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Attendances at Emergency Departments Outpatient Attendances Day HSE annual report and financial statements 2006 (1.24 MB) Item Type Report Authors Health Service Executive (HSE) Rights Health Service Executive Download date 25/09/2021 17:07:15 Link to Item http://hdl.handle.net/10147/45400 Find this and similar works at - http://www.lenus.ie/hse 543,000 day cases treated 1,269,000 attendances at Emergency Departments 594,000inpatients treated 2,779,000 outpatient attendances 11,431,000 home help hours provided ANNUAL REPORT AND FINANCIAL STATEMENTS 2006 In 2006 The Health Service Executive (HSE) Delivered: • Improvements in Emergency Department (ED) waiting times Number of HSE Patients in ED at 2pm awaiting admission after decision to admit has been made (2005 and 2006) 300 250 200 150 100 50 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005 2006 • Standardisation of National Procedures to Improve Quality of Services • National Framework for Emergency Planning • Nursing Home Inspections • Value for Money • National contracts agreed to utilise the purchasing power of the HSE for: • Drugs and Medicines • Insurance • Ambulances • Estate • Highlights of 2006 • Inpatients treated 594,059 • Day Cases treated 542,671 • Emergency Department attendances 1,268,991 • Outpatient attendances 2,778,602 • Births 62,745 • Home Help Hours delivered 11,430,570 ISBN 978-1-906218-01-0 © 2007 HSE Contents Introduction Overview of the Health Service Executive. 4 Chairman’s Statement . 8 Board Membership . 10 Chief Executive Officer’s Statement . 12 Senior Management Team . 14 Legal Reporting Framework . 15 Review of 2006 Structure of the Population . 19 Population Health . 21 Primary, Community and Continuing Care . 26 National Hospitals Office . 34 Support Services . 41 Financial Statements Operating and Financial Review . 53 Board Members’ Report . 57 Statement of Board Members’ Responsibilities . 60 Statement on the System of Internal Financial Control . 61 Report of the Comptroller and Auditor General . 65 Financial Statements . 67 Accounting Policies . 71 Notes to the Financial Statements . 75 Appendices to the Financial Statements . 91 2006 Health Service Executive, Annual Report 2006 03 Introduction Overview of the Health Service Executive (HSE) The HSE is responsible for managing 2. Support Services and delivering health and personal The corporate functions provide support services necessary to enable the organisation to function social services in the Republic efficiently and cost effectively. These include: of Ireland. • Office of the CEO; • Finance; It is the largest employer in the State, employing 70,000 • Human Resources; staff directly and funding a further 36,000 staff. The €12.4bn budget in 2006 is the largest of any public • Information and Communication Technology; sector organisation in Ireland. The HSE provides • Estates; thousands of different acute (hospital) and non-acute services. • Procurement; and • Corporate Planning and Control Processes. These services are wide ranging and include: • treating older people in the community; 3. Strategic Planning Reform and Implementation • caring for children with challenging behaviour; (SPRI) • performing highly complex surgery; Supports the delivery of the Transformation • controlling the spread of infectious diseases; Programme 2007-2010. • educating people to live healthier lives; and Figure 1: Areas of Operation • planning for potential major emergencies. Health and Personal Social Services At some stage every year, almost everybody in Ireland will use one or more of the services provided. These services are of vital importance to the entire population. Population Health The HSE has three clearly defined areas of operation: Primary, Community and Continuing Care 1. Health and Personal Social Services National Hospitals Office Population Health: Promotes and protects the health of the entire population. Support Primary, Community and Continuing Care (PCCC): Services SPRI Delivers non-acute services in the community through 32 Local Health Offices across the country. National Hospitals Office (NHO): The Fundamental Purpose of the HSE is: Provides acute hospital and ambulance services throughout the country. To enable people live healthier and more fulfilled lives. 04 Health Service Executive, Annual Report 2006 Organisation Structure of the HSE Figure 2: Organisation Structure of the HSE Board Internal Audit CEO Primary, National Population Community and Hospitals Office Health Continuing Care (NHO) (PCCC) Service Delivery Functions Corporate Office Information Human Planning of the Finance Communication Estates Procurement SPRI Resources and Control CEO Technology Processes Support Services Supporting delivery of the Transformation Programme 2007-2010 Health Service Executive, Annual Report 2006 05 Location of HSE’s Four Adminstrative Areas and 32 Local Health Offices Figure 3: HSE’s Four Adminstrative Areas and 32 Local Health Offices HSE Administrative Areas Dublin North-East Dublin Mid-Leinster South West Donegal Sligo/Leitrim Cavan/Monaghan Mayo Louth Roscommon North Dublin Meath Longford/Westmeath North West Dublin Dublin North Central Galway Kildare/ Dublin South City Laois/Offaly West Dun Laoghaire Wicklow Dublin South East Wicklow Dublin South West Clare Dublin West North Tipperary/ East Limerick Carlow/Kilkenny Limerick Tipperary SR Wexford North Cork Kerry Waterford North Lee South Lee West Cork 06 Health Service Executive, Annual Report 2006 Location of HSE’s 52 Acute Care Hospitals Figure 4: 52 Acute Hospitals HSE Administrative Areas Dublin North-East Dublin Mid-Leinster Letterkenny South West West/North Western North Eastern Hospitals Group Hospitals Group • Louth County • Letterkenny General Hospital, Hospital Dundalk • Sligo General Hospital Monaghan • Our Lady Of Lourdes • Mayo General Sligo Hospital, Drogheda Hospital, Castlebar • Our Lady’s Hospital, • Roscommon County Cavan Dundalk Castlebar Navan Hospital • Monaghan General • Portiuncula Hospital, Roscommon Drogheda Hospital Ballinasloe • Cavan General • University College Navan Hospital Hospital Galway Mullingar • Merlin Park Regional Hospital, Galway Galway (2) Tullamore Naas Dublin (16) Ballinasloe Portlaoise Mid Western Dublin North East Hospitals Group Ennis Nenagh Hospitals Group • Mater Misericordiae • Mid Western Regional Kilkenny (2) University Hospital, Hospital, Nenagh, Co Dublin Tipperary Limerick (3) Cashel • Beaumont Hospital, • Mid Western Regional Croom Dublin Hospital, Ennis, Co. Clonmel • Connolly Hospital, Clare Tralee Wexford Blanchardstown, Waterford • Mid Western Regional Mallow Dublin Hospital, Dooradoyle, • Rotunda Hospital, Limerick City Dublin • Mid Western Regional Cork (5) • Children’s University Maternity Hospital, Hospital, Temple Limerick City Bantry Street, Dublin • St John’s Hospital, • Cappagh National Limerick City Orthopaedic Hospital, • Mid Western Regional Dublin Orthopaedic Hospital, Croom, Co. Limerick Southern Hospitals Group South Eastern Hospitals Group Dublin Midlands Hospitals Group Dublin South Hospitals Group • Cork University Hospital • Wexford General Hospital • Adelaide & Meath & National • St Vincent’s University Hospital, Elm • Erinville Hospital, Cork • Waterford Regional Hospital Children’s Hospital,Tallaght,Dublin Park, Dublin • St Mary’s Orthopaedic Hospital, • St Luke’s General Hospital, Kilkenny • Coombe Women’s Hospital,Dublin • St Michael’s, Dun Laoghaire, Dublin Gurranebraher, Cork • Lourdes Orthopaedic Hospital, • Our Lady’s Childrens Hospital, • St Colmcille’s Hospital, • Mercy University Hospital, Cork Kilcreene, Kilkenny Crumlin, Dublin Loughlinstown, Dublin • South Infirmary-Victoria University • South Tipperary General Hospital, • Naas General Hospital • National Maternity Hospital, Hospital, Cork Cashel • Midland Regional Hospital, Mullingar Holles Street, Dublin • Mallow General Hospital • South Tipperary General Hospital, • Midland Regional Hospital,Tullamore • St Luke’s Hospital, Dublin Clonmel • Kerry General Hospital, Tralee • Midland Regional Hospital,Portlaoise • Royal Victoria Eye and Ear, Dublin • Bantry General Hospital • St James’s Hospital, Dublin City of Dublin Skin and Cancer, Hume Street Hospital, Dublin closed during 2006. This service is now provided at St Vincent’s University Hospital, Elm Park, Dublin. Health Service Executive, Annual Report 2006 07 Chairman’s Statement Service Delivery The HSE’s annual National Service Plan sets out the health and personal social services it is committed to providing each year. The Service Plan for 2006 was adopted by the Board at the start of the year and approved by the Minister for Health and Children. I am happy to report that the HSE delivered on all major requirements of that Plan within the financial resources allocated. In addition, in many areas of service a significant increase in the level of activity was provided in 2006 compared to 2005. The overall strategy of the HSE Board and Management is to make it easier for people to access appropriate health services when and where they need them. This requires a re-balancing of the system and a redirection of care delivery to the most appropriate settings. The continued development of Primary Care Teams and the provision of out-of-hours General Practitioner services are fundamental to making it easier for people to access care closer to their homes. Reducing the dependency on acute hospitals by improving community services and increasing the availability of more appropriate beds is also of critical importance. I am pleased to say that In relation to Acute Hospitals, good progress was made
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