active role in theprornation ofpositive health and well being in the hospital and through the hospital to the Two further documents published in 1994 and 1995 wider community. respectively, National Health Strategy Shaping u Heolrlzier Future and Hralrh Proinoriun Strutegy; nraking the This initiative moves health promotion emphasis away healthier choice the easier choice provided a major from the traditional "problem-based" approach to a stiniulus for the expansion and development of the health promotion role within the Irish healthcare service. These "settings-based " approach. This approach focuses on target populations and plans interventions for different documents clearly identified the key role that health settings relevant to that population. Health promotion promotion must play in achieving the health and social interventions are tageted at organisational (policy and gain targets that are internationally regarded as necessary service delivery) and cultural (attitudinal and nonns) and attainable. change, within the particular setting, in this case the hospital/health service setting. This approach uses a sociology model that seeks to influence the social system rather the individual. The effectiveness of this approach to The formal launch of the Network in 1997 marked the end health promotion was endorsed in "The Jakmta of the Network's interim phase and a transition to a new Declaration on Leading Health Promotion into the 21st and more structured development phase. Emphasis over Century" (WHO, 1997). the last two years has mainly focused on consolidating and strengthening the comniitment and support for the Health The story of the health promoting hospitals movement in Promoting Hospitals concept at all levels of the health care Ireland is one of growing success. This can be attributed to service. The network structures implemented after the a number of factors that historically date back tol986. At foniial launch of the Netwo1.k in 1997 have played a ~niajor this tinie, two key Irish reports were produced: Health - role in achieving this aim. fhe Widw Diinrn.viorz.s (Department of Health) and Pi-on~tinpHeiilfh rhiaugli Piihlic Policy (Health At the 2nd National Forum Meeting in October 1998, a Education Bill-eau). These paved the way for a more number of development recommend;~tionsfor the period integrated approach to healthy policy management and the 1998-99 were endorsed and agl-eement given to the xtablishment of neu, he:dth promotion structure\. development of a long-tenn strategy and an ovel-all evaluation rramework for the Network. In addition. the Forum agreed to continue to pursue an inclusive Irish National HPH Network Annual Report

membership policy and further endorsed the following 0 Initiation of an evaluation process for the Network position statements: In addition, the development plan identified three key service functions: 0 To increase active network participation & membership; 0 Provide developmental support and assistance to member hospitals; 0 Promote the initiation, development and transfer of models of good practice.

Members at the National Forum Meeting 1998, Tallamore, Network membership has continued to grow. Membership Co. Offaaly. currently stands at 53 individual hospitals, 40 Full and 13 Affiliate memher hospitals. Furthermore, the network's associative membership has increased from 8 members 0 That emphasis during 1999 should he directed towards last year to 12 this year. In is anticipated that 7 of the the involvement and participation of Mental Health affiliate hospitals will have achieved full membership Hospitals & Services in Ireland. status by the end of 1999 and there are strong indications a 0 That in line with a WHO recommendation, new further three organisations will also join shortly. members should be encouraged to join as Full rather than Affiliate members. The two accompanying tables illustrate growth in membership and the level of activity within memher However, it was agreed that Affiliate membership should hospitals to establish supportive structures for HPH remain an option for the present, on the condition that full development. Table one illustrates the increase in membership criteria be achieved within one year. membership achieved for the year 1998 -1999. As many Furthermore, the Forum selected two new areas of memher hospitals belong to a group membership, the common interest for development during 1999, these number of individual hospitals participating in the were: Network is the figure shown in the brackets. Table two demonstrates the activity level of full member hospitals to 0 Staff Health develop HPH supportive structures. @ Nutrition

Development of these new topics would be in addition to the four existing main network activities, Full member hospitals ! 0 Smoke-Free Hospitals Pro.ject, 1 (individual) 1 17 (23) 1 21 (40) @ Baby Friendly Hospital Initiative. I I 9 Waste Management Project, Affiliate member I I hospitals (individual) 10 (17) 12 (13) 0 European Hospital Challenge Day. i i Associate members I 7121 Thc 1999 Ikwlopmen~I'lan +et out three priority ol),jectiw\: Table I. Increased membership in the year 1998 - 1999 9 Further development of core network activities; 0 Expansion of the Network's communication system; 7 hospitals have a HPH Committee 3 hospitals are using existing structures 4 hospitals plan a HPH Committee Most HPH coiimittcc.r II~IIVb~noil sruior n~anrrgemeut repre.seuiuIio~z. 13 hospitals have a designated Coordinator 4 hospitals have a designated Coordinator 7 hospitals plan a designated Coordinator 6 hospilals plan a designated Coordinator 624'0 of Coorrlii~nlorshuve allocated tiuv. Time Time rrllocntion varies Iilc~y/week-Full-tir,rf ollocntior~varie.s lilay/week-Fr111-fi,ne

5 hospitals have internal Newsletters 9 hospitds have internal Ncwslctters 2 hospitals plan internal Newslettcrs I I hospitals plan internal Newsletters

Process data already collected will be analysed next year, with a first report excepted some time in mid- The target service levels set out in the 1999 Development 2000, Plan have to a great extent been achieved and in a number $1 the establishment of new links with other of cases exceeded. The principle activities included the organisations and health care bodies such as: following: Q regional meetings1 presentations to increase - Northern Ireland Regional HPH Network, membership, - National Heart Alliance, - d hospital visits1 presentations to assist hospitals with Nurse Development Unit, Department of Health, the implementation of the recommended structures & National Tnstitule for Occupational Health, processes to support HPH development, - National Carers Alliance, @ organisation of wot-kshoplseminars and a national - Mental Health Association of Ireland, network conference to facilivate the exchange of Irish Quality Assul-ance in Nursing Association information and the transfer of ]models of good (QANA). practice, Ms. Ann O'Riordan, Network Director, has been an active @ further development of main network activities (a) participant at a number of European and international Baby Friendly Hospital Initiative, (b) Smoke-free conferences and seminars. A short paper was delivered at a Hospital Network Project, (c) Waste Management Paris conference entitled "Taking Care of Smokers Awareness Project and the initiation of two additional Cessation Strategies in France and in Europe". This activities (d) Nutrition and (e) Hospital Staff Health, conference was held in asmciation with the 9th Publication of ;I newsletter (HPH Bulletin) quartel-ly. International Congress on Anti-Cancer TI-eatment. An an annual report and the establishment of an Intel-net invitation to chair a parallel session at the 7th International wehsite to aid and wppor-t better communicatiun. A HPH Conference in Swansea, Wales was accepted, along nritiunal database has also bcen initiated to record all with one to present a paper on the development of the appropriate HPH activities, Irish Network at a Nnlional HPH Conference in England in November. She was also asked to f:tcilitated workshops i3 development of an evaluation schedule fhr the at two national events, [he National Heart Alliance Network, in collaboration with Dr. Cecily Kelleher. Seminar in Apl-il and the Health P~.omotionConference. Professor. Health Promotion Dept. NU1 Galway. National Univel-sity of Ireland, Galway in July. Irish Natioi~alHPH Network Anrzunl Report

A national seminar and workshops held in May was well attended by staff from nearly every maternity unithospital in the country, as well as by many community health personnel. Dr Gro Nylander, obstetrician and national The pilot stage of the Baby Friendly Hospital Initiative breastfeeding coordinator in Norway gave the keynote (BFHI) progressed well. From a total of 24 maternity address and Ms. Patricia McKenna MEP presented hospitalslunits in the country, 18 expressed interest in Certificates of Membership to representatives from the participating in the Initiative. Nine of these hospitalslunits first nine-hospitalslmaternity units to join the Initiative. have completed the first rtage (Membership of the Initiative) by completing a self-appraisal and developing a plan of action.

Two hospitals are preparing for the next stage that of a Certificate of Commitment. This stage requires development of supportive breastfeeding practices and a commitment to implement these practices as standard. A site visit by the BFHl Coordinator at this stage provides additional support and outside assessment of practices. Support for hospitalslunits participating in the Initiative includes regular mailing of resource materials and a two monthly newsletter "BFHI Link" as well as contact with the BFHl coordinator and the Advisory Committee.

1st left back row - Genevieve Berker (BFHI coodinator pictured with the nine representatives receiving their cert@cates) Membership Certificates awarded in May: @ National Maternity Hospital, @ St. Munchin's Regional Maternity Hospital, Limerick 9 Louth County Hospital, @ Letterkenny General Hospital, @ Portiuncula Hospital, @ , Members of the Interim Advisory Committee @ Waterford Regional Hospital, @ St. Luke's General Hospital, Kilkenny Hospitalslrnaternity units can join the Initiative at any time University College Hospital, Galway. thus availing of the support structures. They can progress at their own speed with developing supportive practices It is anticipated that a further four hospitalslmaternity units and are not required to reach the international BFHl will receive Certificates of Membership at the 2nd standards within a set time frame. National HPH Conference in October and two hospitals will be awarded Certificates of Commitment. -~ -~ ~~ ~ ~~ ~ ~.~ ~ ~ ('(,lYific<:(f !iC?;!h,,r,s/:i;~: -~ 5. Indicatc smoking zmcs cle;~rly,as long as they ;1re 1 St. Finharr's Hospital. Cork considel-ed neccssary, keeping thcm away fro~n clinical and I-cception areas. i Q Erinvillc Hospit;~l.Cork 6. Adopt app~r~priatesigns. including posters, signposts. etc. O OUI-Lady of Lo~tnlesHmpitul. Drogheda iI 7. Remove all incentives to smoke (such as ashlr:~ys, <'l,l.t~p!ie,\,,/'4'~~,l!,~~i~~;iP,~~ (0: tobacco sales, ctc.) ! @ National Maternity Hospital 8. lienew and hroaden information to maintain St. Munchin's, Regional Maternity Hospit:lI commitment to the policy. Limerick 9. Ensure f~lllow-upand quality assurance. 1 I IO.First convince: constrain considering legislation if I needed. Have patience!. 1

The network is still pursl~ingi~lvolvement in the EU Project on Smoke-FI-ee Hospitals. An application klr inclusion in Projcct 2 " European Smoke-free Hospital Nelwcirk" has receivcd '~vrrur-able considcration.A Europcan Hospital Code for Smi~ke-freeHospital was A small national meeting was held in July with relevant estahlishcd in the initial phase of the project. Endorsement health ser\,ice personnel, to discuss the organisation of 11 and ilnplement:~tion 01' the code will be a centlxl nalional u~orhslioplseminaron wilste management in component dthe sccond phase of the pmject. hospitals. It was agreed that wider involvel~icnt~hould he sought from areas such as purchasers xnd wppliers. In There exists at present in Ireland :I lack of clal-ity around ;ddilion, contact should he made with both the what is meant hy a S~iioke-freeHospital. 11 is generally Dcpartnient of the Environ~nentand Dept or Health & aped that this lack of cl:irity is unhelpful to those who Children with ~qnrdlo national policy and ngreemcnts. al-e attempting to effectivzly addrc~sthe issue of Tobacco Control in hospit:~ls. Rlrt of tlic national initiative will be John K:~vanagh(Project Manager) Our I-ady's Hospiial lor to seek cl:irific:~tion on (his issue. A natinn;d meeting or all Sick Cl~ildl-cn.Cru~nlin and Ann O'Riol-dm attendetl a intcre~tedlhmpitals is planned k~rearly next yeat-. workshop in London (11-giiniscdby Ms. Hollie Shaner (USA) an expert in this field. The question of 1ic1-pos4hlc involvzm~ntor participa(ion at a similx event in Ireland was discussed briefly and it is hoped that a national seminar will he organised next ye:ln 1 I. Engage decision-makci-s. Inlbnn all pcrmnnel and 1 patients.

3. Appoint an action group. Propose a Ylrategy and an 1 Europcan Hospital Challen~eDay I999 was held on i i~i~plemcntationplan. Sepwn~ber30th in which over 30 hospit;~lsp;u.ticip;~ted. This annual event I-aiscs awareness of thc importance of physic:il activity in our daily live\: while :11 the same time cncoui-;isch Ihe inclu\i~nof physical activity in cli~~ical cnl-e. Hospitals pi~rricipalein four cntegcrries based on thcii- ~yistcredpi~pi~latio~~. Irish Natiorzal HPH Network Annual Report

Summary of network activity levels for 1999

1 Network Activities

-~- International Conference - active participation

~ National Conference European Hospital Challenge Day Winners I998 1 National Workshop1 I Seminars/Presentations 3 winners of Challenge Day 1999 will be awarded their plaques at the 2nd National HPH Network Conference, Dungarvan, Co. Waterford. ( Hospital visits 1 1 ' presentations i 35 t . ------~ 1998 Challenge Day winners were presented with their I HPH Bulletin x 6 yearly 12 plaques at the 1st National HPH Conference in Tullamore, - - . +' - ~ Co. Offaly. Two special awards were presented to Stobhill ! Annual Re~ort i 1 Hospital in Glasgow (European participant) and St. I : National Database1 Patrick's Hospital in Cashel, (best newcomer). i I : Internet website 1 _~ -~_ - . - - __I - i Develop 4 core Network I I / Sub-Projects i 6 ; - European Smoke-free I Category I - Mater Misericordiae Hospital I Network Category 2 - St. Vincent's Hospital, Mountmellick ! - BFHI in Ireland I - 1 - Waste Management Project Category 3 Longford/Westmeath General Hospital, I1 Mullingar I - Nat. Hospital Challenge Dayi Category 4 - Monaghan General Hospital I - Nutrition and ( - Hospital Staff Health Special awards were presented to Stobhill Hospital, Galsgow (European participante) and St. Patrick's Hospital in Cashel, (best newcomer)

Other Network activities include Ms. Ann O'Riordan being a member of the International HPH Scientific Committee, member of the editorial board for the International HPH Newsletter, member of Steering Committee for the Irish National Heart Alliance, member of the Eastern Health Board Central Health Promotion and Workplace Health Promotion Committees. A seconduy theme focused on the importance and need for hospitals to hccome more environmentally friendly. Ms. Erica Ison, Centre for Greening the NHS delivered the keynote lecture and other presentations addressed a The 1st Irish National HPH Network conference, held in number of issues such as the envil-onmental changes Tullamore, Co. Offaly on October 19th was organised with facing hospitals to day, strategies for change and practical the support of the Midland Health Board. The conference examples and experiences of "modcls of good practice" in entitled "Health Promoting Hospitals in Action: Clinical action. Hcalthcare Waste Challenges" was opcned by the Minister for Health & Children, Mr. Cowen T.D., and was attended by over a 140 delegates fi-om around the country including Northern Ireland. In line with the Forum's ~econimendationon Mental Health Hospitals & Services in Ireland, a joint Eastern Health Board -National HPH Network project was initiated this year. The project developed in partnership with the Health Promotion Department and Director of Mental Health Services, aims to develop a structured approach to the promotion and development of health promotion as an integral part of the Mental Health Services within the Health Board Region.

To initiate the project a seminar entitled: "Health Pron~otion:a Mental Healthcare Priority" was organised in January 1999. Representatives from Cefn Coed Hospital, a Welsh Psychiatric Hospital, were invited to give the keynote presentation on their experience in becoming a health promoting hospital. The seminar was well attended The Min~sterwith key sl~eukersat 1st Nurionnl HPH Corference by over seventy people and raised various issues :md The keynote speaker, Dr. Cecily Kelleher, Professor of needs with regard to health promotion within the Mental Health Promotio~lat NUI, Galway provided delegates with Health Service. These were: a clear understanding of the health promoting hospitals B) staff educational needs with regard to heallh promotion concept and highlighted the value of health promotion in concepts and methods, this key setting. Other key speakers included Mr.Denis d greater communication between disciplines, Doherty, CEO Midland Health Board, Ms. Katherine @ improved links and information on other healthcare Murphy, Faculty of Nursing, NU1 Galway and Mr. Kevin services and community networks. Moran, Consultant Surgeon, NorthWestern Health Board. Each speakel- viewed the development of the health In respome lo these findings, a training progr;lmnie for all promoting hospitals concept from his or her own disciplines in the EHB Mental Health SenZiceshas been professional perspectiw In the following, Poster and developed by the project team and training has heen Concurrent Sc\sions, a variety of interesting. stimulating delivered in each of the three new Eastern Regional Health and practical presentations illustl-ated the activities of Authority Regions. It is anticipated that models of good 11e:lltIi promoting hospitals in action. psactice will be developed in each region over the next year Irish National HPH Network Annual Report

Table 1. Hospital represented and Membership Status The Midland Health Board hosted the 1st Network Coordinators Workshop entitled "Practical Strategies for HPH Coordinators" in June. In total, 23 people attended Organisation Men~hership the workshop, representing 16 member hospitals (12 full I Status and 4 affiliate member hospitals) and a regional HPH Coordinator (Midland Health Board). JCM Hospital 1 Full 1 The workshop provided coordinators with : St. James' Hospital / Affiliate 1 an opportunity to meet each other face to face, National Maternity Hospital Full the facility to exchange experiences and share 1 1 information, Our Lady of Lourdes a forum to identify common difficulties and possible Hospital, Drogheda 1 Full interventions, I and discussion on possible interventions that will CavanMonaghan Hospital sustain motivation and HPH development at hospital Group

and regional leveb ~ ~ St. Vincent's Hospital, Elm Park, Dublin

~ p..p..p Waterford Regional Hospital Full

Waterford Psychiatric Service .~ St. Vincent's Hospital, Mountmellick

- ~ ~. ~ St. Vincent's Hospital, Fairview, Dublin Affiliate

Cork University Hospital Group Full

~ Participants ut the 1st Nafional HPH Coordinators Meeting, Tullamore General Hospital Full Tullamure, Co. Offaly. MeathILouth Hospital Group 1 Affiliate 1 Ms. Anne Kaskonas, Health Promotion Manager, Stobhill I NHS Trust. Glasgow addressed the meeting with a brief Sligo General Hospital Full overview of her experiences with regard to initiating and . .. -- - establishing health promotion within Stobhill NHS Trust. Portiuncula Hospital Ms. Kate Brickley (Regional Coordinator MHB) focused -. on the significance of using a project management Limerick Regional Hospital approach in the development of HPH projects. While, Ms. Maria Lordan-Dunphy (JCM Hospital) demonstrated the Regional Coordinator MHB 1 Pull importance and value of documenting all HPH ~ ~ developmenWactivities. It is hoped that the National HPH Coordinators workshop will become an annual event. In September, Ms. Louise Misselhe (HP Advisor) and Ms. Sue Cruse (HP Manager) of Hertfordshit-e Health The Watcl-ford HPH Committee established in recent Promotion facilitated a two-day 11-ainingprogramme yem. meets on a regular basis to promote and further designed for henlth promoting hr~spitnlsand 11-usts.The develop the health promoting hospitals conccpt within the training was held in JCM Hospital, at the invitation of the Waterford region. Core members include representatives National HPH Network with the active supported of Ms. from Waterfold Regional Hospital and Waterford Maria Lordan-Dunphy (Hospital HPH Coordinator). Psychiatric Service, both of which are lull members of the National HPH Network.

Five Watel-ford de1eg:ltes repi-esented the South Eastern Health Bor~rdat lhe 7th International HPH Conference in Swansea. In total five papers were PI-esented by Mrs. .4nne Marie Howard (Watcrford Regional Hospital). MI-s. Joan Power (Waterford Psychiatric Service) and Mr. Tony Barden (Regiot~alDrugs Coordinator).

At the invitation of Mn Tony Gyves. Hospital Managel- St. Otteran's Hospital and chair of the Waterlbrd HPH Committee, the 2nd National HPH Netwol-k Confelence is being held in Dungarvan, Co. Watcrford. The local confer- ence organising committee, with support from the Board's Health Promotion and Public Hcalth Deparlments has worked hard to ensure the success of the conference and to raise the profile of the HPH concept generally within the South Eastel-n Health Board Region.

Interest was so kcen that the original limit of 26 people was extended to 34. Attempts were made to ensure that as many l~ospitals/regionsas possible were represented. In all, seven health boards and 23 individual hospitals were represented, including two iron1 Northern Ireland. In partnel-ship with the National HPH Network. the EHB Health Promotion Department and Dil-ector of Mental The training manual "Building Better Health" endeavours Health Services embarked on a major Mental Heal111 to extend the pl-actitioner's current understanding of health Pro~notionInitiative. The initiative aims to PI-omoteand develop hcalth promotion as an integral part of the Mental promotion theory and practice in order to facilitate appro- Health Services within the Board. priate interventions for individual clients or groups, as well as encouraging an organisationnl development At a national seminar entitled: "Health PI-ornolion: a approach to health promolion. Feedback was extremely Mental Healthcare Priority" in January 1999, a number of posilive and development of a trainer's course is planned, needs within the region were identified. In response ro the once the training manual has heen adapted for Iris11 hospi- findings, a training progranitne for all disciplines in the tals. Mental Health Services has hcen developed and has heen delivet-ed in each of the three new Eastern Regional Health Irish National HPH Network Annual Report

Authority Regions. After the training, it is anticipated that hl1DiAND HEALTH BOARD a mental health promotion project will be developed in each region over the next year. Regional Initiatives

The Midland Health Board recently appointed a Regional Health Promoting Hospital Co-ordinator, Ms. Kate * Brickley. This is a three-year pilot project that is co- In March, "The James Connolly Memorial Hospital - funded through the Acute Hospital Services and the Health Health Promoting Hospitals in Practice" report was Promotion Service. Since the appointment a number of launched by the EHB Chief Executive Officer, Mr. Pat devleopments have taken place. McLoughlin at a reminar organised by Ms. Maria Lordan- Dunphy, Hospital Health Promotion Coordinator.

Kate Brickley Regional HPH Coordinator (left) with Sharon Foley (right) Health Promotional Officer MHB pictured with hospital representatives from two Health Board Hospitals At the Health Promotion Seminar at James Connolly Memorial Hospital - Tom Gore): Hospital Manager; James A Regional Steering Committee has been established Connolly Memorial with Mary Van Lieshout, Health that is representative of Midland Health Board hospitals Promotions Officet; Eastern Health Board already participating in the Network and other hospitals soon to become members. These including the three General Hospitals; Longfordlwestmeath, Tullamore and Key speakers at the very successful seminar chaired by Portlaoise and two long-stay hospitals; St. Vincent's Ms. Kay Sheeran, JCM Director of Nursing, included Mr. Mountmellick and St. Vincent's Hospital, Athlone. Tom Gorey, Hospital Manager and Ms. Ann ORiordan, Director, National HPH Network. Ms. Mary Van Lieshout, The new Midland Health Board School of Nursing has EHB Health Promotion Officer delivered a presentation on agreed to support the development of this new initiative within the Board and will actively promote the HPH the Board's health promotion strategy that identifies concept among its students. hospitals as a key setting for health promotion. Eight members of staff attended the Health Promotion Ms. Maria Lordan-Dunphy presented a paper on how the Training Programme - Buildins Better Health organised initiative was implemented in JCM Hospital and after- by the National Network in September. wards, participants were given an opportunity to share views and discuss difficulties in relation to health promo- The Board was also delighted to host the first National tion and its implementation. HPH Coordinators meeting in June. Moreover, two Health Board representatives attended the 7th International Conference of Health Promoting The Board, in collabo~-ationwith the Regional Hospitals in Swansea in April Devclopment Officer for the Mental Helath Association of Ireland, has made considerable progress in developing the HPH concept within the Community Mental Health Service in Longford and Mullingar. Furthermore, Ms. Finola Colpan, Development Officer and Ms. Kale Brickley (Regional HPH Coordinator) attended the first meeting of the European Taskforce on Mental Hcalth Promotion held at In March 1997, Our Lady of Lourdes Hospital, Drogheda the 7th International HPH Conference in Swansea, Wales. became a full member of the National HPH Netwol-k and the Droghcda Healthy Cities Prqject was initiated. To cre- ate a greater link between the two projects the Health Promotion Corner Project was initiated in Our Lady of Lourdes Hospiral. The Health Promotion In June, Ms. Kaskonas, Health Promotion Manager, Corner was formally launched on the 17th of May 1999. Stobhill N.H.S.Trust, Glasgow was invited by Mr. John Its purpose is to promote cross-sectoral inter-organisation- Bulfin, General Manger, Acute Hospitals Services to give al :~lliancesby: the keynote address at a Regional HPH Seminar. The seminar was very well attended, with over seventy repre- B Providing a mechanism for increasing awareness of the sentatives coming from a varidy of disciplines and from HPH conccpt among staff and the public; 111 parts of the health board. ! O Creating an area in the hospital where both staff and the public can access information on health promotion, Healthy Cities and HPH projects 8 Linking the Healthy Cities project more closely with the HPH project.

The Health Promotion Department of North-Eastern Health Board collaborates on and supports the developn~entof both the HPH and Health Cities Projects.

MI: Joe Martin Administrator; Zm~~kLWest~nenrh Mullingrrr; Ms. Mrrirend Hugnil Mrirron Lorrgfior-cl/Wesrrrletiih Mullingnr; Mv. Ann Kmkonrr.~Stobhill Herrlth Promotion Maitager; MI: John Brilfin Generid Mnmrger Acute Hospitul Servi<.e.sMHB.

In 1999. Ms Brid Boyce was seconded as HPH L'oordinator to the Limerick Regional Hospital to spear- lead the development of the HPH Initiative within the inspita1 and to intnduce the concept to other hospitals at a later stage. In July, Ms. Boyce presented the HPH conccpt .o the Hospital Executive Committee and a sel-ies of staff ,resentations are planned ovcr the coming months. Irish National HPH Network Arzrzual Report

NORTH WESTERN HEALTH BOARD In May, a number of staff from both hospitals attended the 1st National BFHl Seminar. Ms. Noreen O'Sullivan Hospital Initiative (Erinville Hospital) member of the BFHI Advisory committee also facilitated one of the workshops at the Letterkenny General Hospital is one of two hospitals in Seminar. Ireland selected as a partner in a forthcoming EU funded project. The project will involve the setting up of a Patient Group has also been actively Internet Cafe in the hospital. Ten hospitals in 6 d~fferent involved in the development of another HPH network countries will he participating in this project. The other activity, that of Hospital Waste Management. Ms. Irene Irish participant is JCM Hospital in Dublin. Fitzgerald (Resource Officer) has been actively promoting the development of models of good practice in Cork The project objective is that each hospital will establish a University Hospital for transfer later to other hospitals small ' Patient Internet Cafk' (PIC) facility within the within the group and that of the Southern Health Board. hospital. The facility will be open to everyone, patients and staff, with an emphasis being placed on encouraging older people to use the facility. WESTERN HEA1,TII BOARD

European volunteers have been selected and trained by the Kegiorzal Iiritiative EU project team and will be responsible for staffing the 'Patient Internet Cafk'. The intention is that the volunteers Over the last few years, major investment has been made will teach and advise people on matters concerning within the health hoard towards providing health communication via the Internet and E-mail. promotion training for staff. Many hospital staff have attended this training programme designed to train trainers, in order to cascade health promotion training to SOUTHERN HEALTH BOARD all staff and services throughout the Board. Hospital lnitintives In July, the theme of the annual Health Promotion Conference in the National University of Ireland, Galway St. Finbarr's and Erinville Hospitals, two Cork maternity was "Re-orienting the Health Services - Issues of Equity hospitals, have been working in collaboration towards the and Access". achievement of membership status of Baby Friendly Hospital Initiative in Ireland. Both hospitals will receive Certificates of Membership at the 2nd National HPH Netowrk Conference in October 1999.

Noreen O'Sullivun (Erinville Hospitul Cork and Interim. BFHI Advisory Committee member) pictured with Ms. Patricu McKenna HEP ut the Notional BFHI Seminur in Muy 1999. 28 Hospitals

Intemalional Conferenccs Other Conferenccs WHO International Fees National Cookl-ence Salary Recoupment Printing & Stationary Annual Report Telephone Publications & Membe~.shipFees Travel Expenses Challenge Day BFHI Workshop HSPP Brink Charge\ Miscell:~neous

Surplus for 1998 Irish National HPH Network Amzual Report

Summary of Financial Position on 31/12/98

The above figures do not include Unpaid Creditors of &I2,899.64 giving an actual book balance of £4,824 at year ending 31st December 1998.

A full set of accounts are available for examination on request by network members at any time. ma IRISHNATIONAL HPH NETWORKMEMBERS

17. Sligo Gencml Hr)spital, Co. Sligo.

18. Portiuncula I-lospital, Ballinadoe, Co. Galway I. Jalnes Connolly Memorial Hospital, Dublin 19. Tralee Genel-al Hospital. Tlnlee, C(1. Ken-y 2. St. Vincent's Hospital, Elm Park. Dublin 20. Eastern Heal111 Baord Hospitdsi 3. W,~terfi,rdRegional Hospit:~l,Co. WllcrCord Homes Group for the Elderly a) St. Mary's Hospital. Phoenix Park. Dublin b) Cuao Ros, Navan Road, Duhlin c) St. Glares, ~aldy~all,Dublin 5. C:~\::~n/MonagIianGroup Hospitals d) Baggo1 Street Community Hospital, Dublin :I) C:l\'m Gencl-al Ho~pitd,Co. Cavm e) Bru Cliaoimhan, Cork Street, Dublin b) Mon;~gh;~nGeneral Hospital, Co. Monaghan 1) Clonskcagh Hospital, Clonskeagh. Dublin g) St. Brigids. Crooksling, Dublin 0. (ialu'ny Regional Hospirnls 11) Sr. Patrick Dunnes, Grand Canal Street, Dublin ti) Univel-sity College Hospital, Galway i) South Cil-cular Road House, Dublin h) Merlin Park Hospital, Galway j) Baltinglass Hospital, Co. Wi~.klow k Wicklow District Hospitd 7. St. Dympna's Hospital, Co. Carlow 1) St. Colman's Hospilal, Ratlidrum 111) St. Vincent's Hospital, Athy 8. Tullamore Gcnel-a1 Hospilal. Co. Offaly n) Chel-ry Orchard Hospital, Ballytkrnlot

1. Letterkenny General Hospital, Co. Donegal 21. St. Vincent's Hospital, Fairview, Dublin 10. Cork University Hospital Group, Co. Cork a) Cork University Hospital, Cork b) St. Finbarr's Hospital, Douglas C) Erinville Hospital, Cork d) St. Mal-y's Orthopedic Hospital, Cork 1 Regional Hospital, Lirncrick e) , Mallow 2. Adclaide and Mcath Hospital, Dublin Incorporating 11. Rantl-y Gmel-;C Hospital. Co. Cork the National Children's Hospital. Dublin

I?. National Maternity Hospital, Co. Dublin 3. St. James's Hmspital, Dublin

13. Waterford Psychi~~tl-icSer\,ice, Co. Waterford 4. , C(1. Kildxe

14. Our Lady of LOUI-desHospital, Dmgheda, Co. Louth 5. St. Colun~cille'sHopsitrll, Loughlinstown. Co. Dublin

15. Moter Miwricordiae Hospital, Dublin 6. Rotunda I-lospit~l,Dublin 7. Beau~nontHospital, Dublin 9 16. St. Vincent's Hospital, Mountmellick, Co. Laois Irish National HPH Network Annual Report

a) Our Lady's Hospital, Navan b) Louth County Hospital 7. National Council on Ageing and Older People

8. The Dental Health Foundation Associate Mernhers - volrrntary and 9. Irish Society for Quality in Healthcare professional bodies 10. Bodywhys 1. Dublin Healthy Cities Project 11. Association of Lactation Consultants in Ireland 2. Jrish Health Promoting Schools Network (A.L.C.J.) 3. lrish Heart Foundation I 12. lrish Health Promoting Schools Network 4. Irish Cancer Society 5. Saol Plus

6. ASH Ireland

BFHl in Ireland Nlembers

National Maternity Hospital, Holles Street Ms Maureen Fallon St. Luke's General Hospital, Kilkenny Ms. Edwina O'Keeffe Waterford Regional Hospital Ms. Ann Ellis Wexford General Hospital Ms. Joan Bell Louth County Hospital Ms. Margaret Delaney St. Munchin's Regional Maternity Hospital Ms. Catherine Madigan Portiuncula Hospital Ms. Camilla Barnett Letterkenny General Hospital Ms. Fiona McBride University College Hospital, Galway Ms. Mary Boyd Our Lady of Lourdes Hospital, Drogheda Ms. Maura Sexton St. Finbarn's Hospital, Cork Ms. Kitty Ross Erinville Hospital, Cork Ms. Noreen O'Sullivan Cavan General Hospital Ms. Patricia Hughes .I;IIIW Connolly Melnol-i;il Hospital Mr. E. By!-ne Cork University Hospital Gn~up Blmchardstown Director of Nursing Willon Dublin 15 Ms. Mary B. Cooke Cork Tel: 018213844 Health Promotion Coordinalor CO. Cork Tel: 02 1-546400 Mr. Ton1 Gorey Monnghan General Hospital Hospit:d Manager Monaghall Mr. Gerry ODwyer Mrs. Maria Lordan-Dunphy Tel: 047-81 81 I Dep. Manager Services Health Promotion Coordinator Ms. Una Webster Ms. Jacinta McArce-Murphy Senior Nursing Officer St. Vincent's Hospital Health Promotion Coordinator lilm Park Bantry General Hospilnl Ihblin 4 Univcl-sity College Hospital Cork Tel: 01-2094956 Galway C Cork Co. Galwny Tel:P. 027-50133 Ms. Denise Comerford Tel: 091 -524222 I I-1c:dth Promotion Coordinalor Mn Philip Flattery Mr. Aidan Moriarty Ms. Bridget Howley Colimunity Hospitals Dept. Iie:~ltli& Safety Officer General Manager Ms. Brcda Cronin Assistnnt Matron St. Dympna's Hospital Dublin Road National Maternity Hospital Carlow Holles Street Co. Carlow Dublin 2 Tel: 0503-30052 Tel: 01-6373100 M$.May Smith-Hayes Pcrsonncl Officer Mr. Jim McDonnell Ms. Maul-een Fallon Ms. Anne-Marie Howal-d Hospital Administrator Assistant Matron Occupational Health Sister Mr. BI-endan Byl-lie Ms. Cnrlnel Flaherty Health Promotion Coordinator Health Pmmotion Coordinator Wexford General Hospital Wexford Tullamore General Hospital Co. Wexford Co. Ofhly Waterford Psychiatric Services Tel: 053-42233 Tel: 0506-2 1501 Brook House Cork Road Ms. Teresa Hanrahan Mr. Roy Lane Waterford Hospital Manager Director of Nursing Tel: 05 1-871436 Sister Annelte Maguire Assistant Matron Letterkenny General Hospital Ms. Joan Power Co. Donegal Psychiatric Liaison Office] CnvaniMonaghan Group Hospihls Tel: 047-25888 c/o Cmm Gcne~-alHospital Our Lady of Lou]-dc's Hospital Lisdarn 1)rogheda Co. Cnvm Ms. Mary Kelly Co. Louth Tel: 04.436 1349 Health Proniotio~lCoordinator Trl: 031-37601 lri,yji iivId~~i~j:~~l$#lJjj/$V)C~~)+~~)~~ ..q jzlj

St. James's Hospiti~l Ms. Mary Kelly Janlcs St!-eet Matron MI. Eiilccn Magurie Dublin 8 ~c;~lthPromotion Co<~l-dillator Tcl: 0 1.453794 1 I~outhIMeathHospital Gwu[ C/o Our Lady's Hospital Miltel- Misei-icordiae Hospital Mr. Ma!-tin McNamara Navan Eccles Street Clinical Placement Coordiili~tor Co. Meath Mr. Tom O'Brien Tel: 046.2 12 10 Tcl 01-8032817 Senior Pcychintric Social Worker Ms. Aileen Maguire Mr. John Lambelt Regional Hospital Director of Nursing Health Promotioll Coordinatoi- Limerick Co. Limerick Beaumont Ho\pital TeI:06I-3OIIII PO Box 1297 Beaumont Rod St. Vincent's Hospitd Mn Denis McMonicle Dublin 9 M~~u~~tmellick General Manager Tel: 01-8093286 Co. Lnois Ms. BI-id Boyce-Breslihan 'lel: 0502-2421 1 Development OlTicer MI-.Liam Duffy I (Limerick Regional Complex) General Manager Mrs. Patricia Lane ' Adelaide and Meath Hospital Irish Cancer Society Dublin Incorporating the National 5 Northumberland Road Sligo General Hospital Chidlren's Hospital Dublin 4 Tallaght Tel: 01-6681855 Dublin 24 w:07 I -7 I I I I Tel: 01 -4142860 Ms. Avril Glllatt Health Promotion Officer Mr. Domhnall McLoughlin Mn Dan Lynch Ms. Norma Cronin StaK OTficer Senior Executive Ofticcr Smoking Cessation Services hlh. Dolol-es Kivlehan Mr. Tim Lyne Quelity Coordinntor Administrator IrLh Heart Foundation 4 Clyde Road I.kslern Health Board Hospital1 Nan., GenerL Hospital Balkbridge Nomcs Group for the Elderly Nnas Dublin 4 Dr. Steeven's Hospital Co. Kildare Tel: 01-6685001 Tel: 045.897221 Tel: 6352323 Ms. Maureen Mulvihill Health Promotion Officer Ms. Susan Grey MI: Eddie Matthews Hospital Manager Director of Services for Older People Dublin Healthy Cities Project Carrnicheal Home Ms. Vel.;~Manning-Barrett St. Colunicille's Hospital North Brunswick Street St. Mary's Hospital Loughlinstown Dublin 7 Cu. Dublin Tel: 01-8722278 St. Vincclit'h Hospital Tel: 01 -2825800 Richii~ondRod Mr Ray Bateson Mn John Hempenstall PI-nject Coordinator Tcl: Ol8375lOl Hospital Manager ASH Ireland 5 Norlliumbc~landRoad Dublin I Dublin 4 MS.Chri?lian McDermott Trl: 01-8730700 1 lcallh Promotion Officer Tel: 01 -6607044

~~=~~c<.,m~~~,~~"z~~~:;~~z.~~*~~~~."~~~~,~~ Irish National HPH Network Annual Report

Ms. Valerie Coghlan Association of Lactation Consultants Administrator in Ireland (A.L.C.I.) Ardkilly National Council on Ageing and Older Ballindeny People Mullingar 22 Clanwilliam Square Co. Westmeath Grand Canal Quay Tel: 044-44792 Dublin 2 Tel: 01-6766484 Ms. Mary Healy Secreaty Dr. Terry Connors Projects Officer

The Dental Health Foundation 26 Harcourt Street Dublin 2 Tel: 01.4780466

Mrs. Deirdre Sadlier Executive Director

Irish Society for Quality in Healthcare Clo Professorial Unit Beaumont Hospital Dublin 9 Tel: 01-8092585

Mr. John Sweeney Quality Advisor

BODYWHYS Central Office PO Box 105 Blackrock Co. Dublin Tel: 01 -2834963

Ms. Jennifer Kelly Adminsitrative Secretaly

Health Promoting School Nztwork Marino Institute of Education Griffith Avenue Dublin 9 Tel: 01-8330101

Mr. John Lahiff Network Director Prof. Risteard Mulcahy (Chairman) Prof. Cecily Kellehcr National University of Ireland, Galway) Ms. Am O'Riordan (Network Direclor) Dr. Anna Clarke (University College Dublin) Mr. Shay Mcgovern (HPU) Ms. Ann O'Riorclan (Netwolk Director) Dr. Anna Clarke (UCD) Prof. Cecily Kelleher (UCG) Ms. Mary Kelly (Letlerkenny) Mr. Twn Gorey (JCM ) Mr. Gerry O'Dwyer (Cork) Mr. John Lalnbert (dater) Ms. Genevieve Becker (Project Coordinator) Ms. Denise Cornerford (St. Vincent's Hospilel, Elm Park) Ms. Mat-y Bird Mr. Dan Lynch (FDVH, Tallaght) Ms. Mary Healy Mr. Ned Byrne (St. Vincent's, Fairview) Ms. Nicola Clarke (Holles St.) Ms. Paula Campbell (NEHB) Ms. Noreen O'Sullivan (Erinville Hospital) Ms. Norah Mansell-Quirke (St. Finbarr's) Ms. Mary Kelly ( Letterkenny) Ms. Margaret O'Leary-Ryan Dr. Kevin Connolly (Portuincula) Dr. Seamus Fallon (Louth Hospital) Ms. Paula Campbell (NEHB) Ms. Ann O'Riordan (Network Director) Ms. Edwina O'Keeffe (St. Luke's, Kilhenny) Ms. Bridget Howley (Galway) Mr. Gerl-y O'Dwyer (Cork) Mr. Ncd Byrne (St. Vincent's, Fairview) Ms. Ailish Delaney (SEHB) Ms. Kate Bricklcy (MHB) Ms. Brid Breslihm (MWHB)

Prof. Risteard Mulcahy (Chairman) Ms. Ann O'Riordan (Network Direclol-) Mr. Dan Lynch (FDVH) Mr. John Lambert (Matel.) Ms. Claire Coonolly (UCG) Dr. Anna C1:lrke (UCD) Ms. Denise Conicrford (St. Vincent's. Elm Park)

Mr. Ton1 Corey IJCMH) Mr. Shay Mc(;,)\ci-n (HPIJ, Dept. of Health) Ms. Ann 0'111~~rc1:1n(Network Director) Mr. Juhli L:IIII/>L,~~(Maler Hocpit;ll) nwa.,>*x" *.><.