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Minutes of Meeting of the Regional Health Forum West, Held On

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Minutes of Meeting of the Regional Health Forum West, Held On Minutes of Meeting of the Regional Health Forum West, held on Tuesday 23rd November, 2010 at 2.00pm in Room 1, Education Centre, HSE Offices, Merlin Park, Galway Miontuairiscí cruinnithe an Fhóraim Réigiúnach Sláinte, ar an Mháirt, 23 Meitheamh2010 ag 2.00 i.n, sa an tIonad Oideachais, Feidhmeannacht na Seirbhíse Sláinte, Páirc Mheirlinne, Gaillimh. Chairperson/Cathaoirleach Councillor Pádraig Conneely Members Present/Comhaltaí i Láthair Cllr Declan Bree Cllr Mary Hoade Cllr Paul Murphy Cllr Rose Brennan Cllr Michael Hourigan Cllr Gerry Murray Cllr Richard Butler Cllr Gordon Hughes Cllr Austin Francis O’Malley Cllr John Carroll Cllr Colm Keaveney Cllr Annie May Reape Cllr Catherine Connolly Cllr John Kelly Cllr Gerry Reynolds Cllr Tom Connolly Cllr John Kennedy Cllr Jerome Scanlan Cllr Joe Cooney Cllr Gerry McLoughlin Cllr Tony Ward Cllr Ger Fahy Cllr Tom McNamara Cllr Seamus Weir Cllr Laurence Fallon Cllr Brian Meaney Cllr Imelda Henry Cllr Michael Mullins Apologies/Leithscéalta Cllr Ciaran Brogan Cllr Sean McGowan Absent/As Láthair Cllr Liam Blaney Cllr Tim Broderick Cllr Michael Crowe Cllr Jimmy Harte Cllr Frank McBrearty Jr Cllr John ‘Rocky’ McGrath Cllr Bernard McGuinness Cllr Malachy Noone Cllr Kevin Sheahan In Attendance/I láthair freisin Mr. John Hennessy, Regional Director of Operations (RDO) Ms Catherine Cunningham, Office of the Regional Director of Operations Mr Frank Dolphin, HSE Chairperson Mr Pat Dolan, Area Operations Manager, Sligo/Leitrim Mr Bernard Gloster, Local Health Manager, HSE West Mr John Hayes, Area Operations Manager, Donegal Ms Chris Kane, Office of the Regional Director of Operations Mr Liam Minihan, Asst Nat Director, Finance, HSE West Ms Shirley Murphy, A/Section Officer, Office of the Regional Director of Operations Mr. Francis Rogers, Asst Nat Director, Human Resources, HSE West Mr Brendan Shovlin, Asst. Head, Logistics and Inventory Management Mr John Swords, Asst National Director, Logistics and Inventory Management Apologies/Leithscéalta Dr. Jacky Jones, Functional Manager Health Promotion Mr. Pauric Sheerin, Chief Ambulance Officer 310/30/10 Minutes/Miontuairiscí The minutes of the previous meeting held on the 28th September, 2010 were proposed by Councillor Mary Hoade, seconded by Councillor Colm Keaveney and adopted. Final Mins RHFW#30_23.11.10.doc 1 311/30/10 Matters Arising/Nithe ag éirí Questions and Responses from September Forum Members acknowledged that written responses to their questions were circulated after the September Forum, however, they expressed dissatisfaction that these could not be discussed at today’s meeting. Some members acknowledged receipt of written responses to Questions submitted at meetings during the Work to Rule period, they also requested supplementary questions be permitted, as per usual practice. Agreed: The Chairman agreed to discuss the matter of Questions, including where they sit on the Agenda, with the Regional Director of Operations. It was agreed that there would be no presentations at the next Forum meeting. Visit of Chairman of the HSE, Dr Frank Dolphin Dr Frank Dolphin, Chairman of the HSE, launched the Health Service Executive's second annual report on Child and Adolescent Mental Health Services (CAMHS), today, in Merlin Park, Galway. The Forum Chairman welcomed and thanked Dr Dolphin for agreeing to address the members briefly. Agreed: Dr Dolphin apologised for not being a position to stay and participate fully in the meeting; he agreed to return and attend a Regional Health Forum West Forum meeting in the New Year. 312/30/10 Chairman’s Business/Gnothai an Chathaoirligh Apologies The Chairman noted apologies from Councillors Sean McGowan and Ciaran Brogan. Next Regional Health Forum Meeting The Chairman advised members that the next Forum meeting would be held on Tuesday, 22nd February, 2010 at 2pm, Room 1, Education Centre, Merlin Park, Galway. Next Regional Health Forum Committee Meetings He also advised that the next Committee meetings are scheduled to take place in Room 1, Education Centre, Merlin Park, Galway, as follows: 1. PCCC Committee, Tuesday 7th December, 2010 at 1.00pm 2. Hospital Committee, Tuesday 14th December, 2010 at 1.00pm HSE Achievement Awards 2010 The Chairman advised that he will be attending the National HSE Achievement Awards tomorrow on behalf of the Forum. Five projects are nominated from HSE West, as follows: COPE Galway Community Catering Roscommon PCCC – When nature calls! Managing Incontinence in Roscommon Mid Western Regional Hospital Limerick – Paediatric High Dependency Unit Mayo - Occupational Therapy Splinting Clinic (Primary Care) GUH – Regional Anaesthetic Facility The Chairman wished them the best of luck on behalf of the Forum Members. Overdue responses to Forum Questions (Work to Rule) The Chairman noted that most Councillors will have received responses to their overdue questions and that three Councillors have yet to receive their responses. A dedicated administrative support is working on them at present. Sympathy The Chairman, on behalf of the Forum, expressed his sympathy with Councillor Catherine Connolly, and with Councillor Declan Bree, on the passing of Cllr Connolly’s Father, Coleman Connolly RIP. Retirement The Chairman announced the retirement of Dr Jacky Jones, Functional Manager Health Promotion, from the HSE on 30th November, 2010. He wished Dr Jones well on her retirement after 36 years service. Councillor Catherine Connolly wished to further tribute Dr Jones on her excellent work in the Health Services in an area which is not fully recognised as a vital service. Final Mins RHFW#30_23.11.10.doc 2 Councillor Connolly queried if Dr Jones’s position would be filled on her retirement; Mr Hennessy advised that this could not be decided until the impact of the Voluntary Redundancy Scheme / Voluntary Early Retirement Schemes becomes clearer. 313/30/10 Finance Update/Tuairisc chun dáta Mr Liam Minihan, Asst. National Director of Finance updated members on the financial position of HSE West as at 31st October, 2010. Following the Presentation, there was a Questions and Answers session with all members. The key issues from this discussion are as follows: Position re Private Health Providers – Claims > 12 Months Although the savings achieved is positive, how will the further cuts, required to breakeven, affect the public? Medical card/prescription charges to those in residential care Mr Minihan advised there is currently €36m due for outstanding claims from Private Health Providers. The National target is 65 days for turnaround of claims. The West is currently at 142 days; this scenario is similar around the country. A number of initiatives are taking place to deal with this issue: Targets are set for each hospital Clinical Directors are prioritizing this issue with the Hospital Consultants Staff are redeployed from other services to deal with these claims Weekly monitoring of accounts for each hospital National negotiations are taking place with the VHI regarding electronic submission of Claims, and Claims over 90 days. Pilot Schemes are now in place is some hospitals around the country to allow sign off on Claims by alternative Clinicians in the Services. The aim is to separate the Hospital Bill versus the Consultant Bill Primary difficulty is getting Consultant sign off on Claim Members felt that consultants should receive penalty clauses on their Contracts. The Regional Director of Operations advised members that the HSE West is in a better position than other regions in this respect and that every effort will be made to rectify the situation. Agreed: L Minihan will provide a further update regarding Private Health Insurers & Claims, at the next Forum meeting. The Regional Director of Operations reiterated for Members the current financial situation in HSE West. He also set out the guiding principles the HSE West aim to use to manage services in the current climate: No compromise to patient Safety and Quality of Services, Protection of frontline services, where possible, Services must be managed within their budgets. The RDO recognised and acknowledged the efforts and hardwork of all HSE Staff involved in achieving savings to date. Some members expressed the view that Public Health Services were being undermined by contracting of services to Private Companies and that these savings should not be seen as an achievement. Some members queried the contracting of a Private MRI Imaging Centre at Merlin Park Hospital and asked why details relating to this centre were regarded as commercially sensitive. Some members felt that the HSE should not suggest they are achieving savings if they are not in a position to provide evidence of same by withholding information regarding Private Contracts, which they view as commercially sensitive information. It was suggested there is a conflict of interest and that details regarding the Imaging Centre should be provided. Agreed: The RDO agreed to provide further details on the MRI Imaging Centre at Merlin Park, Galway. In relation to Medical Card/Prescription charges to those in residential services, Mr Pat Dolan, Area Operations Manager, Sligo/Leitrim advised that this matter is being considered at National Level, and Final Mins RHFW#30_23.11.10.doc 3 those in residential care are liable for medical card/prescription charges, there is a process in place, whereby at the end of a calendar month charges for medical card/prescriptions are raised along with any other usual charges for that individual. 314/30/10 Presentation on Procurement/Cur
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