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Dublin Mid Leinster HSE Dublin Mid-Leinster Regional Service Plan 2012 Regional Director of Operations HSE Dublin Mid-Leinster Oak House Millennium Park Naas Co. Kildare Tel: 045 882597 Email: [email protected] The DML Regional Service Plan is based on the HSE National Service Plan 2012 submitted to the Minister for Health on 23 December 2011 and approved on 13 January 2012 Contents Introduction from the Regional Director of Operations .......................................................2 Resource Framework.............................................................................................................10 Finance....................................................................................................................................................................10 Capital Programme – Improving our Infrastructure..................................................................................................11 Human Resource and Workforce Management.......................................................................................................12 Monitoring and Measuring NSP2012.......................................................................................................................15 NSP 2012 Performance Scorecard..........................................................................................................................16 Improving Quality and Delivering Safe Services ................................................................17 Service Delivery......................................................................................................................21 Promoting and Protecting Health ..............................................................................................................................21 Primary Care and other Community Services...........................................................................................................31 Hospital Services ......................................................................................................................................................37 Cancer Services........................................................................................................................................................58 Older People Services ..............................................................................................................................................63 Mental Health Services .............................................................................................................................................70 Disability Services.....................................................................................................................................................77 Child Protection and Welfare Services......................................................................................................................85 Palliative Care...........................................................................................................................................................98 Social Inclusion.......................................................................................................................................................103 National Performance Indicator and Activity Suite...........................................................109 Appendices...........................................................................................................................123 Appendix 1 – Financial Information.........................................................................................................................123 Appendix 2 – HR Information .................................................................................................................................124 Appendix 3 – Capital Projects by Care Group / Programme 2012 .........................................................................125 Appendix 4 – Acute Hospitals in HSE Dublin Mid-Leinster (including specialities) .................................................127 Abbreviations .......................................................................................................................128 Bibliography .........................................................................................................................129 Introduction Introduction from the Regional Director of Operations The National Service Plan 2012 (NSP2012), which was published on 16 January 2012, sets out the type and volume of service the Health Service Executive (HSE) will provide directly, and through a range of agencies funded by us, during 2012, within the funding provided by Government and within the stipulated employment levels. In developing the NSP2012, the HSE’s national priorities for 2012 are to: Deliver the maximum level of safe services possible for the reduced funding and employment levels, including addressing insofar as possible the unstructured nature of the downsizing. This involves prioritising some services over others to meet the most urgent needs resulting from demographic growth and Government and service priorities. Deliver the cost reductions needed to deliver a balanced Vote in 2012. Support the continued implementation of our reform programme including the HSE National Clinical Care Programmes. Implement key elements of the Programme for Government particularly in children and families, mental health, primary care and acute hospitals, and the recommendations of the Comprehensive Expenditure Report 2012-14. In this context, HSE Dublin Mid-Leinster (DML) has commenced the process of implementing the NSP2012, the detail of which is outlined in this document “HSE Dublin Mid-Leinster – Regional Service Plan 2012”. This service plan outlines the type and volume of services, key priorities and actions at regional and local level across hospitals and Community Services in local HSE Areas arising out of the NSP2012, to be implemented in DML in 2012. DML Demographic Profile DML is the largest of the four HSE regions with a total population of 1,319,754 as per the 2011 CSO Census preliminary figures. The region ranges from Dublin City south of the River Liffey, South County Dublin, Dun Laoghaire/Rathdown, and all of counties Kildare, Wicklow, Laois, Offaly, Longford and Westmeath. It is currently divided into four local HSE Areas (formerly nine Local Health Office [LHO] areas) as shown in the population table below. The previous census figures from 2006 are also shown for comparative purposes and it should be noted that since the 2006 census there has been a population increase of 102,906 (8.46%) across DML, with the current four local HSE Areas all experiencing population increases ranging from 5.45% to 12.13%. HSE Area Former Local Health Total Population Total Population % increase Office (LHO) (2011 Census) ( 2006 Census) since 2006 Preliminary figures Dublin South City 143,900 134,344 +7.11% Dublin South Dublin West 146,355 134,020 +9.20% Central 290,255 268,364 +8.16% Dublin South West Dublin South West 154,348 147,422 +4.70% / Kildare- West Kildare/West Wicklow 228,024 203,327 +12.15% Wicklow 382,372 350,749 +9.02% Dublin South (Dun Laoghaire) 130,327 126,382 +3.12% Dublin South East Dublin South East 116,226 110,487 +5.19% / Wicklow Wicklow 118,379 109,202 +8.40% 364,932 346,071 +5.45% Laois/Offaly 157,264 137,927 +14.02% Midlands Longford/Westmeath 124,931 113,737 +9.84% 282,195 251,664 +12.13% Total: 1,319,754 1,216,848 8.46% Source: CSO Census 2011 - preliminary figures DML Regional Service Plan 2012 Page 2 Introduction It is acknowledged that there are many areas of deprivation located within the Dublin Mid-Leinster Region. According to the National Deprivation Index for Health & Health Services Research (SAHRU Technical Report Dec 2007) some 45.5% of the 803,719 persons living in the most deprived Electoral Divisions (EDs) are in the Greater Dublin Region comprising Dublin City & County and Counties Wicklow and Kildare. In addition, of the 50 most deprived EDs nationally, 12 are located in the Dublin Mid-Leinster region. This presents additional challenges for DML in the provision of health and personal social services to the community. DML Regional Structure The DML RDO is supported by a Regional Team which comprises HSE Area Managers x 5, Assistant National Director for the Midland Hospitals, Assistant National Director for Finance (DML), Assistant National Director for Human Resources (DML), Assistant National Director for Estates (DML), Business Manager, Quality & Patient Safety Manager and Communications Manager. In addition, 2 Local Health Managers – 1 each in the areas of Disabilities and Mental Health respectively – will lead out on the provision of these services in DML. This Regional Team will change in 2012 with one of the HSE Area Managers taking up the new role of Regional Director for Children and Family Services. As part of the changing structures in Children and Family Services, the DML responsibility for management, budget accountability and other associated matters in relation to these services will pass from the DML RDO to the Regional Director for Children and Family Services in 2012. In this regard the new director will be assisted at local level by Area Managers for Children and Family Services. Children and Family Services will operate as a separate programme within the HSE pending the establishment of the Children and Families Agency. Also, following on from various announcements by the
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