Information guide to Midland Health Board Services prepared in accordance of section 15 on the Freedom of Informaton Act 1997
Item Type Report
Authors Midland Health Board (MHB)
Publisher Midland Health Board (MHB)
Download date 27/09/2021 19:46:33
Link to Item http://hdl.handle.net/10147/82553
Find this and similar works at - http://www.lenus.ie/hse
Information ~uideto Midland Health Board Services rciaiiq
1.0 Preamble Pages 1.1. Access to Information 1 1.2. Freedom of Information Act 1 1.3. General Overview Section 15 1 1.4. General Overview Section 16 2
2.0 Strategic Objectives of the Midland Health Board
Aims, Purposes and ValuG
4.0 Area and Population 4.1. Ageing Population
5.0 Health Board Members and Committees 5.1. Finance Sub-committee 5.2. Members of Visiting Committees 5.3. Members of Land Purchase Committee
6.0 Organisational Structure 6.1. Senior Executive Team 0 6.2. Corporate Team 6.3. Division of Functions
7.0 Directory of Sewices by Care Group 7.1. Acute Hospitals Services 7.2. Services for Children and Families 7.3. Services for people with Disabilities 7.4. Mental Health Services 7.5. Older People 8.0 Corporate Services. 8.1. Office of the Chief Executive Officer 8.2. Office of Deputy Chief Executive Officer / Programme Manager Community Care 8.3. Office of Programme Manager Hospital Care 8.4. Department of Public Health 8.5. Finance Department 8.6. Management Services Department 8.7. Personnel Department 8.8. Technical Services Department 8.9. Bridge Project Management Unit 8.10. Chief Ambulance Officer 8.1 1. Communications Officer 8.12.Director of Child Care Services 8.13.General Manager Acute Hospital Services 8.14.General Manager Community Services 8.15.Health Promotion Officer 8.16. Regional Materials Manager
9.0 Environmental Health Services 134 - 135
10.0 Regional Services 10.1. Central Supplies 10.2. Central Sterile Supplies Department 10.3. Central Laundry Services
11.0 Classes of Records 139
12.0 How to obtain Information from the Board 140 12.1. General Requests / Enquiries 140 12.2. How to obtain Information under the Freedom of Information Act 1997 142
Appendix A - Decision Makers Appendix B - Internal Reviewers I Section 15 Publication I
1.1 Access to Information
This Health Board currently makes information routinely available to the public in relation to its functions, activities and schemes. Such information will continue to be available informally without the need to use the Freedom of Information Act. This manual highlights, in relation to each of the Health Boards activities, where information of this nature is available.
The Freedom of Information Act 1997 is designed to allow public access to information held by public bodies which is NQl' routinely available through other sources. Access to information under the Act is subject to certain exemptions and involves specific procedures and time limits. This manual provides a guide to the structure of the Midland Health Board so as to help you access information generally and under the Freedom of Information Act and should be read in conjunction with the following documents: e Midland Health Board Annual Report & Statistical Addendum Midland Health Board Annual Financial Statement Midland Health Board Annual Service Plan An Information Guide to how services are Administered (Prepared under Section 16 FOI Act 1997) Refer to section 10.0 for details on how to access information from the Board.
1.2 Freedom of Information Act 1997
The Freedom of Information (FOI) Act establishes three new statutory rights:- a legal right for each person to access information held by public bodies; a legal right for each person to have official information relating to himherself amended where it is incomplete, incorrect or misleading; a legal right to obtain reasons for decisions affecting oneself;
The Act asserts the right of members of the public to obtain access to official information to the greatest . extent possible consistent with the public interest and the right to privacy of individuals.
1.3 General Overview of Section 15
"Information Guide to Midland Health Board Services"
This manual has been prepared and published in accordance with the requirements under Section 15 of the Freedom of Information Act 1997. Its purpose is to facilitate access to official information held by the Midland Health Board. Specifically the manual provides information on:
Aims, structures and functions of the Board The services provided by the Board The classes of records held by the Board General access to information How to access information under the Freedom of Information Act
Detailed information on the rules procedures and guidelines on each service provided by the Board is available under a separate publication (see 1.4 below).
The Health Boqd is required to publish information in relation to the public's rights of appeal against decisions of the Board. In addition the Health Board must describe the classes of records that it holds and the Board's arrangements for enabling the public to access such records. General Overview to Section 16 Publication
Under Section 16 of the Freedom of Information Act 1997 the Midland Health Board is required to make its rules, guidelines and procedures available to the public in respect of the services provided.
Accordingly a reference manual has been prepared containing:
Details of schemes administered by the Board Legislation, regulations governing the services Policies, Procedures and guidelimes for the services Eligibility criteria applicable to each service Publics rights to appeal and complain
The Section 16 manual is available for inspection by the general public at the Board's Hospitals and main Health Centres. Strategic Objectives of the Midland Health Board I Mission Statement
In 1994 the Minister for Health published the Health Strategy - "Shaping a Healthier Future". The main theme of the Strategy is the reorientation of health services so that improving peoples' health and quality of life becomes the primary and unifying focus. These two concepts are described as follows:-
HEALTH GAIN: is concerned with health status both in terms of increased life expectancy and improvements in the quality of life.
SOCIAL GAIN: is concernedwith the broader aspects of the quality of life and the extent to which, for example, the provision of support services contributes to improvement in the quality of life of service users and their carers.
The Strategy reflects the commitment of Government to ensuring that health services should fust and foremost help those people whose needs are greatest and that this will be reflected in the way future resources are allocated. It also recognises the importance of the pursuit of quality and lays emphasis on constantly measuring and evaluating quality through clinical audit and consumer surveys. The Strategy places the consumer fust and sets out proposals for improving the participation of the public in the planning and evaluation of services. It sets out new arrangements for improved legal and fmancial accountability and includes a requirement on those providing services to take direct responsibility for the achievement of agreed objectives.
In response to "Shaping a Healthier Future" the Midland Health Board, in June 1995, published its Corporate Strategy which is intended to serve as a source of information, reference and guidance to all those involved in planning actions to achieve the objectives outlined in "Shaping a Healthier Future".
The Midland Health Board exists to seek to improve the health (health gain) and quality of life (social gain) of the people livingin Counties Laois, Offaly, Longford and Westmeath by:-
promoting healthy lifestyles
preventing, diagnosing and treating ill health
caring for those suffering from long term illness and disabilities
providing social services to individuals and families at risk 3.0 Aims, ~urposesand. A. Values The aim of the Board is that all of its services should be of a uniformly high quality. The Board believes that a quality service must be: EQUITABLE - persons with identical needs should receive the same standard of treatment and care regardless of where they live, where they are treated, what their income is or what their political or religious beliefs may be.
ACCESSIBLE - everyone should have ready access to the services they need, when they need them. In particular, our services should be equally accessible to both public and private patients. EFFECTIVE - each patient should get the best possible result from his or her treatment and care. EFFICIENT - services should be organised and delivered in a way that gives best value for money. APPROPRIATE - should meet local needs, avoid developing unnecessary dependency on services or institutions and be flexible enough to cope with the need to change. RESPONSIVE - reflect the needs and entitlements ofusers. DIGNIFIED - reflect the standards of courtesy, confidentiality and respect for the privacy and dignity of the individual that society expects of the caring services.
FARSIGHTED - by identifying and pursuing through prevention and promotion programmes, opportunities to contribute to improvements in the health of the community.
4.0 Area and Population
The Midland Health Board (MHB) region covers the counties Laois, Offaly, Westmeath and Longford. In 1996 the population of the region was 205,272 compared with 202,984 in 1991 census. 1.1% increase in that 5 year period.
Health Care needs are greatest at the extremes of age. A useful measure of this is the dependency ratio. This is a ratio of the number of persons aged 0-14 and 65 years and over to the number of persons aged 15- 64 years. The dependency ratio in the Midland Health Board region is 0.60 (1996 census) and it is higher .than the national average. 5.0 'Hea1th:Board-Membersand.,. ,. . .. Committees ., . .. Health Board Members and Committees Chairperson: Cllr. M. Rohan. Vice Chairperson: Cllr. J. Coyle Number of Members: 30 Laois County Council Registered Medical Practitioners - Charles J. Flanagan, T.D., M.C.C. Dr. Catherine Browne, St. Fintans Hospital. Cllr Teresa Mulhare Dr. L. D'Alton, Millmount Road, Mullingar, Co. Westmeath Cllr Eamon Rafter Dr. Lame Fullam, Portarlington, Co. Laois. Cllr Martin Rohan Dr. J. Joyce-Cooney, Health Centre, Mullingar. Longford County Council Dr. John Keane, Garden Vale, Athlone. Cllr. Michael Doherty - Dr. S. Murphy, General Hospital, Mullingar. Cllr. Adrian Farrell Dr. John Taaffe, General Hospital, Tullamore. Cllr. Seamus Finnan Registered Pharmaceutical Chemist Cllr. Michael Nevin Mr. P. Stenson Offaly County Council Registered Nurse Cllr. Eamon Dooley Katherine Samuels, District Hospital, Athlone. Cllr. John Flanagan Registered Psychiatric Nurse Cllr. Michael Fox Mr. E. McMonagle, St., Loman's Hospital, Senator Patrick Moylan, M.C.C. Mullingar. Westmeath County Council Member Appointed by Minister for Health * Senator Donie Cassidy, M.C.C. Cllr. James Coyle Senator Camillus Glynn, M.C.C. Mr. Sean Keegan Cllr John H. Keegan Mr. John Moloney TD, M.C.C Cllr Kieran Molloy Registered Dentist Dr. D. O'Meara, County Clinic Mullingar
5.1 Finance Sub-committee
Members of the Financial Sub-Committee of the Midland Health Board
Chairman Cllr. M. Rohan Dr. L. Fullam. Vice-chairman Cllr. J. Coyle Senator C. Glynn, M.C.C. Cllr M.Doherty Dr. J. Keane Cllr. A. Farrell Mr. J. Moloney, T.D., M.C.C Cllr. S. Finnan Ms. K. Samuels, RGN Mr. C. Flanagan, T.D.M.C.C Dr. J. Taaffe Cllr. 1. Flanagan
5.2 Visiting Committees
Membershio ofeach ofthe three visitinp committees are listed below:
Cllr. M. Rohan, Chairman of the Board, and Cllr. J. Coyle, Vice-chairman of the Board, are ex-officio members of all Visiting Committees.
Senator D. Cassidy, M.C.C. + Cllr. K. Molloy + Ms. K. Samuels + Cllr. S. Finnan + Senator P. Moylan, M.C.C. + Mr. P. Stenson + Cllr. M. Fox + Cllr. T. Mulhare + Dr. J. Taafe + Dr. J. Keane + Cllr. M. Nevin + Dr. K. Brown 4 Dr. L. Fullam 4 Dr. L. D'Atlon + Dr. J. Joyce + Cllr. A. Fanell + Cllr. S. Keegan + Mr. C. Flanagan, T.D. M.C.C. + Mr. J. Moloney, T.D. M.C.C. + Cllr. J. Flanagan
4 Cllr. E. Dooley + Dr. S. Murphy 4 Cllr. M. Doherty 4 Mr. E. McMonagle 4 Senator C. Glynn, M.C.C. 4 Dr. D. O'Meara 4 Cllr. J.H. Keegan 4 Cllr. E. Rafter
5.3 Land Purchase Committee
Chairman Cllr. M. Rohan Vice Chairman - Cllr. 1. Coyle Members - Senator D. Cassidy M.C.C Cllr. M. Doherty Cllr. J. Flanagan Cllr. E. Rafter 6.0 ~r~anisationalStructure
The Midland Health Board comprises of 30 members -16 elected by the four County Councils, seven representatives of the medical profession, one representative from General Nursing, Registered Psychiatric Nursing, Dental and Pharmacy and three members as appointed by the Minister for Health & Children. The Board's main role is to oversee policy issues and to carry out the reserved function as defmed in the legislation. (See Sect. 6.1 for list of reserved functions).
The Managemen: of the Midland Health Board comprises of the Senior Executive Team and the Corporate Team who are responsible for the Executive Functions of the Board and ensure policy decisions of the Board are implemented within available resources.
In order to best serve the people of the area, their needs must be assessed and prioritised and available resourses then used to best effect to meet those needs. The Board's emphasis is shifting away fromprogrammes of services towards the particular needs of groups of people such as children, older people, mentally ill and people with disabilities. Episodic illnesses can affect people in all care groups and in all parts of the Board's area and need to be specifically addressed. Most episodic illnesses are catered for in general medical practice and in acute hospitals.
6.1 Senior Executive Team
Mr. D.J. Doherty, Chief Executive Officer.
Mr. D. O'Dwyer, Deputy CEOIProgramme Manager Community Care Responsible for: (a). Child & Family Care Group and (h).People with Disabilities Care Group.
Mr. J. Cregan, Programme Manager Hospital Care Responsible for: (a). Acute Hospital Service and (b). Mental Health Service Care Group.
Dr. P. Doorley, Director of Public Health Responsible for Population Health Function and Older People Care Group
(Refer to Corporate Services Section 8.0 for details of Senior Executive Functions) 6.2 Corporate Team
Mr. D. J. Doherty, Chief Executive Officer Mr. D. O'Dwyer, Deputy Chief Executive Officer / Programme Manager Community Care Mr. J. Cregan, Programme Manager Hospital Care Dr. P. Doorley, Director of Public Health
Mr. L. Bane, Personnel Officer Mr. D. Bergin, Finance Officer Ms. D. Bracken, Communications Officer Mr. J. Bulfm, General Manager Acute Hospital Services Mr. T. Carty, Management Services Officer Ms. B. Crechan-Roche, Bridge Project Management Unit Mr. B.J. Collealy, Technical Services Officer Dr. D. De La Harpe, Specialist in Public Health Medicine Ms. S. Foley, Health Promotion Officer Dr. P. Jennings, Specialist in Public Health Medicine Dr. J. Joyce, General Manager Community Care Ms. S. Keogh, Child Care Manager, ADirector of Child Care Services Ms. E. McAuliffe, Bridge Project Management Unit Mr. M. McCormack, Bridge Project Management Unit Mr. L. O'Callaghan, General Manager Community Care Ms. E. O'Neill, Bridge Project Management Unit Mr. L. Stronge, Regional Materials Manager Mr. G. Sweeney, Chief Ambulance Officer Mr. R. Walsh, Bridge Project Management Unit
6.3 Division of Functions
The division of functions within the Board are as follows:
Reserved Functions of the Board
Reserved Functions of the Board as set out in the FIRST SCHEDULE of the Health Amendment (No. 3) Act 1996 and are performed by resolutions of members of the Board.
. .
(See Page 7 & 8 for a list of legislation detailing Reserved Functions)
Executive Functions
Executive functions of the Chief Executive Officer as set out in the Health Amendment (No.3) Act 1996 Section 4 states that:
"Afunction ofa health board that is not a reserved function shall be a function of the Chief Executive Oflcer unless othenvise provided for, whether in this Act or in any other enactment, and afunction that is required to be so carried out shall be an executive function and "executivefunction" skall be construed and have effect accordingly". -Reserved Functions
The following is a list of Legislation detailing the Rese~edFunctionsof the Board.
1) Health Act 1947
a) Section 78 -Powers of health authority to acquire land. (Amended 18(a) 1996 Act)
b) Section 81 refers to Health Authorities Powers in relation to the making of compulsory acquisition orders.
c) Section 82 refers to procedures to he followed in relation to making of compulsory acquisition orders by a health authority. . d) Section 84 refers to procedures to be followed in relation to the coofiiation of compulsory acquisition orders by a health authority.
e) Section 88 refers to powers of health authorities to appropriate surplus land to other purposes (Amended 18(b) 1996 Act).
f) Section 89 refers to powers of health authorities to dispose of surplus land (Amended 18(c), 18(d), 18(e) 1996 Act).
2) Health Act 1970
a) Section 8 refers to the establishment of committees of health boards.
b) Section 9 refers to the payment of expenses to members of boards and committees.
c) Section 10 refers to the payment of allowances to the chairman and vice-chairmen of health boards.
d) Section 13(8) refers to the appointment of a chief executive officer of a board.
e) Section 21(2) refers,to the suspension of a chief executive officer by a resolution passed by the board.
f) Section 23(4) refers to the removal of a permanent officer of the board for a reason other than misconduct or unfitness.
g) Section 25(l)(b) refers to the arrangement of certain powers, function or duties to be performed by the health board on behalf of the local authority.
h) Section 33 refers to the borrowing of money by health boards.
i) Section 38(3) refers to the discontinuance of the provision and maintenance of a hospital, sanatorium, ' home, laboratory, clinic, health centre or similar preinises.
j) Section 40 refers to the acquisition of land for voluntary bodies. 3) Health Amendment (No. 3) Act 1996
a) Section 3 refers to the reserved functions as outlined above, those contained in this Act and to any function as may be declared to be a reserved function by the Minister.
b) Section 6 refers to the adoption of a service plan by the board.
c) Section 7 refers to the supervision of the implementation of and the amendment of a service plan by the board.
d) Section 8(2) refers to the containment of the indebtedness of the board within the amount specified by the Minister.
e) Section 11 refers to the adoption of the annual financial statements by the board.
f) Section 14(5) refers to the appointment and the removal of office of a chief executive officer.
g) Section 15(3) refers to the adoption of the board's annual report. Acute Hospitals
7.1 Acute Hospitals
Pages
7.1.1 Description 9
7.1.2 Structure General Manager
7.1.3 Services Provided Administration
Ambulance & Services Medical Consultant Services Out-Patient Services Other Services:
0 Paramedical
Pharmacy Nursing NonNursing Maintenance
7.1.4 Access
7.1.5 Contact Name and Addresses Acute Hospitals
I Acute Hospital Services I
Acute Hospital Services in the Midland Health Board area are provided at the General Hospitals at Mullingar, Portlaoise and Tullamore. This network of hospitals, working together from three sites and within the overall system for health care, aims to provide the range, quality and quantity of services, on a 24 hour basis, to meet the needs of the Board's population.
By providing teaching and professional training the Acute Hospital services maintain the Board's commitment to research, innovation and staff development.
This section should be read in conjunction with the following: Midland Health Board Annual Report and Statistical Addendum Midland Health Board Annual Financial Statement Midland Health Board Annual Service Plan An Information Guide on how services are Administered (Section 16 FOI Act Publication)
Acute Hospital Services in the Midland Health Board Region comprise of the following: Longford~WestmeathGeneral Hospital, Mullingar, Co. Westmeath. General Hospital, Tullamore, Co. Offaly. ~eneral'~os~ital,Portlaoise, Co. Laois.
Outpatient clinics are also held in: District Hospital Athlone, Co. Westmeath St. Joseph Hospital, Longford. Community Nursing Unit, Edendeny. Community Nursing Unit, Birr.
Mr. J. Cregan, Programme Manager Hospital Care I Mr. I. Bulfin, General Manager Acute Hospital Services Division
I I I General Hospital Tullamore, LongfordNestmeath Mr. G. Sweeney, General Hospital, Mullingar Chief Ambulance Officer I
I Mr. L. Connolly, Mr. R. Lane, Consultant Medical Matron Administrator
Mr. I. Martin Ms. M. Hogan Consultant Mr. F. Kelly, Ms. A. Burke, Consultant NSenior Hospital Matron Medical Senior Hospital NMatron Medical Administrator Staff Administrator Staff Acute Hospimlr
General Manager:
Reporting to the Programme Manager the General Manager has operational responsibilities for the Acute Hospital Services Division i.e. to deliver a planned quantum of service, within the defmed level of resources made available and in line with pre-determined quality standards. The General Manager also has a role in relation to the strategic development of the Division's services.
Key tasks for the general Manager include: Provision of leadership for the division Planning and delivery of a quantum of service within budget and to a pre-determined quality standard Initiation, implementation and management of projects which will contribute to the:- * Operational efficiency and effectiveness of the Division Re-orientation of acute hospital services to increase health and social gain creation of an environment to secure the participation of medical and nufsing staff in the management of the Division development of links with other services and service providers e.g. G.P.'s
7.1.3 1 Sewices Provided I
Administration:
Administration in the Acute Hospital Services provides full clerical and administrative support in the following areas:
Accounts Department - Staff are responsible for the issuing of accounts and receipt of payments in respect of changes for hospital services and processing all payments.
Out Patient Department: Administrative staff provide support to the Out-Patient Department in the preparation, booking and reconciling of all Out-Patient Clinics Monday to Friday.
Admissions Department: Administrative Support is provided for the admission of patients to hospital.
Medical Records Department: Administrative support in this department provides patient's records for out-patient clinics, in-patient and the day ward on a five day week basis.
Ambulance Sewices: .
The Ambulance Service provides pre-hospital emergency care and the primary response in major emergencies. The Ambulance Service also caters for the routine movement of patients between hospitals both within the Boards area and to specialist hospitals outside the region. A reorganisation of Ambulance Services is currently in progress which will see the development of a Regional Ambulance Headquarters based at Tullamore. The overall responsibility for all Ambulance Services for the region is under Mr. G. Sweeney, Chief Ambulance Off~cee Acute Hospitals
Medical Consultant Services:
Medical Consultants employed in the Board's hospitals work in the following specialties:
1) Main Specialties:
ENT This specialty deals with the treatment of conditions relating to Ear, Nose and Throat.
General Medicine The treatment of diseases by non-surgical means
General Surgery The treatment of diseases, injuries and deformities by manual and operative methods..
Medicine for Older People This branch of medicine concentrates on the diagnosis (incorporating Clinical Age assessment) and treatment of age related problems.
This branch of medicine is concerned with pregnancy and childbirth including the study of the physiological and pathological function of the female reproductive tract and the care of the mother and foetus through pregnancy and childbirth
Orthopaedics This branch of medicine is devoted to the study and treatment of the skeletal system, joints, muscles and associated structures.
Paediatrics This branch of medicine is concerned with the development and care of children and the treatment and prevention of their diseases.
2) Each Hospital has the following specialties:
Accident & Emergency Dept. Providing emergency treatment.
Coronary Care: Treatment of Conditions associated with heart disease.
Intensive Care Unit: Responsible for the care and treatment of seriously ill patients.
Hospice Service: Provide facilities for the care of terminally ill Patients and is supported by the Hospice Care Team. Acute Hospitals
3) Supporting Specialties:
Radiology This branch of medicine is concerned with radioactive substances and uses techniques of visualisation with the diagnosis and treatment of disease using any of the various source's of x-rays.
Pathology Department: The Pathology Department (Laboratory Services) diagnoses, monitors and controls diseases in association with the medical profession. Departments within the Laboratory Service include:
Biochemistry:: The chemistry of living organisms and life processes
Blood Transfusion This Service includes the storing of blood to be used for transfusion and other purposes
Haematology: The study of blood and blood products
Histology: The science of dealing with the microscopic identification of cells and tissues.
Microbiology: The study of microorganisms including algae bacteria, viruses and fungi.
Bacteriology: This service is concerned with the microbiological analysis of food and drinking water supplies. Routine investigation of foods and water takes place.
Out-Patient Clinics SenicesNnits are also provided as follows:-
* Ante-NataVPre-Natal : This clinic specialises in the care of the expectant mother.
Audiometry: This clinic specialises in the measurement of bearing.
Breast Cancer Clinic: The Clinic provide care and treatment in relation to Breast Cancer.
Chemotherapy: This service provides treatment of cancer by use of chemical substances.
Diabetes Clinic: This clinic specialises in ongoing diabetic education.
Dietician: The Dietician is trained in the scientific use of diet in health and disease.
Endoscopy: This service specialises in inspections and investigations by means of scope.
ENT Clinic: This clinic provides services in respect of Ear, Nose and Throat.
General Medical Clinic This clinic specialises in the treatment of diseases by non-surgical means.
General Surgical Clinic This clinic treats diseases, injuries and deformities by manual and operative methods. Acute Hospitals
0 Medicine for Older People: This department specialises in the diagnosis and treatment of age related problems. This clinic deals with the management of pregnancy and labour.
Oncology: This clinic specialises in the study of tumors. . Ophthalmology: Clinic whicb specialises in dealing withihe eye, its anatomy, physiology and pathology. Orthopaedics: This clinic specialises in the correction of deformities of the muscoskeletal system. Orthoptics: This clinic specialises in correction of visual axes of the eye
Paediatrics: This clinic specialises in child development, the care and treatment of diseases in children.
Phlebotomy: This services deals with drawing of blood for analysis.
Radiology: ECHO Department: This department performs echocardiography whicb is the method of measuring the motion and internal structure of the heart.
E.C.G. Department: This department performs electrocardiographs which is the method of measuring the action of the heart muscle.
Urodynamics: Teatment of persons with urinary difficulties.
Other Sewices
Child Psychiatry: Providing diagnosis and treatment of Psychiatric illness in children. Audiology: Diagnosis and treatment of hearing disorders.
Paramedical:
Physiotherapy Department: The Physiotherapy Department provides a comprehensive physiotherapy programme of Out-Patient, In-Patient and Weekend Care including Education, Information, Assessment, Rehabilitation and Group Therapy. Patients are accepted for care regardless of age and condition for which they are being referred. A comprehensive physiotherapy programme of care is available to all referred patients.
Speech & Language This Department provides a service to clients presenting with speech, language and voice disorders,
Occupational Therapy . This Service is offered to those who are temporarily or permanently impaired or disabled by physical andlor mental illness or by social or developmental problems. Acute HOspital~
Pharmacy: The Pharmacy is involved in the provision of pharmaceutical care to patients. The Pharmacist is professionally, ethically and legally responsible to the patients for their quality of care. The Pharmacy is responsible ro the procurement, storage and dispensing of all pharmaceutical products. The main aim being to promote the safe, effective and economical use of drugs.
Nursing: 24 hour quality Nursing Care is provided within the Acute Services at Ward level and Accident & Emergency Departments. There is Nursing support at all nut-patient clinics. The Nursing function also incorporates the responsibility to provide research based policies and procedures to support quality initiatives and to function within budget provision. Specialist Nurse Services include - Oncology, Breast Care, Diabetics, Infection Control, Respiratory. 0 Nursing responsibilities also encompass health and safety at work including hepatitis screening and immunisations, compulsory training for manual handling and lifting, fue training, Cardio Pulmonary Resuscitation (C.P.R.).
The training and development of Student Nurses is the responsibility of the Regional School of Nursing. The Student Nurse Training Diploma Programme runs in conjunction with the Institute of Technology Athlone.
Non Nursing (Non Clinical Services): The non clinical services are provided by the following staff:
Attendant Staff: Duties of attendant staff include internal transfer of patients, catering, cafeteria duties, general cleaning duties on wards, serving and preparation of food at ward level.
Catering Staff: Catering staff provide a catering service to In-Patients, some Out-Patients, Hospital Staff. The Catering staff have two main areas of responsibility: Kitchen: Kitchen staff process food and supervise distribution of meals to wards. Kitchen staff are also responsible for provision of food to the cafeteria. Cafeteria: Cafeteria staff supply meals and snacks to employees.
Portering Staff: Portering staff provide services to all hospital wards, theaters, out-patients and other departments as the need arises. Ad hoc duties are provided by House Portering staff; collection of linen, waste, carrying of equipment.
Maintenance: The Maintenance Department of the Acute Hospital Services provides continuous daily maintenance and upgrading of Hospital Wards and Departments. 24 hour on call services are available.
Access to Acute Hospital Services in the Board is obtained via 5 main routes:- 1 By General Practitioner referral 2 Via Accident & Emergency Department 3 Via Out-Patient Department 4 By referral from Consultants Private Rooms 5 Transfers from other hospitals Acute Hos~itals
7.1.5 Contact Name & Address 1
Mr. J. Bulfin, General Manager Acute Hospital Services Division, General n (0506) 21501 Hospital, Tullamore, Co. Offaly. Mr. J. Martin, AISenior Hospital Administrator, LongfordNestmeath General 4 (044) 40221 Hospital, Mullingar, Co. Westmeath. Mr. Liam Connolly, Senior Hospital Administrator, General Hospital, n (0506) 46147 Tullamore. Mr. F. Kelly, Senior Hospital Administrator, General Hospital, Portlaoise. n (0502) 21364
District Hospitals & Cornmunih( Nursine Units Ms. 0. O'Brien, Matron, District Hospital, Athlone, Co. Westmeath. 4 (0902) 75301 Sr. Ursula, AiMatron, St. Joseph's Hospital, Longford. P (043) 4621 1
Acute Hospital Services
Tullamore General PorUaoise General Longford/Mullingar Service Hospital Hospital General Hospital. EST I Yes I I I General Medicine Yes Yes Yes General Surgery Yes Yes Yes Medicine for the Elderly Yes Yes OhstetricslGynaecology: Yes Yes Yes I Orthopedics Yes Paediatrics Yes Yes AccidenttEmergency: Yes Yes Yes Coronary Care: Yes Yes Yes Intensive Care Unit: Yes Yes Yes ---- Hospice Service: Yes Yes Yes e Radiology Yes Yes Yes . Pathology Yes Yes Yes yYes Acute Hos~itals
Out-Patient Sewices
_a Gegernlt n General Longfordl District St. Hesltb Health S~TV~C~S Hoapital Hospital Westmenth Hospitsl Joseph's Centre Centre Tullatnore Portlsoise Genernl Hospital Athlone Hospital Birr Edenderry AnteIPre-Natal : Yes Yes Yes Yes Yes -
-
-
-
-
-
-
- -
-
-
-
-
-
- -
.
.
. Child & I
7.2 Child & Family Care Groups
Pages Aims 17 Overall Structure 17 Administration 18 Community Medical Services 20 Community Psychology Services 22 Community Welfare Services 23 Dental Services 25 General Practice Vocational Training Unit 27 Home Help Service 28 Pre-school Service 29 Primary Care Unit 30 Public Health Nursing Service 31 Social Work & Family Support Services 33 Residential Child Care Service 35 Speech & Language Services 36 Support / Allowances 38 Adult Dental treatment Services Scheme 38 Adult Sight Testing Scheme 38 ~lindWelfare Allowance 38 Choice of Doctor Scheme (Medical Cards) 38 Domiciliary Care Allowance 38 Drug Cost Subsidisation Scheme 39 Drug Refund Scheme 39 EU Health Service Entitlement 39 Home Improvement Scheme for the Elderly 39 Infectious Disease Maintenance Allowance 39 Long Term Illness & Disabilities 39 Maternity Cash Grants 39 Medical & Surgical Appliances 39 Mobility Allowance 40 Motorised Transport Grants 40 Rehabilitation Training Services 40 Section 65 Grants 40 Child 81 Family Services I Child & Family Service I
To protect and support the emotional and physical health and growth of children and offer protection to children at risk from physical or emotional abuse or from neglect. Also to improve the health (Health Gain) and quality of life (Social Gain) of individuals in the region thereby improving the health of families and the community generally.
This section should be read in conjunction with the following:
Midland Health Board Annual Report & Statistical Addendum 0 Midland Health Board Annual Financial Statement Midland Health Board Annual Service Plan . An Information Guide to how services are Administered (Prepared under Section 16 FOI Act 1997) The following sub-sections list the services available to children and families in the region. Also listed are details of contact names and addresses for each department.
Refer to Section 12.0 of this manual on how to access information from the Board. 7.2.2 1 Overall Structure ]
Services for children and families are now organised on a care group basis. Child &Family Services'
Administration Services
Community Care Administration Services are located in Mullingar, Longford, Athlone, Tullamore and Portaloise and are responsible for:
+ processing application for community based healtb services + processing payments to staff and the public and for goods and services + providing reception, administrative and secretarial support to all service providers + providing information to the general public on the range of services available and how to access them. piizz- Dr J Joyce, Mr. L. O'Callaghan, General Manager General Manager, Community Services Community Services
Mr. P. ~'~ourke, Mr. J. Kincaid, Community Care Administrator Community Care Administrator
Ms. D. Mangan, Ms. S. Temple, Ms. M. Delaney, Mr. P. Salmon, Local Administrator Local Administrator Local Administrator Local Administrator (Weshneath) (Longford) (Laois) (Offaly)
Assistant Staff Officer Assistant Staff Officer Assistant Staff Officer Assistant Staff Officer & Clerical Officers & Clerical Off~cers &Clerical Officers & Clerical Officers
The range of administrative services provided is as follows:
4. To process applications, maintain records and make payments where appropriate for the following services: Medical Card Long Term Illness Drug Cost Subsidisation Scheme Refund of Drugs Scheme Maternity and Child Health Adult Sight Testing Scheme E.U. Regulations (E. 11 1) Housing Aid for the Elderly Nursing Home SubventionS Health Amendment Act, 1996 (Hepattits C). Child & Family Services
To process applications maintain records and make payments, where appropriate for the following grants: 9 Maternity Cash Grant 9 Motorised Transport Grant 9 Section 65 Grants to Voluntary Organisations 9 Capitation Grants for handicapped children and payments, where appropriate + To process applications for the following allowances: P Infectious Diseases Maintenance Allowance 9 Rehabilitation Maintenance Allowance 9 Domiciliary Care Allowance 9 Mohdity Allowance 9 Foster Care Allowance and associated discretionary services 9 Boarding Out of ElderlyIDisabled
+: To process payments in respect of above allowances and the following: 9 Salary for temporary locum and part-time staff, 9 Expenses for all staff in the Community Care Area 9 Goods and Services .:. To maintain the following databases: 9 Medical Card Administration System 9 Immunisation Programme 9 Physical and Sensory Disability register 9 Intellectual Disability Register
4. Provide administrative support and secretarial services to all disciplines
+3 Provide an information service to the public on all Community Care Activity
-3 Registration of Births, Deaths and Marriages for the Midland Health Board Region
Maintain all leave records for staff 1-1 1-1 The general ~ublichave direct access to the Administration Services Department by contacting- the Health Centres listed'below between 9.30a.m. and 5.30p.m Monday to Friday (~xcludiPublic ~blida~s).
M-tor. . . Health Centre, Mullingar, Co. Weshneath. k (044) 39185 Fax (044) 39170
Ms. S. TemnleLpcal Administrator. Health Centre, Dublin Road, Longford. n (043) 50169 Fax (043) 46500
Ms. M. Delanev. ~IAdministrator Health Centre, Dublin Road, Portlaoise, Co. Laois. n (0502) 21 135 Fax (0502) 21940
Mr. P. Salmon. Local Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Fax (0506) 46257 Child & Family Services
I Community Medical Services 1
The Community Care Medical Department promotes the health & welfare of the populations of Laois, Offaly, Longford and Westmeath by providing a range of services aimed at preventing ill health such as immunisations, controlling infectious diseases and screening children for developmental problems.
Dr. 1. lovce. Mr. L. O'Callaehan.-, General ~hager General Manager, Community Services Community Services
Dr. D. Kiely, Dr. P. Callan, Senior Area Medical Officer Senior Area Medical Officer
Area Medical Officers Area Medical Officers I Servtcos Pmvided. .:- Child develonment clinics .:. School medical inspection and screening 6: Immunisations: 9 Diphtheria, Tetanus & polio booster 9 M.M.R. booster Mumps, Measles and Rubella booster. Q Infectious diseases 9 Investigation, treatment and follow up all instances of infectious disease Vaccine control 9 Ordering, storage and distribution of vaccines '3 Allowances Assessment of the medical eligibility for: 9 Domiciliary Care Allowance 9 Disabled drivers Tax concessions 9 Motorised transport grant 9 Mobility allowance D Reconstruction grant for the disabled Mental handicap 9 Screening, diagnosis, placement and rehabilitation 9 Referral to special services '3 Physical handicap 9 Screening, diagnosis, placement and rehabilitation 9 Referral to special services Occupational health 9 Hepatitis B screening and vaccination of at risk staff D B.C.G. staff screening vaccination 9 Radiation safety-membership of occupational health committee for Radiology department Child &Family Scrvlces
Child care 9 Area Medical Officer on child abuse team Nursing homes 9 Responsibility for implementation of Nursing Homes regulations as a member of the Inspection Team Travellers: 9 Travellers health committee 9 Provide on-site clinics Health promotion exercises e.g. to improve service uptake Mother and child scheme 9 Monitoring and certifying services provided Medical Officer of Health functions: (from Director of Public Health) 9 Infectious diseases > Housing 9 Sanitation 9 poisons
The general public have direct access to this depktment by contacting the relevant Community Care Offices listed below. Clients are also referred by other health professionals including consultant medical staff, general practitioners, public health nurses and other professionals.
1 Service Contact 1
Dr. D. Kiely, Senior Area Medical Officer. Midland Health Board, Health Centre, Mullingar, Co. Westmeath. n (044)40221 Midland Health Board, Health Centre, Dublin Road, Longford. n (043)46211 Midland Health Board, Health Centre, Coosan Road, Athlone. n (0902) 75301
Dr. P. Callan, Senior Area Medical Officer. Midland Health Board, Health Centre, Arden Road, Tullamore. n (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise. st (0502) 21 135 Child &Family Senices
Community Psychology Services 1
The psychology Deparbnent provides comprehensive psychological assessment and psychotherapeutic intervention services for the community of the Midland Health Board, in addition to providing education, training, projecthesearch and consultations, as required.
-1 -1 I J Joyce, Mr. L. O'Callaghan, General Manager General Manager, Community services Community Services
Ms C. Breaden, Mr. A. Carroll, Senior Clinical Senior Clinical Psychologist Psychplogist
Community Care Psychologists Community Care Psychologists
Client Grouos Psychology Services see children, adolescents and families in the main, but may also include other client groups as resources permit.
Broadly, Psychology services, provided in many care areas and across many care groups include: t Services for children, adolescents and families, e.g. child psychological health, child welfare and protection, childhood bereavement and loss, separation and divorce etc. t Investigation and assessment of allegation of child sexual abuse allegation as part of multi-disciplinary team t Provision of treament and assessment of child and adolescents who abuse other children t Services are provided to individuals, couples, families and family groups in addition to other groupings. t Assessment of children on behalf of Child & Adolescent Psychiatry Services t Assessment of children for Speech and Language Department.
Referral to Senior Clinical Psychologist by Health Board Professionals and General Practitioners
[ Senice Contact 1 . . Ms. C. Breaden. Senior Clrn~calPsvcho~ Midland Health Board, Community Care Offices, Dublin Road, Longford. 4 (043) 50170
Midland Health Board, Community Care Offices, Arden Road, Tullamore, Co. Offaly. 4 (0506) 41301 Child & Family Services
I Community Welfare Services ]
The aims of the Midland Health Board Community Welfare Service is to provide and deliver a prompt accurate advise service with relevant referral and payment strategies delivered by expert and committed staff in an efficient, effective and equitable manner suited to customer needs in a friendly and accessible environment enabling individuals to resolve their difficulties and to live their lives in a dignified manner.
Mr. D. O'Dwyer, Deputy CEO / Manager Care "...... "......
Dr. J. Joyce, Mr. L. O'Callaghan, General Manager Community Services General Manager Community Services LongfordWeshneafh LaoidOffaly
Mr. F. Murphy, Mr. 8.Nealis, ...... Supt. Community Welfare Officer, LongfordWesmeafh.
Community Welfak Officers Community Welfare Officers
I Services Provided I 1. SUPPLEMENTARY WELFARE ALLOWANCE SCHEME a) Basic SWA Paid to individuals who have no income or whose income is beiow the SWA rate. Usually paid to individuals who are awaiting or failed to qualify for a primary Social Welfare entitlement. b) SWA Supplement SWA Supplements are paid to certain individuals on low income and are designed to meet ongoing additional basic needs which cannot be met from their basic weekly income. These supplements include: Rent Allowance Mortgage Interest Subsidity Heating Supplement Diet Supplement 0 Travel Supplement 0 Other Supplements c) Exceptional Needs Payments These are once off payments in cases where there was an exceptional unforeseen situation and the individual could not be expected to meet the cost out of normal living expenses e.g. necessary items of furniture, electrical, transport, cots, prams, buggies, clothes and many other items. d) Urgent Needs Payments These payments are normally considered in the aftermath of an emergency such as flood or fue to meet immediate needs such as food, clothing, fuel, household goods and perhaps shelter. Child &Family Services
2. OTHER COMMUNITY WELFARE SERVICES a) Back to School Clothing & Footwear Scheme This scheme was designed to provide for necessary clothing and footwear requirements for child dependants of Social Welfare Recipients who are attending school. b) National Fuel Scheme This scheme provides a weekly payment to certain long-term Social Welfare recipients to meet heating needs during the winter months. c) Funeral Arrangements Where there is no next of kin to make funeral arrangements the Health Board may take responsibility for such expenses. d) Information Semce Providing information on service entitlement and access in respect of services provided by the Department of Social Community & Family Affairs and the Health Board. e) Referral Service The service provides an advice, referral, mediation, counselling and budgeting role so as to deliver a comprehensive package of support in recognition of the plight of those who are marginalised, disabled, alone, isolated and distressed.
3. OTHER HEALTH BOARD SERVICES 1 ALLOWANCES The Community Welfare Service cany out means tests and provide fmancial reports in respect of the following: a) Medical Card Applications b) Medical Card Reviews c) Home help service d) Mobility Allowance e) Blind Welfare Allowance fl Infectious Diseases Maintenance Allowance g) Motorised Transport Grants b) Nursing Home Subvention i) Services for older people
The public have direct access to the Community Welfare Service by way of set weeklyltwice weekly clinics in most Health Centres throughout the four counties. Community Welfare Services are also available at any time to respond to emergency sihlations. Details of Community Welfare Officers clinic times are available by contacting the following Health Centres:
Midland Health Board Health Centre, Arden Road, Tullamore, Co. Offaly. (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise, Co. Laois. (0502) 21364 Midland Health Board, Health Centre, Longford Road, Mullingar, Co. Weshneath. (044) 4022 1 Midland Health Board, Health Cenm, Dublin Road, Longford. (043) 462 1 1
I bmar Name sr Address nt Communitv Welfare OffioislOffalv Communitv Care Area Community Welfare Office, Health Centre, Portlaoise, Co. Laois. 4 (0502) 21 135 Fax: (0502) 21940
Community Welfare Office, Health Cenae, TuUamore, Co. Offaly. ' 4 (0506) 41301 Fax: (0506) 46257
Mr. F. Murohv.unitv Welfare Offieer. LonefordlWwtmeath Communitv Car- Community Welfare Office, Health Centre, Coosan Road, Athlone. 4 (0902) 75130 Fax: (0902) 83 149 Community Welfare Office, Health Centre, Longford Road, Mullingar. 4 (044) 40221 Fax: (044) 44366 Community Welfare Office, Health Centre, Dublin Road, Longford. 4 (043) 50150 Fax: (043) 46500 Child & Family Services
I 'Dental Services"]
The Midland Health Board Dental Services seeks to reduce the level of dental disease in children to improve the overall levelof oral health in the population and to provide adequate treatment services for children.
The Board also administers the Dental treatment Services Scheme providing dental services to eligible persons aged 16 to 34 years and persons aged 65 years and over.
Dr. D. O'Meara, Ms. M.H. Kenny, Principal Dental Principal Dental Surgeon Surgeon II Dental Surgeons Dental Surgeons
Dental Surgery Dental Hygienist Dental Surgery Dental Hygienist Assistants Assistants
I Services Provided I
Primarv UD to their 14'' Birthday 0 Are eligible for full Dental treatment and Dental Health Education with the exception of Orthodontic Treatment (see below).
For relief of pain
Orthodontic Treatma Is provided to those that come within the Department of Health and Children "Guidelines"
Adolescents Whose parents are Medical Card holders are entitled to "Emergency" treatment at M.H.B. Clinics between the ages of ~14and 16 years.
Other Sew Fluoridation Scheme
This is aimed primarily at "Special Needs" patients children and adults and certain problem cases e.g behavioural problems or a significant Medical History. Child & Family Services
-.
Administration of the Adult Dental Treatment Services Scheme
The Dental Treatment Services Scheme came into operation in November 1994. Under the scheme all eligible persons i.e. medical card holders enjoy the following entitlements:
+ Emergency treatment for the control of pain (eligible persons 16 years +) + Routine treatment (eligible persons aged 16 - 34 and 65+). + Full denture treatment for eligible edentulous persons (aged 16 years +) . . Persons wered bv Healthendment Act 1996 Q&&~KQ, Under the Health Amendment Act 1996 eligible persons are entitled to inter alia, dental services free of charge.
Can he made to the age limits in cases of a serious Medical History e.g. undergoing "Hip replacement, By-pass surgery etc.. on recommendation from the patients Doctor.
Out of hours treahnent for above is provided at Longford~Westmeath,Tullamore and Portlaoise General Hospitals.
Access to all Services is available through the relevant Community Care Dental Unit.
School Childre are screened at regular intervals and treatment priority is given to If', 20~and 6LbClasses 14 - 16 year olds, children with full eligibility for health services are entitled to "Emergency" treatment at M.H.B. Clinics.
Dental Treatment SerncesSchem for adults is carried out by Private Practitioners under contract to the Board. Application forms for routine and denture treatment may be accessed from Midland Health Board Offices.
wsand Generalmhetic Senire S~ecialneeds natients are entitled to all of the above services. Persons with s~ee~alneeds are accorded a "nriontv status" with the Midland Health Board. In some cases treatment is not possible without recourse to general anaesthesia, for such cases a general anaesthetic service is provided at the General Hospital, Tullamore. Special Needs Centres are regularly screened and have backup Hygienist Service to mainiain Dental Health as part of a preventative programme.
-:- . . .. . M;;.Dro,M~-,-.n-"* Deii~.Surgeoii;Co-6'do-rdlWes-~ea-*- - - / - -.. M~dlandHealth Board, Health Centre, Longford Kd, Mulllngar, Co. Wrstmcath. 4 (044) 40221 M~dlandHealth Board, Cmsan Road, Athlone, Co Westmeath. M~dlandHealth Board, Health Centre, Dublm Road, Longford. - -. . .- - . ['WM-H"K&EPiiiEic--.,A-.. .* -..-- DTe &I'S~L~i.&fidy, Midland Health Board, Health Centre, Arden Road, Tullamore, Co. Offaly. P (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise, Co. Laois. W (0502) 21 135 Child & Family Care Group
General Practice Vocational Training Unit
The Department is entitled the Vocational Training Programme in General Practice and is situated in the G.P. Teaching Unit, General Hospital, Tullamore. Its aim is to provide post-graduate training to Trainee General Practitioners. It has teaching and administrative staff. The Scheme is administered by a Steering Committee which is representative of various sectional groups.
( Services Provided I The Department provides an educational service to G.P. eainees and it co-ordinates their appointment to Hospital posts. It also provides a support service to G.P. and Consultant teachers.
Access to the service is by appointment through open competition. The applicant must have full registration with the Medical Council of Ireland.
I Contaa Name sr Address Camel Reid, Scheme Secretary, Vocational Training Programme in General Practice, General Hospital, Tullamore, Co. Offaly. Child &Family Services
( Home Help Service I
The Home Help Service is managed under the general direction of the Supt. Public Health Nurse. It is organised and supervised by the Home Help Organiser. Applications for Service are made by the Public Health Nurses. ~e&testin~is carried out on all clients by the~onununityWelfare Officer. ~achapplication is individually assessed. When the Home Help Service is granted, the needs of the patient are closely monitored by the Public Health Nurse and the service may be increased or decreased, depending on the circumstances.
I Services Provided I
1. Home Help Service to families - to provide support and assistance in time of stress or illness
2. Home Help Service for the acute terminally ill - to improve and enhance their quality of life and enable them to remain in their own home for as long as possible.
3. Home Support Service - for persons covered by Health Amendment Act 1996 (Heptatits C).
Referrals are taken from many sources e.g. members ofthe public, Social Workers, General Practitioners, Hospitals, etc. All referrals are processed through the Public Health Nursing Service.
Ms. E. Dowling, SupL Public Health Nurse, LaoidOffaly Ms. K. Hahessy, Home Help Organiser LaoidOffaly Health Centre Tullamore. (0506) 41301 Health Centre, Portlaoise. (0502) 21 135
Ms. & Leavey, SupL Public Health Nurse, LongfordWestmenth Ms. D. Coyne, Home Help Organiser, LongfordWestmeath County Clinic, Mullingar, Co. Westmeath. (044) 40221 County Clinic, Longford. (043) 4621 1 Health Centre, Coosan Road, Athlone. (0902) 75301 Child & Family Scrviccr
I PreSchool Services I
ool Services
The Board under Part (vii) of the Child Care Act 1991 has a statutory duty in relation to pre-school services:-
* To receive notifications in relation to existing pre-school services To receive notifications in relation to those intending to establish a pre-school service To inspect pre-school services The provision of information on pre-school services Provision for offences under Part (vii) and for appropriate sanctions
I Contact Name & Address 1
Pre-School Services Unit, General Hospital, Tullamore, Co. Offaly Child & Family Smiccs
I Mmam Care Unit 1
The Primary Care Unit was established to develop general practice as a whole duough the implementation of proposals contained in the blueprint "The Future of General Practice in Ireland.
The Unit also provides a range of monitoring and control services in respect of community pharmacists and private dentists who provide services under contract for the Boards.
Mr. D. O'Dwyer, Deputy Chief Executive Officer1 Programme Manager Community Care
Mr. P.OVDowd, Unit Unit General ...... Practitioners AIAdministrator Pharmacists I Ma B. McHugh, Staff Oficer
Ms. A. ILarkm, Clerical Officer I Services Provided 1 Facilitate the development of General Practice as a whole in the Boards area with the framework set out in the blueprint "The future of General Practice in Ireland. Support to enable G.P.s develop their practices. Continue to improve co-operation between GPs and all other professionals in the Health Service The Unit also aids the provision of detailed prescribing patterns. The five unit pharmacists who work on apart- time basis are available to advise general practitioners on prescribing issues. The Unit monitors and regulates contracts between the Board and community pharmacists. This involves the processing of applications for additional pharmacy contractor agreements as well as applications for re-location of existing pharmacy contracts within the context of the health (Community Pharmacy Contractor Agreement) Regulations 1996. The Unit monitors budgets and regulates contracts between the Board and private dentists under the Dental Treatment Services Scheme. Primaty Immunisation contract with general practitioners are also processed and maintained by the unit. Provision of services for certain clients who contracted Hepatitis C and are covered by the Health Amendment Act 1996 is co-ordinated by the Unit. Co-ordinate the High Tech hgsScheme for the provision of High Tech Medical Products. In co-operation with I.C.G.P. support G.P's in meeting their continuous educationltraining needs.
Individuals who have an entitlement to certain Health Services under the Health Amendment Act 1996 can apply directly to the Primary Care Unit for access to health services. Applications for provision of High Tech medication are also processed through the unit. Other services provided by the unit are essentially of an administrative support nature for other Health Professional Services in the Region. Contacts of this nature can be either face-to-face, telephone or written.
Mr. P. O'Dowd, Administrator, Primary Care Unit, General Hospital, Tullamore. W (0506) 46131 Fax: (0506) 46226
. 30 Child & Family Services
I Social Work & Familjr Support"Servi"ces I lDescription1
The aims of the Social Work and Family Support Services in the Midland Health Board are to promote the well being of children in its area and to ensure their protection from abuse and neglect through the provision of a wide range of professional services in a pro-active manner.
Social Work and Family Support Services slrive to provide a broadly based service for children and their families and to ensure the establisbrnent of responsive and flexible work which met the changing needs of the regions population. In doing so the Board is required to have regard to the needs of children who are not receiving adequate care and attention and in particular: Children whose parents are dead or missing Children whose parents have deserted or abandoned them Children who are in the care of the Board 0 Children who are homeless Children who are at risk of being neglected or ill eeated 0 Children whose parents are unable to care for them due to ill health or for any other reason
Dr. J. Joyce, Ms. Keogh, Mr. L. O'Callaghan, General Manager ...... NDirector Child ...... General Manager, Community Services Care Services Community Services
Ms. M. Groarke, Ms. A. Kelly, Child Care Manager, Child Care Manager LongfordANeshnealh LaoisfOffaly I 'IMr. B. Morrin, Ms. R. O'Doherty, Senior Social Worker NSenior Social Worker
Ms. Baker, Team Leaders Team Leaders A/ Residential Manager
Social Workers Community Care Workers Community Care Workers Social Workers
Family Suppon Workers Family Support Workers
House Parents
[ Services Provided I Ass~stlHouseParents
The welfare of the child is the paramount consideration in any decision making, planning and service provision for children while having regard to the rights and duties of parents. The Midland Health Board derives its powers, functions and duties in respect of child welfare and protection from statute. Under these laws Health Boards are required to inter alia provide for the protection and welfare of children. Child & Family Services
The Child Care Act 1991 places a statutory responsibility on the Midland Health Board to perform a number of functions in realtion to the care and protection of children.
These functions are as follows:- * Take such steps as it considers requisite to identify children who are not receiving adequate care and protection Co-ordinate information form all relevant sources related to children in it's area. 0 Have regard to the rights and duties of parents whether under the constitution or otherwise Regard the welfare of the child as the first and paramount consideration. 0 In so far as is practicable, give due consideration, baving regard to hisher age and understanding to the wishes of the child. Have regard to the principle that it is generally in the best interests of a child to be brought up in hisher own family.
Social Workers are involved in providing services to children and their families to enable parents to nurture, support and care for their families. Such services include: The provision of the therapeutic counselling and practical support for children individually or to their parents and the family unit. The development and provision of group work with children involving drama, sports, social skills and summer camps. The placement and supervision of children in care The assessment of sus~ectedcases of child abuse. The provision of services to victims of domestic violence. The provision of an adoption and foster care service which includes assessment for foreign and Irish adoption and placement with relatives. The provision of services to adolescents including those who are homeless. The provision of an after care service. The provision of a tracing service for children and their birth parents.
Mr.~B. ModgiSenjbr Social WorkLr:LcroidOffa@ Commuhity Care Area Midland Health Board, Community Care Offices, O'Carroll Street, Tullamore, Co. Offaly. I 'P (0506) 22488 Midland Health Board, Child & Family Centre, Dublin Road, Portlaoise, Co. Laois. I n (0502) 78236
, ~~ Midland Health Board, Health Centre, Dublin Road, Longford. i (043) 4621 1 Child & Family Services
There is an open referral policy and a client and lor their parents or guardian can make direct contact with the Speech and Language Departments as listed below. Referrals are also accepted from all relevant health professionals and other
I Contact Name B1I Address
Ms. K Larkin. Princi~alSpeech & Lan- Speech & Language Dept. Social Services Centre, Bishops Gate Street, Mullingar, Speech & Language Dept. LongfordWestmeath General Hospital, Mullingar, Co. Weshneath. Speech & Language Dept. Health Centre, Coosan Road, Athlone., Co. Weshneath.
Ms. M. Mav. AmrrncrogLSpeech. . & La nelcege_ Therap& Speech & Language Dept. Health Centre, Arden Road, Tullamore, Co. Offaly. Speech & Language Dept. Midland Health Board,Health Centre, Dublin Road, Portlaoise. Speech & Language Dept. Midland Health Board, General Hospital, Tullamore, Co. Offaly. Child & Family Services
- I Supfio~s:/~~o,wances~Rro.v;idedIby~theHealth Board ]
Q AdultcesScb The Adult Dental Treament Services Scheme provide dental services within certain limitations to individuals who are current medical card holders and over 16 years of age.
Services are provided by dentists in private practices and application must normally receive Health Boards authorisation prior to undergoing a course of treatment except in emergency situations for the relief of pain
Applications and further details can be obtained from dentists in private practice or from the Dental Departments at the following Community Care Offices:
Mr. D. O'Meara, Principal Dental Surgeon, LongfordlWestmeath Midland Health Board, Health Cenbe. Longford Rd. Mulhngar, Co. Wesrmeath. Midland Health Board, Coosan Road, Athlone, Co. Westmeath. Midland Health Board, Health Centre, Dublin Road, Longford.
Ms. M. H. Kenny, Principal Dental Surgeon, LaoidOffaly @ Midland Health Board, Health Centre, Arden Road, Tullamore, Co. OKaly Midland Health Board, Health Centre, Dublm Road, Portlaolse, Co Laois. .:. The Adult Sight Testing Scheme provides free sight testing and a contribution towards the cost of glasses to eligible adults (medical cardholders). These services are provided by opticians in private practice and are administered by the Health Board. Health Board authorisation must be obtained prior to service provision.
Applications are available from the local Community Care Offices .:. Blind Welfare Allowance The Blind Welfare Allowance is an additional payment made to qualified persons who because of the nature of their disability require additional resources to meet their basic needs.
It is normally paid as a supplement to a blind person receiving Blind Pension or Old Age Pension. Applications are available from the local Community Care Offices.
GeneralcalServices Schem (Medical Cards) Under the General Medical Services Scheme persons are issued with medical cards for themselves and their .dependants and are entitled to the following services free of charge. A. General Practitioner Medical Services from doctors in private practice who are contracted to the Board. Individual choose the doctor they wish to attend. B. Prescribed drugs, medicines and medicaVsurgical appliances. C. Free out-patient and in-patient public hospital services.
Application forms are available form Community Care Offices and must be completed by relevant general . practitioner. Medical card applications are subject to a means test. .:. ~~~~~l~~~. .. care Allowance The Domiciliary Care Allowance is a monthly payment in respect of the care of children normally aged between 2 and 16 years with a severe physical, sensory or intellectual disability. The allowance is paid to the mothedfather or guardian in certain circumstances. Such children must normally reside in the community and require continuous care or supervision substantially greater than that, which would normally he required by a child of the same age.
Applicants must undergo a medical assessment and only the means of the child is considered in determining eligibility. Applications are available from the local Community Care Offices. Services for people with a di!
piGq 7.3 Disability Care Groups
Pages Aims 4 1 Adminishation 42 Aural Services 44 Community Medical Services 45 Community Physiotherapy Services 47 Community Psychology Services 49 Community Welfare Services 50 ANS Eoghan 7 52 Mullingar Resource Centre Day Service 53 Phoenix Resource Centre 55 Training Centre, Portlaoise 57 Dental Services 60 Occupational Tlerapy Services 62 Home Help Service 64 Public Health Nursing Services 65 Alvernia House 7 67 Clochan House 69 Residential 1 Respite Services Lough Sheever Centre 70 St. Peters Centre 72 Speech and Language Services 74 76 Adult Dental treatment Services Scheme 76 Adult Sight Testing Scheme 76 Blind Welfare Allowance 76 Capitation Payments 76 Choice of Doctor Scheme (Medical Cards) 77 Domiciliary Care Allowance 77 Drug Cost Subsidisation Scheme 77 Drug Refund Scheme 77 EU Health Service Entitlement 77 Home Improvement Scheme for the Elderly 78 Infectious Disease Maintenance Allowance 78 Long Term Illness & Disabilities 78 Medical & Surgical Appliances 78 Mobility Allowance 78 Motorised Transport Grants 78 Rehabilitation Training Services 79 Section 65 Grants 79 Services provided by Non-Stamtory Organisations 80 Services for people with a disability
'3 To process applications for the following allowances: 9 Infectious Diseases Maintenance Allowance 9 Rehabilitation Maintenance Allowance D Domiciliary Care Allowance 9 Mobility Allowance 9 Foster Care Allowance and associated discretionary services D Boarding Out of ElderlylDisabled
To process payments in respect of above allowances and the following: 9 Salary for temporary locum and part-time staff, D Expenses for all staff in the Community Care Area 9 Goods and Services
To maintain the following databases: 9 Medical Card Administration System 9 Immunisation Programme 9 Physical and Sensory Disability register 9 Intellectual Disability Register
O Provide administrative support and secretarial services to all disciplines *:. *:. Provide an information service to the public on all Community Care Activity Registration of Births, Deaths and Marriages for the Midland Health Board Region. Maintain all leave records for staff.
The general public have direct access to the Administration Services Department by contacting the Health Centres listed below between 9.30a.m. and 5.30p.m Monday to Friday (Excluding public Holidays).
[ Service Contact
Ms. D. Manean. Local Administrator. Health Centre, Mullingar, Co. Westmeath . . Ms. S, Temole. Local AdmmrstrateL (043) 50169 Health Centre, Dublin Road, Longford. Fax (043) 46500
n (0902) 75301 Health Centre, Coosan Road, Athlone, Co. Westmeath. Fax (0902) 83149 . . Ms. M. Delan~mrnmtrotor n (0502) 21 135 Health Centre, Dublin Road, Portlaoise, Co. Laois. Fax (0502) 21940
Mr. P. Salmon. Local Administrat~r n (0506) 41301 Health Centre, Arden Road, Tullamore, Co. Offaly Fax (0506) 46257 Services for people with a disability
I Aural Services I
Aural Services aim to improve the quality of bearing of persons who are experiencing a deterioration in their bearing.
Services are provided through ENT Departments in the General Hospitals and specialists services are provided by the National Rehabilitation Board which are arranged by the Health Board Community Care Offices.
I Services Provided I Outpatient and inpatient services in the ENT Departments in the.General Hospitals. Provision of Hearing Aids I Aural Clinics by the National Rehabilitation Board. Referral of individuals to Specialist National Centres.
Children are normally referred following Development Clinics and School Health Examinations. Referrals are also provided by General Practitioners direct to ENT Departments in the Boards General Hospitals.
I Contact Name PP Address I Applications and further details are available from the folloking centres in respect of their supports and allowances listed above:
Mr. J. Kincaid, Community Care Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. st (0502) 21 135
Mr. P. O'Rourke, Community Care Administrator Health Centre, Mullingar, Co. Weshneath. st (044) 40221 Health Centre, Dublin Road, Longford. n (043) 462 1 I Health Centre, Coosan Road, Athlone, Co. Westmeath. W (0902) 75301 Services for people with a disability
The Community Care Medical Department promotes the health & welfare of the populations of Laois, Offaly, \Longford and Westmeath by providing a range of services aimed at preventing ill health such as immunisations, controlling infectious diseases and screening children for developmental problems. piiiiq Dr J Joyce, Mr. L. O'Callaghan, General Manager- General Manager, Community Services Community Services I I Dr. D. Kiely, Dr. P. Callan, Senior Area Medical Officer Senior Area Medical Officer
Area Medical Officers Area Medical Officers
( Services Provided 1 Child development clm~cs School medical inspection and screening Immunisations: 9 Diphtheria, Tetanus & polio booster 9 M.M.R. booster Mumps, Measles and Rubella booster. infectious diseases 9 Investigation, treatment and follow up all instances of infectious disease Vaccine control 9 Ordering, storage and distribution of vaccines Allowances Assessment of the medical eligibility for: 9 Domiciliary Care Allowance 9 Disabled drivers Tax concessions 9 Motorised transport grant 9 Mobility allowance 9 Reconstruction grant for the disabled Mental handicap 9 Screening, diagnosis, placement and rehabilitation 9 Referral to special services Physical handicap 9 Screening, diagnosis, placement and rehabilitation 9 Referral to special services Occupational health 9 Hepatitis B screening and vaccination of at risk staff 9 B.C.G. staff screening vaccination 9 Radiation safety-membership of occupational health committee for Radiology department Travellers: 9 Travellers health committee 9 Provide on-site clinics Health promotion exercises e.g. to improve service uptake Services for people with a disability
The general public have direct access to this department by contacting the relevant Community Care Ofices listed below. Clients are also referred by other health professionals including consultant medical staff, general practitioners, public health nurses and other professionals.
Dr. D. Kielv. Senior Ardedical Officer. Midland Health Board, Health Centre, Mullingar, Co. Westmeath. n (044) 40221 Midland Health Board, Health Centre, Dublin Road, Longford. st (043) 4621 1 Midland Health Board, Health Centre, Coosan Road, Athlone. n (0902) 75301
Dr. P. Callan. Senior Area Medical Officer. Midland Health Board, Health Centre, Arden Road, Tullamore. W (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise. n (0502) 21 135 Services far people with a disability
I Community Psychology Services ]
The psychology Department provides comprehensive psychological assessment and psychotherapeutic intervention services for the community of the Midland Health Board, in addition to providing education, training, projectlresearch and consultations, as required.
1 structure Dr. J. Joyce, Mr. L. O'Callaghan, General Manaeer- General Manager, Community Services Community Services I I Ms C. Breaden, Mr. A. Carroll, Senior Clinical Senior Clinical Psychologist
Community Care Psychologists Community Care Psychologists
( Se~cesProvided I Client Groups Psychology Services see children, adolescents and families in the main, but may also include other client groups as resources permit.
Broadly, Psychology services, provided in many care areas and across many care groups include: 4 Services for children, adolescents and families, e.g. child psychological health, child welfare and protection, childhood bereavement and loss, separation and divorce etc. 4 Investigation and assessment of allegation of child sexual abuse allegation as part of multi-disciplinary team 4 Provision of treatment and assessment of child and adolescents who abuse other children 4 Services are provided to individuals, couples, families and family groups in addition to other groupings. 4 Assessment of children on behalf of Child and Adolescent Psychiatry Services. 4 Assessment of children for Speech and Language Department.
Referral to Senior Clinical Psychologist by Health Board Professionals and General Practitioners.
I Service Contact I . . Ms. C. Breaden. SenhSUwlPsvchologist Midland Health Board, Commonity Care Offices, Dublin Road, Longford. n (043) 50170
Mr. A. CarrolI. Senior Clinical P- Midland Health Board, Community Care Offices, Arden Road, Tullamore, Co. Offaly. 4 (0506) 41301 Services for people with a disability
The aims of the Midland Health Board Community Welfare Service is to provide and deliver a prompt accurate advise service with relevant referral and payment snategies delivered by expert and committed staff in an efficient, effective and equitable manner suited to customer needs in a friendly and accessible environment enabling individuals to resolve their difficulties and to live their lives in a dignified manner.
Mr. D. O'Dwyer, Deputy CEO 1 Pmgram Manager Communily Care
Dr. J. Joyce. Mr. L. O'Callaghan, General Manager Conmumity Services. General Manager Community Senices, LangfordlWesmath LaoisIOffaly
Mr. F. Murphy. Mr. B. Nealis...... Supt. Community Welfare Ofiicer. LongfordMreshwath. LaoidOITaly.
Community Welfare Ofiiccn Community Welfare Oflicen
( Services Provided I
1. SUPPLEMENTARY WELFARE ALLOWANCE SCAEME
Basic SWA Paid to individuals who have no income or whose income is below the SWA rate. Usually paid to individuals who are awaiting or failed to qualify for a primary Social Welfare entitlement. SWA Supplement SWA Supplements are paid to certain individuals on low income and are designed to meet ongoing additional basic needs which cannot be met from their basic weekly income. These supplements include: Rent Allowance 0 Mortgage Interest Subsidity Heating Supplement Diet Supplement Travel Supplement Other Supplements Exceptional Needs Payments These are once off payments in cases where there was an exceptional unforeseen situation and the individual could not be expected to meet the cost out of normal living expenses e.g. necessary items of furniture, electrical, trampart, cots, prams, buggies, clothes and many other items. Urgent Needs Payments These payments are normally considered in the aftermath of an emergency such as flood or fue to meet immediate needs such as food, clothing, fuel, household goods and perhaps shelter. Services for people with a disability
[ -Mull&gar Resource Centre, Delvin Road, Mullingar, Co. Westmeath. 1 . (Day Services)
Mullingar Resource Centre is a day Centre which caters for 56 Clients. The Clients come from Lough Sheever Centre, St. Peters Centre, from Community Residences and from their own homes.
The age group is 18 - 65. The range of disabilities is from low mild to low moderate.
[ Services Provided 1 Tops Programme: The programme has 11 places. Clients are placed on the Programme by the National Rehabiliatation Board. The course offers vocationaland social skills and work experience in the community. The course is monitored by the N.R.B and is of 2 years duration.
Modules include: Work experience placement Training skills Personal Development SociaYCultural activities Practical academies and new technology
At the moment the centre has applied for national accreditation and is developing documentation to achieve same.
The centre has attained approval status for Integrated Assessment System which facilitate the trainees concerned to access nationally recognised certification.
1 Instructor
This Project: Clients are trained in all respects of horticulture. Mullingar Resource Centre has a contract with 11 Health Centres to maintain their grounds.
There are two tunnels where bedding plants are grown and sold. Hanging baskets, shrubs etc.. are planted for sale. All grounds at Mullingar Resource Centre are maintained by Horticulture Group.
:-Sewing.,Unit:...& .-,.,:.~-- - ., 8 Clients 1 Instructor
This Project: Clients are trained to sew, knit, make rugs etc.
Unit sew and supply all sheets used in Midland Health Board. Makes and repairs curtains for Lough Sheever Centre. Repairs clothes for Lough Sheever Centre. -- ...... -- -
Services for pplcwith a disability
-. ~ ; Contra&le&g~-.- .~.-. .I 8 Clients 1 Instructor
This Project: Trains Clients in domestic and cleaning duties. Contracts to cleaning all administration areas, Church, St. Loman's Hospital, Health Centre and all Administration Areas in: Lough Sheever Centre Activation Unit ; -c6e ii;y,tr& Mullingar Resource Centre -- 10 Clients 1 Instructor
This Project: Trains Clients in all aspects of carpentry sanding and varnishing. Makes and repairs furniture for Lough Sheever Centre, St. Loman's and Midland Health Board. Items made include fuel boxes, desks, examination couches, chairs, book cases and many smaller items.
Furniture is repaired for Lougb Sheever Centre, St. Loman's Hospital and for private individuals
.Upholstery. Unit 6 clients 1 Instructor
This Project: Training in all aspects of Upholstery Chairs and suits covered for Lough Sheever Centre, St. Loman's Hospital and Midland Health Board also for private individuals.
Supported Employment
At present the service is in its developmental stage. We have four people on supported employment and it is an option available from within the service.
i ~tOihef.SemEes=~ ~ ,.. Provided Town Visits and ips Swimming Sessions in town pool Bowling in Athlone Bowling AUey Mu16 Sensory Room. Lough Sheever Centre Psychology Services provided by the Psychologist Chiropody Services also available from Lough Sheever Centre
Access to services is through referral by Social Workers, General Practitioners, Psychologist, Public Health Nurses etc. to Admissions Committee via Centre or Senior Area Medical Officeror Service Manager.
Joe Reilly, Manager, Mullingar Resource Centre, Delvin Road, Mullingar. n (044) 42822 Services far people wiUl a disability
I Phoenix Resource Centre, Mount Carmel Hospital, Longford. ] (Day Services)
The Phoenix Resource Centre provides day services for people with physical and sensory disabilities and its objective is to combine work and leisure activities with rehabilitation and care needs, with the key aim of promoting independence, full participation in society and integration into the community.
P.P.0.L. - D isabled Peon- D.P.O.L. is a voluntary organisation founded in September 1993 for and by people with physical disabilities of County Longford in order to source vocational and recreational opporlunities in County Longford and to support members as a group with common needs. The organisation was founded by people with disabilities attending the Phoenix Centre and it is facilitated by the Midland Health Board.
Aims of Centre: To provide an environment where work skills are on offer. To provide an environment where recreational and social activities can be enjoyed in a positive way. 0 To improve the quality of life of young people with physical disabilities within County Longford.
The centre is staffed by an Occupational Therapist/Co:ordinator who co-ordinates activities and attendance at the centre. Other staff include driverlfacilitator, sessional community physiotherapists and sessional tutors. The Centre also avails O~FASCommunity Employment Workers on a scheme sponsored by D.P.O.L.
I Services Provided I Services provided at the centre: Occupational Therapy Physiotherapy Wheelchair Spons training Information Technology training Art and Crafts inshuction Carpentry and furniture restoration inshuction 0 Setting-up suitable work related activities Support to both clients and carers ~rran~in~'workexperience Transport Facilitation in its broadest sense
Additional Services provided if required: Speech Therapy Psychology Nursing etc.. Serviccr far pplc with a disability
Clients will be provided with an application and medical report form by the Occupational Therapist I Co-ordinator of the resource centre. The application must be completed by the client and the medical report form by their General Practitioner. Following submission of the completed forms to the centre the client will be assessed at a clinic by the resource centres assessment team in accordance with the criteria for anendance.
The centre provides day services for clients with physical and sensory disabilities between the ages of 18-65
Ms. AM Marie Langan, Occupational Thmapist I Co-Ordinator, Phoenix Resource 4 (043) 4621 1 ext. 41 16 Centre, Mount Carmel Hospital, Longford. 4 Direct Dial : (043) 501 16 Services for People with a Disability
I Midland Health Board Training Centre, Block Road, Portlaoise. I (Day Services)
The Training Centre has been established by the Midland Health Board for the training and personal development of people with disabilities within their family, community and in employment placement.
Our key aims are to facilitate people with disabi1ites:-
To make a successful transition from a world of care and dependency to one of adult independence exercising the right to equality in a training environment that is accountable, open in spirit to their needs for full integration into an inclusive society, To take responsibility for and have control over their own lives, training and employment To develop the knowledge, skills, experience and positive attitude necessary to enable progression into employment, futher training or education To set and achieve their own goals in association with their families, advocates and supporters.
I Services Provided ] I Training Opportunities Programme (TOPS) I TOPS is a Foundation Programme, it is designed to facilitate every individual with an introduction to the options open to them and to help them to come to a choice that is right for them.
1. TOPS aims to develop the skills, knowledge and attitude to prepare a trainee to:-
- make personal career goal choices - develop satisfactory relationships - make decisions affecting their life
This programme provides 6 places. Clients are referred by the National Rehabilitation Board. The duration of the programme is a maximum of 144 weeks (3 years). Modules include: . Inter-related training modules . Induction . Initial assessment/personal training plan . Basic skill training . New technology . Personal effectiveness . Independent living . Practical academics . Safety and health education . Work experience . Job keeping and job search skills Time allocation to each stage will reflecttrainees needs
Skill Base - Level I 1 This programme provides 8 places. Clients are referred by The National Board. The duration of the programme is a maximum of 144 weeks (3 years). The exact duration for each trainee may vary to suit specific needs. Services for People with a Disability
Modules include: . Inter-related trainingmodules . Induction . Initial assessment/personal training plan . Basic skill training . New technology . Personal effectiveness . Independent living . Practical academics . Safety andhealth education . Wrok experience . Job keeping and job search skills Time allocated to each stage will reflect trainees needs.
I Meat Processing Level Jl I
The overall aim of this course is to provide a 6ame work within which you as a trainee can receive systematic traiing and development in the broad range of skills and processes associated with this employment.
This programme provides 9 places. Clients are referred by the National Rehabilitation Baord. The duration of the programme is a maximum of 144 weeks (3 years).
This programme includes the following:
On completion of Craft Butcherhieat Processor Programme, trainees will:
Be competent in the safe use of materials, processes, tools and equipment commonly found in the Meat Processing Unif The syllabus includes all aspects of Meat Processing such as:- Vac paclpre pack, Hind quarter honing, Fore quarter boning, Leg of Port boning, Sausage making, goods inwards, Stock Control, Principles and Practices of Food Hygiene, Having gained the above skills four weeks work experience must be undertaken during each year in mining, in locations mutually agreed by the trainee (and their advocate) with the trainer.
For the above 3 programmes: (T.O.P.S, Skills Based and Meat Processing)
Who can apply &essential criteria
1. All applicants must be either registered or qualify to be registered as a disabled person. 2. They must be aged 16 or over and be considered in need of mining 3. They must have good eyesight with or iwhtout the use of optical aids, good manual dexterity and good hearing with or without the use of hearing aids. 4. Applicants must functionally by numbente~literate,capable of understanding instructuion and be able to read simple workshop drawing or taught to do so. ( Woodwork (Department of Health Funded) I This programme provides 8 places. Clients are referred by The National Rehabilitation Board, parents, hospital services, community care staff etc.. .
On completion of the Woodworking Programme, trainees will:. Services for People with a Disability
+ Be competent in the safe use of materials, processes, tools and equipment commonly found in the Woodworkiig trade, + Be familiar with safe methods and practices to ensure personal safety and that of others, + Be able to undertake tasks and projects in an efficient and effective manner to full completion + Have gained and completed four weeks work experience during each year in training, in locations mutually agreed by the trainee (and their advocate) with the trainer, + Have improved their opportunities to make better use of social and recreational time.
[ Contact Name @aAddress 1 Mr. D. Devaney, Traning Project Manager, Midland Health Board Training Centre, Block Road, 4 (0502) 22961 Portlaoise, Co. Laois.
Mr. T. Yarrow, Deputy Traning Project Manager, Midland Health Board Training Centre, Block Road, 4 (0502) 22961 Portlaoise. Co. Laois. Scrviccs for people uith a disability
The Midland Healb Board Dental Services seeks to reduce the level of dental disease in children to improve the overall level of oral health in the population and to provide adequate treatment services for children.
The Board also administers the Dental treament Services Scheme providing dental services to eligible persons aged 16 to 34 years and persons aged 65 years and over.
Dr. D. O'Meaq Ms. M.H. Kemy, Principal Dental Principal Dental Surgeon Surgeon I
Dental Surgeons Dental Surgeons I I
Dental Surgery Dental Hygienist Dental Surgery Dental Hygienist Assistants Assistants
1 Services Provided 1
primarv School Children and Adolescents UD to thew. 14Ib Birthdgy Are eligible for full Dental treatment and Dental Health Education with the exception of Orthodontic Treatment. (see below).
pre-School Children For relief of pain
Orthodonhe Treatment 1s provided to those that come within the Department of Health and Children "Guidelines".
Adolescents Whose parents are Medical Card holders are entitled to "Emergency" treatment at M.H.B. Clinics between the ages of 14 and 16 years. I I
Fluoridation Scheme
This is aimed primarily at "Special Needs" patients children and adults and certain problem cases e.g behavioural problems or a significant Medical History. Services for people with a disability
ADULTS
Administration of the Adult Dental Treatment Services Scheme
The Dental Treatment Services Scheme came into operation in November 1994. Under the scheme all eligible persons i.e. medical card holders enjoy the following entitlements:
+ Emergency treatment for the control of pain (eligible persons 16 years +) + Routine treatment (eligible persons aged 16 - 34 and 65'). + Full denture treatment for eligible edentulous persons (aged 16 years +)
persons cov~Health Amendment Act 1996 (Heoatitis CL Under the Health Amendmrnt Act 1996 eligible persons are entitled to Inter alia, dental services free of charge.
Can be made to the age limits in cases of a serious Medical History e.g. undergoing "Hip replacement, By-pass surgery etc.. on recommendation from the patients Doctor.
Accident and Emereency Out of hours treatment for above is provided at LongfordIWestmeath, Tullamore and Portlaoise General Hospitals
Access to all Services is available through the relevant Community Care Dental Unit.
Primary School Chilkarescreened at regular intervals and treatment priority is given to I", 2ndand 6' Classes 14 - 16 year olds, children with full eligibility for health services are entitled to "Emergency" treatment at M.H.B. Clinics.
Dental TrwentServices Scheme for adults is carried out by Private Practitioners under contract to the Board Application forms for routine and denture treatment may be accessed from Midland Health Board Offices.
Sperial Needs and General Anaesthetic Service Special needs patients are entitled to all ofthe above services. Persons with special needs are accorded a "priority status" with the Midland Health Board. In some cases treatment is not possible without recourse to general anaesthesia, for such cases a general anaesthetic service is provided at the General Hospital, Tullamore. Special Needs Centres are regularly screened and have backup Hygienist Service to maintain Dental Health as part of a preventative programme.
Service tontact - .--, i~l~D~O'MeTiFiPPiGi~d~D~itHI'S~r*I,~Lo~~foi'dMl&tme?lth~--- ____. 1 Midland Health Board. Health Ccntre, Longford Rd, Mullingar, Co. Wcstmeath. 4 (044) 40221 Midland Health ~oard;Coosan ~oad;~thlone,Co. ~estmeath. Midland Health Board, Health Centre,-DublinRoad, Longford.
I @:..L.L-,5-M-H'KeiiXji' 2.- Prio~ipil'DZiT~iSUrgeo~L~i~/dNily -. -. - -Midland ------Health - Board. Health Centre. Arden Road. Tullamore. Co. Offalv. 4 (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise, Co. Laois. 4 (0502j 21 135 Services far people with a disability
[ .Oci$pational. .. Therapy Seriices -1
The Occupational Therapy Service is committed to assisting the Midland Health Board in achieving their objectives towards maximising the health (health gain) and quality of life (social gain) of the clients referred to Occupational Therapy. This is achieved through appropriate assessment and intervention by Occupational Therapists as part of the services offered by the Board to those who 9 temporarily or permanently impaired or disabled by physical and/or mental illness or by social or developmeq@lproblems.
Occupational .Therapy is the use of purposeful activity to restore or maintain a persons ability to function independently at hisher maximum level of function.
The objective of services for people with physical and sensory disabilities is to combine work and leisure activities with client-centred rehabilitation and care needs, with the key aim of promoting full participation in society and their local communities.
Day services and residential respite services are co-ordinated by Occupational Therapists who report to the Head Occupational Therapist in their locality who in turn report to the General Manager.
Services are available in the designated centres, through outreach programmes and in clients homes. The services provided at the designated centres also include - physiotherapy, tutoring in skills, recreational and sporting activities etc.. which are co-ordinated by the occupational therapist.
Those not attending designated centres and not within the 18-65 age group receive Occupational Therapy Services in their locality at departments in the acute hospitals, elderly care units, health centres and in their own homes.
Occupational Therapy interventions are designed to:- 1. Diminish or conwl pathology 2. Restore andlor reinforce functional capacity 3. Facilitate learning of skills and functions essential for daily life 4. Promote and ma&tain health
Core OcealTheraov Interventions 1. Assessment of Need 2. Effect Change in functional Performance in daily life- (a). selfcare @). domestic (c). work (d). leisure 3. Effect change in Cognitive Function. 4. Effect change in Perceplual Function. 5. Effect change in Sensory Function. 6. Management of Stress 7. Management of joint deformity/protection 8. Management of wheelchair mobility Services for people with a disabiliry
9. Management of Tone 10. Management of Care: (a). General management - advice, support, counselling (b). Liftinghandling (c). Transfers 11. Management of PosturerTissue protection through appropriate seating. 12. Management of the Environment - including housing adaptations, transport, car adaptations, barrier free design, links with Community facilities and services including public buildings 13. Prescription of Technical Aids and Appliances - including training, supplying, fabrication, modification 14. Effecting change on specific component skills affecting performance 15. Linkage to other services and agencies - research, advise, support, inform
Also please refer to the following for Residential and Day Services provided: Arus Eoghain (Sect. 7.3.8) Phoenix Resource Centre (Sect. 7.3.10) Clochan House (Sect. 7.3.16)
16. Diversional Therapy
Access to services at designated centres is by application form which can be obtained from the Occupational Therapist, Co-Ordinator of the centre and is completed by the client. For services outside of the centres access is by written referral from General Practitioners, Public Health Nurses, Speech and Language Therapists, Physiotherapists and other Health Professionals. Standard Referral Forms are available from hospital and community based Occupational Therapists.
[ Service Contact
Ms. M. Morean. Head Occuoational Thera- Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. n (0502) 21 135
Ms. P. Tullv. Head Occv Health Centre, Mullingar, Co. Weshneath.. Health Centre, Coosan Road; Athlone, Co. Weshneath. Health Centre, Dublin Road, Longford.
Phoenix Resource Centre Ms. Ann Marie Langan, Occupational Therapist 1 Co-Ordinator, Phoenix Resource Centre, Mount Carmel Hospital, Longford. (043) 4621 1 ext. 41 16 P Direct Dial : (043) 501 16
.&b&Q&& Ms. Mary Dunphy, Centre Co-Ordinator, Anis Eoghain, O'Moore Place, Portlaoise, Co. Laois. 4 (0502) 2041 1
Clochan How Ms. Mary Dunphy, Centre Co-Ordinator, Clochan House, Tullamore, Co. Offaly. n (0506) 21501 a ~ervlcesfor people with a disability
I Home Help Service I [ Description I The Home Help Service is managed under the general direction of the Supt. Public Health Nurse. It is organised and supervised by the Home Help Organiser. Applications for Service are made by the Public Health Nurses. Means testing is carried out on all clients by the Community Welfare Officer. Each application is individually assessed. When the Home Help Service is granted, the needs of the patient are closely monitored by the Public Health Nurse and the service may be increased or decreased, depending on the circumstances.
I Services Provided 1
1. Home Help Service to families - to provide support and assistance in time of stress or illness.
2. Home Help Service to people with physical, sensory or a learning disability - to prevent or delay institutionalisation by assisting with Activities of Daily Living.
3. Home Help Service for the acute terminally ill - to improve and enhance their quality of life and enable them to remain in their own home for as long as possible.
4. Home Support Service - for persons covered by Health Amendment Act 1996 (Heptatits C).
[Access I Referrals are taken from many sources e.g. members ofthe public, Social Workers, General Practitioners, Hospitals, etc. All referrals are processed through the Public Health Nursing Service.
I Coma Name =Address Ms. E. Dowling, Supt Public He& Nurse, Laois/Ofaly Ms. K. Hahessy, Home Help Organiser LaoMOffaly Health Centre Tullamore. (0506) 41301 Health Centre, Portlaoise. (0502) 21 135
Ms. K. Leawy, Supt Public Health Nurse, LongfordWestmeath Ms. D. Coyne, Home Help Organiser, LongfordWestmeaih Health Centre, Mullingar, Co. Weshneath. (044) 40221 Health Centre, Dublin Road, Longford.. (043) 4621 1 Health Centre, Coosan Road, Athlone. (0902) 75301 Services for people with a dissbility
The public Health Nursing Service Aims to ensure the delivery of a high standard of care appropriate to the individuals needs of children, older people and people with physical, sensory and learning disability and their families. Care includes helping people to achieve the optimum level of mental, physical and social health with the context of their environment and abilities.
Out standards are based on good clinical standards and staffmg competency.
I Structure I Programme Manager Community Care I
Dr. J. Joyce, Mr. L. O'Caliaghan, General Manager Community Services. General Manager,Fornrnunity Services.
Ms. K. Leavy, Ms. E. Dowling, Supt. Public Health Nurse Supt. Public Health Nurse
Senior Public Health Nurse Senior Public Health Nurse
rrrrhmPublic Health Nurses
I Services Provided I
R-th R-th withDisabled Clients The Public Health Nursing service to peoplr with physlcal and sensory d~sab~lityinvolves:-
Health Promotion I Preventative role D Increasing peoples awareness of health need by enabling people to understand the value of vaccines and immunisation, particularly vaccines against Rubella, Measles, Polio, Ante Natal advice regarding nutrition etc..
Secondary Prevention D Screening programmes as in early detection of developmental problems, hearing loss and vision defects.
Tertiary Prevention D Provide practical advice and emotional support to client and family D Provide guidance on services and agencies 9 Liaise with other professionals D Provide information on statutory services and services provided by other agencies
List of Services P Home Nursing Service D Palliative Care 9 Clinical Nursing Procedures D Assessment of continence needs Smices for pcoplc with a disability
Home Help Services 9 Assessment of clients needs for provision of service 9 Monitoring Home Help Service 9 Liaise with Home Help Organiser .:. Carer Relief Services 9 Assessment of clients needs for provision of service .:. Twilight Nursing Service 9 Assessment of clients nursing needs for outside of hours service 9 Monitoring of Twilight Nursing Service
*:* *:* Provision of Respite Services > Liaise with Liaison Public Health Nme or Occupational Therapist to arrange respite facilities 9 Liaise with other organisations to provide respite facilities i.e. Irish Wheelchair Association and Bushy Park
Public Health Nurses can be accessed either by: @ I. Direct contact at the local health centre 2. Referral fiom hospitals, general practitioners and other professionals and agencies
1 Service Contact - MCK-LcS* PiiblicHai6NiEC h~foTd/WeSt~tbbC~i~Care- -. ..-- Area J (Midland Health Board, ~xthCentre. Longford Road, Mullingar, Co. Wcsrmeath. (044) 4022 1 Midland Health Board, Health Centre, ~ooaanRoad, ~thlone,?~.Weshneath Midland Health Board, Health Centre, Dublin Road, Ldngford.
MsTE;D~ling,Supt.PiitilicH~lh-C~L~aui/o'ffil~C~iil;C~Area [Midland Health BG~,Health Cenm. MenRoad, Tullamore, Co Offaly. (0506) 41301 M~dlandHealth Board, Health Centre, Duhlm Road, Portlaoise, Co Lao~s. (0502) 21 135 Services for people with a diszbilily
7.3.17 [ ClochanHouse ,] 1- 1- (Respite Services) Clochan House is the resource and respite unit for people with physical and sensory disabilities in Laois and Offaly between the ages of 18-65.
The centre was established in October 1993 and develops and changes its service supply with the demand and needs of this client group. Its overall aim is two fold providing respite to clients and carer and the development of the centre as an integral part of the community. This facility is annexed to the General Hospital, Tullamore but has its own separate entrance with wheelchair accessible sensory garden. The building consists of 5 bedrooms, 3 adjoining bathrooms, kitchen, lounge, storeroom, office, conservatory and function room.
The fifth bedroom is kept for emergency and short stay respite doubling as a treatment room when not in use. The whole building is wheelchair and visually impaired 'friendly' with the most up to date appliances and aids on hand for use and assessment purposes i.e. level deck showering facilities, Jacuzzi with tracking system, variable height beds and klectric bed. -1 -1 Stafiing is kept to a minimum to encourage the independence clients may have in their homes. It is co-ordimated by an Occupational 'Iberapist, with a full time 'house mother' and four hours of nursing daily which is co-ordinated to meet clients needs. Also the centre has its own bus with a driver attendant.
The clients are encouraged to integrate their personal assistant into their stay and other support resources include Irish Wheelchair Association, FAS workers and volunteers.
I 'Services Provided '. .] 1. Respite for clientlcarer 2. Accident and emergency medical cover 3. Para-medical input of Occupational Therapy, ~h~siothira~y,Speech Therapy with follow up at home. 4. Nursing Care Incontinence Care and Advice Programmes 5. Homecare needs assessment 6. Chiropody 7. Aromatherapy massage 8. Jacuzzi 9. Hairdressing 10. Art Therapy 11. Leisure activities i.e. gardening, crafts, trips, outings. 12. Function Room is utilised by disability support groups such as: a) V.E.C. for Literacy and Further Education Groups b) C.I.L. for disability issues, conferences, seminars, etc. c) N.C.B.I. and National Association for the Deaf for services for people with sensory disability. d) Irish Wheelchair association e) Access Group - National Rehabilitation Board It can be hooked in advanced at the Clochan House Office. -1 -1 Access to the centre 1s prov~dedfollowmg Health Board assessment and by contactmg the house duectly.
I Service Contact Ms Mary Dunphy, Centre Co-Ordinator, Clochan House, Tullamore, Co Offaly. n (0506) 21501 Services far people with a disability
I Lough Sheever Centre, Pettiswood, Mullingar, Co. Westmeath. I (ResidentiaVRespile Services)
Lough Sheever Centre is a residential centre for adults with intellectual disabilities. It caters for a client group mainly in the severe, moderate and borderline mild range of handicap. Age range 18 to over 70. It provides general personal and nursing care to all its clients in its day and residential services as is appropriate to the individuals needs. It specialises in the care treatment and management of persons with severe challenging behaviour, many of whom are autistic.
All its services are based on each client having a personal plan in place with a key worker appointed to each person.
It follows a policy of developing and maintaining close contact with parents and relatives of clients
There is an activation programme in place which is available to all.
Dr. I. Joyce, eneral Manager Community Services
Mr. P. O'Rourke, Multidisciplinary Team Community Care Administrator Mr. P. Lynch, irector of Nursing I
Medical Support Nursing Officers Paramedical Staff Support Staff
Deputy Nursing Officers I
Staff Nurses
I Services Mded 1 Resldenhal care, long tern
-3 Residential care, respite, planned short tern
4. Residential care, crisis, unplanned short term Services far people with a disability
Day service for persons with high dependency includes personal care, hygiene, activation, nutrition etc.,
Q Activation Service which provides facilities for day and residential clients. Activities include: 9 Community integration programme 9 Town visits and trips out 9 Swimming sessions in town 9 Bowling Alley, Athlone 9 Arts Resource Centre in town including exhibiting work 9 Multi-sensory Room 9 Aromatherapy and reflexology 9 Beauty salon 9 Sonas Programme for elderly 9 Activation - Relaxation D Special programme for those with challenging behaviour I autism 9 One to one sessions 9 Communication skills 9 Literacy and numeracy programmes, in house and at local VEC 9 Movement to music and Irish dancing 9 Social outings, dances and disco are organised or attended a .:. Community Residences - two houses in Mullingar for persons who attend day services at the Resource Centre and elsewhere. Presently 13 people are catered for and this includes a respite place. .:. Supported Living Providing support to clients living alone in rented accommodation
-3 Special Unit for persons with challenging behaviour. Providing care, interventions and activities as specified under personal plans
Medical care provided by visiting doctor,
-3 Psychology services provided by pan time psychologist.
Other services such as chiropody, dental services etc.. also available,
Access to services is through referral by social worker, general practitioners, psychologists, public health nurses etc., to admissions committee via centre or Senior Area Medical Officer or Service Manager. a
I Contact Name 81 Address
Mr. P.J. Lynch, Director of Nursing Services, Lough Sheever Centre, Delvin Road, Mullingar, Co. Westmeath S (044) 42700 142727 Services for people with a disability
I St. Peters Centre, Castlepollard, Co. Westmeath. 1 (ResidentiaVRespite Services)
St. Peter's Centre is a residential Centre for adult and adolescent Intellectual Disability of both sexes ranging in age from 22 yean to 77 years. St. Peter's caters for moderate, severe and profound handicap.
In addition tothe Centre, there are also Community Houses in Longford, Athlone and Mullingar catering for 17 persons. Within the Centre itself, the total number of residents is 93. Between the Centre and it's Community Houses, there are 3 short-term-care beds which are used on a year round basis. There is also a small day-care number attending St. Peter's Workshop from the immediate locality.
Dr. J. Joyce, General Manager Community Services
Medical Support, Nursing Officers Paramedical Medical Support ! I
rl-trlDeputy Nursing Officers
Staff Nurses
Residential Care, Long-term Residential Care, Respite Day Care Services Activation Services 9 Gymnasium 9 Relaxation Room 9 Craft workshop 9 Communication Room 9 Aromatherapy Holiday Home General Practitioner Services Psychological Services Psychiatry Services Services far people with a disability
When a client is identified helshe may be brought to the notice of the Social Worker by the family or General Practitioner. An assessment is then canied out and a case discussion follows, usually chaired by the Manager of the Community Care Services before an appropriate placement is made either in day-care, community home or residential care.
I Contact Name gt Address Mr. P. Mallon, Sector Manager, Residential Services for Intellectually Disabled, St. Peters Centre, Castlepollard, Co. Westmeath. n (044)61115. Services for people with a disability
7-1-20 I Speech & Language Services I
The Speech and Language Therapy Department of the Midland Health Board seeks to provide a quality, customer oriented service to clients presenting with speech, language and voice disorders. This encompasses an assessment, diagnostic, treahnent and preventative dimension and where required an interdisciplinary approach towards the achievement of Health and Social Gain for each individual client. Stnicture I Dr. J. Joyce, Mr. L. O'Callaghan, General Manager General Manager, Communtty Services Community Services I I Ms. V. Larkin, Ms. M. May, Pnncipal Speech & Language Theraptst AlPrincipal Speech & Language 'Therapist I Senior Speech & Language Therapists Senior Speech & Language Therapists II Speech & Language Therapists Speech & Language Therapists
1Services Provided I Following assessment by a Speech and Language llerapist, where a diagnosis of disability is made, services to clients are then provided at the most appropriate location where hisiher needs would be met. Such locations include , educational settings, rehabilitation centres and outpatient Speech and Language Departments. ,
Pre-school children with learning disabilities are seen by Speech and Language Therapists in conjunction with the Counselling Service. Intensive Speech and Language programmes are provided in language classes for 4 to 8 year old children with speech & language disorders in five primary schools in thi region (Portlaoise, Tullamore, Mullingar, Athlone, i Longford). I .:. Speech & Language therapy services are provided for the hearing impaired at Geashill Primary School and Ballymahon Primary School which cater for children aged 4 to 13 years. I 4- Speech and Language Therapy Services including assessment, advices, therapy and staff training are provided in the special schools in the region for children with learning disabilities. 1 i + Adults and children with physical and/or sensory disabilities and speech and language disorder are treated in I Acute hospital rehabilitation and in educational centres. Adults with learning disabilities who are referred to the Speech and Language Department are assessed and staff 1 at the relevant care unit are provided with a training programme. .:a .:a Where necessary clients may be referred to national specialist centre for assessment or treated in conjunction with such centre. Such centres may include: 9 Central Remedial Clinics, Clontarf, Dublin. 9 National Medical Rehabilitation Centre, Dunlaoighre. 9 St. Paul's Unit, Beaumount, Dublin. 9 St. Frances Clinic, Childrens Hospital, Temple Street, Dublin. 9 Cerebral Palsy Ireland Sandymount Dublin. Services for people with a disability
There is an open referral policy and a client and /or their parents or guardian can make direct contact with the Speech and Language Departments as listed below. Referrals are also accepted from all relevant health professionals and other professionals.
I Contact Name sr Addrw 1 Ms. K Larkin. Prmcrpal. . Speech & L aneuam Speech & Language Dept. Social Services Centre, Bishops Gate Sheet, Mullingar, n (044) 40809 Speech & Language Dept. Longford/Westmeath General Hospital, Mullingar, Co. Westmeath. P (044) 4621 1 Speech & Language Dept. Health Centre, Coosan Road, Athlone., Co. Weshneath. n (0902) 75301
-a1 Spech & L-t. Speech & Language Dept. Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Speech & Language Dept. Midland Health Board,Health Centre, Dublin Road, Portlaoise. n (0502) 21 135 Speech & Language Dept. Midland Health Board, General Hospital, Tullamore, Co. Offaly. 4 (0506) 21501 Services for people with a disability
7.3.21 I Supports /-Allowances Provided by the Health Board I
'3 AduWental Treatment Services Scheme
The Adult Dental Treatment Services Scheme provide dental services within certain limitations to individuals who are current medical card holders and over 16 years of age:
Services are provided by dentists in private practices and application must normally receive Health Boards authorisation prior to undergoing a course of treatment except in emergency situations for the relief of pain
Applications and further details can be obtained from dentists in private practice or from the Dental Departments at the following Community Care Offices:
MrD;O'M=,'P&d$ Sufgeo?iLiin~fo%J/We~tmeath .. .- - . - -. -- -. De&l . -. -. .-- - 1 Midland Health Board. Health Centre, Lonrford Rd. Mull~near.Co. Wesmeath. 4 1044)40221 Midland Health Board, Coosan Road, ~thlone,Co. ~estmeath. Midland Health Board, Health Centre, Dublin Road, Longford.
"ilj;----. - '- M;;M;H; Ke-n-ny; Piin-cip-d Den&fSurpeon, I a ------. ------.- - -. - .. - . . -- -. . - .- -. - - - - - .. . Midland Heallh Board, Health Centre, Arden Road, Tullarnore, Co. Offdy. at (0506) 41301 Midland Health Board, Health Centre, Dublin Road Portlaoise. Co. Laois. f (0502) 2 1 135
9 mhtTesting Schem
The Adult Sight Testing Scheme provides free sight testing and a contribution towards the cost of glasses to eligible adults (medical cardholders). These services are provided by opticians in private practice and are administered by the Health Board. Authorisation must be obtained from the Health Board prior to service provision.
Applications are available from the local Community Care Offices.
Blind Welfare Allowance
The Blind Welfare Allowance is an additional payment made to qualified persons who because of the nature of their disability require additional resources to meet their basic needs.
It is normally paid as a supplement to a blind person receiving Blind Pension or Old Age Pension. Applications are available from the local Community Care Offices. a 6:. -&&ion pavments A number of organisations throughout the country provide specialist services for the Board. Such organisations include: 9 Camphill Community > Peace Heaven ! 9 Blindcraft . 9 St. Hildas, Athlone
And provice for the Assessment and treatment of individuals with certain physical and sensory disabilities including residential care.
Access to such services is provided following assessment and approval by the health professionals in the Health Board. Services for people with a disability
4- General M&l Services Scheme (Medical Cards) Under the General Medical Services Scheme persons are issued with medical cards for themselves and their dependants and are entitled to the following services free of charge.
A. General Practitioner Medical Services from doctors in private practice who are contracted to the Board. Individual choose the doctor they wish to attend. B. Prescribed drugs, medicines and medicaVsurgical appliances. C. Free out-patient and in-patient Public Hospital Services.
Application forms are available form Community Care Offices and must he completed by relevant general practitioner. Medical card applications are subject to a means test but cases ofhardship are also considered.
The Domiciliary Care Allowance is a monthly payment in respect of the care ofchildren normally aged between 2 and 16 years with a severe physical or sensory disability. The allowance is paid to the motherlfather or guardian in certain circumstances.
Such children must normally reside in the community and require continuous care or supervision substantially greater than that, which would normally he required by a child of the same age.
Applicants must undergo a medical assessment and only the means of the child is considered in determining eligibility.
Applications are availahle from the local Community Care Offices. .:. Drug Cost Subsidisation Scheme The Drug Cost Subsidisation Scheme assists individuals to meet a portion of the cost of prescribed drugs, medicines and surgical appliances, where constant medication is required.
Application for the Scheme are available in the Community Care Offices listed below and should he completed by the General Practitioner.
The Drug Refund Scheme assists individuals to meet a portion of the cost ofprescribed drugs, medicines and medicaVsurgical appliances. Receipts should he retained and forwarded to the local Community Care Offices on a three monthly basis stdgon the fust of January on an application form which is available from the local Community pharmacist. .:. EU Health Sewice Entitlement Under EU Regulation Nationals of memher states of the European Union and the European Economic Area, are entitled to health services in other EU memher states.
EU Nationals staying temporarily in Ireland are entitled to receive urgent necessary medical treatment free of charge. EU Nationals resident in Ireland are entitled in certain circumstances to receive a medical card without regard to their means and are entitled to the full range of services normally covered by a medical card. EU Migrant Workers come under the health care system of the country where helshe is employed and has the same entitlements as Nationals of that country. Services for people with a disability
D. Frontier works are those who live in one member state and work in another returning home on a daily or weekly basis. They are entitled to receive health services in the state in which they reside as if they were insured in that state. T%ey are also entitled to receive benefits in the state in which they are employed in accordance with the provisions of health services of that state.
Application form and further particular are available from the local Community Care Off~cee
-3 Home lmwovement Scheme for the Elderly
The aim of the Home Improvement Scheme is to improve the living conditions of older people. Improvements vary widely but may include provision of sanitary and water services and basic repairs to windows, doors and roofs. Applicants must be medical cardholders and satisfy certain conditions.
Applications forms may obtained from the local Community Care Offices or by contacting the local Public Health Nurse.
The Infectious Diseases Maintenance Allowance is a weeklv cash allowance oaid to nersons sufferine- from certain prescribed d~seases Appl~cantsmust undergo a means and med~calassessment and apply for any other allowance ava~lablefrom the llealth Board or Department of Soc~alCommun~ty & Fam~lyAffam
Application fomare available from the local Community Care Offices.
-3 winIllness and Disabili
Under the Long Term Illness Scheme, persons suffering from a prescribed long-term illness are supplied free of charge with prescribed drugs, medicines and medicaYsurgical appliances for the treatment of that specific illness or disability.
Applications are made to the Community Care Offices listed below and must be approved on medical grounds There is no means test for this scheme. -:. Medical and Su- Medical and Surgical appliances are supplied to eligible persons, with a recognised medical needs, in order to maintain that person at home and to improve their quality to life.
Applicants for this scheme are usually made by a health professional e.g. Public Health Nurse, Physiotherapist, occupational therapist following assessment. Applicants must be either medical cardholders or eligible for the Long Term Illness and Disabilities Scheme and may have to pay a minimal contribution towards the cost of such equipment.
Mobility Allowance is a monthly allowance payable by the Health Board, subject to a means test, to individuals who have been medically assessed with a severe disability. Applicants must be in a condition to benefit form occasional hips away from home. Application forms are available from the local Community care Offices.
3 Motorised -orl Grant
The Health Board may in certain cirtumstances pay grants towards the purchase of cars to persons with severe physical disabilities Smices for people with a disability
The Board must be satisfied that the person is medically and physically capable of driving a vehicle and is qualified to hold a drivers licence.
Application and further particulars are available from the local Community Care Offices.
The Health Board in conjunction with the National Rehabilitation Board provides rehabilitation training for persons with a physical or sensory disability. The Health Board provide medical assessment while the National Rehabilitation Board provide assessment, training and employment placement for individuals with physical or sensory disability.
The Health Board provide a number of allowances to the National Rehabilitation Board in respect of training \ including:
Rehabilitation Maintenance Allowance which is an additional allowance paid to trainees who are in receipt of Disability Allowance Capitation Allowance Payment made on a capitation basis to bodies providing training services by arrangement with the Health Board Travel Allowance payable to training centres who provide transport for trainees
Applications and further information can be obtained from the local Community Care Offices or direct from the National Rehabilitation Board.
4. Section 65 Grants
Section 65 Grants are payable to bodies who provide services similar or ancillary to a service provided by the Health Board. There are a wide variety of organisations supported, which mainly provide social services.
Contact Name & Address
Mr. J. Kincaid, Community Care Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. n (0502) 21 135
Mr. P. O'Rourke, Community Care Administrator Health Centre, Longford Road, Mullingar, Co. Westmeath. n (044) 40221 Health Centre, Dublin Road, Longford. n (043) 46211 Health Centre, Coosan Road, Athlone, Co. Westmeath. n (0902) 75301 Services for people with a disaFlity
7.3.22 I Services Provided by Non-Statutory Organisations I
St. Christwher's Sewice;
Address: Leamore Park, Battery Road, Longford
Contact: Mr. Pat O'Toole, Manager and Co-Ordinator of Training Services
Telephone: (043) 45698
Services: Provision of Day Services for Persons with all levels of Intellectual Disability.
Range: Pre-school to 65 years.
St. Hilda's Services:
Address: Gracepark Road, Athlone
Contact: Mr. John Gately
Telephone: (0902) 75825
Services: Head-Start-Programme - Boys and girls with mild and moderate Intellectual Disability age 2% - 8 years. School boys and girls with moderate intellecutal disability age 6 - 18 years.
Vocational Trainine Unit; Age 18 years +
McCormack House: Day Care unit for persons with severe and profound Intellectual Disability age 2% - I2 years.
Men and Women with severe and profound Intellectual Disability levels age 12+
isters o d Marv Delvin. Co. Westmeath, Eervices L~~ZZ%~~area.
Sisters of Charitv of Je$0 n r oo math.
Contact: Mr. Joe Kelly, Director of Services
Telephone: (045) 525327
Services: Day Services at Kolbe Centre, Portlaoise (pre-school) Dove ~oke,Abbeyleix, Co. Laois (adults) Marian Junior Training Centre, Tullamore - school going age - 12 years Tanyard Resource Centre -Resource Centre catering for adults with moderate and severe Intellectual Disabilty. Oak House Resource Centre - Portarlington - adults. Services far people wiUl a disability
Services- at Moore Abbey Monasterevan and at St. Mary's, South Hill, Delvin, Co. Westmeath.
Share A Break Scheme
Community Residences
Respite and Home Carer Relief Services
Counselling Services
Social Workers to offer support advice information and counselling to those with Intellectual Disabilities and their relatives.
St. Anne's. Sean Ross Abbev. Rosrreg
Contact: David Kiernan, Director of Services
Telephone: (0505) 21 187
Services: Children with a moderate Intellectual Disability from South Offaly and Laois attended school at St. Anne's.
St. Anne's The Curra~h.Co. Kildarq
Contact: Ms. Elizabeth Birmingham
Telephone: (045)441494
Children from Edenderry and surrounding areas with moderate Intellectual Disability attend school at St. Anne's [=I [=I
Access to the above services is ~rovidedin co-ordination with the Midland Health Board Area Medical Officers in each Community Care Area.
[ Contact Name 81 Addresst
Senior Area Med~calOfficer.
Dr. M. ~os~ove,Midland Health Board, Health Centre, Dublin Road, Portlaoise, n (0502) 21135 Co. Laois. Fax: (0502)2 1940
Dr. J. Kelly, Midland Health Board, Health Centre, Arden Road, Tullamore, Co. n (0506) 41301 Offaly. Fax: (0506) 46257
Dr. M. Frances, Midland Health Board, Health Centre, Longford. n (043)46211 Fax: (043)46500 Mmtal Hdth Services
7.4 Mental Health Services
Pages
7.4.1 Aims 82
7.4.2 Structure 82
7.4.3 Services Provided 83
7.4.4. Access 84
7.4.5 Contact Name and Address 84
7.4.6 Supports and Allowances 86 Mmml Health Services
Day Hospitals Psychological Services Day Centres Substance Abuse Therapies Out Patient Clinics Activation and recreational Therapies Staffed Hostels - High SuppodMedium Support Hostels Access to Sheltered Workshops Group Homes Access to Employment Training Programmes Community Nursing Services
2. Hospital Based Services:
0 Admission [Assessment Unit Activation and Recreational Therapies Rehabilitation Services Para-medical services Long Stay Residential Services
St. Fintans Hospital, Portlaoise, Co. Laois. St. Lomans Hospital, Mullingar, Co. Westmeath.
3. Substance Abuse Semces
Community Drugs & Alcohol Service, Coote Street, Portlaoise n (0502) 78282 Community Resource Centre, Bishopsgate Street, Mullingar n (044)41630
These facilities provide counselling treatment and educational services for alcohol and hgrelated problems in the Midland Health Board Region.
4. Voluntary Sector
The Board provides fmancial support by way of grant aid to voluntary groups working in the area of mental health who provide contact and support for persons with a mental illness and their families.
-These groups include: Mental Health Association of Ireland AWARE
Schizophrenia Association of Ireland ' GROW
Access to Mental Health Services is normally provided by referral from the individuals General Practitioner and referrals from other health professionals are also accepted.
7.4.5 1 Contact Name & Address I
(1). Information on Services Laois/Offaly Catchment Area: Dr. K. Brown, AIClinical Director, St. Fintan's Hospital, Portlaoise. n (0502) 78265 Mr. F. Kelly, Senior Hospital Administrator, St. Fintan's Hospital, Portlaoise. 4 (0502) 78101 Mr. P. Smith, Chief Nursing Officer, St. Fintans Hospital, Portlaoise. n (0502) 78263
Access under the Freedom of Information Act. If you wish to make an application under the Freedom of Information act, Please contact:
Mr. P. Waters, Asst. Hospital Administrator, St. Fintan's Hospital, Portlaoise, Co. Laois. Mental Health Services
(2). Information on Services ~on~ford/WestmeathCatchment Area: If you wish to obtain information on Services generally, please contact any of the following:
Mr. T.0.J Leavy, NClinical Director, St. Lomans Hospital, Mullingar. n (044) 40221 Mr. D. Murtagh, NSenior Hospital Administrator, St. Lomans Hospital, Mullingar P (044) 40221 Mr. L. Ward, Chief Nursing Officer, St. Lomans Hospital, Mullingar. n (044) 40221
If you wish to make an application under the Freedom of Information Act please contact:
Ms. A. Masterson, NAssistant Hospital Administrator, St. Lomans Hospital. Mullingar, Co. Westmeath.
Please refer to Section 12.2 of this manual for derails on making an FOI Application, entitlements, rights etc.. . Mental Health Services .:. The Health Board may in certain circumstances pay grants towards the purchase of cars to persons with severe physical disabilities
The Board must be satisfied that the person is medically and physically capable of driving a vehicle and is qualified to hold a drivers licence. Application and further particulars are available from the local Community Care Offices. .:. p. . The Health Board in conjunction with the National Rehabilitation Board provides rehabilitation training for persons with a physical or sensory disability. The Health Board provide medical assessment while the National Rehabilitation Board provide assessment, training and employment placement for individuals with physical or sensory disability.
The Health Board provide a number of allowances to the National Rehabilitation Board in respect of training including: Rehabilitation Maintenance Allowance which is an additional allowance paid to trainees who are in receipt of Disability Allowance Capitation Allowance Payment made on a capitation basis to bodies providing training services by arrangement with the Health Board Travel Allowance payable to training centres who provide transport for trainees
Applications and further information can be obtained from the local Community Care Offices or direct from the National Rehabilitation Board.
Q Section 65 Grants are ~avableto bodies who orovide services similar or ancillaw to a service ~rovidedbv the Health . * Board. There are a wide variety of organisations supported, which mainly provide social services.
1"CondctName 8L Address Applicahons and further deta~lsare ava~lablefrom the followmg centres m respect of their supports and allowances listed above: Mr. J. Kincaid, Community Care Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. at (0506) 41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. n (0502) 21 135
Mr. P. O'Rourke, Community Care Administrator Health Centre, Longford Road, Mullingar, Co. Westrneath. n (044) 40221 Health Centre, Dublin Road, Longford. at (043) 46211 Health Centre, Coosan Road, Athlone, Co. Westmeath. n (0902) 75301 Older People Services
7.5 Older People Care Groups
Pages Aims Administration Aural Services Chiropody Service Community Medical Services Day Care units Dental Services Department of Medicine for Older People in General Hospitals Home Help Services Occupational Therapy Service Physiotherapy Services Public Health Nursing Service Residential Care Respite 1 Intermittent Care Speech & Language Services Supports I Allowances Adult Dental treatment Services Scheme Adult Sight Testing Scheme Blind Welfare Allowance Capitation Payments General Medical Services Scheme Drug Cost Suhsidisation Scheme Drug Refund Scheme EU Health Service Entitlement Home Improvement Scheme for the Elderly Infectious Disease Maintenance Allowance Long Term Illness & Disabilities Medical & Surgical Appliances Meals on Wheels Mobility Allowance Motorised Transport Grants Rehabilitation Training Services Subvention towards cost in Private Nursing Home Care Section 65 Grants Older People Services
9 Domiciliary Care Allowance 9 Mobility Allowance 9 Foster Care Allowance and associated discretionary services 9 Boarding Out of Elderlyldisabled Q To process payments in respect of above allowances: 9 Salary for temporary locum and part-time staff, 9 Expenses for all staff in the Community Care Area 9 Goods and Services 4. To maintain the following databases: 9 Medical Card Administration System 9 Immunisation Programme 9 Physical and Sensory Disability register 9 Intellectual Disability Register Provide administrative support and secretarial services to all disciplines Provide an information service to the public on all Community Care Activity Registration of Births, Deaths and Mamages for the LongfordMestmeath area. .:a .:a Maintain all leave records for staff.
The general public have direct access to the Administration Services Department by contacting the Health Centres listed below between 9.00a.m. and 5.30p.m Monday to Friday.
( Service Contact
Ms. D. Mhgan. Local Adttum&&.. . n (044) 39185 Health Centre, Mullingar, Co. Westmeath. Fax (044) 39 170 mtstrato~. . n (043) 50169 Health Centre, Dublin Road, Longford. Fax (043) 46500 n (0902) 75301 Health Centre, Coosan Road, Athlone. Fax (0902) 83 149 Ms.inistrata n (0502) 21 135 Health Centre, Dublin Road,. Portlaoise.. Fax: (0502) 21940 Mr. P. SalmUdmmrsfram n (0506) 41301 Health Centre, Arden Road, Tullamore. Fax (0506) 46257 Older Pmplc Services
I Aural Services 1
Aural services aim to improve the quality of hearing of persons who are experiencing deterioration in their hearing.
I Semces Provided I
+ Treatment of curable hearing loss. + Aural Assessment Clinics provided by the National Rehabilitation Board. + Provision of Hearing Aids by National Rehabilitation Board.
1 Access I
Eligible persons (Medical Card holders) should contact their General Practitioner for referral to ENT Departments within the Board.
[ Contact Name Addreu
Mr. 3. Kincaid, Community Care Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506)41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. st (0502) 21 135
Mr. P. O'Rourke, Community Care Administrator Health Centre, Longford Road, Mullingar, Co. Westmeath. n (044) 40221 Health Centre, Dublin Road, Longford. n (043) 46211 Health Centre, Coosan Road, Athlone, Co. Westmeath. st (0902) 75301 Older Pwple Service3
( Chiropody Service ]
The Health Board provides a Chiropody Service to eligible persons to help maintain mobility in old age.
[ Services Provided 1 Chiropody Services are provided by sessional chiropodists under contract to the Health Board or through local Social Services Councils.
Access is provided through the local Public Health Nursing Service or by contacting the relevant Social Service Council.
I Contact Name 8K Address I
Mr. J. Kincaid, Community Care Administrator Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Health Centre, Dublin Road, Portlaoise, Co. Laois. P (0502) 21135
Mr. P. O'Rourke, Community Care Administrator Health Centre, Mullingar, Co. Westmeath. n (044) 40221 County Clinic, Dublin Road,Longford. n (043) 46211 Health Centre, Coosan Road, Athlone, Co. Westmeath. n (0902) 75301 Older People Services
7.5.5 I Communitv Medical Services 1
The Community Care Medical Department promotes the health & welfare of the populations of Laois, Offaly, Longford and Westmeath by providing a range of services aimed at preventing ill health such as immunisations and controlling infectious diseases. piEGF Dr. J lovce.. . Mr. L. O'Callaghan, General Manager General Manager, Community Care Community Care
Dr. D. Kiely, Dr. P. Callan, Senior Area Medical Officer Senior Area Medical Officer
",-I--Area Medical Officers Area Medical Officers
( Sewices Provided ] .:. Infectious diseases 9 Investigation, treatment and follow up all instances of infectious disease .:a .:a Vaccine control 9 Ordering, storage and distribution of vaccines Allowances Assessment of the medical eligibility for: 9 Disabled drivers Tax concessions 9 Motorised transport grant 9 Mobility allowance 9 Reconsbuction grant for the disabled -3 Physical handicap 9 Screening, diagnosis, placement and rehabilitation 9 Referral to special services -3 Occupational health 9 Hepatitis B screening and vaccination of at risk staff 9 B.C.G. staff screening vaccination 9 Radiation safety-membership of occupational health committee for Radiology department -3 Nursing homes 9 Responsibility for implementation of Nursing Homes regulations (S.A.M.O.) -3 Travellers: 9 Travellers health committee 9 Provide on-site clinics -3 Health promotion exercises e.g. to improve service uptake .:. Medical Officer of Health functions: (from Director of Public Health) > Infectious diseases 9 Housing 9 Sanitation 9 poisons Older People Services
The general public have direct access to this department by contacting the relevant Community Care Off~ceslisted below. Clients are also referred by other health professionals including consultant medical staff, general practitioners, public health nurses and other professionals.
Dr. D. Kiely, Senior Area Medical Officer. Midland Health Board. Health Centre. Mullinear. Co. Weslmeath. 4 (044) 40221 Midland Health ~oard;Health centre; ~ublin'kdad,Longford. 4 (043) 4621 1 Midland Health Board, Health Centre, Coosan Road, Athlone. 4 (0902) 75301
Dr. P. Callan, Senior Area Medical Offieer. Midland Health Board, Health Centre, Arden Road, Tullamore. n (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise. n (0502) 21 135 Older People Servica'
I Day Careunits I
Day Care Units operate on a daily basis - Monday to Friday. They provide older persons with access to nursing, para-medical, personal and social services, thus avoiding the need for admission to hospital as an in-patient. Day Care Units are located at:
Riada House, Tullamore, Co. Offaly. Day Care Centre, Clara, Co. Offaly. Community Nursing Unit, Edendeny, Co. Offaly. Community Nursing Unit, Birr, Co. Offaly. Day Care Centre, Portlaoise, Co. Laois. District Hospital, Abbeyleix, Co. Laois. Day Care Centre, St. Vincents Hospital, Mountmellick, Co. Laois. Day Care Centre, St. Joseph's Hospital, Longford. Day Care Centre, St. Mary's Hospital, Mullingar, Co. Westmeath.
I Services Provided ] afirll range of nursing, paramedical, social and personal including: 4 Nursing 4 Chaplain + Physiotherapy + Main Meal & Snacks 4 Occupational Therapy + Recreational Therapy 4 Laundry Services 4 Dietary 4 Hairdressing + Transport Services + Bathing facilities 4 Reminiscence Therapy
Referral for admission through Public Health Nurse or General Practitioner Usually attended by older persons in their own catchment area I Contact Name a Address I Ms. M. Hooper, Matron, Riada House, Tullamore, Co. Offaly. Ms. Bridie O'Brien, Matron, Day Care Centre, Clara, Co. Offaly. Ms. M. Delaney-Hynes, Matron, Community Nursing Unit, Edendeny, Co. Offaly Ms. M. Collins, Matron, Community Nursing Unit, Birr, Co. Offaly. Ms. Paula Brophy, Matron, Day Care Centre, Portlaoise, Co. Laois. Ms. A. Doherty, Matron, District Hospital, Abbeyleix, Co. Laois. Ms. P. Lane, Matron, St. Vincents Hospital, Mountmellick, Co. Laois. Sr. Ursula, A/Matron, St. Joseph's Mountcamel Hospital, Longford. Ms. McAndrew, Matron, Loughloe Hospital, Athlone, Co. Westmeath. Ms. E. Greene, Matron, St. Mary's Hospital, Mullingar, Co. Westmeath. Older People Services
[ Dental Services I
Services are nrovided unm der the Dental Treatment Services scheme to eligible persons by Health Boar d Dental Surgeons at local clinics and by Private Practitioners who are under contract to the Board.
[ Services Provided I
4 Emergency dental treatment. 4 Routine dental treatment. + Denture treatment.
Emergency Treatment: - Select the dentist of your choice from the list which is available from your local Health Board Dental Clinic. Bring your Medical Card with you when attending the dentist.
Routine or Denture Treatment:- Submit a completed application form to Dental Section. Application forms are available from your local Dental Clinic or from Dental Section.
I Contad Name 8K Address Ms. M. H. Kenny, Principal Dental Surgeon, LaoislOffaly Community Care Ofices, Health Centre, Tullamore, Co. Offaly. n (0506) 41301 Community Care Offices, Health Centre, Portlaoise, Co. Laois. n (0502) 21 135
Mr. D. O'Meara, Principal Dental Surgeon, LongfordIWestmeath County Clinic, Mullingar, Co. Westmeath. n (044) 40221 Health Centre, Dublin Road, Longford. n (043) 46211 Health Centre, Coosan Road, Athlone, Co. Westmeath. W (0902) 75301
&& See also Dental Services under Child & Family Care Groups. Older People Senices
7.5.8 I Depament of Medicine for Older People in General Hospitals I
Acute ~epartmenkof Medicine for Older People are located in the acute general hospitals in the Midland Health Board's area. The level of care appropriate to each individual patient is determined by a multi-disciplinaj team which consists of a Consul+t Physician in Medicine for the Elderly, nursing, paramedical and support staff. The objecti;e &the Departments of Medicine for Older People in General Hospitals is to ensure prompt and appropriate admission of alderpersons to hospital and subsequently, whenever possible, to facilitate their return to their homes.
Acute Departments of Medicine for Older People are located in:
General Hospital, Tullamore, Co. Offaly. Longford / Westmeath General Hosp~tal,Mulhgar, Co. Westmeath
full range of medical, nursing, para-medical, social and personal
+ Radiology t Occupational Therapy + Chaplain + Pathology + Pharmacy + Continence Promotion + Speechnanguage Therapy + Recreational Therapy + Optical + Physiotherapy t Chiropody + Dental + Dietary t Hair Dressing
G.P. Referral or through Accident & Emergency Departments. Follow up care plan to facilitate a return to the community with appropriate support services
Dr. S. Murphy, Consultant Physician in Medicine for the Elderly, Longfordfd'estmeath General Hospital, Mullingar, Co. Westmeath. 4 (044) 40221
Dr. P. Murphy, Consultant ~h~sicianin Medicine for the Elderly, General Hospital, Tullamore, Co. Offaly. 4 (0506) 21501 Older Pmde Services
[ Home Help Service . I
The Home Help Service is managed under the general direction of the Supt. Public Health Nurse. It is organised and supervised by the Home Help Organiser. Applications for Service are made by the Public Health Nurses. Means testing is carried out on all clients by the Community Welfare Off~ceeEach application is individually assessed. When the Home Help Service is granted, the needs of the patient are closely monitored by the Public Health Nurse and the service may be increased or decreased, depending on the circumstances.
I Services Provided 1
1. Home Help Service for the elderly - is a community based service designed to provide personal care, practical care, social careisupport in the home.
2. Home Help Service to families - to provide support and assistance in time of stress or illness
3. Home Help Service to people with physical, sensory or a learning disability - to prevent or delay institutionalisation by assisting with Activities of Daily Living.
4. Home Help Service for the acute terminally ill -to improve and enhance their quality of life and enable them to remain in their own home for as long as possible.
Referrals are taken from many sources e.g. members of the public, Social Workers, General Practitioners, Hospitals, etc. All referrals are processed through the Public Health Nursing Service. ( Contact Name a Address 1 Ms. E. Dowling, Supt Public Health Nurse, Ms. K. Hahessy, Home Help Organiser Health Centre, Arden Road, Tullamore. Health Centre, Dublin Road, Portlaoise.
Ms. K. Leavey, Supt Public Health Nurse, Ms. D. Coyne, Home Help Organiser, Health Centre, Mullingar, Co. Westmeath. Health Centre, Dublin Road, Longford. Health Centre, Coosan Road, Athlone. Oldcr People Senices
The Occupational Therapy Service is committed to assisting the Midland Health Board in achieving their objectives towards maximising the health (health gain) and quality of life (social gain) of the clients referred to Occupational ' Therapy, through appropriate assessment and intervention by ~ccu~ationalTherapists as part of the services offered by the Board to those who are temporarily or permanently impaired or disabled by physical and/or mental illness or by social or developmental problems.
&tjo&!n of Occuoational Therapy Occupational Therapy is the use of purposeful activity to restore or maintain a persons ability to function independently at hidher maximum level of function.
Occuoational Theraov with Older Eepple Occupational Therapists working with older people, aim to improve or maintain the skills necessary to complete everyday tasks such as dressing, to improve or maintain quality of life and to maintain an individual in their own home for as long as possible.
Occupational Therapy Services are managed by a Head Occupational Therapists in LaoisIOffaly and in Longford/Westmeath. Services are cumently targeted at Acute Hospitals, Older People, People with a physical or sensory disability and Community Care. In the community, services are organised on a geographical basis.
occupational Therapists are based in Elderly Care Residential and Day Units aid Community Occupational Therapy Offices under the management of the Health Occupational Therapist. The Occupational Therapists also work closely with Administrators, Matrons, Medical Staff, Nursing Staff and other paramedical staff.
I Services Provided I Occuoational Therapv Intervention are desiened to:
a The independent older person 0 Restore andlor reinforce functional capacity 0 Facilitate learning of skills and functions essential for daily life Promote and maintain health
Core 0-1 Theraov Interventions
Assessment of Need Effect Change in Functional Performance in daily life - (a). self care (b). domestic (c). work (d). leisure Effect change in Cognitive Function Effect change in Perceptual Function .Effect change in Sensory Function Management of Stress Management of joint deformitylprotection Management of wheelchair mobility Management of Tone Management of Care: General management - advice, support, counselling Liftinghandling Transfers Management of Poshlre~Tissueprotection through appropriate seating. Management of the Environment - including, housing adaptations, traosport, car adaptations, barrier free design, links with Community facilities and services including public buildings Prescription of Technical Aids and Appliances - including training, supplying, fabrication, modification Effecting change on specific component skills affecting performance Linkage to other services and agencies - research, advise, support, inform. Interventians offered bv Occ~tionalTheraov Se Diversional Therapy
Access to Occupational Therapy Services is by written referral from General Practitioners, Public Health Nurses, Speech and Language Therapists, Physiotherapists and other Health Professionals. Standard referrals forms are available from hospital and community Based Occupational Therapists.
Ms. M. Morean. Head Occuoational Theraoist. Laois/Offaly Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301
Occupational Therapy Departments. Tullamore General Hospital District Hospital, Abbeyleix Day Care, Edendeny Community Nursing Unit, Birr
Community Occupational Therapists Health Centre, Arden Road, Tullamore, Co. Offaly. Health Centre, Dublin Road, Portlaoise, Co. Laois. Day Unit, St. Vincent's Hospital, Mountmellick Jvls. P. Tullv. Head Occq@onal Theraoist.ford~Westmeath Health Centre, Dublin Road, Longford. n (043) 4621 1
Occupational Therapy Departments St. Joseph's Hospital, Longford St. Mary's Hospital, Mullingar St. Vincent's Hospital, Athlone LongfordMrestmeath General Hospital, Mullingiu
Community Occupational Therapists St. Joseph's Hospital, Longford St. Mary's Hospital, Mullingar Health Centre, Coosan Road, Athlone. 7.5.11 I - Physiotherapy Service lDesaiption1 Chartered Physiotherapists are health professionals allied to the medical profession and carry a university qualification. They use physical means such as exercise, manual therapy and electrotherapy to treat pain, injury and disability.
There are nine physiotherapy departments in the Midland Health Board:
kBQIs; General Hospital, Portlaoise St. Vincents Hospital, Mounhnellick Community Nurisng Unit, Abeeyleix ch%4m General Hospital, Tullamore Community Nursing Unit, Birr Community Nursing Unit, Edenderry LONGFORDM'ESTMEA TH General Hospital, Mullingar District Hosptial, Athlone St. Joseph's HospitalPhoenix Resource Centre, Loogford The Physiotherapist will also see clients in the home on a limited basis.
Conditions treated by physiotherapy include Neurological conditions such as stroke and parkinsons disease, Orthopaedic conditions such as arthritis, fractures and joing replacements Respiratory conditions such as chronic bronchitis, asthma and acute respiratory tract infections General fraility and loss of mobility
The objective of physiotherapy intervention is to maintain and enhance the mobility and independence of older people and thereby improve their quality of life. -1 -1 Clients are referred to the physiotherapy services by Doctors, Occupational Therapis9 Public Health Nurses a nd other Health ~rofessionals. self refer& are accepted from clientskho already hsve contact with the physiotherapy service. Members of the public who access the department directly are offered information and advice - and arrangements for appropriate follow-up are put in place if necessary. Urgent and standard waiting Lists for out- patients are maintained according to agreed criteria.
All physiotherapy services in the Midland Health Board are free of charge
Ms. D. Oakley, Physiotherapy-In-Charge, Midland Health Board, General Hospital, Tullamore. W (0506) 46230 Ms. M. Bradley, Physiotherapy-In-Charge, Midland Health Board, General Hospital, Portlaoise. U (0502) 2 1364 Ms. S. Canavan, Physiotherapy-In-Charge, LongfordIWestmeath General Hospital, Mullingar. W (044) 40221
102 Older Pmplc Scrvica
I Public Health Nursing Service I
The Public Health Nurse is a member of a multidisciplinary team. The work involves assessment, screening, surveillance, curative, preventative and rehabilitative care:
The Public Health Nurse is the link in the healthcare system at local level and is pivotal in meeting health care needs.
Public Health Nurses have a broad health knowledge base and in-dept understanding of the community, community resources and an appreciation of individual, family and community inter-relationships.
The emphasis with older people is in line with the Strategy, injury prevention, health promotion and illness prevention throughout the life cycle through a variety of endeavoun.
The nurse patientlclient intervention is viewed as a partnership that focuses on working with developing patient's strengths, enhancing patient selfcare and self-responsibility.
I Services Provided I 1. Home Nursing General Nursing Care Palliative Care Dressings Eye care Injections Blood Pressure Blood Sugar Evaluation 0 Assessment and provision of Aids and appliances Housing Aid for Elderly prioritising Leg Ulcer clinics (Nurse led) Referral for Day Care Service Assessment of Incontinence Status Catheter Care Support for Carers Liaison with Voluntary Organisations Surveillance visiting to At Risk elderly
2. Twilight Nursing Service Provides additional support outside or normal Public Health Nursing working hours to heavily dependent clients ,in the community who have specific nursing needs. To facilitate early discharge from hospital To allow terminal care in the co&unity for patients who wish to die at home To prevent, if possible, or delay admission to acute General Hospital where the needs of the client are nursing rather than medical. Older People Senices
3. Liaison Public Health Nurse Service Discharge planning for patients to Community Respitecare Long Stay Assessment of patients for the Boarding out of the Elderly Scheme Monitoring of patients in the Boarding out Scheme Assessment of dependency level for Nursing Home subvention Review of patients in receipt of subvention Support Carers Liaises with area Public Health Nurse in relation to discharge planning 0 Attendance at multi-disciplinary team meetings Joint inspections of Boarding Out homes
4. Senior Public Health Nurse Service Support of Community Nursing Staff and ensuring that best practice is adhered to Inspection of Nursing Homes Inspection of Boarding Out facilities Attendance at Multidisciplinary team meetings in relation to Nursing Homes inspection Follow-up complaints received regarding Nursing Care of clients in Nursing Homes Linkage with voluntary organisations in relation to services and training courses
5. Home Help Service Assessment of clients need for provision of service Monitoring of Home Help Service
Access to Public Health Nuning Service is through + General Practitioners, + Hospitals, + Self-referral, + Family referral, + Other professionals. ( Contact .Name a Address I Ms. E. Dowling, SupL Public Health Nurse, LaoidOffoIy
Health Centre, Arden Road, Tullamore. (0506) 41301 Health Centre, Dublin Road, Portlaoise. (0502) 2 1135
Ms. & Leavey, Supt Public Health Nurse, LongfortUWestmeath
Health Centre, Longford Road, Mullingar, Co. Wesheath. (044) 40221 Health Centre, Dublin Road, Longford. (043) 462 1 1 Older Pmple Services
( Residential Care I
Long stay care for Older People is provided throughout the Midland Health Board at a variety of hospitals, residential homes, community units and district hospitals. Long stay care is available to older people who have been medically assessed and have been found to be in need of this level of care and for whom community based care is no longer feasible. Patient care is provided in this setting by a multi-disciplinary team consisting of medical, nursing, paramedical, care and support staff.
Long stay care facilities are provided at locations listed below under Contact Names & Addresses I Services Provided I
full range of medical, nursing, para-medical, social & personal incl.: + Physiotherapy + Chaplain + Hairdressing + Dental + Recreational Therapy + Library + Occupational Therapy + Continence Promotion + Pathology + Pharmacy + Dietary + Chiropody + Optician
Contact with General Practitioners and Public Health Nursing Service followed by an assessment in the appropriate Department of Medicine for the Elderly Lcoha Name sr Address I
Ms. E. Greene, Matron, St. Mary's Hospital, Mullingar, Co. Westmeath.
Sr. Ursula, matron, St. Josephs Mount Carmel Hospital, Longford
Ms. 0. O'Brien, Matron, District Hospital, Athlone, Co. Westmeath
Ms. M. McAndrew, Matron, Loughloe House, Athlone, Co. Westmeath
Ms. M. Collins, Matron, Community Nursing Unit, Birr, Co. Offaly
Ms. M. Delaney Hynes, Matron, Community Nursing Unit, Edenderty, Co. Offaly
Ms. M. Hooper, Matron, Riada House, Tullamore, Co. Offaly
Mr. R. Lane, Matron, Age Care Unit, General Hospital, Tullamore, Co. Offaly.
Ms. A. Doherty, Matron, District Hospital, Abbeyleix, Co. Laois.
Ms. C. Earley, Matron, St. Brigids Hospital, Shaen, Co. Laois.
Ms. P. Lane, Matron, St. Vincents, Hospital, Mountmellick, Co. Laois. Older People Senices
Respite Care is a service which is available in Midland Health Board Hospitals and Community Nursing Units. It is a service which allows older persons to he maintained in their home environment with the appropriate level of care for as long as possible all year round. When a carer requires a break for social or holiday reasons the older person is admitted to hospital for Respite Care. Care is usually made available for a maximum of two weeks (particularly during the Summer month) in order to facilitate as many people as possible wishing to avail of the service.
Intermittent care is provided for patients who have been medically assessed as being in need of regular in-patient care for short periods of time, over a protracted period, on a planned basis.
Respite and Intermittent Care Services are provided at the locations listed below
I Services Provided I a full range of medical, nursing, and para-medical services and social or personal services frequired, for example
4 Physiotherapy 4 Chiropody 4 Dietary 4 Dental 4 Chaplain 4 Optician 4 Occupational Therapy 4 Recreational Therapy 4 Hairdressing 4 Pharmacy 4 Continence Promotion 4 Pathology
Applications made through General Practitioner Applications made through Public Health Nurse Service
Ms. M. Hooper, Matron, Ria& House, Tullamore, Co. Offaly.
Ms. Bridie O'Brien, Matron, Day Care Centre, Clara, Co. Offaly.
Ms. M. Delaney-Hynes, Matron, Community Nursing Unit, Edenderry, Co. Offaly.
Ms. M. Collins, Matron, Community Nursing Unit, Birr, Co. Offaly.
Ms. Paula Brophy, Matron, Day Care Centre, Portlaoise, Co. Laois.
Ms. A. Doherty, Mafmn, District Hospital, Ahheyleix, Co. Laois.
Ms. P. Lane, Matron, St. Vincents Hospital, Mountmellick, Co. Laois.
Sr. Ursula, AIMatron, St. Joseph's Mountcamel Hospital, Longford.
Ms. Mchdrew, Matron, Loughloe Hospital, Athlone, Co. Westmeath.
Ms. E. Greene, Matron, St. Mary's Hospital, Mullingar, Co. Westmeath Older People Services
[ Speech & Language Services ]
The Speech and Language Therapy Department of the Midland Health Board seeks to provide a quality, customer oriented service to clients presenting with speech, language and voice disorders. This encompasses an assessment, diagnostic, treatment and preventative dimension and where required an interdisciplinary approach toward the achievement of Health and Social Gain for each individual client.
Dr. J Joyce, Mr. L. O'Callaghan, General Manager General Manager, Community Serv~ces Community Setvices I I Ms. V. Larkin, Ms. M. May, Principal Speech & Language Therapist APrincipal Speech & Language Therapist A Senior Speech & Language Therapists Senior Speech & Language Therapists I A Speech & Language Therapists Speech & Language Therapists
I Services. Provided 1 Following assessment by a Speech and Language Therapist, where a diagnosis of disability is made, services to clients are then provided at the most appropriate location'where hisiher needs would be met. Such locations include educational settings, rehabilitation centres and outpatient Speech and Language Departments.
+3 Adults and children with physical andlor sensory disabilities and speech and language disorder are treated in Acute hospital rehabilitation and in educational centres. Adults with learning disabilities who are referred to the Speech and Language Department are assessed and staff at the relevant care unit are provided with a training programme. 3 Where necessary clients may be referred to a national specialist centre for assessment or treated in conjunction with such centre. Such centres may include: 9 Central Remedial Clinics, Clontarf, Dublin. P National Medical Rehabilitation Centre, Dunlaoighre. 9 St. Paul's Unit, Beaumount, Dublin. D St. Frances Clinic, Childrens Hospital, Temple Street, Dublin. 9 Cerebral Palsy Ireland Sandymount Dublin.
There is an open referral policy and a client and /or their parents or guardian can make direct contact with the Speech and Language Departments as listed below. Referrals are also accepted from all relevant health professionals and other professionals. Older People Services
-h . . & Lun- Speech & Language Dept. Social Services Centre, Bishops Gate Street, Mullingar, n (044) 40809 Speech & Language Dept. LongfordMTestmeath General Hospital, Mullingar, Co. Wesheath. 4 (043) 4621 1 Speech & Language Dept. Health Centre, Coosan Road, Athlone., Co. Westmeath. n (0902) 75301
-h & Lun- Speech & Language Dept. Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Speech & Language Dept. Midland Health Board,Health Centre, Dublin Road, Portlaoise. 4 (0502) 21 135 Speech & Language Dept. Midland Health Board, General Hospital, Tullamore, Co. Offaly. 4 (0502) 21501 Older Peoole Services
I ~~~~~~3s I Allowances Provided by the Health Board I .:. AdulteTreatmentces S- , The Adult Dental Treatment Services Scheme provide dental services within certain limitations to individuals who are current medical card holders and over 16 years of age
Services are provided by dentists in private practices and application must normally receive Health Boards authorisation prior to undergoing a course of treatment except in emergency situations for the relief of pain.
Applications and further details can be obtained from dentists in private practice or from the Dental Departments at the following Community Care Offkes:
)'MEDTb'M~r~P'iin~~'D~tiil~S~geOO,Lo~IoTdlW&~th~ ------.- M~dlandHealth Board, Health Centre, Longford Rd, Mullingar, Co. Westmeath. n (044)40221 Midland Health Board, Coosan Road. Athlone, Co. Westmeath. n (0902) 75301 Midland Health Board, Health Centre, Dublin Road, Longford. n (043)46211 -- ~~sT~~~.~~~~~hiiii~iD-Sii-e.------aiSL~iS/Offaly L M~dlandHealth Board. Health Centre. Ardcn Road. Tullamore, Co. Offalv. 4 (0506)41301 Midland Health ~oard;Health centre; Dublin ~oad,~ortlaoise; Co. ~aois. 4 (0502)21135
-t Testing Scheme The Adult Sight Testing Scheme provides free sight testing and a conhibution towards the cost of glasses to eligible adults (medical cardholders). These services are provided by opticians in private practice and are administered by the Health Board. Authorisation must be obtained from the Health Board prior to service provision.
Applications are available from the local Community Care Offices.
-2 Mind Welfare Alloww The Blind Welfare Allowance is an additional payment made to qualified persons who because of the nature of theu disability require additional resources to meet their basic needs.
It is normally paid as a supplement to a blind person receiving Blind Pension or Old Age Pension. Applications are available from the local Community Care Offices. .:. . . A number of organisations throughout the country provide specialist services for the Board. Such organisations include: P Camphill Community D Peace Heaven > Blind Craft P St. Hildas, Athlone
And provide for the Assessment and treatment of individuals with certain physical and sensory disabilities including residential care.
Access to such services is provided following assessment and approval by the health professionals in the Health Board.
6:. 6:. Med~cal S- (Medical Cards)
Under the General Medical Services Scheme persons are issued with medical cards for themselves and theu dependants and are entitled to the following services free of charge.
A. General Practitioner Medical Services from doctors in private practice who are contracted to the Board. Individuals choose the doctor they wish to attend. Older People Services
B. Prescribed drugs, medicines and medica~s~gicalappliances. C. Free out-patient and in-patient public hospital services.
Application forms are available form Commu& Care Offices and must be completed by relevant general practitioner. Medical card applications are subject to a means test but cases of hardship are also considered
The DN~Cost Subsidisation Scheme assists @@vidualsto meet a portion of the cost of prescribed drugs, medicines and surgical appliances, where co@@nt medication is required.
Application for the Scheme are available in &e Community Care Offices listed below and should be completed by the General Practitioner.
'3 mundSsheme The Drug Refund Scheme assists individuals to meet a portion of the cost of prescribed drugs, medicines and medicaVsurgical appliances. Receipts should be retained and forwarded to the local Community Care Offices on a three monthly basis starting on the fmt of January on an application form which is available from the local pharmacist. .:. a 'ce Und%U"'Rtf$gz NaEemberstates of the European Uoiou and the European Economic Area are entitled to health services in other EU member states.
A. EU Nationals staying temporarily in Ireland are entitled to receive urgent necessary medical treatment free of charge. B. EU Nationals resident in Ireland are entitled in certain circumstances to receive a medical card without regard to their means and are entitled to the full range of services normally covered by a medical card. C. EU Migrant Worken come under the health care system of the counlq where helsbe is employed and bas the same entitlements as Nationals of that country. D. Frontier works are those who live in one member state and work in another returning home on a daily or weekly basis. They are entitled to receive health services in the state in which they reside as if they were insured in that state. They are also entitled to receive benefits in the state in which they are employed in accordance with the provisions of health services of that state.
Application form and further particular am available from the local Community Care Offices,
Housine Aid Scheme for the Elderly The aim of the Housing Aid Scheme is to improve the living conditions of older people. Improvements vary widely but may include provision of sanitary and water services and basic repairs to windows, doors and roofs. Applicants must be medical cardholders and satisfy certain conditions.
Applications forms may obtained from the local Community Care Offke or by contacting the local Public Health Nurse.
Q hfgctious Diseasm Maiotenanee The Infectious Diseases Maintenance AUowance is a weekly cash allowance paid to persons suffering from certain prescribed diseases. Applicants must undergo a means and medical assessment and apply for any other allowance available from the Health Board or,Deparment of Social Community & Family Affairs.
Application forms are available from the local Community Care Offices. a:. a:. Idmg term Illness Under the Long Tem Illness Scheme, persons suffering kom a prescribed long-term illness are supplied free of charge with prescribed prescribed drugs, medicines and medicaVsurgica1 appliances for the treatment of that specific illness or disability.
Applications are made to the Community Care Offices listed below and must be approved on medical grounds There is no means test for this scheme. Oldn People Scrvices
.:. p Medical and Surgical appliances are supplied to eligible persons, with a recognised medical needs, in order to maintain that person at home and to improve their quality to life.
Applicants for this scheme are usually made by a health professional e.g. Public Health Nurse, Physiotherapist, occupational therapist following assessment. Applicants must be either medical cardholders or eligible for the Long Term Illness and Disabilities Scheme and may have to pay a minimal contribution towards the cost of such equipment.
~ealdon Whe& Meals can he supplied to older people, in their own home, who are unable to provide for themselves. The objective is to help maintain older people at home for as long as possible.
Clients are provided with a hot meal daily or as required. The service can be accessed by contacting the local Public.:. Health Nurse or the Local Community Care Offices. Mobility Allowance is a monthly allowance payable by the Health Board, subject to a means test, to individuals who have been medically assessed with a severe disability. Applicants must be in a condition to benefit form occasional trips away from home. Application forms are available from thelocal Community care Offices.
.:* .:* Motorised Tra- The Health Board may in certain circumstances pay grants towards the purchase of cars to persons with severe physical disabilities
The Board must be satisfied that the person is medically and physically capable of driving a vehicle and is qualified to hold a drivers licence.
Application and Further particulars are available from the local Community Care Offices.
Q subvent~ontowards costs in Private NwmgHome Care A Nursing Home Subvention is a payment towards the cost of private nursing home care for older persons. Older persons making an application for a subvention towards the cost of such care will have to be sufficiently dependent to require maintenance in a nursing home and be unable to pay any or part of the cost of maintenance in a nursing home. Subvention payments will he made directly to the nursing home of the applicant's choice once the nursing home is registered in accordance with the Health Nursing Homes Act, 1990, the Nursing Homes (Care and Welfare) Regulations 1993 and the Nursing Homes (Fees) Regulations, 1993.
Applications are available from the local Community Care Offices and should be completed and lodged with the office prior to an Older Person's admission to the Nursing Home. .:. =i1itation 'Ibe Health Board in conjunction with the National Rehabilitation Board provides rehabilitation training for persons with a physical or sensory disability. The Health Board provide medical assessment while the National Rehabilitation Board provide assessment, training and employment placement for individuals with physical or sensory disability.
The Health Board provide a number of allowances to the National Rehabilitation Board in respect of training including: Rehabilitation Maintenance Allowance which is an additional allowance paid to trainees who are in receipt of Disability Allowance Capitation Allowance Payment made on a capitation basis to bodies providing training services by arrangement with the Health Board Travel Allowance payable to training centres who provide transport for trainees
Applications and further information can be obtained from the local Community Care Offices or direct from the National Rehabilitation Board. .8.0 Corporate Services
Pages
8.1 Office of the Chief Executive Officer 113 8.2 Office of Deputy Chief Executive Officer / Programme Manager Community Care 114
8.3 Office of Programme Manager Hospital Care 115 8.4 Depment of Public Health 116
8.5 Finance Department 117 Management Services Depment Personnel Department Technical Services Department Bridge Project Management Unit Chief Ambulance Ofiicer Communications Officer
Director of Child Care Services General Manager Acute Hospital Services General Manager Community Services Health Promotion Officer Regional Materials Manager Corporate Services
I Office of the Chief Executive Officer I
Chief Executive Officer:
Mr. Denis J. Doherty.
Under legislation the Office of the Chief Executive Officer has responsihility for all Executive functions of the Board while the Reserved functions are vested in the Health Board members. Management of the Board is the responsibility of the Chief Executive Officer who is assisted by Executive and Corporate teams. Forfurther details of Reserved/Executive functions and Senior Executive/Corporate teams please refer to Section 6.0 of this manual.
The Chief Executive Officer has responsibility for implementing the Boards policy, service plans and ensuring the annual expendime does not exceed the limit as notified by the Minister for Health and Children. In addition he has statutory responsihility for determining the eligibility of individuals for health services and the appointment, supervision and remuneration of staff. Many of these functions have been delegated to staff within the organisation
1, Contact Name 811 Addreis I Ms. M. Dwyer, Section Officer, Midland Health Board, Central Office, Arden Road, Tullamore, n (0506) 21868 Co. Offaly. Fax: (0506) 52663 Corporate Services
I Office of Deputy Chief Executive Omcer / 1 1 Programme Manager Community Care I
Deputy Chief Executive Omcer:
Mr. D. O'Dwyer, Deputy Chief Executive OfficerProgramme Manager Community Care
The Programme Manager Community Care is accountable for the overall direction of the Programme. He is responsible for the implementation of the Community Care elements of the Boards Service Plan and for ensuring that expenditure in his programme does not exceed the Board's allocation from the Minister for Health and Children. In addition he is responsible for the management of community services in counties Laois, Offaly, Longford and Weshneath including general medical services, services for older people, disability services, child and family services, dental services, Community Welfare Services, Environmental Health Serivces, Community Based Para medical Services, and the provision of primary care services. Also, the Programme Manager acts as the Board's Appeals Officer who is responsible for adjudicating on appeals made against Supplementary Welfare Allowance decisions, Nursing Home Subvention applications and Medical Card refusals.
Structure 1 I Mr. D. O'Dwyer, Deputy chief ~xecutiveOfficer1 Programme Manager Community Cqre
Mr. P.I Marron, Section Officer
Clerical Support Clerical Support
[ Services Provided I
The funchons of the de~artmentare to urov~deadmnnsnahve and secretanal assistance to the Denutv Chef Executive Officer1 Programme Manager.
The Programme Manager's department is situated in the Board's Central Office at Arden Road, Tullamore, Co. Offaly. The department is open to the public from 9.30 a.m. to 5.30 p.m. Monday-Thursday and from 9.30 a.m. to 5.15 p.m. on Fridays. Any person wishing to make an enquiry may do so at reception and will be assisted and advised of the procedures to be followed:
Mr. P. Marron, Section Officer, Midland Health Board, Central Office, Arden Road, n (0506) 21868 Tullamore, Co. Offaly. Pax: (0506) 52663 Corporate Services
I Programme Manager Hospital Care ]
Mr. J. Cregan, Programme Manager Hospital Care.
The Programme Manager Hospital Care is responsible for the overall direction of the Acute Hospital Services and the Mental Health Services Divisions of the Board.
He is responsible for identifying major priorities and for developing and costing plans for services and for ensuring that planned targets for Acute Hospital Services and Mental Health Services are achieved. He reports to the Chief ~xecutiveofficer and he supervisds Senior Officers who assist him in the management of the ~os~italCare Programme. He also works with the other members of the Management Team in relation to various matters including staffig, budgets and capital projects.
Mr. J. Cregan, Programme Manager Hospital Care
Mr. J. Bulfin, Ms. M. Dwyer, Mr. F. Kelly, Mr. D Murtagh, General Manager Acute Services Section Off~cer senior~~~~ital NSenior Hospital Administrator, LaoisIOffaly Mental Health LongfordMrestmeath Mental I Services Health Services Clerical Staff [ Services Provided 1 The functions of the Department are:
The provision of administrative and secretarial assistance to the Chief Executive Officer and the Programme Manager Hospital Care.
The Board's Co~porateHeadquarters at Arden Road, Tullamore, Co. Offaly are open to the public from 9.30 a.m. to 5.30p.m. Monday to Friday (excluding public holidays). Any person wishing to make an enquiry may do so at reception and will be assisted by one of the staff members in Central office who will advise them of the procedure to be followed.
I Contact Name 8t Address
Ms. M. Dwyer, Section Officer, Midland Health Board, Central Office, Arden Road, Tullamore. 4 (0506) 21 868 Fax: (0506) 52263 Corporate Services
The Department of Health Strategy "Shaping a healthier future" advocated the orientation or re-shaping of health services so that improving people's health and quality of life becomes the primary focus of allour efforts.
The Department of Public Health was established in 1995 with the appointment of a Director of Public Health followed by the appoinhnent of Specialists in Public Health Medicine and support staff in 1996 to assist the Board with the task of implementation of the strategy.
' The role of the Department is to monitor the health of the people of the region, assess the need for services and evaluate services provided in terms of the health and social gain achieved by those who receive them.
The Director of Public Health is also responsible for the Health Promotion Department and the Bridge Project Management Unit.
Dr. P. Doorley, Director of Public Health
Bridge Project Ms. S. Foley, Dr. D. De LaHarpe, Dr. P. Jennings, Senior Researchers Management Unit Health Promotion Specialist in Specialist in Community In Off~cer Public Health Public Health Nutritionist Public I Health Health Education Officers I Services Provided I
The roles of the Depariment include: 0 Measurement of Health status of the population a Development of Health information systems U Assessment of need for health care 0 Surveillance, control and prevention of communicable disease Environmental health a Health Promotion and disease prevention u Health Service Planning
The Public Health Department provides a regional service. Members work with managers and professionals who are engaged in the planning and delivery of services in all areas of the Board. The Department also works with statutory and voluntary agencies whose work impacts on the health and social well being of the population.
Dr. P. Doorley, Director of Public Health, Central Office, Arden Road, Tullamore, Co. Offaly. 4 (0506) 46223 Fax: (0506) 51760 Carpontc Services
I Finance De~artment.~1
The Finance D-ons 7. ibilities are
+ The authorisation and issue of all payments
+ The preparation and interpretation of annual fmcial statements + The maintenance of a system of integrated management and cost accounting for all the Board's activities and departments.
+ Assist in the preparation and costing of service plans.
+ Assist in monito~gexpenditure and income against budgets, pin-pointing major variances and recommending corrective action to ensure that expenditure is held within budget limits and that the most effective use is being made of the Board's fmancial resources.
+ The provision of an internal audit service.
Mr. D. Bergin Finance Officer I
Mr. G. Fagan Mr. P. Sexton Management Accountant Internal Auditor Financial Accountant
Mr. J. Gorman Mr. P. McEvoy Mr. P. Brennan Asst. Financial Asst. Financial Asst. Management Accountant Accountant Accountant I Ms. R. McGuue Ms. M. Murray Ms. T. Kennedy Ms. E. Feeley Staff Officer Staff Officer Staff Oliicers Payroll General Payments Corporate Services
I Services Provided I
t Financial Accountant's Section processes the payment of all salaries, wages, travelling expenses, statutory allowances, creditors and prepares the Board's Annual Financial Statements. '
t Management Accountant's Section maintains a system of integrated management and cost accounting, assists in the preparation and costing of service plans and in the monitoring of expenditure and income against budgets.
t Internal Audit Section measures, evaluates and reports upon the effectiveness of internal control and the efficient use of resources within the board.
Current and retired staff members have enquiry access to Payroll Section.
Creditors of the Board and recipients of statutory allowances may make enquiries at Accounts Department regarding payment details.
The public have access to the Board's Annual Financial Statements.
Contact Name & Address 1
Mr. D. Bergin, Finance Officer, Finance Department, Arden Road, Tullamore. 4 (0506) 21868 Fax: (0506) 4621 1 Mr. J. P. Sexton, Financial Accountant, ,Arden Road, Tullamore, 4 (0506) 21868 Fax: (0506) 4621 1 Corporate Services
1, .Management Services Department I
The Management Services Department provides an advisory and policy formulation service to the Board's Management Team with respect to Information Technology (I.T. related) matters. In this regard, it operates in a similar fashion to the other functional departments within the Board. However, the Management Services Department also provides all operational I.T. services within the Board. This includes full responsibility for:
Identification and specification of all 1.T. requirements Procurement of all I.T. systems and dealing with all I.T. suppliers on behalf of the Board Provision of all necessary training and support services to the Board's I.T. Users. Ensuring the proper operation of systems in each location Engaging in problem solving and faultfiding within those systems.
Mr. T. Carty, Management Services Officer
Ms. S. McCormack, SystemsIOperations Manager
SystemsIOperations Support Secretarial Support 4 Grade IV Grade UI 1 Grade UI Corporate Services
[ Services Provided I
The services, which are provided, and the functions which are performed in the Management Services Department are laid out below:
Overview of IT Environment lo Midland Health Board as at 31th July 1998 IT Fuactloas and Services
These Functions and services are similar to those, which would be provided in any I.T. Unit which is providing a range of services to an organisation as large as the Midland Health Board. pzz
This Deparlment does not provide services directly to the public. Services provided by the Management Services Department may be accessed by contacting the Management Services Officer or his support staff. Details of telephone and fax numbers are listed below together with e-mail addresses.
Access to client based information held on computerised systems is in accordance with the Data Protection Act 1998. The data is not used or disclosed in any manner incompatible with the purpose for which it was collected. The Act on the other hand gives a right to every individual, irrespective of nationality or residence, to establish tbe existence of personal data, to have access to any such data relating to biderand to have inaccurate data rectified or erased.
An individual making an access request must 0 Apply in writing 0 Give any de'tails which might be needed to help in the identification of him or her and to located the information kept about them e.g. previous addresses, account number etc.
The individual may be required to pay an access fee which cannot exceed £5 Corporate Services
I Contact Name & Address ]
Mr. Tom Carty, Management Services Offieer, Management Services Department, General Hospital, Tullamore. , 4 + 353-506-46177 Fax: + 353-506-46209 E-Mail:
Ms. Sarah McCormack, OperationuSystems Manager, Management Services Department, General Hospital, Tullamore, Co. Offaly. P + 353-506-46177 Fax: + 353-506-46209 E-Mail: sarah.mccormackWb& Corporate Services
The Personnel Department is primarily responsible for ensuring that policies procedures and standards of personnel management in the Board's services as agreed by the Board's management.team are implemented.
1 Semces Provided I
The Personnel function within the Board is divided into six (6) main areas: 1. Staff Recruitment and Selection 2. Staff Training and Development 3. Industrial Relations 4. Employee Remuneration and Conditions of service 5. Occupational Health Service 6. Central Library rsGiiiq Mr. Larry Bane, Personnel Office1
Clerical Officer . . Grade 111
Mr. Jo k Mullery I Ms. SaL ~e Hogan, Ms. Sandra IKeatmg Section Officer Mr. Joe Masterson Recruitment Officer Assistant Librarian Industrial Relations I Officer I Training Officer I I Asst. Staff Officer Clerical Officer AIAsst. Staff Officer Clerical Officer Grade IV Grade ITI i Grade IV Grade 111 I Co-Ordinator Iof Contlnulng.. I Clerical Officers Nurse Education & Training Clerical Officers Grade ITI I Grade III Asst. Co-Ordinator Recruitnient andAMkm
The staff recmitment and selection section deals with the selection and recruitment of staff to a broad spectrum of posts in Medicine, Dentistry, Nursing, Paramedical, Non-Nursing, Ambulance and Maintenance. Applications for staff transfers within the Board are also dealt with withln this section.
I Services@rovided I
9 Manpower Planning 9 Advertising of Vacant Posts 9 Selection and Recruitment of staff 9 Assignment of staR 9 Transfer reauests . ~ 9 Arranging of job rotations Corporate Services
Information on services can be accessed directly from the Recruitment Section. Requests can be made by: D Telephone D Fax (0506-51760) D Post D Calling in person to the Recruitment Section D Newspapers for job advertisements D Internal circulars/notices to staff
I Contact Name & Address I
Ms Sadie Hogan, Recruitment Officer, Personnel Department, Midland W (0506-21868, Extension 6452) Health Board, Central Office Arden Road, Tullamore, Co. Offaly. Staff Tr- . . and Dewlo? ma
The purpose of this section is to promote and facilitate services in the area of Training and Continuing Education and Development for all grades of staff within the Board.
While training is essentially a line-management responsibility the Personnel officer works with the various line managers in identifying appropriate training programmes targeted at meeting both service needs and individuals training requirements.
This section deals with applications by staff members to attend various training courses, which are assessed in the fust instance by their line manager.
The section liaises as necessary with the various other educational and training bodies throughout the country. I Services Provided 1
D On the job training D Off the job training provided within the board D Off the job training provided externally D Private study facilities F Training administration and evaluation D Sponsorship arrangements D Secondment arrangements
Information on services can be accessed directly from Staff Training and Development Section and in the case of nursing staff by reference to the Continuing Nurse Education Prospectus published and issued annually. Requests can be made by: D Telephone F Fax (0506-51760) D Post D Personal application to line manager D Calling in person to the Training Officer D Internal circulars/notices to staff [ Contact Name &Address I MI Joe Masterson, Industrial Relanons I Tramlng Officer, Personnel Department, Cenfml P (0506-46106) Office, Arden Road, Tullamore. Co. Offaly The objective of the Boards policy on industrial relations is that through codes of best practice in personnel management to promote good working practices and relationships and to eliminate and reduce conflict in the workplace.
Industrial relations is a complex area governed by an intricate web of legislation, collective agreements and custom and practice.
: S6,,,i& .P&ded 9 Negotiating 9 Conditions of employment 9 Labour legislation 9 Interpretation of agreements and entitlements 9 Grievance procedures 9 Disciplinary procedures 9 Staff welfare a 9 Promotion of harmonious working relations 9 Provision of specialist advisory service to line managers
All staff members can access the service either directly through their line manager or as follows: 9 Through staff associationlunion representative 9 Telephone 9 Fax (0506-51760) Post 9 Calling in person to Industrial Relations Officer
[ Contact Name & Address ]
Mr Joe Masterson, Indushal Relations I Training Officer, Personnel Department, 4 (050646106) Central Office, Midland Health Board, Arden Road, Tullamore, Co. Offaly and Conditions of Serv~ce
For administrative purposes the workload of the section is sub-divided as follows: > Remuneration and conditions of service 9 Staff Superannuation
This section deals with all aspects of the remuneration and conditions of staff employed in the Board. It also provides a specialist advice service to line managers
I Senices Provided I 9 Smne-.oav < on .nromotlon 9 Incremental credit 9 Sick leave 9 Annual leave 9 Career breaks 9 Job sharing 9 Domestic leave 9 Maternity leave 9 Adoption leave 9 Employment control 9 Medical Indemnity Scheme
Information on services available can be accessed as follows: 9 Telephone 9 Fax (0506-51760) 9 Post 9 Calling in person to Personnel Department 9 By application to line manager 9 Internal circularslnotices to staff
This section is responsible for the administration of the various Local Government Superannuation Schemes, Circulars, Regulations etc. for certain categories of staff employed with the Board. Superannuation contributions are deducted from the salaries of all officers from the date of their permanent appointment and from the wages of non-officer grades after an initial qualifying period.
An attractive superannuation scheme is in operation which provides, among other benefits, a lump sum on retirement and a continuing pension related to annual salary. A summary of the Superannuation scheme is contained in a leaflet available from the Personnel Department. I Services Provided I
2. Admm~suat~onof Superannuahon schemes on behalf of staff m Board > Mamtenance of Superannuation registers and records of M~dlandHealth Board staff 9 Verlficatlon on behalf of permanent staff of scrvlce whlch 1s capable of belng reckoned under the Superannuation code 9 Notifying permanent staff of superannuation contributions due in order to; (a) Reckon previous temporarylpart-time service (if any) (b) Restore previous permanent service for which a superannuation award has been received (if any) (c) Purchase years of service under the Purchase of Notional Service schemes > Provision of estimates of superannuation benefits for staff 9 Calculation of superannuation and retirement benefits 9 Compilation of statistical data for the Department of Environment on superannuated staff 2. Calculation of Non-Pensionable gratuities to certain staff
Further information on the services available can he accessed as follows: 9 Telephone 9 Fax (0506-51760) 9 Post P Calling in person to Personnel Department 9 Internal circulars/notices to staff 9 Superannuation benefits are processed for payment as near to the staff members date of resignationlretirement as possible. I Contact Name-& Address 1
Mr Joe Mullery, Section Officer, Personnel Department, Central Office, 4 (0506) 21868, Ext. 6455 Midland Health Board, Arden Road, Tullamore, Co. Offaly Corporate Smices
Service
The occupational health service exists to provide occupational health advice and services to employees of the board. The emphasis is on the protection of employees from possible adverse effects of the work in which they are engaged. ( Services Provided I t D Immunisation of staff including Hepatitis B, Rubella, Tetanus, B.C.G. and Influenza D Health surveillance D Biological monitoring D Traiaing and advice on liffing and handling of patients D Ergonomics advice
Staff members of the Midland Health Board may access the service as follows: D Self referral D Supervisors referral D Medical referral D Personnel Deparbnent referral
[ Contact Name & Address I
Ms Catherine Samuels, Occupational Health Nurse, Health Centre, Longford Road, 4 (044) 39137 Mullingar ,Co. Wesmeath
The Board's Central Library located at the General Hospital Tullamore provides a regional service to all staff in the Midland Health Board area. I Services Provided ]
Bookstack: D Loans of books held m Library D Inter Library loans arranged of books not m stock, from Insh or U K L~branes D Update of book stock and ordermg D Catalogumg and c~ass~cahooof books
Journals: D Regisaation of journals D Photocopymg of )ournals amcles as requested D Document supply of articles not m stock from lnsh Healthcare L~brancsgroup or Bnt~shL~brary
D Access to literature through Medline on CD ROM D Training on above databases D Reference queries 9 Current Awareness services Corporate Sewices
The Central Library is open from 10.00am-12.30pmand from 2.30-5.00pm each day from Monday to Friday.
Staff may access the service of the library as follows: D Telephone D Fax (0506-46146) > E-nlail(sandra.keating@ mhbie) . Post D Calling in person to Library
I Contact Name & Address ]
Ms Sandra Keating, Assistant Librarian, General Hospital, Tullamore, Co. Offaly 4 (0506) 46170 8.8 r.Ea&q [ Technical Services Department I The Technical Services Department is based at Central Office, Arden Road, Tullamore and has maintenance units based locally as outlined below.
The Department is headed by the Technical Services Officer who leads a multi- disciplinary team of professional and administrative staff.
The Department is responsible for the implementation of technical standards that pertain to minor new works and maintenance projects.
Local maintenance units are beaded by a Maintenance Supervisor who leads a team consisting of Assistant Supervisors, Foreman, Craft, general and Administrative Staff.
Mr. B. Colleary, Technical Services Officer
Mr. C. Kelly, Senior Asst. Technical Services Office1
Clerical Off~cee Mr. S. Doyle, Mr. L. Hackett, Mr. N. Keogh, Mr. C. Madden, Mr. P. Whelehan, Draughtsman Electronic Health & Safety Maintenance Maintenance Technician Officer Supervisor, Supervisor, LaoisIOffaly. LongfordiWestmeath I I Maintenance Maintenance Support Staff Support Staff I Services Provided I
The Departments activities span issues of development, maintenance and safety of the facilities and working environment occupied by the Health Board. It provides specialist advice and guidance as client technical representatives and physical resources expert throughout the design, procurement, implementation and commissioning of capital projects. It co-ordinates energy management, waste management and the Boards Health and Safety programme. The Depamnent also handles the disposal and purchase of property on behalf of the Board.
The Department does not provide direct services to the public, it provides a technical support for the delivery of services by the Board.
I Contact Name 6t Addm
The staff at the Technical Services Department may be contacted at Arden Road, Tullamore, Co. Offaly. n (0506) 46101 Fax: (0506) 51760 Corporate Services
8.9 I Bridge Project Management Unit I
The Bridge Project Management Unit was established in 1997 in order to facilitate the changes which will enable the Midland Health Board to meet the major challenges facing all health care organisations going into the 21" Century.
These are: to contain costs to increase population health outcomes to ensure equity in the provision of services to enhance the involvement of users of health services
A 'management by projects' approach has been adopted and the Unit is cur~entlyinvolved in facilitating various projects in support of implementation of the service plans in the 5 main care groups: Acute/Episodic Care, Children, Disability, Elderly and Mental Health and in developing the service plans for 1999.
Chief Executive Oflicer
Steering Committee
Director of Programme Manager Programme Manager Public Health Community Care Hasvital Care
Administration Older People Disability Children Episodic Care Mental Health (1. Rigney) (M. McConnack) (B. Crehan-Roche) (Eileen O'Neill) (D. De La Harpe) (R. Walsh)
I Services Provided 1 The Bridge Project Management Unit does not provide any services directly to the general public. Its main role is to provide support, advice and facilitate service development within the Board.
The general public does not normally have direct access to the unit but it can be contacted through the details listed below.
I Contact Name a Address ]
Ms. 1. Rigney, Bridge Project Management Unit, Arden Road, Tullamore, Co. Offaly. P (0506) 46272 Fax: (0506) 46273 Comrau Services 8.10 e Officer
Description: The function of the ambulance centre within the Midland Health Board region is primarily concerned with the pre-hospital emergency medical service and catering for the routine movement of patients between hospitals both within the boards area and to specialist hospitals outside the region.
The role of the Chief Ambulance Officer is very much concerned with developing smctures and procedures which facilitate the efficient and effective delivery of the service. The role is one of continual change in developing and implementing new standards in training, equipment and service delivery.
The future of the service will require a more patient orientated service targeted at the client group with episodic illness and injury. This refocusing will require some cultural change in the way we do things. This flexible attitude among both management and staff remains the most significant challenge.
Contact: MI. G. Sweeney, Chief Ambulance Officer, Regional Ambulance 4 (0506) 46128 Headquarters, General Hospital, Tullamore, Co. Offaly.
8.11 Communications Officer
Description: The Communications Officer is responsible for improving communications in the Midland Health Board and enhancing communications with the Community and the media
The role of the Communications Officer is to act as editor of the Midland Health Board News, work with the Boards Health Promotion Staff in the development of Health Promotion Material and to advise on the presentation of such material.
The Communications Officer also provides professional advise to senior staff of the Midland Health Board in relation to Press Releases and Media
Contact: Ms. D. Bracken, ~o&unications Officer, Midland Health Board Offices, 4 (088) 8157222 Arden Road, Tullamore, Co. Offaly.
8.12 Director of Child Care Services
Description: The Director of Child Care Services reports to the Programme Manager Community Care and is responsible for the equitable delivery of Child Care Services and the development and implmentation of policies and procedures in relation to Child Care.
Contact: Ms. S. Keogh, A/Director of Child Care Services, Child Care Unif (0506) 21501 General Hospital, Tullamore, Co. Offaly. Corporate Services
8.13 General Manager Acute Hospital Services
Description: Reporting to the Programme Manager the General Manager has operational responsibilities for the Acute Hospital Services Division i.e. to deliver a planned quantum of service, within the defmed level of resources made available and in line with pre-determined quality standards. The General Manager also has a role in relation to the strategic development of the Division's services.
Contact: Mr. J. Bulfm, General Manager, Acute Hospital Services, General Hospital, Tullamore, Co. Offaly. n (0506) 21501
8.14 General Manager Community Services
Description: The General Managers for Community Services have overall responsibility for managing resources under their control within agreed parameters. They are also required to develop agreed service plans, measure performance and take appropriate action to deal with variances
The General Managers provide the necessary leadership and direction to ensure that the overall purpose and objectives of strategic and service plans are understood by staff and ensure their active participation in the delivery of high quality, efficient and cost effective services.
Other responsibilities include human resource planning, ensuring the Boards statutory obligations are met, negotiate contracts for services with non-health hoard agencies and establish and maintain a good relationship with general practitioners, voluntary organisations and other agencies.
Contact: Dr. J. Joyce, General Manager, Community Services, Midland Health n (044) 40221 Board, Health Centre, Longford Road, Mullingar, Co. Wesmeath.
Mr. L. O'Callaghan, General Manager, Community Services, Midland e (0506)413 Health Board, Health Centre, Arden Road, Tullamore, Co. Offaly. Corporate Services'
I Health Promotion Services I
The overall aim of the Health promotion service is to enable individuals and committees to take control of their health by making healthier choices easier choices. Such choices could include a health diet, regular exercise and avoidance of smoking. Healthier choices are easier to make when they are supported by health environments.
The service bies to achieve this aim by:
working in pmership with other policy makers and communities in order to create environments supportive of health e.g. no smoking policies, promotion of women's health.
Supporting and developing the health promotion role of other professionals and to encourage them to promote health in their own work.
0 Leading a series of health promotion programmes to encourage people to adopt healthier lifestyles. These include health information, healthy eating, substance issues, schools health, health promotion for older people, women's health promotion, market health promotion and exercise promotion.
The department is open to the general public between 9.30a.m. and 5.00p.m. Monday -to- Friday.
( Contact Name Address 1 Ms. S. Foley, Health Promotion Ofticer, 3" Floor, The Mall, William Street, Tullamore, 4 (0506) 23588 Co. Offaly. Fax: (0506) 46747 Corporate Services
I Regional Materials Manager I
The Materials Management function is responsible for procuring goods and services for the Midland Health Board in accordance with EU Public Procurement Directives, State Body Guidelines and internal procedures. The responsibility for the function lies with the Regional Materials Manager.
The role of the function is to: + establish and maintain policies and procedures ensuring compliance with national and EU regulations and establish user groups where appropriate + co-ordinatelcontrol all the Boards tendering and contracting requirements by extending procurement skills to all area of non-pay expenditure involving the purchase of goods, services and equipment + Engage in performance monitoring of all key elements of material management + Provide a customer-orientated purchasing and supply service to users + Develop appropriate stock management practices and procedures.
The Board has two Central Supplies Department. One is located in Mullingar and supplies goods to all locations in the LongfordNestmeath area. The second department is located in Tullamore and supplies goods to all location$ in the LaoisIOffaly area. I Services Provided I Purchasmg, storage and d~stnbuhnnof goods and servlces Sourcing supplies Development of functional specifications in conjunction with Key User Depts Advertising contracts Issuing tenders and tender evaluation Agreeing commercial terms with suppliers Awarding contracts Performance monitoring Market research Maintenance of records in accordance with statutory obligations
The Materials Management Function provides services to Departments within the Board and its main contacts are with contractorslsuppliers of goods and services to the Board through open and transparent procurement procedures. I Contact Name a Address 1 Mr. Leo Stronge, Regional Materials Manager,Midland Health Board, Arden Road, 4 0506 46746 Tullamore, Co. Offaly. Mr. Liam McCormack, Senior Supplies Officer, Midland Health Board Central 4 050651255 Stores, Kilcruttin Centre, Tullamore, Co. Offaly. Mr. Seamus McLoughlin, Senior Supplies Officer, Midland Health Board Central 4 044 40191 Stores, Pettiswood, Mullingar, Co. Westmeath. ( Environmental Health Service I
The EnvironmentalHealth Department exists to protect and promote Public Health within the Community Care area. This is achieved by providing an advisory / educational service with appropriate enforcement of legislation where necessary in the area of Environmental Health and Food Safety. In carrying out its functions, the Department liaises and works in partnership with other agencies where appropriate piiizq Dr J Joyce, Mr. L. O'Callaghan, General Manager General Manager, Commun~tyServ~ces Community Services LongfordlWeshneath LaoisIOffaly
Principal EHO Mr. D. Mulhare, Principal EHO
Ms. Marie Greene, Ms. Joan Deegan Senior Environmental Health Senior Environmental Health
Environmental Environmental Health Officers Health Officers
I Services Provided I
1. Food Control - this involved: a) the inspection of all food outlets, subject to Health Board controls and to monitor compliance with all relevant food hygiene legislation. b) the sampling of foodstuffs to monitor compliance with aU relevant legislation. c) the investigation of incidents of food poisoning of food bome infection d) the investigation of unfit food complaints
Food Hygiene Education - this involves the organisation and presentation of food hygiene training to those involved in the food industry.
Nursing Home Control - this involves the assessment for registration and routine inspection of Nursing Homes to-monitor compliance with relevant legislation.
Tobacco Controls - this involves the enforcement of relevant legislation with regard to the advertising and sale of tobacco products and reshictions and prohibitions as to its consumption in designated premises and facilities.
Control of Poisons - this involves the implementation of relevant legislation dealing with the licensing, control, storage and sale of poisons subject to Health Board controls. 9.0 Environmental Health Services
Pages
9.0 Environmental Health Services 134
Description 134
Structure 134
Services Provided 134
Access 135
Contact Names & Addresses 135 6. Pest Control - the Environmental Health Department advises on pest control measures and enforces relevant legislation where necessary.
7. Fluoridation of Water Supplies - this involves the monitoring of fluoride content of public water supplies to ensure compliance with relevant legislative standards.
8. Housing - the Environmental Health Department canies out inspections, assessments and prioritisation of applications referred from the Local Authorities in respect of persons seeking re-housing.
9. Planning - the Environmental Health Department assesses planning applications referred from the Local Authorities to determine the environmental health impact of such developments.
10. Water Monitoring - the Environmental Health Department implements water-sampling programmes under relevant EC legislation on behalf of the Local Authorities to ensure compliance with required public health standards.
11. Environmental Health Hazards -the Environmental Health Department investigates complaints or problems where public health may be affected or a nuisance may exist.
The general public can gain direct access to the EHO Services by contacting the relevant Community Care Office (listed below). Requests for services are also received from other professionals and from the local authorities.
I Contact Name 81 Address
mioalEnvironmental H&l&&z
Midland Health Board, Health Centre, Longford Road, Mullingar, Co. Westmeath. 4 (044) 39192 Midland Health Board, Health Centre, Dublin Road, Longford. st (043) 462 11 Midland Health Board, Health Centre, Coosan Road, Athlone, Co. Westmeath. n (0902) 75301
Mr. D. Muhare. PrW&Emhmental HewOfficer,
Midland Health Board, Health Centre, Arden Road, Tullamore, Co. Offaly. n (0506) 41301 Midland Health Board, Health Centre, Dublin Road, Portlaoise, Co. Laois. n (0502) 21 135 [ Central Supplies
The role of the Central Supplies Departments is to provide optimum value for money in respect of a range of goods and services required by the Board.
There are two Central Supplies Department within the Board. One located in Mullingar supplying goods to all locations in the LongfordiWestmeath area. The second Department is located in Tullamore and supplies goods to all locations in the LaoisIOffaly area.
[ Setvices Provided 1 Purchasing, storage and distribution of goods and services Sourcing supplies . Advertising contracts Issuing tenders and tender evaluation Agreeing commercial terms with suppliers Awarding contacts Maintaining records in accordance with statutory obligations
I Conua Name sr Address
Mr. L. McCormack, Senior Supplies Officer, Midland Health Board Central Supplies Department, Kilcmtten Centre, Tullamore, Co. Offaly.
Mr. S. McLoughlin, Senior Supplies Officer, Midland Health Board, Central Supplies Department, Pettiswood, Mullingar, Co. Westmeath. 10.0 Regional Services
Pages 10.1 Central Supplies 136 10.2 Central Sterile Supplies Department 137 10.3 Central Launh Services 138 I Central Sterile Supplies Department 1
Each customer of the Central Sterile Supplies Department (C.S.S.D.) at the Longfordlwesbneath General Hospital, Mullingar can expect a high quality and user friendly agreed service level, where requests outside the norm are always considered and processed as soon as possible, thereby ensuring an excellent service to all.
I Services Provided It provides operating theatres, wards, department, ambulance and other users wih whom supply arrangements have been agreed with equipment and materials for sterile procedures. The equipment and materials are:
1. Correctly prepared by suitably trained staff 2. Sterilised under properly conholled conditions 3. By machines which are regularly serviced and maintained
Green laundry is received from the laundry department at St. Lomans Hospital, it is sorted, checked, folded and autoclaved n provide sterile packs for the Boards Hospitals.
It provides a sterile service from Monday to Friday from 8.00a.m. to 5.00p.m. On-call is provided if required for weekend and Bank Holiday for emergency and major accidents.
1 Contact Name a Addrw
Sr. Josephine Killian, Central Sterile Supplies Deparbnent, LongforWesbneath General at (044) 40221 Hospital, Mullingar, Co. Wesbneath. Central Laundry is sited at St. Loman's Hospital, Mullingar, Co. Weshneath. It provides a full Laundry and Central Pool Linen and Theatre Service for all of the Midland Health Board, hospitals, health centres, community nursing units, nursing homes and theatres. The Central Laundry operates a shift working system with its staff on a 5 day cycle Monday to Friday from 8.00a.m. - 9.40p.m. (Monday -to- Thursday) and 8.00a.m. - 7.40p.m. (Friday).
The weekly production output is between 37,000 to 40,OO pieces categorised between bed linen, personal clothing and theatre linen. The number of staff employed is 24 plus 1 contract driver.
The Central Laundry provides a clothing repair service through the seamstress.
The main purpose "to return items entrusted to their care by the customer in as near to new condition as possible and fit for the purpose, to maintain a full laundry service and adequate supplies of clean lines to all hospitals, health centres, community nursing units, nursing homes and theatres for all of its patients".
The central Laundry operates all of its washing cycles in accordance with all Health & Safety and Infection Control Standards.
I Contact Name sr Address
Mr. Geny Foley, Regional Laundry & Linen Services Manager, St. Loman's Hospital, Mullingar, S (044) 40191 Co. Westmeath. Ext. 370 I Classes of Records 1
The following is an outline of the Classes of Records held by the Board. The variety of recordslfiles available in each departmentilocation within the Board will depend on the service provided.
In order to obtain further information the individual departmentilocation should be contacted.
W Capital Projects W Circulars from Government Departments 13 Clients Records B Contract Files B Entitlements EU Directives - B Financial B General Administration W Guidelines B Health Promotion B lmmunisation W Legislation W Minutes of Meetings G3 PatientKlient files B PersonneVStaff Records B Policy Files B Procedure Manuals I Files W Professional Practice B Publications B Registers B Regulations B Reports National I Local 12.1 General Requests I Enquiries I Access to Records I
As already indicated the Health Board hold a wide range of Records and Information relating to its services, patients, clients and staff. Much of this information is provided in confidence by members of the public or is obtained in the course of carrying out diagnostic and treatment procedures to which the patientlclient has consented, i.e. Medical Records in Hospitals, Clinics, etc. Other information relates to the day to day management of the Board, e.g. Financial, Personnel, etc.
The Board owes a duty of confidence to those who provide the information; however due to the fact that the Board is a public body funded by the taxpayer, it recognises its responsibility to members of the public in relation to accessibility to the various records it holds, consistent with the right of privacy of the individual and the public interest.
Patient I Client Records
As stated about the Board hold a wide variety of records at various locations throughout the region, arising from contact which members of the public have with the Boards Services, Community Welfare Officer, etc. It is Board policy to provide access to the information held consistent with the right to privacy of the individual.
A. Discussion between Service Provider and patient I Client Because of the technical nature of many of the records maintained it would be beneficial that the initial request for information be dealt with on a one to one basis between the patientlclient themselves and the service provider, i.e. Nurse, Social Worker, Medical Practitioner etc.
This type of discussion allows for a greater explanation of the information sought and allows the requester ask questions andlor seek clarification on any issue which may be initially unclear.
It is Board policy to seek to improve the communications interface between staff and members of the public availing of the service.
B. Request for Access to a Record - Acknowledged - Response This may take the form of: 1. Seeking a copy of the record held i.e. file, tape (video or audio) etc 2. A reasonable opportunity to inspect the record
Such requests should be made in writing, to the Boards Officers listed or give details of the record required, and the form of access sought e.g. copy or inspect.
Where access to records of a third party is sought, written comment from the third party is required so that the privacy of the person to whom the record refers is protected, the Board may seek to obtain appropriate identification from the requester.
Staff Records
The Board employ's in excess of 3,000 staff Accordingly staff files are held on each member of staff in the following locations: The Personnel Department, Head Ofice, Tullamore 0 The Employee's work location i.e. Hospital, Health Centre Such information may'be held on: (i). A paper file (ii). A database Requests for access to the information held shall be made in writing to: The Personnel Officer, Midland Health Board, Central Office, Arden Road, Tullamore, Co. Offaly
It is Board policy that certain items of information held may not be made available as the Board owes a duty of confidence to the person who supplied the information e.g. References.
Financial Records
The records and information held by the Board in relation to its financial management fall into a number of categories.
These records includelrelate to: Staff Payroll Records Contracts for the purchase of goods and services Assets (Purchase, Management and Sale) Revenue of expenditure of Board
As much of this information is of a personal or confidential nature, the Board must ensure confidentiality is maintained where-appropriate.
The Boards annual abstract of accounts is placed before the Oireachtas, following which it is available to the public.
Application for access to records may be made to:
Mr. D. Bergin, Finance Officer, Midland Health Board, Finance Department, Central n (0506) 21868 Office, Arden Road, Tullamore Fax: (0506) 4621 1
If the information sought under the above is not made available, an application may be made under the Freedom of Information Act 1997 - See Section 12.2 below. 12.2 How to obtain Information under The Freedom of Information Act 1997
The Freedom of Information Act 1997 The Freedom of Information Act, 1997 was passed by the Houses of the Oireachtas in April 1997, to come into effect from 2114198 for Government Departments and other Government Agencies and from 21110198 for Health Boards and Local Authorities.
Purpose of FOI Act The long title sets out the purpose of the Freedom of Information Act. It asserts the right of members of the public to obtain access to official information to the greatest extent possible consistent with public interest and the right to privacy.
Freedom oflnfonnation derivesfrom the following broadprinciples: 0 decisions by public bodies should be more open to public scrutiny, thus providing greater appreciation of the issues involved in policy decisions and stronger public ownership and acceptance of decisions made, 0 groups and individuals who are affected by decisions of public bodies would have the right to how the criteria used in making those decisions. o every individual hasishould have the right to how what information is held in government records about him or her personally subject to certain exemptions to protect key interests 0 to inspect files held about or relating to hider and to have inaccurate material on file corrected, 0 citizens, as shareholders in public bodies, should have the right to examine and review the deliberations and process of public bodies.
Main Features om The Act establishes three new statutory rights: o A legal right for each person to access information held by public bodies, 0 A legal right for each person to have official information relating to himiherself amended where it is incomplete, incorrect or misleading, o A legal right to obtain reasons for decisions affecting oneself. 0 In addition, the Act provides for the establishment of an independent Office of Information Commissioner to review decisions relating to FOI made by public bodies.
Malune an FOI Apalication The request for access to records under the Act shall (1) be in writing (2) addressed to the Freedom of Information Office, Midland Health Board, Arden Road, Tullamore, Co. Offaly. (3) state that the request is made under section 7.0 of the FOI Act 1997. (4)., -eive sufficient oarticulars to enable the record to be identified. a) if relating to a patientklient, or member of staff, please give date of birth, current and previous (if any) addresses. b) details ofrecords sought and which deparhnentmospital attended in the Midland Health Board. c) if access to records of third party is sought, written consent from the third party is normally required. (5) state manner of access sought, i.e. , a) a copy of the record b) a transcript of the information concerned. c) a computer disk or other electronic device containing the information. d) a reasonable opportunity to inspect the record e) in case the record is of sound or visual images, a reasonable opportunity to hear or view the record in case the information is in shorthand or other code, the information in decodified form and in written form or such other form as may be determined. g) the information in such other form or manner as may be determined, or h) the information in a combination of any two or more of the foregoing. Acknowledcment of Reauea One of the Decision Makers (as listed in Appendix A) receiving the request shall acknowledge it in writing within two weeks of receiving the request.
The letter of acknowledgement shall state the period within which a decision must be made, the rights of review, the procedure governing the exercise of those rights and the time limits governing such exercise.
Decision of Reaugsts Within 4 weeks of receiving a request for access, the Decision Maker shall:
(1) decide whether to grant or refuse to grant the request or to grant it in part, (2) if he or she decides to grant the request, whether wholly or in part, determine the form and manner in which the right of access will he exercised, and (3) advise the requester in writing of the decision (4) Shall notify the requester of hisher right of appeal, should the decision be to refuse access. (5) Where there is third party information on the requested record, the Board is allowed a further 3 weeks to make a decision and the requester must be advised accordingly.
Review of Decision
A. Freedom of Information Appeal. If a member of the public feels aggrieved regarding a decision of the Board to limit access to records under the Freedom of Information Act, they have the Right of Appeal which should be made in writing to one of the Internal Reviewers (listed on Appendix B) within four weeks of the decision.
B. Information Commissioner If one is dissatisfied with the decision taken by the Internal Reviewers as outlined above then one may make a further appeal to the Information Commissioner not later than 2 weeks after the notification of the decision to the relevant person concerned.
The Information Commissioner may, on receipt of an application to him: 0 Review a decision 0 Following the review, may: D Affm or vary the decision D Annul the decision and if appropriate and make such decision as heishe considers appropriate.
B. Appeal to High Court A party to a review under (h) above or any other person affected by a decision of the Commissioner, following such a review, may appeal to the High Court on a point of law.
Fees may be charged as follows:
In respect of personal records, no fees will be charged for copying the records requested unless a large number of records are involved.
In respect of other (non-personal) information, fees may be charged for the time spent in efficiently locating an copying records, based on the standard rates in operation at the time of the request. No charges may apply in respect of the time spent by public bodies in considering requests. A deposit may be payable where 'the total fee is likely to exceed £40. In these circumstances the Health Board must, if requested, assist the member of the public to amend the request so as to reduce or eliminate the amount of the deposit.
Charges may be waived in the following circumstances:
Where the cost of collecting and accounting for the fee would exceed the amount of the fee; Where the information would be of particular assistance to the understandig of an issue of national importance; 0 In the case of personal information where such charges would not be reasonable having regard to the means of the requester
Current Fees (October 19981;
The following are details of fees chargeable under S.I. 139 of 1998:
Photocopy - 3p per page 3VComputer Disc - 40p each CD-ROM - £8.00 each Search Fee - £16.50 per hour i Contact Name a Address ] Mr. Michael Lillis, Freedom of Information Project Manager, Freedom of Information S (0506) 46735 Office, Midland Health Board, The Mall, William Street, Tullamore, Co. Offaly. Fax: (0506) 46747 Mr. B. Guckian, Assistant Hospital Administrator, LongfordlWestmeath General Hospital, Mullingar, Co. Weshneath.
Mr. K. Madden, Assistant Hospital Administrator, General Hospital, Portlaoise, Co. Laois
Ms. M. O'Callaghan, Assistant Hospital Administrator, General Hospital, Tullamore, Co. Offaly.
Mr. P. Waters, Assistant Hospital Administrator, St. Fintan's Hospital, Portlaoise, Co. Laois.
Ms. A. Masterson, Assistant Hospital Admmistrator, St. Lomans Hospital, Mullingar, Co. Westemath.
Ms. D. Mangan, Local Administrator, Health Centre, Mullingar, Co. Westmeath.
0 Mr. P. Salmon, Local Administrator, Health Centre, Tullamore, Co. Offaly
Ms. S. Temple, Local Administrator, Health Centre, Dublin Road, Longford.
Ms. M. Delaney, Local Administrator, Health Centre, Portlaoise, Co. Laois.
Ms. A. Kelly, Child Care Manager, Health Centre, Tullamore, Co. Offaly.
Mr. P. O'Dowd, Administrator, Primary Care Unit, Midland Health Board, General Hospital, Tullamore, Co. Offaly.
Ms. M. Groarke, Child Care Manager, Health centre, Mullingar, Co. Westmeath.
Ms. I. Masterson, Senior Executive Offker, Midland Health Board, Central Office, Arden Road, Tullamore, Co. Offaly.
Mr. G. Sweeney, Chief Ambulance Officer, Midland Health Board, Geneial Hospital, Tullamore. Co. Offaly.
Appendix B INTERNAL REVIEWERS
Mr. J. Bulfin, General Manager, Acute Hospital Services, General Hospital, Tullamore, Co. Offaly.
Dr. I. Joyce, General Manager Community Service, Health Centre, Mullingar, Co. Westmeath
Mr. L. O'Callaghan, General Manager Community Service, Health Centre, Arden Road, Tullamore, Co. Offaly.
Mr. F. Kelly, Senior Hospital Administrator Mental Health Services, General Hospital, Portlaoise, Co. Laois.
Mr. L. Bane, Personnel Officer, Midland Health Board, Central Office, Arden Road, Tullamore, Co. Offaly.
Ms. S. Keogh, A/Director Child Care Services, General Hospital, Tullamore, Co. Offaly Caring for our environment - printed on recycled paper