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Community Care Annual Report for the Year Ended 31St December 1992

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Community Care Annual Report for the Year Ended 31St December 1992 Community care annual report for the year ended 31st December 1992 Item Type Report Authors Western Health Board (WHB) Publisher Western Health Board (WHB) Download date 04/10/2021 16:55:15 Link to Item http://hdl.handle.net/10147/250291 Find this and similar works at - http://www.lenus.ie/hse Bord Slainte an Iarthair Western rd ••• COMMUNITY CARE ANNUAL REPORT For Year Ended 31st December 1992 MISSION STATEMENT OF THE WESTERN HEALTH BOAR "To promote and achieve good health for its population by the management and deployment of resources through: • Provision of services • Research (epidemiological/demographic) • Provision of information • Education (people/agencies) • Professional training • Development (clinical/management) within the constraints of available resources." TABLE OF CONTENTS Page No. Introduction 2 Community Care Programme Staffing 3 Absenteeism Report 5 Income and Expenditure 6 Demographic Trends 7 Registration of Births, Deaths and Marriages 9 Community Protection Services 12 Area Medical Services 13 Environmental Health Services 18 Health Education and Promotion 21 Community Nutrition Project 22 HIV/ AIDS Surveillance 25 Sexually Transmitted Diseases 28 Public Analyst's Laboratory 29 Community Health Services 30 General Medical Services 31 Public Health Nursing Services 34 Dental Services 42 Aural Services 47 Ophthalmic Services 47 Community Welfare Services 49 Home Help Service 50 Home Management Advisory Service 51 Speech Therapy Service 52 Community Physiotherapy Services 54 Occupational Therapy Service 54 Social Work Services 56 Children in Crisis 61 Child and Adolescent Psychiatric Services 62 I Neighbourhood Youth Project 63 Community Psychology Services 64 Services for the Mentally Handicapped 66 Services for the Physically Handicapped 68 Community Welfare Cash Payments 68 Supplementary Welfare Services 69 Voluntary Bodies 78 Other Developments 84 Galway Family Guidance Institute 85 Information Technology 89 Quality Assurance 90 Community Care Standing Committee 90 Health Centre Developments 91 Introduction The World Health Organisation has defined Primary Health Care as: "Essential Health Care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self reliance and self determination. " Central to this are a multi~sectoral approach, community involvement and appropriate technology. The Community Care Programme is also concerned with improving the quality of life of the aged, the handicapped and the disadvantaged. For the purposes of this report, services provided in the Community Care Programme will be dealt with under the following sub~programme heading~ (a) Community Protection Services (b) Community Health Services (c) Community Welfare Services (d) Other Developments It should be noted that a separate annual report has been prepared in respect of the Public Analyst's Laboratory. 2 Community Care Programme Staffing Whole Time Equivalents as at 31st December, 1992. Community Care Areas Grade ,. Galway Mayo Roscommon Total Administration 58.00 37.00 18.60 113 .60 Public Health Nurse 82.78 53.18 26.30 162.26 Home Help Service 154.11 129.53 129.25 412.89 Medical 11.55 7.80 5.57 24.92 Para~Medical 11.54 12.61 3.00 27.15 Dental Service 30.77 19.48 6.18 56.43 Community Welfare 24.05 16.19 9.00 49.24 Environmental Health 14.00 7.61 4.00 25.61 Social Work 15 .00 12.00 4.00 31.00 Others & Maintenance 63.00 32.41 17.00 112.41 Totals 464.80 327.81 222.90 1015.51 St. Anne's Children's Centre Grade W.T.E. Administration 5.00 Nursing 11.00 Child Care Worker 9.50 Household and Portering 8.00 Medical 6.00 Para~Medical 5.50 Others 1.00 Other Para~Medical _.83 Totals 48. 3 3 Public Analyst's Laboratory Grade W.T.E. Administration 2.45 Para-Medical 15.53 Totals 17.98 Aras Attracta, Swinford Grade W.T.E. Administration 10.00 Nursing 75.00 Para-Medical 2.51 Housekeeping 16.00 Maintenance 8.62 Others 5.80 Totals 117.93 Registration of Births, Deaths and Marriages Grade W.T.E. Headquarters 1.00 Galway 4.00 Mayo 2.50 Roscommon 1.00 Totals 8.50 Community Care Headquarters Administration 7.00 Para-Medical 3.00 Orthodontic ervice 1.00 Totals 11.00 4 Absenteeism Report Overall percentage absences for all staff categories on a monthly and annual basis in respect of the years 1991 and 1992 are outlined in the following tables. A significant reduction in the overall average absenteeism rate from 2.89% in 1991 to 2.43% in 1992 was achieved. Community Care Programme - Absenteeism Report 1991 Yr / Mth Admin. Med / Dent Nursing ParaMed Cater. Maint. Others Totals 91/01 3.16 5.20 4.78 4.42 1.13 4.38 0.50 2.88 91/02 4.59 6.60 5.77 4.12 1.70 5.17 0.99 3.68 91/03 3.92 6.84 4.72 4.82 2.19 2.30 0.92 3.56 91/04 3.75 5.37 4.00 1.72 2.48 0.71 1.76 3.11 91/05 3.58 4.93 4.66 2.47 2.50 3.69 0.14 3.23 91/06 2.84 4.64 3.35 2.88 2.44 0.71 0.51 2.79 91/07 2.71 4.97 2.84 4.39 2.00 7.14 1.92 2.80 91/08 3.33 5.20 2.96 1.75 1.81 7.14 0.64 2.59 91/09 2.71 3.67 4.46 3.30 1.41 7.14 0.07 2.63 91/10 1.63 3.78 4.18 2.10 1.02 3.92 1.28 2.12 91/11 2.40 5.97 4.67 2.04 1.28 6.19 2.28 2.68 91/12 2.70 3.33 4.27 1.03 2.06 2.53 2.49 2.65 Overall Average % Absences of Above 3.11 5.04 4.22 2.92 1.84 4.25 1.12 2.89 Community Care Programme - Absenteeism Report 1992 Yr / Mth Admin. Med / Dent Nursing ParaMed Cater. Maint. Others Totals 92 /01 3.02 4.55 4.97 2.24 1.94 2.91 0.74 3.01 92/02 4.60 4.24 4.82 1.55 2.34 0.78 1.51 3.36 92/03 1.91 2.52 4.33 3.72 1.77 2.18 0.22 2.56 92/04 2.95 3.26 3.67 2.58 2.28 6.58 0.23 2.81 92/05 2.78 0.41 3.57 1.28 1.50 0.64 0.15 2.07 92 / 06 2.59 2.84 3.96 2.45 1.22 2.31 2.40 92 /07 3.23 1.94 3.91 1.34 1.38 1.19 2.35 92/08 3.09 2.16 3.84 0.71 1.46 0.21 0.07 2.24 92/09 3.27 2.70 4.40 1.20 0.80 2.41 4.54 2.49 92/10 2.93 3.29 2.23 1.99 0.88 0.06 1.84 92/11 3.62 3.45 2.23 3.46 0.42 1.67 0.40 2.02 92/12 2.72 3.47 2.27 3.03 0.31 2.22 7.56 2.11 Overall Average % Absences of Above 3.06 2.90 3.65 2.13 1.35 1.62 1.63 2.43 c: Income and Expenditure Total gross expenditure in the Programme for 1992 amounted to £48.09 m. Total income amounted to £1.39 m leaving the rota I net expenditure at £46.70 m. This was insufficient to maintain the range and quality of services provided in 1991 due to increasing pay costs and the significant increase in the cost of demand - led schemes. However, efforts were focused on providing a high level of service through:- 1. Management of pay costs through the continuing use of the Computerised Whole Time Equivalent System. 2. A significant reduction in the level of absenteeism. 3. Increased emphasis on value for money projects. Analysis of Non-Capital Income and Expenditure for year ended 31st December, 1992. 1991 Figures in Brackets Location Gross Expenditure Gross Expenditure Total Gross Total Total Net (Pay) (Non-Pay) Expenditure Income Expenditure Community 6,542,226 11,733,515 18,275,741 605,037 17,670,704 Care Galway (6,083,987) (11,802,104) (17,886,091) (490,767) (17,395,324) Community 3,913,773 7,950,303 11,864,076 224,464 11,639,612 Care Mayo (3,638,853 ) (7,348,897) (10,987,750) (285,468) (10,702,281) Community 1,987,490 3,140,744 5,128,234 259,173 4,869,061 Care Roscommon (1 ,8 16,626 ) (3,016,124) (4,832,750) (196,687) (1,060,449) St. Anne's 1,018,334 162,915 1,181,249 52,023 1,129,226 Children's Centre (971,293) (146,861) (1 ,118,154) (57,705) (1,060,449) Aras Attracta 1,516,122 786,204 2,302,326 104,995 2,197,331 Swinford (979,15 ) (660,367) (1,639,525 ) (367,736) (1,271,789) Public Analysi 379,447 278,644 658,091 102,644 555,447 Laboratory (360,930) (92,969) (453,899) (103,359) (350,540) Western are - 3, 194,511 3,194,511 - 3,194,511 A iati n (2,941,503 ) (2,941,503 ) (2,941,503) Galwav ounty - 2,699,745 2,699,745 - 2,699,745 ociati n ( ,4 4,710) (2,434,710) (2,434,710) ommunity are I 5,4 5 2,605, 199 2,790,684 43,375 2,747,309 Headquarter (l 2.745) (1,085,784) (1,218,529) ( 127,398) (1,091,131) Totals 15,542, 77 32,551,7 ° 48,094,657 1,391,711 46,702,946 (13,9 3,592) (29,529,319) (43,512,911 ) (1,629,120) (41,883,791) 6 Demographic Trends A comparison between the 1986 and 1991 censuses of population as they apply to the Western Health Board area is provided herewith.
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