Health Service Excellence Awards 2020

2020Category Winners and Commended Projects Table of Contents

Foreward by Anne Marie Hoey 4 Chair of the 2020 Health Service Excellence Awards Steering Committee and HSE National Director of HR

Message from Paul Reid 5 Chief Executive Officer

Message from Yvonne Traynor Chair of the People and Culture Committee of the HSE Board 6

Part 1 Category Winners and Commendeds 7 Exceeding Expectations Outstanding Employee 16

Appendix 1 – Criteria utilised in reviewing the projects 17 Appendix 2 – Acknowledgements 18 Appendix 3 - Photos from Presentation Days to Selection Panels 19

Part 2 Details of all 65 projects that Presented to the Selection Panels 23

Enteries with the following symbol are active links to the relevant Location

2 2 3 3 Foreward by Anne Marie Hoey Message from Paul Reid Chair of the 2020 Health Service Excellence Awards Chief Executive Officer Steering Committee and HSE National Director of HR

It is always inspiring for me to engage with staff and to witness examples of local innovations and good The Health Service Excellence Awards have been developed to promote a sense of pride, practices within the health services where staff are making things better for all. The Health Services to improve morale, encourage leadership and facilitate staff to establish their service as an Excellence Awards are the opportunity for staff to submit local improvement projects and to share and exemplar. They help us to demonstrate how staff are valued for the work that they do. promote the team work and innovation that is making a difference within the health care service. I would like to acknowledge all of the staff who entered their improvement projects to the This year, I am delighted to report, the call for entries to the 2020 Health Services Excellence Awards 2020 Health Service Excellence Awards. The unprecedented high level of entries this year is received an unprecedented 610 entries across the 7 categories – 285 from CHO Areas, 262 from the evidence of local leadership working collaboratively towards a common purpose, demonstrating Hospital Groups and 62 from organisations that include Section 38 agencies, National Ambulance creativity and excellence in approaching and addressing local issues and in creating a caring Service, Health Business Services and HSE National and Corporate Services. Of these entries 65 compassionate culture, and inspiring innovation. projects were shortlisted and invited to attend at the Selection Panel in March 2020. I would especially like to thank the 7 Local Co-Ordinators and their teams who supported the process and the members of I believe in engaging with and listening to the views of frontline staff and since taking up the role the Selection Panels who met with the 65 shortlisted projects for their involvement. of CEO I have met with staff in all healthcare settings throughout the country. I am delighted that many of the initiatives I have witnessed have been entered into the 2020 Health Service The 2019-2024 People Strategy recognises the need to empower our staff to be resilient, to take up their Excellence Awards. leadership roles and deal with the pressures of constant change. The submissions for this year’s awards are testament to the leadership and engagement of staff throughout our health service. From the projects submitted, it is evident that an integrated health service in line with the Slaintecare plan is being embraced. As CEO of the HSE, I have set out three initial priorities for the Engaging with and supporting our staff and teams to create an optimal work environment is central HSE which are in line with the implementation of Sláintecare: These are to the HR function so we can strengthen our connection with the people we serve. Harnessing the collective talents of our workforce and our local teams is the key to enhancing service delivery, engaging 1. The delivery of quality and safe services a newer generation of health care employees and developing leaders within all our teams. Listening carefully to the views of frontline staff and recognising their contribution in a meaningful way results 2. Transitioning to a new model of integrated care in better employee experiences and better outcomes for all. From reviewing the projects submitted this year we get a sense of the important, diverse and challenging work that is happening across 3. Strengthening the confidence and trust in the organisation the organisation and the learnings and interaction within teams. Creating an environment where employees can learn and use their abilities to the fullest is important not only for the current state of our I look forward to continued working with health services staff right across the country to achieve organizations, but also the future healthcare service. these priorities –and delivering a health and social care service that meets the needs of the population and attracts and retains the very best staff. Really innovative changes for the better are being delivered by front-line staff. It is very encouraging to hear their stories I would like to congratulate each of the teams that submitted their projects to the I would like to extend congratulations to all the Category Winners and to those who received 2020 Health Service Excellence Awards, to acknowledge their Managers who supported the entries, and Commendations. to especially congratulate the Category Winners and those projects that were Highly Commended and Commended by the Selection Panel.

This booklet has been compiled so that we can share these stories, showcase the submissions to the 2020 Health Service Excellence Awards and Share the Learning. COVID-19 restrictions will hamper the opportunities to hold our Share the Learning Events so I am recommending that all staff, managers and HR managers take the time to read this booklet and to engage with the projects.

4 5 Message from Yvonne Traynor, Chair of the People and Culture Committee of the HSE Board

20Category 20Winners and Commended Projects

As Chair of the HSE People and Culture Committee, I am delighted to congratulate the Category Winners those who received Commendations in the 2020 Health Service Excellence Awards and to applaud all who entered this year.

One of the roles of the People and Culture Committee is to drive culture throughout the health service to deliver safer better healthcare. The Committee also advises the Board of the HSE in matters which support and value the staff of the health service, engages talent and nurtures the leadership capability of individuals and teams working together.

The Health Service Excellence Award is an opportunity to showcase local innovations and acknowledge the staff involved in designing them. One key component in evaluating the projects entered is evaluating the transferability of the initiative to other services nationally.

Each of the projects entered has evidenced the HSE values of Care, Compassion, Trust and Learning and also demonstrated how teams planned and delivered interventions when and where they are needed, taking the local context into account. The People and Culture Committee is keen to support the enhancement of collaborative working relationships across the health service between professions and other stakeholders including representative bodies and regulators to improve culture.

Going forward, I would encourage health services staff nationally to engage in entering the Awards competition as it is an opportunity to highlight the good work being done and also to facilitate ‘sharing the learning’ from local experiences.

Engaging in change is a challenge to all of us. In order to assist and enable staff to work through a change initiative the HSE has developed the ’People Needs Defining Change’ guide which is available on the HSE website. This guide is a step by step guide that will help to lead and bring about change and it provides helpful and practical advice from practitioners, leaders, service users and staff.

6 7 Category Winner Category Winner HIGHLY COMMENDED HIGHLY COMMENDED INNOVATION IN INTEGRATED DIGITAL EXCELLENCE CHAMPIONING MENTAL HEALTH CHAMPIONING MENTAL HEALTH CHAMPIONING MENTAL HEALTH

Name of Healthcare Setting: Name of Manager/Sponsor: Name of Healthcare Setting: Email: Name of Healthcare Setting: Role: Name of Healthcare Setting: Email: Saint John of God Liffey Services Elisa Doyle National Mental Health [email protected] Dublin South Central Mental Assistant Director of Nursing Child & Adolescent Mental [email protected] Health Service Health Services (CAMHS) Location: This project was a collaboration Service Name of Manager/Sponsor: Name of Manager/Sponsor: Email: Voluntary Provider (Section 38) between Location: Dr Meena O’Neill Location: Michael Ryan Location: [email protected] Director - Elisa Doyle, Manager- CHO Area 2 Name: Corporate This project was a CHO Area 7 Audrey Carroll, Coordinator- Sarah Gavra Boland Key Contact for Project collaboration between Name of Manager/Sponsor: Key Contact for Project Name: Alan Byrne, ICT - Brendan Name: with a range of stakeholders Key Contact for Project Name: Oliver Mernagh DON / Kevin Dr Sharyn Byrne, Project Lead Role: McCormack, Advocate - Aine Assistive Technology Coordinator John McCusker across every CHO in Ireland Colin Kelly Brady Area Manager Walsh, MDT - Zafar Iqbal, Role: Email: Christina Cannon. Role: Senior Clinical Psychologist [email protected] Senior Operations Manager Project Title Project Title Project Title : Project Title Digital platforms integrating Multimedia Individual Placement and Support (IPS) in the Raise Your Voice Choir The WITH project; Well-being In The Home Advocacy to support Person-Centred Planning Mental Health Service

Project Summary Project Summary Project Summary Project Summary In 2012 we began introducing multimedia to support total Individual Placement and Support (I.P.S.) is an evidence- Raise Your Voice Choir has up to 50 members, which is made up of The WITH project (Well-Being In The Home); a young person’s communication. We believe everyone deserves access to based approach to employment for people who experience services users, staff working within the mental health services and guide to parental Mental Health, was developed as the first their information and aim to promote accessibility. We have mental health difficulties. In partnership with contracted family members from all areas within CHO 7 including Psychiatry online information resource for young people in Ireland who are been researching and testing systems to support our 'Person employment agencies, 28 adult community mental of Later Life. Under Colin Kelly’s direction, the Choir gave a great in the situation that their parent struggles with Mental Health. Centred Plans’. We have Co-Designed an accessible platform health and rehab and recovery teams across Ireland have performance at a Concert in the Helix Theatre on 8th October 2019 It provides information on various parental Mental Health solution with Asperico thanks to QIC grant. Employment specialists embedded within their teams to celebrate World Mental Health Day to a full house. Appearing difficulties that the young person may experience and signposts supporting participants into open market employment. with the Choir were Tony Kenny and Colm Wilkinson who sang both them to supports they can access. This resource was developed in The key features of this project are with the Choir and solo. The Choir are planning their next projects recognition of the distress that some young people can experience. Creating a transparent and accessible person-centred The key features of this project are for 2020. planning system. The aim is to put the person first through the • ‘Place and support’ rather than the traditional model of The key features of this project are use of multimedia and assistive technology to ensure that they ‘train and place’ The key features of this project are This is the first online resource in Ireland that directly addresses the have access to their plans and records in real-time. The key feature is getting involved. Service-users and family issue of parental Mental Health and its potential impact on children • Integration of an Employment Specialist as a full members and carers get to network with a host of other people within and young people. It provides vital information on how the young member of the MDT Key featues include the mental health service, reducing isolation and creating a similar person is not to blame, or responsible for making their parent better. • Plan owners have accessible access to their plans, goals • Partnership between HSE and another agency. sense of purpose with others while raising awareness and reducing Most importantly it also provides helpful links to services / supports and actions the stigma attached to ill mental health. that the children / young people can access should they become • Zero exclusion criteria for participants overwhelmed by distress or need to speak to a care professional. • Plan owners can give a circle of support access to their Evidence based and successful in achieving desired Doing something extra is a powerful way to make a difference in your This National online resource is also providing early intervention plans to support meaningful day and fulfil life vision. • outcomes. workplace. It can help to build trust and therapeutic relationships to a vulnerable, and much neglected cohort of children and young • Delivery of transparent person-centred service based on amongst colleagues and those we care for. While breaking down the people. This initiative reduces the stigma of such issues and allows Over 150 participants currently in competitive real-time smart goal-driven data. • barriers of stigma in mental health. for open dialogue for affected children / young people who have employment previously been ‘hidden’. it is also provides Service Users with a means of lifting their mood, The plan owner can access their plans and goal tracking on I.P.S. champions the individual’s ability to live a full and gaining confidence, managing anxiety, sense of achievement and *This online resource is available YouTube by searching ‘The WITH their smart device using assistive technology. Multimedia satisfying life, participating in the same roles as every realising that Mental Illness does not have to define them Project’ or Well-being in the Home. supports people to express their needs and wishes in a other citizen while at the same time managing mental way that focuses on their ability and allows services to health difficulties with an appropriate level of support. communicate to service users in a way they can understand. It demonstrates that people who have mental health There was substantial saving on printing and time thanks to difficulties also have skills and talents. It champions the digitalisation of the system. integration of services and our ability to partner with non- traditional agencies to meet the needs of service users. Selection Panel Commented that this project shows real IPS represents huge changes understanding of expected commitment integrating person centred planning, patient outcomes for service users in terms of access to competitive engagement and demonstrated new innovative thinking and employment and the benefits this has to all aspects of life alternatives to traditional ways of communication and were for the individual. impressed with the sheer determination, genuine commitment and high energy among the team. The Selection Panel commented that this project demonstrates interagency working and the benefits of evidence based initiatives. The project is a whole system approach, patient centred, and demonstrates integration, value for money and transferability of the model. The Panel noted that the project creates outcomes that are measurable and there is a clear impact for service users and society.

8 9 Category Winner Highly Commended Highly Commended Highly Commended EXCELLENCE IN QUALITY CARE EXCELLENCE IN QUALITY CARE EXCELLENCE IN QUALITY CARE EXCELLENCE IN QUALITY CARE

Name of Healthcare Setting: Email: Clonskeagh Community Nursing [email protected] Name of Healthcare Setting: Email: Name of Healthcare Setting: [email protected] Linn Dara Community Eating [email protected] Name of Healthcare Setting: Email: Unit St Luke’s General Hospital Kilkenny Name of Manager/Sponsor: Name of Manager/Sponsor: Disorder Service - LDCEDS St. James Hospital [email protected] Location: Claire Waldron (General Manager) Name of Manager/Sponsor: Location: Paula Power A/DON CHO Area 6 Mr Kevin Brady, Head of Mental Location: Name of Manager/Sponsor: Location: Ireland East Hospitals Group This project was a collaboration This project was a collaboration Health Services CHO7 Dublin Midlands Hospital Group Niamh Murphy between all departments in CHO Area 7 Name: between the RAMP in collaboration Name: Clonskeagh Community Nursing This project was a collaboration Clare Kennedy with members of the SLGH Name: This project was in collaboration Vandana Iqbal Unit including catering, Allied Name: between National Clinical Sarah Moore with Niamh Murphy, Grainne Health Professionals, Dementia Dr Michelle Clifford Role: Maternity MDT developed the ICMS Programme for Eating Sheill, Department of Surgery Role: Care Matters Team from UK and Registered Advanced Midwife including Midwives, Obstetricians, Role: Acting Assistant Director of local business to raise funds and Role: Disorders and Linn Dara Senior Paediatricians, PHN’s, GP’s and St. James’ Hospital Nursing families of the residents Clinical Lead, Consultant child Practitioner Clinical Specialist Management Team CMS Ultrasonagher. Physiotherapist & Adolescent Psychiatrist Email:

Project Title Project Title Project Title Project Title Transformation of Clonskeagh Community Nursing Unit into a butterfly Ireland’s first community specialist eating disorder service The Integrated Community Midwifery Service (ICMS) Establishing the first Prehabilitation Exercise Service for home - Adapting Social Care Model. for under 18’s. Cancer Surgery Patients

Project Summary Project Summary Project Summary Project Summary The RAMP MC since registration has developed and implemented, The Aim of the project was to transform from Medical Care Model Establishment of a multidisciplinary specialist team which since This Pre-operative rehabilitation (prehabilitation) programme for an integrated hospital/community midwifery-led service which people awaiting cancer surgery in St. James’ Hospital, Dublin, is to a Social Care Model. March 2018 has been offering accessible, evidence based, and commenced October 2018 in SLGH Maternity service and has a patient centred assessments and treatments of eating disorders for designed to get patients stronger and fitter before surgery. Daily, team of 6 midwives funded by the NWIHP. This service provides physiotherapy led, high intensity, aerobic, strengthening and The goals included improving the lived experience of people living children, adolescents and their families in CHO 7. normal risk women with suitable care pathways for their needs i.e. with a dementia. breathing exercise classes and there is a Home-based programme supported and assisted Maternity Strategy (2016). for those unable to attend classes. The key features of this project are KPI’s were agreed and outcomes were measured. This project This project is Ireland’s lead pilot in specialist community eating The key features of this project are The key features of this project are received NMPDU 2018 innovation funding and was undertaken disorder service for children and young people as part of the The goals of the Integrated Community Midwifery Service are in collaboration with Dementia Care Matters Team from the UK. implementation of the HSE Model of Care for Eating Disorders. This is the only prehabilitation exercise service offered to cancer There four private butterfly homes in Ireland; this is the first HSE Our service has ensured all children and adolescents in CHO 7 now • The requirement to establish a clinical a governance framework patients in a hospital in Ireland. It also offers a Virtual clinic for initiative. equally access our multidisciplinary specialist ED team. Integrated for midwifery practice. patients who are unable to attend the programme, Daily exercise care is prioritised with collaborative care pathways developed with classes offered to patients and Monthly talks by clinical lead • The implementation of the Maternity Strategy (2016) values and psychologist on coping with a cancer diagnosis and leads to decrease The key features of this project are community CAMHS teams, paediatric and inpatient psychiatric goals This is the first HSE project to receive accreditation as a butterfly settings. post-operative complication rate and hospital LOS . home. Since introduction, service user experience has improved • Providing a service to women which is women centred and This project was a Co-design of service with patients – listening to and there is a reduction in incidents. All staff working in the unit Input from Families are an essential resource towards supporting holistic to women, their families and their babies. patients. participated in the Emotional Intelligence based training as Butterfly children and young people in recovery from an eating disorder. Champions and this has been empowering for staff. The project has The service has high patient and family satisfaction rates to date, The impetus for the introduction of the RAMP/ICMS services in SLGH It also involved multi agency collaboration - led by clinical specialist assisted staff and families to gain an insight into dementia care and involves collaborative development of care plans. This service maternity services in October (2018) was influenced by Service user physiotherapist in a National Cancer Centre in Ireland and adheres to increasing awareness of memory impairment and dementia. The enables young people to be treated while remaining at home requests. The ICMS meets the outstanding local service need, offering the aims of the National Cancer Strategy, “to improve the treatment, project has improved the lived experience of people with a dementia with their families. The project has recorded a good recovery women, their partners and babies care provision choices and options. health & wellbeing, experiences and outcomes of those living with in the unit. This project aligns with the National Dementia Care focused patient and clinician rated outcomes and a positive patient cancer” Strategy. It is a large scale Project – the facility includes 81 long stay experience to date. Since the inception of the ICMS a 2.1% reduction in the LSCS rate in beds and 120 staff and involves the introduction to a Social Care SLGH has been noted. The RAMP in conjunction with all the team Model and reducing barriers . One focus for example, is on improved members of the ICMS plan to further enhance and expand the service meal time experience with a lead into meals (creating smells offering in 2020 after the success it experienced over the last two years. appetizers),leading to improved appetites.

Selection Panel Commented that this is the first HSE community Nursing Unit Butterfly initiative and It significantly transformed the delivery of services for people living with dementia. The team showed significant drive and demonstrated ‘its not what you say, it’s how you make me feel’ – the project showed engagement from a team that are continuing to challenge themselves

10 11 Category Winner Commended Category Winner Highly Commended IMPROVING OUR CHILDRENS HEALTH IMPROVING OUR CHILDRENS HEALTH IMPROVING PATIENT EXPERIENCE IMPROVING PATIENT EXPERIENCE

Name of Healthcare Setting: Email: Name of Healthcare Setting: Primary This project was a collaboration Name of Healthcare Setting: Email: Name of Healthcare Setting: Name of Manager/Sponsor: Universal Child Health Service [email protected] Care (supported by Health Promotion between Liz Griffin, Food and Health Cork University Maternity [email protected] St. Joseph’s Foundation Eamon McCarthy Chair-Board – All healthcare service settings Name of Manager Sponsor: and Improvement) Coordinator, South Dublin County Hospital of Directors/Michael Hegarty delivering universal, integrated Dr. Kevin Kelleher, AND Public Partnership, Public Health Nursing Name of Manager/Sponsor: Disability Manager CHO 4 services from antenatal to child’s Health & Child Health Location: CHO Area 7 teams, Directors of Nursing and Location: Location: 3rd birthday Assistant Directors of Nursing in Dublin South/SouthWest Hospitals Professor John Higgins CHO Area 4 This project was a collaboration This project was a Location: Name: Dr Helen Ryan South West/Kildare West Wicklow, Group with Dr.Phil Jennings, Carmel Food and Health Peer Leaders, South This project was a collaboration collaboration between National Brennan, Child Health & Nurture Name: Name: Role: Senior Dietitian in Primary Care Dublin County Partnership, Primary between a cross functional Noreen Ryan Trabolgan Management & Name: Programme team, Nurture Care Dietitian Manager, Mairead Aherne John Higgins focus group at CUMH with Staff; Management & Multi- Anne Pardy Programme Team, Conor Owens, Email: [email protected] and Team in Dublin South West/Kildare Role: representation from senior disciplinary Departments from Role: Dr.Julie Heslin, Dr.Caroline Mason- West Wicklow, Karen Heavey, Health Role: Mohan, Ann O’Shea, Grainne Project Sponsor and Clinical management in various Chief Executive Officer St. Joseph’s Foundation; HSE Programme Manager, Nurture Name of Manager Sponsor: Mairead Promotion & Improvement/Health & Director, Ireland South Women departments, the SSWHG, the Disability Managers; Primary Programme - Infant Health & Gaffney, Janet Gaynor, PHNs, CMDs, Aherne (Dietitian Manager) Wellbeing Manager,Margaret O’Neill, Wellbeing Public Health,Communications, National Dietetic Lead, Strategic & Infants Directorate NWIHP Email: Care; Local Community AHPs, KHF, CES Planning & Transformation [email protected] Volunteers Project Title Project Title Project Title Project Title The Nurture Programme – Infant Health and Wellbeing Baby Food Made Easy - parent workshop on introducing The CUMH Gynaecology Waiting List Initiative Alternative Respite Holiday Weekend for Children with spoon feeds Disabilities and their Families

Project Summary Project Summary Project Summary Project Summary The programme is a quality improvement initiative designed to A workshop developed and delivered by Community Dietitians The CUMH Gynaecology Waiting List Initiative was designed to St Joseph’s Foundation in association with Trabolgan Holiday improve information and professional supports provided to parents who also delivered training to the facilitators to develop practical tackle the highest gynaecology outpatient waiting list in Ireland Village and the HSE provided a cost effective family holiday respite during pregnancy and the first 3 years of life. It includes antenatal skills on spoon feeding is run monthly in four sites. The workshops in the short term and work towards a sustainable model of service weekend to 164 families who had a child aged between 4-17 with education standards and information, online and print resources are facilitated by a Public Health Nurse and a Food and Health delivery and patient care in the medium term. Autistic Spectrum Disorder, Intellectual Disability or Developmental for parents and professionals, a standardised national record and a Peer Leader from a local community development organisation. Delay. St. Joseph’s Foundation provided a number of educational blended-learning training programme. The workshops provide a cookery demonstration on preparing The key features of this project are workshops/activities for families. spoon feeds for infants at different stages. Participants receive The desired outcome was to reduce the waiting list to <1000 with The key features of this project are written information, a blender, a cookbook and basic food storage an average 12 week wait time. A new and innovative approach was The key features of this project are Children’s early years impact on their lifelong health and wellbeing. equipment. The workshops are free of charge to participants implemented: This initiative provided a respite experience for the child and their (funded by Health Promotion and Improvement). family in a mainstream public environment where families could This project provides parents with practical, accessible and evidence- • patients were reclassified into 8 major diagnostic groups based information to empower them to take up their role as experts benefit from peer support and which enable the child with ASD, in their children, giving them the best start in life. It supports The key features of this project are • an online booking system was used Intellectual Disability or Developmental Delay to learn, play & express professionals to deliver quality universal child health service. The largest prospective cohort study to date on early infant feeding in themselves in a stress free, non-judgemental environment. Ireland, the BASELINE Birth Cohort Study, showed a high prevalence • outreach clinics, additional weekend and evening clinics, gynaecology initiative week This project applies evidence-based best practice to the extensive of exposure to commercial composite foods among the first foods It was a cost effective alternative approach to providing respite to engagement with parents and professionals to ensure consistency introduced and lengthy gaps between each new food/product A patient who was previously waiting up to 4 years for a first time children to include the intergenerational family which supported of message and promote positive health behaviours. This was introduced to infants. Building parental confidence and skills in using appointment is now seen in typically less than 12 weeks. the child to learn, play and express themselves in a stress free non- achieved through the completion of 16 Parental focus groups and non-commercial foods and in progressing with the introduction of judgemental environment while also supporting families to learn from online surveys (over 4000 parents responded to surveys) and staff varied complementary foods is important in improving infant feeding The learnings from this initiative could easily be transferred to other and share their experiences with each other. consultation and user testing involved over 500 staff working in child practice and will benefit child health. maternity units and outpatient service areas. The successful model This innovative initiative produces multiple outcomes for both the health services. is currently being applied to reduce the IPDC waiting list at CUMH. child and the intergenerational family in a safe non-judgemental A significant increase in confidence around spoon feeding was The key focus is to improve patient care and thus allows patients environment. It promotes wellbeing through activities, offers Over 154,000 child health information books were distributed. reported by parents after attending the workshops. On average to put their trust in the service.. This initiative is the subject for opportunities for families to share experiences, promotes Since launching, MyChild.ie has had 3.1million page views with parents were 82% more confident across the 6 sites after the research audits and two masters projects through the UCC Masters togetherness and community & offers learning through workshop >1million users. 14 e-learning units are available , 7489.50 hours of workshopand approximately half of participants reported a planned in Healthcare Leadership. activities. eLearning an 9818 hours classroom training have been completed by change in practice. Reported planned changes include: preparing professionals working in child health services. homemade food for baby, progressing quicker through the stages of The Selection Panel commented that that the project resulted in complementary feeding, introducing a greater variety of foods earlier. a significant reduction in waiting lists and online booking system for patient positively impacting on patient experience The Selection Panel commented that the project is a demonstration of evidenced based practice and stakeholder engagement in order to make things better for the population served.

12 13 Highly Commended Highly Commended Category Winner Very Highly Commended IMPROVING PATIENT EXPERIENCE IMPROVING PATIENT EXPERIENCE INNOVATION IN SERVICE DELIVERY INNOVATION IN SERVICE DELIVERY

Name of Healthcare Setting: Email: Name of Healthcare Setting: Email: Name of Healthcare Setting: Name of Manager/Sponsor: Name of Healthcare Setting: Email: [email protected] Children’s Cardiac Services [email protected] Mater Misericordiae University [email protected] North Tipperary Community Niamh Wallace General Children’s Health Ireland at Crumlin Hospital Infectious Diseases Mental Health Services Manager Mid-West Mental Name of Manager/Sponsor: Location: Name of Manager/Sponsor: Department/Centre for Liver Health Services Location: Children’s Hospital Group Catherine Cunningham, Speech and Children’s Hospital Group Eilish Hardiman Disease Name of Manager/Sponsor: Location: Language Therapy Manager Professor Jack Lambert CHO Area 3 Name: Zelda Greene Name: This project was a collaboration Location: This project was a collaboration sharon morrow between the DoH ROI & NI, HSCB, Ireland East Hospitals Group This project was a collaboration between two Community This project was a collaboration Name: Mental Health Teams our Role: Senior Speech and Language between the Departments of HSE, CHI@Crumlin, RBHSC, between the Hepatitis C Pharmacy James Harrington Role: Children’s Heartbeat Trust, Name: Department, the Social Inclusion partner agency Focus Ireland Therapist in Transitional Care Clinical Engineering (Jim Davenport, Unit, a Unit in CHI at Crumlin for Philip Hartnett, Reden Prudenter), All-Island Congenital Heart Disease Heart Children Ireland, NISTAR Tina McHugh Team at the Mater Hospital and Role: and Co Council Staff, Service Network Director (Ambulance service), UCD, QUB, the Mater Foundation (official improvement infants and children who are long Paediatric Otolaryngology (ENT) UU, SSW/ Saolta /UL Hospital Role: fundraising body at the MMUH). Assistant Director of Nursing term tracheostomy and ventilator (Mr John Russell), Nursing (Siobhan groups, BHSCT, WHSCT, SHSCT Hepatitis C Community Pathways Other approved Housing dependent. Fitzgerald, Airway Clinical Nurse Coordinator Email: Specialist), Respiratory Medicine [email protected] Bodies. (Professor Paul McNally) Project Title Project Title Project Title Establishment & Implementation of All-Island Hepatitis C Peer Support Project North Tipperary Intensive Tenancy Sustainment Service. Congenital Heart Disease Network

Project Summary Project Summary Project Summary Project Summary The All-Island Congenital Heart Disease (CHD) Network was The Peer Support Project seeks to identify, engage and facilitate This project offers Intensive tenancy support (TS) of varying levels Children with complex airways require tracheostomy and ventilation. established in 2015 by the ROI & NI MoH following a review (IWG) individuals affected by Hepatitis C (HCV) in the community to to adults with mental health difficulties who may be homeless/ at Over 70% of infants referred were not eligible for speaking valves leading to the cessation of cardiac surgery in NI with children access care and treatment in the Mater Hospital. Peers provide risk of homelessness. 2 staff source quality accommodation, work which restore voice, aid feeding, secretion management, ventilation travel-ling to GB for treatment. The aim of the Network is to deliver ‘one to one’ practical and emotional support which serves to in partnership with relevant community services & are employed by sprinting. The valve modification programme ensures all eligible world class cardiac services for all children and young people on facilitate patient’s attendance at specialist hospital appointments Focus Ireland & work as part of 2 MH teams in North Tipp. children now receive speaking valves. Communication and feeding the island & adherence to treatment. outcomes improve. Parent survey indicated improved quality of life. The key features of this project are The key features of this project are The key features of this project are This service is unique to Ireland. Tenancy workers are employed and The key features of this project are This is the first cross-jurisdictional Network on the island - Recent years have brought about the development of HCV drugs, line managed by our partners Focus Ireland , but are completely Communication and feeding are cornerstones of development for implementing evidence based, safe and effective cardiac care for which can cure almost all those who receive treatment. The primary integrated into CMHT’s. Tenancy sustainment workers attend full children. Our bespoke method for modifying speaking valves ensures children and young people across the island of Ireland. This project vision of the project is to improve access for vulnerable populations MDTs and receive referrals for the service directly from the CMHT. 2 infants voice and speak earlier, feed earlier and reduce tube feeding has Ministerial approval and is acknowledged for the level of service ensuring that they have the same rights and access to healthcare Staff from Tipperary Co Council attend governance meetings. dependency, sprint from ventilation earlier and have reduced suction user and family engagement in developing and delivering services. as that of the general population. By integrating a peer support burden leading to increased quality of family life and developmental worker into clinical teams we have greatly improved the patient It’s the first model like this in the country. The Service is a gains. This project is innovative as it provides Over 500 children and families from NI have now attended cardiac treatment experience and removed some of the barriers to access community Housing first model as individual supports are wrapped • Streamlined objective & transparent assessment process services in CHI, removing the need for NI children to travel to GB, and creates an environment where individuals authentically feel like around service user to support tenancy. • Bespoke valve provision for each child often in emergency situations by air ambulance, to receive cardiac they are at the ‘centre’ of their own care. Patient feedback to date There is now an integrated service available for service users in • Delivers the earliest possible interventions for feeding and speech care. Such journeys are emotionally, physically, psychologically and reflects on the instrumental role peer support has had in terms of one location for those who are encountering tenancies difficulties. in theses infants financially stressful for the family. minimizing the anxiety and vulnerability associated with accessing Service is preventing Homelessness and Service users are supported • Decision making is multidisciplinary and collaborative and navigating the hospital system. This is a model of care which to access other services. • Engineering protocols are replicable and transparent The CHD Network is a model of service delivery that can be could easily be adapted for use with ‘hard to reach’ groups in other • All modified valves are coded and tracked replicated across the island, in particular for smaller specialties disease areas such as HIV,TB etc The Service is completely integrated providing effective • No adverse events reported over 5 years operating separately in both jurisdictions and provide benefit to communication and a wraparound service between the service patients, families and providers in terms of quality of care, access user CMHT and landlords/ Co Council and this Service is reducing This project involved collaboration across 5 clinical departments which and value hospital admission frequency and length of stay. is ongoing and well established over 5 years. Clinical guidelines are almost complete and safe engineering procedures have been finalised. The Selection Panel commented that this project actively combined Rollout planned at CHI Temple Street site for 2020. mental health care with social care through social inclusion – ie preventing homelessness. It is a good example of multiagency co- **This project has been published in a peer reviewed journal production between the health services, voluntary services, county contributing to the international evidence base council and local landlord to address health and social needs. It is operationalizing national policy and strategy ie. Slaintecare, Vision *Greene ZM, Davenport J, Fitzgerald S, Russell JD, McNally P. for Change and HSE Framework for recovery. Tracheostomy speaking valve modification in children: A standardized approach leads to widespread use. Pediatric Pulmonology. 2019;1–8. https://doi.org/10.1002/ppul.24209

14 15 Category Winner Exceeding Expectation SUPPORTING A HEALTHY COMMUNITY

Name of Healthcare Setting: Email: Appendix 1: Wexford Adult Mental Health [email protected] Services Name of Manager/Sponsor: Criteria utilised in reviewing the projects Location: Orla O’Conor (Extract taken from 2020 Health Service Excellence Awards webpage on HSE.ie CHO Area 5 This project was a collaboration www.hse.ie/eng/about/our-health-service/excellence-awards/) Key contact for Project Name: between LINK Training, Ciaradh White Wexford Mental Health Role: Association and Wexford OT Department Senior Occupational therapist HSE Values: Transferability: project teams must show evidence of we will assess the potential for learning from demonstrating the HSE’s core values of care, the project and it’s ability to be replicated to Project Title compassion, trust and learning other parts of the health services. To include, The Gaming Group but not limited to, the overall approach, Integration: specific features or specific outcomes of the Project Summary project. Stakeholders coproduced a weekly group for young people who Joint Winner Christy we will assess the extent to which your project required support to engage in activities in their communities. Kelly, Physio Assistant in supports healthcare workers to work together A strong shared interest in gaming led to the development of a Physiotherapy Department, in teams, planning and delivering care Efficiency & Value for Money: dedicated gamesroom. The group meets every fortnight to game St James’ Hospital. Christy seamlessly. Your project should show evidence we will assess how the project creates a and plan activities for the following week (eg lasertag, bowling) was nominated by Joanne Finn, Deputy Physiotherapy Manager of enabling and encouraging this integrated streamlined approach to service delivery and Key features of this project are way of working. This can be in hospital or delivers increased efficiencies and resource This intervention supports a vulnerable group of young mental community settings. savings. health service users who experience social exclusion and barriers to community engagement. All members are equal partners in terms of inclusion and decision-making. Each member identifies goals with Experience: Diversity, Equality & Inclusion: their OT (eg to initiate conversation with another group member with we will assess the extent to which the project projects which reflect practical initiatives in the goal of developing friendships). Group measures include regular impacts on quality of service, and patient safety supporting the HSE’s Diversity, Equality and review and input from all stakeholders, and attendance records. The Inclusion Statement are welcome and should group uses a unique intervention (gaming) to support members’ and care. We will also assess compliance with goals. The range of outcomes noted to date include, improved Health and Safety legislation. Please identify demonstrate components of this statement. communication skills, reduced isolation, improved community Joint Winner Mary O’Rourke, improvements that have been achieved for integration, development of friendships and engagement outside Senior Medical Social Worker, patient experience, quality of care and patient Measurement and results: of the group and MHS, development of meaningful routine and Oncology Dept, CHI@Crumlin. structure and improved organisational skills and responsibilities Mary was nominated by Dr safety. we will assess how the project measures the Maeve O’Reilly, Consultant in impact of change and/or innovation within The group allows members to feel safe in new spaces in their Palliative Medicine, CHI@Crumlin Engagement: their service as a result of their project. community, furthering confidence and skills, reduces social isolation, and St Luke’s Hospital we will assess the degree to which the project Please include details of quality improvement supports education on recovery and wellbeing, incorporates physical measurement tools used and results captured. and sporting activities, reduces risk factors. has created channels to involve or consult with all relevant stakeholders. These can include The Selection Panel commented there is learning for all of us in patients, service users, staff, unions and Unique Features: how this service was established and it shows great innovation and partnership processes. We will also assess the please highlight unique features of your project thinking outside the box. The Project is designed around service user need - what they need as opposed to what we think they need . The method and tools used to communicate with that may fall outside the other criteria. Health model could easily be replicated for the long-term societal benefit for stakeholders during the project. based projects with specific measurable young men with enduring mental illness outcomes.

Highly Commended in the Exceeding Expectation - Outstanding Employee Award are

• Dr Patrick O’Donnell, Safety Net General Practitioner working in conjunction with Mid-West Area Social Inclusion Services. Dr Patrick was nominated by Carol Stanley, Community Mental Health Nurse.

• Debby Gregg, End of Life Coordinator in Connolly Hospital, Blanchardstown. Debby was nominated by Aoife Clare, Assistant Director of Nursing, Ambulatory & Medical Directorate, Connolly Hospital

• Hillary Collins, Ambulance Paramedic, National Ambulance Service who was nominated by Lorraine Smith, Communications and Innovation Lead.

16 OUTSTANDING EMPLOYEE AWARD Appendix 2: Appendix 3: Acknowledgements Photos from Presentation Days to Selection Panels With thanks to all who assisted with the 2020 Health Service Awards, and to those who joined the process at various stages, without whose support the Awards would not have progressed - Marie O’Sullivan, Project Manager

Allyson Donnelly Lyndsey Cooke Alice Healy Mairead Galvin Amy Anslow Martin Collum Anna Fenton Mary Boushel Anne Marie Hoey Mary Nolan Anne Quinn Mary Samuel Aoife Rafferty Maureen Browne Avilene Casey Michael Drumm Caralyn Horne Michelle Brennan Carmel Buckley Michelle Burke Carmel McLoughlin Michelle Guerin Carmel Power Muriel Farrell Caroline Treanor Niamh McAlinden Catherine Doyle Nicola Byrne Catriona McConnelogue Noreen Curtin Celine Donoghue Noreen E Noonan Claire Donnelly Paul Gallagher Colette Cassidy Paula Lawlor Dawn Tyner Prof Geraldine McCarthy Declan Hynes Roisin Breen Deirdre Madden Rosaleen Quinlan Denise O Shea Sarah Crehan Derek O Gorman Sinead Fitzpatrick Edward Mathews, Siobhan Canny Emma Gonoud Siobhan McArdle Frances Harrington Stephen McMahon Gordon Ryan Tess O Donovan Grainne Colreavy Thelma Penthony Gwen Regan Tom O Brien Helen Short Vera Kelly Joan Gallagher Yvette Keating John Swords Yvonne Traynor Kahlil Coyle Yvonne Costello Kate Costello Kathleen O Shea Liz Roche

18 1919 20 21 Health Service Excellence Awards 2020

2020 Shortlisted 65 Projects

22 23 Table of Contents

Championing Mental Health

Excellence in Quality Care

Improving our Childrens Health

Improving Patient Experience

Innovation in Integrated Digital Excellence

Innovation in Service Delivery

Supporting a Healthy Community

Enteries with the following symbol are active links to the relevant Location

24 25 Category: Category: Category: Category: Category: Category: Championing Mental Health Championing Mental Health Championing Mental Health Championing Mental Health Championing Mental Health Championing Mental Health

Project Title Project Title Project Title Project Title Project Title Project Title Individual Placement and Raise Your Voice Choir The WITH project; Well-being Dealing with Disclosure - SPACE programme - RISE: Responsive Early Support (IPS) in the Mental In The Home Reintegration with the Supporting Parents and Intervention for psychosis Health Service Community Carers of young people who Service, South Lee, Cork self harm

Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: : entries from this Location Location: entries from this Location Location: entries from this Location Corporate Services CHO Area 7 CHO Area 2 National Services Children’s Hospital Group CHO Area 4

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: National Mental Health Service Dublin South Central Mental Health Child & Adolescent Mental Health National Forensic Mental Health Service CHI at Temple St/ Children’s University South Lee Mental Health Service, Cork Service Services (CAMHS) Hospital, Temple St Contact Person: Contact Person: Contact Person: John McCusker Contact Person: Contact Person: Jennie Moore Contact Person: Karen O Connor Colin Kelly Dr Sharyn Byrne, Project Lead Dr Elizabeth Barrett/ Carole Boylan Email Address: Email Address: Email Address: [email protected] Email Address: Email Address: [email protected] Email Address: [email protected] [email protected] [email protected] [email protected] Role: Role: Role: Senior Operations Manager Role: Role: Social Care Team leader Role: Consultant Psychiatrist/ Clinical Lead Assistant Director of Nursing Senior Clinical Psychologist Consultant in Child and Adolescent Sponsor: Sponsor: Psychiatry/ CNS lead for SPACE Sponsor: Michael Ryan Sponsor: Sponsor: Lisa McLoughlin program Sinead Glennon, Lead for Mental Oliver Mernagh DON / Kevin Brady Area Dr Meena O’Neill Health, CHO 4 & Dr Siobhan Ni Bhrian, Manager Sponsor: National Clinical Advisor and Group Mona Baker , CEO, Childrens university Lead, Mental Health Hospital Temple Street.

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Individual Placement and Support Raise Your Voice Choir has up to 50 The WITH project (Well-Being In The Disclosing a history of an offence The SPACE (Supporting Parents Psychosis is a serious mental illness, (I.P.S.) is an evidence-based approach members, which is made up of services Home); a young person’s guide to perpetrated secondary to severe mental and Carers) programme is a which was traditionally associated with to employment for people who users, staff working within the mental parental Mental Health, was developed illness and necessitating hospitalisation psychoeducational intervention a poor prognosis, characterised by experience mental health difficulties. health services and family members as the first online information resource in the Central Mental Hospital, was developed to improve the well-being relapses and hospitalisations. With the In partnership with contracted from all areas within CHO 7 including for young people in Ireland who are in identified as a barrier to patients of parents of children who engage in new RISE service each individual gets employment agencies, 28 adult Psychiatry of Later Life. The Choir the situation that their parent struggles returning to community life. Our self-harm thoughts and behaviours, and a dedicated key worker, psychological, community mental health and rehab gave a great performance under with Mental Health. It provides innovative programme was developed to empower them to better support their family, peer, vocational & physical and recovery teams across Ireland have Colin’s direction at a Concert in the information on various parental Mental for patients, who are vulnerable to young person. Offered twice a year since health interventions for 3yrs. This Employment specialists embedded Helix Theatre on 8th October 2019 to Health difficulties that the young person significant stigma, to return to the 2009, several hundred participants have improves service user experience, health within their teams supporting celebrate World Mental Health Day to may experience and signposts them to community. attended. and vocational outcomes. participants into open market a full house. Appearing with the Choir supports they can access. This resource employment. were Tony Kenny and Colm Wilkinson was developed in recognition of the who sang both with the Choir and distress that some young people can solo. The Choir are planning their next experience. projects for 2020.

26 27 Category: Category: Category: Category: Category: Category: Championing Mental Health Championing Mental Health Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care

Project Title Project Title Project Title Project Title Project Title Project Title CAMHS Made Simple Inpatient and outpatient pilot Transformation of Clonskeagh Ireland’s first community The Integrated Community Establishing the first on Dual Diagnosis (Mental Community Nursing Unit into specialist eating disorder Midwifery Service (ICMS) prehabilitation exercise illness & Substance misuse) a butterfly home - Adapting service for under 18’s. service for cancer surgery Social Care Model. patients

Location: : Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all entries from this Location entries from this Location entries from this Location entries from this Location entries from this Location entries from this Location CHO Area 9 CHO Area 3 CHO Area 6 CHO Area 7 Ireland East Hospitals Group St. James Hospital

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Dublin North City and County CAMHS Clare Mental Health Services HSE Mid Clonskeagh Community Nursing Unit Linn Dara Community Eating Disorder St Luke’s General Hospital Kilkenny Dublin Midlands Hospital Group West Service - LDCEDS Contact Person: Contact Person: Contact Person: Contact Person: Contact Person: Marie Fahy Vandana Iqbal Contact Person: Clare Kennedy Sarah Moore Dr Narayanan Subramanian Dr Michelle Clifford Email Address: Email Address: Email Address: Email Address: Email Address: [email protected] Email Address: [email protected] [email protected] [email protected] [email protected] [email protected] Role: Role: Role: Role: Registered Advanced Midwife Role: peech and Language Therapy Consultant General Adult Psychiatrist Acting Assistant Director of Nursing Role: Practitioner Clinical Specialist Physiotherapist and Adjunct Senior Clinical Lecturer, Clinical Lead, Consultant child & University of Limerick Sponsor: Adolescent Psychiatrist Sponsor: Sponsor: Claire Waldron (General Manager) Paula Power A/DOM Niamh Murphy Sponsor: Sponsor: Dr John O’Mahoney, Executive Clinical This project is in collaboration with: Mr Kevin Brady, Head of Mental Health This project is in collaboration with: This project is in collaboration with: Director & Consultant Psychiatrist, Mid West between all departments in Clonskeagh Services CHO7 The RAMP in collaboration with Niamh Murphy, Grainne Sheill, Mental Health Services HSE West. Community Nursing Unit including members of the SLGH Maternity MDT Department of Surgery St. James’ This project is in collaboration with Dr catering, Allied Health Professionals, This project is in collaboration with: developed the ICMS including Midwives, Hospital Subramanian, Consultant Psychiatrist) in partnership with HSE Mid West Drug Ser- Dementia Care Matters Team from UK National Clinical Programme for Obstetricians, Paediatricians, PHN’s, vices (lead - Mr Rory Keane, Regional Drug and local business to raise funds and Eating Disorders and Linn Dara Senior GP’s and CMS Ultrasonagher. Co-ordinator & Mr Colin O’Driscoll, Clinical families of the residents Management Team Psychologist, both from HSE Mid West Drug services ) and supported by voluntary bodies such as NOVAS (lead by Ms Julie Kenneally ) and Anna Liffey Project

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: The ‘CAMHS Made Simple’ booklet was A pilot project lead by mental health The Aim of the project was to transform Ireland’s lead pilot specialist The RAMP MC since registration This project established Pre-operative developed by Speech and Language services in partnership with HSE Mid from Medical Care Model to Social community eating disorder service has developed and implemented, rehabilitation (prehabilitation) Therapists (SLTs) based on an assessed West Drug Services and supported by Care Model. Goals included improving for children and young people as part an integrated hospital/community programme for people awaiting cancer need within Dublin North City and voluntary bodies such as NOVAS. The lived experience of people living with of the implementation of the HSE midwifery-led service which commenced surgery in St. James’ Hospital, Dublin, County CAMHS, to provide accessible project involves outpatient assessment a dementia. KPI’s were agreed and Model of Care for Eating Disorders. All October 2018 in SLGH Maternity service to get patients stronger and fitter information about CAMHS and how and management of people with outcomes were measured and staff children and adolescents CHO 7 now and has a team of 6 midwives funded by before surgery. The programme offers it can help young people and their mental illness and substance misuse were trianed in the Butterfly method. equally access our multidisciplinary the NWIHP. This service provides normal daily, physiotherapy led, high intensity, families. leading to inpatient detoxification and This project received NMPDU 2018 specialist ED team. Integrated care risk women with suitable care pathways aerobic, strengthening and breathing stabilisation. Inpatient admissions are innovation funding and was undertaken is prioritised with collaborative care for their needs i.e. supported and exercise classes and Home-based ‘CAMHS Made Simple’ explains what on a planned basis and follow up such in collaboration with Dementia Care pathways developed with community assisted Maternity Strategy (2016). programme isavailable for those unable CAMHS is, the pathway and who young as drug rehabilitation if needed after Matters Team from UK. There four CAMHS teams, paediatric and inpatient to attend classes. people will meet. It includes a list of detox and stabilisation are planned in private butterfly homes in Ireland; this is psychiatric settings. Our service delivers words to know, service user comments, advance and funding support from HSE the first HSE initiative. evidence based care for eating disorders information about our clinics and lists of Drug services and voluntary bodies in the community enabling young links and supports. Art created by young for same. Outpatient clinic occurs people to be treated while remaining at people is used in the booklet. once a week in the Ennis day hospital home with their families. outpatient clinic, supervised by Dr Subramanian and referrals are accepted from HSE Drug services and voluntary bodies

28 29 Category: Category: Category: Category: Category: Category: Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care Excellence in Quality Care

Project Title Project Title Project Title Project Title Project Title Project Title Meet, Eat, Feeling Sepsis Public Awareness Managing Erectile NavFIT- Developing an Management Referral triaging The People Who Touch the Patient Complete: Maximising social Campaign Dysfunction in Cardiac integrated care pathway for Process Pilot Study Make the Change: Successful Quality Improvement –Supporting engagement at mealtimes Rehabilitation in a Model 3 Frail Elderly Patients Staff, Enhancing Care and beyond. Hospital.

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Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: CHO DNCC Residential Services Acute Operations Cardiac Rehabilitation Our Ladys Hospital, Navan Occupational Health Department National Rehabilitation Hospital Incorporating Seanchara, St Clares and Navan Road Units Contact Person: Contact Person: Contact Person: Contact Person: Contact Person: Ann T Martin Lorna Keating Aileen McElhone Dr Abigail O’Reilly Dr Valerie Twomey Contact Person: Esther Irwin Email Address: Email Address: Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] [email protected] Email Address: [email protected] Role: Role: Role: Role: Role: Communications Clinical Nurse Specialist Senior Occupational Therapist Co-investigator Programme Manager Role: CNM3 Practice Development Sponsor: Sponsor: Sponsor: Sponsor: Sponsor: Coordinator Vida Hamilton Anne Murphy Acting DON Naas General Mr. Ken Fitzgibbon - Hospital Manager Dr Conor McDonnell Valerie Twomey Hospital Sponsor: This project is in collaboration with: This project is in collaboration This project is in collaboration with: This project is in collaboration with: Rachel Simons- Area Director of Nursing The National Sepsis Team, Clinical Lead This project is in collaboration with: with: NavFIT is co-led by a Supervising consultant, occupational Rosie Kelly, Eugene Roe, Lisa Held, Dr Martina Healy & PM Ciara Hughes, Cardiac Rehabilitation clinical nurse Senior Physiotherapist and Senior health nurses and clerical staff within Mark Delargy, Frances Campbell, This project is in collaboration with: Sepsis ADONS Dr Karn Cliffe, Yvonne specialist and coordinator, Cardiology Occupational Therapist supported by the Occupational health department Rosemarie Nolan, Derek Greene, Sandra Hutchinson, June Fitzpatrick, Young, Mary Bedding, Celine Conroy, consultant and registrar and out patient relevant managers, ED staff, AHP’s, were also involved Amanda Elaine Shaw, Caitriona Manning, Jack Fidelma Gallagher, Sinead Horgan staff. Medical Teams. koers, Trevor Bolieu, Caroline Gourley, Rachel Simons, Winah Quinjano, Hilary Kingston, Pamela Bohm, Alice Kearns, MIchelle Hayden

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: A range of quality improvements to Sepsis awareness campaign with videos Links between erectile dysfunction NavFIT has demonstrated Telephone contact has been The NRH has successfully developed improve the mealtime experience and of patients and healthcare professionals (ED), and cardiovascular disease (CVD), improvements in communication introduced as a new means of triage and implemented a quality provide additional spaces for residents outlining their experience, information are well recognised. However due to and work practices. From the of Management Referrals. Audit improvement training and support to socialise. Improvements included on how to recognise sepsis and seek the sensitivity of the issue and under initial presentation to ED patients has shown dramatic improvement programme for staff to enhance the -move to smaller refurbished sitting help. resourcing, determining ED is not and their families now receive a in efficiency of our department. The quality of frontline care given directly rooms,rustic signage, soft furnishings, always a priority. A cardiac rehabilitation more comprehensive and timely time from receipt of management to patients. The programme includes a creation of 1950’s room for coffee (CR) programme provides an ideal assessment. Hospital and community referral until first contact/telephone Quality Goal, QI Toolkit, QI Programme mornings and reminiscence, Resident opportunity to identify, diagnose, and staff have benefited from improved independent medical assessment and and Community of Improvers, where kitchen installed, Breakfast clubs treat ED in an effective and respectful communication. All of this has led to waiting times for next available face-to- staff receive support, mentoring and commenced, Resident Pub [Durty manner by establishing open, honest improvements in length of stay and face appointment with an OH Physician coaching on quality initiatives. Nellies] ‘Fine Dining’ experience, Inter relationship with patients. patient experience. have markedly improved. unit ‘bake off’ , purchase of ‘able tables’ to improve direct eye contact and interaction, day trips. Staff training re best practice for people with dementia at mealtimes, reminiscence therapy, validation therapy training & life story work was provided. The timing of meals changed to better meet the needs of residents with more evenly spaced gaps between meals.

30 31 Category: Category: Category: Category: Category: Category: Excellence in Quality Care Excellence in Quality Care Improving our Childrens Improving our Childrens Improving our Childrens Improving our Childrens Health Health Health Health Project Title Project Title Improving Outcomes “I’m just Born, Keep me Project Title Project Title Project Title Project Title through Safety Huddle Warm” The Nurture Programme – Baby Food Made Easy - parent ‘The Teen Group’- developing CHI at Connolly: First Implementation Infant Health and Wellbeing workshop on introducing home and community Paediatric Outpatient and spoon feeds independent living skills. Urgent Care Centre

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Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Cork University Hospital Neonatal Intensive Care Unit (NICU). Universal Child Health Service – All Primary Care (supported by Health Beechpark Autism Services- Northside Children’s Health Ireland (CHI) at Galway University Hospital healthcare service settings delivering Promotion and Improvement) Team Connolly Hospital in Blancharstown Contact Person: universal, integrated services from Dr Dorothy Breen Contact Person: antenatal to child’s 3rd birthday Contact Person: Contact Person: Contact Person: Jean James Dr Helen Ryan Paula O’Shea Paul Harding Email Address: Contact Person: [email protected] Email Address: Anne Pardy Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] Role: Email Address: Consultant in Intensive Care and Clinical Role: [email protected] Role: Role: Role: Lead for Quality Registered Advanced Nurse Practitioner Senior Dietitian in Primary Care Occupational Therapist Manager, CHI at Connolly in Neonatology Role: Sponsor: Programme Manager, Nurture Sponsor: Sponsor: Sponsor: Ger O’Callaghan Sponsor: Programme - Infant Health & Wellbeing Mairead Aherne (Dietitian Manager) Anne Hughes Kazibwe Dr Ciara Martin, Executive lead for CHI Ms Helen Murphy. Director of Midwifery at Tallaght and Connolly This project is in collaboration with: Sponsor: This project is in collaboration with: This project is in collaboration with: Catharina Healy, Mary Doyle CNM2, This project is in collaboration with: Dr. Kevin Kelleher, and Public Health & Public Health Nurses in Dublin South SLT reviewed written and visual This project is in collaboration with: Helen McCarthy RN, Carolyn Cullinane The QI team was called “The Ten Child Health West/Kildare West Wicklow, South information like social stories and Children’s Health Ireland, National DIT, Avril O’Halloran Physio, Ward Degrees” and included midwives Dublin County Partnership (Food and presentations within group. CNS and Paediatric Hospital Development Board, Pharmacist on Huddle wards, Mr Hugo from Labour ward, Post-natal ward, This project is in collaboration with: Health Project), Health Promotion and psychology facilitated the group when HSE, Department of Health. Prins Consultant Suregon, Prof Mark and Gynaecological theatre, NICU Dr.Phil Jennings,Carmel Brennan,Child Improvement out in the community and Social work Health & Nurture Programme Corrigan Consultant Surgeon, Claire staff, Practice Development, a Parent provided internet safety presentation. team . Nurture Programme Team, Costigan Advocate and University colleagues. Conor Owens,Dr.Julie Heslin,Dr. Caroline Mason-Mohan,Ann O’Shea,Grainne Gaffney,Janet Gaynor,PHNs,CMDs,Public Health,Communications, AHPs,KHF,CES

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: The “safety huddle” is a 15-minute, Babies are not born cold. They cannot The programme is a quality A workshop to provide evidence based The “Teen Group” is a five week CHI at Connolly in Blanchardstown multi-disciplinary ward meeting to shiver; therefore we must intervene improvement initiative designed to information and develop practical skills Occupational Therapy summer group opened on 31 July 2019, it is a major re-establish situational awareness in their care. Our QI project helped improve information and professional on spoon feeding is run monthly in four for teenagers availing of services milestone in the new children’s hospital and reduce harm as breakdown in us reduce our Hypothermia figures supports provided to parents during sites across Dublin South West and from Beechpark Autism Services. The project. The benefit for patients and communication between healthcare in babies admitted to the NICU from pregnancy and the first 3 years of life. It two sites in Kildare. The workshop was group was successful in developing the families is bringing fast, convenient, workers is a significant contributor Gynaecology theatre by 88.5% in 2019. includes antenatal education standards developed by Community Dietitians who teenage participants’ independence quality care close to their home, as is The IHI promote its use worldwide as a We implemented a thermal care bundle and information, online and print also delivered training to the facilitators. in activities of daily living at home clinically appropriate. Its serves Dublin powerful tool however it has not been and helped change old habits and resources for parents and professionals, The workshops are facilitated by and within their community. Activities 15 and surrounding areas. adopted systematically in Ireland in practice. a standardised national record and a a Public Health Nurse and a Food included preparing simple meals, acute adult inpatient areas. blended-learning training programme. and Health Peer Leader from a local using Dublin Bus, shopping in community development organisation. Blanchardstown Shopping Centre, The workshops provide an interactive money management, and road safety information session and a cookery awareness. demonstration on preparing spoon feeds for infants at different stages. Participants receive written information, a blender, a cookbook and basic food storage equipment. The workshops are free of charge to participants (funded by Health Promotion and Improvement).

32 33 Category: Category: Category: Category: Category: Category: Improving our Childrens Improving our Childrens Improving Patient Experience Improving Patient Experience Improving Patient Experience Improving Patient Experience Health Health Project Title Project Title Project Title Project Title Project Title Project Title The CUMH Gynaecology Alternative Respite Holiday Establishment & Hepatitis C Peer Support Support Group for Siblings of The explosive leap to Waiting List Initiative Weekend for Children with Implementation of All-Island Project Children with Disability and/ Secondary school Disabilities and their Families Congenital Heart Disease or Complex Health Needs Network

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Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Sligo/Leitrm Social Care/Disability Primary Care Paediatric Occupational Cork University Maternity Hospital St. Joseph’s Foundation Children’s Cardiac Services Misericordiae University Hospital Services Therapy Infectious Diseases Department/Centre Contact Person: Contact Person: Contact Person: for Liver Disease Contact Person: Contact Person: John Higgins Noreen Ryan sharon morrow Christina Egan and Mairead Higgins Transition to Secondary School Inter- Contact Person: vention Groups Email Address: Email Address: Email Address: Tina McHugh Email Address: [email protected] [email protected] [email protected] [email protected] Email Address: Email Address: [email protected] Role: Role: Role: [email protected] Role: Project Sponsor and Clinical Director, Chief Executive Officer All-Island Congenital Heart Disease Community Facilitator Manager and Role: Ireland South Women & Infants Network Director Role: Social Worker Provision of Occupational Directorate Sponsor: Hepatitis C Community Pathways Therapy to individuals transitioning into Eamon McCarthy Chair-Board of Sponsor: Coordinator Sponsor: Secondary School Sponsor: Directors/Michael Hegarty Disability Eilish Hardiman Geraldine Cosgrove and Kate Ferguson Professor John Higgins Manager CHO 4 Sponsor: Sponsor: This project is in collaboration with: Professor Jack Lambert This project is in collaboration Deirdre Cullen This project is in collaboration with: This project is in collaboration with: DoH ROI & NI, HSCB, HSE, CHI@ with: Christina Corrigan, Community A cross functional focus group at Trabolgan Management & Staff; Crumlin, RBHSC, Children’s Heartbeat This project is in collaboration with: Facilitator for Disability Services This project is in collaboration with: CUMH with representation from senior Management & Multi-disciplinary Trust, Heart Children Ireland, NISTAR Hepatitis C Pharmacy Department, Manager Sligo/Leitrim, Ciara McBride, All members of South Lee OT PCC Team management in various departments, Departments from St. Joseph’s (Ambulance service), UCD, QUB, UU, Social Inclusion Team at the Mater Assistant Psychologist, Psychology were involved in designing and deliver- the SSWHG, the NWIHP Foundation; HSE Disability Managers; SSW/ Saolta /UL Hospital groups, Hospital, Mater Foundation (official Dept., Markievicz House, Sligo, Mairead ing the group Primary Care; Local Community BHSCT, WHSCT, SHSCT fundraising body at the MMUH) Higgins, Social Worker, Childrens Volunteers Disability Service, Sligo.

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Based on the model developed by Don A two day workshop delivered to The CUMH Gynaecology Waiting List St Joseph’s Foundation in association The All-Island Congenital Heart Disease The Peer Support Project seeks Meyer. They are run on a group work children (2days - 6 hours contact) and a Initiative was designed to tackle the with Trabolgan Holiday Village and the (CHD) Network was established in 2015 to identify, engage and facilitate basis, involving a group of siblings aged 1 hour talk to parents which focuses on highest gynaecology outpatient waiting HSE provided a cost effective family by the ROI & NI MoH following a review individuals affected by Hepatitis C 8 to 13 years coming together to share development when one is transitioning list in Ireland in the short term and work holiday respite weekend to 164 families (IWG) leading to the cessation of cardiac (HCV) in the community to access care information about their siblings with into secondary school. It consists of towards a sustainable model of service who had a child aged between 4-17 with surgery in NI with children travel-ling and treatment in the Mater Hospital. disabilities and to have fun. The Sligo/ children who are disorganised and delivery and patient care in the medium Autistic Spectrum Disorder, Intellectual to GB for treatment. The aim of the Peers provide ‘one to one’ practical Leitrim support group was facilitated poor fine motor skills. They cover topics term. Disability or Developmental Delay. St. Network is to deliver world class cardiac and emotional support which serves on a weekly basis for 6 consecutive such as goal setting, prioritising, Mind Joseph’s Foundation provided a number services for all children and young to facilitate patient’s attendance at sessions. The activities are centred on mapping, learning to use a time table, of workshops/activities for families. people on the island specialist hospital appointments & both individual and team work and minding your mental and Physical adherence to treatment. focused on the day to day experience of health, learning to tie a tie and filing. having a sibling with a disability and/or The parent talk mirrors the work done in complex health needs. the workshop and explains the various Tthe initiative aims to provide strategies discussed and coached in the parents and other professionals with group. opportunities to understanding more the concerns frequently experienced by brothers and sisters of people with a disability and/or complex health needs.

34 35 Category: Category: Category: Category: Category: Category: Improving Patient Experience Improving Patient Experience Improving Patient Experience Improving Patient Experience Improving Patient Experience Improving Patient Experience

Project Title Project Title Project Title Project Title Project Title Project Title Hospital to Home (H2H) Pilot Comfort care pack for family Community Oncology Nursing Blossom Together Guideline for the Care and “Memory Lane” Programme member of patient who is Care to Clients in Galway Management of a CVAD for a dying Primary Care. Child in the Community

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Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Older Persons’ Services Dublin North Connolly Hospital Blanchardstown Galway Primary,Community and St Patricks Community Hospital Children’s Health Ireland (CHI) @ Ennistymon Community Hospital. Central and Mater Hospital Dublin Dublin 15 Continuing Care. Summerhill Carrick On Shannon County Crumlin Leitrim Contact Person: Contact Person: Contact Person: Contact Person: Contact Person: Claire Collier Dr. Austin Warters Debby Gregg Helen Martin Contact Person: Imelda Hurley & Alice Ward Lorraine Sheridan Email Address: Email Address: Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] Email Address: [email protected] [email protected] Role: Role: Role: Role: Role: Director of Nursing Old Persons’ Services Manager End of Life Care Coordinator Assistant Director of Public Health Role: Paediatric Palliative Care Clinical Nurse Nursing. Assistant Director Of Nursing Specialist & Clinical Nurse Facilitator Sponsor: Sponsor: Sponsor: Paediatric Haematology / Oncology Sheila Ryan John Carew Aoife Clare (ADON) Sponsor: Sponsor: Kathleen Malee -Director of Public Nuala Gallagher Ditrector of Nursing Sponsor: This project is in collaboration with: This project is in collaboration with: This project is in collaboration with: Health Nursing. Dr Maeve O’Rielly Project design: Lynda Lynch, Multi Mary Fitzpatrick (RGN) , Lisa Murphy Discussed at our end of life care This project is in collaboration with: task attendant, Implementation: Claire (Home-support Manager)and Amanda committee. Feedback from families and This project is in collaboration with: Sharon Richardson Occupational This project is in collaboration with: Collier, Director of Nursing, Casey (Principal Social Worker, Mater staff helped develop the idea for the Public Health Nurses and Community Therapist, Olivia Furey Nolan Paediatric Palliative Care Team CHI @ Hospital), Dr. Austin Warters (Old comfort care pack. Registered General Nurses with Occupational therapy assistant and Crumlin, Centre of Children’s Nurse Persons’ Service Manager). Oncology training in each network Michael Duignan Occupational therapy Education (CCNE), Nurse Practice within Galway Primary Care, Carmel assistant Development & ONMSD Finn -Liaison PHN for Community Oncology, Galway.

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: H2H was established to prevent delays This is a supportive practice initiative. Currently the community oncology This intergenerational project with The guideline supports a needle- “Memory Lane” recreates an in hospital discharges. It enables people This pack will be given to the next of nursing service within Galway Primary the local preschool group is now in free experience for the child in the Ennistymon Street, incorporating to return home with home-support kin of a patient who is actively dying. Care caters for over 200 clients per its second year. This project involves community where possible. It provides resident’s memories/ ideas/ live on the day they are identified for The aim of the initiative add an element month. This service is provided either preschool children attending the unit guidance for healthcare professionals experiences, led by staff/volunteers who discharge or from ED to avoid hospital of support and an act of kindness to within the client’s home or a nearby twice monthly and enjoying interactions in the community in a manner that donated their time. admission. Care needs are re-assessed the care we give at the end of life. The designated primary care facility. In total and activities with the residents. optimises effective and safe care while post-discharge and this has shown a items in this pack help ensure the 2019 a total of 3,185 oncology nursing This has greatly enhanced th elived encouraging best evidence based The following shops are located in “ substantial reduction in the number of simple things that make a big difference interventions were facilitated by the experience of the residents and has practice. It has been recently revised Memory Lane”: Coffee shop, garden, home-support hours required. From like information on overnight facilities community oncology nursing service brought joy, fun and laughter into their and expanded. “Serenity “ Hair and Nail Bar, Internet March 2019- January 2020, 92 people and car parking. The pack contains: within Galway Primary care. lives . cafe, Shebeen, Post Office, “ Maire’s were referred to this service. Tissues, LED colour changing candle, Boutique” shop, a Men’s Shed/nursery, Coffee shop voucher, Parking permit, a Parlour and the Townhall Cinema. Information leaflets “What to expect (ref video) when someone you care about is dying in hospital” m When you experience a bereavement” leaflet, A guide to end of life service provisions in Connolly Hospital Evaluation form and a Notebook & pen

36 37 Category: Category: Category: Category: Category: Category: Improving Patient Experience Improving Patient Experience Improving Patient Experience Improving Patient Experience Innovation in Integrated Innovation in Integrated Digital Excellence Digital Excellence Project Title Project Title Project Title Project Title Community-based Hepatitis C Bookshelf for St James’s CAWT supported Community Discharge Pathway for Project Title Project Title Treatment Hospital Concourse Paramedic Project in the Patients who are Homeless Digital platforms integrating The Perinatal Mental National Ambulance Service Multimedia Advocacy to support Health Information App for Person-Centred Planning Healthcare Staff

Location: Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all Location: Press here to see all entries from this Location entries from this Location entries from this Location entries from this Location entries from this Location entries from this Location CHO Area 3 Dublin Midlands Hospital Group National Ambulance Sevice CHO Area 7 Voluntary Provider (Section 38) National Clinical Programmes

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Limerick Drug and Alcohol Service St James’s Hospital National Ambulance Service Lakeview Unit, Naas General Hospital Saint John of God Liffey Services Specialist Perinatal Mental Health (LDAS) Service Contact Person: Contact Person: Contact Person: Contact Person: Contact Person: Dr Laura O’Doherty Bridget Clarke Gerrita Russell Sarah Gavra Boland Contact Person: Dr Susan Ryan Fiona O’Riordan Email Address: Email Address: Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] Email Address: [email protected] [email protected] Role: Role: Role: Role: Role: Bookshelf Manager (also Senior House National Ambulance Service Lead, Out Senior Social Worker, Kildare West Assistive Technology Coordinator Role: General Practitioner, Addiction Officer) of Hospital Cardiac Arrest Strategy & Wicklow Mental Health Service Programme Manager Services Associated Specialist Programmes Sponsor: Sponsor: Sponsor: Elisa Doyle Sponsor: Ms Claire Holdsworth, St James’s Sponsor: Elaine Powell Dr. Siobhán NiBhriain, Sponsor: Foundation Manager Martin Dunne, Director of the National This project is in collaboration with: National Clinical Advisor Group Lead, Mr Rory Keane Regional Drug Co Ambulance Service This project is in collaboration with: Director - Elisa Doyle , Manager- Audrey Mental Health Clinical Programmes -Ordinator This project is in collaboration with: Linda Hutton, ADON, Dr Donal O’Han- Carroll, Coordinator- Alan Byrne, ICT - St James’s Foundation, Vincent Callan, This project is in collaboration with: lon, Clinical Director Brendan McCormack, Advocate - Aine This project is in collaboration with: This project is in collaboration with: Director of Facilities Management, This project started in 2017, funded by Walsh, MDT - Zafar Iqbal, Christina Dr Margo Wrigley , National Clinical Ms Helen Ryan, CMN 1, Ms Catherine Design – in-house architect, CAWT, involving collaborative working Cannon Lead for perinatal mental health Keane, SN, Ms Norma Harnedy, Infection control, Security, Concourse with the 3 Ambulances services of the development nationally, Perinatal National Liaison Pharmacist management, Technical Services ROI, Scotland & Northern Ireland. psychiatrists , Mental Health Midwives Division , Constructed by Medi FM, , Tusla link who reviewed their section, NDTP Spark Seed Funding Grant of 500 Voluntary euro

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: LDAS is the first addiction clinic outside The bookshelf is a beautiful architect The NAS Community Paramedic Project Development of a Discharge Pathway In 2012 we began introducing The PMH App is designed to provide Dublin to provide onsite Hepatitis C designed communal space in the busy is targeting elderly patients with chronic for patients who are homeless at the multimedia to support total the latest information to assist treatment. Clients on OST who attend hospital concourse providing free exacerbation’s or low acuity illness’s. time of discharge through collaborative communication oin Person Centred healthcare staff in their roles, providing LDAS often struggle to access tertiary reading materials to patients, staff Community Paramedics are highly working and partnership with Kildare Planning. We believe everyone deserves information on Perinatal Mental Health care for multiple reasons, and can now and visitors. It is a joint initiative of trained staff who have undergone County Council to develop a referral access to their information and aim to problems, teams providing services and access effective Hepatitis C treatment in St James’s Hospital Foundation and specialised training to enable them to process for their homeless unit including promote accessibility. We have been information and contacts for related our primary care setting. Inclusion Health SJH. It was inspired see/treat patients in their own homes or the homeless outreach worker meeting researching and testing systems to areas. It is regularly updated with new by a survey conducted in 2016 asking communities, rather than unnecessarily the patient at the hospital for an support our ‘Person Centred Plans’. content, weekly polls, news and events. marginalised patient groups about their transporting them by ambulance to assessment and to develop and agree We have Co-Designed an accessible hospital experience. Many specifically busy hospital Emergency Departments. a plan so that the patient knows what platform solution with Asperico thanks asked for access to books, something accommodation will be provided for to QIC grant. before this initiative, there was no them on discharge and also what follow easy access to. Thanks to the many up supports the CMHT will provide. volunteers, book donations and hard work it has been a great success.

38 39 Category: Category: Category: Category: Category: Category: Innovation in Integrated Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Digital Excellence Project Title Project Title Project Title Project Title Project Title Project Title North Tipperary Intensive Tracheostomy speaking valve Combining Nurse-Triage, Pre-Hospital Transfusion RAPID Physiologist-led Home-based Virtual Pulmonary Tenancy Sustainment Service. modification in children: A Consultant-Vetting and Partial- Project Monitoring Service Rehabilitation Programme for standardized approach leads Booking Significantly Reduces COPD patients. to widespread use. Endoscopy Waiting Lists

Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location CHO Area 8 CHO Area 3 Children’s Hospital Group RCSI Hospital Group South/SouthWest Hospitals Group West / North West Hospitals Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Physiotherapy Department, Our Lady of North Tipperary Community Mental Children’s Health Ireland at Crumlin Connolly Hospital, Blanchardstown. Blood Transfusion Laboratory & Dept. University Hospital Galway Lourdes Hospital Health Services of Emergency Medicine, Cork University Contact Person: Contact Person: Hospital Contact Person: Contact Person: Contact Person: Zelda Greene Professor Richard Farrell Paul Nolan Majella O’Reilly James Harrington Contact Person: Email Address: Email Address: Padraig O’Sullivan Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] [email protected] Email Address: Role: Role: [email protected] Role: Role: Role: Senior Speech and Language Therapist Endoscopy Lead and consultant Chief II Cardiac Physiologist Pulmonary Rehabilitation Physiothera- Assistant Director of Nursing in Transitional Care Unit, a Unit in CHI at Gastroenterologist Role: pist Crumlin for infants and children who are Senior Medical Scientist Sponsor: Sponsor: long term tracheostomy and ventilator Sponsor: Prof Pat Nash, Consultant Cardiologist Sponsor: Niamh Wallace General Manager Mid- dependent. Ms. Barbara Keogh Dunne, Hospital Sponsor: Ms. Sinead Creagh and Group Clinical Director Celine Meehan/mPower West Mental Health Services Manager, Connolly Hospital Sponsor: Blanchardstown. This project is in collaboration with: This project is in collaboration with: This project is in collaboration with: This project is in collaboration with: Catherine Cunningham, Speech and Blood Transfusion Laboratory, Haemov- Medical Physics staff expidited purchase Cathy Gillen, Physiotherapy Respiratory Two Community Mental Health Teams Language Therapy Manager This project is in collaboration with: igilance & Emergency Medicine Staff at with national procurement, CCU nurse Clinical Specialist, Boyne Primary Care our partner agency Focus Ireland and This project highlights the coordinated CUH (& engagement with IBTS, National redirected low to medium priority Centre, mPower, Dr Ann Coyle, General Co Council Staff, Service improvement, This project is in collaboration with: multidisciplinary teamwork across Ambulance Service and St. Vincent’s telemetry requests to the new service. Manager Health&Wellbeing and Interim Other approved Housing Bodies. Departments of Clinical Engineering nursing, medical and scheduled care in Hospital, Dublin). PAS Office amended online ordering Lead for Quality and Safety (Jim Davenport, Philip Hartnett, Reden successfully reducing endoscopy waiting form to include new service Prudenter), Paediatric Otolaryngology lists. (ENT) (Mr John Russell), Nursing (Siobhan Fitzgerald, Airway Clinical Nurse Specialist), Respiratory Medicine (Professor Paul McNally)

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Virtual Pulmonary Rehabilitation Intensive tenancy support (TS) of Children with complex airways require The HSE faces unprecedented pressure Development of a system to enable To address delays for inpatient is a live and interactive group class varying levels to adults with mental tracheostomy and ventilation. Over in endoscopy referrals with over 20,000 life-saving blood transfusions to take telemetry we commenced a RAPID which allows patients to exercise in the health difficulties who may be 70% of our infants were not eligible for patients on the Inpatient/Day-case place in the pre-hospital setting (e.g. Physiologist-led Monitoring service comfort of their own home under the homeless/ at risk of homelessness. 2 speaking valves which restore voice, National GI Endoscopy waiting list. A at the scene of an accident) to enhance in Jan 2019. Requests are made guidance and supervision of an expert staff source quality accommodation, aid feeding, secretion management, unique triple combination of endoscopy the existing pre-hospital emergency electronically and Cardiac Physiologists, physiotherapist. Classes are streamed work in partnership with relevant ventilation sprinting. Our valve nurse-triage, consultant referral-vetting medicine service provided to the HSE triage requests, fit the monitor, which live from a tech hub to the individual’s community services & are employed by modification programme ensures all and partial booking achieves key waiting South/Southwest from Cork University provides 72hrs of monitoring. Patients home alleviating the inconvenience Focus Ireland & work as part of 2 MH eligible children now receive speaking list performance targets by significantly Hospital. can be discharged with the monitor on. and cost of travelling to a hospital teams in North Tipp. valves. Communication and feeding reducing urgent, non-urgent and Recordings are reported immediately on or community centre. The initiative outcomes improve. Parent survey surveillance endoscopy lists. return by Cardiac Physiologists. targets patients living with COPD in indicated improved quality of life. the CH08 area. COPD is a chronic debilitating respiratory condition affecting over 440,000 people in Ireland and Pulmonary Rehabilitation is a proven, cost effective treatment in the management of COPD.

40 41 Category: Category: Category: Category: Category: Category: Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery Innovation in Service Delivery

Project Title Project Title Project Title Project Title Project Title Project Title Virtual Glaucoma Clinic Responding to National Novel role for Pharmacists Implementation of Beaumont Hospital Learn while you wait Demands – Reconfiguration Model in the Management and implementation of CAMHS in the Cancer Services clinic Department of Health Policy Laboratory Modernisation of Patients with Stable SEDB (Specialist Eating setting at University Hospital {Advanced Practice Nursing/ Glaucoma Disorder Beds Limerick Midwifery}

Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Ireland East Hospitals Group CHO Area 7 UL Hospitals Group Corporate Services RCSI Hospital Group West / North West Hospitals Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Royal Victoria Eye and Ear Hospital Linn Dara Approved Centre University Hospital Limerick Office of the Nursing and Midwifery Beaumont Hospital Sligo University Hospital, Letterkenny Services Director (ONMSD) University Hospital and Tallaght Contact Person: Contact Person: Contact Person: Contact Person: University Hospital Aoife Doyle Nicole Barrett Olivia Flynn Contact Person: Peter O’Leary Mary Frances O Reilly Contact Person: Email Address: Email Address: Email Address: Email Address: Seamus Boyle [email protected] [email protected] [email protected] Email Address: [email protected] [email protected] Email Address: Role: Role: Role: Role: [email protected] Consultant Ophthalmic Surgeon. Project Clinical Specialist Dietitian Chief II Pharmacist Role: Laboratory Manager Lead ONMSD Lead for Advanced Practice Role: Sponsor: Sponsor: Nursing and Midwifery Sponsor: ENT SpR Sponsor: Prof Brendan Doody (Clinical Director) Anne Harnett Professor Patrick Thornton Donal Brosnahan, Clinical Director, Sponsor: Sponsor: RVEEH This project is in collaboration This project is in collaboration with: Dr. Geraldine Shaw, Director, Office This project is in collaboration with: Mary Bresnihan with: Linn Dara Approved Centre Maria O’Sullivan, Eoin Barrett, Joanne of the Nursing and Midwifery Services A dedicated cross-functional working This project is in collaboration with: (LDAC) MDT staff , Acute Medical/ Nally Director group was used which included: This project is in collaboration with: Ciara Liston, Clinical Nurse Specialist, Paediatrician colleagues , Collaboration Laboratory Directorate staff and the Nurses, doctors, secretaries, clinical Department of Nursing with International Experts,Patients and This project is in collaboration with: Departments of Procurement, Finance, photographers, illustrators, quality Jeroen Verbruggen, Department of I.T Families, Laboratory Dept, Radiology Key partners included the Office of the HR, ICT, Technical Services, General managers, care staff, administrators Paul Moriarty, Clinical Director/ Acting Dept Chief Nurse in the DOH, NMBI, HEI’s, services (Portering, hygiene, security CEO 2017-2019 Directors of Nursing, National Clinical etc) and Integrated Programmes

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: To improve efficiency in managing Reconfiguration of 8 Inpatient CAMHS A Pharmacists’ presence in Cancer A draft policy was tested, leading to The Laboratory Modernisation The concept is simple to improve stable glaucoma and glaucoma beds to dedicated CAMHS SEDB’s in Services clinics can effectively ensure publication of the Policy on Graduate project involved alignment of the core patient experience while waiting for suspects where patients attend a 2019. that new patients starting on SACT to Advanced Practice (DoH 2019). blood science laboratory elements their clinic appointment. To replace nurse run clinic. Staff interview and (systemic anti-cancer therapy) have an This involved recruitment, education of Biochemistry, Haematology and daytime TV with an informatic display take measurements for later review by Introduction and deployment of accurate medication review and drug and registration of advanced nurse Immunology to an automated tracked with helpful advice from ENT doctors. the consultant ophthalmologist in a advanced clinical and therapeutic skills interaction check performed before a practitioners across all health services. system while maintaining the key In addition to have a poster display virtual clinic model with the use of the within an individualised evidence based patient starts on treatment, and also Emerging evidence demonstrates that function of specialist Laboratory work in to summarise the TV display with QR electronic medical record (EMR) approach. Prior to 2018 there was no involves the patient in their medication RANPs enhance care through timely the aforementioned areas. The project codes to link to HSE Live. access to Irish CAMHS SEDB’s to treat journey. access to services, hospital avoidance, delivers significant benefits in terms of severe Eating Disorder cases often and reduced waiting lists Turnaround Times for both scheduled with comorbidities. Previously patients and unscheduled care by aligning with required prolonged treatment outside the Royal College of Pathologists’ Key of Ireland. Performance Indicators for laboratory operations.

42 43 Category: Category: Category: Category: Category: Category: Innovation in Service Delivery Supporting a Healthy Supporting a Healthy Supporting a Healthy Supporting a Healthy Supporting a Healthy Community Community Community Community Community Project Title Improving blood Inventory Project Title Project Title Project Title Project Title Project Title management: A collaborative The Gaming Group Dementia: Understand Mid West Advancing Recovery Women’s Health After ‘Billy’s Trolley’ (Employment approach. Together Community in Ireland Education Service Motherhood. inclusion in the work place.) Activation (ARIES)

Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Press here to see all Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Location: entries from this Location Dublin Midlands Hospital Group CHO Area 5 National Services CHO Area 3 RCSI Hospital Group South/South West Hospitals Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Blood Transfusion laboratories at Naas Wexford Adult Mental Health Service Community HSE Mid West Community Healthcare Rotunda Hospital Mallow General Hospital Hospital, The Coombe Hospital and Tallaght Hospital Contact Person: Contact Person: Contact Person: Contact Person: Contact Person: Ciaradh Walsh Emer Begley Eileen Cunningham Cinny Cusack Caroline O Leary Contact Person: Helena Begley Email Address: Email Address: Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] [email protected] [email protected] Email Address: [email protected] Role: Role: Role: Role: Role: Senior Occupational Therapist Senior Project Manager Education, Training and Development Physiotherapy Manager CNM2 Role: Officer Senior Medical Scientist, Blood Sponsor: Sponsor: Sponsor: Sponsor: Transfusion, Naas General Hospital Orla O’Conor Mary Manning Sponsor: Fiona Hanrahan/Trinity College Caroline O Leary Niamh Wallace Sponsor: This project is in collaboration with: This project is in collaboration with: This project is in collaboration with: This project is in collaboration with: Mary Duggan LINK Training. Wexford Mental Health HSE - National Dementia Office, Health This project is in collaboration with: Deirdre Daly, MAMMI team, Niamh The management, nursing, clerical, Association. Wexford OT Department and Wellbeing and Communications, 12 HSE Mental Health Staff members Kenny, Mental health experts, sexual household and supplies staff in Mallow This project is in collaboration with: The Alzheimer Society of Ireland, Age volunteer as Recovery Education health experts, chiropractor, health General Hospital. Blood transfusion staff at NGH, CWIUH Friendly Cities and Counties. Facilitators, HSE Mental Health services economist, maternal health researchers, and TUH, First Direct Medical and the throughout the Mid West region. midwives, IBTS.

Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Summary of Project: Following a meeting between NGH, Stakeholders coproduced a weekly Dementia: Understand Together in We provide the Mid West with an The Women’s Health After Motherhood This initiative is being developed CWIUH , TUH and the IBTS a decision group for young people who required Communities is inspiring individuals, educational programme on recovery and course was developed with women and to create a partnership to promote was made to try and implement a support to engage in activities in their organisations and community well-being in mental health. For more maternal health experts, to provide inclusive employment opportunities in weekly blood exchange program communities. A strong shared interest groups; taking actions and creating see https://youtu.be/44KvE3dCvmc. We reliable, trustworthy information on Mallow General Hospital in association between the 3 sites. Blood with in gaming led to the development of communities where people living offer a range of courses, information and postpartum health and well being with the Cope Foundation’s Ability@ approximately 2 weeks to expiry at a dedicated gamesroom. The group with dementia and their families are educational materials in communities for women, their partners, and for work scheme. Naas hospital and The Coombe hospital meets every fortnight to game and plan respected, supported and connected. and in acute psychiatric units. We healthcare professionals. The course is exchanged once a week for units activities for the following week (eg Over 300 community champions and provide training and education for addresses the gaps in knowledge with longer expiry dates from Tallaght lasertag, bowling). 40+ national partners are increasing mental health staff and third level surrounding women’s postpartum hospital via First Direct medical blood awareness and understanding of students. health and provides strategies to transport vans. This exchange program dementia, changing services and address them. has drastically reduced blood ordering, tackling stigma blood wastage and inappropriate use of precious O Negative blood.

44 45 Category: Category: Category: Category: Supporting a Healthy Supporting a Healthy Supporting a Healthy Supporting a Healthy Community Community Community Community

Project Title Project Title Project Title Project Title Development and Establishment of the Health Independence through Smart Change Your Mind Festival Implementation of an Autism surveillance clinic for children Technology 2019 Awareness eLearning programme with Down syndrome

Press here to see all Press here to see all Press here to see all Press here to see all Location: entries from this Location Location: : entries from this Location Location: entries from this Location Location: entries from this Location Dublin Midlands Hospital Group Children’s Hospital Group CHO Area 4 CHO Area 1

Healthcare Setting: Healthcare Setting: Healthcare Setting: Healthcare Setting: Centre for Learning and Development, Children’s Health Ireland at Tallaght Cheshire Ireland Community Services Sligo/Leitrim Mental Health Services Human Resources Directorate, Tallaght University Hospital Contact Person: Contact Person: Contact Person: Ms Fiona Mc Grane Jason Cooke Dr Ignazio Graffeo Contact Person: Shauna Ennis Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] Email Address: [email protected] Role: Clinical Nurse Specialist Role: Role: Service Manager NCHD Role: Sponsor: Ms Blaize Whelan Head of Learning and Development Sponsor: Sponsor: This project is in collaboration Aoife Keogh HSE - Rosemary Hannigan Sponsor: with: Professor Eleanor Molloy Sharon Larkin, Human Resources (Neonatologist), Dr Joanne Balfe This project is in collaboration with: This project is in collaboration with: Director, TUH (Paediatrician) and Ms Jennifer Sharkey Our staff teams have supported the Hugh Slevin, Jacinta Sexton, Blathnaid (Audiologist) smart process through encourgment Quinn (nursing staff), Eliana Silvestri, This project is in collaboration with: and inovation. Blaithin Sweeney (Havin’ A Laugh Geraldine Kyle RNT, Clinical Neuro Association), Zola Flynn (administration) Psychologist, Consultant Paediatrician (Neurodisability), Professor Child & Adolescent Psychiatry,Community Child Health Liaison Nurse (Autism)

Summary of Project: This project supports people with disabilities to live as independently as Summary of Project: Summary of Project: possible in their own homes in line with Summary of Project: The aim was to enhance the knowledge The development of multidisciplinary their person centred plan. Change Your Mind Festival is mental and skills of healthcare professionals one stop shop annual health screening This project supports people with health promotion event that includes interacting with autistic children clinic for children and adolescents with disabilities to be more independent a run, music bands throughout the and adults in the acute hospital Down syndrome the first of its kind in using smart technology (Alexa and is day, entertainment and workshops setting. An eLearning programme Ireland. It was envisaged that the clinic focused on using smart technology for children, magic shows, cooking was developed in collaboration with would reduce the need for multiple to practically support people with demonstrations, craft fair with over 60 subject matter experts across a range hospital attendances for children with disabilities to carry out everyday tasks stalls and over 50 speakers. In 2019 we of services and a key stakeholder which Down syndrome on an annual basis that would otherwise be impossible.. had an attendance of 4000 people. was representative of the Autistic and also reduce waiting times for These practical tasks would have been Community. appointments. It was also hoped that unimaginable a year ago without the the clinic would provide a holistic service support and knowledge of smart home tailored to the children’s medical needs Eg turning on and off a light, Sending and that care would be provided in a a text message, Making a phone call, coordinated manner. Listening to Audio Books, Managing a diary and schedule, Managing the hoovering up, Sending and receiving email messages, Managing the TV, Ordering a takeaway, Managing visitors from a safety perspective, Learning a language

46 47 Health Service Excellence Awards 2020 Health Service Excellence Awards 2020

Children’s Hospital Group Highly Commended Very Highly Commended IMPROVING PATIENT EXPERIENCE INNOVATION IN SERVICE DELIVERY

Name of Healthcare Setting: Name of Manager/Sponsor: Name of Healthcare Setting: Name of Manager/Sponsor: Children’s Cardiac Services Eilish Hardiman Children’s Health Ireland at Crumlin Catherine Cunningham, Speech and Language Therapy Manager Location: This project was a collaboration Location: Children’s Hospital Group Children’s Hospital Group between the DoH ROI & NI, HSCB, This project was a collaboration between HSE, CHI@Crumlin, RBHSC, Children’s Name: Zelda Greene the Departments of Clinical Engineering Name: Heartbeat Trust, Heart Children Ireland, (Jim Davenport, Philip Hartnett, Reden sharon morrow NISTAR (Ambulance service), UCD, Role: Senior Speech and Language Prudenter), Paediatric Otolaryngology QUB, UU, SSW/ Saolta /UL Hospital Therapist in Transitional Care Unit, a Unit (ENT) (Mr John Russell), Nursing Role: groups, BHSCT, WHSCT, SHSCT in CHI at Crumlin for infants and children (Siobhan Fitzgerald, Airway Clinical All-Island Congenital Heart Disease who are long term tracheostomy and Nurse Specialist), Respiratory Medicine Network Director ventilator dependent. (Professor Paul McNally)

Email: Email: [email protected] [email protected]

Project Title Project Title Establishment & Implementation of All-Island Congenital Tracheostomy speaking valve modification in children: A Heart Disease Network standardized approach leads to widespread use Project Summary Project Summary The All-Island Congenital Heart Disease (CHD) Network was Children with complex airways require tracheostomy and ventilation. established in 2015 by the ROI & NI MoH following a review Over 70% of infants referred were not eligible for speaking valves (IWG) leading to the cessation of cardiac surgery in NI with which restore voice, aid feeding, secretion management, ventilation children travel-ling to GB for treatment. The aim of the Network sprinting. The valve modification programme ensures all eligible is to deliver world class cardiac services for all children and children now receive speaking valves. Communication and feeding young people on the island outcomes improve. Parent survey indicated improved quality of life.

The key features of this project are The key features of this project are This is the first cross-jurisdictional Network on the island - Communication and feeding are cornerstones of development for implementing evidence based, safe and effective cardiac care children. Our bespoke method for modifying speaking valves ensures for children and young people across the island of Ireland. This infants voice and speak earlier, feed earlier and reduce tube feeding project has Ministerial approval and is acknowledged for the dependency, sprint from ventilation earlier and have reduced suction level of service user and family engagement in developing and burden leading to increased quality of family life and developmental delivering services. gains. This project is innovative as it provides • Streamlined objective & transparent assessment process Over 500 children and families from NI have now attended cardiac • Bespoke valve provision for each child services in CHI, removing the need for NI children to travel to GB, • Delivers the earliest possible interventions for feeding and speech often in emergency situations by air ambulance, to receive cardiac in theses infants care. Such journeys are emotionally, physically, psychologically • Decision making is multidisciplinary and collaborative and financially stressful for the family. • Engineering protocols are replicable and transparent • All modified valves are coded and tracked The CHD Network is a model of service delivery that can be • No adverse events reported over 5 years replicated across the island, in particular for smaller specialties operating separately in both jurisdictions and provide benefit to This project involved collaboration across 5 clinical departments which patients, families and providers in terms of quality of care, access is ongoing and well established over 5 years. Clinical guidelines are and value almost complete and safe engineering procedures have been finalised. Rollout planned at CHI Temple Street site for 2020.

**This project has been published in a peer reviewed journal contributing to the international evidence base

*Greene ZM, Davenport J, Fitzgerald S, Russell JD, McNally P. Tracheostomy speaking valve modification in children: A standardized approach leads to widespread use. Pediatric Pulmonology. 2019;1–8. https://doi.org/10.1002/ppul.24209

2 Category: Category: Category: Championing Mental Health Improving Patient Experience Improving our Childrens Health Project Title Project Title SPACE programme - Establishment & Project Title Supporting Parents and Implementation of All-Island CHI at Connolly: First Carers of young people who Congenital Heart Disease Paediatric Outpatient and self harm Network Urgent Care Centre

Location: Location: Location: Children’s Hospital Group Children’s Hospital Group Children’s Hospital Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: CHI at Temple St/ Children’s University Children’s Cardiac Services Children’s Health Ireland (CHI) at Hospital, Temple St Connolly Hospital in Blancharstown Contact Person: sharon morrow Contact Person: Contact Person: Dr Elizabeth Barrett/ Carole Boylan Paul Harding Email Address: [email protected] Email Address: Email Address: [email protected] [email protected] Role: Role: All-Island Congenital Heart Disease Role: Consultant in Child and Adolescent Network Director Manager, CHI at Connolly Psychiatry/ CNS lead for SPACE program Sponsor: Sponsor: Eilish Hardiman Dr Ciara Martin, Executive lead for CHI Sponsor: at Tallaght and Connolly Mona Baker , CEO, Childrens university This project is in collaboration with: Hospital Temple Street. DoH ROI & NI, HSCB, HSE, CHI@ This project is in collaboration with: Crumlin, RBHSC, Children’s Heartbeat Children’s Health Ireland, National Trust, Heart Children Ireland, NISTAR Paediatric Hospital Development Board, (Ambulance service), UCD, QUB, UU, HSE, Department of Health. SSW/ Saolta /UL Hospital groups, BHSCT, WHSCT, SHSCT

Summary of Project: Summary of Project: Summary of Project: The SPACE (Supporting Parents The All-Island Congenital Heart Disease CHI at Connolly in Blanchardstown and Carers) programme is a (CHD) Network was established in 2015 opened on 31 July 2019, it is a major psychoeducational intervention by the ROI & NI MoH following a review milestone in the new children’s hospital developed to improve the well-being (IWG) leading to the cessation of cardiac project. The benefit for patients and of parents of children who engage in surgery in NI with children travel-ling families is bringing fast, convenient, self-harm thoughts and behaviours, and to GB for treatment. The aim of the quality care close to their home, as is to empower them to better support their Network is to deliver world class cardiac clinically appropriate. Its serves Dublin young person. Offered twice a year since services for all children and young 15 and surrounding areas. 2009, several hundred participants have people on the island attended.

3 Category: Category: Category: Improving Patient Experience Innovation in Service Delivery Supporting a Healthy Community Project Title Project Title Guideline for the Care and Tracheostomy speaking valve Project Title Management of a CVAD for a modification in children: A Establishment of the Health Child in the Community standardized approach leads surveillance clinic for children to widespread use. with Down syndrome

Location: Location: Location: : Children’s Hospital Group Children’s Hospital Group Children’s Hospital Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Children’s Health Ireland (CHI) @ Children’s Health Ireland at Crumlin Children’s Health Ireland at Tallaght Crumlin Contact Person: Contact Person: Contact Person: Zelda Greene Ms Fiona Mc Grane Imelda Hurley & Alice Ward Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] Role: Role: Clinical Nurse Specialist Role: Senior Speech and Language Therapist Paediatric Palliative Care Clinical Nurse in Transitional Care Unit, a Unit in CHI at Sponsor: Ms Blaize Whelan Specialist & Clinical Nurse Facilitator Crumlin for infants and children who are Paediatric Haematology / Oncology long term tracheostomy and ventilator This project is in collaboration dependent. with: Professor Eleanor Molloy Sponsor: (Neonatologist), Dr Joanne Balfe Dr Maeve O’Rielly Sponsor: (Paediatrician) and Ms Jennifer Sharkey Catherine Cunningham, Speech and (Audiologist) This project is in collaboration with: Language Therapy Manager Paediatric Palliative Care Team CHI @ Crumlin, Centre of Children’s Nurse This project is in collaboration with: Education (CCNE), Nurse Practice Departments of Clinical Engineering Development & ONMSD (Jim Davenport, Philip Hartnett, Reden Prudenter), Paediatric Otolaryngology (ENT) (Mr John Russell), Nursing (Siobhan Fitzgerald, Airway Clinical Nurse Specialist), Respiratory Medicine (Professor Paul McNally)

Summary of Project: Summary of Project: Summary of Project: The guideline supports a needle- Children with complex airways require The development of multidisciplinary free experience for the child in the tracheostomy and ventilation. Over one stop shop annual health screening community where possible. It provides 70% of our infants were not eligible for clinic for children and adolescents with guidance for healthcare professionals speaking valves which restore voice, Down syndrome the first of its kind in in the community in a manner that aid feeding, secretion management, Ireland. It was envisaged that the clinic optimises effective and safe care while ventilation sprinting. Our valve would reduce the need for multiple encouraging best evidence based modification programme ensures all hospital attendances for children with practice. It has been recently revised eligible children now receive speaking Down syndrome on an annual basis and expanded. valves. Communication and feeding and also reduce waiting times for outcomes improve. Parent survey appointments. It was also hoped that indicated improved quality of life. the clinic would provide a holistic service tailored to the children’s medical needs and that care would be provided in a coordinated manner.

4 Health Service Excellence Awards 2020

CHO Area 1 Category: Category: Category: Improving our Childrens Improving Patient Experience Supporting a Healthy Health Community Project Title Project Title Blossom Together Project Title Support Group for Siblings of Change Your Mind Festival Children with Disability and/ 2019 or Complex Health Needs

Location: Location: Location: CHO Area 1 CHO Area 1 CHO Area 1

Healthcare Setting: Healthcare Setting: Healthcare Setting: Sligo/Leitrm Social Care/Disability St Patricks Community Hospital Sligo/Leitrim Mental Health Services Services Summerhill Carrick On Shannon County Leitrim Contact Person: Contact Person: Dr Ignazio Graffeo Christina Egan and Mairead Higgins Contact Person: Lorraine Sheridan Email Address: Email Address: [email protected] [email protected] Email Address: [email protected] Role: Role: NCHD Community Facilitator Manager and Role: Social Worker Assistant Director Of Nursing Sponsor: HSE - Rosemary Hannigan Sponsor: Sponsor: Geraldine Cosgrove and Kate Ferguson Nuala Gallagher Ditrector of Nursing This project is in collaboration with: Hugh Slevin, Jacinta Sexton, Blathnaid This project is in collaboration This project is in collaboration with: Quinn (nursing staff), Eliana Silvestri, with: Christina Corrigan, Community Sharon Richardson Occupational Blaithin Sweeney (Havin’ A Laugh Facilitator for Disability Services Therapist, Olivia Furey Nolan Association), Zola Flynn (administration) Manager Sligo/Leitrim, Ciara McBride, Occupational therapy assistant and Assistant Psychologist, Psychology Michael Duignan Occupational therapy Dept., Markievicz House, Sligo, Mairead assistant Higgins, Social Worker, Childrens Disability Service, Sligo.

Summary of Project: Summary of Project: Summary of Project: Based on the model developed by Don This intergenerational project with Change Your Mind Festival is mental Meyer. They are run on a group work the local preschool group is now in health promotion event that includes basis, involving a group of siblings aged its second year. This project involves a run, music bands throughout the 8 to 13 years coming together to share preschool children attending the unit day, entertainment and workshops information about their siblings with twice monthly and enjoying interactions for children, magic shows, cooking disabilities and to have fun. The Sligo/ and activities with the residents. demonstrations, craft fair with over 60 Leitrim support group was facilitated This has greatly enhanced th elived stalls and over 50 speakers. In 2019 we on a weekly basis for 6 consecutive experience of the residents and has had an attendance of 4000 people. sessions. The activities are centred on brought joy, fun and laughter into their both individual and team work and lives . focused on the day to day experience of having a sibling with a disability and/or complex health needs. Tthe initiative aims to provide parents and other professionals with opportunities to understanding more the concerns frequently experienced by brothers and sisters of people with a disability and/or complex health needs.

6 Health Service Excellence Awards 2020

CHO Area 2 HIGHLY COMMENDED Category: Category: CHAMPIONING MENTAL HEALTH Championing Mental Health Improving Patient Experience

Name of Healthcare Role: Setting: Senior Clinical Project Title Project Title Child & Adolescent Psychologist Mental Health Services The WITH project; Well-being Community Oncology Nursing Email: (CAMHS) [email protected] In The Home Care to Clients in Galway Location: Name of Manager/ Primary Care. CHO Area 2 Sponsor: Key Contact for Project Dr Meena O’Neill Name: Dr Sharyn Byrne, Project Location: Location: Lead CHO Area 2 CHO Area 2

Healthcare Setting: Healthcare Setting: Project Title Child & Adolescent Mental Health Galway Primary,Community and The WITH project; Well-being In The Home Services (CAMHS) Continuing Care. Project Summary The WITH project (Well-Being In The Home); a Contact Person: Contact Person: young person’s guide to parental Mental Health, Dr Sharyn Byrne, Project Lead Helen Martin was developed as the first online information resource for young people in Ireland who are in the Email Address: Email Address: situation that their parent struggles with Mental [email protected] [email protected] Health. It provides information on various parental Mental Health difficulties that the young person may experience and signposts them to supports Role: Role: they can access. This resource was developed in Senior Clinical Psychologist Assistant Director of Public Health recognition of the distress that some young people Nursing. can experience. Sponsor: Dr Meena O’Neill Sponsor: The key features of this project are Kathleen Malee -Director of Public This is the first online resource in Ireland that directly Health Nursing. addresses the issue of parental Mental Health and its potential impact on children and young people. It provides vital information on how the young person is This project is in collaboration with: not to blame, or responsible for making their parent Public Health Nurses and Community better. Most importantly it also provides helpful Registered General Nurses with links to services / supports that the children / young Oncology training in each network people can access should they become overwhelmed within Galway Primary Care, Carmel by distress or need to speak to a care professional. Finn -Liaison PHN for Community This National online resource is also providing early Oncology, Galway. intervention to a vulnerable, and much neglected cohort of children and young people. This initiative reduces the stigma of such issues and allows for open dialogue for affected children / young people who have previously been ‘hidden’.

*This online resource is available YouTube by searching ‘The WITH Project’ or Well-being in the Summary of Project: Summary of Project: Home. The WITH project (Well-Being In The Currently the community oncology Home); a young person’s guide to nursing service within Galway Primary parental Mental Health, was developed Care caters for over 200 clients per as the first online information resource month. This service is provided either for young people in Ireland who are in within the client’s home or a nearby the situation that their parent struggles designated primary care facility. In total with Mental Health. It provides 2019 a total of 3,185 oncology nursing information on various parental Mental interventions were facilitated by the Health difficulties that the young person community oncology nursing service may experience and signposts them to within Galway Primary care. supports they can access. This resource was developed in recognition of the distress that some young people can experience.

8 Health Service Excellence Awards 2020

CHO Area 3 Category: Category: Category Winner Championing Mental Health Improving Patient Experience INNOVATION IN SERVICE DELIVERY

Name of Healthcare Setting: Name of Manager/Sponsor: North Tipperary Community Niamh Wallace General Project Title Project Title Mental Health Services Manager Mid-West Mental Health Services Inpatient and outpatient pilot “Memory Lane” Location: CHO Area 3 This project was a on Dual Diagnosis (Mental collaboration between two Name: Community Mental Health illness & Substance misuse) James Harrington Teams our partner agency Focus Ireland and Co Council Role: Staff, Service improvement Assistant Director of Nursing Other approved Housing Email: Bodies. Location: Location: [email protected] CHO Area 3 CHO Area 3

Healthcare Setting: Healthcare Setting: Project Title Clare Mental Health Services HSE Mid Ennistymon Community Hospital. North Tipperary Intensive Tenancy West Sustainment Service. Contact Person: Contact Person: Project Summary Claire Collier This project offers Intensive tenancy support Dr Narayanan Subramanian (TS) of varying levels to adults with mental Email Address: Email Address: health difficulties who may be homeless/ at [email protected] risk of homelessness. 2 staff source quality [email protected] accommodation, work in partnership with relevant community services & are employed by Role: Role: Focus Ireland & work as part of 2 MH teams in Director of Nursing North Tipp. Consultant General Adult Psychiatrist and Adjunct Senior Clinical Lecturer, The key features of this project are University of Limerick Sponsor: This service is unique to Ireland. Tenancy workers Sheila Ryan are employed and line managed by our partners Sponsor: Focus Ireland , but are completely integrated into Dr John O’Mahoney, Executive Clinical CMHT’s. Tenancy sustainment workers attend full This project is in collaboration with: MDTs and receive referrals for the service directly Director & Consultant Psychiatrist, Mid West Project design: Lynda Lynch, Multi from the CMHT. 2 Staff from Tipperary Co Council Mental Health Services HSE West. task attendant, Implementation: Claire This project is in collaboration with Dr attend governance meetings. Collier, Director of Nursing, Subramanian, Consultant Psychiatrist) in It’s the first model like this in the country. The partnership with HSE Mid West Drug Ser- Service is a community Housing first model as vices (lead - Mr Rory Keane, Regional Drug individual supports are wrapped around service Co-ordinator & Mr Colin O’Driscoll, Clinical user to support tenancy. Psychologist, both from HSE Mid West Drug There is now an integrated service available for service users in one location for those who are services ) and supported by voluntary bodies encountering tenancies difficulties. Service is such as NOVAS (lead by Ms Julie Kenneally ) preventing Homelessness and Service users are and Anna Liffey Project supported to access other services.

The Service is completely integrated providing effective communication and a wraparound service between the service user CMHT and landlords/ Co Council and this Service is reducing hospital admission frequency and length of stay. Summary of Project: Summary of Project: A pilot project lead by mental health The Selection Panel commented that this “Memory Lane” recreates an services in partnership with HSE Mid project actively combined mental health care Ennistymon Street, incorporating West Drug Services and supported by with social care through social inclusion – ie resident’s memories/ ideas/ live preventing homelessness. It is a good example of voluntary bodies such as NOVAS. The experiences, led by staff/volunteers who multiagency co- production between the health project involves outpatient assessment services, voluntary services, county council and donated their time. local landlord to address health and social needs. and management of people with mental illness and substance misuse It is operationalizing national policy and strategy The following shops are located in “ ie. Slaintecare, Vision for Change and HSE leading to inpatient detoxification and Memory Lane”: Coffee shop, garden, Framework for recovery. stabilisation. Inpatient admissions are “Serenity “ Hair and Nail Bar, Internet on a planned basis and follow up such cafe, Shebeen, Post Office, “ Maire’s as drug rehabilitation if needed after Boutique” shop, a Men’s Shed/nursery, detox and stabilisation are planned in a Parlour and the Townhall Cinema. advance and funding support from HSE (ref video) Drug services and voluntary bodies for same. Outpatient clinic occurs

once a week in the Ennis day hospital outpatient clinic, supervised by Dr Subramanian and referrals are accepted from HSE Drug services and voluntary bodies

10 Category: Category: Category: Improving Patient Experience Innovation in Service Delivery Supporting a Healthy Community Project Title Project Title Community-based Hepatitis C North Tipperary Intensive Project Title Treatment Tenancy Sustainment Service. Mid West Advancing Recovery in Ireland Education Service (ARIES)

Location: Location: Location: CHO Area 3 CHO Area 3 CHO Area 3

Healthcare Setting: Healthcare Setting: Healthcare Setting: Limerick Drug and Alcohol Service North Tipperary Community Mental HSE Mid West Community Healthcare (LDAS) Health Services Contact Person: Contact Person: Contact Person: Eileen Cunningham Dr Susan Ryan James Harrington Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] Role: Role: Role: Education, Training and Development General Practitioner, Addiction Assistant Director of Nursing Officer Services Sponsor: Sponsor: Niamh Wallace General Manager Mid- Niamh Wallace Sponsor: West Mental Health Services Mr Rory Keane Regional Drug Co This project is in collaboration with: -Ordinator This project is in collaboration with: 12 HSE Mental Health Staff members Two Community Mental Health Teams volunteer as Recovery Education This project is in collaboration with: our partner agency Focus Ireland and Facilitators, HSE Mental Health services Ms Helen Ryan, CMN 1, Ms Catherine Co Council Staff, Service improvement, throughout the Mid West region. Keane, SN, Ms Norma Harnedy, Other approved Housing Bodies. National Liaison Pharmacist

Summary of Project: Summary of Project: Summary of Project: LDAS is the first addiction clinic outside Intensive tenancy support (TS) of We provide the Mid West with an Dublin to provide onsite Hepatitis C varying levels to adults with mental educational programme on recovery and treatment. Clients on OST who attend health difficulties who may be well-being in mental health. For more LDAS often struggle to access tertiary homeless/ at risk of homelessness. 2 see https://youtu.be/44KvE3dCvmc. We care for multiple reasons, and can now staff source quality accommodation, offer a range of courses, information and access effective Hepatitis C treatment in work in partnership with relevant educational materials in communities our primary care setting. community services & are employed by and in acute psychiatric units. We Focus Ireland & work as part of 2 MH provide training and education for teams in North Tipp. mental health staff and third level students.

11 Health Service Excellence Awards 2020

CHO Area 4 Highly Commended Category: Category: IMPROVING PATIENT EXPERIENCE Championing Mental Health Improving our Childrens Name of Healthcare Name of Manager/ Health Setting: Sponsor: St. Joseph’s Foundation Eamon McCarthy Chair- Project Title Board of Directors/ Michael Hegarty Disability RISE: Responsive Early Project Title Location: Manager CHO 4 CHO Area 4 This project was a Intervention for psychosis The explosive leap to Name: collaboration between Noreen Ryan Trabolgan Management Service, South Lee, Cork Secondary school & Staff; Management Role: & Multi-disciplinary Chief Executive Officer Departments from St. Joseph’s Foundation; Email: HSE Disability Managers; Location: Location: [email protected] Primary Care; Local Community Volunteers CHO Area 4 CHO Area 4

Healthcare Setting: Healthcare Setting: Project Title South Lee Mental Health Service, Cork Primary Care Paediatric Occupational Alternative Respite Holiday Weekend for Therapy Children with Disabilities and their Families Contact Person: Karen O Connor Contact Person: Project Summary Transition to Secondary School Inter- St Joseph’s Foundation in association with Email Address: vention Groups Trabolgan Holiday Village and the HSE provided [email protected] a cost effective family holiday respite weekend to Email Address: 164 families who had a child aged between 4-17 Role: [email protected] with Autistic Spectrum Disorder, Intellectual Disability or Developmental Delay. St. Joseph’s Consultant Psychiatrist/ Clinical Lead Role: Foundation provided a number of educational Provision of Occupational workshops/activities for families. Sponsor: Sinead Glennon, Lead for Mental Therapy to individuals transitioning into The key features of this project are Health, CHO 4 & Dr Siobhan Ni Bhrian, Secondary School This initiative provided a respite experience for National Clinical Advisor and Group the child and their family in a mainstream public Lead, Mental Health Sponsor: environment where families could benefit from Deirdre Cullen peer support and which enable the child with ASD, Intellectual Disability or Developmental This project is in collaboration with: Delay to learn, play & express themselves in a All members of South Lee OT PCC Team stress free, non-judgemental environment. were involved in designing and deliver- It was a cost effective alternative approach ing the group to providing respite to children to include the intergenerational family which supported the child to learn, play and express themselves in a stress free non-judgemental environment while also supporting families to learn from and share their experiences with each other. This innovative initiative produces multiple outcomes for both the child and the intergenerational family in a safe non- Summary of Project: judgemental environment. It promotes wellbeing Summary of Project: through activities, offers opportunities for families Psychosis is a serious mental illness, A two day workshop delivered to to share experiences, promotes togetherness and which was traditionally associated with children (2days - 6 hours contact) and a community & offers learning through workshop a poor prognosis, characterised by 1 hour talk to parents which focuses on activities. relapses and hospitalisations. With the development when one is transitioning new RISE service each individual gets into secondary school. It consists of a dedicated key worker, psychological, children who are disorganised and family, peer, vocational & physical poor fine motor skills. They cover topics health interventions for 3yrs. This such as goal setting, prioritising, Mind improves service user experience, health mapping, learning to use a time table, and vocational outcomes. minding your mental and Physical health, learning to tie a tie and filing. The parent talk mirrors the work done in the workshop and explains the various strategies discussed and coached in the group.

13 Category: Category: Improving Patient Experience Supporting a Healthy Community Project Title Alternative Respite Holiday Project Title Weekend for Children with Independence through Smart Disabilities and their Families Technology

Location: Location: CHO Area 4 CHO Area 4

Healthcare Setting: Healthcare Setting: St. Joseph’s Foundation Cheshire Ireland Community Services

Contact Person: Contact Person: Noreen Ryan Jason Cooke

Email Address: Email Address: [email protected] [email protected]

Role: Role: Chief Executive Officer Service Manager

Sponsor: Sponsor: Eamon McCarthy Chair-Board of Aoife Keogh Directors/Michael Hegarty Disability Manager CHO 4 This project is in collaboration with: Our staff teams have supported the This project is in collaboration with: smart process through encourgment Trabolgan Management & Staff; and inovation. Management & Multi-disciplinary Departments from St. Joseph’s Foundation; HSE Disability Managers; Primary Care; Local Community Volunteers

Summary of Project: Summary of Project: St Joseph’s Foundation in association This project supports people with with Trabolgan Holiday Village and the disabilities to live as independently as HSE provided a cost effective family possible in their own homes in line with holiday respite weekend to 164 families their person centred plan. who had a child aged between 4-17 with This project supports people with Autistic Spectrum Disorder, Intellectual disabilities to be more independent Disability or Developmental Delay. St. using smart technology (Alexa and is Joseph’s Foundation provided a number focused on using smart technology of workshops/activities for families. to practically support people with disabilities to carry out everyday tasks that would otherwise be impossible.. These practical tasks would have been unimaginable a year ago without the support and knowledge of smart home Eg turning on and off a light, Sending a text message, Making a phone call, Listening to Audio Books, Managing a diary and schedule, Managing the hoovering up, Sending and receiving email messages, Managing the TV, Ordering a takeaway, Managing visitors from a safety perspective, Learning a language

14 Health Service Excellence Awards 2020

CHO Area 5 Category Winner Category: SUPPORTING A HEALTHY COMMUNITY Supporting a Healthy Community Name of Healthcare Setting: Name of Manager/Sponsor: Wexford Adult Mental Health Orla O’Conor Services This project was a Location: collaboration between LINK Project Title CHO Area 5 Training, Wexford Mental Health Association and The Gaming Group Key contact for Project Wexford OT Department Name: Ciaradh White Role: Senior Occupational therapist Email: Location: [email protected] CHO Area 5

Healthcare Setting: Project Title Wexford Adult Mental Health Service The Gaming Group

Project Summary Contact Person: Stakeholders coproduced a weekly group for Ciaradh Walsh young people who required support to engage in activities in their communities. A strong shared Email Address: interest in gaming led to the development of a [email protected] dedicated gamesroom. The group meets every fortnight to game and plan activities for the following week (eg lasertag, bowling) Role: Senior Occupational Therapist Key features of this project are This intervention supports a vulnerable group of Sponsor: young mental health service users who experience social exclusion and barriers to community Orla O’Conor engagement. All members are equal partners in terms of inclusion and decision-making. Each This project is in collaboration with: member identifies goals with their OT (eg to LINK Training. Wexford Mental Health initiate conversation with another group member Association. Wexford OT Department with the goal of developing friendships). Group measures include regular review and input from all stakeholders, and attendance records. The group uses a unique intervention (gaming) to support members’ goals. The range of outcomes noted to date include, improved communication skills, reduced isolation, improved community integration, development of friendships and engagement outside of the group and MHS, development of meaningful routine and structure and improved organisational skills and responsibilities

The group allows members to feel safe in new spaces in their community, furthering confidence and skills, reduces social isolation, supports education on recovery and wellbeing, incorporates Summary of Project: physical and sporting activities, reduces risk Stakeholders coproduced a weekly factors. group for young people who required support to engage in activities in their The Selection Panel commented there is learning for all of us in how this service was established and communities. A strong shared interest it shows great innovation and thinking outside in gaming led to the development of the box. The Project is designed around service a dedicated gamesroom. The group user need - what they need as opposed to what meets every fortnight to game and plan we think they need . The model could easily be activities for the following week (eg replicated for the long-term societal benefit for young men with enduring mental illness lasertag, bowling).

16 Health Service Excellence Awards 2020

CHO Area 6 Category: Category Winner Excellence in Quality Care EXCELLENCE IN QUALITY CARE

Name of Healthcare Name of Manager/ Project Title Setting: Sponsor: Clonskeagh Community Claire Waldron (General Nursing Unit Manager) Transformation of Clonskeagh Location: This project was a Community Nursing Unit into CHO Area 6 collaboration between all departments in Clonskeagh Community Nursing Unit a butterfly home - Adapting Name: including catering, Allied Vandana Iqbal Health Professionals, Social Care Model. Dementia Care Matters Role: Team from UK and local Acting Assistant Director of business to raise funds and Nursing families of the residents Location: Email: CHO Area 6 [email protected] Healthcare Setting: Project Title Clonskeagh Community Nursing Unit Transformation of Clonskeagh Community Nursing Unit into a butterfly home - Adapting Social Care Model. Contact Person: Vandana Iqbal Project Summary The Aim of the project was to transform from Medical Care Model to a Social Care Model. Email Address: [email protected] The goals included improving the lived experience of people living with a dementia. Role: KPI’s were agreed and outcomes were Acting Assistant Director of Nursing measured. This project received NMPDU 2018 innovation funding and was undertaken in collaboration with Dementia Care Matters Team Sponsor: from the UK. There four private butterfly homes Claire Waldron (General Manager) in Ireland; this is the first HSE initiative.

The key features of this project are This project is in collaboration with: This is the first HSE project to receive between all departments in Clonskeagh accreditation as a butterfly home. Since introduction, service user experience has Community Nursing Unit including improved and there is a reduction in incidents. catering, Allied Health Professionals, All staff working in the unit participated in the Dementia Care Matters Team from UK Emotional Intelligence based training as Butterfly Champions and this has been empowering for and local business to raise funds and staff. The project has assisted staff and families families of the residents to gain an insight into dementia care increasing awareness of memory impairment and dementia. The project has improved the lived experience of people with a dementia in the unit. This project aligns with the National Dementia Care Strategy. It is a large scale Project – the facility includes 81 long stay beds and 120 staff and involves the introduction to a Social Care Model and reducing barriers . One focus for example, is on improved meal time experience with a lead into meals (creating smells offering appetizers),leading to improved appetites. Summary of Project: Selection Panel Commented that this is the first The Aim of the project was to transform HSE community Nursing Unit Butterfly initiative and It significantly transformed the delivery of from Medical Care Model to Social services for people living with dementia. The Care Model. Goals included improving team showed significant drive and demonstrated lived experience of people living with ‘its not what you say, it’s how you make me feel’ – the project showed engagement from a team a dementia. KPI’s were agreed and that are continuing to challenge themselves outcomes were measured and staff were trianed in the Butterfly method. This project received NMPDU 2018 innovation funding and was undertaken in collaboration with Dementia Care Matters Team from UK. There four private butterfly homes in Ireland; this is the first HSE initiative.

18 Health Service Excellence Awards 2020

CHO Area 7 HIGHLY COMMENDED Highly Commended Commended CHAMPIONING MENTAL HEALTH EXCELLENCE IN QUALITY CARE IMPROVING OUR CHILDRENS HEALTH

Name of Healthcare Setting: This project was a collaboration Name of Healthcare Email: Name of Healthcare Email: Primary Care (supported between Liz Griffin, Food and Setting: [email protected] Setting: [email protected] by Health Promotion and Health Coordinator, South Dublin Linn Dara Community Improvement) County Partnership, Public Health Dublin South Central Name of Manager/ Eating Disorder Service - Nursing teams, Directors of Mental Health Service Name of Manager/ Sponsor: Sponsor: LDCEDS Location: CHO Area 7 Nursing and Assistant Directors Mr Kevin Brady, Head of of Nursing in Dublin South West/ Location: Oliver Mernagh DON / Mental Health Services Name: Dr Helen Ryan Kildare West Wicklow, Food Location: CHO Area 7 Kevin Brady Area Manager CHO7 and Health Peer Leaders, South CHO Area 7 Role: Senior Dietitian in Primary Dublin County Partnership, Key Contact for Project This project was a Care Primary Care Dietitian Manager, Name: Name: collaboration between Mairead Aherne and Team in Dr Michelle Clifford Email: Dublin South West/Kildare West Colin Kelly National Clinical [email protected] Wicklow, Karen Heavey, Health Role: Programme for Eating Promotion & Improvement/Health Role: Clinical Lead, Consultant Disorders and Linn Dara Name of Manager Sponsor: & Wellbeing Manager,Margaret Assistant Director of child & Adolescent Senior Management Team Mairead Aherne (Dietitian O’Neill, National Dietetic Nursing Manager) Lead, Strategic Planning & Psychiatrist Transformation

Project Title : Project Title Project Title Raise Your Voice Choir Ireland’s first community specialist eating Baby Food Made Easy - parent workshop disorder service for under 18’s. on introducing spoon feeds Project Summary Raise Your Voice Choir has up to 50 Project Summary Project Summary A workshop developed and delivered by members, which is made up of services Establishment of a multidisciplinary specialist team which since March 2018 Community Dietitians who also delivered users, staff working within the mental training to the facilitators to develop health services and family members from has been offering accessible, evidence practical skills on spoon feeding is run all areas within CHO 7 including Psychiatry based, and patient centred assessments and monthly in four sites. The workshops of Later Life. Under Colin Kelly’s direction, treatments of eating disorders for children, are facilitated by a Public Health Nurse the Choir gave a great performance at a adolescents and their families in CHO 7. and a Food and Health Peer Leader Concert in the Helix Theatre on 8th October from a local community development 2019 to celebrate World Mental Health Day The key features of this project are organisation. The workshops provide a cookery demonstration on preparing to a full house. Appearing with the Choir This project is Ireland’s lead pilot in specialist community eating disorder service for spoon feeds for infants at different stages. were Tony Kenny and Colm Wilkinson who Participants receive written information, a sang both with the Choir and solo. The children and young people as part of the blender, a cookbook and basic food storage Choir are planning their next projects for implementation of the HSE Model of Care for equipment. The workshops are free of 2020. Eating Disorders. Our service has ensured charge to participants (funded by Health all children and adolescents in CHO 7 now Promotion and Improvement). The key features of this project are equally access our multidisciplinary specialist The key feature is getting involved. ED team. Integrated care is prioritised with The key features of this project are collaborative care pathways developed with The largest prospective cohort study to Service-users and family members and date on early infant feeding in Ireland, the community CAMHS teams, paediatric and carers get to network with a host of other BASELINE Birth Cohort Study, showed a people within the mental health service, inpatient psychiatric settings. high prevalence of exposure to commercial reducing isolation and creating a similar composite foods among the first foods sense of purpose with others while raising Input from Families are an essential resource introduced and lengthy gaps between awareness and reducing the stigma towards supporting children and young people each new food/product introduced to attached to ill mental health. in recovery from an eating disorder. The infants. Building parental confidence and service has high patient and family satisfaction skills in using non-commercial foods and rates to date, and involves collaborative in progressing with the introduction of Doing something extra is a powerful way varied complementary foods is important in to make a difference in your workplace. development of care plans. This service improving infant feeding practice and will It can help to build trust and therapeutic enables young people to be treated while benefit child health. relationships amongst colleagues and remaining at home with their families. The those we care for. While breaking down the project has recorded a good recovery focused A significant increase in confidence around barriers of stigma in mental health. patient and clinician rated outcomes and a spoon feeding was reported by parents positive patient experience to date. after attending the workshops. On average parents were 82% more confident across the it is also provides Service Users with 6 sites after the workshopand approximately a means of lifting their mood, gaining half of participants reported a planned confidence, managing anxiety, sense of change in practice. Reported planned achievement and realising that Mental changes include: preparing homemade Illness does not have to define them food for baby, progressing quicker through the stages of complementary feeding, introducing a greater variety of foods earlier.

20 Category: Category: Category: Championing Mental Health Excellence in Quality Care Excellence in Quality Care

Project Title Project Title Project Title Raise Your Voice Choir Ireland’s first community Managing Erectile specialist eating disorder Dysfunction in Cardiac service for under 18’s. Rehabilitation in a Model 3 Hospital.

Location: Location: Location: CHO Area 7 CHO Area 7 CHO Area 7

Healthcare Setting: Healthcare Setting: Healthcare Setting: Dublin South Central Mental Health Linn Dara Community Eating Disorder Cardiac Rehabilitation Service Service - LDCEDS Contact Person: Contact Person: Contact Person: Lorna Keating Colin Kelly Dr Michelle Clifford Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] Role: Role: Role: Clinical Nurse Specialist Assistant Director of Nursing Clinical Lead, Consultant child & Adolescent Psychiatrist Sponsor: Sponsor: Anne Murphy Acting DON Naas General Oliver Mernagh DON / Kevin Brady Area Sponsor: Hospital Manager Mr Kevin Brady, Head of Mental Health Services CHO7 This project is in collaboration with: Cardiac Rehabilitation clinical nurse This project is in collaboration with: specialist and coordinator, Cardiology National Clinical Programme for consultant and registrar and out patient Eating Disorders and Linn Dara Senior staff. Management Team

Summary of Project: Summary of Project: Summary of Project: Raise Your Voice Choir has up to 50 Ireland’s lead pilot specialist Links between erectile dysfunction members, which is made up of services community eating disorder service (ED), and cardiovascular disease (CVD), users, staff working within the mental for children and young people as part are well recognised. However due to health services and family members of the implementation of the HSE the sensitivity of the issue and under from all areas within CHO 7 including Model of Care for Eating Disorders. All resourcing, determining ED is not Psychiatry of Later Life. The Choir children and adolescents CHO 7 now always a priority. A cardiac rehabilitation gave a great performance under equally access our multidisciplinary (CR) programme provides an ideal Colin’s direction at a Concert in the specialist ED team. Integrated care opportunity to identify, diagnose, and Helix Theatre on 8th October 2019 to is prioritised with collaborative care treat ED in an effective and respectful celebrate World Mental Health Day to pathways developed with community manner by establishing open, honest a full house. Appearing with the Choir CAMHS teams, paediatric and inpatient relationship with patients. were Tony Kenny and Colm Wilkinson psychiatric settings. Our service delivers who sang both with the Choir and evidence based care for eating disorders solo. The Choir are planning their next in the community enabling young projects for 2020. people to be treated while remaining at home with their families.

21 Category: Category: Category: Improving Patient Experience Innovation in Service Delivery Improving our Childrens Health Project Title Project Title Discharge Pathway for Responding to National Project Title Demands – Reconfiguration Patients who are Homeless and implementation of CAMHS Baby Food Made Easy - parent SEDB (Specialist Eating workshop on introducing Disorder Beds spoon feeds

Location: Location: Location: : CHO Area 7 CHO Area 7 CHO Area 7

Healthcare Setting: Healthcare Setting: Healthcare Setting: Lakeview Unit, Naas General Hospital Linn Dara Approved Centre Primary Care (supported by Health Promotion and Improvement) Contact Person: Contact Person: Gerrita Russell Nicole Barrett Contact Person: Dr Helen Ryan Email Address: Email Address: [email protected] [email protected] Email Address: [email protected] Role: Role: Senior Social Worker, Kildare West Clinical Specialist Dietitian Role: Wicklow Mental Health Service Senior Dietitian in Primary Care Sponsor: Sponsor: Prof Brendan Doody (Clinical Director) Sponsor: Elaine Powell Mairead Aherne (Dietitian Manager) This project is in collaboration This project is in collaboration with: with: Linn Dara Approved Centre This project is in collaboration with: Linda Hutton, ADON, Dr Donal O’Han- (LDAC) MDT staff , Acute Medical/ Public Health Nurses in Dublin South lon, Clinical Director Paediatrician colleagues , Collaboration West/Kildare West Wicklow, South with International Experts,Patients and Dublin County Partnership (Food and Families, Laboratory Dept, Radiology Health Project), Health Promotion and Dept Improvement

Summary of Project: Summary of Project: Summary of Project: Development of a Discharge Pathway Reconfiguration of 8 Inpatient CAMHS A workshop to provide evidence based for patients who are homeless at the beds to dedicated CAMHS SEDB’s in information and develop practical skills time of discharge through collaborative 2019. on spoon feeding is run monthly in four working and partnership with Kildare sites across Dublin South West and County Council to develop a referral Introduction and deployment of two sites in Kildare. The workshop was process for their homeless unit including advanced clinical and therapeutic skills developed by Community Dietitians who the homeless outreach worker meeting within an individualised evidence based also delivered training to the facilitators. the patient at the hospital for an approach. Prior to 2018 there was no The workshops are facilitated by assessment and to develop and agree access to Irish CAMHS SEDB’s to treat a Public Health Nurse and a Food a plan so that the patient knows what severe Eating Disorder cases often and Health Peer Leader from a local accommodation will be provided for with comorbidities. Previously patients community development organisation. them on discharge and also what follow required prolonged treatment outside The workshops provide an interactive up supports the CMHT will provide. of Ireland. information session and a cookery demonstration on preparing spoon feeds for infants at different stages. Participants receive written information, a blender, a cookbook and basic food storage equipment. The workshops are free of charge to participants (funded by Health Promotion and Improvement).

22 Health Service Excellence Awards 2020

CHO Area 8 Category: Category: Excellence in Quality Care Innovation in Integrated Digital Excellence Project Title NavFIT- Developing an Project Title integrated care pathway for Home-based Virtual Pulmonary Frail Elderly Patients Rehabilitation Programme for COPD patients.

Location: Location: CHO Area 8 CHO Area 8

Healthcare Setting: Healthcare Setting: Our Ladys Hospital, Navan Physiotherapy Department, Our Lady of Lourdes Hospital Contact Person: Aileen McElhone Contact Person: Majella O’Reilly Email Address: [email protected] Email Address: [email protected] Role: Senior Occupational Therapist Role: Pulmonary Rehabilitation Physiothera- Sponsor: pist Mr. Ken Fitzgibbon - Hospital Manager Sponsor: This project is in collaboration Celine Meehan/mPower with: NavFIT is co-led by a Senior Physiotherapist and Senior This project is in collaboration with: Occupational Therapist supported by Cathy Gillen, Physiotherapy Respiratory relevant managers, ED staff, AHP’s, Clinical Specialist, Boyne Primary Care Medical Teams. Centre, mPower, Dr Ann Coyle, General Manager Health&Wellbeing and Interim Lead for Quality and Safety

Summary of Project: Summary of Project: NavFIT has demonstrated Virtual Pulmonary Rehabilitation improvements in communication is a live and interactive group class and work practices. From the which allows patients to exercise in the initial presentation to ED patients comfort of their own home under the and their families now receive a guidance and supervision of an expert more comprehensive and timely physiotherapist. Classes are streamed assessment. Hospital and community live from a tech hub to the individual’s staff have benefited from improved home alleviating the inconvenience communication. All of this has led to and cost of travelling to a hospital improvements in length of stay and or community centre. The initiative patient experience. targets patients living with COPD in the CH08 area. COPD is a chronic debilitating respiratory condition affecting over 440,000 people in Ireland and Pulmonary Rehabilitation is a proven, cost effective treatment in the management of COPD.

24 Health Service Excellence Awards 2020

CHO Area 9 Category: Category: Category: Championing Mental Health Excellence in Quality Care Improving Patient Experience

Project Title Project Title Project Title CAMHS Made Simple Meet, Eat, Feeling Hospital to Home (H2H) Pilot Complete: Maximising social Programme engagement at mealtimes and beyond.

Location: : Location: Location: CHO Area 9 CHO Area 9 CHO Area 9

Healthcare Setting: Healthcare Setting: Healthcare Setting: Dublin North City and County CAMHS CHO DNCC Residential Services Older Persons’ Services Dublin North Incorporating Seanchara, St Clares and Central and Mater Hospital Dublin Contact Person: Navan Road Units Marie Fahy Contact Person: Contact Person: Dr. Austin Warters Email Address: Esther Irwin [email protected] Email Address: Email Address: [email protected] Role: [email protected] peech and Language Therapy Role: Role: Old Persons’ Services Manager CNM3 Practice Development Coordinator Sponsor: John Carew Sponsor: Rachel Simons- Area Director of Nursing This project is in collaboration with: Mary Fitzpatrick (RGN) , Lisa Murphy This project is in collaboration with: (Home-support Manager)and Amanda Sandra Hutchinson, June Fitzpatrick, Casey (Principal Social Worker, Mater Elaine Shaw, Caitriona Manning, Jack Hospital), Dr. Austin Warters (Old koers, Trevor Bolieu, Caroline Gourley, Persons’ Service Manager). Rachel Simons, Winah Quinjano, Hilary Kingston, Pamela Bohm, Alice Kearns, MIchelle Hayden

Summary of Project: Summary of Project: Summary of Project: The ‘CAMHS Made Simple’ booklet was A range of quality improvements to H2H was established to prevent delays developed by Speech and Language improve the mealtime experience and in hospital discharges. It enables people Therapists (SLTs) based on an assessed provide additional spaces for residents to return home with home-support need within Dublin North City and to socialise. Improvements included on the day they are identified for County CAMHS, to provide accessible -move to smaller refurbished sitting discharge or from ED to avoid hospital information about CAMHS and how rooms,rustic signage, soft furnishings, admission. Care needs are re-assessed it can help young people and their creation of 1950’s room for coffee post-discharge and this has shown a families. mornings and reminiscence, Resident substantial reduction in the number of kitchen installed, Breakfast clubs home-support hours required. From ‘CAMHS Made Simple’ explains what commenced, Resident Pub [Durty March 2019- January 2020, 92 people CAMHS is, the pathway and who young Nellies] ‘Fine Dining’ experience, Inter were referred to this service. people will meet. It includes a list of unit ‘bake off’ , purchase of ‘able tables’ words to know, service user comments, to improve direct eye contact and information about our clinics and lists of interaction, day trips. Staff training re links and supports. Art created by young best practice for people with dementia people is used in the booklet. at mealtimes, reminiscence therapy, validation therapy training & life story work was provided. The timing of meals changed to better meet the needs of residents with more evenly spaced gaps between meals.

26 Category: Improving our Childrens Health

Project Title ‘The Teen Group’- developing home and community independent living skills.

Location: CHO Area 9

Healthcare Setting: Beechpark Autism Services- Northside Team

Contact Person: Paula O’Shea

Email Address: [email protected]

Role: Occupational Therapist

Sponsor: Anne Hughes Kazibwe

This project is in collaboration with: SLT reviewed written and visual information like social stories and presentations within group. CNS and psychology facilitated the group when out in the community and Social work provided internet safety presentation.

Summary of Project: The “Teen Group” is a five week Occupational Therapy summer group for teenagers availing of services from Beechpark Autism Services. The group was successful in developing the teenage participants’ independence in activities of daily living at home and within their community. Activities included preparing simple meals, using Dublin Bus, shopping in Blanchardstown Shopping Centre, money management, and road safety awareness.

27 Health Service Excellence Awards 2020

Corporate Services Category Winner Category: Category: CHAMPIONING MENTAL HEALTH Championing Mental Health Improving our Childrens Name of Healthcare Email: Health Setting: [email protected] National Mental Health Name of Manager/ Project Title Service Sponsor: Location: Michael Ryan Individual Placement and Project Title Corporate This project was a Support (IPS) in the Mental The Nurture Programme – Key Contact for Project collaboration between Name: with a range of stakeholders Health Service Infant Health and Wellbeing John McCusker across every CHO in Ireland Role: Senior Operations Manager

Location: Location: : Corporate Services Corporate Services

Project Title Healthcare Setting: Healthcare Setting: Individual Placement and Support (IPS) in National Mental Health Service Universal Child Health Service – All the Mental Health Service healthcare service settings delivering Project Summary Contact Person: universal, integrated services from Individual Placement and Support (I.P.S.) is an John McCusker antenatal to child’s 3rd birthday evidence-based approach to employment for people who experience mental health difficulties. In Email Address: Contact Person: partnership with contracted employment agencies, 28 adult community mental health and rehab and [email protected] Anne Pardy recovery teams across Ireland have Employment specialists embedded within their teams supporting Role: Email Address: participants into open market employment. Senior Operations Manager [email protected] The key features of this project are • ‘Place and support’ rather than the traditional Sponsor: Role: model of ‘train and place’ Michael Ryan Programme Manager, Nurture • Integration of an Employment Specialist as a Programme - Infant Health & Wellbeing full member of the MDT • Partnership between HSE and another agency. Sponsor:

• Zero exclusion criteria for participants Dr. Kevin Kelleher, and Public Health & Child Health • Evidence based and successful in achieving desired outcomes. This project is in collaboration with: • Over 150 participants currently in competitive Dr.Phil Jennings,Carmel Brennan,Child employment Health & Nurture Programme I.P.S. champions the individual’s ability to live a full team . Nurture Programme Team, and satisfying life, participating in the same roles as Conor Owens,Dr.Julie Heslin,Dr. every other citizen while at the same time managing Caroline Mason-Mohan,Ann mental health difficulties with an appropriate level O’Shea,Grainne Gaffney,Janet of support. It demonstrates that people who have Gaynor,PHNs,CMDs,Public mental health difficulties also have skills and talents. It champions integration of services and our ability Health,Communications, AHPs,KHF,CES to partner with non-traditional agencies to meet the needs of service users. IPS represents huge changes understanding of expected outcomes for service users in terms of access to competitive employment and the Summary of Project: Summary of Project: benefits this has to all aspects of life for the individual. Individual Placement and Support The programme is a quality (I.P.S.) is an evidence-based approach improvement initiative designed to The Selection Panel commented that this project demonstrates interagency working and the benefits to employment for people who improve information and professional of evidence based initiatives. The project is a whole experience mental health difficulties. supports provided to parents during system approach, patient centred, and demonstrates In partnership with contracted pregnancy and the first 3 years of life. It integration, value for money and transferability of the model. The Panel noted that the project creates employment agencies, 28 adult includes antenatal education standards outcomes that are measurable and there is a clear community mental health and rehab and information, online and print impact for service users and society. and recovery teams across Ireland have resources for parents and professionals, Employment specialists embedded a standardised national record and a within their teams supporting blended-learning training programme. participants into open market employment.

29 Category: Innovation in Service Delivery

Project Title Implementation of Department of Health Policy {Advanced Practice Nursing/ Midwifery}

Location: Corporate Services

Healthcare Setting: Office of the Nursing and Midwifery Services Director (ONMSD)

Contact Person: Mary Frances O Reilly

Email Address: [email protected]

Role: ONMSD Lead for Advanced Practice Nursing and Midwifery

Sponsor: Dr. Geraldine Shaw, Director, Office of the Nursing and Midwifery Services Director

This project is in collaboration with: Key partners included the Office of the Chief Nurse in the DOH, NMBI, HEI’s, Directors of Nursing, National Clinical and Integrated Programmes

Summary of Project: A draft policy was tested, leading to publication of the Policy on Graduate to Advanced Practice (DoH 2019). This involved recruitment, education and registration of advanced nurse practitioners across all health services. Emerging evidence demonstrates that RANPs enhance care through timely access to services, hospital avoidance, and reduced waiting lists

30 Health Service Excellence Awards 2020

Dublin Midlands Hospital Group Highly Commended Category: Category: EXCELLENCE IN QUALITY CARE Improving Patient Experience Innovation in Service Delivery

Name of Healthcare Email: Setting: [email protected] Project Title Project Title St. James Hospital Name of Manager/ Bookshelf for St James’s Improving blood Inventory Location: Sponsor: Dublin Midlands Hospital Niamh Murphy Hospital Concourse management: A collaborative Group This project was in Name: collaboration with Niamh approach. Sarah Moore Murphy, Grainne Sheill, Department of Surgery St. Role: James’ Hospital Clinical Specialist Physiotherapist Location: Location: Dublin Midlands Hospital Group Dublin Midlands Hospital Group

Healthcare Setting: Healthcare Setting: Project Title St James’s Hospital Establishing the first Prehabilitation Exercise Blood Transfusion laboratories at Naas Service for Cancer Surgery Patients Hospital, The Coombe Hospital and Contact Person: Tallaght Hospital Project Summary Dr Laura O’Doherty This Pre-operative rehabilitation (prehabilitation) programme for people Email Address: Contact Person: awaiting cancer surgery in St. James’ Hospital, [email protected] Helena Begley Dublin, is designed to get patients stronger and fitter before surgery. Daily, physiotherapy Role: Email Address: led, high intensity, aerobic, strengthening [email protected] and breathing exercise classes and there is a Bookshelf Manager (also Senior House Home-based programme for those unable to Officer) attend classes. Role: Sponsor: Senior Medical Scientist, Blood The key features of this project are Ms Claire Holdsworth, St James’s Transfusion, Naas General Hospital This is the only prehabilitation exercise service Foundation Manager offered to cancer patients in a hospital in Sponsor: Ireland. It also offers a Virtual clinic for patients Mary Duggan who are unable to attend the programme, Daily This project is in collaboration with: exercise classes offered to patients and Monthly St James’s Foundation, Vincent Callan, This project is in collaboration with: talks by clinical lead psychologist on coping with Director of Facilities Management, a cancer diagnosis and leads to decrease post- Design – in-house architect, Blood transfusion staff at NGH, CWIUH operative complication rate and hospital LOS . Infection control, Security, Concourse and TUH, First Direct Medical and the This project was a Co-design of service with management, Technical Services IBTS. patients – listening to patients. Division , Constructed by Medi FM, NDTP Spark Seed Funding Grant of 500 It also involved multi agency collaboration - led by clinical specialist physiotherapist in a euro National Cancer Centre in Ireland and adheres to the aims of the National Cancer Strategy, “to improve the treatment, health & wellbeing, experiences and outcomes of those living with cancer” Summary of Project: Summary of Project: The bookshelf is a beautiful architect Following a meeting between NGH, designed communal space in the busy CWIUH , TUH and the IBTS a decision hospital concourse providing free was made to try and implement a reading materials to patients, staff weekly blood exchange program and visitors. It is a joint initiative of between the 3 sites. Blood with St James’s Hospital Foundation and approximately 2 weeks to expiry at Inclusion Health SJH. It was inspired Naas hospital and The Coombe hospital by a survey conducted in 2016 asking is exchanged once a week for units marginalised patient groups about their with longer expiry dates from Tallaght hospital experience. Many specifically hospital via First Direct medical blood asked for access to books, something transport vans. This exchange program before this initiative, there was no has drastically reduced blood ordering, easy access to. Thanks to the many blood wastage and inappropriate use of volunteers, book donations and hard precious O Negative blood. work it has been a great success.

32 Category: Supporting a Healthy Community

Project Title Development and Implementation of an Autism Awareness eLearning programme

Location: Dublin Midlands Hospital Group

Healthcare Setting: Centre for Learning and Development, Human Resources Directorate, Tallaght University Hospital

Contact Person: Shauna Ennis

Email Address: [email protected]

Role: Head of Learning and Development

Sponsor: Sharon Larkin, Human Resources Director, TUH

This project is in collaboration with: Geraldine Kyle RNT, Clinical Neuro Psychologist, Consultant Paediatrician (Neurodisability), Professor Child & Adolescent Psychiatry,Community Child Health Liaison Nurse (Autism)

Summary of Project: The aim was to enhance the knowledge and skills of healthcare professionals interacting with autistic children and adults in the acute hospital setting. An eLearning programme was developed in collaboration with subject matter experts across a range of services and a key stakeholder which was representative of the Autistic Community.

33 Health Service Excellence Awards 2020

Ireland East Hospitals Group Highly Commended Highly Commended Category: Innovation in Service Delivery EXCELLENCE IN QUALITY CARE IMPROVING PATIENT EXPERIENCE

Name of Healthcare Setting: Name of Manager/Sponsor: Name of Healthcare Email: St Luke’s General Hospital Paula Power A/DON Setting: [email protected] Project Title Kilkenny Mater Misericordiae This project was a University Hospital Infectious Name of Manager/Sponsor: Location: collaboration between the Diseases Department/Centre Professor Jack Lambert Virtual Glaucoma Clinic Ireland East Hospitals Group RAMP in collaboration for Liver Disease with members of the SLGH This project was a Model in the Management Name: Maternity MDT developed Location: collaboration between Clare Kennedy Ireland East Hospitals Group the Hepatitis C Pharmacy the ICMS including Midwives, Department, the Social of Patients with Stable Role: Obstetricians, Paediatricians, Name: Inclusion Team at the Registered Advanced Midwife PHN’s, GP’s and CMS Tina McHugh Mater Hospital and the Glaucoma Practitioner Ultrasonagher. Mater Foundation (official Role: fundraising body at the Email: Hepatitis C Community MMUH). Pathways Coordinator [email protected] Location: Ireland East Hospitals Group

Healthcare Setting: Project Title Project Title Royal Victoria Eye and Ear Hospital The Integrated Community Midwifery Hepatitis C Peer Support Project Service (ICMS) Contact Person: Project Summary The RAMP MC since registration has Project Summary Aoife Doyle developed and implemented, an integrated The Peer Support Project seeks to identify, hospital/community midwifery-led service engage and facilitate individuals affected by Email Address: which commenced October 2018 in SLGH Hepatitis C (HCV) in the community to access [email protected] Maternity service and has a team of 6 care and treatment in the Mater Hospital. midwives funded by the NWIHP. This service Peers provide ‘one to one’ practical and provides normal risk women with suitable emotional support which serves to facilitate Role: care pathways for their needs i.e. supported Consultant Ophthalmic Surgeon. Project and assisted Maternity Strategy (2016). patient’s attendance at specialist hospital appointments & adherence to treatment. Lead The key features of this project are The goals of the Integrated Community The key features of this project are Sponsor: Midwifery Service are Recent years have brought about the Donal Brosnahan, Clinical Director, • The requirement to establish a clinical development of HCV drugs, which can cure RVEEH a governance framework for midwifery almost all those who receive treatment. The practice. primary vision of the project is to improve access for vulnerable populations ensuring This project is in collaboration with: • The implementation of the Maternity that they have the same rights and access to Ciara Liston, Clinical Nurse Specialist, Strategy (2016) values and goals healthcare as that of the general population. Department of Nursing • Providing a service to women which is By integrating a peer support worker into Jeroen Verbruggen, Department of I.T women centred and holistic to women, clinical teams we have greatly improved the Paul Moriarty, Clinical Director/ Acting their families and their babies. patient treatment experience and removed CEO 2017-2019 some of the barriers to access and creates an The impetus for the introduction of the RAMP/ environment where individuals authentically ICMS services in SLGH maternity services in feel like they are at the ‘centre’ of their own October (2018) was influenced by Service user requests. The ICMS meets the outstanding care. Patient feedback to date reflects on local service need, offering women, their the instrumental role peer support has partners and babies care provision choices and had in terms of minimizing the anxiety and options. vulnerability associated with accessing and navigating the hospital system. This is a Since the inception of the ICMS a 2.1% model of care which could easily be adapted reduction in the LSCS rate in SLGH has been for use with ‘hard to reach’ groups in other Summary of Project: noted. The RAMP in conjunction with all the disease areas such as HIV,TB etc team members of the ICMS plan to further To improve efficiency in managing enhance and expand the service in 2020 after stable glaucoma and glaucoma the success it experienced over the last two suspects where patients attend a years. nurse run clinic. Staff interview and take measurements for later review by the consultant ophthalmologist in a virtual clinic model with the use of the electronic medical record (EMR)

35 Category: Category: Excellence in Quality Care Improving Patient Experience

Project Title Project Title The Integrated Community Hepatitis C Peer Support Midwifery Service (ICMS) Project

Location: Location: Ireland East Hospitals Group Ireland East Hospitals Group

Healthcare Setting: Healthcare Setting: St Luke’s General Hospital Kilkenny Misericordiae University Hospital Infectious Diseases Department/Centre Contact Person: for Liver Disease Clare Kennedy Contact Person: Email Address: Tina McHugh [email protected] Role: Email Address: Registered Advanced Midwife [email protected] Practitioner Role: Sponsor: Hepatitis C Community Pathways Paula Power A/DOM Coordinator

This project is in collaboration with: Sponsor: The RAMP in collaboration with Professor Jack Lambert members of the SLGH Maternity MDT developed the ICMS including Midwives, This project is in collaboration with: Obstetricians, Paediatricians, PHN’s, Hepatitis C Pharmacy Department, GP’s and CMS Ultrasonagher. Social Inclusion Team at the Mater Hospital, Mater Foundation (official fundraising body at the MMUH)

Summary of Project: Summary of Project: The RAMP MC since registration The Peer Support Project seeks has developed and implemented, to identify, engage and facilitate an integrated hospital/community individuals affected by Hepatitis C midwifery-led service which commenced (HCV) in the community to access care October 2018 in SLGH Maternity service and treatment in the Mater Hospital. and has a team of 6 midwives funded by Peers provide ‘one to one’ practical the NWIHP. This service provides normal and emotional support which serves risk women with suitable care pathways to facilitate patient’s attendance at for their needs i.e. supported and specialist hospital appointments & assisted Maternity Strategy (2016). adherence to treatment.

36 Health Service Excellence Awards 2020

National/National Ambulance Service/ National Clinical Programmes/ National Services Category Winner Category: Category: IMPROVING OUR CHILDRENS HEALTH Improving Patient Experience Innovation in Integrated

Name of Healthcare Setting: Name of Manager Sponsor: Digital Excellence Universal Child Health Service Dr. Kevin Kelleher, AND Public – All healthcare service settings Health & Child Health Project Title delivering universal, integrated services from antenatal to child’s This project was a collaboration 3rd birthday with Dr.Phil Jennings, Carmel CAWT supported Community Project Title Brennan, Child Health & Location: Nurture Programme team, Paramedic Project in the The Perinatal Mental National Nurture Programme Team, Conor Owens, Dr.Julie Heslin, National Ambulance Service Health Information App for Name: Dr.Caroline Mason-Mohan, Ann Anne Pardy O’Shea, Grainne Gaffney, Janet Gaynor, PHNs, CMDs, Public Healthcare Staff Role: Health,Communications, AHPs, Programme Manager, Nurture KHF, CES Programme - Infant Health & Wellbeing Location: Location: National Ambulance Sevice National Clinical Programmes Email: [email protected] Healthcare Setting: Healthcare Setting: Project Title National Ambulance Service Specialist Perinatal Mental Health The Nurture Programme – Infant Health and Service Wellbeing Contact Person: Bridget Clarke Contact Person: Project Summary The programme is a quality improvement initiative Fiona O’Riordan designed to improve information and professional Email Address: supports provided to parents during pregnancy [email protected] Email Address: and the first 3 years of life. It includes antenatal education standards and information, online and [email protected] print resources for parents and professionals, Role: a standardised national record and a blended- National Ambulance Service Lead, Out Role: learning training programme. of Hospital Cardiac Arrest Strategy & Programme Manager The key features of this project are Associated Specialist Programmes Children’s early years impact on their lifelong health Sponsor: and wellbeing. This project provides parents with Sponsor: Dr. Siobhán NiBhriain, practical, accessible and evidence-based information to empower them to take up their role as experts in Martin Dunne, Director of the National National Clinical Advisor Group Lead, their children, giving them the best start in life. It Ambulance Service Mental Health Clinical Programmes supports professionals to deliver quality universal child health service. This project is in collaboration with: This project is in collaboration with: This project applies evidence-based best practice This project started in 2017, funded by Dr Margo Wrigley , National Clinical to the extensive engagement with parents and CAWT, involving collaborative working Lead for perinatal mental health professionals to ensure consistency of message with the 3 Ambulances services of the development nationally, Perinatal and promote positive health behaviours. This was achieved through the completion of 16 Parental ROI, Scotland & Northern Ireland. psychiatrists , Mental Health Midwives, focus groups and online surveys (over 4000 parents Tusla link who reviewed their section, responded to surveys) and staff consultation and Voluntary user testing involved over 500 staff working in child health services.

Over 154,000 child health information books were distributed. Since launching, MyChild.ie has had 3.1million page views with >1million users. 14 e-learning units are available , 7489.50 hours of eLearning an 9818 hours classroom training have been completed by professionals working in child Summary of Project: Summary of Project: health services. The NAS Community Paramedic Project The PMH App is designed to provide The Selection Panel commented that the project is targeting elderly patients with chronic the latest information to assist is a demonstration of evidenced based practice and exacerbation’s or low acuity illness’s. healthcare staff in their roles, providing stakeholder engagement in order to make things Community Paramedics are highly information on Perinatal Mental Health better for the population served. trained staff who have undergone problems, teams providing services and specialised training to enable them to information and contacts for related see/treat patients in their own homes or areas. It is regularly updated with new communities, rather than unnecessarily content, weekly polls, news and events. transporting them by ambulance to busy hospital Emergency Departments.

38 Category: Category: Category: Supporting a Healthy Championing Mental Health Excellence in Quality Care Community Project Title Project Title Project Title Dealing with Disclosure - Sepsis Public Awareness Dementia: Understand Reintegration with the Campaign Together Community Community Activation

Location: Location: : Location: National Services National Services National Services

Healthcare Setting: Healthcare Setting: Healthcare Setting: Community National Forensic Mental Health Service Acute Operations

Contact Person: Contact Person: Contact Person: Emer Begley Jennie Moore Ann T Martin

Email Address: Email Address: Email Address: [email protected] [email protected] [email protected]

Role: Role: Role: Senior Project Manager Social Care Team leader Communications

Sponsor: Sponsor: Sponsor: Mary Manning Lisa McLoughlin Vida Hamilton

This project is in collaboration with: This project is in collaboration with: HSE - National Dementia Office, Health The National Sepsis Team, Clinical Lead and Wellbeing and Communications, Dr Martina Healy & PM Ciara Hughes, The Alzheimer Society of Ireland, Age Sepsis ADONS Dr Karn Cliffe, Yvonne Friendly Cities and Counties. Young, Mary Bedding, Celine Conroy, Fidelma Gallagher, Sinead Horgan

Summary of Project: Summary of Project: Summary of Project: Sepsis awareness campaign with videos Dementia: Understand Together in Disclosing a history of an offence of patients and healthcare professionals Communities is inspiring individuals, perpetrated secondary to severe mental outlining their experience, information organisations and community illness and necessitating hospitalisation on how to recognise sepsis and seek groups; taking actions and creating in the Central Mental Hospital, was help. communities where people living identified as a barrier to patients with dementia and their families are returning to community life. Our respected, supported and connected. innovative programme was developed Over 300 community champions and for patients, who are vulnerable to 40+ national partners are increasing significant stigma, to return to the awareness and understanding of community. dementia, changing services and tackling stigma

39 Health Service Excellence Awards 2020

RCSI Hospital Group Category: Category: Category: Improving Patient Experience Innovation in Service Delivery Innovation in Service Delivery

Project Title Project Title Project Title Comfort care pack for family Combining Nurse-Triage, Beaumont Hospital member of patient who is Consultant-Vetting and Partial- Laboratory Modernisation dying Booking Significantly Reduces Endoscopy Waiting Lists

Location: Location: Location: RCSI Hospital Group RCSI Hospital Group RCSI Hospital Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Connolly Hospital Blanchardstown Connolly Hospital, Blanchardstown. Beaumont Hospital Dublin 15 Contact Person: Contact Person: Contact Person: Professor Richard Farrell Peter O’Leary Debby Gregg Email Address: Email Address: Email Address: [email protected] [email protected] [email protected] Role: Role: Role: Endoscopy Lead and consultant Laboratory Manager End of Life Care Coordinator Gastroenterologist Sponsor: Sponsor: Sponsor: Professor Patrick Thornton Aoife Clare (ADON) Ms. Barbara Keogh Dunne, Hospital Manager, Connolly Hospital This project is in collaboration with: This project is in collaboration with: Blanchardstown. A dedicated cross-functional working Discussed at our end of life care group was used which included: committee. Feedback from families and This project is in collaboration with: Laboratory Directorate staff and the staff helped develop the idea for the This project highlights the coordinated Departments of Procurement, Finance, comfort care pack. multidisciplinary teamwork across HR, ICT, Technical Services, General nursing, medical and scheduled care in services (Portering, hygiene, security successfully reducing endoscopy waiting etc) lists.

Summary of Project: Summary of Project: Summary of Project: This is a supportive practice initiative. The HSE faces unprecedented pressure The Laboratory Modernisation This pack will be given to the next of in endoscopy referrals with over 20,000 project involved alignment of the core kin of a patient who is actively dying. patients on the Inpatient/Day-case blood science laboratory elements The aim of the initiative add an element National GI Endoscopy waiting list. A of Biochemistry, Haematology and of support and an act of kindness to unique triple combination of endoscopy Immunology to an automated tracked the care we give at the end of life. The nurse-triage, consultant referral-vetting system while maintaining the key items in this pack help ensure the and partial booking achieves key waiting function of specialist Laboratory work in simple things that make a big difference list performance targets by significantly the aforementioned areas. The project like information on overnight facilities reducing urgent, non-urgent and delivers significant benefits in terms of and car parking. The pack contains: surveillance endoscopy lists. Turnaround Times for both scheduled Tissues, LED colour changing candle, and unscheduled care by aligning with Coffee shop voucher, Parking permit, the Royal College of Pathologists’ Key Information leaflets “What to expect Performance Indicators for laboratory when someone you care about is dying operations. in hospital” m When you experience a bereavement” leaflet, A guide to end of life service provisions in Connolly Hospital Evaluation form and a Notebook & pen

41 Category: Supporting a Healthy Community

Project Title Women’s Health After Motherhood.

Location: RCSI Hospital Group

Healthcare Setting: Rotunda Hospital

Contact Person: Cinny Cusack

Email Address: [email protected]

Role: Physiotherapy Manager

Sponsor: Fiona Hanrahan/Trinity College

This project is in collaboration with: Deirdre Daly, MAMMI team, Niamh Kenny, Mental health experts, sexual health experts, chiropractor, health economist, maternal health researchers, midwives,

Summary of Project: The Women’s Health After Motherhood course was developed with women and maternal health experts, to provide reliable, trustworthy information on postpartum health and well being for women, their partners, and for healthcare professionals. The course addresses the gaps in knowledge surrounding women’s postpartum health and provides strategies to address them.

42 Health Service Excellence Awards 2020

South/SouthWest Hospitals Group Category Winner Category: Category: IMPROVING PATIENT EXPERIENCE Excellence in Quality Care Improving Patient Experience Name of Healthcare Setting: Email: Cork University Maternity [email protected] Hospital Project Title Project Title Name of Manager/Sponsor: Location: Professor John Higgins Improving Outcomes The CUMH Gynaecology South/SouthWest Hospitals Group This project was a through Safety Huddle Waiting List Initiative collaboration between a cross Name: functional focus group at Implementation John Higgins CUMH with representation from senior management Role: in various departments, the Project Sponsor and Clinical SSWHG, the NWIHP Director, Ireland South Women & Infants Directorate Location: Location: South/SouthWest Hospitals Group South/SouthWest Hospitals Group

Healthcare Setting: Project Title Healthcare Setting: Cork University Maternity Hospital The CUMH Gynaecology Waiting List Initiative Cork University Hospital

Project Summary Contact Person: The CUMH Gynaecology Waiting List Initiative Contact Person: John Higgins was designed to tackle the highest gynaecology Dr Dorothy Breen outpatient waiting list in Ireland in the short term and work towards a sustainable model of service Email Address: delivery and patient care in the medium term. Email Address: [email protected] [email protected] The key features of this project are Role: The desired outcome was to reduce the waiting list to Role: <1000 with an average 12 week wait time. A new and Project Sponsor and Clinical Director, innovative approach was implemented: Consultant in Intensive Care and Clinical Ireland South Women & Infants Lead for Quality • patients were reclassified into 8 major Directorate diagnostic groups Sponsor: • an online booking system was used Sponsor: Ger O’Callaghan Professor John Higgins • outreach clinics, additional weekend and evening clinics, gynaecology initiative week This project is in collaboration with: This project is in collaboration with: A patient who was previously waiting up to 4 years for Catharina Healy, Mary Doyle CNM2, A cross functional focus group at a first time appointment is now seen in typically less Helen McCarthy RN, Carolyn Cullinane than 12 weeks. CUMH with representation from senior DIT, Avril O’Halloran Physio, Ward management in various departments, The learnings from this initiative could easily be Pharmacist on Huddle wards, Mr Hugo the SSWHG, the NWIHP transferred to other maternity units and outpatient Prins Consultant Suregon, Prof Mark service areas. The successful model is currently being Corrigan Consultant Surgeon, Claire applied to reduce the IPDC waiting list at CUMH. The key focus is to improve patient care and thus Costigan allows patients to put their trust in the service.. This initiative is the subject for research audits and two masters projects through the UCC Masters in Healthcare Leadership.

The Selection Panel commented that that the project resulted in a significant reduction in waiting lists and online booking system for patient positively impacting Summary of Project: on patient experience Summary of Project: The CUMH Gynaecology Waiting List The “safety huddle” is a 15-minute, Initiative was designed to tackle the multi-disciplinary ward meeting to highest gynaecology outpatient waiting re-establish situational awareness list in Ireland in the short term and work and reduce harm as breakdown in towards a sustainable model of service communication between healthcare delivery and patient care in the medium workers is a significant contributor term. The IHI promote its use worldwide as a powerful tool however it has not been adopted systematically in Ireland in acute adult inpatient areas.

44 Category: Category: Innovation in Service Delivery Supporting a Healthy Community Project Title Pre-Hospital Transfusion Project Title Project ‘Billy’s Trolley’ (Employment inclusion in the work place.)

Location: Location: South/SouthWest Hospitals Group South/South West Hospitals Group

Healthcare Setting: Healthcare Setting: Blood Transfusion Laboratory & Dept. Mallow General Hospital of Emergency Medicine, Cork University Hospital Contact Person: Caroline O Leary Contact Person: Padraig O’Sullivan Email Address: [email protected] Email Address: [email protected] Role: CNM2 Role: Senior Medical Scientist Sponsor: Caroline O Leary Sponsor: Ms. Sinead Creagh This project is in collaboration with: This project is in collaboration with: The management, nursing, clerical, Blood Transfusion Laboratory, Haemov- household and supplies staff in Mallow igilance & Emergency Medicine Staff at General Hospital. CUH (& engagement with IBTS, National Ambulance Service and St. Vincent’s Hospital, Dublin).

Summary of Project: Summary of Project: Development of a system to enable This initiative is being developed life-saving blood transfusions to take to create a partnership to promote place in the pre-hospital setting (e.g. inclusive employment opportunities in at the scene of an accident) to enhance Mallow General Hospital in association the existing pre-hospital emergency with the Cope Foundation’s Ability@ medicine service provided to the HSE work scheme. South/Southwest from Cork University Hospital.

45 Health Service Excellence Awards 2020

St. James Hospital Category: Excellence in Quality Care

Project Title Establishing the first prehabilitation exercise service for cancer surgery patients

Location: St. James Hospital

Healthcare Setting: Dublin Midlands Hospital Group

Contact Person: Sarah Moore

Email Address: [email protected]

Role: Clinical Specialist Physiotherapist

Sponsor: Niamh Murphy

This project is in collaboration with: Niamh Murphy, Grainne Sheill, Department of Surgery St. James’ Hospital

Summary of Project: This project established Pre-operative rehabilitation (prehabilitation) programme for people awaiting cancer surgery in St. James’ Hospital, Dublin, to get patients stronger and fitter before surgery. The programme offers daily, physiotherapy led, high intensity, aerobic, strengthening and breathing exercise classes and Home-based programme isavailable for those unable to attend classes.

47 Health Service Excellence Awards 2020

UL Hospitals Group Category: Category: Excellence in Quality Care Innovation in Service Delivery

Project Title Project Title Management Referral triaging Novel role for Pharmacists Process Pilot Study in the Cancer Services clinic setting at University Hospital Limerick

Location: Location: UL Hospitals Group UL Hospitals Group

Healthcare Setting: Healthcare Setting: Occupational Health Department University Hospital Limerick

Contact Person: Contact Person: Dr Abigail O’Reilly Olivia Flynn

Email Address: Email Address: [email protected] [email protected]

Role: Role: Co-investigator Chief II Pharmacist

Sponsor: Sponsor: Dr Conor McDonnell Anne Harnett

This project is in collaboration with: This project is in collaboration with: Supervising consultant, occupational Maria O’Sullivan, Eoin Barrett, Joanne health nurses and clerical staff within Nally the Occupational health department were also involved

Summary of Project: Summary of Project: Telephone contact has been A Pharmacists’ presence in Cancer introduced as a new means of triage Services clinics can effectively ensure of Management Referrals. Audit that new patients starting on SACT has shown dramatic improvement (systemic anti-cancer therapy) have an in efficiency of our department. The accurate medication review and drug time from receipt of management interaction check performed before a referral until first contact/telephone patient starts on treatment, and also independent medical assessment and involves the patient in their medication waiting times for next available face-to- journey. face appointment with an OH Physician have markedly improved.

49 Health Service Excellence Awards 2020

Voluntary Provider (Section 38) Category Winner Category: Category: INNOVATION IN INTEGRATED DIGITAL Innovation in Integrated Excellence in Quality Care EXCELLENCE Digital Excellence

Name of Healthcare Setting: Email: Project Title Saint John of God Liffey [email protected] The People Who Touch the Patient Services Project Title Name of Manager/Sponsor: Location: Elisa Doyle Digital platforms integrating Make the Change: Successful Voluntary Provider (Section This project was a Quality Improvement –Supporting 38) Multimedia Advocacy to support collaboration between Name: Director - Elisa Doyle, Person-Centred Planning Staff, Enhancing Care Sarah Gavra Boland Manager- Audrey Carroll, Coordinator- Alan Byrne, Role: ICT - Brendan McCormack, Assistive Technology Advocate - Aine Walsh, Location: Location: Coordinator MDT - Zafar Iqbal, Christina Voluntary Provider (Section 38) Cannon. Voluntary Provider (Section 38)

Healthcare Setting: Healthcare Setting: Project Title Saint John of God Liffey Services National Rehabilitation Hospital Digital platforms integrating Multimedia Advocacy to support Person-Centred Planning Contact Person: Contact Person: Project Summary Sarah Gavra Boland Dr Valerie Twomey In 2012 we began introducing multimedia to support total communication. We believe everyone deserves access to their information Email Address: Email Address: and aim to promote accessibility. We have [email protected] [email protected] been researching and testing systems to support our 'Person Centred Plans’. We have Co-Designed an accessible platform solution Role: Role: with Asperico thanks to QIC grant. Assistive Technology Coordinator Programme Manager

The key features of this project are Sponsor: Creating a transparent and accessible person- Sponsor: centred planning system. The aim is to put the Elisa Doyle Valerie Twomey person first through the use of multimedia and assistive technology to ensure that they have This project is in collaboration with: This project is in collaboration with: access to their plans and records in real-time. Director - Elisa Doyle , Manager- Audrey Rosie Kelly, Eugene Roe, Lisa Held, Key featues include Carroll, Coordinator- Alan Byrne, ICT - Mark Delargy, Frances Campbell, • Plan owners have accessible access to Brendan McCormack, Advocate - Aine Rosemarie Nolan, Derek Greene, their plans, goals and actions Walsh, MDT - Zafar Iqbal, Christina Amanda • Plan owners can give a circle of support Cannon access to their plans to support meaningful day and fulfil life vision. • Delivery of transparent person-centred service based on real-time smart goal- driven data.

The plan owner can access their plans and goal tracking on their smart device using assistive technology. Multimedia supports people to express their needs and wishes in a way that focuses on their ability and allows services to communicate to service users in a way they can understand. There was substantial saving on Summary of Project: Summary of Project: printing and time thanks to the digitalisation of the system. In 2012 we began introducing The NRH has successfully developed multimedia to support total and implemented a quality Selection Panel Commented that this project communication oin Person Centred improvement training and support shows real commitment integrating person programme for staff to enhance the centred planning, patient engagement Planning. We believe everyone deserves and demonstrated new innovative thinking access to their information and aim to quality of frontline care given directly and alternatives to traditional ways of promote accessibility. We have been to patients. The programme includes a communication and were impressed with the Quality Goal, QI Toolkit, QI Programme sheer determination, genuine commitment and researching and testing systems to high energy among the team. support our ‘Person Centred Plans’. and Community of Improvers, where We have Co-Designed an accessible staff receive support, mentoring and platform solution with Asperico thanks coaching on quality initiatives. to QIC grant.

51 Health Service Excellence Awards 2020

West / North West Hospitals Group Category: Category: Category: Excellence in Quality Care Innovation in Service Delivery Innovation in Service Delivery

Project Title Project Title Project Title “I’m just Born, Keep me RAPID Physiologist-led Learn while you wait Warm” Monitoring Service

Location: Location: Location: West / North West Hospitals Group West / North West Hospitals Group West / North West Hospitals Group

Healthcare Setting: Healthcare Setting: Healthcare Setting: Neonatal Intensive Care Unit (NICU). University Hospital Galway Sligo University Hospital, Letterkenny Galway University Hospital University Hospital and Tallaght Contact Person: University Hospital Contact Person: Paul Nolan Jean James Contact Person: Email Address: Seamus Boyle Email Address: [email protected] [email protected] Email Address: Role: [email protected] Role: Chief II Cardiac Physiologist Registered Advanced Nurse Practitioner Role: in Neonatology Sponsor: ENT SpR Prof Pat Nash, Consultant Cardiologist Sponsor: and Group Clinical Director Sponsor: Ms Helen Murphy. Director of Midwifery Mary Bresnihan This project is in collaboration with: This project is in collaboration with: Medical Physics staff expidited purchase This project is in collaboration with: The QI team was called “The Ten with national procurement, CCU nurse Nurses, doctors, secretaries, clinical Degrees” and included midwives redirected low to medium priority photographers, illustrators, quality from Labour ward, Post-natal ward, telemetry requests to the new service. managers, care staff, administrators and Gynaecological theatre, NICU PAS Office amended online ordering staff, Practice Development, a Parent form to include new service Advocate and University colleagues.

Summary of Project: Summary of Project: Summary of Project: Babies are not born cold. They cannot To address delays for inpatient The concept is simple to improve shiver; therefore we must intervene telemetry we commenced a RAPID patient experience while waiting for in their care. Our QI project helped Physiologist-led Monitoring service their clinic appointment. To replace us reduce our Hypothermia figures in Jan 2019. Requests are made daytime TV with an informatic display in babies admitted to the NICU from electronically and Cardiac Physiologists, with helpful advice from ENT doctors. Gynaecology theatre by 88.5% in 2019. triage requests, fit the monitor, which In addition to have a poster display We implemented a thermal care bundle provides 72hrs of monitoring. Patients to summarise the TV display with QR and helped change old habits and can be discharged with the monitor on. codes to link to HSE Live. practice. Recordings are reported immediately on return by Cardiac Physiologists.

53 Health Service Excellence Awards 2020

Exceeding Expectation Exceeding Expectation

Joint Winner Christy Joint Winner Mary O’Rourke, Kelly, Physio Assistant in Senior Medical Social Worker, Physiotherapy Department, Oncology Dept, CHI@Crumlin. St James’ Hospital. Christy Mary was nominated by Dr was nominated by Joanne Finn, Maeve O’Reilly, Consultant in Deputy Physiotherapy Manager Palliative Medicine, CHI@Crumlin and St Luke’s Hospital

Highly Commended in the Exceeding Expectation - Outstanding Employee Award are

• Dr Patrick O’Donnell, Safety Net General Practitioner working in conjunction with Mid-West Area Social Inclusion Services. Dr Patrick was nominated by Carol Stanley, Community Mental Health Nurse.

• Debby Gregg, End of Life Coordinator in Connolly Hospital, Blanchardstown. Debby was nominated by Aoife Clare, Assistant Director of Nursing, Ambulatory & Medical Directorate, Connolly Hospital

• Hillary Collins, Ambulance Paramedic, National Ambulance Service who was nominated by Lorraine Smith, Communications and Innovation Lead.

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