Annual Report and Accounts 2018

Tallaght University Hospital Annual Report and Accounts 2018 People caring for people People caring for people Statement of Values Respect for patient autonomy Respect for each other Our Caring and Values openness Partnership and teamwork Fairness and equality Tallaght University Hospital 2018 at a Glance 420,640 Patient Activity PATIENT EPISODES OF CARE Adults & Children 163,136 285,193 83,508 Diagnostic Medicines ED Attendances images taken dispensed 24,268 Over 1.25m Inpatient Admissions tests were processed by the Laboratory 267,623 Numbers attending the ED by ambulance Outpatient Attendances increased from approximately 9,000 in 2014 to over 10,719 45,241 Day Case Admissions €244.9m Hospital Financial Outrun Tallaght University Hospital Annual Report 2018 | People Caring for People Contents 1. Message from the Chairman 2 2. Hospital Board / Executive Organisational Structure 4 3. Message from the Chief Executive Officer 10 4. Operational Performance 12 5. Financial Management Performance 19 6. People Caring for People 24 7. Enhancing the Environment for Patients and Staff 42 8. Interdisciplinary Approach to Healthcare 50 9. New Ways of Caring for People 55 10. Awards and Achievements 61 11. Research 70 12. Foundations 72 13. Publications 79 1 Tallaght University Hospital Annual Report 2018 | People Caring for People Message from 1 the Chairman Liam Dowdall Chairman The year 2018, when Tallaght University His successor, Lucy, has been Deputy CEO of the Hospital (TUH) celebrated its 20th Hospital since mid-2016, so her leadership qualities and impressive abilities are well known anniversary, has been a very important to us. I would like to take this opportunity to thank and busy one for our Hospital. her and her Executive Management Team for their work in 2018 and wish her well in her new and There were many exciting developments during the demanding role. year, with the opening of new units and services and work started on a number of long planned capital I also wish to thank Dr. Siobhán Ní Bhriain, Chair of developments. the Medical Board, who stepped down from her post in September 2018 and welcome Professor John I would like to acknowledge the commitment of my Quinlan as the new Chair. colleagues on the Hospital Board and thank them for their time and the wisdom which they brought TUH is one of the country’s largest acute academic to guiding the work of TUH during the year. Their teaching hospitals, with a long and proud affiliation leadership, expertise and experience in their many to Trinity College, reaching back to our founding different fields have been crucial to the on-going Hospitals. Therefore, it was fitting that this was governance and development of the Hospital. recognised in 2018, with the re-naming of our Hospital as Tallaght University Hospital. I would like to pay tribute to Mr. Andreas McConnell, who resigned from the Board in January 2018 and I am particularly pleased with the level of research our Vice Chairperson, Dr. Jim Kiely, who resigned in and translational medicine which we carry January 2019 and thank them for their dedication out, in partnership with Trinity College and our and guidance over the years. Foundations. The Foundations are generous in their support of education and research to which they I would also like to welcome Mr. Mark Varian and contribute significantly each year. Professor Ann-Marie Brady, who joined our Board in March 2018 and Mr. Edward Fleming, who was The recent relocation of the Institute of Population appointed in December 2018. Health (TCD) to the Russell Building in the nearby Tallaght Health Quarter adjacent to the Hospital has The year 2018 also saw changes in our hospital afforded additional collaborative opportunities. management, with the appointment of Ms. Lucy Nugent as our Chief Executive Officer, following At the end of 2018, the National Children’s the departure of Mr. David Slevin. David expertly Hospital was demerged from Tallaght University provided leadership to the Hospital through Hospital secondary to the Children’s Health Act. turbulent times initially as Director of Finance During this time of transition the TUH Executive and then CEO. The Hospital is indebted to him for and the Children’s Health Ireland (CHI) Executive his energy, commitment and drive that has built a worked together to prepare the Tallaght Paediatric solid foundation on which the Hospital can grow Directorate for a change of governance and transfer and we extend our best wishes to him in his future of employment for circa 290 staff. endeavours. 2 Tallaght University Hospital Annual Report 2018 | People Caring for People “I am particularly pleased with the level of research and translational medicine which we carry out, in partnership with Trinity College and our Foundations” We concentrated on patient safety and staff Community engagement is vital to our work and I am engagement and through the development of an very proud that we expanded and developed this agreed Service Level Agreement and Business during 2018. Transfer Agreement we successfully transitioned all The Opening of the SIMMs building in September of the Paediatric acute and scheduled services to 2018 was an important milestone for the Hospital, the CHI on January 1st 2019. as it was the first in a series of developments in Work was completed during the year on the decant which the Hospital will bring speciality clinical and créche works to facilitate the building of the services into the community. This initiative is just new Paediatric Outpatient and Urgent Care Centre one of the many steps that the Hospital will be and this is scheduled to open in 2020. The decant taking as we work towards developing a sustainable buildings are a welcome addition to the campus. modern healing healthcare environment. Our Hospital also made major progress in the During the year, the Hospital continued to work development of clinical services during the year, closely with the Patient Community Advisory Council with the introduction of new structures and (PCAC), and our staff held a series of health talks in treatments to care for our patients. the community on chronic health conditions. During 2018, the Hospital continued to play a major The ethos of People Caring for People is at the heart role in the work of the Dublin Midlands Hospital of everything we do in the Hospital and I want to Group and in the implementation of the Group’s take this opportunity to thank our wonderful staff five-year strategic plan in conjunction with the for the enthusiasm and dedication which they Hospitals own Clinical Services Strategy 2016-18. bring to their work each day, often in challenging Both strategic plans focus on improving access for circumstances. We are all aware that they frequently patients. go above and beyond the call of duty and they have made our Hospital a centre of excellence. I The Group’s five key strategic aims are to deliver am also delighted to see this recognised in awards excellent standards of quality and patient safety, and honours which they have won nationally and optimise service delivery, ensure patients are internationally in 2018. treated in the right place, at the right time, by the right people, develop integrated care with our Community Primary Care Partners, foster education, academic research and innovation and strengthen co-operation and collaboration between the Group Liam Dowdall Hospitals, which aligns well with TUH. Chairman TUH is more than an acute Hospital. It always aims to reach out to our community, of which it has been an integral part over the last two decades. 3 Hospital Board/ 2 Executive Organisational Structure TUH Board members from the back left to right: Mr. Mark Varian, Ms. Anna Lee, Mr. David Seaman, Mr. Edward Fleming and Professor Patricia Barker. Front row left to right Mrs. Mairéad Shields, Ms. Lucy Nugent, Mr. Liam Dowdall and Professor Anne-Marie Brady Absent from the picture are: Archdeacon David Pierpoint and Ms. Kathy Monks The Board of TUH consists of 11 members appointed ° one member appointed by the Minister for in accordance with Tallaght Hospital Charter Health, on the nomination of the HSE; and bye-laws, November 2014. They are appointed as two members appointed by the Minister for follows: ° Health, on the nomination of the Hospital Board one member appointed by the Adelaide Health ° The Chairperson is elected by the Board from among Foundation the members appointed by the Minister. The Vice ° one member appointed by the Meath Foundation Chairperson is appointed by the Board from among its members. ° one member appointed by the National Children’s Hospital No remuneration is paid in respect of Board Membership. ° four members appointed by the Minister for Health, on the nomination of the Church of Board members may be recouped for reasonable Ireland Archbishop of Dublin/President of the expenses incurred in accordance with the standard Hospital public service travel and subsistence rates. Details of any such payments to Board members are one member appointed by the Minister for ° provided in the Hospital’s annual accounts. Health on the nomination of Trinity College Dublin 4 Tallaght University Hospital Annual Report 2018 | People Caring for People In accordance with the HIQA report of 8 May 2012, ° Dr. Daragh Fahey, Director of QSRM Resigned no employee of the Hospital can be a member August 2018 of the Board. However, the Chief Executive and Ms. Sharon Larkin, Director of HR appropriate members of the senior management ° team generally attend and participate in Board ° Mr. John Kelly, Chief Operations Officer (COO) meetings. This is designed to ensure, on the one Appointed D/CEO in February 2019 hand, that Board members are fully aware of the Ms. Áine Lynch, Director of Nursing Interim practical impact on the Hospital of their decisions, ° Director of QSRM January to date 2019 and on the other hand, that the senior management team is fully aware of the governance and other ° Professor John Quinlan, Chair Medical Board requirements of the Board.

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