Healthcare Activity in 2018 Healthcare Activity in 2018 To be presented as info graphics fold-out on front cover of designed Annual Report Enabling better population health and wellbeing • 94.5% of children aged 24 months received 3 doses of the 6 in 1 vaccine • 92.3% of children aged 24 months received the MMR vaccine • 10,608 smokers received intensive cessation support • 413 healthcare professionals trained in Making Every Contact Count (MECC) brief intervention • 3,259 people completed a structured patient education programme for diabetes • 170,583 women had a mammogram • 339,161 women had a smear test • 105,416 people completed a BowelScreen FIT test • 100,000 people participated in Diabetic RetinaScreen Responding to infectious diseases • 727 infectious disease outbreaks managed • 1,116 cases of verotoxigenic E. coli (VTEC) • 315 cases of tuberculosis • 89 cases of meningococcal disease • 77 cases of measles Supporting people in primary care in the community and at home • 96.5% newborn babies visited by a public health nurse within 72 hours • 44,406 referrals to community intervention teams • 1.06 million contacts with GP Out-of-Hours • 23,471 ultrasounds provided in primary care settings • 1,615 patients received treatment as part of the hepatitis C treatment programme • 377 paediatric home care packages provided • 503,329 people with GP visit cards • 1.56 million people with medical cards • 77.5 million items submitted as claims for payment • €2.9 billion paid in reimbursement fees Healthcare Activity in 2018 Supporting those who are vulnerable • 9,848 patients received opioid substitution treatment (outside of prisons) • 9,387 members of the Traveller community received health information on type 2 diabetes and cardiovascular health Supporting people with disabilities • 155 people transitioned from congregated settings • 1.6 million personal assistant hours provided • 3.1 million home support hours provided • 156,725 respite overnights provided • 17,092 people attended other day services • 93.1% new school leavers provided with day care placement Supporting the achievement of optimal mental health • 10,796 children / adolescents seen by child and adolescent mental health services (CAMHs) • 203 admitted to CAMHs acute inpatient units • 27,124 adults seen by mental health services • 12,106 admitted to adult acute inpatient units • 8,553 psychiatry of later life patients seen by mental health services • 1.3 million page views for www.yourmentalhealth.ie Supporting older people • 17.13 million home support hours (excluding hours from intensive home care packages) delivered to over 53,000 people • 250 people in receipt of intensive home care packages • 23,305 people supported under the Nursing Homes Support Scheme • 991 people supported through transitional care Palliative Care Services • 303 people on average each month supported by specialist palliative day care services Pre-Hospital Emergency Care Services • 480 vehicles including 269 emergency ambulances available • 337,754 emergency ambulance calls answered • 32,983 inter-hospital transfers undertaken Healthcare Activity in 2018 • 923 specialised unit transfers undertaken by children’s ambulance, neonatal unit, National Paediatric Transport Programme and mobile intensive care service • Over 90% patient transfer calls managed by the intermediate care service • 451 aeromedical calls completed Services provided within acute hospital settings On a typical weekday… • 1,761 inpatients discharged from hospital • 254 elective inpatients discharged • 1,205 emergency inpatients discharged • 9 emergency hip fracture surgeries performed • 10 elective laparoscopic cholecystectomies performed • 4,349 people received day case treatment • 13,505 people attended hospital outpatients departments • 3,635 people attended an emergency department (ED) • 2,347 people admitted or discharged from ED within six hours • 2,887 people admitted or discharged from ED within nine hours • 258 patients attended an injury unit • 167 babies born • 83 patients, triaged as urgent, presented to symptomatic breast clinics • 15 patients presented to lung rapid access clinics • 14 patients presented to prostate rapid access clinics Contents Part I Statement from the Director General ................................................................................................................................ 1 Our Health Service ......................................................................................................................................... 5 Our Corporate Plan ................................................................................................................................................... 6 Our Organisation ..................................................................................................................................................... 7 Our Population ........................................................................................................................................................ 15 Listening to our Service Users ................................................................................................................................ 21 Building a Better Health Service ............................................................................................................................. 28 Quality and Safety .................................................................................................................................................. 37 Safeguarding and Protection .................................................................................................................................. 42 Excellence in Delivering our Health Services ......................................................................................................... 45 Service Delivery ............................................................................................................................................ 49 Population Health and Wellbeing ............................................................................................................................ 50 Community Healthcare ........................................................................................................................................... 57 Primary Care ................................................................................................................................................... 59 Primary Care Reimbursement Service ............................................................................................................. 61 Disability Services............................................................................................................................................. 63 Mental Health ................................................................................................................................................... 66 Older Persons’ Services ................................................................................................................................... 68 Palliative Care .................................................................................................................................................. 70 Community Healthcare Organisations .................................................................................................................... 71 Pre-Hospital and Acute Hospital Services .............................................................................................................. 83 Pre-Hospital Emergency Care Services .......................................................................................................... 85 Acute Hospital Services ................................................................................................................................... 87 Cancer Services .............................................................................................................................................. 91 Women and Infants’ Health ............................................................................................................................. 93 Hospital Groups ...................................................................................................................................................... 95 Enabling Healthcare Delivery .................................................................................................................... 105 Appendices ................................................................................................................................................. 115 Appendix 1: Membership of the Directorate and Leadership Team ...................................................................... 116 Appendix 2: Organisational Structure ................................................................................................................... 117 Appendix 3: Performance against NSP 2018 Volume Activity and Key Performance Indicators ......................... 118 Appendix 4: Capital Projects ................................................................................................................................. 133 Appendix 5: Annual Energy Efficiency Report ...................................................................................................... 142 Part II Financial Governance ...............................................................................................................................