Health Service Executive Annual Report and Financial Statements 2008 Health Service Executive Annual Report and Financial Statements 2008 Oak House Dr Steevens’ Hospital Limetree Avenue Steevens’ Lane Millennium Park Dublin 8 Naas Telephone: 01 6352000 Co. Kildare www.hse.ie Telephone: 045 880400 www.hse.ie May 2009 ISBN 978-1-906218-24-9 © 2009 HSE 2008 HSE Calendar Examples of some of the milestones achieved during the year January July The new Haematology and Oncology Day Unit at Our Lady’s SKILL project commenced to educate, develop and train Children Hospital, Crumlin, opened. support staff to enhance their role in the quality of services National Maternity Hospital, Holles St, Dublin and St. Lukes, delivered. Kilkenny became the first hospitals to introduceprescribing ‘Improving our Services: A User’s Guide to Managing by nurses and midwives. Change in the HSE’ launched on www.hseland.ie New Consultants Contract commenced. February Oncology Day Unit at Our Lady of Lourdes Hospital, Drogheda. www.hseland.ie the HSE on line learning centre launched. August National International Health Strategy 2007-2012 launched by Minister for Health and Children. Major Cost Management Initiative commenced with key Ireland’s firstCommunity Infusion Centre opened on site HSE suppliers. of Kilcreene Hospital, Kilkenny. Tenders invited for main Mater Adult Hospital, Dublin and Letterkenny General Hospital Emergency Department March and Ward Block. A joint initiative with Irish Coast Guard, the Marine Ambulance September Response Team (MART) for deployment to major emergencies in inland waterways and at sea, was established. Treo Nua, a Multidimensional Treatment Foster Care Cardiac First Responder Guide launched. (MTFC) Programme, for young people with challenging Construction complete on 100 Bed Community Nursing Unit behaviour established in Mullingar, Co. Westmeath. at St. Mary’s Hospital, Phoenix Park, Dublin. In partnership with Royal College Surgeons in Ireland, a €4.2 million Academic Teaching Centre for under and April postgraduate medical personnel in south east opened. An Staisium Sláinte, Primary Health Care Centre, National Achievements Award ceremony took place in the Dundalk was officially opened. Mansion House, Dublin. www.hsenet.ie an internal internet site for staff was launched. October HSE voted Public Sector Employer of Choice in the Irish Times Graduate Recruitment Awards 2008. National Research Centre for the Protection of Older People opened in University College Dublin May All Ireland Travellers Health Study commenced. Construction of Irishtown Primary Care Centre, Dublin complete. National campaign launched to raise awareness of ageism and its prevalence in society. November A national strategy for service user involvement in Irish health services, Your Service, Your Say developed with A dedicated Early Pregnancy Unit (6-12wks) opened at the Department of Health and Children. the Rotunda Hospital, Dublin. The newly amalgamated South Tipperary General Launch of HSE media campaign to coincide with European Hospital opened. Antibiotic Awareness Day. Focus on Fostering week. June 8 Bed Dementia Unit opened in Mountmellick, Co. Laois. Opening of new Symptomatic Breast Unit in University College Hospital Galway. December North/South initiative to tackle obesity in Ireland commenced, A new purpose-built Breast Centre North West was opened called ‘little steps to a long way’. at Letterkenny General Hospital, linked to the designated Commenced site works for Mater Adult Hospital centre in Galway University Hospital. development. Transfer of services from Midland Regional Hospital to new Hospital in Tullamore. New Emergency Department opened in Mercy University Hospital, Cork. Contents Introduction Chairman’s Statement 2 Board Membership 4 Chief Executive Offi cer’s Statement 6 Our Organisation 8 Achieving our Objectives in 2008 10 Health and Wellbeing – Keeping People Well 10 Sustainable Services – Services Delivered in 2008 16 Trust and Confi dence – Improving Access to Our Services 31 Quality and Safety – Delivering Higher Quality and Safer Patient Care 36 Operational Excellence – Maximising Effi ciency and Effectiveness 40 Unlocking Our Potential – Better Work Practices 44 Appendices 49 Abbreviations 57 Maps and Contact Details 58 Financial Statements 6 Appendices to Financial Statements 107 Vision Mission Easy Access To enable people to live healthier and Public Confi dence more fulfi lled lives Staff Pride Values Respect/Fairness and Equity Excellence/Leadership Accountability and Responsibility Chairman’s Statement Despite these constraints, we made many signifi cant service improvements during the year which have brought us closer to our vision of an integrated model of care which enables people to access safer and higher quality care in the most appropriate setting. For example, our National Cancer Control Programme has made signifi cant progress in concentrating cancer diagnosis and cancer surgery in designated cancer centres, with follow up care available locally. Progress continued during the year to strengthen and build on our infrastructure and services in the community, with I am pleased to introduce the Health Service the further development of Primary Care Teams across the country. Throughout this annual report you will read about Executive’s Annual Report 2008 which reviews many other initiatives that support the reorganisation of our the performance of our organisation for the year, services in line with our strategic direction. including performance against our Corporate Plan 2008-2011, Capital Plan 2008 and annual National Planning and Performance Management Service Plan 2008. It also includes detailed Building on the work of the HSE since its inception in 2005, the second HSE Corporate Plan 2008-2011 was approved fi nancial statements for the year. by Government in September 2008. Guided by our mission, vision and values, the plan sets out the overall strategic 2008 Performance direction for the three-year period. In her approval, the Minister for Health and Children noted that the plan was a The HSE National Service Plan (NSP) for 2008, approved signifi cant improvement on the previous plan in setting out by the Minister for Health and Children at the start of a framework for measurement-based accountability for the the year, sets out the services we committed to deliver health services. As part of our governance framework, the throughout the year, within the budget provided by Minister will receive bi-annual reports on progress against Government. This annual report provides information on the high level corporate objectives set out in the plan. This our main achievements and highlights many examples annual report identifi es where progress has been achieved of innovation, quality improvement and good practice in 2008 against these long-term goals. across a whole spectrum of services. In summary, in 2008 we delivered on, and in some cases exceeded the In order to monitor and review progress towards achieving commitments in the NSP, and achieved this within the NSP targets, each month during the year the Board received budget provided while tightly managing the total numbers detailed reports on the performance of the organisation. employed. These Performance Monitoring Reports (PMRs) review activity, fi nancial and human resource data and also € In addition, the 563.17 million capital allocation for 2008 provide detailed information on progress against actions/ was fully and effectively utilised in supporting the National deliverables outlined in the NSP. During the year, to increase Service Plan commitments and in line with the National transparency and accountability, as well as submitting these Development Plan. A signifi cant number of projects reports to the Department of Health and Children, they commenced, continued or were completed during the were made publicly available on our website www.hse.ie year and full details of these can be found in Appendix 3. Risk Management Progress Towards Achieving our Vision The quality and safety of our services are of paramount In common with many other countries, 2008 was a importance. Under the guidance of the Risk Committee testing year for the health services in Ireland. As the year of the Board, a number of reviews and reports were progressed, the deteriorating economic environment and carried out during 2008, for example ‘Say No To Infection’ the growing demands for services, particularly publicly strategy. This strategy set out a number of ambitious and funded services such as medical and GP visit cards, challenging targets for the prevention and control of placed increasing demand on resources. healthcare associated infection, together with the actions we need to take to meet these targets. One of the targets in 2 HSE Annual Report and Financial Statements 2008 the strategy is to reduce MRSA rates by 30% over five Acknowledgements years. In 2008 we can report that we have already achieved During 2008 the Board met on 15 occasions and in addition a 25% reduction in a two-year period. a total of 29 meetings of the Board’s committees were held. The Board endorsed the appointment of a Director for I would like to take the opportunity to thank all the Board the Serious Incident Management Unit, who has made members for their commitment and valued contribution significant progress in developing, implementing and during 2008. embedding a risk policy framework for the organisation. I would also like to thank Government, and in particular The Board will